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Vol. 19, Issue 11, 4875-4887, November 2008
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*Department of Cell Biology, Harvard Medical School, Boston, MA 02115; and
Department of Developmental Biology, Harvard School of Dental Medicine, Boston, MA 02115
Submitted May 21, 2008;
Revised August 4, 2008;
Accepted September 5, 2008
Monitoring Editor: Marianne Bronner-Fraser
| ABSTRACT |
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| INTRODUCTION |
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The most common biochemical change associated with EMT is the loss of E-cadherin expression. E-cadherin transcriptional repressors such as Snail (SNAI1), Slug (SNAI2), ZEB-1, SIP-1, E12/E47 (Peinado et al., 2004
), and Twist (Yang et al., 2004
) have traditionally been implicated in promoting EMT in various systems of embryonic development and tumor progression. Other common initiators of EMT include members of the transforming growth factor (TGF)-β family. In particular, TGF-β1 has been found to be a potent initiator of EMT in cancer cells stimulating cell invasion and metastasis (Akhurst and Derynck, 2001
) and also in inducing EMT associated with renal fibrosis (Zeisberg and Kalluri, 2004
). TGF-β2 has been shown to induce endothelial-mesenchymal transition essential for cardiac development (Camenisch et al., 2002
). TGF-β3 is necessary to stimulate EMT during craniofacial development, particularly in the medial-edge epithelial cells of the palate (Nawshad and Hay, 2003
; Nawshad et al., 2007
). These TGF-β ligands bind to a heterodimeric complex of receptors composed of TβRII (ligand binding receptor) and TβRI (signaling receptor), which promotes phosphorylation of R-Smad proteins (Smad2 or 3) and their subsequent binding with the co-Smad, Smad4. This Smad complex then shuttles to the nucleus where it aids in transcription of target genes (Shi and Massague, 2003
; Massague, 2004
; Ten Dijke and Hill, 2004
).
Another molecule that has been implicated in E-cadherin repression is lymphoid enhancer factor (LEF)-1, a transcription factor typically associated with Wnt signaling (Jamora et al., 2003
). Wnt, which has been found to be necessary for stimulating EMT during neural crest formation (Garcia-Castro and Bronner-Fraser, 1999
), promotes stabilization of cytoplasmic β-catenin. This occurs through the actions of the protein Dishevelled by its phosphorylation of glycogen synthase kinase (GSK)-3β, which dissociates a ubiquitin complex (that degrades cytoplasmic β-catenin) composed of GSK-3β, Axin, and adenomatosis polyposis coli (APC). This inhibition causes β-catenin to bind with members of the T-cell factor (TCF) family of transcription factors (including LEF-1), which can enter the nucleus to help promote or suppress transcription of target genes (Jamora et al., 2003
; Waterman, 2004
).
Cross-talk between TGF-β and Wnt signaling pathways has recently been confirmed, demonstrating that LEF-1 can be functionally activated by binding with either β-catenin or Smad proteins (Labbe et al., 2000
; Nishita et al., 2000
). During palatogenesis, TGF-β3 stimulates EMT in the medial-edge epithelium by promoting increased gene expression of LEF-1 (Nawshad and Hay, 2003
; LaGamba et al., 2005
; Nawshad et al., 2007
). Furthermore, TGF-β1 has recently been found to promote β-catenin–LEF-1 signaling and EMT in Madin-Darby canine kidney (MDCK) cells (Medici et al., 2006
).
Snail family transcription factors are well known to stimulate EMT, but it has been difficult to establish where to place Snail within the grander scheme of classical EMT signaling pathways. Previous studies have been unable to demonstrate a β-catenin–LEF-1-induced up-regulation of Snail or Slug (Kim et al., 2002
; Peinado et al., 2003
). We hypothesized that the inverse is more likely: that E-cadherin repressors such as Snail or Slug (by reducing levels of E-cadherin, the membrane substrate for β-catenin) may induce formation of β-catenin–LEF-1 complexes that initiate EMT. In the study described here, we provide novel evidence that expression of Snail or Slug in DLD1 colon carcinoma, A375 melanoma, and MDCKII cells promotes formation of β-catenin–LEF-1 transcription complexes through a β-catenin–TCF-4–dependent up-regulation of TGF-β3 expression and signaling. We also demonstrate that TGF-β3 is an essential mediator of TGF-β1- or TGF-β2-induced EMT through its unique ability to promote synthesis of LEF-1. Because TGF-β1 and TGF-β2 can promote transcription of Snail or Slug, we establish that these transcriptional repressors are functional downstream of TGF-β1 or TGF-β2 and upstream of TGF-β3 and β-catenin–LEF-1 complexes in the EMT signaling cascade. Finally, we show that activated LEF-1 is the essential molecule for EMT, because it can induce this transition independently of its upstream signaling pathways.
