Search tips
Search criteria 


Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
Cancer Cell. Author manuscript; available in PMC 2012 October 18.
Published in final edited form as:
PMCID: PMC3199318

FoxM1 Promotes β-Catenin Nuclear Localization and Controls Wnt Target-Gene Expression and Glioma Tumorigenesis


Wnt/β-catenin signaling is essential for stem cell regulation and tumorigenesis, but its molecular mechanisms are not fully understood. Here, we report that FoxM1 is a downstream component of Wnt signaling and is critical for β-catenin transcriptional function in tumor cells. Wnt3a increases the level and nuclear translocation of FoxM1, which binds directly to β-catenin and enhances β-catenin nuclear localization and transcriptional activity. Genetic deletion of FoxM1 in immortalized neural stem cells abolishes β-catenin nuclear localization. FoxM1 mutations that disrupt the FoxM1–β-catenin interaction or FoxM1 nuclear import prevent β-catenin nuclear accumulation in tumor cells. FoxM1–β-catenin interaction controls Wnt target gene expression and is required for glioma formation, and represents a mechanism for canonical Wnt signaling during tumorigenesis.


The canonical Wnt signal transduction pathway is a primary signaling system in stem/progenitor cells and cancer cells (Clevers, 2006; Huang and He, 2008; Moon et al., 2004; Nusse, 2008). Wnt binding to cell surface receptors, including a Frizzled (Fz) protein and LDL receptor-related protein 6 (LRP6), initiates a transduction cascade leading to stabilization of the transcription coactivator β-catenin, which then enters the nucleus to form a transcriptional complex with T-cell factor (TCF) or lymphoid enhancer factor (LEF) to activate the expression of Wnt target genes such as c-Myc and cyclin D1 (Clevers, 2006; Moon et al., 2004). However, the molecular mechanisms that regulate β-catenin nuclear localization and transcriptional activation are not well understood.

Wnt/β-catenin signaling plays a critical role in cancer formation, including regulation of transformation, cell proliferation, and invasion. Persistent activation of β-catenin has been implicated in a variety of human cancers including glioblastoma multiforme (GBM), the most malignant form of glioma (Zheng et al., 2010). Unlike colorectal cancer, in which high levels of β-catenin are frequently found as a result of mutational loss of the adenomatous polyposis coli (APC) gene or stabilizing mutations in the CTNNB1 (β-catenin) gene itself (Polakis, 2000), in sporadic gliomas the frequency of APC loss or CTNNB1 mutations appears to be low (Paraf et al., 1997). This suggests that genetic mutations may not be the major driving force leading to elevated β-catenin nuclear accumulation, and hence activation, in GBM. Importantly, the Wnt/β-catenin pathway is known to critically regulate self-renewal and differentiation of neural stem/progenitor cells (Chenn and Walsh, 2002; Nusse, 2008). These findings prompted us to examine the molecular mechanism of Wnt/β-catenin signaling activation and its potential role in tumorigenicity of GBM-initiating cells (GICs).

Like β-catenin, the forkhead box M1 (FoxM1) transcription factor is an important regulator of animal development and cell proliferation (Korver et al. 1998; Ye et al., 1997). Furthermore, overexpression of FoxM1 is common in human tumors (Pilarsky et al., 2004) including glioma (Liu et al., 2006). Thus gene expression analyses by the Cancer Genome Atlas (TCGA) found FoxM1 to be overexpressed in GBM clinical specimens compared with non-tumor controls (Hodgson et al., 2009). Because overactivation of FoxM1 and β-catenin occurs in many human cancers, we are interested in potential functional connections between these two intensively studied oncogenic pathways. There are evidences that FoxM1 and β-catenin may have related or common functions in tumor. For example, gut-specific deletion of FoxM1 suggests its key role in gastrointestinal tumorigenesis and potential regulation of β-catenin/TCF4 signaling (Yoshida et al, 2007). However, since FoxM1 and β-catenin both have pleiotropic roles, it is unclear whether a common molecular mechanism underlies these related phenotypes. In the current study, we explored the possibility of FoxM1 as a key component in mediating β-catenin nuclear accumulation in Wnt signaling, and determined the biological consequence of FoxM1–β-catenin interaction in brain tumor formation.


FoxM1 Interacts Directly with β-Catenin In Vitro and In Vivo

A Flag-tag affinity procedure was used to purify a FoxM1-containing complex, which was subjected to LC-MS/MS analysis. The peptide sequences of β-catenin found in the complex suggested β-catenin as a potential binding partner of FoxM1 (Figure 1A and Figures S1A and S1B). The interaction between β-catenin and FoxM1 was confirmed by immunoprecipitation (IP) analysis of 293T cells transfected with HA-tagged β-catenin and Flag-FoxM1 (Figure S1C). The physical interactions between β-catenin and FoxM1 were further analyzed in vitro using recombinant GST-β-catenin and His-FoxM1. In a GST pull-down assay, purified His-FoxM1 bound directly to GST-β-catenin (Figure 1B, left). Reciprocally, in an IP assay using an anti-FoxM1 antibody, GST-β-catenin also bound to His-FoxM1 (Figure 1B, right). Thus, β-catenin binds to FoxM1 directly in vitro.

Figure 1
FoxM1 and β-Catenin Directly Interact In Vitro and In Vivo

We detected endogenous FoxM1 expression in 293T cells, human glioma cell lines Hs683 and SW1783 (grade III), and a panel of GIC cell lines (MD 11, 20s, 23, 7-2, and 6-27). These GICs are primary neurosphere-derived cells isolated from fresh surgical specimens of GBM and have an enriched GIC population (Figures S1D-G). FoxM1B is the predominant FoxM1 isoform in 293T cells and in the human glioma cells including the GICs (Figures S1H-J). Moreover, GICs expressed substantially higher levels of FoxM1 than Hs683 and SW1783 cells (Figure 1C). Further, Wnt activity was substantially higher in GICs than in Hs683 and SW1783 cells, as determined using the TOP-Flash reporter (Figure 1D), indicating that Wnt activity is deregulated and correlated with the FoxM1 levels in the cells.

