iScience (Nov 2020)

AXL Is a Driver of Stemness in Normal Mammary Gland and Breast Cancer

  • Agnete S.T. Engelsen,
  • Katarzyna Wnuk-Lipinska,
  • Sebastien Bougnaud,
  • Fanny A. Pelissier Vatter,
  • Crina Tiron,
  • René Villadsen,
  • Masaru Miyano,
  • Maria L. Lotsberg,
  • Noëlly Madeleine,
  • Pouda Panahandeh,
  • Sushil Dhakal,
  • Tuan Zea Tan,
  • Stacey D’mello Peters,
  • Sturla Grøndal,
  • Sura M. Aziz,
  • Silje Nord,
  • Lars Herfindal,
  • Martha R. Stampfer,
  • Therese Sørlie,
  • Rolf A. Brekken,
  • Oddbjørn Straume,
  • Nils Halberg,
  • Gro Gausdal,
  • Jean Paul Thiery,
  • Lars A. Akslen,
  • Ole W. Petersen,
  • Mark A. LaBarge,
  • James B. Lorens

Journal volume & issue
Vol. 23, no. 11
p. 101649

Abstract

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Summary: The receptor tyrosine kinase AXL is associated with epithelial plasticity in several solid tumors including breast cancer and AXL-targeting agents are currently in clinical trials. We hypothesized that AXL is a driver of stemness traits in cancer by co-option of a regulatory function normally reserved for stem cells. AXL-expressing cells in human mammary epithelial ducts co-expressed markers associated with multipotency, and AXL inhibition abolished colony formation and self-maintenance activities while promoting terminal differentiation in vitro. Axl-null mice did not exhibit a strong developmental phenotype, but enrichment of Axl+ cells was required for mouse mammary gland reconstitution upon transplantation, and Axl-null mice had reduced incidence of Wnt1-driven mammary tumors. An AXL-dependent gene signature is a feature of transcriptomes in basal breast cancers and reduced patient survival irrespective of subtype. Our interpretation is that AXL regulates access to epithelial plasticity programs in MaSCs and, when co-opted, maintains acquired stemness in breast cancer cells.

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