| MATERIALS AND METHODS |
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RNA Interference (RNAi)
Small interfering RNA (siRNA) gene expression knockdown studies were performed using the TriFECTa RNAi kit (Integrated DNA Technologies) and corresponding protocol. Each 27mer RNAi duplex was transfected into cells using X-tremeGene siRNA transfection reagent (Roche Diagnostics, Indianapolis, IN) following the manufacturer's guidelines. siRNA was synthesized (Integrated DNA Technologies) using the following sequences: Snail, 5'-CCACAGAAAUGGCCAUGGGAAGGCCUC-3'; Slug, 5'-UCCGAAUAUGCAUCUUCAGGGCGCCCA-3'; LEF-1, 5'-CCGGGAUUUGCGCGCGGAGAACGCCGG-3'; and negative control, 5'-UCACAAGGGAGAGAAAGAGAGGAAGGA-3'.
Immunocytochemistry, Immunoprecipitation, and Immunoblotting
Immunofluorescence, immunoprecipitation, and Western blotting were performed using the following antibodies at concentrations (and using protocols) recommended by the respective manufacturers: TGF-β1, TGF-β2, TGF-β3 (R&D Systems), Smad4, TCF-1, LEF-1, TCF-3, TCF-4, Snail (Santa Cruz Biotechnology, Santa Cruz, CA), Slug (provided by Dr. Tom Jessell, Columbia University), β-catenin, vimentin, APC (Sigma-Aldrich, St. Louis, MO), P-Smad2/3, P-GSK-3β (Cell Signaling Technology), GSK-3β, fibronectin (BD Biosciences Transduction Laboratories, Lexington, KY),
-tubulin (Calbiochem, San Diego, CA). Horseradish peroxidase-conjugated secondary antibodies (Millipore Bioscience Research Reagents, Temecula, CA) were used at a dilution of 1:5000. Fluorescein- and rhodamine-conjugated secondary antibodies (Pierce Chemical, Rockford, IL) were used at a dilution of 1:250. Images were acquired using a Nikon 80i fluorescence microscope. Adjustments of image size, brightness, and contrast were made using Adobe Photoshop CS (Adobe Systems, Mountain View, CA).
Real-Time Quantitative Polymerase Chain Reaction (PCR)
RNA extractions were performed using the RNeasy Mini kit (QIAGEN, Valencia, CA) and protocol. RNA samples were submitted to a core facility (Biopolymers Facility, Department of Genetics, Harvard Medical School, Boston, MA) where real-time PCR experiments were conducted using the SYBER Green PCR system (Applied Biosystems, Foster City, CA) on an ABI 7500 cycler, with 40 cycles per sample. Cycling temperatures were as follows: denaturing, 95°C; annealing, 60°C; and extension, 70°C. The following primers were used: Snail, forward 5'-ACCACTATGCCGCGCTCTT-3' and reverse, 5'-GGTCGTAGGGCTGCTGGAA-3'; Slug, forward 5'-TGTTGCAGTGAGGGCAAGAA-3' and reverse 5'-GACCCTGGTTGCTTCAAGGA-3'; TGF-β3, forward 5'-AAGTGGGTCCATGAACCTAA-3' and reverse 5'-GCTACATTTACAAGACTTCAC-3'; LEF-1, forward 5'-CCGAAGAGGAAGGCGATTTAGC-3' and reverse 5'-GGTCCCTTGTTGTAGAGGCC-3'; Vimentin, forward 5'-TCTACGAGGAGGAGATGCGG-3' and reverse 5'-GGTCAAGACGTGCCAGAGAC-3'; fibronectin, forward 5'-CCCACCGTCTCAACATGCTTAG-3'; reverse 5'-CTCGGCTTCCTCCATAACAAGTAC-3';
-smooth muscle actin (SMA), forward 5'-CAATGGCTCTGGGCTCTGTAAG-3' and reverse 5'-TGTTCTATCGGGTACTTCAGGGTC-3'; cyclin D1, forward 5'-ATGCCAACCTCCTCAACGAC-3' and reverse, 5'-GGCTCTTTTTCACGGGCTCC-3';
-actinin 1, forward 5'-GAAGAAATCCAGACCCTAGCACG-3' and reverse 5'-GAGATGACCTCCAGCAGCAG-3'; E-cadherin, forward 5'-GTCAGTTCAGACTCCAGCCC-3' and reverse 5'-AAATTCACTCTGCCCAGGACG-3'; Keratin 7, forward 5'-TCACCATTAACCAGAGCCTGC-3' and reverse 5'-GGGCCTCAAAGATGTCTGGG-3'; and glyceraldehyde-3-phosphate dehydrogenase, forward 5'-ACCACAGTCCATGCCATCAC-3' and reverse: 5'-TCCACCCTGTTGCTGTA-3'.
