Secreted AGR2 promotes invasion of colorectal cancer cells via Wnt11-mediated non-canonical Wnt signaling
Introduction
The human anterior gradient-2 (AGR2) is the orthologue of the Xenopus Anterior Gradient-2 (XAG-2) protein, which is responsible for patterning embryos and regulating the differentiation of cement glands and the expression of neural marker genes [1]. Human AGR2 is a mucin-like molecule predominately found in tissues with mucus-secreting or endocrine cells, such as colon, rectum, stomach, breast, and prostate [2], [3]. AGR2 was originally described in human breast cancer [4]. Since then, it has been investigated in various human cancer types and AGR2′s aberrant expression was reportedly associated with poor clinical outcomes [3]. In normal intestine, AGR2 as a critical modulator of intestinal homeostasis presents within the ER of intestinal secretory epithelial cells and regulates production of intestinal mucins via formation of mixed disulfide bonds [5]. Mice lacking AGR2 expression are unable to produce intestinal mucins and highly susceptible to colitis [6]. Further, AGR2 expression is related to inflammatory bowel disease. The mutations in murine AGR2 gene that decrease AGR2 mRNA level are associated with Crohn’s disease as well as ulcerative colitis [7]. However, the clinical significance and potential effects of AGR2 on colorectal cancer (CRC) remain obscure.
As a member of the protein disulfide isomerase (PDI) family, AGR2 intracellularly localizes to endoplasmic reticulum (ER) and involves in protein maturation [8], [9]. Of note, AGR2 can escape ER retrieval machinery and be secreted to extracellular matrix as well as serum and urine, etc [4]. Although AGR2 overall overexpression enhances cell migration and metastasis in several cancers [3], the underlying mechanisms remain elusive partly because most of these studies did not individually investigate the roles of intracellular AGR2 and secreted AGR2 in metastasis. Recently, tumor-secreted AGR2 was reported to promote migration of vascular endothelial cells and fibroblasts. However, whether secreted AGR2 promotes CRC cell migration as well as the molecular mechanisms is not clear [10].
Deregulation of Wnt signaling is a critical molecular event during CRC tumorigenesis [11]. Wnt signaling is activated by multiple Wnt ligands and signals through either the canonical pathway or the non-canonical pathways [12]. The prominent feature of the “canonical” pathway is to employ β-catenin as a transcriptional coactivator [13]. Deregulation of this pathway occurs in the vast majority (80–90%) of CRC [14]. Without the presence of Wnt ligands, cytosolic β-catenin is phosphorylated for degradation by a destruction complex containing adenomatous polyposis coli (APC), Axin, glycogen synthase kinase 3β (GSK3β) and other proteins. Once bound by Wnt ligands (such as Wnt1 and Wnt3a), the Fz/LRP coreceptor complex disrupts the aforementioned destruction complex, allowing β-catenin accumulation and nuclear translocation. In nuclei, β-catenin works together with the T-cell factor/lymphoid enhancer factor (TCF/LEF) family, regulating the expression of downstream genes [15], [16]. In contrast, other Wnt ligands, such as Wnt5a and Wnt11, preferentially trigger non-canonical pathways that function in β-catenin-independent manners [17]. Depending on the downstream molecules, the non-canonical pathways mainly refer to these two: the Wnt/Ca2+ pathway, and the planar cell polarity (PCP) pathway. In the Wnt/Ca2+ pathway, calmodulin-dependent protein kinase II (CaMKII) along with Protein kinase C (PKC) stimulates target gene expression through the nuclear factor of activated T cell (NFAT). In the PCP pathway, c-Jun N-terminal Kinase (JNK) acts as the downstream effector regulating target gene expression via interacting with activator protein 1 (AP-1) [13], [18]. Wnt signals are context-dependently transduced to canonical or non-canonical pathways. Intriguingly, previous studies revealed an important finding that non-canonical Wnt signaling can function to negatively modulate canonical Wnt/β-catenin signaling [19].
Here, we report that secreted AGR2 significantly promotes the migration of CRC cells in vivo and in vitro. This is mechanistically because secreted AGR2′s upregulates Wnt11 that activates JNK and CaMKII pathways, which in turn promotes CRC cell migration/ invasion and β-catenin degradation, suppressing canonical Wnt signaling.
Section snippets
Antibodies and reagents
The primary antibodies used were as follows: anti-AGR2, anti-H3, anti-GAPDH were purchased from Santa Cruz Biotechnology (Santa Cruz, CA, USA). Anti-p-JNK, anti-p-CaMKII, anti-SAPK/JNK, anti-CaMKII were purchased from cell signaling (Cell Signaling, Technology, Beverly, MA). Anti-β-catenin and anti-Axin2 were purchased from Proteintech (Proteintech Group, Inc Wuhan, China). JNK inhibitor SP600125 was purchased from Selleck Chemical (Selleck, Houston, TX, USA). CaMKII inhibitor KN93 was
High expression of AGR2 in CRC indicates a poor prognosis
To assess AGR2′s clinical significance in CRC, we analyzed the effect of AGR2 expression on overall survival time (OS), disease-specific survival time (DSS) and disease-free survival time (DFS). Kaplan-Meier survival plots of the independent cohort of CRC cases derived from GEO database (GEO accession number, GSE17538 and GSE14333) revealed that AGR2 high expression foreshowed poor OS (Fig. 1A), DSS and similarly DFS (Fig. 1B and C). We conducted overall survival analysis towards the expression
Discussion
AGR2 is thought to be a pro-oncogenic protein involved in tumor growth, cell migration, metastasis development and drug resistance in various cancers including breast, lung, ovarian, prostate cancer and glioblastoma [27], [28], [29], [30], [31], [32], [33]. AGR2 is subcellularly localized to two compartments: (1) ER where it acts as a PDI protein to facilitate protein maturation; (2) outside of cells. An increasing number of studies have been linking intracellular AGR2 to carcinogenesis and
Acknowledgements
This work is supported by the National Natural Science Foundation of China (81402875, 81441077, 81572866, 81576822 and 81773104), the Frontier Exploration Program of Huazhong University of Science and Technology (2015TS153), the Natural Science Foundation Program of Hubei Province (2015CFA049), the Research Fund of Public Welfare in Health Industry of the Health Ministry of China (201402015), the Integrated Innovative Team for Major Human Diseases Program of Tongji Medical College, HUST, and
Conflicts of interest statement
The authors declare that there are no conflicts of interest
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2020, HeliyonCitation Excerpt :The study also showed that eAGR2 significantly promotes the migration and metastatic capability of colorectal cancer cells in the mouse model. Recombinant AGR2 supplementation was shown to upregulate Wnt11 expression that activates the non-canonical Wnt signalling pathway to promote cell migration that consequently suppresses the canonical Wnt/β-catenin signalling pathway [76]. Deletion of the ER-retention motif enhanced the secretion of AGR2 and injecting this purified AGR2 mutant into the prostate and pancreatic cancer xenograft models increased the metastatic capabilities as compared to wild-type AGR2 [77].
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These authors contribute equally to this work.