We next determined whether β-catenin and FoxM1 interact in glioma cells. In MD11 and MD20s cells, endogenous FoxM1 bound to endogenous β-catenin as determined by co-IP assays (Figure 1E). When Hs683 and SW1783 cells overexpressed T7-tagged FoxM1, endogenous β-catenin bound to FoxM1 (Figure 1F, left) and T7-FoxM1 (Figure 1F, right). Moreover, endogenous TCF4 protein, a well-known binding partner and transcriptional target of β-catenin, could be detected in the FoxM1 and T7-FoxM1 precipitates, and its level was increased upon FoxM1 overexpression (Figure 1F). Thus, β-catenin and FoxM1 interact in tumor cells. We also examined the specificity of FoxM1 isoforms interacting with β-catenin and found that the FoxM1B binding ability is higher than that of FoxM1C (Figure S1K & S1L).

Wnt Promotes Nuclear Translocation of both FoxM1 and β-Catenin

Because Wnt3a is known to stabilize β-catenin and increase its nuclear accumulation, we examined the interaction of FoxM1 with β-catenin upon Wnt3a stimulation in 293T cells that had been cotransfected with HA-β-catenin and Flag-FoxM1. The amount of β-catenin that bound to FoxM1 in the nucleus increased substantially with Wnt3a treatment in a time-dependent manner (Figure 1G). Surprisingly, the amount of Flag-FoxM1 that translocated to the nucleus also increased with Wnt3a treatment in a time-dependent manner (Figure 1G). Thus, β-catenin interacts with FoxM1 in both the cytoplasm and the nucleus, and Wnt activation increases the translocation of both proteins to the nucleus.

To further investigate the nuclear translocation of FoxM1 and β-catenin during Wnt activation, we cotransfected 293T cells with DsRed2-N1-FoxM1 and CFP-β-catenin and monitored the fluorescence intensities by time-lapse live imaging of the cells treated with Wnt3a every 10 sec for 10 min. We reasoned that during this early time window of Wnt treatment, we would observe primarily β-catenin translocation rather than stabilization of β-catenin that was already present as a result of overexpression. FoxM1 and β-catenin were colocalized in both the cytoplasm and nucleus, and Wnt3a increased the levels and nuclear translocation of both proteins (Figures 2A and S2A). The fluorescence intensities of both proteins increased with time in the nuclei of Wnt3a-treated cells (Figure 2B). Note that the nuclear translocation of both proteins was probably underestimated, considering the effect of photo-bleaching during live imaging (Figure S2B). Indeed, Wnt3a promoted the nuclear translocation of endogenous FoxM1 and β-catenin (Figure 2C) and increased FoxM1 levels (Figure 2D) in 293T cells as determined by immunoblotting (IB) analysis. Wnt3a also promoted the nuclear translocation of endogenous FoxM1 and β-catenin and increased FoxM1 levels in MD11 cells as determined by immunofluorescence (IF) analysis (Figure 2E). Thus, Wnt activation increases the level and nuclear translocation of FoxM1, indicating that FoxM1 is a downstream component of Wnt signaling. However, FoxM1 mRNA levels did not increase upon Wnt3a treatments in MD11 cells (Figure S2C). Next, we inhibited new protein synthesis in the cells by cycloheximide, and found that Wnt3a treatment resulted in a decrease in the endogenous FoxM1 degradation compared with control treatment (Figure 2F). These results indicated that Wnt3a increased FoxM1 levels through, at least in part, inhibition of FoxM1 protein degradation.

Figure 2
FoxM1 Promotes β-Catenin Nuclear Accumulation

FoxM1 Is Required for β-Catenin Nuclear Localization in Tumor Cells

FoxM1 contains a functional nuclear localization signal (NLS) domain and shuttles between the cytoplasm and the nucleus (Ma et al., 2005). Because the amount of β-catenin that bound to FoxM1 was directly proportional to the amount of FoxM1 in the nucleus (Figure 1G), we examined whether FoxM1 plays a role in β-catenin nuclear localization. Expression levels of the endogenous FoxM1 and β-catenin increased in the cytoplasm and nucleus of Wnt3a-treated cells (Figure 3A), consistent with the findings of the IP assay (Figure 1G), of live imaging of the Wnt3a-treated 293T cells (Figures 2A and 2B), and of the IF assay of the Wnt3a-treated MD11 cells (Figure 2E). Overexpression of Flag-FoxM1 was sufficient to increase nuclear β-catenin while concomitantly decreased cytoplasmic β-catenin (Figure 3A). These data suggest that the FoxM1 expression level is increased upon Wnt signaling and that increased expression of FoxM1 directly increases β-catenin nuclear accumulation.

Figure 3
FoxM1 Is Required for Constitutive and Wnt3a-induced β-Catenin Nuclear Accumulation

To ascertain the role of FoxM1 in β-catenin nuclear accumulation, we examined β-catenin nuclear localization in FoxM1-null cells. Deletion of FoxM1 in FoxM1fl/fl immortalized neural stem cells (NSCs) did not change the total level of β-catenin expression but abolished β-catenin nuclear localization (Figures 3B and 3C). Moreover, β-catenin nuclear localization induced by Wnt3a was abolished in FoxM1-null immortalized MEFs derived from FoxM1–/– mice (Figure 3D). These results suggest that FoxM1 is critical for β-catenin nuclear localization.

Consistently, knockdown of FoxM1 by a FoxM1-siRNA, or via two independent FoxM1-shRNAs (Liu et al., 2006) in MD11 and MD20s cells substantially decreased the levels of nuclear β-catenin as determined by IB and IF analyses (Figures 3E, 3F and 3G). In contrast, when FoxM1 expression was restored in sh-FoxM1 MD11 cells, β-catenin nuclear localization was restored (Figure 3G).

We also analyzed the effect of reducing FoxM1 on Wnt3a-induced β-catenin nuclear localization in glioma cells. Wnt3a increased β-catenin nuclear accumulation in MD11 and MD20s cells expressing the control shRNA (Figure 3H). In contrast, expression of either of the two shRNAs against FoxM1 abolished Wnt3a-induced β-catenin nuclear but not cytoplasmic accumulation (Figure 3H). Conversely, overexpression of FoxM1 counteracted the inhibitory effect of Wnt antagonist DKK1 on β-catenin nuclear accumulation (Figure S2D). However, total β-catenin protein levels remained unchanged in MD11 and MD20s treated with a FoxM1-siRNA (Figure 5E). Thus, these data indicate that FoxM1 does not affect β-catenin level but is required for β-catenin nuclear accumulation in tumor cells.

