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Mutual Regulation between Phosphofructokinase 1 platelet isoform and VEGF
                             Promotes Glioblastoma Tumor Growth
                                           Je Sun Lim and Jong-Ho Lee
              Department of Health Sciences, The Graduate School of Dong-A University, Busan, 49315, Republic of Korea
                 ABSTRACT

  Glioblastoma  (GBM)  is highly vascular malignant  brain tumor that
  overexpresses vascular endothelial growth factor (VEGF) as well as
  phosphofructokinase 1 platelet isoform (PFKP), which catalyzes a rate-limiting
  reaction in glycolysis. However, it remains unknown whether PFKP and VEGF
  are reciprocally regulated during GBM tumor growth. Here, we show that
  PFKP promotes EGFR activation-induced VEGF expression in HIF-1α-
  dependent and -independent manners in GBM cells. Importantly, we
  demonstrate that EGFR-phosphorylated PFKP Y64 has critical roles in
  AKT/SP1-mediated transcriptional expression of HIF-1α and in AKT-mediated
  β-catenin S552 phosphorylation, to fully enhance VEGF transcription and
  subsequent blood vessel formation and brain tumor growth. Conversely, VEGF
  upregulates PFKP expression in a PFKP S386 phosphorylation-dependent
  manner, leading to increased PFK enzyme activity, aerobic glycolysis, and
  proliferation of GBM cells. These findings highlight a novel mechanism
  underlying the mutual regulation that occurs between PFKP and VEGF for
  promoting GBM tumor growth and underscores that cancer cells’ fundamental
  biological processes, metabolism, and other cellular activities, are integrated and
  mutually regulated in promoting tumor development.
              INTRODUCTION
  A. Glioblastoma (GBM) is highly vascular malignant brain tumor that overexpresses
    vascular endothelial growth factor (VEGF) and phosphofructokinase 1 platelet
    isoform (PFKP), which catalyzes a rate-limiting reaction in glycolysis.
  B. tumor development. VEGF expression is regulated by transcription VEGF is
    overexpressed for tumor vascularization, subsequent factors, such as hypoxia
    inducible factor-1 (HIF-1) and β-catenin (1,2).
  C. AKT activation plays a role in HIF-1 expression by increasing its translation (3).
                                                                        Figure 5. VEGF induces PFKP expression in GBM cells.
  D. AKT directly phosphorylates β-catenin at Ser552 (S552), which promotes nuclear  (A and B) Serum-starved U87/EGFR cells were treated with VEGF (20 ng/ml) for the indicated periods of
    translocation and transactivation of β-catenin (4).                 time. The culture medium was collected to analyze glucose consumption (A) and lactate secretion (B). All
                                                                        results were normalized to the cell number. Data represent the means ± s.d. of three independent
  E. PFK1 exists in multiple tetrameric isozymic forms consisting of three types of  experiments. (C) U87/EGFR cells in 0.1% serum medium were treated with VEGF (20 ng/ml) for the
    subunits: muscle (PFKM), liver (PFKL), and platelet (PFKP), and the composition  indicated days and were harvested for cell counting. (D) Serum-starved U87/EGFR cells were treated with
    of the PFK1 tetramer varies depending on the tissue and cell type (5, 6).  VEGF (20 ng/ml) for the indicated periods of time. Immunoblotting analyses were performed with the
  F. Upon EGFR activation, K395-acetylated PFKP binds to EGFR, leading to EGFR-  indicated antibodies. (E) Serum-starved U87/EGFR cells were treated with VEGF (20 ng/ml) for the
                                                                        indicated periods of time. PFK enzymatic activity was measured. Data represent the means ± s.d. of three
    mediated phosphorylation of PFKP Y64, which in turn binds to an SH2 domain of  independent experiments (F) Serum-starved U87/EGFR cells were pretreated with DMSO or MK-2206 (5
    p85 subunit of phosphoinositide 3-kinases (PI3K) and recruits PI3K to the plasma  μM) for 1 h and then stimulated with VEGF (20 ng/ml) for 30 min. Immunoblotting analyses were
    membrane. The activated PI3K and AKT enhances PFK1 activation and GLUT1  performed with the indicated antibodies. (G) Serum-starved U87/EGFR cells were pretreated with VEGF
                                                                        (20 ng/mL) for 1 h and then treated with cycloheximide (CHX;100 μg/mL) for the indicated periods of time
    expression, thereby promoting aerobic glycolysis in cancer cells and brain  in the presence of DMSO or MK-2206 (5 μM). Immunoblotting analyses were performed with the indicated
    tumorigenesis (8).                                                  antibodies (upper panel). The quantification of PFKP levels relative to tubulin is shown (bottom panel). The
                                                                        data represent the means ± s.d. of three independent experiments. (H) Serum-starved U87/EGFR cells were
  G. However, it remains unknown whether PFKP and VEGF are reciprocally regulated  pretreated with DMSO or MK-2206 (5 μM) for 2 h and then stimulated with or without VEGF (20 ng/mL)
    during GBM tumor growth. .         Figure 3. PFKP Y64 phosphorylation induces EGFR activation-  for 24 h. Immunoblotting analyses were performed with the indicated antibodies. (I and J) U87/EGFR cells
                                       enhanced  HIF-1α  transcriptional  expression  through  SP1  with or without the expression of PFKP shRNA and with or without the reconstituted expression of WT
                                       transactivation.                 Flag-rPFKP or Flag-rPFKP S386A were cultured in serum-free DMEM with or without VEGF (20 ng/mL)
                                                                        for 48 h. The media were collected to analyze glucose consumption (I) and lactate secretion (J). All results
                                       (A) Serum-starved U87/EGFR cells were pretreated DMSO, PD98059, SP600125, SB203580,  were normalized to the cell number. The data represent the means ± s.d. of three independent experiments.
