Self-aggregating TIAF1 in lung cancer progression
- Qunying Hong†1,
- Li-Jin Hsu†2,
- Pei-Yi Chou†3,
- Ying-Tsen Chou4,
- Chen-Yu Lu3,
- Yu-An Chen3 and
- Nan-Shan Chang3, 5, 6, 7Email author
© Hong et al.; licensee Springer. 2013
Received: 7 September 2012
Accepted: 19 February 2013
Published: 28 February 2013
Recent studies have demonstrated that transforming growth factor beta (TGF-β1)-induced antiapoptotic factor (TIAF1) is able to form aggregates in the hippocampi of middle-aged normal individuals. The aggregating TIAF1 induces generation of amyloid beta (Aβ) for causing neurodegeneration. Intriguingly, TIAF1 aggregates are shown, together with Smad4 and Aβ, in the cancer stroma and peritumor capsules of many solid tumors. During lung cancer progression, for example, TIAF1 and amyloid fibrils are significantly upregulated in the cancer stroma. Aggregates of TIAF1 and Aβ are shown on the interface between metastatic lung cancer cells and the brain tissues. Conceivably, these peritumor materials are needed for cancer cells to survive. In vitro experiments revealed that TIAF1 is a crucial component for tumor suppressors p53 and WWOX-mediated tumor suppression and apoptosis. While metastatic lung cancer cells are frequently devoid of WWOX and p53, we provide new perspectives regarding the role of TIAF1 in the pathogenesis of lung cancer development, and propose a therapeutic approach for targeting TIAF1.
KeywordsTGF-β TIAF1 Protein aggregation Lung cancer
Tumor suppressors WWOX and p53
The domain structure of p53 includes a natively unfolded N-terminal transactivation domains TAD1 and TAD2, a proline-rich region (PRR), a central DNA-binding domain, and a C-terminal tetramerization domain [2, 7]. Activated p53 causes cell cycle arrest, initiates DNA repair, and may lead to apoptosis . p53 transactivates cyclin-dependent kinase inhibitor p21 or microRNA miR34 to induce cell cycle arrest . For apoptosis, p53 transactivates proapoptotic genes such as BAX, PUMA, SCOTIN, and FAS, and inhibits the antiapoptotic gene BCL2 . Under stress conditions (e.g. UV irradiation and chemotherapeutic drugs), activated WWOX physically binds Ser46-phosphorylated p53. This binding allows WWOX to stabilize p53, and both proteins act together in causing apoptosis [3, 5] (Figure 1).
Role of p53 and WWOX in blocking cancer initiation and progression
Cancer initiation and progression is generally considered as a consequence of gene mutation or epigenetic inactivation of tumor suppressors. It is believed that mutations in 2 tumor suppressor genes cause cancer – the so-called “2-hit hypothesis” . Recent development revealed that even partial inactivation of tumor suppressors critically contributes to tumorigenesis . Despite these, it is not surprising to find that many tumor suppressor proteins, e.g. p53, WWOX, Smad4, and others, are significantly upregulated during the early stage of cancer progression [3, 9, 10]. Functional significance of these proteins in blocking cancer progression at the early stage is largely unknown. However, a good possibility is that these proteins are functionally inactivated.
Proapoptotic p53, for example, is functionally inactivated by fortilin, an anti-apoptotic protein [11, 12]. Fortilin physically interacts with the sequence-specific DNA binding domain of p53. Oncogenic monocarboxylic acid transporter 1 (MCT-1) abolishes the p53 function by enhancing its degradation via the ubiquitin/proteasome system . Under stress conditions, NF-κB acts as an oncoprotein to promote cell division and survival and block the proapoptotic function of p53 . Mdm2 and Mdmx abolish the stability of p53 . Mdm2 is an E3 ubiquitin ligase that causes p53 ubiquitination and proteasomal degradation. In contrast, Mdmx does not induce p53 degradation, but inhibits p53 by masking its transcriptional activation domain. When WWOX undergoes Tyr33 phosphorylation, the activated protein binds and stabilizes Ser46-phosphorylated p53 [3, 16]. cJun N-terminal kinase (JNK1) binds and functionally counteracts with WWOX in apoptosis [17–20]. When JNK1 is blocked by chemical inhibitors (e.g. SP600125), WWOX-mediated apoptosis is enhanced. Zfra (zinc finger-like protein that regulates apoptosis) participates in the mitochondrial apoptosis and binds WWOX to its N-terminal first WW domain and C-terminal SDR domain, which results in functional antagonism in causing apoptosis [21, 22]. Together, functional antagonism is well known among proapoptotic and apoptotic proteins. It is still not clear whether there is a direct functional antagonism between defined tumor suppressors.
