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SMAD signaling promotes melanoma metastasis independently of phenotype switching
Eylul Tuncer, … , Reinhard Dummer, Lukas Sommer
Eylul Tuncer, … , Reinhard Dummer, Lukas Sommer
Published April 30, 2019
Citation Information: J Clin Invest. 2019;129(7):2702-2716. https://doi.org/10.1172/JCI94295.
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Research Article Cell biology Dermatology

SMAD signaling promotes melanoma metastasis independently of phenotype switching

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Abstract

The development of metastatic melanoma is thought to require the dynamic shifting of neoplastic cells between proliferative and invasive phenotypes. Contrary to this conventional “phenotype switching” model, we now show that disease progression can involve malignant melanoma cells simultaneously displaying proliferative and invasive properties. Using a genetic mouse model of melanoma in combination with in vitro analyses of melanoma cell lines, we found that conditional deletion of the downstream signaling molecule Smad4, which abrogates all canonical TGF-β signaling, indeed inhibited both tumor growth and metastasis. Conditional deletion of the inhibitory signaling factor Smad7, however, generated cells that are both highly invasive and proliferative, indicating that invasiveness is compatible with a high proliferation rate. In fact, conditional Smad7 deletion led to sustained melanoma growth and at the same time promoted massive metastasis formation, a result consistent with data indicating that low SMAD7 levels in patient tumors are associated with a poor survival. Our findings reveal that modulation of SMAD7 levels can overcome the need for phenotype switching during tumor progression and may thus represent a therapeutic target in metastatic disease.

Authors

Eylul Tuncer, Raquel R. Calçada, Daniel Zingg, Sandra Varum, Phil Cheng, Sandra N. Freiberger, Chu-Xia Deng, Ingo Kleiter, Mitchell P. Levesque, Reinhard Dummer, Lukas Sommer

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Figure 3

Low SMAD7 levels are associated with poor prognosis in human melanoma patients.

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Low SMAD7 levels are associated with poor prognosis in human melanoma pa...
(A) P values are given for Kaplan-Meier analysis comparing percentage of overall survival of melanoma patient cohorts (n = 454) based on TCGA data for 36 identified transcripts of TGF-β/BMP pathway components. For each gene, low/high expression levels were based on transcript levels found in the bottom and top 50 patients, respectively. Red bars show that lower levels of the transcripts correlate with poor survival. whereas black bars indicate that higher levels of the transcript correlate with poor survival. (B and C) Kaplan–Meier curves comparing overall percentage survival and patient survival rate in stages II, III, and VI with respect to SMAD7 transcript levels based on 454 patients. (D) Significantly changed top 10–ranking GeneGo process networks associated with low/high SMAD7 expression based on MetaCore Database.

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ISSN: 0021-9738 (print), 1558-8238 (online)

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