Abstract
The second most common male cancer is prostate cancer (PCa), which has a high tendency for bone metastasis. Long non-coding RNAs, including TMPO-AS1, play a crucial role in PCa progression. However, TMPO-AS1’s function in PCa bone metastasis (BM) and its underlying molecular mechanisms are unclear. Herein, we found that the long transcript of TMPO-AS1 (TMPO-AS1L) was upregulated in PCa tissues with bone metastasis, and overexpression of TMPO-AS1L correlated with advanced clinicopathological features and reduced BM-free survival in patients with PCa. Upregulated TMPO-AS1L promoted, whereas downregulated TMPO-AS1L inhibited, the PCa cell bone metastatic capacity in vitro and in vivo. Mechanistically, TMPO-AS1L was demonstrated to act as a scaffold, that strengthened the interaction of casein kinase 2 alpha 1 (CSNK2A1) and DEAD-box helicase 3 X-linked (DDX3X), and activated the Wnt/β-catenin signaling pathway, thus promoting BM of PCa. Moreover, upregulation of TMPO-AS1L in PCa resulted from transcription elongation modulated by general transcription factor IIF subunit 2 (GTF2F2). Collectively, our study provides critical insights into the role of TMPO-AS1L in PCa BM via Wnt/β-catenin signaling, identifying TMPO-AS1L as a candidate marker of PCa bone metastasis prognosis and therapeutic target.
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Introduction
Worldwide, the most commonly diagnosed malignancy is prostate cancer (PCa), which is the second most frequently occurring cancer in men [1]. In recent decades, marked improvements in individualized and systemic treatment for PCa have been developed. However, PCa metastasis to bone remains a primary problem, causing significant morbidity and mortality [2]. PCa patients with bone metastasis (BM) could have complications, such as pain, pathological fracture, hypercalcemia, and nerve compression syndromes, which contribute to a poor quality of life and reduce survival [3]. Therefore, an improved grasp of the mechanisms underlying PCa BM is essential to promote the development of therapeutic targets.
Cancer development and progression significantly involve the Wnt/β-catenin signaling pathway [4]. When the pathway is activated, β-catenin stabilization and nuclear translocation are promoted, resulting in increased expression of target genes. Accumulated evidence shows that Wnt/β-catenin signaling pathway could have a pivotal function in PCa BM via various downstream effectors: (i) Activation of the epithelial to mesenchymal transition (EMT) process, which is essential for PCa cell migration and invasion from the tumor’s in situ location [5]; (ii) up-regulation of anoikis resistance to survive in circulation or the bone microenvironment [6]; and (iii) reactivation of dormant disseminated PCa cells in the bone microenvironment, which initiates proliferation and forms overt metastasis [7]. Previously, we showed that Wnt/β-catenin signaling pathway activation promoted PCa BM [8]. Consequently, inhibition of the Wnt signaling pathway could be an ideal treatment strategy against PCa BM. Although intense efforts have been made to develop Wnt-targeted therapies, the results from clinical trials showed that various Wnt signaling pathway inhibitors remained suboptimal performance [9, 10]. Hence, further understanding of Wnt/β-catenin signaling pathway activation, and the identification of novel therapeutic targets might be clinically beneficial for PCa patients with BM.
Long non-coding RNAs (lncRNAs) comprise noncoding RNA molecules with a length of 200–100,000 nucleotides. lncRNAs, lacking coding potential, encompass natural antisense transcripts, overlapping transcripts and intronic transcripts [11]. Their complex and variable secondary structures, mean that lncRNAs can ‘sponge’ microRNAs or proteins, acting as competing endogenous RNAs (ceRNAs) [12], or regulate protein–protein or protein–DNA interactions by acting as scaffolds or guides, thus regulating a variety of cancer-associated signaling networks [13, 14]. In particular, lncRNAs located in the cytoplasm have emerged as important mediators of intracellular signaling pathways. For instance, in hepatocellular carcinoma, lncRNA-MUF promotes EMT via the Wnt signaling pathway [15], and inhibits SMAD family member 4 (SMAD4) protein degradation in colorectal cancer cells, thereby activating the transforming growth factor beta (TGF-β) signaling pathway [16]. Notably, aberrantly expressed lncRNAs have important funcitons in tumor BM in previous studies [17, 18], and were further recognized as potential prognostic and/or therapeutic targets [19, 20]. However, lncRNAs’ biological functions in PCa BM are unknown.
Thymopoietin (TMPO)-antisense RNA 1 (TMPO-AS1), located on chromosome 12, has been identified as a critical lncRNA in the progression of many cancers [21, 22], including PCa [23]. In the present study, searching using the University of California Santa Cruz (UCSC) genome browser identified two transcripts of TMPO-AS1 with different exons and lengths (long and short transcripts). We identify that the expression of the long transcript of TMPO-AS1 (TMPO-AS1L) is upregulated significantly in PCa tissues with BM and is associated with poor patient prognosis. Experimentally, we reveal that TMPO-AS1L acts as scaffold to strengthen the interaction between casein kinase 2 alpha 1 (CSNK2A1) and DEAD-box helicase 3 X-linked (DDX3X), and activates the Wnt/β-catenin signaling pathway, which reciprocally promotes PCa BM. Furthermore, general transcription factor IIF subunit 2 (GTF2F2) mediates transcriptional elongation of TMPO-AS1 leading to the upregulation of TMPO-AS1L expression. Clinically, the GTF2F2/TMPO-AS1L/β-catenin axis is verified in PCa tissues. Our study determine the clinical significance and regulatory mechanism of TMPO-AS1L in PCa, providing a candidate therapeutic target for BM in PCa.
