Background
Colorectal cancer (CRC) is the fourth leading cause of cancer-related mortality [
1]. Surgery is the cornerstone of treatment for CRC while adjuvant chemotherapy is routinely applied to improve the prognosis of the patients [
2]. However, chemoresistance is one of the major problems hindering the CRC treatment [
3]. Since the existence of cancer stem cells (CSCs) leads to chemotherapy failure and tumor recurrence, targeting the CSCs could improve the therapeutic effectiveness in CRC [
4‐
6]. Thus, exploration of molecules controlling the stemness of CRC will provide therapeutic targets for CRC.
Wnt/β-catenin signaling plays crucial roles in the maintenance of CSCs [
7]. The turnover of β-catenin is the critical event in Wnt/β-catenin signaling pathway [
8]. Accumulated β-catenin enters the nucleus and binds to TCF transcription factors to activate the transcription of downstream genes including CD44, MYC and LGR5, which potentiate the stemness of CRC and promotes CRC progression [
9‐
11]. Degradation of β-catenin is mediated by the β-catenin destruction complex, in which APC plays critical roles as it binds to AXIN1 and β-catenin [
12]. In the majority (about 75%) of CRC,
APC gene is mutated and produces the N-terminal truncated APC lacking of APC-AXIN1 interaction. Thus, the regulation of the APC-β-catenin interaction is critical in the activation of β-catenin in the CRC cells [
13,
14]. However, the mechanisms by which the APC-β-catenin interaction is regulated in CRC are not fully understood.
Here, we screened the chemosensitivity-related genes and identified Sec62 as a chemoresistant target. Sec62 was originally found to locate in the membrane of endoplasmic reticulum (ER) [
15]. Recent studies have uncovered that Sec62 is upregulated in various human cancers [
16‐
18]. However, it’s unknown whether and how Sec62 acts in the CRC tumorigenesis and progression.
In the present study, we firstly evaluated the effect of Sec62 on the chemosensitivity and stemness of CRC. We further demonstrated that Sec62 activates β-catenin signaling to potentiate the stemness and attenuate the chemosensitivity in CRC. Additionally, Sec62 is upregulated by the METTL3-mediated m6A modification of Sec62 mRNA in CRC.
Materials and methods
Cell culture, antibodies and reagents
CRC cell lines were obtained from the Cell Resource Center (National Infrastructure of Cell Line Resource, NSTI) and cultured in DMEM or RPMI 1640 medium. All medium were supplemented with 10% fetal bovine serum. Cells were maintained in 5% CO
2 at 37 °C in incubators with 100% humidity. Cell line authentications were performed by the provider. The antibodies and reagents for this study are listed in supplementary Table S
1.
Patient samples and tissue microarrays
Tissue microarrays consist of 102 formalin-fixed, paraffin-embedded CRC tissues and non-tumorous colorectal tissues obtained from the CRC patients who underwent curative surgical resection without prior neoadjuvant therapy from January 2004 to December 2008 in Peking University Cancer Hospital. The clinical pathologic characteristics of patients including age, gender, tumor location, carcinoembryonic antigen (CEA) level, tumor size, clinical stage, and distant metastasis are summarized in Supplemental Table S
2.
Cell transfection
Cells were transfected with plasmid DNA or siRNA RNA duplexes by Lipofectamine 2000 (Invitrogen) according to the manufacturer’s protocol. In transient transfection experiments, plasmid DNA was kept constant with empty vector. shRNAs were delivered by lentiviral infection with lentiviruses produced by transfection of HEK293T cells with the vector pLKO.1. Cells infected with lentiviruses delivering scrambled shRNA (shCtrl) were used as negative control cells. Short interfering RNA (siRNA) sequences were directly synthesized (GenePharma, Shanghai, China). The sequences of shRNAs and siRNAs are listed in the Table S
3.
