CCN5/WISP-2 is an anti-invasive molecule and prevents breast cancer (BC)
progression. However, it is not well understood how CCN5 prevents invasive phenotypes
of BC cells. CCN5 protein expression is detected in estrogen receptor-α
(ER-α) -positive normal breast epithelial cells as well as BC cells, which are
weakly invasive and rarely metastasize depending on the functional status of
ER-α. A unique molecular relation between CCN5 and ER-α has been
established as the components of the same signaling pathway that coordinate some
essential signals associated with the proliferation as well as delaying the disease
progression from a non-invasive to invasive phenotypes. Given the importance of this
connection, we determined the role of CCN5 in regulation of ER-α in different
cellular settings and their functional relationship. In a genetically engineered
mouse model, induced expression of CCN5 in the mammary ductal epithelial cells by
doxycycline promotes ER-α expression. Similarly, CCN5 regulates ER-α
expression and activity in normal and neoplastic breast cells, as documented in
various in vitro settings such as mouse mammary gland culture, human mammary
epithelial cell and different BC cell cultures in the presence or absence of human
recombinant CCN5 (hrCCN5) protein. Mechanistically, at least in the BC cells, CCN5 is
sufficient to induce ER-α expression at the transcription level via interacting
with integrins-α6β1 and suppressing Akt followed by activation of FOXO3a.
Moreover, in vitro and in vivo functional assays indicate that CCN5
treatment promotes response to tamoxifen in triple-negative BC (TNBC) cells possibly
via restoring ER-α. Collectively, these studies implicates that the combination
treatments of CCN5 (via activation of CCN5 or hrCCN5 treatment) and tamoxifen as
potential therapies for TNBC.