CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer

Head and neck squamous cell carcinoma (HNSCC) is a heterogenous disease treated with surgery and/or (chemo) radiotherapy, but up to 50% of patients with late-stage disease develop locoregional recurrence. Determining the mechanisms underpinning treatment resistance could identify new therapeutic tar...

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Main Authors: Jason C. Fleming, Jeongmin Woo, Karwan Moutasim, Christopher J. Hanley, Steven J. Frampton, Oliver Wood, Matthew Ward, Christopher H. Woelk, Christian H. Ottensmeier, Sassan Hafizi, Dae Kim, Gareth J. Thomas
Format: Article
Language:English
Published: MDPI AG 2020-10-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/10/2963
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author Jason C. Fleming
Jeongmin Woo
Karwan Moutasim
Christopher J. Hanley
Steven J. Frampton
Oliver Wood
Matthew Ward
Christopher H. Woelk
Christian H. Ottensmeier
Sassan Hafizi
Dae Kim
Gareth J. Thomas
author_facet Jason C. Fleming
Jeongmin Woo
Karwan Moutasim
Christopher J. Hanley
Steven J. Frampton
Oliver Wood
Matthew Ward
Christopher H. Woelk
Christian H. Ottensmeier
Sassan Hafizi
Dae Kim
Gareth J. Thomas
author_sort Jason C. Fleming
collection DOAJ
description Head and neck squamous cell carcinoma (HNSCC) is a heterogenous disease treated with surgery and/or (chemo) radiotherapy, but up to 50% of patients with late-stage disease develop locoregional recurrence. Determining the mechanisms underpinning treatment resistance could identify new therapeutic targets and aid treatment selection. C-terminal tensin-like (CTEN) is a member of the tensin family, upregulated in several cancers, although its expression and function in HNSCC are unknown. We found that CTEN is commonly upregulated in HNSCC, particularly HPV<sup>−ve</sup> tumours. In vitro CTEN was upregulated in HPV<sup>−ve</sup> (<i>n</i> = 5) and HPV<sup>+ve</sup> (<i>n</i> = 2) HNSCC cell lines. Stable shRNA knockdown of CTEN in vivo significantly reduced tumour growth (SCC-25), and functional analyses in vitro showed that CTEN promoted tumour cell invasion, colony formation and growth in 3D-culture (SCC-25, Detroit 562). RNA sequencing of SCC-25 cells following CTEN siRNA knockdown identified 349 differentially expressed genes (logFC > 1, <i>p</i> < 0.05). Gene ontology analysis highlighted terms relating to cell locomotion and apoptosis, consistent with in vitro findings. A membrane-based antibody array confirmed that CTEN regulated multiple apoptosis-associated proteins, including HSP60 and cleaved caspase-3. Notably, in a mixed cohort of HPV<sup>+ve</sup> and HPV<sup>−ve</sup> HNSCC patients (<i>n</i> = 259), we found a significant, independent negative association of CTEN with prognosis, limited to those patients treated with (chemo)radiotherapy, not surgery, irrespective of human papillomavirus (HPV) status. These data show that CTEN is commonly upregulated in HNSCC and exerts several functional effects. Its potential role in modulating apoptotic response to therapy suggests utility as a predictive biomarker or radio-sensitising target.
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spelling doaj.art-76eaf9e8e35c4815bfc006dc21b6342f2023-11-20T16:55:06ZengMDPI AGCancers2072-66942020-10-011210296310.3390/cancers12102963CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck CancerJason C. Fleming0Jeongmin Woo1Karwan Moutasim2Christopher J. Hanley3Steven J. Frampton4Oliver Wood5Matthew Ward6Christopher H. Woelk7Christian H. Ottensmeier8Sassan Hafizi9Dae Kim10Gareth J. Thomas11Cancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKClinical and Experimental Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKSchool of Pharmacy & Biomedical Sciences, University of Portsmouth, Portsmouth PO1 2DT, UKSt. George’s University Hospitals NHS Foundation Trust, Tooting, London SW17 0QT, UKCancer Sciences, Faculty of Medicine, University of Southampton, Southampton SO17 1BJ, UKHead and neck squamous cell carcinoma (HNSCC) is a heterogenous disease treated with surgery and/or (chemo) radiotherapy, but up to 50% of patients with late-stage disease develop locoregional recurrence. Determining the mechanisms underpinning treatment resistance could identify new therapeutic targets and aid treatment selection. C-terminal tensin-like (CTEN) is a member of the tensin family, upregulated in several cancers, although its expression and function in HNSCC are unknown. We found that CTEN is commonly upregulated in HNSCC, particularly HPV<sup>−ve</sup> tumours. In vitro CTEN was upregulated in HPV<sup>−ve</sup> (<i>n</i> = 5) and HPV<sup>+ve</sup> (<i>n</i> = 2) HNSCC cell lines. Stable shRNA knockdown of CTEN in vivo significantly reduced tumour growth (SCC-25), and functional analyses in vitro showed that CTEN promoted tumour cell invasion, colony formation and growth in 3D-culture (SCC-25, Detroit 562). RNA sequencing of SCC-25 cells following CTEN siRNA knockdown identified 349 differentially expressed genes (logFC > 1, <i>p</i> < 0.05). Gene ontology analysis highlighted terms relating to cell locomotion and apoptosis, consistent with in vitro findings. A membrane-based antibody array confirmed that CTEN regulated multiple apoptosis-associated proteins, including HSP60 and cleaved caspase-3. Notably, in a mixed cohort of HPV<sup>+ve</sup> and HPV<sup>−ve</sup> HNSCC patients (<i>n</i> = 259), we found a significant, independent negative association of CTEN with prognosis, limited to those patients treated with (chemo)radiotherapy, not surgery, irrespective of human papillomavirus (HPV) status. These data show that CTEN is commonly upregulated in HNSCC and exerts several functional effects. Its potential role in modulating apoptotic response to therapy suggests utility as a predictive biomarker or radio-sensitising target.https://www.mdpi.com/2072-6694/12/10/2963head and neck cancertensinCTENinvasionapoptosisradiotherapy
spellingShingle Jason C. Fleming
Jeongmin Woo
Karwan Moutasim
Christopher J. Hanley
Steven J. Frampton
Oliver Wood
Matthew Ward
Christopher H. Woelk
Christian H. Ottensmeier
Sassan Hafizi
Dae Kim
Gareth J. Thomas
CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer
Cancers
head and neck cancer
tensin
CTEN
invasion
apoptosis
radiotherapy
title CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer
title_full CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer
title_fullStr CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer
title_full_unstemmed CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer
title_short CTEN Induces Tumour Cell Invasion and Survival and Is Prognostic in Radiotherapy-Treated Head and Neck Cancer
title_sort cten induces tumour cell invasion and survival and is prognostic in radiotherapy treated head and neck cancer
topic head and neck cancer
tensin
CTEN
invasion
apoptosis
radiotherapy
url https://www.mdpi.com/2072-6694/12/10/2963
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