Forkhead box protein A1 (FOXA1), also known as hepatocyte nuclear factor 3-alpha (HNF-3A), is a
protein that in humans is encoded by the FOXA1gene.[5][6][7]
Function
FOXA1 is a
pioneer factor, a
transcription factor that directly binds condensed
chromatin, facilitating the binding of other transcription factors.[8] In prostate cells, FOXA1 interacts with the
androgen receptor (AR) to drive transcription of prostate-specific genes.[8]
FOXA1 is a member of the
forkhead class of DNA-binding proteins. Similar family members in mice have roles in the regulation of metabolism and in the differentiation of the pancreas and liver.[5]
Structure
FOXA1 is a member of the forkhead domain transcription factor family. The forkhead domain is essential for its DNA-binding function, and consists of three
alpha helices, three
beta strands, and two loops (called "wings"). The domain binds along the DNA
major groove and the wings directly contact the DNA.[9]
Marker in breast cancer
FOXA1 in
breast cancer is highly correlated with
ERα+,
GATA3+, and
PR+protein expression as well as
endocrine signaling. FOXA1 acts as a
pioneer factor for ERa in ERα+ breast cancer, and its expression might identify ERα+ cancers that undergo rapid reprogramming of ERa signaling that is associated with poor outcomes and treatment resistance.[10] Conversely, in ERα− breast cancer FOXA1 is highly correlated with low-grade morphology and improved disease free survival. FOXA1 is a downstream target of
GATA3 in the mammary gland.[11] Expression in ERα− cancers may identify a subset of tumors that is responsive to other endocrine therapies such as
androgen receptor antagonist treatment.[12][13]
Role in cancer
FOXA1 is one of the most frequently altered genes in prostate cancer, with mutations in the coding sequence of up to 9% of localized prostate cancer cases, and 13% of metastatic treatment-resistant prostate cancers.[8] Most cancer-associated FOXA1 mutations are
missense mutations, changing the
amino acid sequence of the
fork head domain's DNA-binding sites.[8]
Expression of FOXA1 correlates with two
EMT markers, namely
Twist1 and
E-cadherin in breast cancer.[14]
^Bingle CD, Gowan S (June 1996). "Molecular cloning of the forkhead transcription factor HNF-3 alpha from a human pulmonary adenocarcinoma cell line". Biochimica et Biophysica Acta (BBA) - Gene Structure and Expression. 1307 (1): 17–20.
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10.1016/0167-4781(96)00058-9.
PMID8652662.
^Mincheva A, Lichter P, Schütz G, Kaestner KH (February 1997). "Assignment of the human genes for hepatocyte nuclear factor 3-alpha, -beta, and -gamma (HNF3A, HNF3B, HNF3G) to 14q12-q13, 20p11, and 19q13.2-q13.4". Genomics. 39 (3): 417–419.
doi:
10.1006/geno.1996.4477.
PMID9119385.
^BenAyed-Guerfali D, Dabbèche-Bouricha E, Ayadi W, Trifa F, Charfi S, Khabir A, et al. (June 2019). "Association of FOXA1 and EMT markers (Twist1 and E-cadherin) in breast cancer". Molecular Biology Reports. 46 (3): 3247–3255.
doi:
10.1007/s11033-019-04784-w.
PMID30941644.
S2CID91190545.