Results
TMPO-AS1 L levels are increased in bone-metastatic PCa tissues
To assess the clinical significance of TMPO-AS1 in PCa, The Cancer Genome Atlas (TCGA) datasets were analyzed. The results showed that the expression of TMPO-AS1 was upregulated in PCa tissues in comparison with that in adjacent normal tissues (ANT) (Fig. 1A). Survival analysis from the TCGA dataset showed that high TMPO-AS1 expression correlated positively with lower rates of disease‐free survival (DFS) and bone metastasis-free survival (BMFS) (Fig. 1B, C). Nevertheless, for the overall survival (OS), there was no significant difference in the rates between high or low TMPO-AS1 expression groups, which might be because the number of deaths (10 deaths in 495 cases) in the TCGA dataset was too small for meaningful analysis (Fig. S1A). The biological role of TMPO-AS1 in the progression of PCa was assessed in the TCGA data using Gene Set Enrichment Analysis (GSEA), which revealed that high levels of TMPO-AS1 correlated strongly and positively with metastatic propensity and EMT-associated gene signatures (Fig. S1B). This indicated that metastasis was responsible for the poor prognosis of PCa patients with high expression of TMPO-AS1. This was further supported by analysis of a Gene Expression Omnibus (GEO) dataset (GSE21032), which demonstrated significant upregulation of TMPO-AS1 expression in metastatic PCa tissues (M‐PCa) in contrast to that in primary PCa tissues (P‐PCa) and ANT (Fig. 1D). PCa most commonly metastasizes to bone, therefore, we attempted to reveal the biological role of TMPO-AS1 in PCa BM.
UCSC genome browser analysis identified two transcripts for TMPO-AS1 that differed by their exons and lengths (TMPO-AS1L and TMPO-AS1S) (Fig. 1E). Our results suggested that TMPO-AS1L expression, rather than TMPO-AS1S expression, was upregulated markedly in PCa tissues in comparison with that in ANT and in primary PCa tissue with bone metastasis (PCa/BM) compared with tissue without bone metastasis (PCa/nBM) (Fig. 1F–G). Besides, high expression of TMPO-AS1L, but not TMPO-AS1S, was associated positively with lower rates of BMFS (Fig. S1C). Meanwhile, TMPO-AS1L expression was markedly higher than TMPO-AS1S expression in PCa tissues (Fig. 1H). Consistently, quantitative real-time reverse transcription PCR (qRT-PCR) demonstrated that the 2^-ΔCt values for TMPO-AS1S were lower than those for TMPO-AS1L in PCa tissues and cell lines (Figs. 1J and S1D), and high TMPO-AS1L expression was more prevalent in PCa/BM compared with that in PCa/nBM (Fig. 1I). We also found that compared with its level in the normal prostate cell line (RWPE‐1), TMPO-AS1L expression was elevated in PCa cell lines (Fig. 1K). Together, these results suggest that TMPO-AS1L is mainly expressed in PCa tissues and is overexpressed in bone metastatic PCa tissues.
High TMPO-AS1 L expression predicts bone metastasis in prostate cancer patients
In situ hybridization (ISH) was employed to detect the clinical significance of TMPO-AS1L expression in 155 paraffin-embedded PCa tissues (Supplementary Table S1). The staining intensity was classified into the following degrees: Negative (0), weak (+1), moderate (+2) and strong (+3), to represent the expression levels of TMPO-AS1L, which was detected mainly in the cytoplasm (Fig. 2A). TMPO-AS1L levels were dramatically increased in tissue from the PCa/BM compared with those in PCa/nBM (Fig. 2B), rather than TMPO-AS1S (Fig. S2A, B). High TMPO-AS1L levels correlated significantly with differentiation, serum prostate-specific antigen (PSA), Gleason grade, BM status, and the vital status of the patients (Fig. 2C; Supplementary Table S2). Notably, high TMPO-AS1L expression was associated with shorter survival time and earlier BM (Fig. 2D). High TMPO-AS1L expression was recognized as an independent prognostic factor for BMFS (Fig. 2E), but not the OS of PCa patients (Fig. S2C). These results further suggest that TMPO-AS1L has a vital function in PCa BM.
TMPO-AS1 L promotes PCa BM in vivo
To assess if TMPO-AS1L mediates BM in PCa, we constructed a mouse model of BM, in which luciferase-labeled control PC‐3 cells, PC-3 cells with stable overexpression of TMPO-AS1L, and those with stably downregulated TMPO-AS1L were inoculated into the nude mice’s left cardiac ventricle (Fig. S3). Bone metastatic tumor progression was monitored using BLI and X-ray imaging. Representative BLI images showed typical BM lesions in mice at day 45 in the four groups (Fig. 3A), which were also revealed through using X‐ray imaging and H&E-stained bone sections (Fig. 3B, C). Additionally, TMPO-AS1L expression was identified by ISH staining in mice BM tissues (Fig. 3D). Statistical analysis of the results showed that upregulation of TMPO-AS1L increased the incidence of BM, the tumor burden (H&E), and decreased mouse BMFS and OS (Fig. 3E–H). By contrast, TMPO-AS1L silencing repressed the bone metastatic ability of PC-3 cells. Thus, TMPO-AS1L promotes PCa bone metastasis in vivo.