Figure 5
FoxM1 Activates Wnt/β-Catenin Signaling

FoxM1 Nuclear Translocation and Binding to β-Catenin Are Required for FoxM1-Mediated β-Catenin Nuclear Accumulation in Tumor Cells

β-Catenin consists of an NH2-terminal domain, a central armadillo (Arm) repeat domain (residues 141–664) composed of 12 Arm repeats, and a COOH-terminal domain (residues 664–782) (Figure 4A, left). Using a series of bacterially expressed GST-β-catenin deletion mutant proteins, we found that Arm repeats 11–12 of β-catenin interacted with FoxM1 (Figure 4A, right). FoxM1 consists of an NH2-terminal domain, a conserved forkhead box domain (residues 232–332), an NLS domain (residues 350–366), and a COOH-terminal domain (Figure 4B, left). We found that the forkhead box domain of FoxM1 interacted with β-catenin (Figure 4B, right). Also, co-IP experiments in 293T cells revealed that β-catenin bound to FoxM1 mutants harboring the forkhead box domain but not to mutants without it (Figure 4C). An artificial fusion protein between the forkhead box domain and the SV40 NLS (235-347+NLS) was sufficient for binding to β-catenin (Figure 4C).

Figure 4
FoxM1 Nuclear Translocation and Binding to β-Catenin Are Required for FoxM1-Mediated β-Catenin Nuclear Accumulation

Next, we determine the effect of FoxM1 mutants on β-catenin nuclear accumulation. β-Catenin accumulated in the nuclei of cells expressing full-length FoxM1 or the mutant with both the forkhead box and NLS domains (Figure 4D). In contrast, β-catenin failed to accumulate in the nuclei of cells expressing FoxM1 mutants lacking the forkhead box domain. The FoxM1 mutant without the NLS domain impaired the nuclear accumulation of both FoxM1 and β-catenin. Importantly, the fusion fragment 235-347+NLS promoted the nuclear accumulation of both the FoxM1 mutant and β-catenin (Figure 4D). Thus, the nuclear localization of β-catenin depends on the interaction of β-catenin with FoxM1 and on FoxM1 nuclear translocation.

FoxM1–β-Catenin Interaction Is Required for β-Catenin–TCF-Mediated Transcription and for the Expression of β-Catenin Target Genes in Tumor Cells

It is well established that nuclear β-catenin associates with members of the TCF/LEF family of DNA-bound transcription factors on TCF-binding elements (TBEs), also called Wnt-responsive elements (WREs), to mediate Wnt target gene expression (Clevers, 2006; Moon et al., 2004). We used the TOP-Flash reporter to ascertain whether FoxM1 and its mutants affect β-catenin– TCF/LEF transcriptional activity. Interestingly, overexpression of full-length FoxM1 alone strongly activated the TOP-Flash reporter, and thus the transcriptional activity of β-catenin–TCF (Figure 4E). This TOP-Flash activation was probably mediated by engaging endogenous TCF and β-catenin, as FoxM1 overexpression increased levels of TCF4 (Figure 1F) and nuclear β-catenin (Figure 2F). A FoxM1 mutant containing the forkhead box and NLS domains stimulated TOP-Flash, whereas FoxM1 mutants lacking the forkhead box domain or the NLS domain did not (Figure 4E). Importantly, the FoxM1 fragment 235-347+SV40NLS also stimulated TOP-Flash activity (Figure 4E). Thus, the ability of FoxM1 to activate the β-catenin–TCF transcriptional function correlates fully with FoxM1-mediated β-catenin nuclear translocation.

To distinguish the action of FoxM1 as a β-catenin partner from the possibility that FoxM1 acts as a DNA-binding transcription factor, we generated the FoxM1 R286A/H287A mutant, which is incapable of DNA binding, as predicted from crystal structure studies (Littler et al., 2010). Indeed, this mutant dramatically decreased the ability of FoxM1 to activate a reporter from multimerized FoxM1-binding elements (Figure S3A) as well as decreased the ability to bind to FoxM1 response elements in the c-Myc promoter (Figure S3C). However, this mutant maintained the same ability to promote β-catenin nuclear localization (Figure 5A), bind to the β-catenin–TCF binding elements in the c-Myc promoter (Figure S3D), and activate the β-catenin–TCF reporter (Figure S3B), indicating that the effect of FoxM1 on β-catenin–TCF transcriptional activity depends on interaction with β-catenin but not on FoxM1's own DNA-binding property.

We next determined whether FoxM1 is required for β-catenin–TCF-mediated transcription. As with FoxM1 overexpression, a constitutively stabilized mutant β-catenin (S33Y) activated TOP-Flash, which was inhibited by the FoxM1 siRNA in 293T cells (Figure 5B), suggesting that FoxM1 is required for β-catenin signaling. Conversely, dominant-negative TCF4 (DN-TCF4), which cannot bind to β-catenin, abolished the activation of TOP-Flash by FoxM1 (Figure 5B), suggesting that the effect of FoxM1 is mediated by binding of β-catenin to TCF4. Knocking down FoxM1 also suppressed the activation of the TOP-Flash reporter in MD11 and MD20s cells, likely as a result of endogenous β-catenin–TCF signaling (Figure 5C).

We further examined several endogenous and prototypic Wnt/TCF/β-catenin target genes. Expression levels of Axin2, LEF-1, c-Myc, and cyclin D1 were increased in MD20s cells that overexpressed FoxM1 (Figure 5D), and were decreased in MD11 and MD20s cells with knocking-down of FoxM1 (Figure 5E) and in NSCs with genetic deletion of FoxM1 (Figure 5F). Furthermore, overexpression of the FoxM1 R286A/H287A mutant increased the expression of Axin2 in 293T cells (Figure 5G), indicating that the effect of FoxM1 on Wnt target gene expression depends on interaction with β-catenin.