Chromatin Immunoprecipitation (ChIP)
The ChIP assay was performed using the ChIP-IT kit (Active Motif, Carlsbad, CA) and protocol. PCR analysis was performed on DNA isolated by ChIP using a PTC-100 thermal cycler (MJ Research, South San Francisco, CA), with 35 cycles per sample. Cycling temperatures were as follows: denaturing 94°C; annealing, 58°C; and extension, 70°C. The following primers were used to isolate the TCF binding region within the TGF-β3 gene promoter: forward, 5'-CCGAGGTGCTGGTGACCCTG-3' and reverse, 5'-CCAGTGAGTAGGTGGGGAGA-3'. Samples were run on 1.5% agarose gels containing ethidium bromide (1.5 µl) and visualized with a ChemiDoc XRS Imager (Bio-Rad, Hercules, CA).
Plasmid Construction and Site-directed Mutagenesis
A recombinant plasmid was made by inserting the –1-kb fragment of the human TGF-β3 gene promoter into the pGL3 luciferase plasmid vector (Promega, Madison, Wi). The insert was amplified by PCR using a human genomic DNA template with addition of KpnI and HindIII restriction sites to primers matching those found in the pGL3 vector. The following primers (Integrated DNA Technologies) were used: forward, 5'-TTGGTACCCCAAGGGAATGAGCGAGAGA3' and reverse, 5'-CCCAAGCTTGTGTGAGCTGGGAAGAGAGG-3'. Restriction digest with KpnI and HindIII enzymes (New England Biolabs, Ispwich, MA) was performed for both the insert and vector, followed by ligation with T4 DNA ligase (New England Biolabs). Two base-pair mutagenesis PCR within the TCF binding region was performed using the following primer sequences: forward, 5'-GAGGCAGCATGAACGACGTCATTTAGAAAG-3' and reverse, 5'-CCTTCTAAATGACGTCGTTCACGCTGCCTC-3'. Mutagenesis caused formation of a unique AatII restriction site within the recombinant plasmid. The sequence changes for the –704 bp to –688 bp TCF binding site were as follows: wild type, 5'-GCGTGAACAAAGTCATT-3'; and mutant, 5'-GCGTGAACGACGTCATT-3'. Mutagenesis was confirmed by restriction digest with AatII and HindIII enzymes (New England Biolabs).
Luciferase Reporter Gene Assays
Luciferase reporter gene assays were conducted using the Luciferase Assay System (Promega) and its corresponding protocol. All plasmids (500 ng) were transfected into cells using Lipofectamine and Plus reagents (Invitrogen) according to the manufacturer's guidelines. Light units were measured with a Luminometer TD-20/20 (Turner Designs, Sunnyvale, CA). Assays were normalized for transfection efficiency by cotransfecting cells with a β-gal control plasmid and were detected with the Luminescent β-gal control assay kit (Clontech, Mountain View, CA). Experimental (Luciferase) results were divided by the β-gal results to provide normalized data. The pTOPFLASH-Lux reporter construct was provided by Dr. Hans Clevers (Netherlands Institute for Developmental Biology, Utrecht, The Netherlands). The p3TP-Lux reporter plasmid was provided by Dr. Joan Massague (Memorial Sloan-Kettering Cancer Center, New York, NY).
