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DOI: 10.1055/s-0038-1640039
Tumor cell plasticity in the pathogenesis and prognosis of head and neck cancer
Introduction:
Experimental and clinical studies support a model in which a distinct subpopulation of invasive and therapy resistant cancer cells drives treatment failure in head and neck cancer (HNC). Common features of this subpopulation are a high degree of cellular plasticity and acquisition of a phenotype, which is known as epithelial-to-mesenchymal transition. Recently, we unraveled the transcription factor SOX2 as a key regulator of cancer cell plasticity, but the mode of SOX2 regulation remained largely elusive.
Methods:
Immunofluorescence staining of cancer cells in 2D and 3D models was done to investigate SOX2 expression on a single cell level. HNC cells were treated with Decitabine (DAC), a potent DNMT inhibitor, to address the impact of DNA methylation on SOX2 expression and cancer cell motility. Integrative multi-scale analysis was performed on global genome, methylome and transcriptome data, which were available for a cohort of 80 HNC patients. Data were confirmed with public available data from the TCGA-HNC cohort.
Results:
Heterogeneous SOX2 expression was detected for several HNC cell lines in 2D and 3D models, and loss of SOX2 was a characteristic feature for cells with migratory and invasive properties. DAC treatment restored SOX2 expression accompanied by a decrease in cancer cell migration and invasion, suggesting regulation of heterogeneous SOX2 expression by DNA methylation. In line with this assumption, SOX2 gene promoter methylation was found as a common event in a HNC patient cohort and was confirmed in the TCGA-HNC cohort.
Conclusion:
Epigenetic regulation of SOX2 expression by DNA methylation regulates tumor cell plasticity and motility, and treatment with DNMT inhibitors serves as a promising new strategy to prevent tumor cell dissemination.
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No conflict of interest has been declared by the author(s).
Publication History
Publication Date:
18 April 2018 (online)
© 2018. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).
Georg Thieme Verlag KG
Stuttgart · New York