For sphere formation assay, a total of 800 cells were suspended in a serum-free medium and were plated into an ultralow attachment plate. Then, the cells were cultured in DMEM/F12 medium (Invitrogen) supplemented with insulin (Sigma), B27 (GIBCO), EGF (Sigma) and basic FGF (Sigma). For the serial passaging, the primary spheres were collected and resuspended in DMEM/F12 medium with the above supplements after trypsin dissociation. Finally, the number of spheres was counted under microscope and the size of spheres was estimated using Image J software.
For MTT assay, cells were seeded in a 96-well plate and cultured with indicated drugs for 72 h. Then, MTT assay was employed to assess cell viability according to the manufacturer’s protocol (Promega). For colony formation, cells were treated with DMSO or chemotherapeutic agents for 24 h, and subsequently seeded into 6-well plate (500 cell per well). After cultured for 12 days, the colonies were fixed with 4% paraformaldehyde and stained with 0.5% crystal violet. The visible colonies were counted and summarized.
Flow cytometric analysis
Apoptosis assay was performed using Annexin V-FITC and propidium iodide staining kit (Keygen, Nanjing, China) according to the manufacturer’s protocol. To detect CD133+/CD44+ cells, CD133-PE (#130–090-853) and CD44-APC (#130–098-110) antibodies (Miltenyi Biotec.) were utilized to label cells. Then, labelled cells were subjected to flow cytometric analyses.
In vivo chemo-resistance assay
DLD-1 cells were subcutaneously implanted into 4–6 weeks old female nude mice. When tumors reached a size of about 50 mm3, the nude mice were randomly divided into 6 groups. Group 1, 3 and 5 received an intratumoral injection of lentivirial-ctrl shRNA once per week for 5 weeks. Group 2, 4 and 6 received an intratumoral injection of lentivirial-Sec62 shRNA once per week for 5 weeks. At the same time, group 3 and 4 received an additional intraperitoneal injection of 5-Fu (0.15 mg/kg) twice per week for 4 weeks. Group 5 and 6 received an additional intraperitoneal injection of oxaliplatin (30 mg/kg) twice per week for 5 weeks. The tumor size was measured every 5 days and tumor volume was calculated using the formula V = 0.5 × W2 × L (V, volume; L, Length; W, Width).
Coimmunoprecipitation assay
Cells were harvested and cell lysates were prepared in Buffer A (25 mM Tris-Cl pH 7.5, 150 mM KCl, 1 mM DTT, 2 mM EDTA, 0.5 mM PMSF, and 0.2% Nonidet P-40) and used for immunoprecipitation. The indicated antibodies were coupled with a 50% suspension of protein A-Sepharose beads (GE Healthcare) in Buffer IPP500 (500 mM NaCl, 10 mM Tris-Cl pH 8.0, 0.2% Nonidet P-40). Coupled beads were incubated with cell lysates for 2 h at 4 °C. After washing, the precipitates were examined by Western blot using the indicated antibodies.
RNA immunoprecipitation (RIP)
RIP assay was carried out as previously described [
19,
20]. Briefly, cells were treated with UV irradiation and lysed in high salt lysis buffer. Then, magnetic beads coated with 5 μg of antibodies were incubated with the prepared cell lysates overnight at 4 °C. The RNA-protein complexes were washed for 6 times and incubated with proteinase K digestion buffer. RNA was extracted by phenol-chloroform RNA extraction methods. The relative expression of RNA was determined by RT-qPCR and normalized to the input.
In vivo limiting dilution assay
To investigate the effect of Sec62 on tumor self-renewal, an in vivo limiting dilution assay was performed. Female BABL/c nude mice (4 to 5 weeks old) were randomly divided into 4 groups (5 mice per group). Sec62-knockdown or control DLD1 cells were injected subcutaneously in the flank with a serial dilution of cells. At the end of 80 days, the tumor incidence of each group was observed and the stem cell frequency was estimated using an online tool at
http://bioinf.wehi.edu.au/software/elda.
