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      The WAVE2/miR-29/Integrin-β1 Oncogenic Signaling Axis Promotes Tumor Growth and Metastasis in Triple-negative Breast Cancer

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          Abstract

          Breast cancer is the most frequently diagnosed malignancy in women and the major cause of death because of its invasion, metastasis, and resistance to therapies capabilities. The most aggressive subtype of breast cancer is triple-negative breast cancer (TNBC) due to invasive and metastatic properties along with early age of diagnosis and poor prognosis. TNBC tumors do not express estrogen, progesterone, and HER2 receptors, which limits their treatment with targeted therapies. Cancer invasiveness and metastasis are known to be promoted by increased cell motility and upregulation of the WAVE proteins. While the contribution of WAVE2 to cancer progression is well documented, the WAVE2-mediated regulation of TNBC oncogenic properties is still under investigated, as does the molecular mechanisms by which WAVE2 regulates such oncogenic pathways. In this study, we show that WAVE2 plays a significant role in TNBC development, progression, and metastasis, through the regulation of miR-29 expression, which in turn targets Integrin-β1 ( ITGB1) and its downstream oncogenic activities. Conversely, we found WAVE2 expression to be regulated by miR-29 in a negative regulatory feedback loop. Reexpression of exogenous WAVE2 in the WAVE2-deficient TNBC cells resulted in reactivation of ITGB1 expression and activity, further confirming the specificity of WAVE2 in regulating Integrin-β1. Together, our data identify a novel WAVE2/miR-29/ ITGB1 signaling axis, which is essential for the regulation of the invasion-metastasis cascade in TNBC. Our findings offer new therapeutic strategies for the treatment of TNBC by targeting WAVE2 and/or its downstream effectors.

          Significance:

          Identification of a novel WAVE2/miR-29/ ITGB1 signaling axis may provide new insights on how WAVE2 regulates the invasion-metastasis cascade of TNBC tumors through the modulation of ITGB1 and miR-29.

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          Most cited references42

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          Hallmarks of Cancer: The Next Generation

          The hallmarks of cancer comprise six biological capabilities acquired during the multistep development of human tumors. The hallmarks constitute an organizing principle for rationalizing the complexities of neoplastic disease. They include sustaining proliferative signaling, evading growth suppressors, resisting cell death, enabling replicative immortality, inducing angiogenesis, and activating invasion and metastasis. Underlying these hallmarks are genome instability, which generates the genetic diversity that expedites their acquisition, and inflammation, which fosters multiple hallmark functions. Conceptual progress in the last decade has added two emerging hallmarks of potential generality to this list-reprogramming of energy metabolism and evading immune destruction. In addition to cancer cells, tumors exhibit another dimension of complexity: they contain a repertoire of recruited, ostensibly normal cells that contribute to the acquisition of hallmark traits by creating the "tumor microenvironment." Recognition of the widespread applicability of these concepts will increasingly affect the development of new means to treat human cancer. Copyright © 2011 Elsevier Inc. All rights reserved.
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            Cancer Statistics, 2021

            Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths in the United States and compiles the most recent data on population-based cancer occurrence. Incidence data (through 2017) were collected by the Surveillance, Epidemiology, and End Results Program; the National Program of Cancer Registries; and the North American Association of Central Cancer Registries. Mortality data (through 2018) were collected by the National Center for Health Statistics. In 2021, 1,898,160 new cancer cases and 608,570 cancer deaths are projected to occur in the United States. After increasing for most of the 20th century, the cancer death rate has fallen continuously from its peak in 1991 through 2018, for a total decline of 31%, because of reductions in smoking and improvements in early detection and treatment. This translates to 3.2 million fewer cancer deaths than would have occurred if peak rates had persisted. Long-term declines in mortality for the 4 leading cancers have halted for prostate cancer and slowed for breast and colorectal cancers, but accelerated for lung cancer, which accounted for almost one-half of the total mortality decline from 2014 to 2018. The pace of the annual decline in lung cancer mortality doubled from 3.1% during 2009 through 2013 to 5.5% during 2014 through 2018 in men, from 1.8% to 4.4% in women, and from 2.4% to 5% overall. This trend coincides with steady declines in incidence (2.2%-2.3%) but rapid gains in survival specifically for nonsmall cell lung cancer (NSCLC). For example, NSCLC 2-year relative survival increased from 34% for persons diagnosed during 2009 through 2010 to 42% during 2015 through 2016, including absolute increases of 5% to 6% for every stage of diagnosis; survival for small cell lung cancer remained at 14% to 15%. Improved treatment accelerated progress against lung cancer and drove a record drop in overall cancer mortality, despite slowing momentum for other common cancers.
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              Microenvironmental regulation of tumor progression and metastasis.

