# The Role of FOXCI in Basal-like Breast Cancer

> **NIH NIH R01** · CEDARS-SINAI MEDICAL CENTER · 2021 · $415,625

## Abstract

Abstract
Basal-like breast cancer (BLBC) consistently expresses genes typical of normal basal/myoepithelial cells of the
breast and comprises up to 25% of all breast cancer. It is associated with aggressive clinical behavior and a
high rate of metastasis to the lung. The organ-preferential metastasis of BLBC is poorly understood. Of note,
the vast majority of breast tumors arising in BRCA1 mutation carriers display a basal-like phenotype. Little is
currently known about the molecular basis of the tissue and subtype-specific features of BRCA1-mutant breast
cancer. We found that the transcription factor FOXC1 is exclusively induced in BLBC including BRCA1-mutant
breast cancer and correlates with poor clinical outcome. It regulates breast cancer cell function by inducing NF-
κB and other cancer-associated signaling pathways. Its overexpression in the mouse mammary gland
increases the luminal progenitor population, which is postulated to be the cell of origin of BRCA1-mutant breast
cancer. We also found that FOXC1 and its targets CXCL1, 2, and 8 chemokines are essential for BLBC lung
metastasis. These chemokines act in concert with lung fibroblasts to induce endothelial cell migration in vitro.
We therefore hypothesize that FOXC1 counteracts the detrimental effects of BRCA1 mutations in breast cells
and plays a critical role in basal-like BRCA1-mutant breast cancer development. In addition, we hypothesize
that the chemokines CXCL1, 2, and 8 mediate the effect of FOXC1 on BLBC lung metastasis by engaging lung
fibroblasts to induce angiogenesis. In Aim 1, we will determine the role of FOXC1 in the development of
BRCA1-mutant breast cancer with the basal-like phenotype. BRCA1-mutant breast cancer cell models will be
used to test whether FOXC1 signaling pathways regulate cell function and counteracts the increase of reactive
oxygen species in breast epithelial cells with BRCA1 mutations or deficiency. We will determine whether
FOXC1 regulates mammary tumorigenesis in BRCA1-mutant xenograft models and a mammary-specific
BRCA1-deficient mouse model. In Aim 2, we will define a FOXC1/chemokine-mediated mechanism for BLBC
lung metastasis. Tail vein injection mouse models will be used to investigate whether the FOXC1-induced
chemokines promote the proliferation and survival of metastatic breast cancer cells in the lung tissue
microenvironment. We will determine whether FOXC1 overexpression in BLBC leads to increased
angiogenesis in lung metastases mediated by chemokine-directed crosstalk between metastatic breast cancer
cells and lung fibroblasts. We will further investigate the mechanism whereby FOXC1 regulates the three
chemokines in BLBC cells. Basal-like BRCA1-mutant breast cancer development and BLBC metastasis are
poorly understood areas that are of paramount importance in breast cancer. Our results will shed light on their
biological basis and will lay down a foundation for new approaches that can prevent and treat FOXC1-
overexpressing breast cancer.

## Key facts

- **NIH application ID:** 10083191
- **Project number:** 5R01CA151610-09
- **Recipient organization:** CEDARS-SINAI MEDICAL CENTER
- **Principal Investigator:** Xiaojiang Cui
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2021
- **Award amount:** $415,625
- **Award type:** 5
- **Project period:** 2011-02-14 → 2023-01-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10083191

## Citation

> US National Institutes of Health, RePORTER application 10083191, The Role of FOXCI in Basal-like Breast Cancer (5R01CA151610-09). Retrieved via AI Analytics 2026-05-22 from https://api.ai-analytics.org/grant/nih/10083191. Licensed CC0.

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