Silencing WWOX gene promoter by hypermethylation
Promoter hypermethylation is believed to block protein expression, and epigenetic control can touch over a large region of chromosomes in a coordinated manner [23, 24]. Promoters for tumor suppressor genes WWOX and Fhit are frequently hypermethylated and silenced in metastatic cancers [25, 26]. Alternatively, tumor suppressors are inactivated due to gene mutation, fragmentation, or interchromosomal recombination at the later cancer progression and metastasis stages. Nonetheless, expression of tumor suppressor WWOX is increased during the early stages of cancer initiation and growth, and is then dramatically reduced at the late stages of differentiation in skin cancer both in humans and mice [3, 10]. Translational blockade is shown to be involved in the downregulation of WWOX/Wwox protein in humans and mice .
Lack of WWOX and increased migration in metastatic cancers
In most cases, metastatic cancer cells do not have functional tumor suppressors such as WWOX and p53 [3, 4, 25, 26]. How tumor suppressors affect normal cell migration and cancer cell metastasis is largely unknown. Ectopic WWOX affects ovarian cell attachment and migration on fibronectin-enriched extracellular matrix, and, conversely, loss of WWOX facilitates ovarian cell migration . While epithelial-mesenchymal transition is an essential step toward cancer cell metastasis, it appears that many signal pathways converge on several transcription factors, including zinc finger proteins Snail and Slug, Twist, ZEB 1/2, and Smads, and the event results in the morphological transition and metastasis .
Cancer cell metastasis is affected by the surrounding tumor microenvironments. Metastatic lung cancer cells appear to be able to detect alterations in the environmental cues, so that they successfully migrate to target organs and settle properly [29, 30]. Non-small-cell lung carcinomas (NSCLC) frequently migrate to the contra-lateral lung, the brain and to organs such as adrenal glands, liver and bones . Whether lung cancer cells specifically select susceptible sites in the endothelial lining of blood vessels for docking and penetration into organs is largely unknown.
Many types of metastatic cancers utilize the CXCR4/CXCL12 signaling axis to reach the targets [31–33]. High levels of functional CXCR4 receptors are expressed in small-cell lung cancer (SCLC) cells. Binding of chemokine stromal derived factor-1 (SDF-1/CXCL12) to the CXCR4 receptors increases the expression of integrin-mediated adhesion in SCLC to target cells.
TIAF1-p53-WWOX is an axis of tumor suppression
TIAF1 is a transforming growth beta (TGF-β)-induced 12-kDa protein [34–38]. This protein was originally shown to participate in the regulation of the tumor necrosis factor (TNF) pathway. TIAF1 also controls the signaling of TNF receptor adaptor proteins such as TRADD (TNFR1-associated death domain protein), FADD (FAS-associated death domain-containing protein), and RIP (receptor-interacting serine-threonine kinase) . As a TGF-β-induced protein, TIAF1 acts similarly to that of TGF-β1 [37, 38]. For example, TGF-β1 and transiently overexpressed TIAF1 support the growth of fibroblasts . However, epithelial and monocytic cells, as well as many non-fibroblasts, are sensitive to the growth suppression and apoptosis by TGF-β1 and transiently overexpressed TIAF1. In monocytic U937 cells, for example, ectopic TIAF1 increases the expression of p53 and Cip1/p21 and suppresses ERK phosphorylation, which leads to cell growth inhibition and apoptosis [36, 37].
