Breast cancer bone metastasis mediated by the Smad tumor suppressor pathway

Y Kang, W He, S Tulley, GP Gupta… - Proceedings of the …, 2005 - National Acad Sciences
Y Kang, W He, S Tulley, GP Gupta, I Serganova, CR Chen, K Manova-Todorova, R Blasberg…
Proceedings of the National Academy of Sciences, 2005National Acad Sciences
TGF-β can signal by means of Smad transcription factors, which are quintessential tumor
suppressors that inhibit cell proliferation, and by means of Smad-independent mechanisms,
which have been implicated in tumor progression. Although Smad mutations disable this
tumor-suppressive pathway in certain cancers, breast cancer cells frequently evade the
cytostatic action of TGF-β while retaining Smad function. Through immunohistochemical
analysis of human breast cancer bone metastases and functional imaging of the Smad …
TGF-β can signal by means of Smad transcription factors, which are quintessential tumor suppressors that inhibit cell proliferation, and by means of Smad-independent mechanisms, which have been implicated in tumor progression. Although Smad mutations disable this tumor-suppressive pathway in certain cancers, breast cancer cells frequently evade the cytostatic action of TGF-β while retaining Smad function. Through immunohistochemical analysis of human breast cancer bone metastases and functional imaging of the Smad pathway in a mouse xenograft model, we provide evidence for active Smad signaling in human and mouse bone-metastatic lesions. Genetic depletion experiments further demonstrate that Smad4 contributes to the formation of osteolytic bone metastases and is essential for the induction of IL-11, a gene implicated in bone metastasis in this mouse model system. Activator protein-1 is a key participant in Smad-dependent transcriptional activation of IL-11 and its overexpression in bone-metastatic cells. Our findings provide functional evidence for a switch of the Smad pathway, from tumor-suppressor to prometastatic, in the development of breast cancer bone metastasis.
National Acad Sciences