Progestin suppression of miR-29 potentiates dedifferentiation of breast cancer cells via KLF4

DM Cittelly, J Finlay-Schultz, EN Howe, NS Spoelstra…�- Oncogene, 2013 - nature.com
DM Cittelly, J Finlay-Schultz, EN Howe, NS Spoelstra, SD Axlund, P Hendricks…
Oncogene, 2013nature.com
The female hormone progesterone (P4) promotes the expansion of stem-like cancer cells in
estrogen receptor (ER)-and progesterone receptor (PR)-positive breast tumors. The
expanded tumor cells lose expression of ER and PR, express the tumor-initiating marker
CD44, the progenitor marker cytokeratin 5 (CK5) and are more resistant to standard
endocrine and chemotherapies. The mechanisms underlying this hormone-stimulated
reprogramming have remained largely unknown. In the present study, we investigated the�…
Abstract
The female hormone progesterone (P4) promotes the expansion of stem-like cancer cells in estrogen receptor (ER)-and progesterone receptor (PR)-positive breast tumors. The expanded tumor cells lose expression of ER and PR, express the tumor-initiating marker CD44, the progenitor marker cytokeratin 5 (CK5) and are more resistant to standard endocrine and chemotherapies. The mechanisms underlying this hormone-stimulated reprogramming have remained largely unknown. In the present study, we investigated the role of microRNAs in progestin-mediated expansion of this dedifferentiated tumor cell population. We demonstrate that P4 rapidly downregulates miR-29 family members, particularly in the CD44+ cell population. Downregulation of miR-29 members potentiates the expansion of CK5+ and CD44+ cells in response to progestins, and results in increased stem-like properties in vitro and in vivo. We demonstrate that miR-29 directly targets Kr�ppel-like factor 4 (KLF4), a transcription factor required for the reprogramming of differentiated cells to pluripotent stem cells, and for the maintenance of breast cancer stem cells. These results reveal a novel mechanism, whereby progestins increase the stem cell-like population in hormone-responsive breast cancers, by decreasing miR-29 to augment PR-mediated upregulation of KLF4. Elucidating the mechanisms whereby hormones mediate the expansion of stem-like cells furthers our understanding of the progression of hormone-responsive breast cancers.
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