Mutual Recruitment of FoxM1 and β-Catenin to Wnt Target-Gene Promoters

As FoxM1 is required for activation of Wnt target genes and can form a complex with nuclear β-catenin and TCF4, FoxM1 might be recruited to TBEs/WREs in chromatin. We first determined whether FoxM1 regulates the LEF-1 promoter, which contains three WREs (Figure 6A). Overexpression of FoxM1 in 293T cells increased the activity of the wild-type LEF-1 promoter but not the mutant LEF-1 promoter, which harbors three mutated WREs (Figure 6A), suggesting that FoxM1 activates the promoter via the WREs. Moreover, FoxM1, β-catenin, and TCF4 bound to the WRE region of LEF-1 promoter in MD11 cells (Figure 6B). Further, Wnt3a stimulation caused a dramatic increase in FoxM1 and β-catenin binding to the LEF-1 promoter, which was occupied by TCF4 constitutively in 293T cells (Figure 6C).

Figure 6
Mutual Recruitment of FoxM1 and β-Catenin to Wnt Target-Gene Promoters

Axin2 and c-Myc are also well-known Wnt target genes (through characterized TBEs/WREs in their promoters) (Clevers, 2006; Moon et al., 2004). We found that in MD11 cells, FoxM1, β-catenin, and TCF4 were recruited to the endogenous Axin2 promoter (Figure 6D) and also to a transfected c-Myc promoter harboring wild-type TBEs (TBE1/2) but not to a c-Myc promoter harboring mutant TBEs (TBE1m/2m; Figure 6E). Moreover, FoxM1 associated with the WREs in the LEF-1 promoter that had been immunoprecipitated by the anti-β-catenin or anti-TCF4 antibody (Figure 6F). Together, these results indicate that FoxM1, β-catenin, and TCF4 are recruited to WREs in Wnt target-gene promoters as a DNA-binding complex.

Next, we determined whether nuclear FoxM1 plays a role in assembly of the β-catenin– TCF transcription activation complex. We observed that association of β-catenin with the LEF-1 promoter was diminished upon FoxM1 depletion (Figure 6G). Next, we examined the effect of FoxM1 depletion on the binding between β-catenin and TCF4 using exogenous Myc-TCF4 (since TCF4 is a target gene of FoxM1). We found that the binding between β-catenin and TCF4 was decreased upon FoxM1 depletion (Figure 6I). Thus, the decreased association of β-catenin with the LEF-1 promoter upon FoxM1 depletion was probably because both the nuclear β-catenin level (Figure 3E) and the binding between β-catenin and TCF4 were decreased (Figure 6I). These results indicate that FoxM1 is important for assembly of the β-catenin–TCF transcription activation complex.

Given the binding between β-catenin and FoxM1, we also examined whether β-catenin is required for FoxM1 binding to the Wnt target-gene promoter. Depletion of β-catenin diminished the binding of FoxM1 to the LEF-1 promoter (Figure 6H). Moreover, depletion of β-catenin by a siRNA or genetic deletion reduced or abolished the association between FoxM1 and TCF4 (Figures 6J and 6K), indicating that the association of FoxM1 with TCF4 is mediated by β-catenin. Collectively, the above results suggested that FoxM1 and β-catenin mutually depend on each other for recruitment to WREs occupied by TCF4 in Wnt target-gene promoters.

Interaction of FoxM1 and β-Catenin Plays a Critical Role in GIC Self-Renewal and Differentiation

To study the effect of FoxM1 and β-catenin on the self-renewal of GICs, we generated primary cultures of tumor cells (PCTCs) in the presence of serum, and in parallel, neurospheres from human GBM samples. The neurospheres showed enrichment for GICs, because, first, they maintained neurosphere formation ability and thus exhibited self-renewal ability (Lee et al., 2006; Singh et al., 2003) (Figure S4A); secondly, they expressed high levels of the neuroprogenitor markers Nestin, CD133, and SSEA-1 (Figure S4D); and thirdly, they could undergo multilineage differentiation, acquiring the expression of GFAP (astrocytic marker) and Tuj-1 (neuronal marker) (Figure S4B & 4C). Importantly, high levels of FoxM1 (Figure S4D) and Wnt reporter activity (Figure S4E) were present in these GICs compared with the PCTCs. Thus, we investigated whether FoxM1 and β-catenin were required for GIC self-renewal. Knockdown of FoxM1 or β-catenin in MD11 and MD20s cells substantially decreased the size and number of spheres formed in primary and secondary sphere formation assays (Figures 7A & 7B). Next, the cells were assayed for neural colony-forming ability, a more stringent test for the presence of self-renewing cells (Louis et al., 2008). Knockdown of FoxM1 or β-catenin substantially reduced the efficiency of neural colony formation in GICs (Figures S4F). Moreover, the inhibitory effect of sh-FoxM1 on self-renewal of GICs was rescued by shRNA-resistant R286A/H287A, which binds to β-catenin but not to FoxM1-response elements or β-catenin-NLS (which translocates into the nucleus constitutively) (Figures 7B & S4F).

Figure 7
FoxM1 and β-Catenin Maintain GIC Self-Renewal and Glioma Formation

We investigated whether FoxM1 and β-catenin also affect GIC differentiation. FoxM1 knockdown substantially inhibited the expression of CD133, Nestin, Sox2, and Musashi-1 and upregulated the differentiation markers of Tuj1 and GFAP in GICs (Figure 7C & S4G). Depletion of β-catenin in GICs produced almost identical results (Figure S4H). Therefore, FoxM1 perturbed the balance between progenitor cell renewal and the commitment to differentiation. Moreover, these effects of sh-FoxM1 were rescued by shRNA-resistant R286A/H287A or β-catenin-NLS (Figures S4I), supporting that FoxM1–β-catenin interaction controls the self-renewal of GICs.

Next, we examined the cell cycle progression of the above cell lines. An endogenous FoxM1-β-catenin complex and Wnt signal activity were observed in asynchronous GICs and in GICs in cell cycle phases G0/G1, S, and G2/M, with a relative higher level seen in G2/M GICs (Figure S4M-O). Comparison of cell cycle profiles of the above cell lines revealed a similar cell cycle distribution under asynchronous conditions (Figure S4P). However, when synchronized and released from G1/S transition, sh-FoxM1 GICs exhibited a delay in mitotic entry (Figure S4P). Depletion of β-catenin in GICs also resulted in G2/M arrest (Figure S4P). Expression of shRNA-resistant R286A/H287A or β-catenin-NLS in sh-FoxM1 cells partially restored normal cell-cycle progression. Therefore, these data indicated that the FoxM1/β-catenin interaction is required for G2/M transition and proper mitotic progression.

