- Engelsen, Agnete ST;
- Wnuk-Lipinska, Katarzyna;
- Bougnaud, Sebastien;
- Vatter, Fanny A Pelissier;
- Tiron, Crina;
- Villadsen, René;
- Miyano, Masaru;
- Lotsberg, Maria L;
- Madeleine, Noëlly;
- Panahandeh, Pouda;
- Dhakal, Sushil;
- Tan, Tuan Zea;
- Peters, Stacey D’mello;
- Grøndal, Sturla;
- Aziz, Sura M;
- Nord, Silje;
- Herfindal, Lars;
- Stampfer, Martha R;
- Sørlie, Therese;
- Brekken, Rolf A;
- Straume, Oddbjørn;
- Halberg, Nils;
- Gausdal, Gro;
- Thiery, Jean Paul;
- Akslen, Lars A;
- Petersen, Ole W;
- LaBarge, Mark A;
- Lorens, James B
The receptor tyrosine kinase AXL is associated with epithelial plasticity in several solid tumors including breast cancer and AXL-targeting agents are currently in clinical trials. We hypothesized that AXL is a driver of stemness traits in cancer by co-option of a regulatory function normally reserved for stem cells. AXL-expressing cells in human mammary epithelial ducts co-expressed markers associated with multipotency, and AXL inhibition abolished colony formation and self-maintenance activities while promoting terminal differentiation in vitro. Axl-null mice did not exhibit a strong developmental phenotype, but enrichment of Axl + cells was required for mouse mammary gland reconstitution upon transplantation, and Axl-null mice had reduced incidence of Wnt1-driven mammary tumors. An AXL-dependent gene signature is a feature of transcriptomes in basal breast cancers and reduced patient survival irrespective of subtype. Our interpretation is that AXL regulates access to epithelial plasticity programs in MaSCs and, when co-opted, maintains acquired stemness in breast cancer cells.