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The processes that control the progression of ductal carcinoma in situ (DCIS) to invasive breast cancer remain poorly understood. Epidermal growth factor receptor 2 (ErbB2) overexpression is common in DCIS, as is disruption of the retinoblastoma tumor suppressor (RB) pathway. Here, we examined the cooperative impact of ErbB2 and RB deregulation on facets of disease progression. Our studies demonstrate that RB deficiency altered the expression of key molecules needed for proper cellular organization and epithelial cell-cell adhesion as part of a program related to the epithelial-to-mesenchymal transition (EMT). An increase in the invasive potential of ErbB2-overexpressing cells was observed upon RB depletion. Further, stable knockdown of RB resulted in invasive lesions in orthotopic xenograft assays, compared with DCIS-like lesions developing from RB-proficient cells. Conversely, the invasive phenotype observed in ErbB2-positive cancer models was inhibited through CDK4/6 inhibition in an RB-dependent manner. Finally, in a cohort of DCIS cases, we show that, although elevated levels of ErbB2 are associated with increased risk of a subsequent DCIS recurrence, it is not associated with progression to invasive disease. In contrast, RB loss in ErbB2-positive DCIS cases was associated with increased risk for invasive breast cancer. Taken together, these data demonstrate a key role for the RB pathway in invasion associated with breast tumor progression, and shed light on the key molecular events that promote the progression of DCIS to invasive disease.
Risk, 570, Receptor, ErbB-2, Intraductal, epithelial-to-mesenchymal transition; pd-0332991; cdk4/6; e2f; cell cycle; cyclin-dependent kinase; tumor suppressor, 610, Breast Neoplasms, Mice, SCID, SCID, Retinoblastoma Protein, Noninfiltrating, Article, Cell Line, Mice, Department of Surgery, ErbB-2, Mice, Inbred NOD, Cell Line, Tumor, Animals, Humans, Neoplasm Invasiveness, Cell Proliferation, Neoplastic, Tumor, Carcinoma, Cell Polarity, Gene Expression Regulation, Neoplastic, Neoplasm Recurrence, Carcinoma, Intraductal, Noninfiltrating, Thomas Jefferson University, Gene Expression Regulation, Local, Oncology, Disease Progression, Inbred NOD, Female, Department of Cancer Biology, Neoplasm Recurrence, Local, Transcriptome, Neoplasm Transplantation, Receptor
Risk, 570, Receptor, ErbB-2, Intraductal, epithelial-to-mesenchymal transition; pd-0332991; cdk4/6; e2f; cell cycle; cyclin-dependent kinase; tumor suppressor, 610, Breast Neoplasms, Mice, SCID, SCID, Retinoblastoma Protein, Noninfiltrating, Article, Cell Line, Mice, Department of Surgery, ErbB-2, Mice, Inbred NOD, Cell Line, Tumor, Animals, Humans, Neoplasm Invasiveness, Cell Proliferation, Neoplastic, Tumor, Carcinoma, Cell Polarity, Gene Expression Regulation, Neoplastic, Neoplasm Recurrence, Carcinoma, Intraductal, Noninfiltrating, Thomas Jefferson University, Gene Expression Regulation, Local, Oncology, Disease Progression, Inbred NOD, Female, Department of Cancer Biology, Neoplasm Recurrence, Local, Transcriptome, Neoplasm Transplantation, Receptor
citations This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | 22 | |
popularity This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network. | Average | |
influence This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically). | Top 10% | |
impulse This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network. | Top 10% |