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TWIST1 (
TW
) is a
bHLH
transcription factor (
TF
) and master regulator of the epithelial‐to‐mesenchymal transition (
EMT
).
In vitro
,
TW
promotes mesenchymal change, invasion, and self‐renewal in glioblastoma (
GBM
) cells. However, the potential therapeutic relevance of
TW
has not been established through loss‐of‐function studies in human
GBM
cell xenograft models. The effects of
TW
loss of function (gene editing and knockdown) on inhibition of tumorigenicity of U87
MG
and
GBM
4 glioma stem cells were tested in orthotopic xenograft models and conditional knockdown in established flank xenograft tumors.
RNA
seq and the analysis of tumors investigated putative
TW
‐associated mechanisms. Multiple bioinformatic tools revealed significant alteration of
ECM
, membrane receptors, signaling transduction kinases, and cytoskeleton dynamics leading to identification of
PI
3K/
AKT
signaling. We experimentally show alteration of
AKT
activity and periostin (
POSTN
) expression
in vivo
and/or
in vitro
. For the first time, we show that effect of
TW
knockout inhibits
AKT
activity in U87
MG
cells
in vivo
independent of
PTEN
mutation. The clinical relevance of
TW
and candidate mechanisms was established by analysis of the
TCGA
and
ENCODE
databases.
TW
expression was associated with decreased patient survival and
LASSO
regression analysis identified
POSTN
as one of top targets of
TW
in human
GBM
. While we previously demonstrated the role of
TW
in promoting
EMT
and invasion of glioma cells, these studies provide direct experimental evidence supporting protumorigenic role of
TW
independent of invasion
in vivo
and the therapeutic relevance of targeting
TW
in human
GBM
. Further, the role of
TW
driving
POSTN
expression and
AKT
signaling suggests actionable targets, which could be leveraged to mitigate the oncogenic effects of
TW
in
GBM
.