Invasion/Migration Assays
Invasion and migration were assessed using the Innocyte Cell Migration Assay kit (EMD Biosciences, San Diego, CA). Transwell plates (96-well) containing 8-µm pores were coated with 250 ng/ml type I collagen (BD Biosciences, San Jose, CA) and 100 ng/ml Laminin (Invitrogen). Cells migrated toward 10% serum into the lower chambers. Migrated cells in the lower chamber were stained with a Calcein-acetoxymethyl ester fluorescent dye. Excitation max (485 nm)/emission max (520 nm) was assessed using a standard fluorescent plate reader (BD FACSArray bioanalyzer; BD Biosciences).
| RESULTS |
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Snail and Slug Up-Regulate TGF-β3 Gene Expression through β-Catenin–TCF-4
Because Snail and Slug reduce expression of E-cadherin, the membrane substrate for β-catenin (Peinado et al., 2004
), we assessed the potential involvement of β-catenin in regulating expression of TGF-β3. Immunoblotting was performed to detect TGF-β3 from lysates transfected with Snail or Slug constructs in the presence of antisense (AS) oligodeoxynucleotides (ODNs) against β-catenin and all four TCF transcription factors. We found that AS β-catenin and AS TCF-4 inhibited Snail or Slug induced up-regulation of TGF-β3, whereas AS TCF-1, AS LEF-1, and AS TCF-3 had no effect (Figure 3A). Control immunoblotting confirmed expression knockdown with the AS ODNs (Figure 3B). Promoter analysis revealed a TCF binding site 700 bp upstream of the start site of the human, murine, and canine TGF-β3 gene promoters (data not shown). Chromatin immunoprecipitation was performed using antibodies against β-catenin and the TCF proteins. Immunoglobulin G was used as a negative control. PCR was conducted using primers coding for the TCF binding site within the TGF-β3 gene promoter and showed binding of β-catenin–TCF-4 to this site, whereas the other TCF proteins did not (Figure 3C). Formation of the β-catenin–TCF-4 complex by Snail or Slug transfection was observed by immunoprecipitation. Addition of a pcDNA3-E-cadherin expression plasmid prevented formation of this complex (Figure 3D). A recombinant reporter plasmid was constructed by inserting the –1-kb region of the human TGF-β3 gene promoter into a pGL3 luciferase vector. Cotransfection of this reporter with Snail of Slug expression plasmids greatly increased luciferase activity. However, luciferase activity was inhibited upon site directed mutagenesis of the TCF binding site within the reporter plasmid, or treatment with AS β-catenin or AS TCF-4 (Figure 3E). Immunoblotting showed that an E-cadherin expression plasmid was sufficient to prevent changes in expression of TGF-β3, E-cadherin, vimentin, and fibronectin caused by Snail or Slug activity (Figure 3F). The E-cadherin plasmid also prevented Snail- or Slug-induced invasion and migration (Figure 3G). Similar data were found with MDCKII and A375 cells (data not shown).
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TGF-β1 or TGF-β2 Stimulates the Snail (or Slug)-TGF-β3-β-catenin–LEF-1 Signaling Cascade
The recent finding that TGF-β1 can promote up-regulation of Snail gene expression (Peinado et al., 2003
) led us to question whether it could be a stimulator of the Snail (or Slug)-TGF-β3-β-catenin-LEF-1 signaling cascade. Using real-time quantitative PCR with RNA extracted from DLD1 cells treated with TGF-β1 or TGF-β2 at time points of 0 (control), 24, 48, and 72 h, we found that TGF-β1 and TGF-β2 promote increased expression of Snail and Slug, followed by TGF-β3, then LEF-1, vimentin, and fibronectin. This cascade correlated with decreased expression levels of E-cadherin (Supplemental Figure S3A). Increases in Snail and Slug protein expression were confirmed by immunoblotting. Addition of an MEK1/2 inhibitor (U0126) prevented these increases, suggesting that TGF-β1 or TGF-β2 promotes these up-regulations through mitogen-activated protein kinase (MAPK) signaling (Figure 5A). TGF-β1 or TGF-β2 increased levels of LEF-1 mRNA as