TMPO-AS1 L regulates multiple cell phenotypes related to bone metastasis in vitro
As documented previously, bone metastasis is a multi-step process [24]. Tumor cells need to undergo EMT progression for migration and escape from the primary site; invasion into the lymphatic system or blood vessels; survival in the circulation; homing to bone; colonization and finally flourishing in the bone environment. Every step of the process is tightly regulated by a specific set of genes [25]. To investigate whether these genes are regulated by TMPO-AS1L, and to understand the molecular mechanism of how TMPO-AS1L promotes PCa bone metastasis, an RNA-seq experiment was carried out in PC-3 cells to determine the TMPO-AS1L-regulated transcriptome. As shown in Fig. S4, when TMPO-AS1L was silenced, the expression of a series of genes was altered, which are involved in almost all the steps of bone metastasis, including EMT, invasion, anoikis resistance, homing to the bone, angiogenesis and proliferation (Fig. S4A). Then we carried out certain representative experiments for biological validation in vitro.
To examine the effect of TMPO-AS1L on EMT in PCa cells, we analyzed the expression of the epithelial marker, CDH1 (E-cadherin) and the mesenchymal markers VIM (vimentin) and CDH2 (N-cadherin) through western blotting combined with immunofluorescence experiments. Western blotting displayed that TMPO-AS1L upregulation reduced the level of CDH1 and increased levels of VIM and CDH2 in C4-2B cells; by contrast, TMPO-AS1L silencing had the opposite effect on these EMT markers in both PC-3 and C4-2B cells (Fig. S4B). Notably, when TMPO-AS1L expression was elevated in PC-3 cells, no significant protein level change occurred for EMT markers (Fig. S4B). We believe this is because PC-3 cells are natural mesenchymal cells, that is difficult to improve the mesenchymal cell characteristics in PC-3 cells upon TMPO-AS1L overexpression. As shown in the immunofluorescence images (Fig. 4A), the protein levels of EMT markers regulated by TMPO-AS1L were similar to those in the western blotting analysis, although the morphology of the PCa cells had changed. Silencing TMPO-AS1L resulted in conversion of the PC-3 cell characteristic stick-like or long spindle shaped mesenchymal phenotype to an evident short spindle-shaped or cobblestone-like epithelial profile. Concurrently, PC-3 cells became confluent and formed intercellular junctions. In C4-2B cells, epithelial cell phenotypes were predominant. Therefore, TMPO-AS1L converted the short spindle-shaped or cobblestone-like epithelial morphology to the stick-like or long spindle shaped mesenchymal morphology, and reduced the confluence and intercellular junctions of C4-2B cells. By contrast, silencing TMPO-AS1L increased intercellular junctions (Fig. 4A).
Furthermore, we performed invasion and migration assays, anoikis resistance assays and colony formation assays. We found that TMPO-AS1L overexpression enhanced the abilities of invasion, migration and colony formation in PC‐3 and C4‐2B cells, while cellular sensitivity to anoikis was decreased, whereas silencing TMPO-AS1L had the opposite effects in PC‐3 and C4‐2B cells (Fig. 4B–E). In conclusion, these findings suggest that TMPO-AS1L promotes PCa bone metastasis via multiple metastatic biological functions.
TMPO-AS1 L activates Wnt/β-Catenin signaling
To investigate the molecular mechanisms of TMPO-AS1L in PCa bone metastasis more deeply, we took advantage of TMPO-AS1L-regulated transcriptome to carry out Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis, which indicated that TMPO-AS1L might regulate the Wnt signaling pathway (Fig. S4C). Consistent with this hypothesis, overexpressing TMPO-AS1L strikingly enhanced, while silencing TMPO-AS1L markedly reduced TOP/FOP luciferase activities in PCa cells (Fig. 5A). Intriguingly, almost all the TMPO-AS1L-regulated genes shown in Fig. S4A, encode proteins that act downstream of Wnt/β-Catenin Signaling. Further validation showed that overexpression of TMPO-AS1L elevated the total and nuclear level of β-catenin, whereas knockdown of TMPO-AS1L attenuated β-catenin accumulation in total cell and nuclear lysates (Fig. 5B).
In addition, we identified whether TMPO-AS1L induced the biological functions of PCa cells by activating the Wnt/β-catenin pathway. XAV-939, a widely used Wnt/β-catenin inhibitor [10], abolished TMPO-AS1L-induced promotion of PCa cells invasion, migration, anoikis resistance and colony formation ability (Fig. S5A–D). Taken together, our findings verify that Wnt/β-catenin signaling activity is required for the TMPO-AS1L-induced phenotype of PCa cells.
