Abstract
Purpose
Breast cancer is the most common cancer affecting women worldwide with half a million associated deaths annually. Despite a huge global effort, the pathways of breast cancer progression are not fully elucidated. Ion channels have recently emerged as novel regulators of cancer cell proliferation and metastasis. The epithelial sodium channel, ENaC, made up of α, β and γ subunits is well known for its role in Na+ reabsorption in epithelia, but a number of novel roles for ENaC have been described, including potential roles in cancer. A role for ENaC in breast cancer, however, has yet to be described. Therefore, the effects of ENaC level and activity on breast cancer proliferation were investigated.
Methods
Through the publicly available SCAN-B dataset associations between αENaC mRNA expression and breast cancer subtypes, proliferation markers and epithelial–mesenchymal transition markers (EMT) were assessed. αENaC expression, through overexpression or siRNA-mediated knockdown, and activity, through the ENaC-specific inhibitor amiloride, were altered in MCF7, T47D, BT549, and MDAMB231 breast cancer cells. MTT and EdU cell proliferation assays were used to determine the effect of these manipulations on breast cancer cell proliferation.
Results
High αENaC mRNA expression was associated with less aggressive and less proliferative breast cancer subtypes and with reduced expression of proliferation markers. Decreased αENaC expression or activity, in the mesenchymal breast cancer cell lines BT549 and MDAMB231, increased breast cancer cell proliferation. Conversely, increased αENaC expression decreased breast cancer cell proliferation.
Conclusion
αENaC expression is associated with a poor prognosis in breast cancer and is a novel regulator of breast cancer cell proliferation. Taken together, these results identify ENaC as a potential future therapeutic target.
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Data availability
Gene expression analysis was performed using data from the publicly available SCAN-B dataset.
Abbreviations
- BH:
-
Benjamini–Hochberg correction
- CDH1:
-
E-Cadherin
- BSA:
-
Bovine serum albumin
- EMT:
-
Epithelial–mesenchymal transition
- ENaC:
-
Epithelial sodium channel
- ER:
-
Estrogen receptor
- FPKM:
-
Fragments per kilobase per million reads
- HER2:
-
Human epidermal growth factor receptor 2
- MCM2:
-
Minichromosome maintenance complex component 2
- MKI67:
-
Antigen KI67
- MTT:
-
3-(4,5-Dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide
- OMNI:
-
Otago Micro and Nanoscale Imaging Unit
- PCNA:
-
Proliferating cell nuclear antigen
- PR:
-
Progesterone receptor
- TNBC:
-
Triple-negative breast cancers
- VIM:
-
Vimentin
- WMW:
-
Wilcoxon–Mann–Whitney
- ZEB1:
-
Zinc finger E-box-binding homeobox 1
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Acknowledgements
The authors thank Dr Noelyn Hung, Dr Michael Landmann, and Dr Simone Petrich for the collection of breast tissue samples used in the immunohistochemistry experiments and Associate Professor Mik Black for statistical advice.
Funding
The authors gratefully acknowledge funding from the Department of Physiology, University of Otago; Maurice and Phyllis Paykel Trust; Lottery Health New Zealand (R-LHR-2019-101706); School of Biomedical Sciences Dean’s Grant; and University of Otago Research Grant (ORG 0118-0319).
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FM, HC, AW, and JH conceived and designed the study. AW carried out the experiments. JH performed bioinformatic analysis. TS provided breast cancer tissue sections. AW, JH, and HC analyzed the data. AW, JH, and FM drafted the manuscript. All authors read and approved the manuscript.
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Ethical approval was obtained from the Lower South Regional Ethics Committee, Ministry of Health, New Zealand, and all participating women gave written and informed consent for inclusion in the study.
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Ware, A.W., Harris, J.J., Slatter, T.L. et al. The epithelial sodium channel has a role in breast cancer cell proliferation. Breast Cancer Res Treat 187, 31–43 (2021). https://doi.org/10.1007/s10549-021-06133-7
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DOI: https://doi.org/10.1007/s10549-021-06133-7