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Gene & Protein in Disease                                      The roles and mechanisms of ETS1 in diseases



            a key molecular switch for EndMT to target the onset of   the potential invasion of cancer cells by directing the
            MS .                                               overexpression of matrix metalloproteinases (MMPs).
               [33]
                                                               Nazir et al. demonstrated that the transfection of breast
            4. Effect and mechanisms of ETS1 in cancers        cancer  cell  lines with  ETS1  siRNA  resulted  in notable
            4.1. Expression of ETS1 in cancers                 decreases in both ETS1 and MMP-9. In addition, the
                                                               knockdown of  ETS1 not only attenuated the invasive
            Current research shows that ETS1 is highly expressed in   potential of cancer cells but also induced alterations in the
            various types of cancer cells, such as colorectal cancer,   expression of epithelial-mesenchymal transition  (EMT)
            breast cancer, and endometrial cancer cells, and is related   markers .
                                                                     [42]
            to poor differentiation,  high potential  invasion, high
            angiogenesis activity, and increased risk of lymph node   The correlation between ETS1 and MMP synthesis has
            transition . However, the specific molecular mechanism   also been confirmed in a range of cancer types, including
                    [9]
            by which ETS1 operates in the context of cancer remains   pancreatic cancer, colon cancer prostate cancer, and
            unclear,  pending  further  in-depth  exploration  and   ovarian cancer cells. Multiple signals converge into ETS1 to
            comprehensive elucidation.                         increase the production of MMP. Within pancreatic cancer
                                                               cells, the presence of prostaglandin E2 triggers ETS1-driven
              Several investigations have shown that ETS1 promotes   upregulation of MMP2 expression . In colon cancer cells,
                                                                                          [43]
            the development of breast cancer, although the molecular   the activation of β6 integrin enhances the ETS1-mediated
            mechanism underlying this finding remains obscure [34-36] .   expression of both MMP3 and MMP9 . In ovarian cancer
                                                                                             [44]
            In addition, a recent study indicated that inducing   cells, glycogen synthase kinase-3β (GSK3β) mediates ETS1
            ferroptosis in breast cancer through ETS1 degradation   phosphorylation, promotes the progression of ovarian
            facilitates the promotion of the ETS1-SYVN1 interaction   cancer, induces transcriptional activation of MMP9,
            by sculponeatin A . Breast cancer cells can promote   and increases cell migration. GSK3β inhibitors have
                           [37]
            endothelial cell morphogenesis  in a  paracrine  manner   been demonstrated  in vivo to inhibit endogenous ETS1
            and physically connect with endothelial cells since ETS1   expression and induce MMP9 expression .
                                                                                                [45]
                                                        [38]
            is a critical regulator of their angiogenic potential .
            Furthermore, differential regulation of ETS1 isoforms   4.3. ETS1 and phosphorylation in cancers
            (fl-ETS1  and  DeltaVII-ETS1)  can  affect  lymphoid   The Ras/Raf/MEK/ERK1/2 pathway plays a crucial role in
            maturation and homeostasis, and these isoforms exhibit                                         [46]
            significant differences in DNA binding, transcriptional   modulating ETS1 activity at the posttranslational level .
            target  specificity,  and  protein-protein  interactions .  In   The activation of these pathways can lead to N-terminal
                                                      [8]
            cancer, the balance between fl-ETS1 and DeltaVII-ETS1   phosphorylation of the ETS1 protein at threonine 38 and
                                                                                    [47]
            is disrupted. For example, it has been found that a big   super activation of ETS1 . The expression of ETS1 in
            majority of MDA-MB-231 breast cancer cells have a high   the biopsy samples of human breast cancer is correlated
            expression of fl-ETS1, and only 10% of these cells exhibit   with the level of phosphorylated Raf, suggesting that the
            concomitant expression of DeltaVII-ETS1 . However,   over activation of ETS1 contributes to the progression of
                                               [39]
                                                                         [48]
            in some cases, the high expression of ETS1 may have an   breast cancer . This association underscores the potential
            inhibitory effect on breast cancer. Furlan et al. revealed that   significance of ETS1 in the context of breast cancer
            ETS1 not only promotes malignant tumors by endowing   pathogenesis.
            them with invasive features but also weakens the growth of   The  poor  prognosis  of  human  ovarian  cancer  is
            breast tumor cells, thus presenting contrasting capabilities   possibly  accounted  for  by  the  enhanced  expression  of
            to promote metastasis and to inhibit the growth of primary   ETS1. Tomar et al. made a significant discovery that ETS1
            tumors . Recently, Kim et al. reported that ETS1 not only   acts  as a  vital  transcription factor triggered  in ovarian
                  [40]
            directly activates downstream targets related to tumor   cancer cells by the surrounding microenvironment and
            cell proliferation and growth, but also activates additional   facilitates metastatic colonization by orchestrating the
            tumor  suppressor  genes,  such  as  ADAMTS9,  TXNIP,   transcriptional upregulation of its target FAK . The
                                                                                                       [49]
            STAT5A, and NOTCH1, through transactivation .      serotonin-rich region (SRR) in ETS1 can automatically
                                                  [41]
                                                               inhibit its ability to bind DNA. The ability of SRR to inhibit
            4.2. ETS1 and matrix metalloproteinases in cancer  inflammation has been found to be significantly improved
            The specific way in which the highly expressed ETS1 gene   by phosphorylation . However, the molecular processes
                                                                               [50]
            promotes  the  development  of  cancer  cells  has  not been   that control the regulation of ETS1 structure and activity
            elucidated, but a large number of studies have shown   by phosphorylation remain to be elucidated. Nevertheless,
            that ETS1, along with other ETS proteins, facilitates   a study by Ning et al. has elucidated the reasons for the


            Volume 2 Issue 4 (2023)                         4                        https://doi.org/10.36922/gpd.2141
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