Abstract

Breast cancer (BC) is a heterogenous disease encompassing tumors with different histomorphological phenotypes and transcriptionally defined subtypes. However, the non-mutational/epigenetic alterations that are associated with or causally involved in phenotype diversity or conversion remain to be elucidated. Data from the pancreatic cancer model have shown that the small GTPase RAC1 and its alternatively spliced isoform, RAC1B, antagonistically control epithelial–mesenchymal transition and cell motility induced by transforming growth factor β. Using a battery of established BC cell lines with either a well-differentiated epithelial or poorly differentiated mesenchymal phenotype, we observed subtype-specific protein expression of RAC1B and RAC1. While epithelial BC lines were RAC1Bhigh and RAC1low, mesenchymal lines exhibited the reverse expression pattern. High RAC1B and/or low RAC1 abundance also correlated closely with a poor invasion potential, and vice versa, as revealed by measuring random cell migration (chemokinesis), the preferred mode of cellular movement in cells that have undergone mesenchymal transdifferentiation. We propose that a high RAC1B:RAC1 ratio in BC cells is predictive of an epithelial phenotype, while low RAC1B along with high RAC1 is a distinguishing feature of the mesenchymal state. The combined quantitative assessment of RAC1B and RAC1 in tumor biopsies of BC patients may represent a novel diagnostic tool for probing molecular subtype and eventually predict malignant potential of breast tumors.

Highlights

  • Breast cancer (BC) is a heterogeneous disease with at least twenty histological subtypes of invasive breast cancer, based on growth patterns and morphology, and three biological subtypes, characterized by the expression of estrogen receptor (ER) and progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2), or the lack of all three receptors (triple-negative BC (TNBC))

  • The phenotypic classification was confirmed by immunoblotting of the epithelial marker E-cadherin and the mesenchymal marker vimentin, as it is well documented that loss of E-cadherin expression and concomitant increases in vimentin are signs of an epithelial–mesenchymal transition (EMT) and hallmarks of BC progression

  • We observed that MCF-7, T-47D, and MDA-MB-468 cells were positive for E-cadherin and negative for vimentin, while the reverse was true for MDA-MB-231 and -435s cells (Figure S1)

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Summary

Introduction

Breast cancer (BC) is a heterogeneous disease with at least twenty histological subtypes of invasive breast cancer, based on growth patterns and morphology, and three biological subtypes, characterized by the expression of estrogen receptor (ER) and progesterone receptor (PR), and human epidermal growth factor receptor 2 (HER2), or the lack of all three receptors (triple-negative BC (TNBC)). The heterogeneity underlying BC and, tumors from TNBC patients, renders therapeutic strategies based on one-size-fits-all approach ineffective. The type of EMT determines the mode of cell migration. The histomorphologically determined differentiation state strongly overlaps with the predicted EMT type, in the sense that cell lines with epithelial differentiation (i.e., MCF-7 and MDA-MB-468) have been predicted p-EMT cells, while MDA-MB-231 cells represent c-EMT cells [6]

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