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KLF4 is a tumor suppressor in anaplastic meningioma stem-like cells and human meningiomas Free
Hailiang Tang1,†, Hongda Zhu1,†, Xuanchun Wang2,†, Lingyang Hua1, Jingrun Li1, Qing Xie1, Xiancheng Chen1, Tao Zhang3,*, and Ye Gong1,*
1Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai 200040, China
2Department of Endocrinology, Huashan Hospital, Fudan University, Shanghai 200040, China
3Department of Laboratory Medicine, Huashan Hospital, Fudan University, Shanghai 200040, China
These authors contributed equally to this work. *Correspondence to:Tao Zhang, E-mail: shmuzt@126.com; Ye Gong, E-mail: drgongye@163.com
J Mol Cell Biol, Volume 9, Issue 4, August 2017, 315-324,  https://doi.org/10.1093/jmcb/mjx023
Keyword: anaplastic meningioma, KLF4, tumor suppressor, cancer stem-like cells, stemness maintenance

Meningiomas are the most common primary tumors in central nervous system. While recent studies have revealed genetic clues to lower grade human meningiomas, the molecular determinants driving the progression and recurrence of anaplastic meningioma, the most malignant subtype with a low prevalence but high morbidity, are still poorly understood. It has been proposed that high recurrence rates of malignant meningiomas are linked to cancer stem cells. Indeed, tumor stem-like cells have been isolated from various meningioma subtypes, but never been obtained from anaplastic meningioma. In this study, we successfully isolated stem-like cells from human anaplastic meningioma. These cells are capable of forming spheres and initiating xenograft tumors that recapitulate anaplastic meningioma phenotypes, and thus could serve as an in vitro model for malignant meningiomas. KLF4, a transcription factor known for its role in stemness maintenance, was identified as one of the most frequently mutated genes in the benign secretory meningioma. Interestingly, we found that KLF4 is downregulated in anaplastic meningioma compared with low-grade meningioma subtypes. By manipulating KLF4 expression in anaplastic meningioma stem-like cells, we demonstrated that KLF4 acts as a tumor suppressor during malignant progression in meningioma, affecting apoptosis, proliferation, invasion, and cell cycle. These results suggest a potential therapeutic value of KLF4 for clinical intervention of anaplastic meningioma.