assessed by real-time PCR. Snail siRNA and/or Slug siRNA prevented these up-regulations (Figure 5B). We then questioned why both TGF-β1 (or TGF-β2) and TGF-β3 isoforms were necessary for this signaling pathway, particularly because both signal through Smad proteins. Immunoblotting assays showed increased levels of LEF-1 expression induced by TGF-β1 or TGF-β2. However, when the experiments were repeated in the presence of a TGF-β3 neutralizing antibody, LEF-1 expression was significantly reduced. These results suggested that up-regulation of LEF-1 is TGF-β3-dependent (Figure 5C). We also showed via Western blotting that (much like TGF-β3) TGF-β1 and TGF-β2 caused up-regulation of P-GSK-3β, which was prevented in the presence of a PI3K inhibitor (LY294002) (Supplemental Figure S3B). Snail or Slug plasmid transfection showed no effects on TGF-β1 or TGF-β2 protein levels (Supplemental Figure S3C). Snail- and Slug-dependent TGF-β1 or TGF-β2-induced formation of β-catenin–TCF-4 complexes that bind to the TGF-β3 gene promoter were confirmed by immunoprecipitation and chromatin immunoprecipitation, respectively (Supplemental Figure S3, D and E). Finally, we established that E-cadherin protein was heavily reduced upon treatment of cells with either TGF-β1 or TGF-β2 for 48 h, whereas vimentin and fibronectin were greatly up-regulated. Addition of Snail siRNA, Slug siRNA, AS TCF-4, TGF-β3 neutralizing antibody, or DN LEF-1 prevented these changes (Supplemental Figure S3, F and G). These inhibitors also prevented TGF-β1- or TGF-β2-induced invasion/migration (Supplemental Figure S3, H and I). Similar results were found with MDCKII and A375 cells (data not shown).
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β-Catenin–LEF-1 Is Sufficient to Promote EMT without Upstream TGF-β or Snail/Slug Signaling
Because DLD1 cells already have excessive amounts of cytoplasmic β-catenin due to an APC mutation, we were able to induce EMT within 48 h after the addition of an adenoviral LEF-1 expression construct used as described previously (Kim et al., 2002
) (Figure 6A). Increased LEF-1 transcriptional activity was confirmed using the pTOPFLASH-Lux reporter plasmid (Figure 6B). We found that LEF-1 had a 67.8-fold increase in gene expression upon exposure to the adenovirus by real-time PCR. Expression of genes associated with β-catenin–LEF-1-induced EMT were increased including vimentin, fibronectin,
-SMA,
-actinin 1, and cyclin D1 (positive control; Waterman, 2004
), whereas expression of the epithelial markers E-cadherin and keratin 7 decreased (Supplemental Figure S4). To find out whether LEF-1 can promote EMT without its upstream signaling pathways, we assessed LEF-1 function in DLD1 cells in the presence of Snail, Slug, TCF-4, and TGF-β inhibitors. Control immunoblotting showed that Snail siRNA fully inhibited Snail expression in the presence or absence of LEF-1. LEF-1 expression did not alter Snail protein levels (Figure 6C). Similar results were found for Slug expression using Slug siRNA (Figure 6D). Expression of E-cadherin and vimentin using immunoblotting showed that LEF-1 caused full inhibition of E-cadherin, as well as massive increases in vimentin and fibronectin. LEF-1 expression in the presence of Snail siRNA, Slug siRNA, AS TCF-4, or a blocking antibody against TGF-β1, TGF-β2, and TGF-β3 did not affect LEF-1-induced EMT, whereas AS β-catenin did (Figure 6E). These inhibitors showed similar effects for LEF-1-induced invasion/migration (Figure 6F). siRNA-mediated knockdown of LEF-1 was observed by real-time quantitative PCR, showing >90% decreased expression in DLD1 cells treated with TGF-β1, TGF-β2, Snail, Slug, or TGF-β3. These decreases in LEF-1 were sufficient to prevent expression changes of E-cadherin and vimentin induced by these factors (Supplemental Figure S5).
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| DISCUSSION |
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-SMA) that drive formation of the mesenchymal phenotype (Figure 7).