Interaction of FoxM1 and β-Catenin Controls Tumor Formation by Glioma Cells

Next, we examine the effect of FoxM1 or β-catenin depletion and their interaction on the tumor-initiating ability of GICs in an animal model. All mice injected with sh-control MD11 and MD20s cells displayed brain tumors that showed characteristic GBM features (Figure S1G). In contrast, mice bearing sh-FoxM1 cells did not develop brain tumors. Therefore, the tumor-initiating ability was substantially reduced in cells with suppressed FoxM1 expression (100% decrease, Figure 7D). The tumor-initiating ability was also substantially reduced by suppressed β-catenin expression (Figure 7D). In addition, the mice bearing sh-FoxM1 or sh-β-catenin cells survived significantly longer than controls (Figure 7E and Figure S4J). Moreover, FoxM1, β-catenin, and Wnt signal activity levels were highly elevated in the brain tumor cells (Figure S4K , S4L & S4Q), and the proteins colocalized in tumor cell nuclei (Figure S4K). Furthermore, the inhibitory effect of sh-FoxM1 on tumorigenicity of GICs was rescued by shRNA-resistant R286A/H287A or β-catenin-NLS (Figures 7F). These results support a role for the FoxM1–β-catenin complex in the induction of GBM in vivo.

To further ascertain that β-catenin mediates the tumorigenic effect of FoxM1, we examined the tumorigenicity of glioma cells that overexpress FoxM1 but are deficient in β-catenin. First, overexpression of FoxM1 promoted SW1783 cells to exhibit GIC characteristics, as SW1783-FoxM1 cells (but not control SW1783) were able to form neurospheres and expressed SSEA-1 and Nestin (Figure S5A). Secondly, SW1783 and Hs683 cells did not form brain tumors in nude mice, but SW1783-FoxM1 and Hs683-FoxM1 cells did (Figure 8A), indicating that FoxM1 overexpression is responsible for tumor formation. However, β-catenin knockdown in SW1783-FoxM1 or Hs683-FoxM1 cells diminished their tumorigenicity (Figure 8A), indicating that FoxM1 tumor promotion depends on β-catenin. Moreover, in the SW1783-FoxM1 brain tumors, FoxM1 levels were highly elevated in tumor cell (Figure S5B), β-catenin mostly localized in the cell nuclei, and it colocalized with FoxM1 (Figure 8B). Further, overexpression of FoxM1 R286A/H287A was able to induce tumor formation (Figures 8C). Consistently, SW1783-FoxM1 and SW1783-R286A/H287A cells exhibited higher levels of TOP-Flash reporter and Axin2, LEF-1, c-Myc, and cyclin D1 expression than SW1783 control cells did (Figures 8D & 8E). In contrast, knockdown of β-catenin in SW1783-FoxM1 cells abolished elevated expression of the reporter and the Wnt target genes (Figures 8D). Finally, FoxM1 regulates the nuclear β-catenin level and thus tumor cell growth in mouse high-grade glioma models (Figure S5G-I). Together, these results show that the FoxM1–β-catenin interaction controls the expression of Wnt/β-catenin target genes and tumorigenesis of glioma cells.

Figure 8
Interaction of FoxM1 and β-Catenin Controls Glioma Formation

Nuclear β-Catenin Expression in Human GBM Correlates with Levels of Nuclear FoxM1

We analyzed the significance of FoxM1-mediated β-catenin activation in human GBM using a panel of 40 GBM samples. FoxM1 was moderately expressed in 14 samples and highly expressed in 18 samples. The expression levels of nuclear FoxM1 directly correlated with those of nuclear β-catenin (Figures 8F), further supporting the critical role of FoxM1 in β-catenin nuclear accumulation in human GBM. Also, the expression levels of Wnt targets Axin2 and LEF-1 directly correlated with the levels of FoxM1 (Figures S5C & S5D).

Next, we performed IF staining on 8 frozen GBM tumor samples that were FoxM1-positive. Sections from the same tumor tissues were used for costaining for FoxM1 and β-catenin and for Nestin and GFAP. Nuclear FoxM1 colocalized with nuclear β-catenin in tumor cells (Figure S5E & S5F). Moreover, FoxM1 expression correlated directly with Nestin expression but inversely with GFAP expression in tumors (Figure S5F). Together, our data suggest that in GBM tumors that express high levels of FoxM1, β-catenin and FoxM1 probably promote GIC self-renewal, as evidenced by the increase in the number of cells expressing neuroprogenitor cell markers.


Here, we demonstrate that FoxM1 is required for β-catenin nuclear accumulation in tumor cells, that nuclear FoxM1 and β-catenin form a functional complex with TCF4 on Wnt target-gene promoters, and that the functional interaction between FoxM1 and β-catenin promotes GIC self-renewal and tumorigenesis. Therefore, the FoxM1–β-catenin interaction represents a critical mechanism for controlling canonical Wnt signaling and GIC self-renewal, proliferation and tumorigenesis.

FoxM1 and Wnt/β-Catenin Signaling

Aberrant activation of the Wnt/β-catenin signaling pathway is widespread in human cancers. In some cancers, such as colorectal carcinoma, Wnt/β-catenin pathway activation is caused by mutations in genes encoding Wnt signaling components, such as mutational loss of APC or CTNNB1 “gain-of-function” mutations that increase the stability of β-catenin. In other cancers including glioma, which do not exhibit these prototypic mutations, other mechanisms are likely to be involved in Wnt/β-catenin activation. Interestingly, FoxM1 is overexpressed in many human cancers, including glioma. Our results show that FoxM1 is an unexpected but key mediator of Wnt/β-catenin signaling and acts by binding to β-catenin and enhancing β-catenin nuclear localization and transcriptional activity.