TIAF1 is essential for cell death caused by tumor suppressors p53 and WWOX and dominant-negative JNK1 . When TIAF1 expression is knocked down by small interfering RNA (siRNA), UV irradiation-mediated p53 activation, via Ser15 phosphorylation and nuclear accumulation, is blocked . Importantly, transiently overexpressed TIAF1, p53 and WWOX work synergistically in suppressing anchorage-independent growth, blocking cell migration, and causing apoptosis in vitro . When one of the components is missing, the apoptotic function of the TIAF1-p53-WWOX trio is significantly reduced, suggesting that the complex is an axis of tumor suppression .
p53, WWOX and TIAF1 in the TGF-β signaling and SMAD-responsive promoter activation
TIAF1 binds Smad4 of the TGF-β/Smad signaling, and that transiently overexpressed TIAF1 blocks SMAD-dependent promoter activation . When TIAF1 is knocked down by siRNA, spontaneous activation of Smad proteins occurs as their accumulation in the nucleus . In parallel, when TIAF1 level is low, spontaneous activation of the promoter governed by the SMAD complex occurs . Most intriguingly, in the absence of endogenous p53, TIAF1 undergoes self-aggregation and simultaneously activates the SMAD-regulated promoter . In parallel with the protein expression of WWOX , TIAF1 is upregulated in developing tumors, but may disappear in established metastatic cancer cells . As an axis of tumor suppression, the absence of WWOX-p53-TIAF1 trio favors the growth of metastatic cancer cells.
TIAF1 does not directly interact with p53 [34, 36]. However, TIAF1 is needed for UV irradiation-induced p53 activation (with Ser15 phosphorylation) and nuclear accumulation . Without TIAF1, no p53 activation occurs. WWOX physically binds p53 and stabilizes its function . Data from both yeast two-hybrid and Förster resonance energy transfer (FRET) analyses revealed that WWOX acts as a bridge for the indirect interaction between p53 and TIAF1 (Chang et al., unpublished).
TGF-β1 induces the differentiation of regulatory T cells (Treg), and that TIAF1 expression is significantly increased during cell differentiation . TIAF1 is considered as one of the Treg signature proteins . TIAF1 is also involved in allograft rejection, as its level is significantly increased in activated Th2 helper T lymphocytes in patients with chronic kidney and liver allograft rejection . In addition, TIAF1 is associated with Hirschsprung's disease, a congenital complex disorder of intestinal innervation .
TGF-β, microenvironment and cell-cell contacts affect TIAF1 aggregation
In response to TGF-β1 or -β2, TIAF1 undergoes self-aggregation in the cultured cells . The event can occur independently of the canonical signaling from TβRII/RI/Smads . TIAF1 aggregation occurs probably as a result of an aberrant TGF-β signaling in cancer cells, as well as in the hippocampus [34, 35]. Also, when cells are exposed to environmental stress, TIAF1 undergoes self-aggregation, which exhibits as a ladder-like protein polymerization pattern in SDS-PAGE . The overly aggregated TIAF1 induces degradation of amyloid precursor protein (APP), super-induction of Aβ, and ultimately cell death in vitro . Caspase inhibitors block the cell death, suggesting that caspases participate in the TIAF1-induced apoptosis.
Microenvironment and cell-cell contacts affect the TGF-β1 induction of endogenous TIAF1 expression and self-aggregation. Also, TGF-β regulates cancer cell and stroma interactions, and that controls the progression of cancer growth . When lung cancer cells are grown on an extracellular matrix (ECM) derived from another cell type, the lung cells have apparently received the environmental stress that leads to the generation of endogenous TIAF1 and Aβ aggregates . No ubiquitination is involved in the TIAF1 polymerization. Intriguingly, the polymerizing TIAF1 increases the expression of tumor suppressors Smad4 and WWOX . And, WWOX in turn upregulates the TIAF1 expression . Smad4 remains a monomer, whereas WWOX may become polymerized as well. Dominant negative TIAF1 is able to block WWOX expression .
Furthermore, when fibroblasts and neuroblastoma cells were co-cultured on the ECM of prostate DU145 cells for at least 48 hr, endogenous TIAF1 expression and aggregation were demonstrated in both cells . No TIAF1 aggregate formation was observed by culturing fibroblasts or neuroblastomas alone on the ECM . Additionally, TIAF1 aggregates are present on the interface between metastatic lung cancer cells and the brain cells in vivo . Thus, when two distinct types of cells encounter each other in an unfavorable microenvironment, endogenous TIAF1 aggregation occurs.
