Targeting therapy-resistant lung cancer stem cells via disruption of the AKT/TSPYL5/PTEN positive-feedback loop

Commun Biol. 2021 Jun 23;4(1):778. doi: 10.1038/s42003-021-02303-x.

Abstract

Cancer stem cells (CSCs) are regarded as essential targets to overcome tumor progression and therapeutic resistance; however, practical targeting approaches are limited. Here, we identify testis-specific Y-like protein 5 (TSPYL5) as an upstream regulator of CSC-associated genes in non-small cell lung cancer cells, and suggest as a therapeutic target for CSC elimination. TSPYL5 elevation is driven by AKT-dependent TSPYL5 phosphorylation at threonine-120 and stabilization via inhibiting its ubiquitination. TSPYL5-pT120 also induces nuclear translocation and functions as a transcriptional activator of CSC-associated genes, ALDH1 and CD44. Also, nuclear TSPYL5 suppresses the transcription of PTEN, a negative regulator of PI3K signaling. TSPYL5-pT120 maintains persistent CSC-like characteristics via transcriptional activation of CSC-associated genes and a positive feedback loop consisting of AKT/TSPYL5/PTEN signaling pathway. Accordingly, elimination of TSPYL5 by inhibiting TSPYL5-pT120 can block aberrant AKT/TSPYL5/PTEN cyclic signaling and TSPYL5-mediated cancer stemness regulation. Our study suggests TSPYL5 be an effective target for therapy-resistant cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Active Transport, Cell Nucleus
  • Animals
  • Cell Line, Tumor
  • Epithelial-Mesenchymal Transition
  • Female
  • Gefitinib / pharmacology
  • Humans
  • Lung Neoplasms / drug therapy*
  • Mice
  • Mice, Inbred BALB C
  • Molecular Targeted Therapy
  • Neoplastic Stem Cells / drug effects*
  • Nuclear Proteins / antagonists & inhibitors*
  • Nuclear Proteins / physiology
  • PTEN Phosphohydrolase / antagonists & inhibitors*
  • PTEN Phosphohydrolase / physiology
  • Phosphorylation
  • Proto-Oncogene Proteins c-akt / antagonists & inhibitors*
  • Proto-Oncogene Proteins c-akt / physiology
  • Signal Transduction / drug effects
  • Signal Transduction / physiology

Substances

  • Nuclear Proteins
  • TSPYL5 protein, human
  • Proto-Oncogene Proteins c-akt
  • PTEN Phosphohydrolase
  • Gefitinib