The role of the PEA3 subfamily of Ets transcription factors in breast neoplasia is controversial. Although overexpression of PEA3 (E1AF/ETV4), and of the related factors ERM (ETV5) and ER81 (ETV1), have been observed in human and mouse breast tumors, PEA3 factors have also been ascribed a tumor suppressor function. Here, we utilized the MMTV/Wnt1 mouse strain to further interrogate the role of PEA3 transcription factors in mammary tumorigenesis based on our previous observation that Pea3 is highly expressed in MMTV/Wnt1 mammary tumors. Pea3 expression in mouse mammary tissues was visualized using a Pea3NLSlacZ reporter strain. In normal mammary glands, Pea3 expression is predominantly confined to myoepithelial cells. Wnt1 transgene expression induced marked amplification of this cell compartment in nontumorous mammary glands, accompanied by an apparent increase in Pea3 expression. The pattern of Pea3 expression in MMTV/Wnt1 mammary glands recapitulated the cellular profile of activated β-catenin/TCF signaling, which was visualized using both β-catenin immunohistochemistry and the β-catenin/TCF-responsive reporter Axin2NLSlacZ. To test the requirement for PEA3 factors in Wnt1-induced tumorigenesis, we employed a mammary-targeted dominant negative PEA3 transgene, ΔNPEA3En. Expression of ΔNPEA3En delayed early-onset tumor formation in MMTV/Wnt1 virgin females (P = 0.03), suggesting a requirement for PEA3 factor function for Wnt1-driven tumor formation. Consistent with this observation, expression of the ΔNPEA3En transgene was profoundly reduced in mammary tumors compared to nontumorous mammary glands from bigenic MMTV/Wnt1, MMTV/ΔNPEA3En mice (P = 0.01). Our data provide the first description of Wnt1-mediated expansion of the Pea3-expressing myoepithelial compartment in nontumorous mammary glands. Consistent with this observation, mammary myoepithelium was selectively responsive to Wnt1. Together these data suggest the MMTV/Wnt1 strain as a potential model of basal breast cancer. Furthermore, this study provides evidence for a protumorigenic role of PEA3 factors in breast neoplasia, and supports targeting the PEA3 transcription factor family in breast cancer.
Citation: Baker R, Kent CV, Silbermann RA, Hassell JA, Young LJT, Howe LR (2010) Pea3 Transcription Factors and Wnt1-Induced Mouse Mammary Neoplasia. PLoS ONE 5(1): e8854. https://doi.org/10.1371/journal.pone.0008854
Editor: Mikhail V. Blagosklonny, Roswell Park Cancer Institute, United States of America
Received: August 28, 2009; Accepted: January 5, 2010; Published: January 22, 2010
Copyright: © 2010 Baker et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Funding: This work was supported by National Institutes of Health grant R01 CA131219 (L.R.H.) and the Irving Weinstein Foundation Inc. (L.R.H.). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Competing interests: The authors have declared that no competing interests exist.
The mammalian Ets transcription factor superfamily comprises around 26 proteins characterized by highly related DNA-binding domains containing winged-helix-turn-helix motifs –. Ets factors regulate transcription through binding of this ETS DNA binding domain directly to Ets binding sites in the promoters of target genes. The Ets factor PEA3 (also called E1AF and ETV4) was originally identified through its ability to bind a motif in the polyomavirus enhancer and mediate oncogene-dependent activation, and was subsequently assigned to a subfamily of three closely related Ets proteins: PEA3, ERM (ETV5) and ER81 (ETV1) –. PEA3 family members exhibit high sequence homology within their ETS domains, and also have conserved regulatory domains –. Several PEA3-interacting proteins have been described that function as allosteric regulators and transcriptional coactivators , , . Additionally, both the activity and expression of PEA3 factors can be regulated by receptor tyrosine kinases through MAP kinase signaling , . PEA3 factors are expressed in discrete patterns during embryogenesis, and contribute to branching morphogenesis in epithelia as well as to the establishment of motor-neuronal circuitry –. Functional overlap between individual PEA3 factors is suggested not only by their overlapping target specificities, but also by the modest phenotype of Pea3 knockout mice .
Substantial evidence implicates the PEA3 family in breast neoplasia. Expression of all three family members has been detected in human breast cancer cell lines, and strikingly high expression levels have been identified in oncogene-induced breast tumors in mice –. The reported frequency of PEA3 overexpression in human breast carcinomas ranges from 22–76% –. Some studies have identified correlations with clinicopathological parameters, including overexpression of human epidermal growth factor receptor 2 (HER2/neu) – and poor prognosis , though none of these associations are uniformly supported across studies. PEA3 overexpression has also been observed in cancers of other organs, including the ovary, lung and gastrointestinal tract –, and associations between decreased patient survival and PEA3 overexpression in ovarian carcinoma, gastric cancer and colorectal carcinoma (CRC) have been reported , , .
A key role for the PEA3 family in carcinogenesis is suggested not only by these expression data, but also by the extensive list of protumorigenic genes that can be transactivated by PEA3 proteins . Foremost among these are the matrix metallopeptidases (MMPs), of which multiple family members are coordinately regulated by PEA3 and AP-1 factors , , . Additional PEA3 family target genes implicated in neoplasia include; urokinase plasminogen activator (uPA), vimentin, cyclooxygenase-2 (COX-2), Twist, MUC4, WT1, osteopontin, mammaglobin, cyclin D3 and HER2 , , –. Notably, PEA3 factor target genes are frequently coordinately regulated by PEA3 factors in combination with β-catenin and/or AP-1 factors , , , , , , . Consistent with this, correlations have been observed between expression of PEA3 and known target genes (e.g. MMP1, MMP7, COX-2) in colorectal tumors , , , , which characteristically exhibit increased β-catenin levels. Intriguingly, several of the PEA3 targets identified thus far have established roles in epithelial-mesenchymal transition (EMT), suggesting that PEA3 factors may promote tumor progression through regulation of EMT , , , .
The expression and gene regulation data summarized above argue for a protumorigenic role of PEA3 factors. Nevertheless, several lines of evidence contradict this notion. In particular, the demonstration of PEA3-mediated suppression of the HER2 promoter has engendered the hypothesis that PEA3 might have tumor-suppressor function that could be leveraged for anticancer gene therapy –. In support of this goal, PEA3 overexpression has been shown to inhibit the growth of HER2-overexpressing breast and ovarian tumor xenografts in vivo , , and to reduce in vitro invasiveness of a cervical cancer cell line . Additionally, one study identified a positive association between increased patient survival and PEA3 expression in human breast cancers . Intriguingly, the ability of dietary oleic acid to increase PEA3 expression and thereby repress HER2 has been proposed as a key mechanism underlying the protective effect of the “Mediterranean diet” with respect to breast cancer .
Controversy concerning the role of PEA3 factors in carcinogenesis prompted us to further examine the role of this transcription factor family in mammary neoplasia, using the MMTV/Wnt1 mouse model in which tumor formation is driven by mammary-targeted expression of a Wnt1 transgene. The utility of this model was illustrated by our previous observation of extremely high level Pea3 expression in tumors from MMTV/Wnt1 mice , and was further supported by data from other investigators establishing a correlation between expression of PEA3 and PEA3 target genes under conditions of Wnt/β-catenin pathway activation , , , . Using a LacZ-based reporter strain, Pea3NLSlacZ, to detect endogenous Pea3 expression, we confirm that Pea3 is selectively expressed in myoepithelial cells in normal mammary gland , and demonstrate that Wnt1 expression induces selective expansion of the myoepithelial cell compartment in non-tumorous mammary glands, accompanied by an apparent increase in Pea3 expression. Consistent with this observation of Wnt1-induced expansion of the basal cell layer, we show that β-catenin/TCF signaling is strongly and selectively activated in mammary myoepithelium in adult MMTV/Wnt1 mice. Early onset tumor formation in MMTV/Wnt1 mice is significantly delayed by expression of a dominant-interfering PEA3 mutant, and expression of this dominant negative PEA3 transgene is markedly reduced in tumors relative to non-tumorous mammary tissues. Together these data suggest that PEA3 factors are important contributors to Wnt1-induced breast neoplasia, and thus strengthen the rationale for PEA3 family transcription factors as anti-breast cancer targets.
