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MYC suppresses tumor necrosis factor-induced necroptosis by inhibiting the interaction between RIPK1 and
  RIPK3
  Daehyeon Seong , Manhyung Jeong , Jinho Seo , Eun-Woo Lee , and Jaewhan Song 1
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             1
  1 Department of Biochemistry, College of Life Science and Biotechnology, Yonsei University, Seoul, 120-749, Republic of Korea
  2 Environmental Diseases Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon 34141, Republic of Korea
  3 Metabolic Regulation Research Center, Korea Research Institute of Bioscience and Biotechnology (KRIBB), Daejeon 34141, Republic of Korea
                                            BACKGROUND
   MYC is an oncogene that regulates various cellular processes, including proliferation, differentiation, inflammation, and metabolism. We observed that MYC
   functions as a negative regulator of necroptosis. Depletion of MYC using siRNA, shRNA, and CRISPR/Cas9 knockout systems accelerated necroptosis, which
   was restored to normal levels by reconstitution. Interestingly, both MYC-nick and MYC-NLS mutants, which are predominantly expressed in the cytosol, could
   restore necroptosis, suggesting that cytosolic MYC is indispensable as an anti-necroptotic factor. We observed, in detail, that MYC could bind to RIPK3 in the
   cytosol blocking the interaction between RIPK1 and RIPK3 upon stimulation of necroptosis. To assess whether this process could be applied to cancer therapy,
   we further tested the effect of necroptosis on the suppression of tumorigenesis in a leukemia cell line. The growth of the shMYC-Molm13 cell line skin
   xenografts was severely suppressed by the stimulation of necroptosis, implying that necroptosis could suppress cancer cell growth and that its combination
   with MYC inhibition may lead to a stronger cancer regression effect.

                                                METHODS

   Cell viability analysis and flow cytometry
   For the analysis of cell viability, cells were incubated with the CellTiter-Glo reagent and analyzed with a luminometer according to the manufacturer’s protocol (CellTiter-Glo
   Luminescent Cell Viability Assay kit, G7571, Promega, Madison, WI, USA). For Annexin V and 7-AAD double staining, prepared cells were harvested and washed with PBS, followed
   by incubation with Annexin V-FITC (556547; BD) and 7-AAD (00-6993-50, eBioscience, San Diego, CA, USA) in Annexin V Binding Buffer (51-66121E, BD Biosciences, Franklin Lakes, NJ,
   USA) for 15 min according to the manufacturer’s protocol. Dead cells were determined by flow cytometry (BD Accrui C6, BD Biosciences). Data were analyzed using BD Accuri C6
   Plus software (BD Biosciences).
   Xenograft study
   The subcutaneous tumor xenograft model was established by resuspending approximately 5 × 10 Molm13 cells expressing shRNAs in 50 μL of PBS and 50 μL of Matrigel matrix
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   (354234, BD Sciences) and subcutaneously inoculating the mixture into the flank of 6-week-old female Balb/c nude mice (Narabiotech, Seoul, Korea). Six days after inoculation, the
   mice bearing xenograft tumors were intraperitoneally injected with birinapant (2 mg/kg) plus emricasan (1 mg/kg). Nineteen days after inoculation, the mice were sacrificed, and
   the tumor volumes and masses were measured using a previously described method
                                                RESULTS

   Figure 1                           Figure 2                           Figure 3


























   Fig. 1. MYC suppresses TBZ-induced necroptosis.   Fig. 2. MYC controls necroptosis in a transcription-independent manner.   Fig. 3. Downregulation of MYC sensitizes AML cells to necroptosis induced by birinapant plus the caspase
                                                                         inhibitor and increases the anti-leukemia activity in xenograft models.
   (A and B) MYC depletion facilitates necroptosis. HT-29 cells transfected with a nontargeting siRNA pool (siNT) or   (A and B) Immunoblot (A) and qRT-PCR (B) analyses showing the knockdown  efficiency in HT-29 cells. (C) MAX
   MYC siRNA pool (siMYC) were treated with TBZ as indicated and subjected to a photomicrograph analysis (A), cell   depletion fails to facilitate TNFα-mediated necroptosis. HT-29 cells transfected with the indicated siRNA pools were   (A-D) MYC depletion suppresses  tumor growth after treatment with birinapant (Bir) and emricasan (Emri) in vivo. A
   viability analysis (B). (C and D) MYC overexpression  delays necroptosis. HT-29 cells stably expressing Mock or MYC   treated with TBZ as indicated, followed by cell viability. (D) Immunofluorescence  staining showing the subcellular   total of 5 × 10 5 Molm13 cells were implanted subcutaneously into the flank of 6-week-old nude mice. After 6 days,
   were treated with TBZ for the indicated times and analyzed as described in (A and B). (E and F) MYC suppresses   localization of endogenous MYC and RIPK3 using anti-MYC (#5605, Cell Signaling) and anti-RIPK3 antibodies (#13526,   the mice were treated with Bir (2 mg/kg) plus Emri (1 mg/kg) as indicated by i.p. injection for 2 weeks, and tumor
   necroptosis in a dose-dependent  manner. HT-29 cells were transduced with increasing amounts of lentiviral MYC   Cell Signaling) in HT-29 cells. Scale bars = 20 μm. (E) Both MYC WT and the NLS1/2 mutant (NLS1/2m) suppress the   growth is shown in (A). Data are the means ± s.e.m., n = 7 per treatment group, with *P < 0.05 and ***P < 0.001 at
   or the mock control. Stable HT-29 cell lines were transfected with siNT or siMYC as indicated and treated with TBZ   increased necroptosis observed in HT-29/MYC KO cells. HT-29/MYC KO cells reconstituted with lentiviral MYC WT   19 days after the Molm13 cell injection according to a two-tailed Mann-Whitney test. Tumor-bearing mice (B),
   for 18 h for assessments of cell viability (E) or for 2–4 h for the immunoblot analysis (F). (G and H) MYC   or NLS1/2m cells were treated with TBZ in the absence or presence  of GSK’963. Cell viability was performed to   excised tumors (C), and tumor masses (D) are shown. Data are presented  as the mean values and individual data
   reconstitution rescues MYC-depleted HT-29 cells from accelerated necroptosis. HT-29 cells stably expressing siRNA-  monitor necroptosis.  points from n = 7 mice, with **P < 0.01, ***P < 0.001, and n.s. = nonsignificant according to the two-tailed Mann-
   resistant MYC (MYC Res#1 ) were transfected with individual MYC siRNA (siMYC#1) and treated with TBZ for 6 h (G) or   Whitney test.
   the indicated times (H). After TBZ stimulation, HT-29 cells were analyzed.
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