Abstract
Metastasis accounts for more than 50 % of deaths among renal cell carcinoma (RCC) patients, and therefore, it is important to study the biology of metastasis and identify metastasis-associated biomarkers for risk prognosis and stratification of patients for an individualized therapy of RCC. In cultured RCC cells, knockdown of Rictor by short hairpin RNA (shRNA) inhibited cell migration and invasion, probably due to impairments in activation of Akt. Pretreatment with tumor necrosis factor α (TNFα) or interleukin 6 (IL-6) enhanced the expression of Rictor and the migration of renal cancer cells. Mechanistic analysis showed that TNFα induced the activation of NF-κB in RCC cells. Luciferase reporter analysis revealed a NF-κB responding element (−301 to −51 bp) at the promoter region of Rictor. Chromatin immunoprecipitation (ChIP) analysis further confirmed that TNFα-induced binding of p65 with the promoter of Rictor. In a xenograft model, knockdown of Rictor-blocked RCC cells metastasis to the mouse lungs and livers. Taken together, our results suggest that the proinflammatory cytokine TNFα promotes the expression of Rictor through the NF-κB pathway.
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Introduction
Renal cell carcinoma (RCC) accounts for two percent of all cancers [1]. Its incidence has been increasing in the last three decades [2]. More than 30 % of RCC patients are diagnosed as metastatic disease and 20–30 % of patients will finally develop metastases following surgery, immunotherapy, and molecular-targeted therapy. Metastasis is the leading cause of mortality in RCC [3]. Thus, the prevention and treatment of metastasis is of critical importance during RCC therapies.
Chronic inflammation promotes tumorigenesis and is proposed to be a hallmark of cancer [4, 5]. Reducing inflammation is a promising strategy for the prevention of cancers. Clinical investigations reveal a repertoire of proinflammatory cytokines elevated in tumor sites [6, 7]. Among them, TNFα and IL-6 are closely associated with cancer cell metastasis in several types of cancers [8–11]. In RCC, the elevation of TNFα was also detected in the primary sites and linked to a poor prognosis [12]. It has been proposed that TNFα is involved in epithelial-mesenchymal transition and promotes metastasis [8, 13]. However, the role and the mechanism of TNFα-promoted RCC metastasis are still largely unknown.
NF-κB, a transcription factor, plays a pivotal role in a spectrum of biological responses including inflammation and embryonic development [4, 14]. Upon stimulation by extracellular factors such as cytokines, phosphorylation of IKK triggers degradation of IκB which in turn activates downstream transcription [15]. Recently, the role of NF-κB signaling has emerged in cancer development and progression. As the downstream of the TNF pathway, NF-κB provides a mechanistic link between inflammation and tumorigenesis [16–18]. However, the details of the NF-κB pathway in inflammation-related RCC metastasis remain largely unknown.
Metastasis is a multiple-step process which involves escaping of primary tumor cells from the original tissue, intravasating into a blood vessel, traveling through the circulatory system, and finally extravasating to secondary tissues [14]. In breast cancer, epidermal growth factor (EGF)-induced chemotaxis plays a pivotal role in the invasion and metastasis of breast tumors [19]. EGF stimulation results in the activation of PDK1-Akt signaling which, in turn, leads to cofilin-mediated cytoskeleton rearrangement and enhances cell adhesion through integrin [20–22]. Deregulation of the signaling pathways regulated by growth factors and chemokines has been linked to RCC metastasis [23]. However, the underlying molecular mechanism is largely unknown.
The mammalian target of rapamycin (mTOR) plays a pivotal role in tumorigenesis and metastasis [24, 25]. mTOR forms a rapamycin-sensitive mTORC1 complex and Rictor-containing rapamycin insensitive mTORC2 complex [26]. mTORC1 is a central integrator and processor of intracellular and extracellular signals, and controls cell growth, proliferation, survival, and metabolism [26, 27]. mTORC2 promotes the activation of Akt signaling by phosphorylating Akt at Ser473 and regulates cell migration by controlling the dynamics of actin cytoskeletons [28–31]. Targeting mTOR is one of the main current strategies for the development of anticancer drugs, with numerous mTOR kinase inhibitors in preclinical and clinic trials [32–34]. We previously discovered that Rictor is an important mediator of chemotaxis and metastasis in breast cancer cells [35]. In the present study, we investigated the role and mechanism of Rictor in TNFα-promoted RCC migration and metastasis.
