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...

Full description

Bibliographic Details
Main Authors: Shuangtao Zhao, Wenzhi Shen, Jiangyong Yu, Luhua Wang
Format: Article
Language:English
Published: BMC 2018-04-01
Series:Stem Cell Research & Therapy
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13287-018-0820-6
_version_ 1811330562748579840
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
first_indexed 2024-04-13T16:05:15Z
format Article
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
record_format Article
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
work_keys_str_mv AT shuangtaozhao tbx21predictsprognosisofpatientsanddrivescancerstemcellmaintenanceviathetbx21il4pathwayinlungadenocarcinoma
AT wenzhishen tbx21predictsprognosisofpatientsanddrivescancerstemcellmaintenanceviathetbx21il4pathwayinlungadenocarcinoma
AT jiangyongyu tbx21predictsprognosisofpatientsanddrivescancerstemcellmaintenanceviathetbx21il4pathwayinlungadenocarcinoma
AT luhuawang tbx21predictsprognosisofpatientsanddrivescancerstemcellmaintenanceviathetbx21il4pathwayinlungadenocarcinoma