Abstract The canonical Wnt/β-catenin pathway is activated in triple-negative breast cancer (TNBC). The activation of this pathway leads to the expression of specific target genes depending on the cell/tissue context. Here, we analyzed the transcriptome of two different TNBC cell lines to define a comprehensive list of Wnt target genes. The treatment of cells with Wnt3a for 6h up-regulated the expression (fold change > 1.3) of 59 genes in MDA-MB-468 cells and 241 genes in HCC38 cells. Thirty genes were common to both cell lines. Beta-catenin may also be a transcriptional repressor and we found that 18 and 166 genes were down-regulated in response to Wnt3a treatment for 6h in MDA-MB-468 and HCC38 cells, respectively, of which six were common to both cell lines. Only half of the activated and the repressed transcripts have been previously described as Wnt target genes. Therefore, our study reveals 137 novel genes that may be positively regulated by Wnt3a and 104 novel genes that may be negatively regulated by Wnt3a. These genes are involved in the Wnt pathway itself, and also in TGFβ, p53 and Hedgehog pathways. Thorough characterization of these novel potential Wnt target genes may reveal new regulators of the canonical Wnt pathway. The comparison of our list of Wnt target genes with those published in other cellular contexts confirms the notion that Wnt target genes are tissue-, cell line- and treatment-specific. Genes up-regulated in Wnt3a-stimulated cell lines were more strongly expressed in TNBC than in luminal A breast cancer samples. These genes were also overexpressed, but to a much lesser extent, in HER2+ and luminal B tumors. We identified 72 Wnt target genes higher expressed in TNBCs (17 with a fold change >1.3) which may reflect the chronic activation of the canonical Wnt pathway that occurs in TNBC tumors. Introduction Breast cancer is one of the most common tumors in women. It is a complex, heterogeneous disease comprising several subgroups of pathologies with different patient outcomes [[41]1–[42]3]. Triple-negative breast cancer (TNBC), closely related to basal-like breast cancer (BLBC), is characterized by an absence of estrogen receptor (ER) and progesterone receptor (PR) expression and a lack of human epidermal growth factor receptor 2 (HER2) overexpression/amplification. TNBC itself constitutes a heterogeneous group of breast cancer [[43]4–[44]6], which is highly proliferative and genetically instable, and associated with a poor prognosis. Unlike other breast cancer subtypes, such as luminal (expressing ER and PR) and HER2-overexpressing (HER2+) tumors, TNBC cannot be treated with targeted therapies, such as tamoxifen or anti-HER2 antibodies. TNBC patients are therefore treated exclusively with conventional cytotoxic therapies, but about half of them present relapse and metastasis within the first three to five years after treatment [[45]7]. Therefore, treatment of patients with TNBC remains a major challenge for oncologists and alternative treatments to conventional chemotherapies are needed to improve their survivals. The Wnt signaling pathway mediates biological processes such as cell adhesion, migration, proliferation, differentiation and survival [[46]8–[47]10]. It consists of two main arms: the canonical (Wnt/β-catenin) and the non-canonical pathways, which differ in terms of their dependence on β-catenin [[48]11,[49]12]. The activation of the canonical Wnt pathway leads to the stabilization of β-catenin which translocates to the nucleus and induces the expression of Wnt target genes. Besides its function in normal cells/tissues, Wnt signaling can become deregulated during human disease. The best documented example is the tumorigenesis of colorectal cancer [[50]13]. The Wnt/β-catenin pathway is also activated in human breast cancer, in particular in the TNBC/BLBC breast cancer subtype that is associated with poor prognosis [[51]14]. Indeed, the activated form of β-catenin has been observed in breast cancer [[52]15–[53]18], and is frequently found in the TNBC/BLBC subtype [[54]14,[55]19–[56]23]. The aberrant activation of the Wnt/β-catenin pathway in mice leads to mammary carcinogenesis [[57]24], and transgenic mice expressing a constitutively active form of β-catenin in the mammary gland develop basal-like