Materials and methods
Cell culture
HUVEC, MCF-10A, MDA-MB-231, CRL1932, CRL1933, ACHN, HEK293T cells were obtained from the American Type Culture Collection. MDA-MB-231, CRL1932 and CRL1933 cells were cultured in RPMI-1640. ACHN cells were cultured in Minimum Essential Medium (MEM), while HEK293T cells were grown in Dulbecco's Modified Eagle's medium (DMEM). HUVEC cells were cultured in F-12K Medium supplemented with 100 μg/ml heparin and 50 μg/ml endothelial cell growth supplement (ECGS). MCF-10A cells were cultured in DMEM/F12 medium supplemented with 10 μg/mL insulin, 500 ng/mL hydrocortisone, and 100 ng/mL cholera toxin. All cell lines were grown in corresponding medium supplemented with 10 % (v/v) fetal bovine serum (FBS), penicillin G (100 units/ml) and streptomycin (100 units/ml) in a 5 % CO2-humidified incubator at 37 °C. For TNFα or IL-6 pretreatment, cells in log phase were starved overnight, and then were cultured in the basic medium containing 10 ng/ml TNFα or 20 ng/ml IL-6. After 48 h, cells were harvested for further experiments.
Reagents and antibodies
Recombinant human epidermal growth factor (EGF), bovine fibronectin, IL-6 and TNFα were obtained from R&D systems (Minneapolis, MN, USA). Antibodies against Rictor (#2114S), p-Akt (Ser473, #4060S), p-Akt (Thr308, #4056S), Akt (#9272S), and p-IκBα (#9246S) were obtained from Cell Signaling Technology (Beverly, USA). Antibodies against β-actin (sc-47778), IκBα (sc-371), and p65 (sc-372) were obtained from Santa Cruz Biotechnology (Santa Cruz, CA, USA).
RNA isolation, reverse transcription-PCR, and real-time PCR
Total RNA from cultured cells were extracted with TRIzol method (Ambion, USA). Reverse transcription and real-time PCR were performed according to the manufacturer’s instructions (Takara, Japan). In real-time PCR, the forward and reward primers for RICTOR were 5′-TTTCGGGGATTTCTGGATG-3′ and 5′-AAA GCCCAGTCTCATGACATT-3′, respectively. And the forward and reward primers for GAPDH were 5′-GAAGGTGAAGGTCGGAGTC-3′ and 5′-GAAGATGGTGAT GGGATTTC-3′, respectively.
Lentivirus infection
For production of the lentivirus particles, a shRNA (shRictor-Sense: 5′-CCGGTACTTGTGAAGAATCGTATCTTCTCGAGAAGATACGATTCTTCACAAGTTTTTTG-3′; shRictor-Antisense: 5′-AATTCAAAAAACTTGTGAAGAATCGT ATCTTCTCGAGAAGATACGATTCTTCACAAGTA-3′) expression plasmid and a vector containing a scrambled sequence were inserted into pLKO.1-puro plasmid. 293 T cells were transfected with the package and expression plasmids through LipofectamineTM 2000 system. The culture supernatant was harvested 48 h after transfection and centrifuged at 1000 rpm for 5 min to remove cellular debris. For stable clones, ACHN cells were infected with the lentivirus. 6 hours later, cells culture medium was changed into 10 % FBS-MEM. Five days later, puromycin was added into the culture medium at a final concentration of 20 ng/ml.
