KLF6-SV1 drives breast cancer metastasis and is associated with poor survival

R Hatami, AM Sieuwerts, S Izadmehr, Z Yao… - Science translational …, 2013 - science.org
R Hatami, AM Sieuwerts, S Izadmehr, Z Yao, RF Qiao, L Papa, MP Look, M Smid, J Ohlssen…
Science translational medicine, 2013science.org
Metastasis is the major cause of cancer mortality. A more thorough understanding of the
mechanisms driving this complex multistep process will aid in the identification and
characterization of therapeutically targetable genetic drivers of disease progression. We
demonstrate that KLF6-SV1, an oncogenic splice variant of the KLF6 tumor suppressor
gene, is associated with increased metastatic potential and poor survival in a cohort of 671
lymph node–negative breast cancer patients. KLF6-SV1 overexpression in mammary …
Metastasis is the major cause of cancer mortality. A more thorough understanding of the mechanisms driving this complex multistep process will aid in the identification and characterization of therapeutically targetable genetic drivers of disease progression. We demonstrate that KLF6-SV1, an oncogenic splice variant of the KLF6 tumor suppressor gene, is associated with increased metastatic potential and poor survival in a cohort of 671 lymph node–negative breast cancer patients. KLF6-SV1 overexpression in mammary epithelial cell lines resulted in an epithelial-to-mesenchymal–like transition and drove aggressive multiorgan metastatic disease in multiple in vivo models. Additionally, KLF6-SV1 loss-of-function studies demonstrated reversion to an epithelial and less invasive phenotype. Combined, these findings implicate KLF6-SV1 as a key driver of breast cancer metastasis that distinguishes between indolent and lethal early-stage disease and provides a potential therapeutic target for invasive breast cancer.
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