tumors [[58]25], suggesting a crucial role for the canonical Wnt pathway in TNBC/BLBC tumorigenesis. Mutations of genes encoding intracellular components of the canonical pathway, including APC (encoding adenomatous polyposis coli), CTNNB1 (encoding β-catenin) and AXIN, are frequent in colorectal and hepatocellular cancers [[59]11,[60]12,[61]26], but are rare in breast cancer [[62]22–[63]24,[64]27–[65]30]. Instead, deregulated expression of cell surface components such as LRP6 or FZD7 transmembrane receptors may be responsible for the activation of the Wnt pathway in TNBC/BLBC [[66]14,[67]19–[68]23]. Nuclear localization of β-catenin and the expression of Wnt target genes reflect the activation of the Wnt/β-catenin pathway. Nevertheless, the detection of nuclear β-catenin is experimentally challenging and dependent on the tissues and the cell lines tested. An alternative way to evaluate the activation of the canonical Wnt pathway is to measure the expression of Wnt/β-catenin target genes. However, Wnt target genes vary substantially depending on the cellular/tissue context. The exceptions are AXIN2 and NKD1 which are considered as universal Wnt target genes [[69]12]. The role of β-catenin in the transcriptional activation of its target genes is well documented. However, recent studies have also reported a link between β-catenin and transcriptional repression, which is an underestimated aspect of the Wnt signaling [[70]31–[71]33]. Several methodological approaches have been undertaken to identify Wnt target genes in different cellular or tissue contexts: stimulation of cells with Wnt3a or Wnt1 ligand (recombinant protein or plasmid) [[72]34,[73]35]; depletion of β-catenin (siRNA) [[74]36] or Tcf (dominant negative construct) [[75]37]; overexpression of active β-catenin (plasmid) [[76]36]; evaluation of Wnt signaling activity (nuclear staining of β-catenin [[77]38,[78]39], mutations of the CTNNB1 gene [[79]40]); and screening to identify binding sites for the Tcf transcription factor in DNA sequences [[80]34]. Wnt target genes have been mostly examined in colon and also in ovarian and liver cancers [[81]37–[82]39], but are not frequently examined in breast cancer. Some Wnt target genes are components of the Wnt pathway itself. Such targets are mostly inhibitors (e.g., AXIN2 and NKD1) and probably prevent the uncontrolled activation of the pathway through negative feedback loops. Therefore, the characterization of β-catenin target genes in breast tissue may lead to the discovery of new regulators of the Wnt pathway and improve our understanding of TNBC tumorigenesis. We thus used microarrays to investigate the expression of 19,738 transcripts following Wnt3a stimulation in two TNBC cell lines, HCC38 and MDA-MB-468, and we report a comprehensive list of genes that are activated or repressed in breast cancer by Wnt3a. Pathway analysis revealed that the Wnt target genes were mainly associated with the Wnt, TGFβ, p53 and Hedgehog pathways. The comparison of our list of Wnt target genes with those previously identified in fibroblast and epithelial cell lines confirms that the identity of Wnt target genes is highly dependent on the cellular/tissue context. We examined the expression level of our lists of Wnt target genes in 130 human breast tumors. We found that 72 Wnt target genes (17 with a fold change > 1.3) may reflect the activation of the canonical Wnt pathway in a more chronic situation. Materials and Methods Triple-negative cell lines BT20, BT549, HCC38, HCC70, HCC1187, HCC1937, MDA-MB-157, MDA-MB-231 and MDA-MB-468 cells were purchased in May 2006 and May 2008 from the American Type Culture Collection (LGC Standards, Molsheim, France). Cells were characterized by DNA and RNA microarrays [[83]41,[84]42] and authenticated in 2013 by short tandem repeat profiling (data not shown). BT20 cells were cultured in MEM(Eagle) (Sigma, Saint Quentin Fallavier, France) containing 1% Glutamax (Invitrogen), 10% fetal bovine serum (FBS, Invitrogen, Cergy Pontoise, France), 1.5g/L sodium bicarbonate (Invitrogen), 0.1mM non-essential amino-acids (Invitrogen) and 1mM sodium pyruvate (Invitrogen). BT549 and MDA-MB-468 cells were maintained in RPMI-1640 containing Glutamax (Invitrogen) and supplemented with 10% FBS. HCC38, HCC70, HCC1187, HCC1937 cells