Abstract

BackgroundTriple-negative breast cancer (TNBC) is the most heterogeneous and malignant subtype of breast cancer (BC). TNBC is defined by the absence of expression of estrogen, progesterone and HER2 receptors and lacks efficacious targeted therapies. NEK2 is an oncogenic kinase that is significantly upregulated in TNBC, thereby representing a promising therapeutic target. NEK2 localizes in the nucleus and promotes oncogenic splice variants in different cancer cells. Notably, alternative splicing (AS) dysregulation has recently emerged as a featuring trait of TNBC that contributes to its aggressive phenotype.MethodsTo investigate whether NEK2 modulates TNBC transcriptome we performed RNA-sequencing analyses in a representative TNBC cell line (MDA-MB-231) and results were validated in multiple TNBC cell lines. Bioinformatics and functional analyses were carried out to elucidate the mechanism of splicing regulation by NEK2. Data from The Cancer Genome Atlas were mined to evaluate the potential of NEK2-sensitive exons as markers to identify the TNBC subtype and to assess their prognostic value.ResultsTranscriptome analysis revealed a widespread impact of NEK2 on the transcriptome of TNBC cells, with 1830 AS events that are susceptible to its expression. NEK2 regulates the inclusion of cassette exons in splice variants that discriminate TNBC from other BC and that correlate with poor prognosis, suggesting that this kinase contributes to the TNBC-specific splicing program. NEK2 elicits its effects by modulating the expression of the splicing factor RBFOX2, a well-known regulator of epithelial to mesenchymal transition (EMT). Accordingly, NEK2 splicing-regulated genes are enriched in functional terms related to cell adhesion and contractile cytoskeleton and NEK2 depletion in mesenchymal TNBC cells induces phenotypic and molecular traits typical of epithelial cells. Remarkably, depletion of select NEK2-sensitive splice-variants that are prognostic in TNBC patients is sufficient to interfere with TNBC cell morphology and motility, suggesting that NEK2 orchestrates a pro-mesenchymal splicing program that modulates migratory and invasive properties of TNBC cells.ConclusionsOur study uncovers an extensive splicing program modulated by NEK2 involving splice variants that confer an invasive phenotype to TNBCs and that might represent, together with NEK2 itself, valuable therapeutic targets for this disease.

Highlights

  • Triple-negative breast cancer (TNBC) is the most heterogeneous and malignant subtype of breast cancer (BC)

  • Our study uncovers an extensive splicing program modulated by NIMA related kinase 2 (NEK2) involving splice variants that confer an invasive phenotype to TNBCs and that might represent, together with NEK2 itself, valuable therapeutic targets for this disease

  • NEK2 is highly expressed in TNBC patients and cell lines NEK2 is frequently up-regulated in Breast cancer (BC) and promotes oncogenic features associated with poor prognosis [19, 20, 23]

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Summary

Introduction

Triple-negative breast cancer (TNBC) is the most heterogeneous and malignant subtype of breast cancer (BC). TNBC is defined by the absence of expression of estrogen, progesterone and HER2 receptors and lacks efficacious targeted therapies. Identification of estrogen (ER), progesterone (PR) and human epidermal growth factor receptor 2 (HER2) receptors as molecular markers and oncogenic drivers for the disease has allowed more accurate stratification of tumours and development of efficacious targeted therapies, leading to significant improvements in the management and outcome of BC patients [1, 2]. ~ 15% of BCs, called triple-negative breast cancers (TNBCs), lack the expression of these receptors and cannot benefit from endocrine and anti-HER2 therapies. Identification of molecular determinants of the aggressive phenotype of TNBCs represents a clinical priority for the development of improved prognostic tools and of novel therapeutic strategies

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