A hormetic transcriptional program coregulates invasion, proliferation and dormancy to define metastatic potential

Metastasis remains the leading cause of cancer mortality, yet the factors that determine metastatic competence and the timing of its acquisition are not well understood. Using human breast cancer cohorts and multi-omics in preclinical models, here we show that cells exit the primary tumor with pre-set metastatic potential. Integrating spatial transcriptomics with single-cell gene expression and chromatin profiles, we identify the transcription factor Prrx1 as a master regulator of dissemination: beyond its known role in invasion, it represses proliferation by acting on cyclins and cell-cycle inhibitors (Ccnd1/2, Cdkn2a/b/c) and activates a dormancy program (Gas6, Mme, Ogn). Intermediate Prrx1 levels optimize the trade-off between invasion and proliferation/dormancy, producing a hormetic (nonlinear) relationship between Prrx1 expression and metastatic burden. Combined invasion and proliferation signatures strongly stratify breast cancer prognosis, underscoring the clinical relevance of this phenotypic interplay. These findings indicate that metastatic competence emerges from the integration of Prrx1 co-regulated molecular programs, explaining why some invasive cells enter dormancy while others resume growth.

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Publication Details

Journal
Nature Communications
Published
2026-03-04
DOI
https://doi.org/10.1038/s41467-026-70242-4
Primary Topic
Cancer Cells and Metastasis
Type
article
Field-Weighted Citation Impact
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article

A hormetic transcriptional program coregulates invasion, proliferation and dormancy to define metastatic potential

Moreno‐Bueno Gema, Berta López Sánchez-Laorden, Nitin Narwade, Khalil Kass Youssef et al.
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Cancer Cells and Metastasis
article

A hormetic transcriptional program coregulates invasion, proliferation and dormancy to define metastatic potential

Moreno‐Bueno Gema, Berta López Sánchez-Laorden, Nitin Narwade, Khalil Kass Youssef, Joan Galcerán, Raúl Jiménez-Castaño, M. Angela Nieto
article en

Abstract

Metastasis remains the leading cause of cancer mortality, yet the factors that determine metastatic competence and the timing of its acquisition are not well understood. Using human breast cancer cohorts and multi-omics in preclinical models, here we show that cells exit the primary tumor with pre-set metastatic potential. Integrating spatial transcriptomics with single-cell gene expression and chromatin profiles, we identify the transcription factor Prrx1 as a master regulator of dissemination: beyond its known role in invasion, it represses proliferation by acting on cyclins and cell-cycle inhibitors (Ccnd1/2, Cdkn2a/b/c) and activates a dormancy program (Gas6, Mme, Ogn). Intermediate Prrx1 levels optimize the trade-off between invasion and proliferation/dormancy, producing a hormetic (nonlinear) relationship between Prrx1 expression and metastatic burden. Combined invasion and proliferation signatures strongly stratify breast cancer prognosis, underscoring the clinical relevance of this phenotypic interplay. These findings indicate that metastatic competence emerges from the integration of Prrx1 co-regulated molecular programs, explaining why some invasive cells enter dormancy while others resume growth.

Nature Communications
Instituto de Neurociencias (ES), Instituto de Investigaciones Biomédicas Sols-Morreale (ES), Instituto Ramón y Cajal de Investigación Sanitaria (ES), Centro de Investigación Biomédica en Red de Cáncer (ES), MD Anderson Cancer Center Madrid (ES), Universidad Autónoma de Madrid (ES)
Good health and well-being
Openalex Percentile: Top 33%
Cancer Cells and Metastasis
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