                                       LY294002, or NF-κB inhibitor for 1 h and then stimulated with or without EGF (100 ng/ml)  (K) U87/EGFR cells with or without the expression of PFKP shRNAand with or without the reconstituted
                  RESULTS              for 12 h. Immunoblotting analyses were performed with the indicated antibodies. (B and C)  expression of WT Flag-rPFKP or Flag-rPFKP S386A were cultured in 0.1% serum medium with or without
                                                                        VEGF (20 ng/mL) for indicated days and harvested for cell counting. The data represent the means ± s.d. of
                                       Serum-starved U87/EGFR cells were pretreated DMSO, LY294002, NF-κB inhibitor (B), or
                                       MK-2206 (C) for 1h and then stimulated with or without EGF (100 ng/ml) for 12 h. The  three independent experiments.
                                       mRNA expression levels of HIF-1 α were determined by real-time PCR. (D) Serum-starved
                                       U87/EGFR cells were pretreated with DMSO or MK2206 for 1 h and then stimulated with or
                                       without EGF (100 ng/ml) for 12 h. Immunoblotting analyses were performed with the
                                       indicated antibodies. (E) Serum-starved U87/EGFR cells stably expressing control shRNA or  CONCLUSIONS
                                       shPFKP were treated with or without EGF (100 ng/ml) for the indicated periods of time.
                                       Immunoblotting analyses were performed with the indicated antibodies. (F and G) The
                                       mRNA (F) and protein expression levels (G) of HIF-1 α in U87/EGFRvIII cells with or
                                       without PFKP depletion and with or without reconstituted expression of WT Flag-rPFKP or
                                       Flag-rPFKP Y64F mutant in the presence or absence of HA-myr-AKT expression were
                                       determined by real-time PCR and immunoblotting analyses with the indicated primers and
                                       antibodies, respectively. (H) U87/EGFRvIII cells were transfected with control siRNAor SP1
                                       siRNA. mRNA and protein expression levels of HIF-1α were determined by real-time PCR
                                       (upper panel) and immunoblotting analyses (bottom panel) with the indicated primers and
                                       antibodies, respectively. (I) U87/EGFRvIII cells were treated with PBS or mithramycin (500
                                       nM) for 12 h. mRNAand protein expression levels were determined by real-time PCR (upper
                                       panel) and immunoblotting analyses (bottom panel) with the indicated primers and antibodies,
                                       respectively. (J) U87/EGFRvIII cells with or without PFKP depletion and with or without
                                       reconstituted expression of WT Flag-rPFKP or Flag-PFKP Y64F mutant in the presence or
  Figure 1. PFKP depletion in GBM cells results in impaired EGFR activation-  absence of HA-myr-AKT expression were co-transfected with luciferase reporter plasmids
                                       (pGreenFire1-SP1) and the Renilla control plasmid. Luciferase activity was measured. (K)
  induced VEGF expression in vitro and angiogenesis in vivo  The Schematic of the HIF-1α promoter on the putative SP1 binding site (Marked as P1 – P3).
  (A) U87/EGFRvIII cells were transfected with shRNA against PFKP. (B and C) Atotal of 5 × 105 control  (L, M, N) ChIP assays were performed with anti-SP1 antibody, and real-time PCR analyses
  U87/EGFRvIII cells or PFKP-depleted U87/EGFRvIII cells were intracranially injected into athymic nude  were performed with primers against the HIF-1α promoter. (L) U87/EGFR cells were treated
  mice. After 5 days or 18 days, the mice were euthanized and examined for tumor growth. Hematoxylin-  EGF (100 ng/ml) for 12 h. (M) U87/EGFR cells were pretreated DMOS or MK-2206 for 1h
  and-eosin-stained coronal brain sections show representative tumor xenografts (B; upper panel). IHC  and then EGF (100 ng/ml) for 12h. (N) U87/EGFRvIII cells without PFKP and with or
  analyses of the tumor tissues were performed with anti-CD31 antibody (B; bottom panel). Tumor volumes  without reconstituted expression of WT Flag-rPFKP or Flag-rPFKP Y64F mutant were
  were measured by using length (a) and width (b) and calculated using the equation V = ab2/2. Data  transfected with or without HA-myr-AKT expression.
  represent the means ± s.d. of 5 mice (C). Note that the scores of some samples overlap. (D) U87/EGFR
  cells were transfected with different shRNAs against PFKP. PFKP shRNA#1 was used for the subsequent
  experiments (upper panel). Serum-starved U87/EGFR cells with or without PFKP depletion by the  1. PFKP expression is required for EGFR activation-
  indicated shRNAs were treated with EGF (100 ng/ml) for the indicated periods of time. The mRNA
  expression levels and the protein expression levels of VEGF were determined by real-time PCR and  induced VEGF expression.
  immunoblotting analyses with the indicated primers and antibodies, respectively (bottom panel). (E)
  mRNA and protein expression levels of VEGF in the U87/EGFRvIII cells stably expressing control  2. PFKP  Y64  phosphorylation  induces  EGFR
  shRNA or PFKP shRNA were determined by real-time PCR and immunoblotting analyses with the
  indicated primers and antibodies, respectively.                           activation-enhanced  HIF-1α  transcriptional
                                                                            expression through SP1 transactivation.
                                                                          3. PFKP  Y64  phosphorylation  induces  VEGF
                                                                            expression through HIF-1 α expression and β-
                                                                            catenin Ser552 phosphorylation in response to
                                                                            EGFR activation.
                                                                          4. VEGF induces PFKPexpression in GBM cells.
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