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Another interesting aspect of the mechanism we describe here is that two forms of TGF-β (TGF-β1 [or TGF-β2] and TGF-β3) seem to be necessary for the full cascade to function. TGF-β1 and TGF-β2 cause increased expression of the E-cadherin repressors Snail and Slug, which will decrease levels of β-catenin localized at the cell membrane. All three TGF-β isoforms can signal through PI3K to promote stabilization of cytoplasmic β-catenin by ILK- or AKT-dependent phosphorylation of GSK-3β (Hannigan et al., 2005
). The unique function of TGF-β3 seems to be the promotion of increased LEF-1 expression, which can subsequently bind with β-catenin to form transcription complexes that induce EMT. How exactly these three ligands differ in downstream signaling potential remains to be defined, as they all signal through Smad proteins. Whereas they all have the potential to use both Smad2 and Smad3, recent evidence has shown that TGF-β3 primarily uses Smad2 as its R-Smad protein during EMT (Nawshad and Hay, 2003
; Shiomi et al., 2006
). Therefore, it is tempting to hypothesize that TGF-β1 and TGF-β2 primarily use Smad3 as their R-Smad during EMT. What is known is that LEF-1 up-regulation seems to be Smad dependent, whereas increases in Snail seems to be driven by Smad-independent (MAPK) signaling.
These findings complement our previous studies of TGF-β1-induced EMT. We recently reported that TGF-β1 signaling promotes EMT through cooperative activities of Smad-dependent and Smad-independent signaling pathways (Medici et al., 2006
). We found that signaling was active 2–3 d after treatment with TGF-β1, whereas these signals would typically be lost over a period of several hours rather than days. We now find that the continuous TGF-β signaling observed at these later time points is a result of endogenous TGF-β3 expression, rather than the initial treatment with TGF-β1. Furthermore, the ability of TGF-β1-induced Snail expression to promote TGF-β3 signaling (which is essential for LEF-1 expression) provides significantly new insights into the mechanisms of EMT signaling.
These data regarding sequential expression of individual TGF-β isoforms are supported by in vivo studies of embryonic EMT. Both TGF-β2 and TGF-β3 have been implicated in EMT during endocardial cushion development (Romano and Runyan, 2000
; Camenisch et al., 2002
). Studies have shown that TGF-β2 is highly expressed in the endocardium 9.5–12.5 d post conception (dpc) and is eventually marked by overlap with TGF-β3, which is heavily expressed from 14.5 dpc (Molin et al., 2003
). Also, regarding EMT in palate development, TGF-β2 is expressed in palatal shelves before fusion and TGF-β3 has been proved to be the key mediator of EMT in palate medial-edge epithelial cells (Nawshad et al., 2007
). Furthermore, both TGF-β2 and TGF-β3 knockout mice demonstrate a cleft palate phenotype (Kaartinen et al., 1995
; Sanford et al., 1997
). Elevated levels of Snail have been found in palates of TGF-β3 knockout mice (Martinez-Alvarez et al., 2004
). Because we found that Snail up-regulates TGF-β3, these elevated levels of Snail by palate cells may represent an attempt to compensate for the lack of TGF-β3 expression. Although TGF-β2 seems to promote most embryonic EMT, pathological forms of EMT such as tumor metastasis and organ fibrosis are more commonly driven by TGF-β1 (Thiery, 2003
). Our results suggest that cooperation between TGF-β1 and TGF-β3 may stimulate EMT in these pathological conditions.
The signal transduction pathways that govern EMT are extensive, with cross-talk mechanisms forming a complex web of signaling. Here, we provide the foundation for a unified mechanism that promotes EMT. We show that the transcriptional repressor proteins Snail and Slug can promote TGF-β signal transduction by up-regulating synthesis of TGF-β3 through the transcription factor TCF-4. We also provided evidence of how TGF-β3 can be integrated with other pathways (including β-catenin–LEF-1) that induce EMT, establishing essential and unique roles for multiple TGF-β isoforms in stimulating this change in cell morphology. Furthermore, by using an APC-null cancer cell line (DLD1), we were able to demonstrate that active LEF-1 can promote EMT without Snail, Slug, TCF-4, or any of the TGF-β isoforms. This role of LEF-1 may provide a basis for developing new anti-metastasis therapeutics for carcinomas and may help the understanding of mechanisms of EMT in other systems.
| ACKNOWLEDGMENTS |
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| Footnotes |
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Address correspondence to: Bjorn R. Olsen (bjorn_olsen{at}hms.harvard.edu)
Abbreviations used: APC, adenomatosis polyposis coli; AS, antisense; DN, dominant negative; EMT, epithelial-mesenchymal transition; GSK, glycogen synthase kinase; LEF, lymphoid enhancer factor; MAPK, mitogen-activated protein kinase; MDCK, Madin-Darby canine kidney; ODN, oligodeoxynucleotide; PI3K, phosphoinositide 3-kinase; TCF, T-cell factor; TGF, transforming growth factor.
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