Summary

RUNX2, a master transcription factor originally characterised for its central role in bone development, has emerged as a pivotal regulator of cancer cell dissemination and colonisation. Aberrant re­activation of RUNX2 in diverse tumour types drives a transcriptional programme that promotes epithelial-to-mesenchymal transition, extracellular matrix remodelling, motility and invasion. Through direct binding to promoters and enhancers, RUNX2 up-regulates genes encoding proteases, chemokine receptors and adhesion molecules, while repressing differentiation factors, thereby endowing cancer cells with stem-like properties and facilitating escape from primary sites. In addition, RUNX2 interacts with signalling cascades such as PI3K/AKT and TGF-β to reinforce its own stability and transcriptional activity, creating feed-forward loops that underpin metastatic competence. A further layer of regulation is provided by non-coding RNAs and chromatin-remodelling complexes, which modulate RUNX2 expression and target-gene selection in a tissue-specific manner. Together, these multilayered mechanisms converge on the metastatic cascade, from intravasation to colonisation of distant organs, underscoring RUNX2 as both a biomarker of aggressive disease and a promising therapeutic target.

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RUNX2 Regulation in Cancer Cell Metastasis publication trend

The graph below shows the total number of articles in runx2 regulation in cancer cell metastasis across all publications each year (not limited to Nature Index journals).

Technical terms

Transcription factor: A protein that binds specific DNA sequences to regulate the transcription of genetic information from DNA to messenger RNA.

Enhancer-associated long non-coding RNA (elncRNA): A non-protein-coding RNA transcribed from enhancer regions that modulates chromatin structure and gene expression.

Epithelial-to-mesenchymal transition (EMT): A cellular programme by which stationary epithelial cells acquire mesenchymal characteristics, enhancing motility and invasiveness.

Chromatin-remodelling complex: A multi-protein assembly that alters chromatin structure, thereby regulating the accessibility of DNA to transcription machinery.

References

  1. Exploring the transcriptional cooperation between RUNX2 and its associated elncRNA RAIN. Cell Death & Disease (2024).
  2. RUNX2 and Cancer. International Journal of Molecular Sciences (2023).
  3. RUNX2 and the PI3K/AKT axis reciprocal activation as a driving force for tumor progression. Molecular Cancer (2015).
  4. RUNX2 recruits the NuRD(MTA1)/CRL4B complex to promote breast cancer progression and bone metastasis. Cell Death & Differentiation (2022).
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