Materials and Methods
All mice were housed in pathogen-free rooms in filter-topped cages at the Laboratory Animal Research Center at The Rockefeller University or at the New York Blood Center. These facilities are accredited by the Association for Assessment and Accreditation of Laboratory Animal Care, and operate in accordance with Federal (PHS Policy on the Human Care and Use of Animals, Guide for the Use and Care of Laboratory Animals, Animal Welfare Act), State and local laws and regulations. All mice were used in accordance with protocols approved by the Institutional Animal Care and Use Committees of either The Rockefeller University or the New York Blood Center. Mice received food and water ad libitum.
Mouse Strains, Breeding, Tissue Harvesting and Processing
The MMTV/Wnt1 strain expresses a mammary-targeted Wnt1 transgene under the control of the mouse mammary tumor virus (MMTV) long terminal repeat. MMTV/Wnt1 females exhibit hyperplastic mammary glands and develop palpable mammary tumors between 4–12 months of age . An MMTV/Wnt1 breeding colony was maintained by interbreeding MMTV/Wnt1 males, obtained from The Jackson Laboratory, with wildtype females.
Pea3NLSlacZ mice have a bacterial β-galactosidase (β-gal; lacZ) expression cassette “knocked-in” to the endogenous Pea3 locus, and express β-gal from the targeted allele in a pattern that mimics the spatial and temporal expression of the endogenous Pea3 allele , , . This strain thus provides a useful reporter of Pea3 expression patterns in vivo. MMTV/Wnt1 males and Pea3+/NLSlacZ females were interbred, and female offspring of all four potential genotypes were retained: wildtype (i.e. Pea3+/+), MMTV/Wnt1, Pea3+/NLSlacZ, and bigenic MMTV/Wnt1, Pea3+/NLSlacZ. Mammary glands and tumors were harvested post-mortem and stained with X-gal to detect β-gal activity, as previously described . Abdominal (#4) mammary glands were wholemounted after staining. Axillary (#3) mammary glands were fixed in formalin, embedded in paraffin, and 8 µm tissue sections were counterstained with eosin.
The Axin2NLSlacZ strain was employed as a reporter of in vivo β-catenin/TCF signaling. Axin2 is upregulated in response to canonical Wnt/ β-catenin signaling, and functions as a negative feedback regulator , . Axin2NLSlacZ mice have a β-gal expression cassette “knocked-in” to the endogenous Axin2 locus, and hence provide a useful reporter of in vivo β-catenin/TCF pathway activation . Axin2+/NLSlacZ mice were interbred with MMTV/Wnt1 animals and tissues were harvested and processed as described for the Pea3NLSlacZ experiment.
MMTV/ΔNPEA3En mice express a dominant interfering mutant in which the repression domain from the Drosophila melanogaster Engrailed (En) protein is appended to the C-terminal DNA-binding domain of PEA3 . Both MMTV/Wnt1 and MMTV/ΔNPEA3En animals were maintained on an FVB strain background. MMTV/Wnt1 males and MMTV/ΔNPEA3En females were interbred to generate MMTV/Wnt1 (n = 19) and bigenic MMTV/Wnt1, MMTV/ΔNPEA3En (n = 22) female offspring. Test animals were palpated twice weekly to detect mammary tumors, and the age at first tumor detection was recorded for each animal. Animals were sacrificed when tumors were 1 cm in diameter. Mammary glands and tumors were harvested post-mortem, snap-frozen in liquid nitrogen, and stored at −80°C.
Mice were genotyped by polymerase chain reaction (PCR) of tail-tip-derived genomic DNA. The PCR primers used to detect the Wnt1 transgene were as previously described . Pea3 wildtype and Pea3NLSlacZ alleles were detected using the following primer pairs: Pea3, 5′-GGA ATC TTG GGC CTT GAG AAC AGC-3′ and 5′-GTG TGA TGT ACA TAT GCC CTA ACC-3′ (686 bp product); Pea3NLSlacZ, 5′-CAG CCT CTG TTC CAC ATA CAC TCC-3′ and 5′-TAG TAT CGC AGC GAG CGG CTC AGC-3′ (479 bp product). The ΔNPEA3En transgene was detected using one primer each from the Pea3 gene and the Engrailed gene: 5′-TTG AAC CTG AAG AGG TTG CC-3′ and 5′-TGT GGA AAC TCA TGT CAC CG-3′ (727 bp product). The Axin2 wildtype allele was detected using the following primers: Cs, 5′-AAG CTG CGT CGG ATA CTT GAG A-3′; and Cwt, 5′-AGT CCA TCT TCA TTC CGC CTA GC-3′ (493 bp product). The Axin2NLSlacZ allele was detected using Cs primer in combination with a LacZ-specific primer 5′-TGG TAA TGC TGC AGT GGC TTG-3′ (∼400 bp product).
β-catenin immunohistochemistry (IHC) was performed as previously described . Briefly, after treating tissue sections with hydrogen peroxide to block endogenous peroxidase activity, sections underwent sodium citrate/microwave oven-based antigen retrieval. Slides were incubated overnight with primary antibody (anti-ß-catenin, Clone 14, BD Transduction Labs) and subsequently with secondary antibody for 1 hour (biotinylated horse anti-mouse IgG, Vector Labs). Antigen was visualized using Vectastain ABC reagent followed by 3,3′-diaminobenzidine staining, and a final hematoxylin counterstain. Duplicate slide staining with primary antibody omitted was routinely performed to provide a negative control.
Reverse Transcription-Coupled PCR (RT-PCR) Analysis
RT-PCR was used to compare gene expression in mammary tissues harvested from five animals each that were MMTV/Wnt1, MMTV/ΔNPEA3En and bigenic MMTV/Wnt1, MMTV/ΔNPEA3En. Total RNA was prepared from resected, snap-frozen mammary glands and tumors, and cDNA was generated by reverse transcription as previously described . “Mock cDNA” was generated by performing reactions in parallel with those used to generate cDNA, omitting reverse transcriptase enzyme from the reaction. PCR was performed using primers for the Wnt1 and ΔNPEA3En transgenes, and for RNA Polymerase II (RPII) as a normalization and quality control. Primer sequences were: Wnt1, previously described ; ΔNPEA3En, 5′-AAG GAG GAG GAA AGC GAC TC-3′ and 5′-AGG AGA TGG CTG CTG AGT TGG-3′; RPII, 5′-GCT TAC CAT GGA ACA GAT TGC TG-3′ and 5′-CAC CTC TTC CTC CTC TTG CAT C-3′. PCR reaction products were fractionated on agarose gels and gel images were captured using a BioRad Molecular Imager ChemiDoc XRS System. No detectable PCR products were generated in reactions using “mock cDNA”. Band intensities were quantitated by analysis on an Apple computer using the public domain NIH Image program (developed at the U.S. National Institutes of Health and available on the Internet at http://rsb.info.nih.gov/nih-image/). Values obtained were normalized to those obtained for RPII. To compare ΔNPEA3En expression in non-tumorous mammary glands and mammary tumors from bigenic MMTV/Wnt1, MMTV/ΔNPEA3En animals, the ΔNPEA3En signal was normalized to the Wnt1 signal.
Kaplan-Meier curves of tumor-free survival in MMTV/Wnt1 and bigenic MMTV/Wnt1, MMTV/ΔNPEA3En cohorts were compared using a one-tailed log-rank test (Prism 4.0 for Macintosh, GraphPad Software Inc., San Diego, CA). Early onset tumor latency in the two cohorts was compared by censoring survival data at 130 days. Simple independent one-tailed t-tests were performed to effect pairwise comparisons of gene expression between groups (Microsoft Excel 2004 for Mac, Microsoft Corporation, Redmond, WA).