TMPO-AS1 L strengthens the interaction between CSNK2A1 and DDX3X
PhyloCSF analysis of protein‐coding potential strongly indicated that TMPO-AS1L lacks protein-coding capacity (Fig. S6A). TMPO-AS1L is mainly located in the cytoplasm according to RNA‐FISH assays and nuclear-cytoplasmic fractionation of PCa cells (Fig. S6B, C), which was consistent with the ISH observation in clinical PCa tissues described above (Fig. 2A). LncRNAs usually play their roles by interacting with certain proteins, therefore, we wanted to know whether specific proteins mediate Wnt/β-catenin signaling regulation by TMPO-AS1L. Consequently, we investigated the protein interactome of TMPO-AS1L using RNA pull-down assays, and proteins that co-precipitated with the biotin-labeled antisense probe against TMPO-AS1L were identified using electrophoresis through sliver-stained gels and mass spectrometry (MS) (Fig. 5C). The specific TMPO-AS1L-protein interactome identified using the antisense probe, was submitted to DAVID (https://david.ncifcrf.gov/home.jsp.) for KEGG pathway analysis. The proteins that interact with TMPO-AS1L and regulate Wnt/β-catenin signaling from the KEGG pathway database are shown in Table S3. CSNK2A1 (unique peptides = 16), which ranked first in the table, has been well-documented as an activator of Wnt/β-catenin signaling [26]. To confirm the direct interaction between TMPO-AS1L and CSNK2A1, an RNA pull-down assay followed by western blotting and RNA immunoprecipitation (RIP) assay were further performed, which verified that TMPO-AS1L interacted with CSNK2A1(Fig. 5D, E).
Previous studies revealed that interactions between RNA-binding proteins (RBPs) and protein kinases could strongly enhance kinase activity [27, 28], in which process lncRNAs have been proposed to exert important function [29]. Accordingly, we speculated that certain RBPs would participate in the TMPO-AS1L/CSNK2A1 complex. Through screening the result of MS, combined with analyzing public databases (Starbase and BioGRID), we identified DDX3X as a suitable candidate (Fig. S6D), which was distributed in the cytoplasm and could interact with TMPO-AS1L and CSNK2A1 simultaneously. RNA pull-down assay and RIP assays confirmed the direct interaction between DDX3X and TMPO-AS1L (Fig. 5D, E).
Moreover, truncated forms of TMPO-AS1L, CSNK2A1 and DDX3X were constructed and subjected to immunoprecipitation (IP) assays to investigate binding site or domains of the three molecules. It is believed that stem-loop structures are necessary for lncRNAs to interact with proteins [30]. According to this premise, we first predicted the secondary structure of TMPO-AS1L by RNAfold (http://rna.tbi.univie.ac.at/cgi-bin/RNAWebSuite/RNAfold.cgi.), and designed four fragments (1-1222 nt, 1223-2089 nt, 2090-2741 nt, and 2472-3357 nt) that retained stable stem-loop structures as shown in Fig. S7A. These fragments were transcribed and biotinylated in vitro, and then subjected to pull-down experiments using PC-3 cell extracts, which showed that fragment 1-1222 nt and fragment 1223-2089 nt of TMPO-AS1L, interacted with CSNK2A1 and DDX3X, respectively (Fig. 5F). Next, we sought to identify which domains of CSNK2A1 and DDX3X bind to TMPO-AS1L and constructed various truncated forms of CSNK2A1 and DDX3X according to their respective domains (Fig. 5G upper panel). According to the results of RNA pull down assays, TMPO-AS1L interacts with the helicase core domain of DDX3X and the protein kinase domain of CSNK2A1(Fig. 5G below panel). In addition, we found that the C-terminal domain of DDX3X was required for the interaction with CSNK2A1 via coimmunoprecipitation (co-IP) assays. Moreover, the CSNK2A1 protein kinase domain was responsible for its binding to DDX3X (Fig. S7B, C). Thus, we demonstrated the interactions among TMPO-AS1L, CSNK2A1 and DDX3X.
To access the role of TMPO-AS1L in the RNA-protein complex, co-IP assays were employed. The results indicated that upregulated TMPO-AS1L expression strengthened the interaction between CSNK2A1 and DDX3X, whereas downregulation of TMPO-AS1L expression abrogated this interaction in PCa cells (Fig. 5H). Notably, we excluded the possibility of transcriptional regulation of CSNK2A1 and DDX3X by TMPO-AS1L (Fig. S7D).
CSNK2A1 appears to be a multisite regulator of Wnt/β-Catenin signaling, because it can phosphorylate several components of the signaling pathway, including dishevelled segment polarity proteins (DVLs) [31] and β-catenin [32], which are the most common substrates of CSNK2A1 in the cytoplasm. As shown in Fig. 5I, the level of phosphorylated DVL2 was upregulated when TMPO-AS1L was overexpressed, whereas it was downregulated when TMPO-AS1L was knocked down in PCa cells. However, the level of phospho-β-catenin (Ser33/Ser37/Thr41), which would be destabilized by glycogen synthase kinase 3 beta (GSK-3β) [33], presented the opposite trend compared with phospho-DVL under the same treatments (Fig. S7E). This result indicated that TMPO-AS1L enhanced the interaction between DDX3X and CSNK2A1, further increasing the activity of CSNK2A1 to phosphorylate DVL2, which activated Wnt/β-catenin signaling. Immunofluorescence experiments showed that CSNK2A1 as well as DDX3X, was colocalized with DVL2 in characteristic cytoplasmic puncta when TMPO-AS1L was overexpressed. By contrast, silencing TMPO-AS1L markedly reduced the number of these colocalized puncta, and CSNK2A1, DDX3X and DVL2 showed diffuse staining (Figs. 5J and S7F–G). This result indicates that TMPO-AS1L/CSNK2A1/DDX3X complex formation induces DVL phosphorylation by enhancing the affinity of DVL for CSNK2A1.
