Abstract
PurposeIncreasing evidence has shown that the transcription factor SOX4 is closely associated with the development and progression of many malignant tumors. However, the effect of SOX4 on breast cancer is unclear. In this study, we purposed to investigate the role of SOX4 in the growth and metastasis in breast cancer and the underlying mechanism. Moreover, the effect of SOX4 on cancer cell resistance to chemotherapeutic agents was also evaluated in vitro and in vivo.MethodsWe used lentivirus technique to ectopically express SOX4 in MDA-MB-231 and SUM149 cells or knockdown SOX4 in BT474 cells, and examined the effect of these changes on various cellular functions. MTT assay was used to determine the cell viability as well as resistance to chemotherapeutic agents. The regulation of SOX4 on epithelial-mesenchymal transition (EMT)-related genes was analyzed using qRT-PCR. The binding of SOX4 to the CXCR7 gene was demonstrated using chromatin immunoprecipitation assay and dual-luciferase reporter activity assay. The effect of SOX4/CXCR7 axis on metastasis was examined using Transwell migration and Matrigel invasion assays. The expression of SOX4/CXCR7 in primary tumors and metastatic foci in lymph nodes was assessed using immunohistochemistry. Cellular morphology was investigated under phase contrast microscope and transmission electron microscopy. Moreover, the effect of SOX4 on tumor growth, metastasis, and resistance to chemotherapy was also studied in vivo by using bioluminescent imaging.ResultsSOX4 increased breast cancer cell viability, migration, and invasion in vitro and enhanced tumor growth and metastasis in vivo. It regulated EMT-related genes and bound to CXCR7 promoter to upregulate CXCR7 transcription. Both SOX4 and CXCR7 were highly expressed in human primary tumors and metastatic foci in lymph nodes. Treatment of breast cancer cells with the CXCR7 inhibitor CCX771 reversed the SOX4 effect on cell migration and invasion. Ectopic expression of SOX4 increased the susceptibility of cells to paclitaxel.ConclusionsSOX4 plays an important role in the growth and metastasis of breast cancer. SOX4/CXCR7 may serve as potential therapeutic targets for the treatment. Paclitaxel may be a good therapeutic option if the expression level of SOX4 is high.
Highlights
Breast cancer is the most common cancer and the leading cause of cancer-related death in women [1, 2], accounting for 25% of their cancers and 15% of cancer-related death [2, 3]
SOX4 plays an important role in the growth and metastasis of breast cancer
SOX4/CXCR7 may serve as potential therapeutic targets for the treatment
Summary
Breast cancer is the most common cancer and the leading cause of cancer-related death in women [1, 2], accounting for 25% of their cancers and 15% of cancer-related death [2, 3]. The cause of death by breast cancer is often not due to the primary tumor, but due to the metastasis of cancer cells to other tissues and organs. Silencing SOX4 could inhibit the growth and metastasis of melanoma and some other tumors [7, 16,17,18]. These findings indicate that SOX4 functions as an oncogene. SOX4 was reported to promote epithelial-mesenchymal transition (EMT) in breast cancer [13, 19, 20]. The directly SOX4-regulated genes involved in the EMT process are still unknown
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