RT Journal Article SR Electronic T1 The role of SOX9 in non-small cell lung cancer progression is histopathology-selective JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.11.23.393926 DO 10.1101/2020.11.23.393926 A1 Jie Bao A1 Katja Närhi A1 Ana Teodòsio A1 Annabrita Hemmes A1 Nora M Linnavirta A1 Mikko I Mäyränpää A1 Kaisa Salmenkivi A1 John Le Quesne A1 Emmy W Verschuren YR 2020 UL http://biorxiv.org/content/early/2020/11/24/2020.11.23.393926.abstract AB The transcription factor SOX9 is a key regulator of multiple developmental processes, and is frequently re-expressed in non-small cell lung cancer (NSCLC). Its precise role in the progression of NSCLC histopathologies has however remained elusive. We show that SOX9 expression relates to poor outcome and invasive histopathology in human adenocarcinomas, and is absent in murine early minimally invasive and human in situ adenocarcinoma. Interestingly, despite wide SOX9 expression across advanced NSCLC histotypes, its genetic deletion in the murine KrasG12D;Lkb1-/- model selectively disrupted only the growth of papillary NSCLC, without affecting the initiation of precursor lesions or growth of mucinous or squamous tissue. Spatial tissue phenotyping indicated a requirement of SOX9 expression for the progression of surfactant protein C-expressing progenitor cells, which gave rise to papillary tumours. Intriguingly, while SOX9 expression was dispensable for squamous tissue formation, its loss in fact led to enhanced squamous tumour metastasis, which was associated with altered collagen IV deposition in the basement membrane. Our work therefore demonstrates histopathology-selective roles for SOX9 in NSCLC progression, namely a requirement for papillary adenocarcinoma progression, but opposing metastasis-suppressing function in squamous histotype tissue. This attests to a pleiotropic SOX9 function, linked to the cell of origin and microenvironmental tissue contexts.Competing Interest StatementThe authors have declared no competing interest.