Dual-luciferase assay
Total DNA from cultured cells were extracted with a DNA extraction kit (Takara, Japan). The sequence of the homo RICTOR promoter region was assessed through Ensembl database. The putative binding site between transcription factors and promoter region of RICTOR was predicted through TFSEARCH database. The various DNA fragments upstream of the RICTOR promoter were amplified from the DNA of ACHN cells, digested with restriction enzymes and inserted into pGL3-basic (Promega, USA). The common reverse primer for inserts was 5′-AAGCTTATTGA CGGGTTTCAGTC-3′. The forward primers for the fragments of −1051 bp, −401 bp, −301 bp, and −51 bp were 5′-GCTAGCTTCAGTCTCATGGAATAG-3′, 5′-GCTAGCGGGCCGTCTATG-3′, 5′-GCTAGCCTGCATTTGGACGAC-3′, and 5′-TCTAGCTAGCGGCGGGCGCGGCGCGCGGGGA-3′, respectively. 1.5 × 105 ACHN cells per well were planted in a 24-well plate the day before transfection. 800 ng of plasmid DNA, adjusted for insert sizes to provide equal molar plasmids, was transiently transfected into cells with LipofectamineTM 2000. 16 ng of pRL-CMVRenilla luciferase reporter (Promega, USA) was used as reference. After 48 h, cells were harvested, lysed, and assayed for luciferase activity using Dual-Luciferase™ reporter assay system (Promega, USA) following the manufacturer’s instructions.
Chromatin immunoprecipitation assay (ChIP)
Cells were starved overnight in a 10 cm dish and pretreated with TNFα (10 ng/ml) or MEM for only 30 min. Cells were fixed with 1 % formaldehyde at 37 °C for 10 min followed by washing and sonication. Chromatin and 7 μg anti-p65 antibody were subjected to ChIP assay as described previously [36]. Real-time PCR was used to quantitate the immunoprecipitated and input DNA fractions via ABI Prism 7500 system (Applied Biosystems, USA) using α-actin as a negative control while IκBα was used as a positive control (see Table 1 for the sequences of primers).
Western blotting assay
Cells were lysed on ice in a RIPA lysis buffer (Cell Signaling Technology, USA) supplemented with protease inhibitors and a phosphatase inhibitor (Roche, Switzerland), and 1 mM PMSF (Sigma, USA). Total proteins of 30 μg were separated by 8 or 10 % SDS-PAGE and transferred onto PVDF membrane, which was blocked with 5 % nonfat milk followed by incubation with primary antibodies. Signals were developed using enhanced chemiluminescence reagents (Millipore, USA) after incubation with an HRP-conjugated secondary antibody.
Immunofluorescence microscopy
Immunofluorescence microscopy was performed as described previously with minor modifications [37]. Briefly, cells were plated in 12-well plates containing sterile coverslips pre-coated with polylysine. After 24 h, cells were starved in a serum-free MEM for at least 3 h. After stimulation with 10 ng/mL TNFα for 15 min at 37 °C, cells were fixed with 4 % paraformaldehyde, permeabilized in 0.2 % Triton X-100 in PBS, and blocked in 3 % bovine serum albumin. Subsequently, anti-p65 antibody, Alexa Fluor 488–conjugated secondary antibody and DAPI were used to stain the cells. Coverslips were mounted in slides and visualized with laser scanning microscopy.
Chemotaxis assay
Chemotaxis assay was performed in a 48-well micro-Boyden chamber (Neuroprobe, USA) as described by Sun et al [37]. Briefly, 30 μl of different concentrations of EGF were added into the lower chamber. The 8 μm fibronectin-coated polycarbonate filter membrane was placed between the chambers. 50 μl of cells were suspended in binding medium (MEM, 0.1 % BSA, and 25 mM HEPES) at the density of 7 × 105 cells/ml and were added into the upper chamber. The chamber was incubated at 37 °C in 5 % CO2 for 3 or 5 h. The membrane was rinsed, fixed, and stained. Migrating cells were enumerated at 400× total magnification by light microscopy.