were cultured in RPMI-1640 with Glutamax containing 10% FBS, 1.5g/L sodium bicarbonate, 10mM Hepes (Invitrogen) and 1mM sodium pyruvate. MDA-MB-157 cells were maintained in Leibovitz's L-15 medium containing Glutamax (Invitrogen) and supplemented with 10% FBS and 10mM Hepes. MDA-MB-231 cells were cultured in DMEM-F12 with Glutamax (Invitrogen) containing 10% FBS. Antibiotics were added to all media (100U/mL penicillin and 100μg/mL streptomycin). Cells were cultured at 37°C in a 5% CO[2] humidified incubator. For all experiments, cells were used up to the 15th passage after thawing. Transfection of plasmid DNA The Wnt-responsive element-luciferase reporter WRE was kindly provided by the Galapagos company (Romainville, France), the mutant-responsive element-luciferase variant MRE by Ron Smits (Rotterdam, The Netherlands) [[85]43] and the pRL-TK plasmid by the Servier company (Croissy-sur-Seine, France). The construct pRK5-SK-β-cateninΔGSK and empty vector were obtained from René Bernards (Ultrecht, The Netherlands) [[86]44] and Maria Carla Parrini (Institut Curie Paris, France), respectively. FuGENE HD reagent (Promega, Charbonnières-les-Bains, France) was used to transiently transfect cells with plasmids according to the manufacturer’s recommendations. Compounds Recombinant human Wnt3a (R&D Systems, Lille, France) was reconstituted at 10μg/mL in PBS containing 0.1% BSA, then used in experiments at a final concentration of 100ng/mL. This concentration of Wnt3a is routinely used to activate the Wnt pathway in mammary cells, in particular in TNBC cell lines [[87]35,[88]45–[89]48]. We have shown that this concentration of Wnt3a leads to the activation of the Wnt signaling pathway ([90]S1 Fig). Antibodies Primary antibodies used were mouse monoclonal anti-β-catenin (clone 14/beta-catenin, BD Transduction Laboratories, Le Pont de Claix, France; 1:1,000) or anti-active-β-catenin (clone 8E7, Millipore, Molsheim, France; 1:500), rabbit monoclonal anti-LRP5 (clone D5G4, Cell Signaling Technology, Ozyme, Saint Quentin en Yvelines, France; 1:1,000), anti-LRP6 (clone C5C7, Cell Signaling Technology; 1:500), and mouse monoclonal anti-actin (clone AC-15, Sigma; 1:5,000). The secondary antibodies used were horseradish peroxidase-conjugated anti-mouse or anti-rabbit IgG (Jackson ImmunoResearch, Interchim, Montluçon, France; 1:20,000). SDS-PAGE and western blotting Cells were lysed in Laemmli buffer containing 50mM Tris (pH 6.8), 2% sodium dodecyl sulfate (SDS), 5% glycerol, 2mM 1,4-dithio-DL-threitol, 2.5mM ethylenediaminetetraacetic acid, 2.5mM ethylene glycol tetraacetic acid, 2mM sodium orthovanadate, 10mM sodium fluoride and a cocktail of protease (Roche) and phosphatase (Pierce, Perbio, Brebières, France) inhibitors. Protein concentration in each sample was determined with the reducing agent compatible version of the BCA Protein Assay kit (Pierce). Equal amounts of total protein were fractionated under reducing conditions by SDS–PAGE and then blotted onto PVDF membranes (Bio-Rad, Marnes-la-Coquette, France). The membranes were blocked with 5% BSA or 10% skimmed milk in TBS containing 0.1% Tween 20 (TBS-T), hybridized with the primary antibody of interest overnight at 4°C. Membranes were washed in TBS-T and then hybridized with the secondary antibody for one hour at room temperature. Antibodies were diluted in TBS-T containing 5% BSA or 10% skimmed milk. After washing with TBS-T, immune complexes on membranes were detected by enhanced chemiluminescence (Amersham, GE Healthcare, Orsay, France). Actin was used as loading control. Beta-catenin reporter assay Cells were transiently transfected with either the reporter plasmid WRE (containing Tcf-binding sites driving the transcription of the firefly luciferase enzyme) or the mutant variant MRE (containing inactive Tcf-binding sites) as described above. Co-transfection with pRL-TK, which encodes a Renilla luciferase gene downstream from a minimal HSV-TK promoter, was systematically performed to normalize for transfection efficiency. Eight hours after transfection, cells were washed and cultured overnight in culture medium without serum, then Wnt3a was added for 3, 6, 9 or 12 hours. For experiments in which the construct pRK5-SK-β-cateninΔGSK or pRK5-SK was used, cells were co-transfected with WRE