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Inhibition of cathepsin D enhances chemosensitivity via RNF183-mediated degradation of
                              Bcl-xL by autophagosomal IκB degradation
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                                 Kyoung-jin Min , Seung Un Seo , Seon Min Woo , Taeg Kyu Kwon *
  1 New Drug Development Center, Daegu-Gyeongbuk Medical Innovation Foundation (DGMIF), 80 Cheombokro, Dong-gu, Daegu 41061, Korea. Department of
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  Immunology, School of Medicine, Keimyung University, 1095 Dalgubeoldaero, Dalseo-Gu, Daegu 42601, South Korea.
                   BACKGROUND                                                  AIM
   Cathepsin D (Cat D) is mainly located in the lysosome, and shows multiple  Here, we investigated whether inhibition of Cat D could enhance anti-cancer
   biological functions, such as degradation of intracellular and extracellular proteins,  drug-mediated apoptosis, and identified the molecular mechanisms that
   regulation of cell death, and activation of inflammatory cells. Its role in cancer cells  sensitize cancer cells to induce apoptosis by combination treatment involving
   is also worth studying, considering its high expression in multiple cancers. Cat D  anti-cancer drug and inhibition of Cat D.
   increases cancer invasion, metastasis, and angiogenesis, and its overexpression
   increases the risk of recurrence and death in female patients with breast cancer.
   Although several previous studies had reported the role of Cat D in cancer, its
   functions and molecular mechanisms in cancer cell death is not yet clear.
                                                METHODS
   Renal carcinoma Caki cells and xenograft mice were treated with anti-cancer drugs in the absence or presence of pepstatin A (Pep A; Cat D inhibitor) to identify the
   synergistic effects. siRNA and CRISPR/Cas9-mediated system was used to knockdown/knockout of Cat D in Caki cells to investigate its role as a sensitizer. Western
   blotting and reverse transcription PCR was used to detect the expression level of apoptosis-related proteins. Ubiquitination assay performed to investigate the effect
   of E3 ligase-dependent modulation of protein expression.
                                                RESULTS













                                      Fig 2. Inhibition of Cat D sensitized cancer cells to TRAIL-mediated  Fig 3. NF-κB was involved in Pep A-induced RNF183 upregulation. a
    Fig 1. Cat D protein expression was highly expressed in renal tumor  apoptosis  through  decrease  of  RNF183-dependent  Bcl-xL  We used Caki KD cells. b Caki cells were pretreated with 15 µM Bay 11-
    tissue. a - c The expression of Cat D in 40 paired primary renal tumor  stabilization. a We used Caki KO cells. b Caki cells were co-transfected  7082, and then treated with 2 µM Pep A for 24 h. c We used Caki KD and
    tissues and corresponding normal adjacent ones. d Cancer cell lines were  with pEBB (Caki/Vec), pEBB-Bcl-xL (Caki/Bcl-xL), Cont siRNA or Cat D  KO cells. d Caki cells were transfected with Cont siRNA or p65 siRNA,
    transfected with control (Cont) siRNA or Cat D siRNA and treated with 50  siRNA and treated with 50 ng/mL TRAIL for 24 h. c Caki cells were  and treated with 2 µM Pep A for 24 h. e Cells were transiently transfected
    ng/mL TRAIL for 24 h. e Caki WT and three different Cat D KO cell lines  treated with 2 µM Pep A for the indicated time points. d Cells were treated  with RNF183 promoter plasmid, treated with 2 µM Pep A for 12 h, and
    were treated with 50 ng/mL TRAIL for 24 h. f Caki cells were treated with  with 20 µg/ml CHX, in presence or absence of 2 µM Pep A. e Caki cells  analyzed for luciferase activity. f Caki cells were transiently transfected
    a combination of anti-cancer drugs in the presence or absence of 2 µM  were pretreated with 0.5 µM MG132 and 2.5 µM lactacystin for 24 h. f We  with RNF183 WT or NF-κB Mut promoter, treated with 2 µM Pep A for 12
    Pep A for 24 h. g We used Caki, TCMK-1 and MC cells. h Cells were  used Caki KD and KO cells. g Caki cells were treated with 2 µM Pep A for  h, and analyzed for luciferase activity. g Binding of RNF183 and NF-κB
    treated with 50 ng/ml TRAIL in presence or absence of 2 µM Pep A for 24  the indicated time points. h Caki cells were transfected with Vec,  p65 was performed using a CHIP assay kit. Values in the graph (a, b, e-g)
    h. Values in the graphs (b-f and h) represent mean ± SD of three  RNF183/WT, and RNF183/C13S, and treated with 2 µM Pep A for 12 h. i  represent the mean ± SD of three independent experiments. * . # p < 0.01
    independent experiments. * p < 0.01 compared to TRAIL in Cont siRNA. #  Cells were transfected with Cont siRNA or RNF183 siRNA, and treated  compared to the control. # p < 0.01 compared to Pep A. # p < 0.01
    p < 0.01 compared to TRAIL in Cont siRNA. ** p < 0.01 compared to the  with 2 µM Pep A plus 50 ng/ml TRAIL for 24 h. j Caki cells were  compared to the control. ** p < 0.01 compared to the Pep A in
    control.                          transfected with Vec or RNF183, and treated with 50 ng/ml TRAIL for 24 h.  RNF183/WT promoter.









