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       Nephronophthisis 3 regulates cancer cell growth by primary cilium formation through reactive oxygen
                                          species-induced HIF-1alpha and Erk

                                                Jae-Wook Lee and Eun-Yi Moon
                           Department of Bioscience and Biotechnology, Sejong University, Seoul, 05006, Republic of Korea

       Abstract                                                Nephrocystin-3 (NPHP3)

       Primary cilium is antenna-like organelle projecting from the surface of cell membrane.
       We reported previously that primary cilium formation could be regulated by             • Mutations in the mouse ortholog
       nephronophthisis 3 (NPHP3) expression followed by its interaction with by thymosin β4    of human NPHP3 cause poly
       using HeLa cervical cancer cells. Here we investigated whether cancer cell growth could  cystic kidney disease (pcy) in
       be regulated by NPHP3 expression-associated primary cilium formation. Cancer cell        mouse model
       growth was retarded by the incubation without fetal bovine serum (FBS). The number of  • Disruption of NPHP3 alters the
       cells with primary cilia was increased by serum starvation which enhanced NPHP3          frequency and/or the length of
       expression. While NPHP3 expression was inhibited by siHIF-1α, it was increased by the    primary cilia
       incubation of cells under hypoxic condition. Under serum starvation, as reactive oxygen
       species were elevated, the number of cells with primary cilia and an increase in NPHP3  • Loss of Nephrocystin-3 function
       expression were inhibited by N-acetylcysteine treatment. The number of cells with        can cause Embryonic Lethality,
       primary cilia was increased by H 2 O 2 treatment, which was inhibited by siHIF-1α. The   Meckel-Gruber-like and Syndrome,
                                                                                                    Inversus,
                                                                                                Situs
                                                                                                               Renal-
       number of cells with primary cilia and NPHP3 expression were decreased by the            Hepatic-Pancreatic Dysplasia
       inhibition of Erk with P98059. Cancer cell growth was reduced by the treatment with  Figure 1. Allergic responses in mast cells..
       cilliobrevin A. Taken together, the results imply that the number of cancer cells with
       primary cilia might be controlled by NPHP3 expression under serum starvation. Data also  Methods & Materials
       demonstrate that NPHP3 expression could be regulated by ROS-induced HIF-1 and
       Erk in HeLa human cervical cancer cells. It suggests that cancer cell growth under serum  Detection of primary cilia was measured as follow. HeLa cells were grown on coverslip and
       starvation could be associated with the regulation of NPHP3 expression to maintain  then incubated with serum-starved DMEM with 0.1% FBS for 36 h. Cells were fixed with 4%
                                                               paraformaldehyde for 10 min, washed three times with cold PBS, and permeabilized with
       primary cilium formation.                               PBST (0.1% (v/v) Triton X-100 in PBS) for 10 min. Then, cells were washed three times, and
                                                               incubated with monoclonal anti-acetylated tubulin antibodies diluted (1:1000) in PBST for 1
       Acknowledgement: This work was supported by grants from the Basic Research Laboratory  h at room temperature. After washing three times with PBS, cells were incubated with FITC-
       Program (#2021R1A4A5033289) through the National Research Foundation of Korea (NRF)  conjugated goat anti-mouse IgG-secondary antibody or goat anti-mouse IgG-Alexa 568
       funded by the Ministry of Education, Science and Technology (MEST), Korea.  diluted (1:1000) in PBST for 1h at room temperature. Nucleus was visualized by staining cells
                                                               with DAPI. After washing with PBS, cells were mounted on glass slide. Primary cilia were
       Keywords: Nephronophthisis 3, Primary cilium, HIF-1, Erk, Reactive oxygen species  observed and photographed at 1000 x magnification under a fluorescence microscope
                                                               (Nikon, Tokyo, Japan).
                                                               Cytotoxicity was measured by luminescence assay.using Celltiter-glo substrate.
       Results
      A           B            C                                     D                    Figure 2. Total cell number was reduced
                                                                                          by serum starvation (A) but no changes
                                                                                          in cell viability (B). Ciliogenesis was
                                                                                          increased by serum starvation (C).
                                                                                          NPHP3 expression was enhanced by
                                                                                          serum starvation (D).
      A                 C          D       E            Figure 3. HIF-  A      B           C
                 B                                      1  increased                                   Figure 4. HIF-1
                                                        by   serum                                      under  hypoxic
                                                        starvation (B)                                  condition  (A-B)
                                                        or DMOG (D)                                     contribute  to
                                                        contribute  to                                  ciliogenesis (C).
                                                        ciliogenesis (A,
                                                        C, E).
        A          B          C            D           E
                                                                     Figure 5. Reactive oxygen species (ROS) enhanced ciliogenesis. ROS was
                                                                     increased under serm starvation (A). ROS-mediated cilliogenesis was reduced
                                                                     by N-acetylcysteine (NAC) (B). NAC also inhibited ciliogenesis-associated
                                                                     NPHP3 (C). ROS-mediated cilliogenesis was confirmed by the treatment with
                                                                     hydrogen peroxide (H 2 O 2 ) (D). Cilliogenesis by H 2 O 2 treatment was mediated
                                                                     by HIF-1, which was confirmed by the treatment with HIF-1 -siRNA (E).

          A                     C                     D
                     B
                                                                     Figure 6. Serum starvation increased Erk phosphorylation (A), which was
                                                                     inhibited by NAC treatment (B). PD98059, Erk inhibitor, reduced NPHP3
                                                                     transcriptional activity (C) and ciliogenesis (D)..


         A             B                     C              D D
                                                                                Figure 7. Cilliobrevin A, inhibitor for primary cilium
                                                                                formation, inhibited ciliogenesis (A), NPHP3 expression
                                                                                and transcriptional activity (B), and cell viability (C). This
                                                                                scheme demonstrates that NPHP3 expression could be
                                                                                regulated by ROS-induced HIF-1 and Erk which lead to
                                                                                the control of cancer cell viability (D)


      Summaries

       1. The number of cancer cells with primary cilia might be controlled by NPHP3 expression under serum starvation.
       2. Data demonstrate that NPHP3 expression could be regulated by ROS-induced HIF-1 and Erk in HeLa human cervical cancer cells.
       3. It suggests that cancer cell growth under serum starvation could be associated with the regulation of NPHP3 expression to maintain primary cilium formation.
       4. Therefore, it is required the comprehensive studies on the regulation of cancer cell viability.
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