Epithelial stem cell mutations that promote squamous cell carcinoma metastasis

J Clin Invest. 2013 Oct;123(10):4390-404. doi: 10.1172/JCI65856. Epub 2013 Sep 3.

Abstract

Squamous cell carcinomas (SCCs) originate in stratified epithelia, with a small subset becoming metastatic. Epithelial stem cells are targets for driver mutations that give rise to SCCs, but it is unknown whether they contribute to oncogenic multipotency and metastasis. We developed a mouse model of SCC by targeting two frequent genetic mutations in human SCCs, oncogene Kras(G12D) activation and Smad4 deletion, to mouse keratin 15-expressing (K15+) stem cells. We show that transgenic mice developed multilineage tumors, including metastatic SCCs. Among cancer stem cell-enriched (CSC-enriched) populations, those with increased side population (SP) cells correlated with epithelial-mesenchymal transition (EMT) and lung metastasis. We show that microRNA-9 (miR-9) contributed to SP expansion and metastasis, and miR-9 inhibition reduced the number of SP cells and metastasis. Increased miR-9 was detected in metastatic human primary SCCs and SCC metastases, and miR-9-transduced human SCC cells exhibited increased invasion. We identified α-catenin as a predominant miR-9 target. Increased miR-9 in human SCC metastases correlated with α-catenin loss but not E-cadherin loss. Our results demonstrate that stem cells with Kras(G12D) activation and Smad4 depletion can produce tumors that are multipotent and susceptible to EMT and metastasis. Additionally, tumor initiation and metastatic properties of CSCs can be uncoupled, with miR-9 regulating the expansion of metastatic CSCs.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Carcinogenesis / metabolism
  • Carcinoma, Squamous Cell / genetics
  • Carcinoma, Squamous Cell / secondary*
  • Cell Dedifferentiation
  • Cell Proliferation
  • Epithelial-Mesenchymal Transition
  • Female
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Mice
  • Mice, Nude
  • Mice, Transgenic
  • MicroRNAs / genetics
  • Mutation, Missense
  • Neoplasm Transplantation
  • Neoplastic Stem Cells / metabolism
  • Neoplastic Stem Cells / pathology*
  • Neoplastic Stem Cells / physiology
  • Proto-Oncogene Proteins / genetics*
  • Proto-Oncogene Proteins p21(ras)
  • RNA Interference
  • Sequence Deletion
  • Side-Population Cells / metabolism
  • Side-Population Cells / pathology
  • Side-Population Cells / physiology
  • Skin Neoplasms / genetics
  • Skin Neoplasms / pathology*
  • Smad4 Protein / genetics*
  • Tumor Cells, Cultured
  • alpha Catenin / genetics
  • alpha Catenin / metabolism
  • ras Proteins / genetics*

Substances

  • KRAS protein, human
  • MIRN92 microRNA, human
  • MicroRNAs
  • Proto-Oncogene Proteins
  • SMAD4 protein, human
  • Smad4 Protein
  • alpha Catenin
  • Proto-Oncogene Proteins p21(ras)
  • ras Proteins