Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer

Abstract Resistance to tamoxifen is a clinically major challenge in breast cancer treatment. Although downregulation of estrogen receptor‐alpha (ERα) is the dominant mechanism of tamoxifen resistance, the reason for ERα decrease during tamoxifen therapy remains elusive. Herein, we reported that Spal...

Full description

Saved in:
Bibliographic Details
Main Authors: Liping Ye, Chuyong Lin, Xi Wang, Qiji Li, Yue Li, Meng Wang, Zekun Zhao, Xianqiu Wu, Dongni Shi, Yunyun Xiao, Liangliang Ren, Yunting Jian, Meisongzhu Yang, Ruizhang Ou, Guangzheng Deng, Ying Ouyang, Xiangfu Chen, Jun Li, Libing Song
Format: Article
Language:English
Published: Springer Nature 2019-10-01
Series:EMBO Molecular Medicine
Subjects:
Online Access:https://doi.org/10.15252/emmm.201910638
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849343077773213696
author Liping Ye
Chuyong Lin
Xi Wang
Qiji Li
Yue Li
Meng Wang
Zekun Zhao
Xianqiu Wu
Dongni Shi
Yunyun Xiao
Liangliang Ren
Yunting Jian
Meisongzhu Yang
Ruizhang Ou
Guangzheng Deng
Ying Ouyang
Xiangfu Chen
Jun Li
Libing Song
author_facet Liping Ye
Chuyong Lin
Xi Wang
Qiji Li
Yue Li
Meng Wang
Zekun Zhao
Xianqiu Wu
Dongni Shi
Yunyun Xiao
Liangliang Ren
Yunting Jian
Meisongzhu Yang
Ruizhang Ou
Guangzheng Deng
Ying Ouyang
Xiangfu Chen
Jun Li
Libing Song
author_sort Liping Ye
collection DOAJ
description Abstract Resistance to tamoxifen is a clinically major challenge in breast cancer treatment. Although downregulation of estrogen receptor‐alpha (ERα) is the dominant mechanism of tamoxifen resistance, the reason for ERα decrease during tamoxifen therapy remains elusive. Herein, we reported that Spalt‐like transcription factor 2 (SALL2) expression was significantly reduced during tamoxifen therapy through transcription profiling analysis of 9 paired primary pre‐tamoxifen‐treated and relapsed tamoxifen‐resistant breast cancer tissues. SALL2 transcriptionally upregulated ESR1 and PTEN through directly binding to the DNA promoters. By contrast, silencing SALL2 induced downregulation of ERα and PTEN and activated the Akt/mTOR signaling, resulting in estrogen‐independent growth and tamoxifen resistance in ERα‐positive breast cancer. Furthermore, hypermethylation of SALL2 promoter was found in tamoxifen‐resistant breast cancer. Importantly, in vivo experiments showed that DNA methyltransferase inhibitor‐mediated SALL2 restoration resensitized tamoxifen‐resistant breast cancer to tamoxifen therapy. These findings shed light on the mechanism of SALL2 in regulation of ER and represent a potential clinical signature that can be used to categorize breast cancer patients who may benefit from co‐therapy with tamoxifen and DNMT inhibitor.
format Article
id doaj-art-9d1e2d7aba0149b99b9ad9389ece5549
institution Kabale University
issn 1757-4676
1757-4684
language English
publishDate 2019-10-01
publisher Springer Nature
record_format Article
series EMBO Molecular Medicine
spelling doaj-art-9d1e2d7aba0149b99b9ad9389ece55492025-08-20T03:43:10ZengSpringer NatureEMBO Molecular Medicine1757-46761757-46842019-10-01111211910.15252/emmm.201910638Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancerLiping Ye0Chuyong Lin1Xi Wang2Qiji Li3Yue Li4Meng Wang5Zekun Zhao6Xianqiu Wu7Dongni Shi8Yunyun Xiao9Liangliang Ren10Yunting Jian11Meisongzhu Yang12Ruizhang Ou13Guangzheng Deng14Ying Ouyang15Xiangfu Chen16Jun Li17Libing Song18State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterDepartment of Orthopaedic Surgery, The Seventh Affiliated Hospital, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterDivision of Biosciences, University College LondonClinical Experimental Center, Department of Pathology (Clinical Biobanks), Jiangmen Central Hospital, Affiliated Jiangmen Hospital of Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterDepartment of Biochemistry, Zhongshan School of Medicine, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterDepartment of Biochemistry, Zhongshan School of Medicine, Sun Yat‐sen UniversityDepartment of Pathology, School of Basic Medical Science, Southern Medical UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterDepartment of Biochemistry, Zhongshan School of Medicine, Sun Yat‐sen UniversityState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat‐sen University Cancer CenterAbstract Resistance to tamoxifen is a clinically major challenge in breast cancer treatment. Although downregulation of estrogen receptor‐alpha (ERα) is the dominant mechanism of tamoxifen resistance, the reason for ERα decrease during tamoxifen therapy remains elusive. Herein, we reported that Spalt‐like transcription factor 2 (SALL2) expression was significantly reduced during tamoxifen therapy through transcription profiling analysis of 9 paired primary pre‐tamoxifen‐treated and relapsed tamoxifen‐resistant breast cancer tissues. SALL2 transcriptionally upregulated ESR1 and PTEN through directly binding to the DNA promoters. By contrast, silencing SALL2 induced downregulation of ERα and PTEN and activated the Akt/mTOR signaling, resulting in estrogen‐independent growth and tamoxifen resistance in ERα‐positive breast cancer. Furthermore, hypermethylation of SALL2 promoter was found in tamoxifen‐resistant breast cancer. Importantly, in vivo experiments showed that DNA methyltransferase inhibitor‐mediated SALL2 restoration resensitized tamoxifen‐resistant breast cancer to tamoxifen therapy. These findings shed light on the mechanism of SALL2 in regulation of ER and represent a potential clinical signature that can be used to categorize breast cancer patients who may benefit from co‐therapy with tamoxifen and DNMT inhibitor.https://doi.org/10.15252/emmm.201910638breast cancerESR1methylationSALL2tamoxifen resistance
spellingShingle Liping Ye
Chuyong Lin
Xi Wang
Qiji Li
Yue Li
Meng Wang
Zekun Zhao
Xianqiu Wu
Dongni Shi
Yunyun Xiao
Liangliang Ren
Yunting Jian
Meisongzhu Yang
Ruizhang Ou
Guangzheng Deng
Ying Ouyang
Xiangfu Chen
Jun Li
Libing Song
Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer
EMBO Molecular Medicine
breast cancer
ESR1
methylation
SALL2
tamoxifen resistance
title Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer
title_full Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer
title_fullStr Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer
title_full_unstemmed Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer
title_short Epigenetic silencing of SALL2 confers tamoxifen resistance in breast cancer
title_sort epigenetic silencing of sall2 confers tamoxifen resistance in breast cancer
topic breast cancer
ESR1
methylation
SALL2
tamoxifen resistance
url https://doi.org/10.15252/emmm.201910638
work_keys_str_mv AT lipingye epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT chuyonglin epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT xiwang epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT qijili epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT yueli epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT mengwang epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT zekunzhao epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT xianqiuwu epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT dongnishi epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT yunyunxiao epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT liangliangren epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT yuntingjian epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT meisongzhuyang epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT ruizhangou epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT guangzhengdeng epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT yingouyang epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT xiangfuchen epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT junli epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer
AT libingsong epigeneticsilencingofsall2conferstamoxifenresistanceinbreastcancer