and pRL-TK or MRE and pRL-TK. Under these conditions, cells were cultured for 6, 12 or 24 hours. After treatment (Wnt3a stimulation or overexpression of active β-catenin), cells were lysed, and a luciferase assay was performed with the Dual-Luciferase Reporter Assay Kit (Promega), according to the manufacturer's instructions. Triplicates for each condition were included in the experiment and the experiment was repeated at least twice. Microarray analysis in cell lines Cells were seeded in six-well plates, serum starved overnight, and then treated with Wnt3a for the indicated times (6, 12 or 24 hours). Triplicates for each condition were included in the experiment. Total RNA was extracted with the RNeasy Mini Kit from Qiagen (Courtaboeuf, France) following the manufacturer’s recommendations. After RNA quality and quantity controls, samples were hybridized onto Gene st 1.1 Affymetrix chips. Samples were processed as described on the website of the company. The data were analyzed with the brainarray HuGene11stv1_Hs_ENTREZG version 14 custom chipset definition file for the HuGene11stv1 affymetrix array [[91]49]. The data were first log2 transformed and normalized with RMA [[92]50]. A linear model was fitted with limma [[93]51] including three factors that were treated as fixed effects: cell line (either HCC38 or MDA-MB-468), time (6, 12 or 24 hours) and treatment (Wnt3a stimulated or control) and all possible interaction terms. For each cell line at each time point, the significance of differences between Wnt3a-treated and control cells was determined and a correction for multiple testing was applied with Benjamini & Hochberg’s methodology [[94]52]. Only genes with significantly different expression (P < 0.05), with a log2 fold change superior to 0.3785 (i.e. fold change > 1.3) or inferior to -0.3785 (i.e. fold change < 1.3), were selected. Pathway enrichment analysis was carried out with GeneTrail [[95]53]. A hypergeometric test, corrected for multiple testing with the Benjamini-Hochberg method, was used to assess the significance of the over-representation of biological annotations among gene lists. The transcriptomic data of Wnt3a-treated cells are available in Gene Expression Omnibus (GEO) (accession number: [96]GSE65238). Quantitative real time reverse transcription-polymerase chain reaction (qRT-PCR) Cells were seeded in six-well plates, serum starved overnight, and then treated with Wnt3a for 3, 6, 9 or 12 hours. For experiments in which cells were transfected with the construct pRK5-SK-β-cateninΔGSK or the empty vector pRK5-SK, cells were cultured for 12, 24 or 48 hours. Triplicates for each condition were included in the experiment and the experiment was repeated at least three times. Total RNA was extracted with the RNeasy Mini Kit (Qiagen). For each reaction, 50 to 100ng RNA was combined with components of KAPA SYBR FAST One-Step qRT-PCR Kit (KapaBiosystems, Clinisciences, Nanterre, France) and the Quantitect primers (Qiagen) to a final volume of 20μL, according to instructions of the manufacturers. The reaction mix was subjected to qRT-PCR performed with the 7900HT apparatus and SDS2.4 software (Applied Biosystems) with the following settings: 5 min at 42°C (RT step), 5 min incubation at 95°C followed by a three-step cycling program with 40 cycles of 15 sec at 95°C, 30 sec at 60°C and 30 sec at 72°C (PCR step). A post-PCR dissociation analysis step was included according to instrument guidelines to distinguish specific from non-specific amplification products. All data were normalized to endogenous actin expression. Tissue samples and microarray data The human samples used in this study have been previously described [[97]41,[98]42]. RNA microarray (Affymetrix U133 Plus 2.0) performed on 41 TNBC, 30 HER2^+, 30 luminal B (LB), 29 luminal A (LA) and 11 healthy tissue breast samples, have also been previously described [[99]41,[100]42] (GEO accession number: [101]GSE65216). Analysis of the enrichment of the up- and down-regulated Wnt target genes in human breast tumor samples We analyzed whether the Wnt target genes we identified were enriched in human tumor samples. We compared the gene expression data obtained in TNBC cell lines stimulated with Wnt3a with that obtained in our cohort of 130 human breast cancer samples [[102]41,[103]42]. The two experiments were not done with the same arrays: the cell line (Gene st 1.1, Affymetrix) and the tumor (U133 Plus 2.0, Affymetrix) experiments contained 19738 and 11543 genes, respectively. We restricted our study to the 11262 genes present on both arrays. Of note, AXIN2 was not found in our tumor dataset. We applied a FDR (False Discovery Rate) cut-off of 0.05 and a log-2 fold change threshold of 0. We used the Fisher exact test to assess the significance of the intersection between the genes that were up- or down-regulated upon the stimulation of cell lines with Wnt3a, and those that were more strongly or more poorly expressed in tumors (TNBC, HER2+, LB) than in LA samples. Several gene sets were considered. For the cell line experiment, we considered the up- or down-regulated genes, the different time points (6, 12 and 24 hours) and the two TNBC cell lines. For the breast tumors, we considered the genes that were more strongly or more poorly expressed in the three different subgroups of tumors (TNBC, HER2+ and LB) than in LA samples. Each subgroup was considered separately and all comparisons between the different breast cancer subtypes were performed. The comparisons between tumors and cell lines were performed with data obtained in HCC38 and MDA-MB-468 cell lines. However, there was no significant overlap between the MDA-MB-468 and the tumor datasets, possibly because of the very low number of genes found to be differentially expressed in Wnt3a-stimulated MDA-MB-468 cells. Therefore, we focused only on the data obtained with HCC38 cells. The gene lists were as follows: * MDA-MB-468 cells: 6h up-regulated (66 genes), 12h up-regulated (74 genes), 24h up-regulated (20 genes), 6h down-regulated (34 genes), 12h down-regulated (43 genes), 24h down-regulated (12 genes). * HCC38 cells: 6h up-regulated (419 genes), 12h up-regulated (907 genes), 24h up-regulated (653 genes), 6h down-regulated (256 genes), 12h down-regulated (707 genes), 24h down-regulated (530 genes). * Tumor samples (relative to LA): TNBC up-regulated (3497 genes), HER2+ up-regulated (2110 genes), LB up-regulated (1587 genes), TNBC down-regulated (2971 genes), HER2+ down-regulated (2001 genes), LB down-regulated (1184 genes). * Other lists of genes up- or down-regulated in tumors: TNBC vs HER2+ (up-regulated: 2242 genes; down-regulated: 1865 genes), TNBC vs LB (up-regulated: 2775 genes; down-regulated: 2725 genes), HER2+ vs LB (up-regulated: 581 genes; down-regulated: 581 genes). In addition, we selected the Wnt target genes that were up-regulated at both the earliest (6h) and the latest time (24h) point after Wnt3a stimulation, to identify potential up-regulated Wnt target genes that could reflect the chronic activation of the Wnt pathway in human cancer. The analysis was performed with the 133 Wnt target genes up-regulated in HCC38 cells, which displayed a higher number of up-regulated genes than in MDA-MB-468 cells (only 13 genes were up-regulated at both 6h and 24h). Of these 133 genes that were up-regulated in HCC38 cells at both 6h and 24h after Wnt3a stimulation, 72 were more strongly expressed in TNBC than in LA tumors. We applied a fold change of > 1.3, which was defined for the cell line experiment, to select the most differently expressed Wnt target genes. Seventeen out of 72 genes were more strongly expressed in TNBC than in LA tumors, at this fold change. We generated a heatmap of the genes ordered by their P value in the t-test. We used the Fisher exact test to assess the significance of the overlap between two gene lists. For all analyses comparing cell lines and tumors, we used an adjusted (Benjamini Hochberg) P value cut off of 5% and no fold change threshold. Statistical analyses for in vitro experiments Data are presented as the mean ± standard deviation (SD). Differences between groups were determined with Student's t-test. Results were considered significant at a P value lower than 0.05. Results and Discussion The canonical Wnt pathway is activated in triple-negative breast cancer cell lines We sought to evaluate Wnt activity in TNBC cell lines; therefore, we measured the abundance of total β-catenin and its unphosphorylated, active form in TNBC cell lines under resting conditions ([104]Fig 1). The abundance of the total and