Wnt1 Expression in Mouse Mammary Tissues Drives Expansion of the Pea3-Expressing Myoepithelial Population
We have previously identified Pea3 as being extremely highly expressed in mammary tumors from MMTV/Wnt1 transgenic mice. Specifically, Northern blotting revealed that Pea3 was expressed at a similar level to the highly expressed glyceraldehyde-3-phosphate dehydrogenase (GAPDH) gene utilized as a normalization control . We interpreted this high level Pea3 expression as potentially indicative of a protumorigenic role for Pea3, particularly given that Pea3 positively regulates transcription of multiple proneoplastic genes , , , –. However, our earlier study did not establish whether Pea3 is upregulated prior to the formation of frank tumors, since Northern blotting was insufficiently sensitive to detect Pea3 transcripts in mammary glands prior to tumor development from either wildtype or MMTV/Wnt1 mice. Therefore, in the present study we utilized a reporter strain, Pea3NLSlacZ, in which a bacterial β-galactosidase expression cassette is inserted into the endogenous Pea3 allele , , , to assess Pea3 expression levels in non-tumorous mammary tissue. The Pea3NLSlacZ reporter allele has been shown to recapitulate the temporospatial expression patterns previously described for the endogenous Pea3 allele, and thus appears to provide faithful and sensitive reporting of expression of the endogenous Pea3 gene , , .
Pea3+/NLSlacZ mice were crossed to MMTV/Wnt1 mice, and mammary glands from female offspring of all four resultant genotypes were stained with X-gal to detect β-gal activity. Distinct staining of epithelial structures was apparent in wholemounted mammary glands from Pea3+/NLSlacZ females and bigenic MMTV/Wnt1, Pea3+/NLSlacZ females, but was not observed in tissues from animals lacking the Pea3NLSlacZ allele (Figure 1). Gross examination of X-gal-stained wholemounted glands from age-matched Pea3+/NLSlacZ and bigenic MMTV/Wnt1, Pea3+/NLSlacZ virgin females suggested that Wnt1 expression was associated with increased signal intensity (Figure 2A). Microscopic examination of both wholemounts and tissue sections revealed that β-gal activity, and hence Pea3 expression, was restricted predominantly to the myoepithelial cells comprising the outer epithelial layer of the mammary ducts (Figures 2B and C), as previously reported . Sporadic β-gal-positive nuclei were also evident in nerve bundles within the mammary glands (data not shown). Unexpectedly, we observed that the number of Pea3-positive myoepithelial cells was increased in Wnt1-expressing mammary ducts (Figures 2B and C), suggesting that the myoepithelial compartment is selectively amplified in response to Wnt1 expression. Additionally, the signal intensity in individual myoepithelial cells appeared to be increased in bigenic MMTV/Wnt1, Pea3+/NLSlacZ mammary glands relative to that in Pea3+/NLSlacZ samples (Figures 2B and C).
Abdominal (#4) mammary glands were harvested from female mice that were wildtype (WT), MMTV/Wnt1, Pea3+/NLSlacZ (Pea3lacZ), and bigenic MMTV/Wnt1, Pea3+/NLSlacZ (MMTV/Wnt1, Pea3lacZ). Mammary glands were stained with X-gal as previously described  and wholemounted. Staining of epithelial structures was observed in mammary glands from Pea3+/NLSlacZ females and bigenic MMTV/Wnt1, Pea3+/NLSlacZ females, but not in tissues from wildtype or MMTV/Wnt1 animals.
Mammary tissues were harvested from age-matched virgin female littermates and stained with X-gal. (A) Wholemounted glands (10 weeks old)–entire gland. (B) Wholemounted glands (30 weeks old) viewed at 10× magnification (inset, enlargement of boxed area). (C) Mammary gland tissue sections (10 weeks old), counterstained with eosin, viewed at 40× magnification. (D) Tumor tissue sections, counterstained with eosin, viewed at 40× magnification. β-gal activity, indicative of Pea3 expression, was detected primarily in myoepithelial cells in normal mammary glands. The frequency of Pea3-expressing cells was increased in Wnt1-expressing mammary glands, and there was an apparent increase in signal intensity on a per cell basis. Pea3 was widely expressed throughout the tumor epithelium in MMTV/Wnt1 mammary tumors.
Pea3 Is Highly Expressed in MMTV/Wnt1 Tumor Epithelium
The extremely high level of Pea3 expression in MMTV/Wnt1 mammary tumors rendered it technically challenging to reliably achieve X-gal staining of tumor samples, due to rapid precipitation of reaction product on the tissue surface. This problem was partially overcome by cutting tumor tissue samples into multiple slices prior to staining, and carefully sectioning the outermost face in the plane of the gross slice. Using this approach, we found that Pea3 expression was predominantly restricted to, and highly expressed in, the tumor epithelium (Figure 2D), which contains cells of both myoepithelial and luminal lineages –. Widespread expression throughout the tumor epithelium was confirmed by in situ hybridization analysis (R Baker and LR Howe; unpublished data).
β-Catenin/TCF Signaling Is Preferentially Activated in the Myoepithelial Compartment in MMTV/Wnt1 Mammary Glands
To further investigate the unexpected finding that the myoepithelial compartment was selectively amplified in MMTV/Wnt1 mammary glands, we sought to define which cell types exhibit activation of the canonical Wnt/β-catenin signaling pathway in response to Wnt1 transgene expression. Our first approach was to perform β-catenin immunohistochemistry (IHC) to visualize nucleocytoplasmic accumulation of β-catenin protein, the hallmark of canonical Wnt signaling. As expected, β-catenin protein was localized to the plasma membrane of epithelial cells in wildtype mouse mammary glands, consistent with its role at the adherens junction (Figure 3A). There was a marked increase in β-catenin protein levels in premalignant mammary tissues from MMTV/Wnt1 mice (Figure 3B). Not only was increased membrane staining detected, but there was also substantial accumulation of nucleocytoplasmic β-catenin protein. Notably, the most robust staining was observed in the myoepithelial cell layer (Figure 3B; black arrowhead).
Mammary gland tissue sections from virgin female mice (10 weeks old) were subjected to β-catenin IHC as previously described  and counterstained with hematoxylin. As a control, serial sections were stained in parallel omitting primary antibody (right-hand panels). (A) Wildtype. (B) MMTV/Wnt1. Weak staining of membrane-localized β-catenin was observed in wildtype epithelium. Vascular structures were clearly evident in control slides stained with secondary antibody alone (red arrowhead). Profound increases in β-catenin protein levels were observed in MMTV/Wnt1 epithelium, including both increased membrane signal as well as β-catenin accumulation in the cytoplasm and nucleus. Cells in the myoepithelial compartment exhibited the strongest β-catenin signal (black arrowhead).
As a corollary approach, the pattern of expression of a β-catenin/TCF-responsive gene, Axin2, was compared in wildtype and Wnt1-expressing mammary glands using the Axin2NLSlacZ reporter strain. Transcriptional activation of Axin2 appears to be a widespread, if not ubiquitous, response to canonical Wnt/β-catenin signaling , , and hence Axin2 transcripts are increasingly used as a convenient readout of β-catenin/TCF pathway activation. The Axin2NLSlacZ mouse strain has a β-gal expression cassette “knocked-in” to the endogenous Axin2 locus, and thus provides a useful tool for visualizing β-catenin/TCF signaling in vivo . MMTV/Wnt1 mice were crossed with Axin2+/NLSlacZ animals, and tissues from virgin female offspring of the four resulting genotypes were stained with X-gal. As in the Pea3lacZ experiment described above, β-gal activity was undetectable in mammary glands from wildtype or MMTV/Wnt1 animals (data not shown). In contrast, β-gal signal was detected in adipocytes throughout the fat pad of mammary glands from both Axin2+/NLSlacZ mice and bigenic MMTV/Wnt1, Axin2+/NLSlacZ littermates (Figure 4A). Similar observations were also made using two additional TCF reporter strains (BAT-gal and TOPGAL; S Takayama, AP Salmon and LR Howe; unpublished data) suggesting that there may be constitutive Wnt/β-catenin signaling in mammary adipocytes. However, consistent with the lack of nucleocytoplasmic β-catenin in wildtype mammary epithelium (Figure 3A), no β-gal activity was detected in the mammary epithelium of Axin2+/NLSlacZ mice in the absence of the Wnt1 transgene (Figures 4A and C; Axin2lacZ). Positively staining fibroblast nuclei were observed in the connective tissue peripheral to the mammary epithelium, but no staining was detected in the luminal or myoepithelial cells (Figure 4C; Axin2lacZ), indicating that there is little or no active Wnt/β-catenin signaling in the mammary epithelium at this stage. This contrasts with the robust myoepithelial staining observed in Pea3+/NLSlacZ mammary gland in the absence of Wnt1 expression (Figures 4B and D), and thus suggests that Pea3 expression in normal mammary gland may be regulated by non-Wnt signals.