FoxM1 appears to govern two critical and related aspects of β-catenin nuclear function: nuclear accumulation and assembly of a transcription activation complex. The molecular mechanisms for β-catenin nuclear activation during Wnt signaling remain enigmatic although several mechanisms have been proposed. Some studies suggest that β-catenin shuttles from the cytoplasm to the nucleus by interacting directly with the nuclear pore complex (Henderson and Fagotto, 2002). Others suggest that TCF/LEF and β-catenin coactivators such as Pygopus/Bcl9 mediate β-catenin nuclear import or retention/anchoring (Behrens et al., 1996; Townsley et al., 2004). We show that FoxM1 is necessary and sufficient for β-catenin nuclear accumulation. FoxM1 interacts with Arm repeats 10–12 of β-catenin and enhances β-catenin nuclear localization, whereas depletion of FoxM1 inhibits both constitutive and Wnt3a-induced β-catenin nuclear localization. Importantly, deletion of the FoxM1 gene in NSCs abolishes β-catenin nuclear localization. We identified the minimal FoxM1 domains required for β-catenin nuclear accumulation. The forkhead box domain of FoxM1, which mediates the binding of β-catenin and FoxM1, and the NLS domain of FoxM1, which mediates FoxM1 nuclear translocation, are together necessary and sufficient for β-catenin nuclear accumulation. The simplest interpretation is that FoxM1 provides a functional NLS domain for nuclear import of the FoxM1–β-catenin complex. Alternatively, FoxM1 may provide a nuclear anchor for β-catenin to counteract nuclear export of β-catenin by other factors, such as APC (Henderson and Fagotto, 2002). We note a recent study suggesting that EGFR/RAS signaling promotes β-catenin nuclear accumulation (Phelps et al., 2009). Interestingly, EGFR/RAS signaling leads to FoxM1 activation and nuclear translocation (Ma et al., 2005; Park et al., 2009). The FoxM1–β-catenin signaling axis may underlie these observations.

In unstimulated cells, β-catenin was found as both membrane-bound and cytoplasmic protein. Recently, it was suggested that FoxM1 regulates the level of membrane-bound β-catenin in lung endothelial cells by mediating the transcription of β-catenin mRNA (Mirza et al., 2010). However, this regulation seems to be restricted to endothelial cells but not fibroblasts (Mirza et al., 2010). Consistent with this, we observed that FoxM1 did not affect the total level of β-catenin expression in MEFs, NSCs, 293T cells, or glioma cells. The cytoplasmic pool, but not the membrane-bound pool, of β-catenin rapidly turns over in unstimulated cells, and Wnt stimulation stabilizes the cytoplasmic pool and induces β-catenin nuclear accumulation (Clevers, 2006; Moon et al., 2004). Our results indicate that FoxM1 is important for promoting β-catenin nuclear accumulation.

In the nucleus, β-catenin is recruited to promoters of Wnt target genes through its interaction with TCF/LEF proteins, and the β-catenin–TCF/LEF complex is essential for transcriptional activation of Wnt target genes. Strikingly, we also found that nuclear FoxM1 and β-catenin form a tripartite functional complex with TCF/LEF on Wnt target-gene promoters. FoxM1 and TCF/LEF bind to non-overlapping Arm repeats of β-catenin, which mediates the association between FoxM1 and TCF/LEF. Interestingly, FoxM1 overexpression can activate the TOP-Flash reporter in a β-catenin–TCF/LEF-dependent manner. This transactivation ability is independent of the DNA-binding activity of FoxM1, as a FoxM1 mutant that is incapable of DNA binding can still activate the TOP-Flash reporter and regulate Wnt-target gene expression. Further, we found that association of β-catenin with WREs in chromatin and the binding between β-catenin and TCF4 were decreased upon FoxM1 depletion. Together, these findings suggest that FoxM1 promotes not only β-catenin nuclear accumulation but also the assembly of a FoxM1–β-catenin–TCF/LEF transcription complex on WREs in chromatin, thereby playing a central role in Wnt/β-catenin-dependent transcriptional programs.

FoxM1 has been shown to regulate the cell cycle by binding to promoters of key cell cycle genes (Kalinichenko et al., 2004; Ye et al., 1997). However, since majority of GICs are in the G1 phase under asynchronous condition, and most of the experiments for the effect of FoxM1 on β-catenin nuclear accumulation and activity were performed in these asynchronous cells, we believe it unlikely that the effect of FoxM1 on Wnt/β-catenin signaling is the secondary consequence of the role of FoxM1 in cell cycle. Furthermore, because both FoxM1 and β-catenin knockdowns resulted in a similar G2/M block in GICs when they are synchronized at the G1/S transition, and the FoxM1 DNA-binding mutant and a nuclear-localized β-catenin were each capable of partially rescuing this G2/M block, we further infer that the effect of FoxM1 on the cell cycle is in part mediated by its association with β-catenin. This is consistent with the fact that many target genes of β-catenin signaling have cell cycle regulatory roles.

FoxM1 Regulation and Wnt Signaling

Recent studies show that FoxM1 is aberrantly activated in many human cancers and plays an essential role in tumorigenesis (Kalinichenko et al., 2004; Pilarsky et al., 2004; Yoshida et al., 2007). While our findings link FoxM1 to the Wnt/β-catenin tumorigenic pathway, the mechanism of FoxM1 overexpression in tumors, including GBM, remains unclear. We showed that Wnt3a increases both cytoplasmic and nuclear FoxM1 levels and promotes FoxM1 nuclear accumulation in GBM cells. Others have shown that GBM cells overexpress the Wnt ligands and receptors, such as Wnt3, Wnt6, and Fz9 (Zheng et al., 2010). Thus, FoxM1 behaves similarly to TCF4 and LEF1, which not only mediate but also are targets of Wnt signaling, setting up positive regulatory loops involved in carcinogenesis (MacDonald et al., 2009).