active forms of β-catenin varied in the different cell lines ([105]Fig 1). Except for MDA-MB-231, the canonical Wnt pathway was active in all tested TNBC cell lines in unstimulated conditions, and was most active in HCC38 cells ([106]Fig 1). Fig 1. Expression of β-catenin, LRP5 and LRP5 in TNBC cell lines. [107]Fig 1 [108]Open in a new tab The abundance of LRP5, LRP6 and β-catenin (total and active forms) was evaluated in different TNBC cell lines by western blotting. Actin was used as a loading control: actin (a) for LRP5 and beta-catenin; actin (b) for LRP6 and active beta-catenin. We examined whether Wnt3a, a Wnt ligand commonly used to stimulate the canonical Wnt pathway, could stimulate Wnt/β-catenin signaling beyond basal levels observed in HCC38 and MDA-MB-468 cell lines, which displayed differences in their basal Wnt activity ([109]Fig 1). Tcf-mediated transcriptional activity was measured with a reporter plasmid that expresses the luciferase gene under the control of several Tcf binding sites (see [110]Material and Methods section). For both cell lines, Wnt/β-catenin activity was higher than in control cells as early as 3h following the incubation of cells with Wnt3a ([111]S1 Fig). This activation was highest 6h post-treatment and started to decrease at 12h ([112]S1 Fig), indicating that the transcriptional activity of β-catenin is optimal 6 hours following the initial stimulus. Although the transfection of HCC38 cells was not optimal (not shown), luciferase activity was higher in HCC38 cells than in MDA-MB-468 cells ([113]S1 Fig), indicating that Wnt3a activates the Wnt pathway more strongly in HCC38 cells than in MDA-MB-468 cells. This may be because the Wnt3a receptors, LRP5 and LRP6, are more strongly expressed in HCC38 cells than in MDA-MB-468 cells ([114]Fig 1). Altogether, these results indicate that the canonical Wnt pathway is active in TNBC cell lines, and that Wnt3a further stimulates it. Genes activated by Wnt3a in HCC38 and MDA-MB-468 triple-negative breast cancer cell lines The expression of Wnt target genes appears to be cell/tissue context dependent [[115]31,[116]32]. We therefore performed expression profiling with Gene st 1.1 Affymetrix chips in HCC38 and MDA-MB-468 cell lines stimulated with recombinant Wnt3a to identify a comprehensive list of Wnt target genes in breast cancer cells. A total of 19,738 transcripts were included on the array. The incubation of cells with Wnt3a for 6h, 12h, or 24h up-regulated (fold change > 1.3) the expression of 59, 64, and 22 genes, respectively in MDA-MB-468 cells ([117]Fig 2A, [118]S1 Dataset) and of 241, 385 and 362 genes, respectively in HCC38 cells ([119]Fig 2B, [120]S1 Dataset). Fig 2. Wnt3a-dependent gene activation in MDA-MB-468 and HCC38 cells. [121]Fig 2 [122]Open in a new tab Venn diagrams indicate the number of genes that were up-regulated in MDA-MB-468 (A) or HCC38 cells (B) following Wnt3a stimulation for 6, 12 or 24 hours. Genes found in common in both cell lines are listed in the table and known Wnt target genes are shown in bold (C). The difference in the number of up-regulated mRNAs between the two cell lines is consistent with the data obtained with the reporter assay showing that Wnt3a activates the Wnt pathway to a greater extent in HCC38 cells than in MDA-MB-468 cells ([123]S1 Fig). In HCC38 cells, more genes were up-regulated at 12h and 24h after stimulation with Wnt3a than at 6h ([124]Fig 2B, [125]S1 Dataset). These genes may be “direct” or “secondary” Wnt target genes. However, one can postulate that the gene list found at the earliest time point (6h) is likely more enriched in “direct” Wnt target genes than those at later time points (12h, 24h). Therefore, we next focused on the genes up-regulated at 6h. Half of the target genes (30 out of 59) identified in MDA-MB-468 cells incubated for 6h with Wnt3a were also up-regulated in HCC38 cells after the same duration of treatment ([126]Fig 2C, [127]S2 Dataset). Among the 30 common genes, 23 were previously reported as Wnt target genes ([128]Fig 2C, [129]Table 1). Table 1. Literature search for the 36 Wnt target genes (30 “up” and “6 down”) identified in both TNBC cell lines stimulated with Wnt3a for 6h. Gene Symbol (official symbol) ID Wnt target gene Role in Wnt/β-catenin signaling pathway References