Invasion assay
Transwell inserts for 24-well plates (Costar) were coated with prediluted Matrigel (1 mg/ml). A total of 1 × 105 cells were loaded into the upper compartment of the chambers. Basic medium containing 1 ng/ml EGF was added into the lower chambers. The cells were allowed to invade through the membrane at 37 °C for 5 h. The non-migrating cells on the upper surface were subsequently removed. The membranes were then fixed and stained. Cells migrating through the membranes in five fields were counted under a microscope at 400× magnification.
Wound healing assay
Cells were plated in 6-well plates and cultured to form a monolayer. After serum starvation for 12 h, a single linear wound was created using a 10 μl pipette tip. Cells were transferred to fresh MEM medium with 0.5 % FBS at 37 °C in 5 % CO2 and the distance of the wounds was measured under a light microscope. All samples were tested in triplicate, and the results were expressed as mean ± SD.
Xenograft tumor transplant mouse model
In vivo metastasis assay was performed as described previously [22]. Briefly, Cells were trypsinized and harvested in log phase, and then washed four times with PBS. 3 × 106 cells were injected subcutaneously into 4-week-old male nu/nu mice (n = 5 per group). 12 weeks later, the mice were sacrificed, and the tumors were isolated, and then the lungs and livers were fixed with formalin and embedded in paraffin. Serial sections and H&E staining were performed to detect micrometastasis. Tumors were excised and measured by largest (a) and smallest (b) diameters to calculate tumor volume by V = ab 2/2.
Statistical analysis
The significance in animal metastasis assay was assessed using Pearson chi-square test. Data analysis was performed using SPSS version 17.0 (Chicago, IL, USA). A P value of <0.05 was considered statistically significant. In chemotaxis, migration, and invasion assay, the results were representative of at least three independent experiments and were expressed as the mean ± SD. Different values between groups were compared using t test in GraphPad Prism 5. A P value of <0.05 was considered statistically significant.
Results
Knockdown of Rictor impaired chemotaxis and invasion of RCC cells
First, we detected the expression of Rictor by Western blotting analysis in two normal cell lines and four cancer cell lines. As shown in Fig. 1a, two metastatic human cancer cell lines, MDA-MB-231 and ACHN, expressed high levels of Rictor protein while its expression in two normal cell lines, HUVEC and MCF-10A, or in two primary RCC cell lines, CRL1932 and CRL1933, was much lower, suggesting a role of Rictor in metastasis. Chemotaxis plays a critical role in metastasis. To reveal the role of Rictor in renal cell chemotaxis, a stable clone, designated as shRictor, was established through a lentivirus system. Compared to normal ACHN cells and control cells (designated as Scr), over 80 % of Rictor was reduced both in the protein and mRNA level (Fig. 1b). Wound healing assays, performed in a medium with 0.5 % fetal bovine serum to exclude the effects of cell proliferation, further confirmed the migration defect in shRictor cells (Fig. 1c). In matrigel assay, shRictor cells showed approximately 60 % decrease in invasiveness (Fig. 1d). Consequently, EGF-induced chemotaxis of ACHN cells was significantly impaired as indicated by micro-Boyden chamber assays (Fig. 1e). Western blotting further verified that Rictor knockdown abolished the EGF-induced Akt phosphorylation at Ser473 (Fig. 1f). These results suggest that Rictor is required for renal cancer cell migration and invasion.
TNFα and IL-6 enhanced Rictor expression and promote cell migration
It has been documented that the expression of TNFα is associated with a poor prognosis of RCC [12]. We next tested its role in mediating RCC migration. As shown in Fig. 2a, treatment with TNFα enhanced the expression of Rictor. Another proinflammatory cytokine, IL-6, also elevated Rictor expression. In chemotaxis assay, pretreatment of TNFα or IL-6 could increase the EGF-induced RCC chemotaxis, nevertheless, the knockdown of Rictor abolished this effect (Fig. 2b). Next, in wound healing assays, treatment with TNFα or IL-6 significantly promoted the migration of RCC cells, while the knockdown of Rictor attenuated TNFα or IL-6 induced enhancement in cell migration (Fig. 2c). Finally, in the matrigel assays, RCC cells showed accelerated migration in the presence of TNFα or IL-6. The knockdown of Rictor blocked the effect (Fig. 2d). Taken together, these results indicate that TNFα or IL-6 increases cell chemotaxis, migration and invasion, all of which were at least partially declined by the knockdown of Rictor.
