Stem Cell Lineage Infidelity Drives Wound Repair and Cancer

Yejing Ge, Nicholas C. Gomez, Rene C. Adam, Maria Nikolova, Hanseul Yang, Akanksha Verma, Catherine Pei Ju Lu, Lisa Polak, Shaopeng Yuan, Olivier Elemento, Elaine Fuchs

Research output: Contribution to journalArticlepeer-review

221 Scopus citations

Abstract

Tissue stem cells contribute to tissue regeneration and wound repair through cellular programs that can be hijacked by cancer cells. Here, we investigate such a phenomenon in skin, where during homeostasis, stem cells of the epidermis and hair follicle fuel their respective tissues. We find that breakdown of stem cell lineage confinement—granting privileges associated with both fates—is not only hallmark but also functional in cancer development. We show that lineage plasticity is critical in wound repair, where it operates transiently to redirect fates. Investigating mechanism, we discover that irrespective of cellular origin, lineage infidelity occurs in wounding when stress-responsive enhancers become activated and override homeostatic enhancers that govern lineage specificity. In cancer, stress-responsive transcription factor levels rise, causing lineage commanders to reach excess. When lineage and stress factors collaborate, they activate oncogenic enhancers that distinguish cancers from wounds.

Original languageEnglish (US)
Pages (from-to)636-650.e14
JournalCell
Volume169
Issue number4
DOIs
StatePublished - May 4 2017
Externally publishedYes

Keywords

  • cancer
  • epigenetics
  • lineage infidelity
  • regeneration
  • skin
  • stem cells
  • stress response
  • super-enhancers
  • transcriptional regulation
  • wound repair

ASJC Scopus subject areas

  • General Biochemistry, Genetics and Molecular Biology

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