Finally, we carried out rescue assays to determine whether both DDX3X and CSNK2A1 are indispensable for the role of TMPO-AS1L in the Wnt/β-catenin signaling and PCa BM. Silencing of DDX3X or CSNK2A1 in TMPO-AS1L overexpressing PCa cells attenuated the effect of TMPO-AS1L on Wnt/β-catenin activation and the phosphorylation of DVL2 (Figs. 6A, B and S8A–C). Moreover, the promotion effect of TMPO-AS1L-induced on cellular function in vitro and bone metastasis in vivo were also reversed by silencing DDX3X or CSNK2A1 (Figs. 6C–J and S8D–G). In addition, treatment with RK-33 and CX4945 in PCa cells, which are inhibitors of DDX3X and CSNK2A1 respectively, produced the same results in vitro and in vivo (Figs. 6A–J and S8C–G). In summary, these findings demonstrate that TMPO-AS1L acts as a molecular scaffold to strengthen the interaction between DDX3X and CSNK2A1, enhancing the activity of CSNK2A1, and activating Wnt/β-catenin signaling.
GTF2F2-mediated transcriptional elongation contributes to the upregulation of TMPO-AS1 L in PCa
As mentioned above, the human TMPO-AS1 gene produces two transcripts with different lengths (Fig. 1E), and the long transcript TMPO-AS1L shows higher expression than the short transcript, TMPO-AS1S, in PCa tissues and cell lines (Figs. 1F–I and S1D). Therefore, we speculated that transcription elongation is the underlying mechanism contributing to the upregulation of TMPO-AS1L in PCa cells. Interestingly, we found that GTF2F2, a subunit of transcription factor II F (TFIIF), which is a general transcription and elongation factor [34], could bind to TMPO-AS1L (Fig. 5C). RIP assays validated that GTF2F2 could bind to the pre-mRNA of TMPO-AS1 transcription products and TMPO-AS1L, but not TMPO-AS1S (Fig. 7A). Importantly, we found that that GTF2F2 overexpression upregulated, whereas silencing GTF2F2 downregulated the mRNA level of TMPO-AS1L and its pre-mRNA (Fig. 7B, C). Nevertheless, the level of TMPO-AS1S varied irregularly, which indicated that the transcription of TMPO-AS1S is incompletely modulated by GTF2F2.
The 5,6-dichloro-1-β-d-ribofuranosylbenzimidazole (RBD), a reversible transcriptional elongation inhibitor, was used to treat GTF2F2 overexpression/knockdown PCa cells (Fig. S9A, B) for 3 h, and RNA was collected at different time points for qRT-PCR analysis to detect the level of the pre-mRNA. The pre-mRNA level before DRB treatment was used as the reference [35]. The result showed that the expression level of the pre-mRNA almost recovered at 40 min in GTF2F2 overexpressing PCa cells, whereas it did not recover within 80 min in the GTF2F2 knockdown PCa cells (Figs. 7D and S9C). This suggest that GTF2F2 can overcome the inhibitory effect of DRB in the transcriptional elongation process.
The distribution of RNA polymerase II (RNAPII) on a gene can reflect the dynamics of transcript elongation [36]. Therefore, we selected four sites in the TMPO-AS1 gene, as shown in a schematic diagram (Fig. S9D): P1 (the transcription start site of TMPO-AS1L), P2 (the transcription start site of TMPO-AS1S), P3 (before the splice site) and P4 (distal region after the splice site). The specific primers corresponding to each site were designed and quantitative ChIP assays were performed under conditions of GTF2F2 overexpression or knockdown. Overexpression of GTF2F2 caused the recruitment of RNA Polymerase II Subunit A (POLR2A), the largest subunit of RNAPII, at P1 and P4, and decreased its distribution at P2 and P3 (Fig. 7E, F). Conversely, knockdown of GTF2F2 induced the opposite distribution of POLR2A at the same positions (Fig. 7E, F). These findings indicate that GTF2F2 could modulate the distribution of RNAPII and the dynamics of the transcriptional elongation of the TMPO-AS1 gene.
Clinical relevance of the GTF2F2/TMPO-AS1 L/β-catenin axis in clinical PCa samples
To determine the clinical impact of the GTF2F2/TMPO-AS1L/β-catenin axis in PCa samples, ISH and IHC assays were employed to examine the levels of GTF2F2, TMPO-AS1L, DDX3X, CSNK2A1, p-DVL2 and β-catenin in serial sections of PCa specimens. As shown in Fig. 8A, B, the IHC and ISH results revealed that the expression of TMPO-AS1L correlated positively with GTF2F2, p-DVL2 and nuclear β-catenin levels, but not with DDX3X and CSNK2A1 levels. Overall, GTF2F2-mediated transcription elongation contributes to the upregulation of TMPO-AS1L and the TMPO-AS1L/DDX3X/CSNK2A1 complex further activates Wnt/β-catenin signaling, thereby promoting PCa BM (Fig. 8C).
