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. 2013 Nov 15;12(22):3471-7.
doi: 10.4161/cc.26692. Epub 2013 Oct 4.

Reprogramming of non-genomic estrogen signaling by the stemness factor SOX2 enhances the tumor-initiating capacity of breast cancer cells

Affiliations

Reprogramming of non-genomic estrogen signaling by the stemness factor SOX2 enhances the tumor-initiating capacity of breast cancer cells

Alejandro Vazquez-Martin et al. Cell Cycle. .

Abstract

The restoration of pluripotency circuits by the reactivation of endogenous stemness factors, such as SOX2, may provide a new paradigm in cancer development. The tumoral stem cell reprogramming hypothesis, i.e., the ability of stemness factors to redirect normal and differentiated tumor cells toward a less-differentiated and stem-like state, adds new layers of complexity to cancer biology, because the effects of such reprogramming may remain dormant until engaged later in response to (epi)genetic and/or (micro)environmental events. To test this hypothesis, we utilized an in vitro model of a SOX2-overexpressing cancer stem cell (CSC)-like cellular state that was recently developed in our laboratory by employing Yamanaka's nuclear reprogramming technology in the estrogen receptor α (ERα)-positive MCF-7 breast cancer cell line. Despite the acquisition of distinct molecular features that were compatible with a breast CSC-like cellular state, such as strong aldehyde dehydrogenase activity, as detected by ALDEFLUOR, and overexpression of the SSEA-4 and CD44 breast CSC markers, the tumor growth-initiating ability of SOX2-overexpressing CSC-like MCF-7 cells solely occurred in female nude mice supplemented with estradiol when compared with MCF-7 parental cells. Ser118 phosphorylation of estrogen receptor α (ERα), which is a pivotal integrator of the genomic and nongenomic E 2/ERα signaling pathways, drastically accumulated in nuclear speckles in the interphase nuclei of SOX2-driven CSC-like cell populations. Moreover, SOX2-positive CSC-like cells accumulated significantly higher numbers of actively dividing cells, and the highest levels of phospho-Ser118-ERα occurred when chromosomes lined up on a metaphase plate. The previously unrecognized link between E 2/ERα signaling and SOX2-driven stem cell circuitry may significantly impact our current understanding of breast cancer initiation and progression, i.e., SOX2 can promote non-genomic E 2 signaling that leads to nuclear phospho-Ser118-ERα, which ultimately exacerbates genomic ER signaling in response to E 2. Because E 2 stimulation has been recently shown to enhance breast tumor-initiating cell survival by downregulating miR-140, which targets SOX2, the establishment of a bidirectional cross-talk interaction between the stem cell self-renewal regulator, SOX2, and the local and systemic ability of E 2 to increase breast CSC activity may have profound implications for the development of new CSC-directed strategies for breast cancer prevention and therapy.

Keywords: SOX2; breast cancer; cancer stem cells; estradiol; estrogen receptor.

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Figures

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Figure 1. Incidence of MCF-7- and SOX2-overexpressing MCF-7/Rep xenografts. Detection of tumors with volume ≥10 mm3 that grew progressively to distinguish from local inflammation following the injection of 1 × 106 cells in the absence of Matrigel in nude mice. The number of tumors is shown as a rate in (A), and the incidence of tumors is shown as a function of time in (B). The volume of evident tumors (columns, means; bars, SE) on day 112 is shown in (C). Fold and P values indicate comparison of tumor volume with the control group of MCF-7 parental cells.
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Figure 2. Immunohistochemical analysis of MCF-7 and SOX2-overexpressing MCF-7/Rep xenotumors. Top: H&E, ERα, and PR immunohistochemical staining in MCF-7 and SOX2-overexpressing MCF-7/Rep (clone #3) xenotumor tissues. Bottom: the Masson trichrome stain was used to distinguish collagen from smooth muscle and to identify an increase in collagenous tissue in xenograft specimens (muscle fibers-red, collagen-blue, fibrin-pink, cytoplasm-red, and nuclei-blue/black). The combination of PAS and PAS with diastase (PASD) was used for demonstration of glycogen content. PAS stains magenta the glycogen stores, but it also stains with the same color additional tissue elements (neutral mucosubstances, epithelial sulfomucins, and sialomucins). PASD reaction digests glycogen with a pretreatment of the tissue with α-amylase (depolymerizes glycogen), and as a result of this, any magenta staining is solely attributed to the other tissue elements described above but not to glycogen. The Alcian Blue stain was used for the demonstration of neutral and acidic mucosubstances. Alcian Blue imparts a blue color to the acidic mucins and other carboxylated or weakly sulphated acid mucosubstances. Because the PAS reaction stains basement membranes, glycogen, and neutral mucosubstances pink to red, mixtures of neutral and acidic mucosubstances will appear purple due to positive reactions with both Alcian Blue and PAS. Original magnification, ×200.
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Figure 3. Immunofluorescence analysis of ERα and phospho-ERαSer118 in CSC-like SOX2-overexpressing MCF-7/Rep cells vs. MCF-7 parental cells. Immunofluorescence data show that CSC-like SOX2-overexpressing MCF7/Rep cells have constitutively elevated ERα phosphorylation at Ser118 in nucleoplasmic speckles compared with MCF-7 parental cells. White arrows indicate mitotic cells with very high levels of phospho-ERαSer118.
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Figure 4. Reprogramming of non-genomic estrogen signaling by SOX2: A new driver of breast cancer stem-like cellular states with tumor-initiating capacity. SOX2 overexpression confers a tumor-initiating advantage to ERα-positive MCF-7 breast cancer cells in an estrogen-dependent manner, i.e. when s.c. injected into ovariectomized nude mice implanted with estrogen pellets, SOX2-overexpressing MCF-7/Rep cells formed more and larger tumors than MCF-7 parental cells, which mostly failed to produce tumor outgrowths in the absence of Matrigel. The previously unrecognized ability of the stemness factor SOX2 to promote estrogen-dependent tumorigenesis of ERα-positive breast cancer cells appears to depend on the activation of non-genomic estrogen signaling. E2 activates nuclear ERα (genomic pathway) and ERα in or near the membrane (non-genomic pathway). Membrane-associated ERα associates with growth factor signaling components (e.g., EGFR/HER2, INSR, IGF-1R), thus allowing E2 to activate the growth factor signaling by activating key molecules such as PI3K or Ras and downstream molecules such as AKT, mTOR, MEK, and MAPK. The crosstalk between the non-genomic estrogen signaling and the growth factor signaling is bidirectional, because a variety of kinases including MAPKs, AKT, and mTOR coordinately regulate the phosphorylation of specific sites of the ERα, leading to ligand (E2)-independent ERα activation. Moreover, phosphorylation of ERα co-regulatory proteins by growth factor kinases regulates the ERα signaling pathway to enhance the nuclear genomic ERα-mediated response. Our findings strongly suggest that reprogramming of non-genomic estrogen signaling by the stemness factor SOX2 is a key molecular feature that determines the tumor-initiating capacity of breast cancer stem-like cellular states.

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