Background
Esophageal cancer is one of the most common malignancies worldwide, and it has a poor prognosis and a high mortality rate [
1]. Esophageal squamous cell carcinoma (ESCC) is one of the major histological subtypes, accounting for 90% of esophageal cancer cases globally [
2,
3]. The occurrence of ESCC is a complex process that includes environmental factors (such as smoking, drinking, diet, and lack of trace elements) and genetic factors (such as chromosome changes, methylation, gene polymorphism, epigenetic changes) [
3‐
5]. Despite improvements in ESCC treatment in recent decades, the prognosis of ESCC is still unsatisfactory [
6,
7]. Therefore, it is of great importance to reveal the molecular mechanism of esophageal carcinogenesis and improve therapies for ESCC patients.
Recent findings have revealed that approximately 98% of human genome transcripts are noncoding RNAs, which can be divided into long noncoding RNAs (lncRNAs) and small noncoding RNAs [
8,
9]. LncRNAs, which are longer than 200 nucleotides with little or no coding potential, are involved in almost every step of regulating gene expression, such as chromatin modification and transcriptional and posttranscriptional processing [
10,
11]. Aberrantly expressed lncRNAs play critical roles in the development and progression of human malignancies and can serve as tumor biomarkers and specific therapeutic targets [
12‐
15]. However, their significance and detailed underlying mechanisms remain poorly understood in ESCC.
The lncRNA deleted in lymphocytic leukemia 1 (DLEU1) is located at 13q14.3, a region recurrently deleted in chronic lymphocytic leukemia, and it is supposed to be a tumor suppressor gene in hematopoietic tumors [
16,
17]. In contrast, DLEU1 expression is elevated in colorectal cancer and head and neck squamous cell carcinoma, contributing to tumor progression [
18,
19]. Nevertheless, the functional significance of DLEU1 in other tumors, especially ESCC, is unclear.
In the present study, we attempted to identify lncRNAs critical for ESCC tumorigenesis by exploring aberrant expression in lncRNA profiling datasets for paired tumor and adjacent normal tissues from two independent cohorts. We found that the expression of DLEU1 was significantly upregulated in tumor tissues and correlated with poor prognosis in ESCC patients. Functional analyses revealed that DLEU1 was required for the growth and apoptosis resistance of ESCC cells. Mechanistic studies showed that DLEU1 interfered with the degradation of DYNLL1 mediated by the E3 ubiquitin ligase RNF114, thereby enhancing the survival and tumorigenicity of ESCC cells. Our data revealed the novel antiapoptotic role of DLEU1 by mediating RNF114/DYNLL1 signaling, suggesting that DLEU1 could be a potential therapeutic target for ESCC.
Materials and methods
Cell lines and clinical samples
Authenticated ESCC lines TE-1 and KYSE-150 were purchased from the Cell Bank, Type Culture Collection of Chinese Academy of Sciences; KYSE-30 and KYSE-410 were obtained from the Procell Life Science & Technology; EC109 was purchased from the Cell Culture Center of the Institute of Basic Medical Sciences, Chinese Academy of Medical Sciences. All cells were cultured in RPMI-1640 medium (Gibco) supplemented with 10% fetal bovine serum (BI) at 37 °C with 5% CO2 in a humidified incubator. All experiments were performed with mycoplasma-free cells.
Human ESCC and paired adjacent noncancerous tissues from 75 ESCC patients who underwent esophagectomy without prior chemotherapy or radiotherapy were obtained from the First Affiliated Hospital, Shihezi University School of Medicine. Subjects were recruited with written informed consent and with approval from the Ethics Committee of the First Affiliated Hospital, Shihezi University School of Medicine.
Quantitative real-time PCR
Total RNA was isolated from cell cultures with a total RNA kit I (Omega Bio-Tek) according to the standard protocol and reverse transcribed into cDNA using SuperQuick RT MasterMix (CWBIO). Target genes were amplified by quantitative real-time PCR (qRT-PCR) with Fast SYBR Green qPCR Master Mix (CWBIO) and specific primers using the 7500 Fast Real-Time PCR System (Applied Biosystems). GAPDH was used as an internal control. The primer sequences used for qRT-PCR are listed in Additional file
1: Table S1.
Cell proliferation and colony formation assays
Cells seeded on 96-well plates (5000/well) were transfected with siRNAs or scramble control RNA oligos. Cell viability was measured using a Cell Counting Kit-8 (CCK-8; Dojindo) following the manufacturer’s protocol. The number of viable cells was quantified according to the absorbance at 450 nm (OD450) detected by a microplate reader (BIO‐RAD xMark).
Cells transfected with siRNAs or scramble control RNA oligos were plated on 6-well plates and maintained in medium containing 10% FBS for 10 days for the colony-forming assay. Colonies were fixed with methanol, stained with crystal violet, and counted.