Discussion
The present study provides critical information related to the function of TMPO-AS1L in PCa BM, acting via Wnt/β-catenin signaling. Mechanistically, TMPO-AS1L acts as a molecular scaffold to strengthen the interaction between DDX3X and CSNK2A1, which stimulates CSNK2A1. Increased kinase activity of CSNK2A1 elevates the levels of phosphorylated DVLs and activates Wnt/β-catenin signaling. Moreover, upregulation of TMPO-AS1L in PCa results from transcription elongation modulated by GTF2F2. Importantly, high TMPO-AS1L expression correlated significantly with BM in PCa patients.
Although there have been recent improvements in the individualized and systemic treatments of PCa, PCa patients with BM have reduced quality of life and survival because of BM-associated complications [2, 3]. Consequently, the identification of new therapeutic targets for PCa BM is important. The significance of their tissue-specific expression and the availability of various inhibitors make lncRNAs ideal therapeutic targets [37]. Emerging evidence supports this view: Li et al. demonstrated that inhibition of lncRNA‐MAYA repressed breast cancer BM effectively [18]; our previous study revealed that antisense oligonucleotides targeting lncRNA PCAT6 suppressed BMs in PCa [17]. Herein, we showed that TMPO-AS1L expression was associated with BM in PCa patients. Knockdown of TMPO-AS1L could inhibit PCa cells BM in vivo and induced a pro-metastatic state in vitro, indicating that targeting TMPO-AS1L might represent a novel and effective anti-BM treatment regimen in PCa. In agreement with these results, Huang et al. demonstrated that in PCa, TMPO-AS1 acted an oncogenic lncRNA, and might represent a diagnostic and prognostic biomarker and a therapeutic target, for PCa [23]. However, the molecular mechanism by which TMPO-AS1 functions was unclear. Actually, TMPO-AS1 has been identified as an oncogene in various carcinomas [38]. Most studies demonstrated that TMPO-AS1 might function as a miRNA sponge; however, they neglected the fact that two different transcripts are produced from the TMPO-AS1 gene [39, 40]. In our study, we demonstrated that the long transcript TMPO-AS1L, rather than short transcript TMPO-AS1S, acted as a molecular scaffold to promote the formation of the TMPO-AS1L/DDX3X/CSNK2A1 RNA-protein complex, which elevated the protein kinase activity of CSNK2A1. We speculated that the sequences of TMPO-AS1 transcripts reported in almost previous studies are similar to TMPO-AS1L (TMPO-AS1-202, ENST00000548760.2), because the sequence of TMPO-AS1S is not long enough to form a functional secondary structure. Nevertheless, we did not detect binding of AGO2 to TMPO-AS1L in PCa cells using RNA pull-down assays combined with MS analysis. Thus, TMPO-AS1L might not function as a ceRNA in PCa. This differs from our own results and those of other published studies about the molecular mechanisms of TMPO-AS1, which could be attributed to the heterogeneity of the tumor model or the context. This might explain why TMPO-AS1 is distributed in the cytoplasm in most tumors, whereas Luo et al. found that TMPO-AS1 was located in the nucleus in esophageal cancer, acting as transcriptional regulator [41]. Notably, our RNA pull-down and MS analysis results showed that TMPO-AS1L might interact with various proteins, such as PPIP5K2, PTK2, EIF5, or others. It is possible that TMPO-AS1L simultaneously exerts its biological function through multiple mechanisms in the process of BM or the progression of PCa, which should be further investigated. This reflects the diversity and complexity of the molecular mechanisms of lncRNAs.
In the current study, we found that TMPO-AS1L exerted its biological role in a CSNK2A1/DDX3X-dependent manner. CSNK2A1, the catalytic subunit α of casein kinase II (CK2), is part of the tetramer of the CK2 holoenzyme or can function independently to phosphorylate substrates that have acidic residues lying C-terminal to the phosphorylated serine or threonine [26]. CSNK2A1 was certified as a pro-oncogenic factor in the majority of tumors [42], and its many substrates are components of diverse signaling pathways, such as the Wnt pathway [26], PI3K/Akt pathway [43] and NF-κB pathway [44]. CSNK2A1, which exerts multisite regulation on Wnt/β-catenin signaling, is commonly targeted to DVLs, β-catenin and TCF/LEF [44]. Considering TMPO-AS1L functions in the cytoplasm, only DVLs and β-catenin are possible substrates of CSNK2A1 in our model. As shown by western blotting, TMPO-AS1L upregulated the level of phosphorylated DVL, rather than phosphorylated β-catenin, which inhibits the ‘β-catenin destruction complex’, resulting in inhibition of GSK3β-mediated β-catenin phosphorylation/degradation, promoting its accumulation and translocation into the nucleus [44]. In our study, this effect of CSNK2A1 on Wnt/β-catenin signaling was modulated by DDX3X, which is defined as an RBP. Consistently, Llorens et al. reported that the RBP eIF2β binds to CSNK2A1 and affects its activity [28]. Alternatively, there is growing evidence that DDX3X interacts with protein kinases and enhances their activation, such as IKKα [45] and CSNK1E [27]. Moreover, Guan et al. revealed that the lncRNA LINC00673-v4 