Me-RIP (m6A-RNA immunoprecipitation) assay
Me-RIP assay was performed following published protocols [
20,
21]. Briefly, Poly (A) mRNAs were isolated from total RNA with poly-T oligo attached magnetic beads (Promega). The cleaved RNA fragments were incubated for 2 h at 4 °C with m
6A-specific antibody (No. 202003, Synaptic Systems, Germany) in IP buffer (50 mM Tris-HCl, 750 mM NaCl and 0.5% Igepal CA-630) supplemented with BSA. The mixture was then incubated with protein-A beads and eluted with elution buffer (1 × IP buffer and 6.7 mM m
6A). Eluted RNA was precipitated by 75% ethanol. RNA was finally extracted by phenol-chloroform RNA extraction methods. The relative expression of RNA was assessed by qPCR and normalized to the input.
Immunohistochemistry
Tissue sections were deparaffinized in xylene and rehydrated in ethanol. Then, the sections were treated with peroxidase solution and citrate buffer. After treatment with blocking buffer, sections were incubated with a primary antibody at 4 °C overnight. Next, the sections were visualized using an UltraVision Quanto Detection System HRP DAB Kit (ZSGB-Bio, China) according to the manufacturer’s protocols. The staining intensity were evaluated independently by two observers blinded to the clinical outcome. The percentages of positive tumor cells were scored as follows: 1%, 0 points; 1–25%, 1 point; 26–50%, 2 points; 51–75%, 3 points; and 75%, 4 points. The staining intensity was scored as follows: no staining, 0 points; weak staining, 1 point; moderate staining, 2 points; and strong staining, 3 points. Then, the two scores were multiplied to acquire a combined score ranging from 0 to 12.
Immunofluorescence staining
Cells were fixed with 4% paraformaldehyde for 15 min and permeabilized using 0.2% Triton X-100 for 10 min at room temperature. After blocking with 10% goat serum, the cells were incubated with primary antibodies overnight at 4 °C. After washing with PBS, a FITC-conjugated anti-rabbit antibody and a TRITC-conjugated anti-mouse antibody were added, and the samples were incubated for 1 h at room temperature. Finally, the cells were stained with DAPI to visualize the nuclei.
Statistical analyses
The significance of the differences was determined via one-way ANOVA or Student’s t-test. Spearman’s correlation coefficient was used to calculate the correlations between the two groups. Kaplan-Meier analysis was employed for survival analysis and the differences in the survival probabilities were estimated using the log-rank test. The statistical analyses were performed using GraphPad Prism or SPSS version 17.0 (SPSS, Inc.). All data was presented as mean ± SEM. A two-sided P < 0.05 was considered to indicate statistical significance. *P < 0.05 and **P < 0.01 for all the analyses.
Discussion
Chemosensitivity of CRC cells plays crucial roles in cancer treatment, which is tightly associated with cancer stem cells [
22]. However, the mechanisms involved in the regulation of the colorectal cancer stem cells need to be clarified. In the present study, we set out to screen the chemosensitivity-related targets using GEO datasets [
35‐
37], aiming to identify novel molecules regulating stemness and chemosensitivity in CRC.
SEC62 is one of the most significantly upregulated gene in chemoresistant CRCs in the screening. We further show that depletion of Sec62 sensitizes CRC cells to drug treatment and attenuates cancer stemness. Thus, inhibition of Sec62 function might be a potential therapeutic strategy to ameliorate chemoresistance in CRC.
Sec62 was initially found as a translocation-related protein in the membrane of endoplasmic reticulum [
38,
39]. Recent studies have reported that Sec62 is correlated with metastasis in breast cancer and promotes recurrence of hepatocellular carcinoma, suggesting that Sec62 is associated with cancer progression [
40,
41]. However, the mechanism by which Sec62 acts in the tumorigenesis remains unknown. In this study, we identified Sec62 as an important regulator of CRC stemness. Sec62 is upregulated in CRC and its overexpression is associated with poor prognosis of the patients. We further demonstrated that Sec62 promotes cancer stemness and CRC progression through enhancing Wnt/β-catenin signaling.