Abdominal (#4) mammary glands were harvested from female mice that were Axin2+/NLSlacZ (Axin2lacZ) or bigenic MMTV/Wnt1, Axin2+/NLSlacZ (MMTV/Wnt1, Axin2lacZ), and were stained with X-gal as previously described . Pea3+/NLSlacZ (Pea3lacZ) samples were also included for comparison. (A) Wholemounted glands (11 weeks old), viewed at 10× magnification. (B) Wholemounted gland from Pea3lacZ virgin female stained in parallel with the specimens in Panel A, viewed at 10× magnification. (C) Mammary gland tissue sections (11 weeks old), counterstained with eosin, viewed at 40× magnification. (D) Mammary gland tissue section from Pea3lacZ virgin female (10 weeks old), counterstained with eosin, viewed at 40× magnification. β-gal activity was detected in adipocytes throughout the mammary fat pad from both Axin2+/NLSlacZ and bigenic MMTV/Wnt1, Axin2+/NLSlacZ mice. Additionally, in Axin2+/NLSlacZ mammary gland, cells in the connective tissue peripheral to the mammary epithelium stained positive, but no staining was detected in the myoepithelial or luminal cells. Wnt1 expression induced robust β-gal activity, indicative of β-catenin/TCF signaling, in the myoepithelial compartment, with weaker but detectable signal in the luminal epithelium.
Expression of the Wnt1 transgene induced profound activation of Axin2lacZ expression, a surrogate for β-catenin/TCF signaling. Mammary epithelium from bigenic MMTV/Wnt1, Axin2+/NLSlacZ mice exhibited intense X-gal staining which was most prominent in the myoepithelial layer (Figures 4A and C; MMTV/Wnt1, Axin2lacZ) . Additionally, weaker but detectable staining was observed in the inner, luminal epithelium in Wnt1-expressing glands (Figure 4C). The finding of prominent lacZ expression in the myoepithelial compartment in MMTV/Wnt1, Axin2+/NLSlacZ mammary glands is in striking concordance with the strong nucleocytoplasmic β-catenin staining observed in this cell layer (Figure 3B), and also mirrors the X-gal staining pattern in bigenic MMMTV/Wnt1, Pea3+/NLSlacZ mammary glands (Figures 2B and C).
Dominant Negative PEA3 Suppresses Tumor Formation in MMTV/Wnt1 Mice
Based on our observations of Pea3 upregulation in Wnt1-expressing mammary glands and tumors  (Figure 2), we sought to assess the requirement for PEA3 factors for Wnt1-induced tumorigenesis. This question was addressed using a previously generated dominant negative transgenic mouse strain MMTV/ΔNPEA3En . The ΔNPEA3En allele encodes a fusion protein consisting of the repressor domain from the Drosophila Engrailed protein appended to the PEA3 C-terminus, which encompasses the DNA-binding domain. The resultant mutant protein lacks the PEA3 activation domain, and hence functions as a dominant negative by binding to cognate PEA3 sites and repressing transcription through the En repressor domain. This construct has been shown to antagonize transcriptional activation by all three PEA3 family members; PEA3, ERM, and ER81 , which have overlapping target specificity. This is important because all three PEA3 family proteins are expressed in MMTV/Wnt1 mammary tumors . Use of the ΔNPEA3En dominant negative allele circumvents potential functional redundancy between the PEA3 family proteins, and thus offers a more robust approach than a gene knockout strategy targeting individual PEA3 factors. Conversely, one caveat with respect to this strategy is potential lack of specificity of ΔNPEA3En. However, although the spectrum of activity of this dominant-interfering PEA3 allele is not fully defined, it fails to alter expression from the MMTV promoter , which contains an Ets-binding site regulated by the Ets protein GABP-α, indicating that only a subset of Ets factors are susceptible to ΔNPEA3En-mediated repression.
To examine the effect of dominant negative PEA3 on Wnt1-driven tumorigenesis, we compared tumor latency in MMTV/Wnt1 and bigenic MMTV/Wnt1, MMTV/ΔNPEA3En virgin females, generated by interbreeding MMTV/Wnt1 mice with MMTV/ΔNPEA3En animals. Expression of the dominant-interfering PEA3 mutant significantly delayed the formation of early onset tumors in MMTV/Wnt1 mice (Figure 5A; P = 0.03). To exclude the possibility that this effect was due to ΔNPEA3En-mediated suppression of expression of the tumor-driving Wnt1 oncogene, Wnt1 expression was compared in MMTV/Wnt1 and bigenic MMTV/Wnt1, MMTV/ΔNPEA3En tissues. Co-expression of MMTV/ΔNPEA3En did not significantly decrease Wnt1 expression, assayed by RT-PCR, in either mammary glands or tumors (Table 1). Thus this experiment demonstrates that dominant negative PEA3 attenuates Wnt1-induced mammary neoplasia.
Tumor latency was compared in two cohorts of virgin female mice, MMTV/Wnt1 (red squares; n = 19) and bigenic MMTV/Wnt1, MMTV/ΔNPEA3En (blue diamonds; n = 22), generated by interbreeding MMTV/Wnt1 males with MMTV/ΔNPEA3En females. (A) Formation of early onset tumors was substantially retarded by expression of the dominant-interfering ΔNPEA3En transgene (P = 0.03, log-rank test). Survival data were censored at 130 days to compare early onset tumor formation (B) The overall rate of tumor formation was similar in both cohorts, suggesting that tumors were ultimately able to escape from ΔNPEA3En-mediated tumor suppression (P = 0.39, log-rank test).
The median time to tumor formation was 145 days in MMTV/Wnt1 mice compared to 192 days in those animals also bearing the ΔNPEA3En transgene. However, the Kaplan-Meier survival curves intersected at 274 days (Figure 5B), suggesting that tumors were ultimately able to “escape” suppression mediated by dominant negative PEA3. One potential explanation for this escape phenomenon is loss of expression of the ΔNPEA3En transgene. To investigate this possibility, expression levels of the ΔNPEA3En transgene in mammary glands and tumors were measured by RT-PCR. The ΔNPEA3En transgene is expressed from the MMTV promoter, which is primarily active in epithelial cells in mouse mammary tissues. MMTV-regulated transcripts can appear artificially elevated in tumors relative to premalignant mammary gland when expression is normalized to a “housekeeping” gene expressed in both epithelial and stromal compartments because the ratio of epithelium to stroma is increased in tumors compared with non-tumorous mammary glands. To control for this potential artefact in measuring ΔNPEA3En transgene expression, ΔNPEA3En levels were normalized to those of the Wnt1 transgene, which is also expressed from the MMTV promoter. Strikingly, the ΔNPEA3En:Wnt1 expression ratio was substantially reduced in mammary tumors relative to non-tumorous mammary glands from bigenic MMTV/Wnt1, MMTV/ΔNPEA3En mice (Figure 6; P = 0.01). These data strongly suggest that suppression of ΔNPEA3En expression is a prerequisite for tumor formation in bigenic MMTV/Wnt1, MMTV/ΔNPEA3En animals, and thus provide additional evidence for an important role of PEA3 factors in Wnt1-mediated mammary tumorigenesis. Interestingly, a similar phenomenon was reported by Shepherd et al. (2001) who crossed the ΔNPEA3En transgenic with MMTV/neu mice and identified reduced expression of the ΔNPEA3En transgene in tumors relative to mammary glands . The molecular mechanism underlying loss of ΔNPEA3En expression was not identified, but could potentially involve loss of the transgene from the genomic DNA or epigenetic silencing of the transgene locus.