TNFα stimulation increased Rictor expression in renal cancer cells through NF-κB pathway
We next determined the downstream signaling of TNFα that regulates the gene transcription of RICTOR. NF-κB is one of the most important downstream molecules in TNFα signaling [38–41]. Re-distribution of p65 from cytosol to nucleus is the former of NF-κB activation. Fluorescence microscopy showed that p65 mainly localized in cytosol (Fig. 3a), treatment with TNFα enhanced its nuclear distribution, suggesting TNFα could activate NF-κB in RCC cells. In response to TNFα, phosphorylation and degradation of IκBα, the inhibitory binding protein of NF-κB, results in activation of NF-κB pathway. Indeed, treatment of ACHN cells with TNFα for 5 min led to the apparent phosphorylation of IκBα, accompanied with a decrease of total IκBα (Fig. 3b).
To investigate the transcriptional regulation of RICTOR, four fragments of the RICTOR promoter region were cloned into pGL3-basic plasmid on the basis of transcription prediction. Luciferase assay demonstrated that the fragment from −51 bp to −301 bp, which contained two predictive NF-κB binding sites, was vital to the promoter activity of RICTOR gene (Fig. 3c). To further test our hypothesis that TNFα stimulates the gene transcription of RICTOR via NF-κB signaling, we designed five pairs of primers for ChIP assay and found that primers designed for predictive NF-κB binding site showed about three times affinity than control IgG (Fig. 3d). Most importantly, TNFα increased the binding of p65 to predictive NF-κB binding site of the RICTOR promoter region (Fig. 3d). Subsequently, Bay 11-7082, an inhibitor of IκBα phosphorylation, blocked the IκBα degradation, which also blocked the TNFα and IL-6 induced expression of Rictor (Fig. 3e). These results indicate that TNFα stimulation increases RICTOR expression in renal cancer cells through NF-κB pathway.
Knockdown of Rictor inhibited tumor growth and metastasis in vivo
To extend our observations in vivo, we subcutaneously implanted ACHN cells with lentivirus expressing control (Scr group) or Rictor (shRictor group) short hairpin RNA (shRNA) to nu/nu mice. After 12 weeks, a significant reduction of primary tumor size was observed in the shRictor group, indicating that Rictor played an important role in the growth of RCC (Fig. 4a, b). Furthermore, 80 % of Scr mouse xenografts showed tumor metastasis to lung or liver (Fig. 4c, 4d, e, f), whereas no apparent metastasis sites were detected in shRictor tumor xenografts after 12 weeks. Taken together, our animal experiments indicate that Rictor is required for RCC growth and metastasis in vivo.
Discussion
In the present study, we have revealed a new mechanism by which inflammation promoted RCC tumorigenesis and metastasis. Chronic inflammation has been shown to be closely associated with RCC [8, 12]. TNFα, a proinflammatory cytokine, induced epithelial-mesenchymal transition and promoted metastasis and resistance to the sunitinib [12]. IL-6 stimulated tumor growth and angiogenesis via STAT3 [42, 43]. Our results clearly indicated that Rictor was a downstream effector of both TNFα and IL-6. Treatment with TNFα activated NF-κB and promoted Rictor expression. TNFα-induced cell migration was reversed by knocking down Rictor. A NF-κB responsive region, located at RICTOR promoter region, was identified by both luciferase reporter assays and ChIP analysis. Animal experiments indicated that Rictor knockdown cells failed to metastasize to the mouse livers and lungs. Thus, our results suggest that Rictor plays an important role in mediating inflammation-promoted RCC growth and metastasis.