Activation of Wnt signaling leads to the stabilization of β-catenin to upregulate the transcription of its dowmstream genes [
8]. β-catenin is abnormally activated in most of CRC patients, making it become a crucial therapeutic target [
25,
42]. The accumulation of nuclear β-catenin enhances both chemoresistance and radioresistance in advanced rectal cancer [
43]. Inhibitors of β-catenin signaling have been used to attenuate chemoresistance in CRC. For instance, the β-catenin inhibitor IC-2 increased the cytotoxicity of 5-Fu and downregulated the expression of CSC markers in CRC cells [
44]. Zerumbone could suppress the stemness of CRC by inhibiting the β-catenin signaling [
45]. Therefore, identification of molecules blocking the Wnt/β-catenin signaling would contribute to improve the chemotherapeutics in CRC. Here, we demonstrate that Sec62 enhances β-catenin stability and potentiates β-catenin signaling in CRC cells. Targeting Sec62 could improve the chemotherapeutic effect in Sec62-upregulated CRC patients by inhibiting β-catenin signaling.
Since the β-catenin destruction is the critical event in the Wnt/β-catenin signaling, the regulation of β-catenin stabilization will provide molecular evidence for understanding the activation of Wnt/β-catenin signaling. As a critical negative regulator of Wnt/β-catenin signaling, APC is essential for the assembly of the β-catenin destruction complex to destroy β-catenin. Since the SAMP repeats in APC are truncated leading to the loss of APC-AXIN1 interaction in 75% of CRC [
13], the interaction between APC and β-catenin is critical for the assembly of the β-catenin destruction complex. Disruption of APC-β-catenin interaction often leads to hyperactivation of β-catenin in CRCs. However, the molelcular mechanism by which the APC-β-catenin is regulated remains unclear. APC binds to the ARM repeats 6–10 of β-catenin through its 15aa and 20aa repeats to facilitate the β-catenin degredation [
14]. Here, we found that Sec62 binds to the ARM repeats 8–9 of β-catenin through the BCBL motif and inhibited the interaction between β-catenin and APC. Moreover, Sec62 disrupts the assembly of the β-catenin destruction complex and promotes β-catenin activation. Significantly, Sec62 maintains the stemness of CRC by enhancing the β-catenin signaling depending on the BCBL motif. Thus, we demonstrated that Sec62 activates β-catenin in the APC-truncated CRC. We further found that Sec62 activates β-catenin in the CRC cells expressing WT APC when Wnt signal is present. The Sec62-mediated β-catenin activation is verified by the co-upregulation of Sec62 and β-catenin in the CRC tissues. We thus provide Sec62 as a key activator of β-catenin in CRC.
Aberrant overexpression of Sec62 has been found in various tumors, but the underlying mechanism was unknown. Recently, accumulated studies show that m
6A modification is one of important epigenetic regulatory mechanisms and is involved in pre-mRNA splicing, RNA stability and translation efficiency [
46]. Dysregulated m
6A modification of specific mRNAs is associated with cancer development and progression. As a m
6A ‘wiriter’, METTL3 participates in the persisting stem-like phenotype and preventing the radiation-induced cytotoxicity through modulating mRNA stability such as SOX2 and CBX8 in the m
6A dependent manner [
20,
47]. Here, we show that m
6A modification induced by METTL3 increased the stability of Sec62 mRNA, leading to upregulation of Sec62 in CRC. Thus, our findings provide
SEC62 as a new target gene regulated by METTL3 in the regulation of CRC cell stemness. The m
6A “readers”, IGF2BP1, recognizes the consensus GG(m
6A) C sequence and enhances the stability of targeted mRNAs in an m
6A-dependent way [
34]. In the present study, we found that IGF2BP1 binds to Sec62 mRNA and upregulates Sec62 expression in an m
6A-dependent manner, which is consistent with previous findings.
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