Cell cycle and apoptosis analyses
ESCC cells were harvested at 48 h posttransfection by centrifugation with cold PBS and then fixed in ice-cold 70% ethanol at 4 °C overnight. The fixed cells were washed twice with PBS and subjected to PI staining using the Cell Cycle and Apoptosis Analysis Kit (Beyotime Biotechnology). For cell apoptosis analysis, ESCC cells harvested after transfection were stained with the FITC Annexin V Apoptosis Detection Kit I (BD Biosciences) according to the manufacturer's instructions. Acquired data were analyzed using FlowJo software.
RNA pull-down and mass spectrometry analysis
RNA pull-down was performed using the Pierce Magnetic RNA–Protein Pull-Down Kit (Thermo Fisher) according to the manufacturer's instructions. Biotin-labeled RNAs were transcribed in vitro with biotin RNA-labeling mix and T7 RNA polymerase (Invitrogen) following the manufacturer’s protocols. The biotinylated sense or antisense DLEU1 RNA generated in vitro was incubated with total cell lysates. Interacting proteins were isolated with streptavidin agarose beads (Invitrogen) at room temperature for 2 h. The complexes were washed briefly with washing buffer three times. The proteins precipitated with streptavidin beads were diluted in protein lysis buffer and resolved by SDS/PAGE, liquid chromatography with tandem mass spectrometry, or immunoblotting.
Immunoblotting
Equal amounts of total cell lysates were separated by SDS-PAGE and electrophoretically transferred to PVDF membranes. The membrane was blocked with 5% skimmed milk and incubated with primary antibodies against DYNLL1 (ab51603, 1:1000; Abcam), BIM (#12933, 1:1000; Cell Signaling Technology), BCL2 (AB112, 1:1000; Beyotime Biotechnology), β‐actin (1E9A3, 1:1000; ZSGB‐BIO), and FLAG (#14793, 1:1000, Cell Signaling Technology).
RNA in situ hybridization
Detection of DLEU1 transcripts in formalin-fixed, paraffin-embedded samples was conducted using RNAscope Probe-Hs-DLEU1 and RNAscope 2.5 High Definition Reagent Kit-RED (322350; Advanced Cell Diagnostics) according to the manufacturer's instructions. The staining process was completed by ZSGB-BIO (Beijing, China). Positive staining was indicated by red punctuate dots in the cytoplasm or nucleus. DLEU1 expression levels were categorized into five grades according to the manufacturer’s scoring guidelines: score 0, no staining or < 1 dot per 10 cells; score 1, 1–3 dots per cell (visible at 20–40× magnification); score 2, 4–9 dots per cell; score 3, 10–15 dots per cell and < 10% positive cells have dot clusters; score 4, > 15 dots per cell and > 10% positive cells have dot clusters. Cases that scored higher than 0 were considered positive.
Immunohistochemistry
Immunohistochemical staining of DYNLL1 and BCL2 was performed using primary antibodies against DYNLL1 (ab51603, 1:600; Abcam) and BCL2 (AB112, 1:200; Beyotime Biotechnology) on tissue microarray sections by a BOND-MAX Automated IHC/ISH Stainer (Leica). The immunostaining degree of the DYNLL1 and BCL2 proteins was evaluated as previously described [
20] by pathologists based on the nuclear staining intensity (intensity score) and percentage of positive cells (extent score). The final immunoreactivity score for each sample was the product of the intensity score and extent score.
Four-week-old athymic female BALB/c mice were housed under specific pathogen-free conditions. For tumorigenicity determination, 1 × 106 cells suspended in a volume of 0.1 ml were subcutaneously injected into the armpits of mice. The mice were sacrificed at 21 days postinjection. For treatment, mice bearing established xenografts of shDLEU1 and shCtrl cells were randomly divided into groups and intraperitoneally injected every other day for two weeks with PBS (vehicle) as a control or cisplatin (1 mg/kg body weight). Tumor volume was measured every other day and calculated using the formula length × width2 × π/6. All animal experimental procedures were approved by the Institutional Animal Care and Use Committee of the First Affiliated Hospital of Shihezi University School of Medicine.
Statistical analysis
Numerical data are presented as the mean ± SEM. Statistical analysis was carried out using GraphPad Prism. Comparisons of changes between two groups were conducted using nonparametric paired or unpaired Wilcoxon tests or parametric unpaired Student's t tests. Comparisons between multiple groups were performed using one-way ANOVA with Tukey’s post-hoc test. Kaplan–Meier analysis and log-rank tests were used for survival estimates. P < 0.05 was considered to indicate statistical significance.
