Abstract

Simple SummaryTetraspanins are a family of molecules abundantly expressed on the surface of normal or tumor cells. They have been implicated in recruiting or sequestering key molecular regulators of malignancy of a variety of human cancers, including breast and lung cancers, glioblastoma and leukemia. Yet, how their actions take place remains mysterious due to a lack of traditional platform for molecular interactions. The current review digs into this mystery by examining findings from recent studies of multiple tetraspanins, particularly CD151. The molecular basis for differential impact of tetraspanins on tumor development, progression, and spreading to secondary sites is highlighted, and the complexity and plasticity of their control over tumor cell activities and interaction with their surroundings is discussed. Finally, an outlook is provided regarding tetraspanins as candidate biomarkers and targets for the diagnosis and treatment of human cancer.As a family of integral membrane proteins, tetraspanins have been functionally linked to a wide spectrum of human cancers, ranging from breast, colon, lung, ovarian, prostate, and skin carcinomas to glioblastoma. CD151 is one such prominent member of the tetraspanin family recently suggested to mediate tumor development, growth, and progression in oncogenic context- and cell lineage-dependent manners. In the current review, we summarize recent advances in mechanistic understanding of the function and signaling of integrin-associated CD151 and other tetraspanins in multiple cancer types. We also highlight emerging genetic and epigenetic evidence on the intrinsic links between tetraspanins, the epithelial-mesenchymal transition (EMT), cancer stem cells (CSCs), and the Wnt/β-catenin pathway, as well as the dynamics of exosome and cellular metabolism. Finally, we discuss the implications of the highly plastic nature and epigenetic susceptibility of CD151 expression, function, and signaling for clinical diagnosis and therapeutic intervention for human cancer.

Highlights

  • Tetraspanins are a family of integral membrane proteins widely expressed in human tissues and are linked to normal developmental and physiological processes, immunity, and pathologies of many human diseases, including cancer [1,2,3,4,5,6,7]

  • Our studies argue that CD151 is a suppressor of estrogen receptor (ER)+ breast cancer and prostate cancer, as they frequently arise from oncogenic targeting of luminal or well-differentiated epithelial cells, rather than basal epithelial or progenitor cells

  • Because CD151 is associated with recurrence of basal-like breast cancer [31], it will be of interest to determine whether the cancer stem cells (CSCs)-associated role of CD151 is recapitulated by use of more clinically relevant PDX model of breast cancer under taxane-based regimens known to foster CSCs [157]

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Summary

Introduction

Tetraspanins are a family of integral membrane proteins widely expressed in human tissues and are linked to normal developmental and physiological processes, immunity, and pathologies of many human diseases, including cancer [1,2,3,4,5,6,7]. There is growing evidence that many tetraspanins such as CD151 and CD82 can negatively or positively influence tumor development and metastasis in oncogenic context- and cell lineage-dependent manners, where they regulate strength of cell-cell junctions, signal transduction of the Wnt pathway, the epithelial-mesenchymal transition (EMT), maintenance of cancer stem cells (CSCs), and dynamics of exosomes (Table 1) [20,21,28,33,34,35]. This emerging paradigm presents a challenge to conceptualize functional and signaling roles of the tetraspanin family in human cancer, and their utilities as biomarkers and drug targets for cancer diagnosis and treatment.

Early Studies and Present Views on the Pro-Metastatic Role of CD151
Emerging Evidence of an Anti-Metastatic Role
Being Pro-Tumorigenic
Control of Expression of CD151 and Other Tetraspanins at Multiple Levels
Clinical Significance of Deregulation of CD151 and Its Associated Network
Conclusions
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