Abstract 2106: Twist1 regulates keratinocyte stem cell proliferation and migration and is required for skin tumor formation

Twist1 is a basic helix-loop-helix transcription factor and is known to play a role in tumor progression through regulation of genes involved in epithelial-mesenchymal transition. Twist1 is a known transcriptional target of signal transducer and activator of transcription-3 (Stat3). In previous studies, Stat3 was shown to play a role in skin tumor progression in the two-stage skin carcinogenesis model, at least in part, by regulating the levels of Twist1. Recent studies using keratinocyte-specific knockout (KO) of Twist1 indicate that Twist1 regulates keratinocyte proliferation during skin tumor promotion. Western blot analysis of lysates from both Twist1 deficient mouse primary keratinocytes and from epidermis isolated from BK5.Cre x Twist1flox/flox mice indicated that Twist1 KO leads to reduced levels of the cell cycle proteins Cyclin E1, E2F1, and Cdk2 and increased expression of p21 following treatment with 12-O-tetradecanoylphorbol-13-acetate (TPA). ChIP analysis of epidermal lysates from BK5.Cre x Twist1flox/flox mice revealed that Twist1 bound to the promoter regions of Cyclin E1, E2F1, and c-Myc, indicating direct transcriptional regulation of these cell cycle regulators. Moreover, Twist1 KO in keratinocytes impeded cell cycle progression by reducing the number of cells that advanced to S-phase. Further analyses have demonstrated that deletion of Twist1 either in primary keratinocytes or in vivo leads to an upregulation of p53, which is responsible for the increased expression of p21 observed in these cells. Keratinocyte specific deletion of Twist1 in vivo suppressed epidermal proliferation induced by TPA treatment compared to that observed in wild-type (WT) mice. To further characterize the potential role of Twist1 during epithelial carcinogenesis, we analyzed the impact of Twist1 deletion in vivo on bulge region keratinocyte stem cells (KSCs). Keratinocyte specific deletion of Twist1 in vivo led to a significant reduction in the number of label-retaining cells as well as the number of α6-integrin+/CD34+ cells in the hair follicles of untreated mice. An ongoing two-stage skin carcinogenesis experiment shows that BK5.Cre x Twist1flox/flox mice have significantly reduced tumor development as observed by decreased tumor multiplicity and delayed latency compared WT mice. Furthermore, tumors that developed in BK5.Cre x Twist1flox/flox mice have significantly reduced size compared to tumors on WT mice. Collectively, these findings suggest that Twist1 has a novel role in epithelial carcinogenesis by regulating proliferation and migration of keratinocytes and KSCs. Research supported by RP140108, CA76520, and T32 ES007247. Citation Format: Jaya Srivastava, Okkyung Rho, John DiGiovanni. Twist1 regulates keratinocyte stem cell proliferation and migration and is required for skin tumor formation. [abstract]. In: Proceedings of the 106th Annual Meeting of the American Association for Cancer Research; 2015 Apr 18-22; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Res 2015;75(15 Suppl):Abstract nr 2106. doi:10.1158/1538-7445.AM2015-2106