    Fig 4. Activation of JNK is involved in Itch-mediated IκB degradation. a Caki cells  Fig 5. AMPK/mTOR/ULK1 signaling pathway is involved in Pep A-induced  Fig 6. Combined treatment with Pep A and TRAIL reduced tumor growth in vivo. a-
    were transfected with Cont siRNA or Cat D siRNA and treated with drugs for 24 h. b  autophagy flux. a We used Caki KD and KO cells. b Caki cells were transiently  d, Mice were treated with 5 mg/kg Pep A, 3 mg/kg GST-TRAIL, combination of Pep A
    Caki cells were transiently transfected with Cont siRNA, Beclin-1 siRNA, and ATG7  transfected Cont siRNA or Cat D siRNA and treated with 10 µM CQ and 5 nM  and GST-TRAIL, or vehicle for 16 days. Tumor volume (a) and size (b) were measured.
    siRNA, and treated with 2 µM Pep A for 24 h. c Caki cells were transiently transfected  Bafilomycin A1 for 24 h. c Caki cells were transiently transfected with mRFP-EGFP-LC3,  TUNEL assays were performed to check apoptosis in vivo (c). Protein levels were
    with HA-Ub, HA-K48-Ub, and HA-K63-Ub, and pretreated with 0.5 µM MG132 and 5 nM  and pretreated with 5 nM Bafilomycin A1 and then treated with 2 µM Pep A for 18 h.  detected by western blotting (d). Values in the graph (a) represent the mean ± SD of
    bafilomycin A1, and then treated with 2 µM Pep A for 24 h. d Caki cells were transduced  mRFP-EGFP-LC3 puncta were observed by confocal microscope. Scale bar = 10 µm d  three independent experiments. * p < 0.01 compared to the vehicle.
    with lentivirus, and treated with 2 µM Pep A for 24 h. e Caki cells were pretreated with  Caki cells were treated with 2 µM Pep A for 6 h (p.c: 0.5 µM Torin). Translocation of
    0.5 µM MG132 or 5 nM bafilomycin A1 for 30 min, and then treated with 2 µM Pep A. f  TFEB were observed by confocal microscope. Scale bar = 20 µm e Caki cells were
    Caki cells were transiently co-transfected with Cont siRNA or Itch siRNA and HA-Ub and  transiently transfected with a plasmid harboring the luciferase gene under the control of
    pretreated with 0.5 µM MG132 for 30 min, and then treated with 2 µM Pep A for 24 h. h  4X-CLEAR plasmid, and treated with 2 µM Pep A for 24 h, and analyzed for luciferase
    Caki cells were transiently transfected with Itch WT and mutant (g) or Cont siRNA and  activity. f, g We used Caki KD and KO cells. h Caki cells were transiently transfected
    two different Itch siRNA (h), and then treated with 20 µg/ml CHX and 2 µM Pep A. i Caki  with Cont siRNA or AMPK siRNA, and treated with 2 µM Pep A for 24 h. i Caki cells were
    cells were treated with 2 µM Pep A. j Caki cells were pretreated with 10 µM SP600125  pretreated with 10 µM SP600125 for 30 min, and then treated with 2 µM Pep A for 24 h.
    for 30 min, and then treated with 2 µM Pep A for 24 h. k Caki cells were transiently co-  Protein expression were measured by western blotting (a, b, f-i). * p < 0.01 compared to
    transfected with Cont siRNA or Cat D siRNA and JNK WT or JNK mutant for 24 h. l Caki  control.
    cells were pretreated with 10 µM SP60012 for 30 min, and then treated with 2 µM Pep A.
          CONCLUSION                         REFERENCES                   ACKNOWLEDGEMENTS
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