RT Journal Article T1 Fat1 deletion promotes hybrid EMT state, tumour stemness and metastasis. A1 Pastushenko, Ievgenia A1 Mauri, Federico A1 Song, Yura A1 de Cock, Florian A1 Meeusen, Bob A1 Swedlund, Benjamin A1 Impens, Francis A1 Van Haver, Delphi A1 Opitz, Matthieu A1 Thery, Manuel A1 Bareche, Yacine A1 Lapouge, Gaelle A1 Vermeersch, Marjorie A1 Van Eycke, Yves-Rémi A1 Balsat, Cédric A1 Decaestecker, Christine A1 Sokolow, Youri A1 Hassid, Sergio A1 Perez-Bustillo, Alicia A1 Agreda-Moreno, Beatriz A1 Rios-Buceta, Luis A1 Jaen, Pedro A1 Redondo, Pedro A1 Sieira-Gil, Ramon A1 Millan-Cayetano, Jose F A1 Sanmatrtin, Onofre A1 D'Haene, Nicky A1 Moers, Virginie A1 Rozzi, Milena A1 Blondeau, Jeremy A1 Lemaire, Sophie A1 Scozzaro, Samuel A1 Janssens, Veerle A1 De Troya, Magdalena A1 Dubois, Christine A1 Pérez-Morga, David A1 Salmon, Isabelle A1 Sotiriou, Christos A1 Helmbacher, Francoise A1 Blanpain, Cédric AB FAT1, which encodes a protocadherin, is one of the most frequently mutated genes in human cancers1-5. However, the role and the molecular mechanisms by which FAT1 mutations control tumour initiation and progression are poorly understood. Here, using mouse models of skin squamous cell carcinoma and lung tumours, we found that deletion of Fat1 accelerates tumour initiation and malignant progression and promotes a hybrid epithelial-to-mesenchymal transition (EMT) phenotype. We also found this hybrid EMT state in FAT1-mutated human squamous cell carcinomas. Skin squamous cell carcinomas in which Fat1 was deleted presented increased tumour stemness and spontaneous metastasis. We performed transcriptional and chromatin profiling combined with proteomic analyses and mechanistic studies, which revealed that loss of function of FAT1 activates a CAMK2-CD44-SRC axis that promotes YAP1 nuclear translocation and ZEB1 expression that stimulates the mesenchymal state. This loss of function also inactivates EZH2, promoting SOX2 expression, which sustains the epithelial state. Our comprehensive analysis identified drug resistance and vulnerabilities in FAT1-deficient tumours, which have important implications for cancer therapy. Our studies reveal that, in mouse and human squamous cell carcinoma, loss of function of FAT1 promotes tumour initiation, progression, invasiveness, stemness and metastasis through the induction of a hybrid EMT state. YR 2020 FD 2020-12-16 LK https://hdl.handle.net/10668/26673 UL https://hdl.handle.net/10668/26673 LA en DS RISalud RD Apr 8, 2025