regulated the protein-protein interactions between RBPs and kinases [29]. In addition, we found that TMPO-AS1L promoted CSNK2A1 and DDX3X co-localization with DVLs and formed biomolecular condensates in immunofluorescence experiments. Similarly, Cruciat et al. demonstrated that the interaction between DDX3X and CSNK1E induced the recruitment of CSNK1E to DVL2 punctae [27], and further discovered that multiple DDX members also bind to and regulate the activity of the CK1 family. Based on these evidences, we speculated that interactions between RBPs and kinases occur extensively in cellular physiological and pathological processes. This interaction might be accompanied by phase separation. Schwarz-Romond et al. suggested that DVLs in the cytoplasm were involved in Wnt/β-catenin signaling, arising from a phase separation [46]; Indeed, studies have revealed that the interactions of RBPs (including DDX3X) with RNA appear to promote phase separation [47, 48]. In a model of breast cancer BM, phase separation involved CSNK2A1 in the regulation of Wnt/β-catenin signaling [49]. Taken together, these RNA/protein interactions have functional importance: phase-separated condensates might serve as reaction crucibles to facilitate efficient enzymatic reactions and sequester interference by other enzymes or signaling pathways in the cytoplasm. Despite not further investigating whether TMPO-AS1L/CSNK2A1/DDX3X condensates undergo phase separation, we have provided a new insight that will promote further research. Notably, Guan et al. suggested that LINC00673-v4 enhanced lung adenocarcinoma metastasis via a similar mechanism [29]. However, LINC00673-v4 expression was significantly lower than that of TMPO-AS1L in PCa, and its expression was no significantly different between PCa/nBM and PCa/BM tissue (Fig. S1E–H). Our results suggest that this mechanism plays an important role in many tumors, but depends on diverse molecules.
Among all the studies on TMPO-AS1, we first distinguished the two different transcripts from the same TMPO-AS1 gene, and found that TMPO-AS1L was primarily expressed in PCa. According to the UCSC genome browser, there are at least three underlying mechanisms involving transcription of two products from the TMPO-AS1 gene, including transcription elongation, alternative transcription start site selection and alternative splicing. We believe that transcription elongation is mainly responsible for the increased expression of TMPO-AS1L in PCa, in which TMPO-AS1L has a sequence long enough to form stem-loop structures. Furthermore, our results showed that GTF2F2 participated in the process of transcription elongation and upregulates the expression of TMPO-AS1L. GTF2F2, together with GTF2F1, constitutes the heterodimer TFIIF. TFIIF is a general transcription factor, that controls the dynamics of RNAPII at both the initiation and elongation stages of transcription [34]. This is because TFIIF is the core member of the pre-initiation-complex (PIC) and is associated with elongation complex facilitating rapid and effective transcript elongation [50]. Similarly, Marasca et al. revealed that GTF2F1 could upregulate the expression of the long transcript of RAB22A in T cells [51]. Moreover, TFIIF can promote start site selection dependent on two structured TFIIF domains and the winged helix domain of GTF2F2 [52]. Additionally, our ChIP assays showed that upregulation of GTF2F2 changed the abundance of RNAPII at the distal region after the splicing site. Whereas, knockdown GTF2F2 resulted in RNAPII stalling before the splicing site. Based on this, we speculated that the alternative exon inclusion events found in TMPO-AS1L contribute to TFIIF-mediated rapid transcription elongation [53].
Conclusion
This study investigated the biological function, molecular mechanisms and clinical implications of TMPO-AS1L in PCa BM. PCa tissues with BM showed upregulated expression of TMPO-AS1L. Downregulation of expression inhibited bone metastasis of PCa. Mechanistically, TMPO-AS1L, upregulated by GTF2F2, acts as a molecular scaffold that promotes CSNK2A1’s interaction with DDX3X, subsequently activating the Wnt/β-catenin signaling pathway. These findings suggest that TMPO-AS1L plays a crucial role in bone metastasis of PCa and can be a potential biomarker for the prognosis and targeted therapy for PCa patients with bone metastasis.
Materials and methods
Cell lines and cell culture
The normal prostate epithelial cells (RWPE-1 cells (RRID:CVCL_3791)) and the PCa cell lines (22RV1 (RRID:CVCL_1045), PC-3 (RRID:CVCL_0035), VCaP (RRID:CVCL_2235), DU145 (RRID:CVCL_0105), and LNCaP (RRID:CVCL_0395)) were provided by the Shanghai Chinese Academy of Sciences cell bank (Shanghai, China). The C4-2B cell line (RRID:CVCL_4784) was provided by the American Type Culture Collection (ATCC, Manassas, VA, USA). All cells were grown in their recommended medium supplemented with 10% fetal bovine serum (#10099141, Thermo Fisher Scientific, Waltham, MA, USA), 100 μg/ml streptomycin and 100 U/ml penicillin G at 37 °C in a humidified 5% CO2 atmosphere. All cells have been authenticated using short tandem repeat (STR) profiling within the last 3 years. All experiments were performed with mycoplasma-free cells.
