Cell Reports (Nov 2015)

FOXC1 Activates Smoothened-Independent Hedgehog Signaling in Basal-like Breast Cancer

  • Bingchen Han,
  • Ying Qu,
  • Yanli Jin,
  • Yi Yu,
  • Nan Deng,
  • Kolja Wawrowsky,
  • Xiao Zhang,
  • Na Li,
  • Shikha Bose,
  • Qiang Wang,
  • Sugunadevi Sakkiah,
  • Ravinder Abrol,
  • Tor W. Jensen,
  • Benjamin P. Berman,
  • Hisashi Tanaka,
  • Jeffrey Johnson,
  • Bowen Gao,
  • Jijun Hao,
  • Zhenqiu Liu,
  • Ralph Buttyan,
  • Partha S. Ray,
  • Mien-Chie Hung,
  • Armando E. Giuliano,
  • Xiaojiang Cui

DOI
https://doi.org/10.1016/j.celrep.2015.09.063
Journal volume & issue
Vol. 13, no. 5
pp. 1046 – 1058

Abstract

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The mesoderm- and epithelial-mesenchymal transition-associated transcription factor FOXC1 is specifically overexpressed in basal-like breast cancer (BLBC), but its biochemical function is not understood. Here, we demonstrate that FOXC1 controls cancer stem cell (CSC) properties enriched in BLBC cells via activation of Smoothened (SMO)-independent Hedgehog (Hh) signaling. This non-canonical activation of Hh is specifically mediated by Gli2. Furthermore, we show that the N-terminal domain of FOXC1 (aa 1–68) binds directly to an internal region (aa 898–1168) of Gli2, enhancing the DNA-binding and transcription-activating capacity of Gli2. FOXC1 expression correlates with that of Gli2 and its targets in human breast cancers. Moreover, FOXC1 overexpression reduces sensitivity to anti-Hedgehog (Hh) inhibitors in BLBC cells and xenograft tumors. Together, these findings reveal FOXC1-mediated non-canonical Hh signaling that determines the BLBC stem-like phenotype and anti-Hh sensitivity, supporting inhibition of FOXC1 pathways as potential approaches for improving BLBC treatment.