LEF1 is highly overexpressed and associated with disease progression and poor prognosis in
B-cell chronic lymphocytic leukemia and other kinds of malignancies like
colorectal cancer. It is also a promising potential drug target. Part of the capabilities of the LEF1 family of genes to be implicated in cancer growth is their ability to regulate the
epithelial-mesenchymal transition (EMT) process, a cellular pathway by which the inhibition of genes responsible for producing adhesive properties and for polarizing the cell occurs. Though it can be activated independently of β-catenin, much of its effects result from the activation of this protein. When activated by β-catenin, LEF-1 transcription is upregulated and induces the inhibition of the genes which code for polarizing and adhesive properties of the cells. As a result of this LEF/β-catenin-induced
inhibition, biochemical transformations take place that allow for heightened migratory and invasive capabilities, increased resistance to
apoptosis, and the increased production of components of the
extracellular matrix (ECM). Once the LEF1 cells have gained these properties and take on the form of
mesenchymal stem cells, they are able to migrate away from their initial sources of attachment and this is when they can begin to exert their cancerous effects. LEF1 has gained much notability recently for its prevalence in many cancerous pathologies, but even with this increased focus on the mechanisms by which LEF1 and the families of genes it is associated with, many of its downstream effects have not been fully elucidated. As a result, studies are continuing to be published surrounding the LEF1 family of genes, in order to fully expound upon its mechanism of action.
Expression in cancer LEF1 is highly overexpressed and associated with disease progression and poor prognosis in
B-cell chronic lymphocytic leukemia Many of these studies have proven effective in diminishing the growth, migration and invasion rates of
tumorigenic cancer cells.
Drug inhibition The investigation of the role of LEF1 in regards to aging is of extreme importance, as more effective and longevity based therapeutic interventions could be developed that target LEF1 and associated genes, in order to provide a means of minimizing the effects of age-related pathologies and increasing life span for those who are already at higher risk for other age-related comorbidities. The dysregulation of LEF1 has been shown to be highly correlated with the β-catenin binding domain, leading many researchers to consider the downstream effects of knocking out this binding domain and investigating the subsequent effects. The research has revealed that knocking out this domain downregulates the expression the protein products of the LEF1 gene, and as a result, curtailing many of the deleterious effects rapid LEF1 proliferation and migration can have. In fact, LEF1 silencing in cases of colorectal cancer has been demonstrated to increase the sensitivity of colorectal cancer cells to a number of
Platinum-based drugs, including
oxaliplatin,
5-FU and
irinotecan. These Pt-based drugs act by inhibiting the synthesis of DNA molecules and covalently modifying molecules by forming
DNA adducts. In turn, these drugs are able to promote apoptosis in the cancerous cells. Different isoforms of the LEF1 gene, including the long-form and the short-isoform/truncated dominant negative form (dnLEF1), have been shown to have differential effects on the pathology of colorectal cancer, although higher levels of activation in the Wnt/β-catenin signaling pathway in general are correlated with increased cancer stem cell properties in
murine tumors. These associations have far reaching implications in regards to the fields of cancer biology and
medicine in general, as the enhanced sensitivity of cancer cells to
chemotherapeutic agents upon inhibition of the LEF1 family and the corresponding
TCF-1, TCF-2, TCF-3 and TCF-4 genes, allows for the development of more drugs that can target the inhibition of this specific pathway and lower the
morbidity and
mortality rates for a diverse range of cancerous pathologies. == Interactions ==