TIAF1 aggregation occurs in tumor progression and metastasis in vivo
TIAF1 aggregates in the metastatic lung cancer cells in the brain
It appears that cancer cells could tolerate more microenvironmental stress than normal cells, as cancer cells tend to utilize local or autocrine TGF-β in building up their own niche. Conceivably, upon reaching and selectively attaching to the docking site in the brain, a single metastatic lung cancer cell must face the challenge of survival. The cell needs to divide and proliferate quickly, and build itself own niche by utilizing available sources from the brain tissue or its own TGF-β. The concern is whether the brain tissue recognizes the cancer cell as foreign. The local glial cells or immune cells may come to attack the invading cancer cell. A successfully built solid tumor normally possesses a peritumor capsule. For example, when metastatic small-cell lung cancer cells migrate to the brain, TIAF1 and Aβ aggregates are shown on the border between cancer and brain cells. Or, the protein aggregates are present in the tumor mass .
During solid lung tumor formation in the brain, ECM proteins continue to accumulate and they can organize orderly in the matrix or become aggregated in an irregular manner . The ECM aggregates are located inside the tumor mass, or may be present on the borderline between brain cells and the metastatic lung cancer . Quite frequently, TIAFI and Aβ are present in these protein aggregates. Self-aggregation of TIAF1 has been shown to induce phosphorylation of APP, followed by generation of Aβ and amyloid fibrils . The resulting Aβ fails to cause cancer cell death, whereas it is likely to make damage to neurons or initiation of neurodegeneration. Indeed, no apoptotic lung cancer cells have been shown within the peritumor protein aggregates , suggesting that these protein aggregates act as a “protective shield” for the progression of lung cancer cells in the brain.
Intriguingly, when metastatic cancer cells have well established their niche, intracellular TIAF1 disappears significantly in the tumor masses . However, TIAF1, Smad4, Aβ, and many other proteins are components of the fibrous aggregates in the peritumor capsules. The extracellular aggregated TIAF1 and Smad4 are probably functionally inactive.
TGF-β1 induces TIAF1 self-aggregation, and the aggregating proteins bind Smad4 and cause Aβ generation. These protein aggregates are likely to induce apoptosis via activation of caspases, as caspase inhibitors can block the cell death . However, cancer cells appear to successfully survive from the stress. The TIAF1-Smad4-Aβ protein aggregates are frequently seen in the peritumor capsules, which are crucial for solid tumor growth and protection. However, the relative concentrations of TIAF1 and Smad4 must be balanced. If cells have a greater amount of TIAF1 than Smad4, they survive upon challenge with TGF-β1. However, when cells express a greater amount of Smad4 than TIAF1, they are highly sensitive to TGF-β1-induced apoptosis .
During cancer progression, the expression profiles for WWOX and TIAF1 appear similarly. Both proteins are significantly upregulated during the early phases of benign tumor formation. When tumors acquire their metastatic potential, both proteins are dramatically reduced. WWOX induces the expression of TIAF1, and enhances the transcriptional activation of promoters governed by SMAD and NF-κB [34, 35]. TIAF1 in turn induces the expression of Smad4 and Aβ, depending upon the status of TIAF1 self-aggregation. Intriguingly, under p53-free environment, TIAF1 starts to undergo self-aggregation and the aggregating TIAF1 polymer activates the SMAD-governed promoter .
Transforming growth factor beta
TGF-β-induced antiapoptotic factor
WW domain-containing oxidoreductase
Mothers against decapentaplegic homolog 4
Oncogenic monocarboxylic acid transporter 1
Nuclear factor kappa-light-chain-enhancer of activated B cells
p53 E3 ubiquitin protein ligase homolog
Mdm4 p53 binding protein homolog
cJun N-terminal kinase
Zinc finger-like protein that regulates apoptosis
Non-small-cell lung carcinomas
Small-cell lung cancer
Chemokine (C-X-C motif) receptor 4
Chemokine stromal derived factor-1/chemokine (C-X-C motif) ligand 12
Amyloid precursor protein
Small interfering RNA
Regulatory T cells
Type II TGF-β receptor
Tumor necrosis factor.
This research was supported, in part, by the Department of Defense USA (DAMD17-03-1-0736 and W81XWH-08-1-0682), the Research the National Science Council, Taiwan, ROC (NSC96-2320-B-006-014, 98-2628-B-006-045-MY3, 98-2628-B-006-041-MY3, and 99-2320-B-006-012-MY3), the National Health Research Institute, Taiwan, ROC (NHRI-EX99-9704BI), the National Cheng Kung University Landmark Projects (C0167) and the Department of Health, Taiwan, ROC (DOH101-TD-PB-111-TM010) (to NS Chang).
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