Go to JCI Insight
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
  • Clinical Research and Public Health
  • Current issue
  • Past issues
  • By specialty
    • COVID-19
    • Cardiology
    • Gastroenterology
    • Immunology
    • Metabolism
    • Nephrology
    • Neuroscience
    • Oncology
    • Pulmonology
    • Vascular biology
    • All ...
  • Videos
    • Conversations with Giants in Medicine
    • Video Abstracts
  • Reviews
    • View all reviews ...
    • Clinical innovation and scientific progress in GLP-1 medicine (Nov 2025)
    • Pancreatic Cancer (Jul 2025)
    • Complement Biology and Therapeutics (May 2025)
    • Evolving insights into MASLD and MASH pathogenesis and treatment (Apr 2025)
    • Microbiome in Health and Disease (Feb 2025)
    • Substance Use Disorders (Oct 2024)
    • Clonal Hematopoiesis (Oct 2024)
    • View all review series ...
  • Viewpoint
  • Collections
    • In-Press Preview
    • Clinical Research and Public Health
    • Research Letters
    • Letters to the Editor
    • Editorials
    • Commentaries
    • Editor's notes
    • Reviews
    • Viewpoints
    • 100th anniversary
    • Top read articles

  • Current issue
  • Past issues
  • Specialties
  • Reviews
  • Review series
  • Conversations with Giants in Medicine
  • Video Abstracts
  • In-Press Preview
  • Clinical Research and Public Health
  • Research Letters
  • Letters to the Editor
  • Editorials
  • Commentaries
  • Editor's notes
  • Reviews
  • Viewpoints
  • 100th anniversary
  • Top read articles
  • About
  • Editors
  • Consulting Editors
  • For authors
  • Publication ethics
  • Publication alerts by email
  • Advertising
  • Job board
  • Contact
SOX9 suppresses colon cancer via inhibiting epithelial-mesenchymal transition and SOX2 induction
Ying Feng, … , Kathleen R. Cho, Eric R. Fearon
Ying Feng, … , Kathleen R. Cho, Eric R. Fearon
Published April 3, 2025
Citation Information: J Clin Invest. 2025;135(11):e184115. https://doi.org/10.1172/JCI184115.
View: Text | PDF
Research Article Gastroenterology Genetics Oncology

SOX9 suppresses colon cancer via inhibiting epithelial-mesenchymal transition and SOX2 induction

  • Text
  • PDF
Abstract

The Wnt/β-catenin pathway regulates expression of the SOX9 gene, which encodes sex-determining region Y–box (SOX) transcription factor 9, a differentiation factor and potential β-catenin regulator. Because APC tumor suppressor defects in approximately 80% of colorectal cancers (CRCs) activate the Wnt/β-catenin pathway, we studied SOX9 inactivation in CRC biology. Compared with effects of Apc inactivation in mouse colon tumors, combined Apc and Sox9 inactivation instigated more invasive tumors with epithelial-mesenchymal transition (EMT) and SOX2 stem cell factor upregulation. In an independent mouse CRC model with combined Apc, Kras, and Trp53 defects, Sox9 inactivation promoted SOX2 induction and distant metastases. About 20% of 171 human CRCs showed loss of SOX9 protein expression, which correlated with higher tumor grade. In an independent group of 376 patients with CRC, low SOX9 gene expression was linked to poor survival, earlier age at diagnosis, and increased lymph node involvement. SOX9 expression reductions in human CRC were linked to promoter methylation. EMT pathway gene expression changes were prominent in human CRCs with low SOX9 expression and in a mouse cancer model with high SOX2 expression. Our results indicate SOX9 has tumor suppressor function in CRC; its loss may promote progression, invasion, and poor prognosis by enhancing EMT and stem cell phenotypes.

Authors

Ying Feng, Ningxin Zhu, Karan Bedi, Jinju Li, Chamila Perera, Maranne Green, Naziheh Assarzadegan, Yali Zhai, Qingzhi Liu, Veerabhadran Baladandayuthapani, Jason R. Spence, Kathleen R. Cho, Eric R. Fearon

×

Figure 6

SOX9 protein expression and SOX9 gene methylation status in CRC primary tissues and selected cell lines.

Options: View larger image (or click on image) Download as PowerPoint
SOX9 protein expression and SOX9 gene methylation status in CRC primary ...
(A) Representative photomicrographs of IHC staining for SOX9 in normal human colon tissue showing nuclear SOX9 expression in crypt base cells. The image is shown with low magnification for the entire colon crypts; boxed areas for lumen and crypt base regions are also shown as high magnification (middle and bottom panels). (B–F) Representative photomicrographs of IHC staining for SOX9 in CRCs in a human tissue microarray, with different IHC scores of (B) 0, (C) +/–, (D) 1+, (E) 2+, and (F) 3+. The images with low magnification (left) and their corresponding boxed areas with high magnification (right) are displayed for each CRC. Scale bars: 100 μM (low magnification), 20 μM (high magnification). (G) Immunoblot analysis for SOX9 in human colon cancer cell lines, with β-actin as a loading and transfer control. (H) Diagram of CpG islands in the SOX9 promoter and first exon, and locations of primers for bisulfite sequencing (F1/R1, F2/R2, F3/R3). Lollipop diagrams of bisulfite sequencing of SOX9 at the indicated regions (relative to the +1 transcription start site) in HT29 and RKO cells are shown with black lollipops for methylated CpGs and white for unmethylated. At least 5 clones were sequenced for each primer pair, and methylation of an individual CpG dinucleotide was confirmed in at least 2 clones. (I) RKO cells were treated with vehicle (0) or treated with 1 μM or 5 μM 5-Aza-2′-deoxycytidine (5-AzaD) for 3 days to induce DNA demethylation. During the third day of treatment with vehicle or 5-AzaD, cells were further incubated with vehicle or 0.5 μM trichostatin A (TSA) for 24 hours. SOX9 expression in the cells was assessed by immunoblot, with β-actin as a loading and transfer control.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

Sign up for email alerts