The outcome of patients with metastatic RCC is very poor, with a median survival time of 10 months and a 5-year survival rate of <10 % [44]. Immunotherapy including IL-2 and IFN-α, and molecular-targeted agents, such as sorafenib, sunitinib, and temsirolimus, are the current therapy choices for metastatic RCC [45, 46]. However, only a small subgroup of RCC patients responded to these treatment modules and most responsive patients will finally develop a resistance to these drugs sooner or later [47]. Thus, novel molecular targets are needed for the development of effective anti-RCC therapies. Rictor appears to be the convergence of several oncogenic pathways [48, 49]. Proinflammatory cytokines, TNFα and IL-6, promote its expression. Epidermal growth factor mediates RCC chemotaxis via Rictor. Furthermore, Rictor expression is closely associated with tumorigenesis and metastasis. These data indicate that targeting Rictor-mediated signaling pathways is a promising strategy for the treatment of metastatic cancers.
A link between chronic inflammation and cancer has been suspected for more than one century [50]. For example, hepatitis C infection in the liver predisposes to liver, chronic Helicobacter pylori infection with stomach cancer, chronic ulcerative colitis with colon cancer, and so on [51–55]. However, the concept that chronic inflammation has been involved in RCC progression was widely accepted until more recent times [56]. NF-κB, a vital transcription factor, plays a key role in cell apoptosis, proliferation, differentiation and immune response, and is an important molecule in inflammation. As one of the most extensively expressed transcription factors, NF-κB is over activated or upregulated in order to overcome apoptosis and promote cancer cell growth during cancer progression [57, 58]. Furthermore, it has been documented that NF-κB may be involved in caner metastasis [59]. However, the details are largely unknown. In the present study, as the downstream molecule of the proinflammation pathway, NF-κB can bind to the promoter region of RICTOR, and enhance cancer cell migration, chemotaxis and invasion via upregulating Rictor expression. Moreover, Bay 11-7082, an inhibitor of IκBα phosphorylation, could inhibit TNFα and IL-6 induced Rictor upregulation. Taken together, these results demonstrated that a proinflammation cytokine could affect cancer cell metastasis, and the inhibition of the NF-κB pathway may help attenuate inflammation-related metastasis. TNF-α/IL-6/ NF-κB /Rictor axis maybe play a pivotal role in RCC metastasis.
Conclusions
In summary, this study showed that the knockdown of Rictor significantly decreased the metastasis of the RCC cell line ACHN in vitro and in vivo. In addition, proinflammatory cytokines (TNFα and IL-6) might increase RCC metastasis through the upregualtion of the RICTOR transcription. Rictor-mediated signaling is controlled by TNFα NF-κB signaling and EGF-RTK pathway (Fig. 5). The association of the upregulation of Rictor and RCC metastasis suggests that Rictor is a potential biomarker for prognosis and stratification of RCC patents, and molecular target for the development of novel drugs for the treatment of cancer metastasis.
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Acknowledgments
This work was supported by the NFSC (81472683, 81072160, 81201646, and 81125019), 973 Program (2011CB933100), Program of Tianjin Higher School Innovation Team (TD12-5025), and Research Seed Foundation of Tianjin Medical University Cancer Hospital and Institute (1421). We thank Zhe Liu, Wei Du, and Litao Qin for their help in luciferase and ChIP assays, and Qiuping Dong for plasmid construction.
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The manuscript does not contain clinical studies or patient data. And all procedures performed in studies involving animals were in accordance with the ethical standards of the ethics committee in Cancer Institute and Hospital of Tianjin Medical University, which was draw up on the basis of the National Institutes of Health Guide for the Care and Use of Laboratory Animals. All efforts were made to minimize suffering.
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Bo Sun and Liwei Chen contributed equally to this work.
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Sun, B., Chen, L., Fu, H. et al. Upregulation of RICTOR gene transcription by the proinflammatory cytokines through NF-κB pathway contributes to the metastasis of renal cell carcinoma. Tumor Biol. 37, 4457–4466 (2016). https://doi.org/10.1007/s13277-015-4296-z
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DOI: https://doi.org/10.1007/s13277-015-4296-z