Expression levels of the Wnt1 and ΔNPEA3En transgenes in mammary glands and tumors from bigenic MMTV/Wnt1, MMTV/ΔNPEA3En mice were assayed by RT-PCR. The expression level of ΔNPEA3En in each sample was normalized to that of Wnt1 in the same sample to control for potential variations in epithelial content between tumors and nontumorous mammary glands. The ratio of ΔNPEA3En expression to Wnt1 expression was strikingly reduced in mammary tumors relative to non-tumorous mammary glands (P = 0.01, t-Test).
We and others have shown that Pea3 is highly expressed in mouse breast tumors, and PEA3 overexpression also occurs in human breast carcinomas –, –, . Furthermore, Pea3 activates transcription of multiple neoplasia-associated genes, including MMP genes, COX-2, Twist, osteopontin, uPA, vimentin, MUC4, WT1, mammaglobin, cyclin D3 and HER2 , , , –. For example, we have shown PEA3 to be a potent activator of COX-2 transcription, and in turn have shown Cox-2 to be an important contributor to HER2/neu-induced mammary neoplasia and angiogenesis in mouse models , , . Nevertheless, other investigators have argued in favor of PEA3 functioning as a tumor suppressor, based in part on the ability of high level PEA3 expression to suppress HER2 promoter activity in vitro and HER2-expressing tumor growth in vivo , , , . Consistent with a tumor-promoting function for PEA3, one study identified a positive association between increased patient survival and PEA3 expression in human breast cancers .
In order to further assess the role of PEA3 factors in mammary tumorigenesis, we chose a model in which breast neoplasia was not driven by HER2/neu overexpression. We employed the MMTV/Wnt1 strain because we had previously established that MMTV/Wnt1 tumors exhibit robust Pea3 expression . The evidence presented here suggests a protumorigenic role for PEA3 factors in Wnt1-induced mammary neoplasia. Specifically, the dominant-interfering mutant ΔNPEA3En suppressed early onset tumor formation in MMTV/Wnt1 mice (Figure 5A), and ΔNPEA3En expression was markedly suppressed in those tumors that did develop in bigenic MMTV/Wnt1, MMTV/ΔNPEA3En animals (Figure 6). These data, which support a positive role of PEA3 factors in breast neoplasia, are consistent with those obtained by other groups using a variety of approaches. Several studies have shown that enhanced invasiveness, cell cycle progression and tumorigenicity can be conferred by overexpressing PEA3 in breast or lung cancer cell lines , , . Conversely, suppressing the expression or activity of PEA3 factors has been shown to reduce proliferation and invasiveness of cancer cell lines in culture, and to decrease in vivo tumorigenesis , , . Furthermore, RNAi-mediated knock-down of Pea3 in mouse mammary tumor cells leads to decreased expression of multiple PEA3 gene targets with established proneoplastic roles, including Cox-2, vimentin, Cyclin D3, HER2/neu and several MMP genes . Of note, positive correlations between poor prognosis and PEA3 overexpression have been identified in cancers of several tissue sites including carcinomas of the breast, ovary, stomach and CRC , , , . In aggregate, these data support the potential therapeutic utility of targeting PEA3 factors.
Our data provide a novel proof-of-principle that neoplasia resulting from activation of Wnt/β-catenin signaling can be attenuated by suppressing Ets factor activity. This finding may also be relevant in the context of colorectal cancer, which is frequently driven by mutational activation of the Wnt/β-catenin pathway. Importantly in this respect, PEA3 factor overexpression is prevalent both in human colorectal cancers and in intestinal tumors from mouse CRC models , , , . Thus, we predict that targeting PEA3 factors may also be of therapeutic benefit for colorectal cancer patients.
Intriguingly, the interrelationship between Wnt/β-catenin signaling and PEA3 may not be restricted to neoplasia, but may also be important during normal mammary morphogenesis. Potential functional interaction between PEA3 and Wnt signaling during postnatal mammary development is suggested by the overlapping phenotypes elicited by Pea3 nullizygozity and by genetic ablation of LRP5 (low density lipoprotein receptor related protein 5), a key component of the Wnt receptor complex. Thus, both Pea3-null and LRP5-deficient mice exhibit a delay in terminal end-bud formation and regression during mammopoiesis , .
In addition to determining the role of PEA3 factors in Wnt1-induced tumorigenesis, we also sought to characterize the effect of Wnt1 on Pea3 expression in non-tumorous mammary glands. Analysis of the LacZ-based reporter strain Pea3NLSlacZ revealed an apparent increase in intensity of Pea3 expression in mammary myoepithelial cells in response to Wnt1 (Figure 2). Additionally, this experiment revealed an unanticipated consequence of Wnt1 expression in mouse mammary gland. Specifically, Wnt1 stimulates expansion of the myoepithelial compartment prior to tumor formation (Figure 2). Several groups have previously characterized MMTV/Wnt1 tumors as containing both myoepithelial and luminal epithelial cells, based on the presence of discrete cell populations exhibiting myoepithelial and luminal markers, and have interpreted this as evidence that Wnt1 acts on multipotent progenitor cells in mouse mammary glands –. Furthermore, Wnt1-induced mammary hyperplasia has been theorized as resulting from accumulation of relatively undifferentiated progenitor and transit-amplifying cells . The observation that Wnt1 induces specific amplification of the myoepithelial, or basal, compartment in Wnt1-expressing mammary gland prior to tumor formation suggests that these putative Wnt1-responsive progenitor cells may reside in the basal cell layer.
To further investigate the observation that Wnt1 induces amplification of the mammary myoepithelial compartment, we characterized the cellular response profile to Wnt1 expression using both β-catenin IHC and a β-catenin/TCF-responsive reporter strain, Axin2NLSlacZ. β-catenin immunostaining revealed a profound increase in β-catenin protein in MMTV/Wnt1 mammary glands relative to the modest membrane signal in wildtype tissues (Figure 3). Of particular note, we observed intense nucleocytoplasmic signal in the myoepithelial cell layer. Consistent with this immunohistochemical staining pattern, there was profound induction of the β-catenin/TCF-responsive reporter Axin2NLSlacZ in Wnt1-expressing mammary epithelium (Figure 4). The strongest signal was evident in the basal layer, as recently reported . Additionally, we detected lower signal intensity in the inner, luminal layer. However, no epithelial Axin2NLSlacZ activity was detected in adult mammary glands in the absence of Wnt1 transgene expression. This contrasts with our findings of Pea3 expression in mammary myoepithelium in the absence of Wnt1, and suggests that Pea3 expression in normal adult mammary gland is regulated by non-Wnt signals. Interestingly, β-catenin/TCF signaling activity was observed in mammary adipocytes irrespective of the presence of the Wnt1 transgene, as revealed by expression of Axin2NLSlacZ (Figure 4A and C) and also of other β-catenin/TCF-responsive reporter alleles (BAT-gal and TOPGAL; S Takayama, AP Salmon and LR Howe; unpublished data). The significance of this observation is unclear since Wnt/β-catenin signaling is well characterized as a negative regulator of adipogenesis . Nevertheless, it is clear that Wnt1 transgene expression induces a profound β-catenin/TCF signaling response in mammary myoepithelial cells, which mirrors the Pea3NLSlacZ staining pattern in MMTV/Wnt1 mammary glands (compare Figures 3B and 4C with 2C). Together these datasets suggest that the myoepithelial compartment is preferentially responsive to Wnt1. The selective Wnt1-responsiveness of the myoepithelium, and the fact that Wnt1 induces expansion of this cell layer, most likely reflects restricted expression of functional Wnt receptor complexes since LRP6 expression is limited to basal cells in adult mouse mammary gland . Consistent with these observations, a basal gene signature has been identified in cells extracted from MMTV/Wnt1 mammary carcinomas , .
