ETV4 collaborates with Wnt/β-catenin signaling to alter cell cycle activity and promote tumor aggressiveness in gastrointestinal stromal tumor

Shan Zeng, Adrian M. Seifert, Jennifer Q. Zhang, Teresa S. Kim, Timothy G. Bowler, Michael J. Cavnar, Benjamin D. Medina, Gerardo A. Vitiello, Ferdinand Rossi, Jennifer K. Loo, Nesteene J. Param, Ronald P. DeMatteo

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Gastrointestinal stromal tumor (GIST) is the most common sarcoma, often resulting from a KIT or platelet-derived growth factor receptor alpha (PDGFRA) mutation. The lineage transcription factor ETV1 is expressed similarly in GISTs regardless of malignant potential. Although the related transcription factor ETV4 has been associated with metastasis and tumor progression in other cancers, its role in GIST is unknown. In this study, we found that ETV4 levels were high in a subset of human GISTs and correlated with high mitotic rate. Through Gene Set Enrichment Analysis in selected human GISTs, we identified a relationship between ETV4 levels and β-catenin signaling, especially in advanced GISTs. GIST specimens with high ETV4 levels overexpressed cell cycle regulating genes and had aberrant activation of the canonical Wnt pathway. In human GIST cell lines, ETV4 RNA interference suppressed cell cycle genes and Wnt/β-catenin signaling. ETV4 knockdown also reduced tumor cell proliferation, invasion, and tumor growth in vivo. Conversely, ETV4 overexpression increased cyclin D1 expression and Wnt/β-catenin signaling. Moreover, we determined that ETV4 knockdown destabilized nuclear β-catenin and increased its degradation via COP1, an E3 ligase involved in both ETV4 and β-catenin turnover. Aberrant accumulation of ETV4 and nuclear β-catenin was found in patient derived xenografts created from metastatic GISTs that became resistant to tyrosine kinase inhibitors. Collectively, our findings highlight the significance of ETV4 expression in GIST and identify ETV4 as a biomarker in human GISTs.

Original languageEnglish
Pages (from-to)114195-114209
Number of pages15
Issue number69
StatePublished - 2017

Bibliographical note

Funding Information:
This work was supported by NIH grants R01 CA102613 and T32 CA09501, Betsy Levine-Brown and Marc Brown, David and Monica Gorin, and the Stephanie and Fred Shuman through the Windmill Lane Foundation (RP DeMatteo); GIST Cancer Research Fund (RP DeMatteo); F32 CA162721 and the Claude E. Welch Fellowship fromthe Massachusetts General Hospital (TS Kim); F32CA186534 (JQ Zhang).

Publisher Copyright:
© Zeng et al.


  • ETV4
  • Gastrointestinal stromal tumor
  • Wnt/β-catenin signaling

ASJC Scopus subject areas

  • Oncology


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