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Targeting RPL39 and MLF2 reduces tumor initiation and metastasis in breast cancer by inhibiting nitric oxide synthase signaling

Dave, Bhuvanesh, Granados-Principal, Sergio, Zhu, Rui, Benz, Stephen, Rabizadeh, Shahrooz, Soon-Shiong, Patrick, Yu, Ke-Da, Shao, Zhimin, Li, Xiaoxian, Gilcrease, Michael, Lai, Zhao, Chen, Yidong, Huang, Tim H.-M., Shen, Haifa, Liu, Xuewu, Ferrari, Mauro, Zhan, Ming, Wong, Stephen T. C., Kumaraswami, Muthiah, Mittal, Vivek, Chen, Xi, Gross, Steven S., Chang, Jenny C.
Proceedings of the National Academy of Sciences of the United States of America 2014 v.111 no.24 pp. 8838-8843
biopsy, breast neoplasms, genes, high-throughput nucleotide sequencing, humans, hypoxia, metastasis, mutation, myeloid leukemia, nanoparticles, nitric oxide synthase, patients, signal transduction, small interfering RNA, stem cells
We previously described a gene signature for breast cancer stem cells (BCSCs) derived from patient biopsies. Selective shRNA knockdown identified ribosomal protein L39 (RPL39) and myeloid leukemia factor 2 (MLF2) as the top candidates that affect BCSC self-renewal. Knockdown of RPL39 and MLF2 by specific siRNA nanoparticles in patient-derived and human cancer xenografts reduced tumor volume and lung metastases with a concomitant decrease in BCSCs. RNA deep sequencing identified damaging mutations in both genes. These mutations were confirmed in patient lung metastases (n = 53) and were statistically associated with shorter median time to pulmonary metastasis. Both genes affect the nitric oxide synthase pathway and are altered by hypoxia. These findings support that extensive tumor heterogeneity exists within primary cancers; distinct subpopulations associated with stem-like properties have increased metastatic potential.