In aggregate these data suggest the MMTV/Wnt1 strain as a potentially useful model of basal breast cancer in humans. The basal subtype has recently become a focus of intense concern because such tumors constitute a therapeutically intractable subset of breast cancers –. Since mammary stem cells have been hypothesized to reside in the basal layer, our observations also support the notion that Wnt1 may stimulate expansion of the mammary stem cell population , . Intriguingly, the endogenous Pea3 expression profiles that we have observed in mouse mammary gland (Figures 1 and 2) and in the colonic crypt (data not shown) are strikingly similar to those reported for the putative stem cell marker gene Lgr5 , giving credence to the notion that Pea3 expression may be enriched in stem cell compartments.
We thank Anthony Brown and Xi Kathy Zhou for helpful discussions, Howard Crawford for immunohistochemistry instruction, Robert Cardiff for histopathology consults, and Roel Nusse for providing the Axin2NLSlacZ mouse strain.
Conceived and designed the experiments: LRH. Performed the experiments: RB CVK RAS LRH. Analyzed the data: LJTY LRH. Contributed reagents/materials/analysis tools: JAH. Wrote the paper: LRH. Read and approved the final manuscript: RB CVK RAS JAH LJTY.
- 1. Graves BJ, Petersen JM (1998) Specificity within the ets family of transcription factors. Adv Cancer Res 75: 1–55.
- 2. Sharrocks AD (2001) The ETS-domain transcription factor family. Nat Rev Mol Cell Biol 2: 827–837.
- 3. Shepherd T, Hassell JA (2001) Role of Ets transcription factors in mammary gland development and oncogenesis. J Mammary Gland Biol Neoplasia 6: 129–140.
- 4. Martin ME, Piette J, Yaniv M, Tang WJ, Folk WR (1988) Activation of the polyomavirus enhancer by a murine activator protein 1 (AP1) homolog and two contiguous proteins. Proc Natl Acad Sci U S A 85: 5839–5843.
- 5. Wasylyk C, Flores P, Gutman A, Wasylyk B (1989) PEA3 is a nuclear target for transcription activation by non-nuclear oncogenes. Embo J 8: 3371–3378.
- 6. Higashino F, Yoshida K, Fujinaga Y, Kamio K, Fujinaga K (1993) Isolation of a cDNA encoding the adenovirus E1A enhancer binding protein: a new human member of the ets oncogene family. Nucleic Acids Res 21: 547–553.
- 7. Xin JH, Cowie A, Lachance P, Hassell JA (1992) Molecular cloning and characterization of PEA3, a new member of the Ets oncogene family that is differentially expressed in mouse embryonic cells. Genes Dev 6: 481–496.
- 8. Bojovic BB, Hassell JA (2001) The PEA3 Ets transcription factor comprises multiple domains that regulate transactivation and DNA binding. J Biol Chem 276: 4509–4521.
- 9. Greenall A, Willingham N, Cheung E, Boam DS, Sharrocks AD (2001) DNA binding by the ETS-domain transcription factor PEA3 is regulated by intramolecular and intermolecular protein.protein interactions. J Biol Chem 276: 16207–16215.
- 10. Monte D, Baert JL, Defossez PA, de Launoit Y, Stehelin D (1994) Molecular cloning and characterization of human ERM, a new member of the Ets family closely related to mouse PEA3 and ER81 transcription factors. Oncogene 9: 1397–1406.
- 11. Monte D, Coutte L, Baert JL, Angeli I, Stehelin D, et al. (1995) Molecular characterization of the ets-related human transcription factor ER81. Oncogene 11: 771–779.
- 12. Monte D, Coutte L, Dewitte F, Defossez PA, Le Coniat M, et al. (1996) Genomic organization of the human ERM (ETV5) gene, a PEA3 group member of ETS transcription factors. Genomics 35: 236–240.
- 13. Bojovic BB, Hassell JA (2008) The transactivation function of the Pea3 subfamily Ets transcription factors is regulated by sumoylation. DNA Cell Biol 27: 289–305.
- 14. Nishida T, Terashima M, Fukami K, Yamada Y (2007) Repression of E1AF transcriptional activity by sumoylation and PIASy. Biochem Biophys Res Commun 360: 226–232.
- 15. Guo B, Sallis RE, Greenall A, Petit MM, Jansen E, et al. (2006) The LIM domain protein LPP is a coactivator for the ETS domain transcription factor PEA3. Mol Cell Biol 26: 4529–4538.
- 16. Firlej V, Bocquet B, Desbiens X, de Launoit Y, Chotteau-Lelievre A (2005) Pea3 transcription factor cooperates with USF-1 in regulation of the murine bax transcription without binding to an Ets-binding site. J Biol Chem 280: 887–898.
- 17. de Launoit Y, Baert JL, Chotteau A, Monte D, Defossez PA, et al. (1997) Structure-function relationships of the PEA3 group of Ets-related transcription factors. Biochem Mol Med 61: 127–135.
- 18. Lynch CC, Crawford HC, Matrisian LM, McDonnell S (2004) Epidermal growth factor upregulates matrix metalloproteinase-7 expression through activation of PEA3 transcription factors. Int J Oncol 24: 1565–1572.
- 19. Arber S, Ladle DR, Lin JH, Frank E, Jessell TM (2000) ETS gene Er81 controls the formation of functional connections between group Ia sensory afferents and motor neurons. Cell 101: 485–498.
- 20. Chotteau-Lelievre A, Desbiens X, Pelczar H, Defossez PA, de Launoit Y (1997) Differential expression patterns of the PEA3 group transcription factors through murine embryonic development. Oncogene 15: 937–952.
- 21. Chotteau-Lelievre A, Dolle P, Peronne V, Coutte L, de Launoit Y, et al. (2001) Expression patterns of the Ets transcription factors from the PEA3 group during early stages of mouse development. Mech Dev 108: 191–195.
- 22. Chotteau-Lelievre A, Montesano R, Soriano J, Soulie P, Desbiens X, et al. (2003) PEA3 transcription factors are expressed in tissues undergoing branching morphogenesis and promote formation of duct-like structures by mammary epithelial cells in vitro. Dev Biol 259: 241–257.
- 23. Ladle DR, Frank E (2002) The role of the ETS gene PEA3 in the development of motor and sensory neurons. Physiol Behav 77: 571–576.
- 24. Lin JH, Saito T, Anderson DJ, Lance-Jones C, Jessell TM, et al. (1998) Functionally related motor neuron pool and muscle sensory afferent subtypes defined by coordinate ETS gene expression. Cell 95: 393–407.
- 25. Liu Y, Jiang H, Crawford HC, Hogan BL (2003) Role for ETS domain transcription factors Pea3/Erm in mouse lung development. Dev Biol 261: 10–24.
- 26. Livet J, Sigrist M, Stroebel S, De Paola V, Price SR, et al. (2002) ETS gene Pea3 controls the central position and terminal arborization of specific motor neuron pools. Neuron 35: 877–892.
- 27. Laing MA, Coonrod S, Hinton BT, Downie JW, Tozer R, et al. (2000) Male sexual dysfunction in mice bearing targeted mutant alleles of the PEA3 ets gene. Mol Cell Biol 20: 9337–9345.
- 28. Baert JL, Monte D, Musgrove EA, Albagli O, Sutherland RL, et al. (1997) Expression of the PEA3 group of ETS-related transcription factors in human breast-cancer cells. Int J Cancer 70: 590–597.
- 29. Barrett JM, Puglia MA, Singh G, Tozer RG (2002) Expression of Ets-related transcription factors and matrix metalloproteinase genes in human breast cancer cells. Breast Cancer Res Treat 72: 227–232.
- 30. Galang CK, Muller WJ, Foos G, Oshima RG, Hauser CA (2004) Changes in the expression of many Ets family transcription factors and of potential target genes in normal mammary tissue and tumors. J Biol Chem 279: 11281–11292.
