Volume 124, Issue 11 pp. 2577-2588
Cancer Cell Biology

Homeobox gene HOPX is epigenetically silenced in human uterine endometrial cancer and suppresses estrogen-stimulated proliferation of cancer cells by inhibiting serum response factor

Shinichiro Yamaguchi

Shinichiro Yamaguchi

Department of Obstetrics and Gynecology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

The first two authors contributed equally to this work.

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Kazuo Asanoma

Corresponding Author

Kazuo Asanoma

Division of Molecular and Cell Therapeutics, Department of Molecular Genetics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan

The first two authors contributed equally to this work.

Fax: 1-913-588-8287

Institute of Maternal-Fetal Biology, Division of Cancer and Developmental Biology, Department of Pathology and Laboratory Medicine, University of Kansas Medical Center, 3901 Rainbow Blvd., Kansas City, KS 66160, USASearch for more papers by this author
Tomoka Takao

Tomoka Takao

Department of Obstetrics and Gynecology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

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Kiyoko Kato

Kiyoko Kato

Division of Molecular and Cell Therapeutics, Department of Molecular Genetics, Medical Institute of Bioregulation, Kyushu University, Fukuoka, Japan

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Norio Wake

Norio Wake

Department of Obstetrics and Gynecology, Faculty of Medicine, Kyushu University, Fukuoka, Japan

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First published: 25 March 2009
Citations: 39

Fax: 1-913-588-8287

Abstract

HOPX (homeodomain only protein X) is a newly identified homeobox gene whose loss of expression has been reported for several types of neoplasm. Although we found most human uterine endometrial cancers (HEC) defective in HOPX expression, genetic mutations in the HOPX gene were undetectable. As is the case with several tumor suppressor genes, the promoter region of HOPX is densely methylated in HEC tissue samples obtained by laser capture microdissection. HOPX mRNA and protein levels were reduced in the majority of samples, and this correlated with hypermethylation of the HOPX promoter. Forced expression of HOPX resulted in a partial block in cell proliferation, in vivo tumorigenicity and c-fos gene expression in HEC and MCF7 cells in response to 17β-estradiol (E2) stimulation. Analysis of the serum response element (SRE) of c-fos gene promoter showed that the effect of HOPX expression is associated with inhibition of E2-induced c-fos activation through the serum response factor (SRF) motif. Knockdown of HOPX in immortalized human endometrial cells resulted in accelerated proliferation. Our study indicates that transcriptional silencing of HOPX results from hypermethylation of the HOPpromoter, which leads to HEC development. © 2008 Wiley-Liss, Inc.

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