Discussion
Clinically, surgical resection is the major treatment for esophageal cancer, while radiotherapy and chemotherapy are the primary adjuvant treatments. However, outcomes are still unsatisfactory due to the limited efficacy and severe adverse effects of conventional treatments [
7]. Thus, elucidating the carcinogenesis mechanisms and identifying new biomarkers and therapeutic targets could be quite beneficial to optimizing the current therapeutic regimens [
26]. Increasing evidence has shown that lncRNAs play important roles in the development and progression of multiple human cancers, including esophageal cancer [
27,
28]. Dysregulated lncRNAs, such as UCA1, HOTAIR, and TUG1, have been proposed as prognostic biomarkers for esophageal cancer [
29‐
31]. In this study, our findings showed that lncRNA DLEU1 was significantly upregulated in ESCC tissues and correlated with clinical severity and poor prognosis, suggesting the clinical value of DLEU1 in ESCC. High expression of DLEU1 promoted ESCC growth in vitro and in vivo. Moreover, we observed that DLEU1 could inhibit the apoptosis of ESCC cells but had little effect on the cell cycle, indicating that DLEU1 plays a significant role in promoting tumor growth mainly by inhibiting cell apoptosis. Consistently, DLEU1 has been demonstrated to be dysregulated and exerts an oncogenic function in tumors such as oral squamous cell carcinoma [
19], glioma [
32], endometrial cancer [
33], and non-small-cell lung cancer [
34]. Although bioinformatic analyses have indicated the association of DLEU1 with unfavorable clinical outcomes, further work in clinical specimens with prognostic information is required to better understand the biological functions of DLEU1 in ESCC.
DLEU1 has multiple mechanisms of action in tumors. DLEU1 promotes tumor progression and chemotherapy resistance in bladder cancer by regulating the miR-99b/HS3ST3B1 axis [
35]. DLEU1 exacerbates pancreatic ductal adenocarcinoma through the miR-381/CXCR4 axis [
36]. DLEU1 can also promote papillary thyroid carcinoma progression by sponging miR-421 and thus increasing ROCK1 expression [
37]. On the other hand, DLEU1 can function as a molecular mediator in transcriptional and posttranscriptional processes. DLEU1 contributes to cell proliferation by recruiting LSD1 to epigenetically suppress
KLF2 in gastric cancer [
38]. DLEU1 recruits SMARCA1 to epigenetically activate the
KPNA3 gene in colorectal cancer, thereby promoting cell proliferation and migration [
18]. Here, we performed experimental screening through RNA pull-down and mass spectrometry and identified DYNLL1, a widely expressed and highly conserved multifunctional protein [
25,
39,
40], as a critical interacting target of DLEU1. Although the 725–1448 nt region (Del3) of DLEU1 was determined to not be required for binding with the DYNLL1 protein, the precise region mediating the binding between DLEU1 and DYNLL1 needs further investigation.
During B cell development, DYNLL1 expression could be activated by ASCIZ to restrain the proapoptotic activity of Bim in immature B cells, highlighting the importance of DYNLL1 in setting homeostatic survival levels [
41]. The B-2 lymphoid cell defect in
Dynll1-deficient mice was associated with significantly reduced expression of the Bim antagonist BCL2 and could be rescued by codeletion of Bim, suggesting that DYNLL1 is required for efficient Bcl2 expression and to restrain Bim-mediated apoptosis in developing B cells [
24]. Moreover, the loss of DYNLL1 dramatically delays the development and expansion of MYC-driven B-cell lymphoma in mice due to increased BIM-mediated apoptotic cell death, although BIM levels are not elevated [
42]. Nevertheless, RNAi against DYNLL1 leads to reduced Bim levels to varying degrees in HeLa epithelial cells and 1205Lu melanoma cells [
43]. In breast cancer, overexpression of DYNLL1 protects cells from UV-induced apoptosis and promotes cancerous properties [
44]. A Ser88 to alanine (S88A) mutation of DYNLL1 does not affect Bim
L binding, while a Ser88 to glutamic acid (S88E) mutation, which mimics the phosphorylated form of DYNLL1, impairs its interaction with Bim
L in mammary epithelial cells [
39,
44]. In contrast, the phosphomimetic Ser88 to aspartic acid (S88D) mutation showed a clear enhanced interaction with DNA end-resection enzymes such as MRE11 in ovarian cancer [
45]. Consistent with previous reports, our results suggested that DLEU1 functions through DYNLL1 to restrain the proapoptotic activity of BIM and upregulate the antiapoptotic BCL2 protein to inhibit apoptotic cell death in ESCC.
In our study, promoter hypomethylation led to the upregulation of DLEU1 expression in ESCC. In line with our findings, a recent report suggests that decreased DNA methylation and increased histone modifications may contribute to DLEU1 upregulation in cancer [
46]. Drug resistance is the main reason for the failure of chemotherapy. Recent evidence indicates that DLEU1 could promote cisplatin resistance in bladder cancer and nasopharyngeal carcinoma [
35,
47]. Consistently, our study provided evidence that targeting DLEU1 increased the sensitivity of ESCC cells to cisplatin treatment.
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