- 31. Howe LR, Crawford HC, Subbaramaiah K, Hassell JA, Dannenberg AJ, et al. (2001) PEA3 is upregulated in response to Wnt1 and activates the expression of cyclooxygenase-2. J Biol Chem 276: 20108–20115.
- 32. Shepherd TG, Kockeritz L, Szrajber MR, Muller WJ, Hassell JA (2001) The pea3 subfamily ets genes are required for HER2/Neu-mediated mammary oncogenesis. Curr Biol 11: 1739–1748.
- 33. Trimble MS, Xin JH, Guy CT, Muller WJ, Hassell JA (1993) PEA3 is overexpressed in mouse metastatic mammary adenocarcinomas. Oncogene 8: 3037–3042.
- 34. Scott GK, Daniel JC, Xiong X, Maki RA, Kabat D, et al. (1994) Binding of an ETS-related protein within the DNase I hypersensitive site of the HER2/neu promoter in human breast cancer cells. J Biol Chem 269: 19848–19858.
- 35. Benz CC, O'Hagan RC, Richter B, Scott GK, Chang CH, et al. (1997) HER2/Neu and the Ets transcription activator PEA3 are coordinately upregulated in human breast cancer. Oncogene 15: 1513–1525.
- 36. Bieche I, Tozlu S, Girault I, Onody P, Driouch K, et al. (2004) Expression of PEA3/E1AF/ETV4, an Ets-related transcription factor, in breast tumors: positive links to MMP2, NRG1 and CGB expression. Carcinogenesis 25: 405–411.
- 37. Fleming FJ, Myers E, Kelly G, Crotty TB, McDermott EW, et al. (2004) Expression of SRC-1, AIB1, and PEA3 in HER2 mediated endocrine resistant breast cancer; a predictive role for SRC-1. J Clin Pathol 57: 1069–1074.
- 38. Kinoshita J, Kitamura K, Tanaka S, Sugimachi K, Ishida M, et al. (2002) Clinical significance of PEA3 in human breast cancer. Surgery 131: S222–225.
- 39. Myers E, Hill AD, Kelly G, McDermott EW, O'Higgins NJ, et al. (2006) A positive role for PEA3 in HER2-mediated breast tumour progression. Br J Cancer 95: 1404–1409.
- 40. Xia WY, Lien HC, Wang SC, Pan Y, Sahin A, et al. (2006) Expression of PEA3 and lack of correlation between PEA3 and HER-2/neu expression in breast cancer. Breast Cancer Res Treat 98: 295–301.
- 41. Boedefeld WM II, Soong R, Weiss H, Diasio RB, Urist MM, et al. (2005) E1A-F is overexpressed early in human colorectal neoplasia and associated with cyclooxygenase-2 and matrix metalloproteinase-7. Mol Carcinog 43: 13–17.
- 42. Crawford HC, Fingleton B, Gustavson MD, Kurpios N, Wagenaar RA, et al. (2001) The PEA3 subfamily of Ets transcription factors synergizes with ß-catenin/LEF-1 to activate matrilysin transcription in intestinal tumors. Mol Cell Biol 21: 1370–1383.
- 43. Hiroumi H, Dosaka-Akita H, Yoshida K, Shindoh M, Ohbuchi T, et al. (2001) Expression of E1AF/PEA3, an Ets-related transcription factor in human non-small-cell lung cancers: its relevance in cell motility and invasion. Int J Cancer 93: 786–791.
- 44. Horiuchi S, Yamamoto H, Min Y, Adachi Y, Itoh F, et al. (2003) Association of ets-related transcriptional factor E1AF expression with tumour progression and overexpression of MMP-1 and matrilysin in human colorectal cancer. J Pathol 200: 568–576.
- 45. Nosho K, Yoshida M, Yamamoto H, Taniguchi H, Adachi Y, et al. (2005) Association of Ets-related transcriptional factor E1AF expression with overexpression of matrix metalloproteinases, COX-2 and iNOS in the early stage of colorectal carcinogenesis. Carcinogenesis 26: 892–899.
- 46. Yamamoto H, Horiuchi S, Adachi Y, Taniguchi H, Nosho K, et al. (2004) Expression of ets-related transcriptional factor E1AF is associated with tumor progression and over-expression of matrilysin in human gastric cancer. Carcinogenesis 25: 325–332.
- 47. Davidson B, Goldberg I, Gotlieb WH, Kopolovic J, Ben-Baruch G, et al. (2003) PEA3 is the second Ets family transcription factor involved in tumor progression in ovarian carcinoma. Clin Cancer Res 9: 1412–1419.
- 48. Firlej V, Ladam F, Brysbaert G, Dumont P, Fuks F, et al. (2008) Reduced tumorigenesis in mouse mammary cancer cells following inhibition of Pea3- or Erm-dependent transcription. J Cell Sci 121: 3393–3402.
- 49. Buttice G, Kurkinen M (1993) A polyomavirus enhancer A-binding protein-3 site and Ets-2 protein have a major role in the 12-O-tetradecanoylphorbol-13-acetate response of the human stromelysin gene. J Biol Chem 268: 7196–7204.
- 50. Crawford HC, Matrisian LM (1996) Mechanisms controlling the transcription of matrix metalloproteinase genes in normal and neoplastic cells. Enzyme Protein 49: 20–37.
- 51. Chen JH, Vercamer C, Li Z, Paulin D, Vandenbunder B, et al. (1996) PEA3 transactivates vimentin promoter in mammary epithelial and tumor cells. Oncogene 13: 1667–1675.
- 52. Discenza MT, Vaz D, Hassell JA, Pelletier J (2004) Activation of the WT1 tumor suppressor gene promoter by Pea3. FEBS Lett 560: 183–191.
- 53. El-Tanani M, Platt-Higgins A, Rudland PS, Campbell FC (2004) Ets gene PEA3 cooperates with beta-catenin-Lef-1 and c-Jun in regulation of osteopontin transcription. J Biol Chem 279: 20794–20806.
- 54. Hesselbrock DR, Kurpios N, Hassell JA, Watson MA, Fleming TP (2005) PEA3, AP-1, and a unique repetitive sequence all are involved in transcriptional regulation of the breast cancer-associated gene, mammaglobin. Breast Cancer Res Treat 89: 289–296.
- 55. Howe LR, Watanabe O, Leonard J, Brown AMC (2003) Twist is up-regulated in response to Wnt1 and inhibits mouse mammary cell differentiation. Cancer Res 63: 1906–1913.
- 56. Jiang J, Wei Y, Liu D, Zhou J, Shen J, et al. (2007) E1AF promotes breast cancer cell cycle progression via upregulation of Cyclin D3 transcription. Biochem Biophys Res Commun 358: 53–58.
- 57. Matsui K, Sugimori K, Motomura H, Ejiri N, Tsukada K, et al. (2006) PEA3 cooperates with c-Jun in regulation of HER2/neu transcription. Oncol Rep 16: 153–158.
- 58. Perez A, Barco R, Fernandez I, Price-Schiavi SA, Carraway KL (2003) PEA3 transactivates the Muc4/sialomucin complex promoter in mammary epithelial and tumor cells. J Biol Chem 278: 36942–36952.
- 59. Rorth P, Nerlov C, Blasi F, Johnsen M (1990) Transcription factor PEA3 participates in the induction of urokinase plasminogen activator transcription in murine keratinocytes stimulated with epidermal growth factor or phorbol-ester. Nucleic Acids Res 18: 5009–5017.
- 60. Scott GK, Chang CH, Erny KM, Xu F, Fredericks WJ, et al. (2000) Ets regulation of the erbB2 promoter. Oncogene 19: 6490–6502.
- 61. D'Orazio D, Besser D, Marksitzer R, Kunz C, Hume DA, et al. (1997) Cooperation of two PEA3/AP1 sites in uPA gene induction by TPA and FGF-2. Gene 201: 179–187.