              Cancers develop in complex tissue environments, which they depend on for sustained growth, invasion and metastasis. Unlike tumor cells, stromal cell types within the tumor microenvironment (TME) are genetically stable and thus represent an attractive therapeutic target with reduced risk of resistance and tumor recurrence. However, specifically disrupting the pro-tumorigenic TME is a challenging undertaking, as the TME has diverse capacities to induce both beneficial and adverse consequences for tumorigenesis. Furthermore, many studies have shown that the microenvironment is capable of normalizing tumor cells, suggesting that re-education of stromal cells, rather than targeted ablation per se, may be an effective strategy for treating cancer. Here we discuss the paradoxical roles of the TME during specific stages of cancer progression and metastasis, as well as recent therapeutic attempts to re-educate stromal cells within the TME to have anti-tumorigenic effects.
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                Author and article information

                Contributors
                Role: Data curationRole: SoftwareRole: Formal analysisRole: ValidationRole: InvestigationRole: Writing - original draft
                Role: Data curationRole: SoftwareRole: ValidationRole: InvestigationRole: Methodology
                Role: Data curationRole: InvestigationRole: Methodology
                Role: ValidationRole: Methodology
                Role: Data curationRole: Formal analysisRole: ValidationRole: Visualization
                Role: ConceptualizationRole: ResourcesRole: Data curationRole: Formal analysisRole: SupervisionRole: Funding acquisitionRole: InvestigationRole: MethodologyRole: Project administrationRole: Writing - review and editing
                Journal
                Cancer Res Commun
                Cancer Res Commun
                Cancer Research Communications
                American Association for Cancer Research
                2767-9764
                January 2023
                31 January 2023
                : 3
                : 1
                : 160-174
                Affiliations
                [1 ]Department of Medicine, Case Western Reserve University, Cleveland, Ohio.
                [2 ]MetroHealth Medical Center, Cleveland, Ohio.
                [3 ]Case Comprehensive Cancer Center, Cleveland, Ohio.
                Author notes

                P.S. Rana and W. Wang contributed equally to this article.

                Corresponding Author: Khalid Sossey-Alaoui, Case Western Reserve University, Rammelkamp Center for Research, R457, 2500 MetroHealth Drive, Cleveland, OH 44109. Phone: 216-778-5275; Fax: 216-778-4321; E-mail: kxs586@ 123456case.edu
                Author information
                https://orcid.org/0000-0001-5774-4383
                https://orcid.org/0000-0002-9564-5586
                https://orcid.org/0000-0002-4449-8723
                https://orcid.org/0000-0002-0076-4428
                https://orcid.org/0000-0001-9277-5329
                https://orcid.org/0000-0002-2410-7633
                Article
                CRC-22-0249
                10.1158/2767-9764.CRC-22-0249
                10035451
                36968231
                c0ef64e2-a399-4b81-b1b6-e36d5d097e49
                © 2023 The Authors; Published by the American Association for Cancer Research

                This open access article is distributed under the Creative Commons Attribution 4.0 International (CC BY 4.0) license.

                History
                : 24 June 2022
                : 02 September 2022
                : 18 January 2023
                Page count
                Pages: 15
                Funding
                Funded by: http://dx.doi.org/10.13039/100000002, HHS | National Institutes of Health (NIH);
                Award ID: R01CA226921
                Award Recipient : Award Recipient : Award Recipient : Award Recipient : Award Recipient :
                Categories
                Research Article
                Progression, Invasion & Metastasis
                Cell Signaling
                Cell Adhesion
                Receptors
                Breast Cancer
                Oncogenes & Tumor Suppressors
                miRNA tumor suppressors
                Custom metadata
                true

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