Mouse experiments
The Institutional Animal Care and Use Committee of Sun Yat-sen University approved the mouse experiments (Approval number: L102012019222M). To study BM, male BALB/c-nu mice aged 4–6 weeks old were anesthetized using isoflurane and then 1 × 106 PC-3 cells in 100 μl of phosphate buffered saline (PBS) were inoculated into their left cardiac ventricle. Mice were included in the study if the injection into the left ventricle was successful; otherwise, they were excluded until there were 8 mice in each group. Bioluminescent imaging (BLI) was used to monitor BM, as previously described [54]. No blinding and randomization were used for the animal experiments. When the mice showed distress-like symptoms, such as 10% weight loss, paralysis, or head tilting, they were euthanized individually.
Co-immunoprecipitation
Related plasmid DNAs were co-transfected into HEK293T cells for 48 h, rinsed two times using precooled PBS, and lysed using cold cell lysis buffer containing a protease inhibitor and phosphatase inhibitor cocktail (#11697498001, Roche, Basel, Switzerland). Next, antibodies against the target proteins were incubated with the lysates, at 4 °C overnight. Antibody-antigen complexes were captured using 50 μl of anti-HA magnetic beads or anti-His magnetic beads (#HY-K0201 or #HY-K0209, Merck, Rahway, NJ, USA) for 24 h at 4 °C. The beads were then magnetically separated and incubated with HA peptide (#HY-P0239, Merck) or His peptide (#P9811, Beyotime, Jiangsu, China) for 4 h at 4 °C. After incubation, we obtained the supernatant using magnetic separation. Both the input and Co-IP samples were analyzed by western blotting analysis using anti-HA or anti-His antibodies. Conformation-specific IgG secondary antibodies (#3678, CST, Danvers, MA, USA) were used to remove heavy- or light-chains.
RNA pull-down assay
In vitro, a MEGAscript T7 Transcription Kit (#AM1333, Thermo Fisher Scientific) was used to transcribe TMPO-AS1 full-length sense, antisense, and serial deletion sequences, which were subjected to biotinylation using a Pierce RNA 3′ End Desthiobiotinylation Kit (#20163, Thermo Scientific) adhering to the supplier’s guidelines, followed by RNase-free DNase I (#2270, Takara, Dalian, China) treatment and purification using an RNeasy Mini Kit (#74104, QIAGEN, Hilden, Germany). RNA pull-down assays were conducted using an RNA-Protein Pull-Down Kit (#20164, Thermo Fisher Scientific). Streptavidin-coated magnetic beads were used to capture the biotinylated RNA, which was added to cell lysates and incubated for 2 h at 4 °C. Subsequently, the beads were subjected to three washes and boiled to retrieve proteins for immunoblotting or mass spectrometry. The proteins on the sodium dodecyl sulfate-polyacrylamide gel electrophoresis gel were stained using a Pierce Silver Stain Kit (#24612, Thermo Fisher Scientific) following the supplier’s protocol.
Statistical analyses
GraphPad Prism 9.0 (GraphPad Inc., La Jolla, CA, USA) and SPSS 19.0 (IBM Corp., Armonk, NY, USA) were used to carry out the statistical analyses. The mean ± standard deviation (SD) was used to represent the data. The quantitative experiments were carried out at least thrice independently. One way analysis of variance (ANOVA) (for normally distributed data and multiple groups) was used to analyze the quantitative data, as were the Kruskal-Wallis test (for non-normally distributed data and multiple groups), t tests (for normally distributed data between two groups), the Mann-Whitney U test (for non-normally distributed data between two groups), and the Wilcoxon matched-pairs signed rank test (for non-normally distributed and paired data). Categorical variables and constituent ratios were compared using the χ2 test. Kaplan–Meier curves and log-rank tests were used to analyze the survival data. Differences with a P < 0.05 (two-tailed) were deemed statistically significant. In figures, statistical differences are shown as follows: N.S. = no significance, *P < 0.05.
Data availability
Data are available in a public, open access repository. Data are available on reasonable request. The sequencing data and processed expression matrix have been deposited at the Sequence Read Archive database through the following accession number: SRX8803980.
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Acknowledgements
We would like to thank Yue Li, Yunyun Xiao, Han Li and Dongni Shi from the Department of Experimental Research, State Key Laboratory of Oncology in Southern China at the Sun Yat-sen University Cancer Center for their advice and insights.
Funding
This work was supported by grants from the National Natural Science Foundation of China [grant numbers 81902735, 82072973, 82203721], the Basic and Applied Basic Research Foundation of Guang-dong province [grant numbers 2019A1515010342, 2023A1515010581], and the Provincial Natural Science Foundation of Anhui [grant numbers 2208085QH253].
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YD, XP, CL, and MW developed the original idea and designed the experiments. MW prepared the figures and drafted the manuscript. MW, CY, ZW, XW, QL and XJ conducted the experiments and contributed to data analysis. YD, HD and XP provided critical reagents and/or clinical samples. YD and XP supervised the study. All authors contributed to revising the manuscript and approved the final version for publication.
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All mouse experimental procedures were approved by The Institutional Animal Care and Use Committee of Sun Yat-sen University (approval-No. L102012019222M).
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Wang, M., Yin, C., Wu, Z. et al. The long transcript of lncRNA TMPO-AS1 promotes bone metastases of prostate cancer by regulating the CSNK2A1/DDX3X complex in Wnt/β-catenin signaling. Cell Death Discov. 9, 287 (2023). https://doi.org/10.1038/s41420-023-01585-w
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DOI: https://doi.org/10.1038/s41420-023-01585-w