TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma
Abstract Background The Th1 cell-specific transcription factor TBX21 functions as a regulator of expression of a Th1 cytokine, interferon gamma (IFN-γ). However, the specific function of TBX21 correlated with cancer stemness remains unclear. Methods Using univariate and multivariate survival analysi...
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Format: | Article |
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BMC
2018-04-01
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Series: | Stem Cell Research & Therapy |
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Online Access: | http://link.springer.com/article/10.1186/s13287-018-0820-6 |
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author | Shuangtao Zhao Wenzhi Shen Jiangyong Yu Luhua Wang |
author_facet | Shuangtao Zhao Wenzhi Shen Jiangyong Yu Luhua Wang |
author_sort | Shuangtao Zhao |
collection | DOAJ |
description | Abstract Background The Th1 cell-specific transcription factor TBX21 functions as a regulator of expression of a Th1 cytokine, interferon gamma (IFN-γ). However, the specific function of TBX21 correlated with cancer stemness remains unclear. Methods Using univariate and multivariate survival analysis, TBX21was identified as an independent predictive factor and was associated with poor prognosis in 1389 patients with lung adenocarcinoma (LUAD). Its mechanism in the prognosis was explored by functional enrichment analysis and validated in bioexperiments. Results In the training and test sets, TBX21 could classify 1389 LUAD patients into high and low-risk groups with significantly different prognosis (P < 0.01). Its prognostic power was independent of other clinical factors including stage, age, gender and smoking status. Functional studies indicated that downregulating TBX21 in lung cancer cells decreased the fraction of cancer stem cells and their sphere and tumor initiation frequency. Furthermore, the study showed that TBX21 activation transduced a TBX21–IL-4 signaling cascade to promote tumor initiation, tumor growth and expression of stemness markers. Conclusions These data demonstrated a key role of TBX21 in the maintenance of cancer stemness and that the TBX21–IL-4 pathway is a crucial factor contributing to lung carcinogenesis. Graphical abstract TBX21 prognostic model correlated with cancer stemness via TBX21-IL-4 pathway in LUAD patients |
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id | doaj.art-16dac43f688d4485b9429ae77000fdcb |
institution | Directory Open Access Journal |
issn | 1757-6512 |
language | English |
last_indexed | 2024-04-13T16:05:15Z |
publishDate | 2018-04-01 |
publisher | BMC |
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series | Stem Cell Research & Therapy |
spelling | doaj.art-16dac43f688d4485b9429ae77000fdcb2022-12-22T02:40:25ZengBMCStem Cell Research & Therapy1757-65122018-04-019111510.1186/s13287-018-0820-6TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinomaShuangtao Zhao0Wenzhi Shen1Jiangyong Yu2Luhua Wang3Department of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Pathology and Institute of Precision Medicine, Jining Medical UniversityDepartment of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeDepartment of Radiation Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeAbstract Background The Th1 cell-specific transcription factor TBX21 functions as a regulator of expression of a Th1 cytokine, interferon gamma (IFN-γ). However, the specific function of TBX21 correlated with cancer stemness remains unclear. Methods Using univariate and multivariate survival analysis, TBX21was identified as an independent predictive factor and was associated with poor prognosis in 1389 patients with lung adenocarcinoma (LUAD). Its mechanism in the prognosis was explored by functional enrichment analysis and validated in bioexperiments. Results In the training and test sets, TBX21 could classify 1389 LUAD patients into high and low-risk groups with significantly different prognosis (P < 0.01). Its prognostic power was independent of other clinical factors including stage, age, gender and smoking status. Functional studies indicated that downregulating TBX21 in lung cancer cells decreased the fraction of cancer stem cells and their sphere and tumor initiation frequency. Furthermore, the study showed that TBX21 activation transduced a TBX21–IL-4 signaling cascade to promote tumor initiation, tumor growth and expression of stemness markers. Conclusions These data demonstrated a key role of TBX21 in the maintenance of cancer stemness and that the TBX21–IL-4 pathway is a crucial factor contributing to lung carcinogenesis. Graphical abstract TBX21 prognostic model correlated with cancer stemness via TBX21-IL-4 pathway in LUAD patientshttp://link.springer.com/article/10.1186/s13287-018-0820-6Lung adenocarcinomaTBX21PrognosisCancer stemnessIL-4 |
spellingShingle | Shuangtao Zhao Wenzhi Shen Jiangyong Yu Luhua Wang TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma Stem Cell Research & Therapy Lung adenocarcinoma TBX21 Prognosis Cancer stemness IL-4 |
title | TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma |
title_full | TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma |
title_fullStr | TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma |
title_full_unstemmed | TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma |
title_short | TBX21 predicts prognosis of patients and drives cancer stem cell maintenance via the TBX21–IL-4 pathway in lung adenocarcinoma |
title_sort | tbx21 predicts prognosis of patients and drives cancer stem cell maintenance via the tbx21 il 4 pathway in lung adenocarcinoma |
topic | Lung adenocarcinoma TBX21 Prognosis Cancer stemness IL-4 |
url | http://link.springer.com/article/10.1186/s13287-018-0820-6 |
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