Based on the role of
sim in
Drosophila CNS development (
6,
7), the developmental defects observed in Sim2
−/− mice (
12,
33), and our previous studies showing that SIM2s is expressed in human breast luminal epithelial cells and is down-regulated in breast cancers (
20), we hypothesized that Sim2 contributes to normal mammary gland development. Indeed, we found that Sim2s is the primary Sim2 isoform expressed in the developing mouse mammary gland and that loss of Sim2s results in abnormal mammary-ductal morphology manifested by failure of the ducts to hollow, increased cell division, disruption of the basement membrane, and invasion of the surrounding stroma (Fig. ). Sim2
−/− mammary glands displayed several hallmarks of EMT, including loss of E-cadherin, nuclear accumulation of active β-catenin, and increased expression of the invasion-associated Mmp2 gene (Fig. ). Together, these results suggest that Sim2s plays an important role in establishing and/or maintaining mammary cell fate.
Using an in vitro approach to knock down SIM2s expression in human breast cancer cells, we established that SIM2s is also a barrier to mammary cell transformation and tumor progression. The tumor-suppressive effects of SIM2s in mammary epithelial cells appeared to depend, in part, on its ability to suppress pathological EMT events initiated by SLUG (Fig. ). We have recently demonstrated that SIM2s is decreased in human breast tumors and has tumor-suppressive activity when reintroduced into highly invasive cancer cells (
20). This hypothesis is further supported by the data presented here. Down-regulation of SIM2s in MCF-7 cells resulted in loss of epithelial characteristics, increased invasion, and in vivo tumorigenesis. Furthermore, tumors arising from SIM2
i MCF-7 cells developed rapidly and were ERα
− and highly vascularized (Fig. ). Our present studies have also shed light on the mechanistic basis of the tumor-suppressive properties of SIM2s. We have demonstrated that SIM2s directly represses transactivation of the SLUG and MMP promoters, which corresponds to elevated Slug and Mmp2 gene expression in Sim2
−/− mammary epithelium (Fig. and ). To our knowledge, these results make SIM2s the first known transcriptional repressor of SLUG and suggest that SIM2s regulation of these genes may be important for its tumor suppressor function in vivo. We propose a model in which progressive loss of SIM2s results in derepression of Slug and Mmp2, promoting E-cadherin loss, increased mitosis, angiogenesis, cell motility, and invasiveness (Fig. ).
The morphological and biochemical changes observed in SIM2 shRNA MCF-7 cells and Sim2
−/− mammary glands may be interpreted as an EMT. However, there is fierce debate about the relevance of EMT to human cancers, as EMT is rarely observed in human tumor biopsies (
19,
21,
39,
40). While SIM2
i cells ceased expressing epithelial markers and Sim2
−/− mammary epithelium displayed signs of EMT, neither acquired the mesenchymal markers fibronectin and smooth muscle actin (data not shown). Additionally, SIM2
i MCF-7 cells retained cell junctions that appeared to contain N- instead of E-cadherin, and neither N-cadherin nor vimentin expression was observed in Sim2
−/− mammary glands, which also appeared to have intact cell-cell junctions (not shown). A possible explanation is that loss of SIM2s does indeed induce EMT but that pathological EMTs are more heterogeneous in manifestation than an EMT occurring during normal developmental processes. Another possibility is that SIM2
i MCF-7 and Sim2
−/− mammary epithelial cells are examples of the recently proposed “metastable” phenotype (
21). Savagner and others have described the metastable phenotype as a fusion of epithelial and mesenchymal characteristics within a single cancer cell. Since SIM2s suppresses invasion-associated proteins (MMPs) in addition to SLUG, it may be that loss of SIM2s makes full EMT unnecessary for achieving optimal malignancy. This is apparent when we compare SIM2
i MCF-7 cells grown in culture to those placed in the flanks of nude mice. In culture, SIM2
i MCF-7 cells displayed a mesenchymal morphology not observed in SIM2
i MCF-7 tumors. Similarly, the degrees of E-cadherin loss and N-cadherin and vimentin up-regulation in SIM2
i MCF-7 cells were much greater in culture than in nude mice. Such observations are consistent with the hypothesized epithelial-mesenchymal plasticity of metastable cells and may explain how cells can rapidly metastasize without displaying characteristics of a full-blown EMT. It is possible that sufficient time had not passed to complete the full EMT program in both SIM2
i MCF-7 and Sim2
−/− mammary epithelial cells. However, in light of how quickly SIM2
i MCF-7 cells formed tumors, it is unlikely that complete EMT is necessary to achieve the pathogenic effects of SIM2s loss. Indeed, our data suggest that progressive reductions in SIM2s expression may transform epithelial cells and advance them rapidly through progression to malignancy. While other studies have implicated SIM2s as a tumor promoter (
1,
9,
13), our present and previous studies (
20) point to a tumor suppressor role for SIM2s. This suggests either that SIM2s has profoundly different tissue-specific functions or that SIM2s can have both tumor-suppressive and tumor-promoting effects depending upon the cellular context. A similar mechanism has been shown to govern the effects of transforming growth factor β in breast cancer cells, which require a specific balance of CCAAT/enhancer binding protein β isoforms to inhibit the cell cycle (
11).
These studies provide compelling new evidence that SIM2s is required for proper mammary gland development and that it is a mammary tumor suppressor gene. SIM2s appears to do this, in part, by directly binding the SLUG promoter to repress its expression (Fig. ). In addition to regulating EMT, recent evidence has shown that SLUG gene expression is associated with basal-like breast carcinoma and is required for in vitro expansion of ductal breast cancer stem/progenitor cells (
35). If so, it will be interesting to determine if SIM2s plays a role in stem cell maintenance. Intriguingly, SLUG has also been implicated in palate formation (
25), and Sim2
−/− mice have palate abnormalities (
29,
33), suggesting a connection between SIM2 and SLUG in regulating palatogenesis, a process requiring EMT. Potential associations between SIM2 and SLUG in palatogenesis are also supported by the observation that facial clefting is elevated in Down syndrome patients, who might be expected to have higher levels of SIM2 due to trisomy 21 (
18). Intuitively, if SIM2s is a tumor suppressor, overexpression would be antitumorigenic. This is supported by the observation that individuals with Down syndrome are less susceptible to solid tumors (
2,
14-
16,
31,
32) and that Down syndrome provides the highest known protection against breast cancer (
2). In light of our observations that SIM2s expression is lost in human breast cancers (
20) and that loss of SIM2s promotes EMT and tumorigenesis in human breast cancer cells, it is tempting to speculate that increased expression of SIM2 is the root of the increased incidence of palate defects and decreased risk for solid tumors observed in Down syndrome patients (
2,
14-
16,
31,
32).