FoxM1-Mediated Wnt/β-Catenin Signaling in GIC Self-Renewal and Glioma Formation

The Wnt signaling pathway is known to be essential for the maintenance of tissue-specific stem cells in some organs, including NSCs (Clevers, 2006; Moon et al., 2004; Nusse, 2008; Zheng et al., 2010). Accordingly, GICs may possess some properties of normal NSCs and be responsible for the initiation of glioma (Lee et al., 2006; Park and Rich, 2009; Singh et al., 2003). We found that FoxM1 regulates β-catenin activation in both NSCs and GICs. Moreover, β-catenin activation is required for GIC self-renewal and tumorigenicity, and FoxM1 plays an essential role in Wnt/β-catenin signaling in the maintenance of GIC self-renewal and glioma formation. These results were supported further by our finding of a strong correlation between elevated nuclear β-catenin and FoxM1 levels in human primary GBM. The role of FoxM1 in Wnt/β-catenin signaling is unlikely to be limited to glioma, because FoxM1 is also essential for intestinal tumorigenesis (Yoshida et al., 2007), which has a well-established association with overactivation of β-catenin signaling (Clevers, 2006).

In summary, our study has revealed that FoxM1 is a critical regulator of Wnt/β-catenin signaling and that FoxM1 overexpression contributes to the up regulation of β-catenin signaling in tumors, such as glioma, in which APC or CTNNB1 mutations are uncommon. Given the importance of FoxM1 and the Wnt/β-catenin signaling pathway in human cancers in general, our findings not only provide an improved understanding of the molecular mechanisms underlying β-catenin activation and tumorigenesis but also suggest additional targets for therapeutic intervention.


Cell Lines and Culture Conditions

The human glioma cell lines (Hs683 and SW1783) and the human embryonic kidney cell line (293T) were obtained from the American Type Culture Collection and cultured in DMEM with 10% FBS. The GIC lines were established by isolating neurosphere-forming cells from surgical specimens of human GBM using the method described previously (Lee et al., 2006). The study was approved by the Institutional Review Board of M.D. Anderson Cancer Center and informed consent was obtained from all subjects. These GIC lines were cultured as GBM neurospheres in DMEM/F12 medium, containing B27 supplement (Invitrogen) and bFGF and EGF (20 ng/ml each).

Time-Lapse Imaging with Confocal Laser-Scanning Microscopes

293T cells were transiently cotransfected with pDsRed-FoxM1 and pCFP-β-catenin. The localization and intensity of FoxM1 and β-catenin were imaged with a confocal imaging system (Olympus FluoView FV1000), with the DsRed and CFP fluorescent proteins activated by laser at 543 and 457 nm, respectively. Fluorescence intensity was quantified with FluoView platform software. Time-lapse plots of relative nuclear fluorescence intensity were produced from the cells treated with Wnt3a.

IF Staining and Confocal Microscopy

GICs were grown on chamber slides precoated with poly-l-ornithine and fibronectin. Cells were fixed with 4% paraformaldehyde, permeabilized for 5 min with PBS containing 0.1% Triton X-100 (PBS-T), quenched with 50 mM NH4Cl in PBS-T, and blocked with 1% BSA in PBS-T. Immunostaining was performed using the appropriate primary and secondary antibodies, and images were acquired using an Olympus FluoView FV1000 confocal microscope.

Intracranial Tumor Assay

All mouse experiments were approved by the Institutional Animal Care and Use Committee of M.D. Anderson. Male athymic BALB/c nude mice were purchased from NCI. Glioma cells were injected intracranially into nude mice as described previously (Liu et al., 2006). Animals were killed when they were moribund; the remaining animals were killed 120 days after glioma-cell injection. Each mouse's brain was harvested, fixed in 4% formaldehyde, and embedded in paraffin. Tumor formation was determined by histologic analysis of H&E-stained sections.

Statistical Analysis

We determined the significance of differences in the human GBM data using Pearson's correlation test, in the in vitro data using Student's t test (two-tailed), and in the in vivo data using the Mann-Whitney U test. p < 0.05 was considered to be significant.


>FoxM1 binds β-catenin and promotes its nuclear localization

>FoxM1 is required for β-catenin activation and the expression of Wnt target genes

>FoxM1 is a downstream component of canonical Wnt signaling pathway

>FoxM1–β-catenin interaction controls Wnt target gene expression and tumorigenesis


The Wnt/β-catenin signaling pathway is aberrantly activated in human cancers and is critical for cancer formation. A key feature of Wnt signaling activation is β-catenin nuclear localization, for which the underlying molecular mechanisms remain elusive. Here we show that FoxM1, which is also activated in most human tumors, is a critical component of Wnt signaling and plays an essential role in regulating β-catenin activation. FoxM1 directly interacts with β-catenin and is necessary and sufficient for its nuclear localization and transcriptional activation in tumor cells. The FoxM1 and β-catenin interaction is a mechanism for controlling canonical Wnt signaling and is required for glioma formation. This interaction provides insights into carcinogenesis and strategies for therapeutic intervention of this important pathway.

Supplementary Material



We thank Bert Vogelstein for pBV-TBE1/2-luc, pBV-TBE1m/2m-luc, and Myc-TCF; Eric R. Fearon for DN-TCF4 and pcDNA3-S33Y β-catenin; Robert A. Weinberg for the PLKO.1-sh-β-catenin lentivirus vector; Robert H. Costa and Pradip Raychaudhuri for FoxM1fl/fl mice; Ganesh Rao for mouse high-grade glioma specimens; and Frederick F. Lang for MD7-2, MD6-27 and mouse GIC neurospheres. We also thank Karen Muller and David Wildrick for editorial comments. This work was supported in part by NCI grants RO1CA157933, RO1CA152309, R21CA152623, and P50-CA-127001 and by Multidisciplinary Research Program grant at M.D. Anderson. H.H. and X.H. are partly supported by RO1GM074241 to X.H., who was a scholar of the Leukemia and Lymphoma Society.


Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.


Supplemental Information includes 5 figures, Supplemental Experimental Procedures and Supplemental References and can be found with this article online.