- 62. Upadhyay S, Liu C, Chatterjee A, Hoque MO, Kim MS, et al. (2006) LKB1/STK11 suppresses cyclooxygenase-2 induction and cellular invasion through PEA3 in lung cancer. Cancer Res 66: 7870–7879.
- 63. Cowden Dahl KD, Dahl R, Kruichak JN, Hudson LG (2009) The epidermal growth factor receptor responsive miR-125a represses mesenchymal morphology in ovarian cancer cells. Neoplasia 11: 1208–1215.
- 64. Wang SC, Hung MC (2000) Transcriptional targeting of the HER-2/neu oncogene. Drugs Today (Barc) 36: 835–843.
- 65. Wang SC, Hung MC (2001) HER2 overexpression and cancer targeting. Semin Oncol 28: 115–124.
- 66. Xing X, Wang SC, Xia W, Zou Y, Shao R, et al. (2000) The ets protein PEA3 suppresses HER-2/neu overexpression and inhibits tumorigenesis. Nat Med 6: 189–195.
- 67. Yu Z, Xia W, Wang HY, Wang SC, Pan Y, et al. (2006) Antitumor activity of an Ets protein, PEA3, in breast cancer cell lines MDA-MB-361DYT2 and BT474M1. Mol Carcinog 45: 667–675.
- 68. Iwasaki M, Nishikawa A, Akutagawa N, Fujimoto T, Teramoto M, et al. (2004) E1AF/PEA3 reduces the invasiveness of SiHa cervical cancer cells by activating serine proteinase inhibitor squamous cell carcinoma antigen. Exp Cell Res 299: 525–532.
- 69. Menendez JA, Lupu R (2006) Mediterranean dietary traditions for the molecular treatment of human cancer: anti-oncogenic actions of the main olive oil's monounsaturated fatty acid oleic acid (18:1n-9). Curr Pharm Biotechnol 7: 495–502.
- 70. Kurpios NA, MacNeil L, Shepherd TG, Gludish DW, Giacomelli AO, et al. (2009) The Pea3 Ets transcription factor regulates differentiation of multipotent progenitor cells during mammary gland development. Dev Biol 325: 106–121.
- 71. Tsukamoto AS, Grosschedl R, Guzman RC, Parslow T, Varmus HE (1988) Expression of the int-1 gene in transgenic mice is associated with mammary gland hyperplasia and adenocarcinomas in male and female mice. Cell 55: 619–625.
- 72. Robinson GW, McKnight RA, Smith GH, Hennighausen L (1995) Mammary epithelial cells undergo secretory differentiation in cycling virgins but require pregnancy for the establishment of terminal differentiation. Development 121: 2079–2090.
- 73. Jho EH, Zhang T, Domon C, Joo CK, Freund JN, et al. (2002) Wnt/beta-catenin/Tcf signaling induces the transcription of Axin2, a negative regulator of the signaling pathway. Mol Cell Biol 22: 1172–1183.
- 74. Lustig B, Jerchow B, Sachs M, Weiler S, Pietsch T, et al. (2002) Negative feedback loop of Wnt signaling through upregulation of conductin/axin2 in colorectal and liver tumors. Mol Cell Biol 22: 1184–1193.
- 75. Crawford HC, Fingleton BM, Rudolph-Owen LA, Goss KJ, Rubinfeld B, et al. (1999) The metalloproteinase matrilysin is a target of beta-catenin transactivation in intestinal tumors. Oncogene 18: 2883–2891.
- 76. Howe LR, Chang SH, Tolle KC, Dillon R, Young LJ, et al. (2005) HER2/neu-induced mammary tumorigenesis and angiogenesis are reduced in cyclooxygenase-2 knockout mice. Cancer Res 65: 10113–10119.
- 77. Cui XS, Donehower LA (2000) Differential gene expression in mouse mammary adenocarcinomas in the presence and absence of wild type p53. Oncogene 19: 5988–5996.
- 78. Li Y, Welm B, Podsypanina K, Huang S, Chamorro M, et al. (2003) Evidence that transgenes encoding components of the Wnt signaling pathway preferentially induce mammary cancers from progenitor cells. Proc Natl Acad Sci U S A 100: 15853–15858.
- 79. Rosner A, Miyoshi K, Landesman-Bollag E, Xu X, Seldin DC, et al. (2002) Pathway pathology: histological differences between ErbB/Ras and Wnt pathway transgenic mammary tumors. Am J Pathol 161: 1087–1097.
- 80. Teissedre B, Pinderhughes A, Incassati A, Hatsell SJ, Hiremath M, et al. (2009) MMTV-Wnt1 and -DeltaN89beta-catenin induce canonical signaling in distinct progenitors and differentially activate Hedgehog signaling within mammary tumors. PLoS ONE 4: e4537.
- 81. Span PN, Manders P, Heuvel JJ, Beex LV, Sweep CG (2003) E1AF expression levels are not associated with prognosis in human breast cancer. Breast Cancer Res Treat 79: 129–131.
- 82. Howe LR, Subbaramaiah K, Patel J, Masferrer JL, Deora A, et al. (2002) Celecoxib, a selective cyclooxygenase 2 inhibitor, protects against human epidermal growth factor receptor 2 (HER-2)/neu-induced breast cancer. Cancer Res 62: 5405–5407.
- 83. Kaya M, Yoshida K, Higashino F, Mitaka T, Ishii S, et al. (1996) A single ets-related transcription factor, E1AF, confers invasive phenotype on human cancer cells. Oncogene 12: 221–227.
- 84. Hida K, Shindoh M, Yasuda M, Hanzawa M, Funaoka K, et al. (1997) Antisense E1AF transfection restrains oral cancer invasion by reducing matrix metalloproteinase activities. Am J Pathol 150: 2125–2132.
- 85. Lindvall C, Evans NC, Zylstra CR, Li Y, Alexander CM, et al. (2006) The Wnt signaling receptor Lrp5 is required for mammary ductal stem cell activity and Wnt1-induced tumorigenesis. J Biol Chem 281: 35081–35087.
- 86. Liu BY, McDermott SP, Khwaja SS, Alexander CM (2004) The transforming activity of Wnt effectors correlates with their ability to induce the accumulation of mammary progenitor cells. Proc Natl Acad Sci U S A 101: 4158–4163.
- 87. Prestwich TC, Macdougald OA (2007) Wnt/beta-catenin signaling in adipogenesis and metabolism. Curr Opin Cell Biol 19: 612–617.
- 88. Lindvall C, Zylstra CR, Evans N, West RA, Dykema K, et al. (2009) The Wnt co-receptor Lrp6 is required for normal mouse mammary gland development. PLoS ONE 4: e5813.
- 89. Cho RW, Wang X, Diehn M, Shedden K, Chen GY, et al. (2008) Isolation and molecular characterization of cancer stem cells in MMTV-Wnt-1 murine breast tumors. Stem Cells 26: 364–371.
- 90. Herschkowitz JI, Simin K, Weigman VJ, Mikaelian I, Usary J, et al. (2007) Identification of conserved gene expression features between murine mammary carcinoma models and human breast tumors. Genome Biol 8: R76.
- 91. Anders C, Carey LA (2008) Understanding and treating triple-negative breast cancer. Oncology (Williston Park) 22: 1233–1239; discussion 1239–1240, 1243.
- 92. Cleator S, Heller W, Coombes RC (2007) Triple-negative breast cancer: therapeutic options. Lancet Oncol 8: 235–244.
- 93. Reis-Filho JS, Tutt AN (2008) Triple negative tumours: a critical review. Histopathology 52: 108–118.
- 94. Shackleton M, Vaillant F, Simpson KJ, Stingl J, Smyth GK, et al. (2006) Generation of a functional mammary gland from a single stem cell. Nature 439: 84–88.
- 95. Stingl J (2009) Detection and analysis of mammary gland stem cells. J Pathol 217: 229–241.
- 96. Barker N, van Es JH, Kuipers J, Kujala P, van den Born M, et al. (2007) Identification of stem cells in small intestine and colon by marker gene Lgr5. Nature 449: 1003–1007.