  • Chenn A, Walsh CA. Regulation of cerebral cortical size by control of cell cycle exit in neural precursors. Science. 2002;297:365–369. [PubMed]
  • Clevers H. Wnt/beta-catenin signaling in development and disease. Cell. 2006;127:469–480. [PubMed]
  • Henderson BR, Fagotto F. The ins and outs of APC and beta-catenin nuclear transport. EMBO Rep. 2002;3:834–839. [PubMed]
  • Hodgson JG, Yeh RF, Ray A, Wang NJ, Smirnov I, Yu M, Hariono S, Silber J, Feiler HS, Gray JW, et al. Comparative analyses of gene copy number and mRNA expression in GBM tumors and GBM xenografts. Neuro Oncol. 2009;11:477–487. [PMC free article] [PubMed]
  • Huang H, He X. Wnt/beta-catenin signaling: new (and old) players and new insights. Curr. Opin. Cell Biol. 2008;20:119–125. [PMC free article] [PubMed]
  • Kalinichenko VV, Major ML, Wang X, Petrovic V, Kuechle J, Yoder HM, Dennewitz MB, Shin B, Datta A, Raychaudhuri P, et al. Foxm1b transcription factor is essential for development of hepatocellular carcinomas and is negatively regulated by the p19ARF tumor suppressor. Genes Dev. 2004;18:830–850. [PubMed]
  • Korver W, Schilham MW, Moerer P, van den Hoff MJ, Dam K, Lamers WH, Medema RH, Clevers H. Uncoupling of S phase and mitosis in cardiomyocytes and hepatocytes lacking the winged-helix transcription factor Trident. Curr. Biol. 1998;8:1327–1330. [PubMed]
  • Lee J, Kotliarova S, Kotliarov Y, Li A, Su Q, Donin NM, Pastorino S, Purow BW, Christopher N, Zhang W, et al. Tumor stem cells derived from glioblastomas cultured in bFGF and EGF more closely mirror the phenotype and genotype of primary tumors than do serum-cultured cell lines. Cancer Cell. 2006;9:391–403. [PubMed]
  • Littler DR, Alvarez-Fernández M, Stein A, Hibbert RG, Heidebrecht T, Aloy P, Medema RH, Perrakis A. Structure of the FoxM1 DNA-recognition domain bound to a promoter sequence. Nucleic Acids Res. 2010;38:4527–4538. [PMC free article] [PubMed]
  • Liu M, Dai B, Kang SH, Ban K, Huang FJ, Lang FF, Aldape KD, Xie TX, Pelloski CE, Xie K, et al. FoxM1B is overexpressed in human glioblastomas and critically regulates the tumorigenicity of glioma cells. Cancer Res. 2006;66:3593–3602. [PubMed]
  • Louis SA, Rietze RL, Deleyrolle L, Wagey RE, Thomas TE, Eaves AC, Reynolds BA. Enumeration of neural stem and progenitor cells in the neural colony-forming cell assay. Stem Cells. 2008;26:988–996. [PubMed]
  • Ma RY, Tong TH, Cheung AM, Tsang AC, Leung WY, Yao KM. Raf/MEK/MAPK signaling stimulates the nuclear translocation and transactivating activity of FOXM1c. J. Cell Sci. 2005;118:795–806. [PubMed]
  • MacDonald BT, Tamai K, He X. Wnt/beta-catenin signaling: components, mechanisms, and diseases. Dev. Cell. 2009;17:9–26. [PMC free article] [PubMed]
  • Mirza MK, Sun Y, Zhao YD, Potula H, Frey RS, Vogel SM, Malik AB, Zhao YY. FoxM1 regulates re-annealing of endothelial adherens junctions through transcriptional control of β-catenin expression. J. Exp. Med. 2010;207:1675–1685. [PMC free article] [PubMed]
  • Moon RT, Kohn AD, De Ferrari GV, Kaykas A. WNT and β-catenin signalling: diseases and therapies. Nat. Rev. Genet. 2004;5:691–701. [PubMed]
  • Nusse R. Wnt signaling and stem cell control. Cell Res. 2008;18:523–527. [PubMed]
  • Paraf F, Jothy S, Van Meir EG. Brain tumor-polyposis syndrome: two genetic diseases? J. Clin. Oncol. 1997;15:2744–2758. [PubMed]
  • Park DM, Rich JN. Biology of glioma cancer stem cells. Mol. Cells. 2009;28:7–12. [PubMed]
  • Park HJ, Carr JR, Wang Z, Nogueira V, Hay N, Tyner AL, Lau LF, Costa RH, Raychaudhuri P. FoxM1, a critical regulator of oxidative stress during oncogenesis. EMBO J. 2009;28:2908–2918. [PubMed]
  • Phelps RA, Chidester S, Dehghanizadeh S, Phelps J, Sandoval IT, Rai K, Broadbent T, Sarkar S, Burt RW, Jones DA. A two-step model for colon adenoma initiation and progression caused by APC loss. Cell. 2009;137:623–634. [PMC free article] [PubMed]
  • Pilarsky C, Wenzig M, Specht T, Saeger HD, Grützmann R. Identification and validation of commonly overexpressed genes in solid tumors by comparison of microarray data. Neoplasia. 2004;6:744–750. [PMC free article] [PubMed]
  • Polakis P. Wnt signaling and cancer. Genes Dev. 2000;14:1837–1851. [PubMed]
  • Singh SK, Clarke ID, Terasaki M, Bonn VE, Hawkins C, Squire J, Dirks PB. Identification of a cancer stem cell in human brain tumors. Cancer Res. 2003;63:5821–5828. [PubMed]
  • Townsley FM, Cliffe A, Bienz M. Pygopus and Legless target Armadillo/beta-catenin to the nucleus to enable its transcriptional co-activator function. Nat. Cell Biol. 2004;6:626–633. [PubMed]
  • Ye H, Kelly TF, Samadani U, Lim L, Rubio S, Overdier DG, Roebuck KA, Costa RH. Hepatocyte nuclear factor 3/fork head homolog 11 is expressed in proliferating epithelial and mesenchymal cells of embryonic and adult tissues. Mol. Cell. Biol. 1997;17:1626–1641. [PMC free article] [PubMed]
  • Yoshida Y, Wang IC, Yoder HM, Davidson NO, Costa RH. The forkhead box M1 transcription factor contributes to the development and growth of mouse colorectal cancer. Gastroenterology. 2007;132:1420–1431. [PubMed]
  • Zheng HW, Ying HQ, Wiedemeyer R, Yan HY, Quayle SN, Ivanova EV, Paik J, Zhang HL, Xiao YH, Perry SR, et al. PLAGL2 regulates Wnt signaling to impede differentiation in neural stem cells and glioma. Cancer Cell. 2010;17:497–509. [PMC free article] [PubMed]