Background
Cervical cancer, the third most common malignant tumor, is mainly caused by human papillomavirus (HPV) infection [
1]. Over 99% of cervical cancer cases are a result of HPV infection [
2], and of those about 70% are a result of infection with HPV16/18 [
3]. Tumor metastasis is an important cause of death in cancer patients. In patients with cervical cancer, lymph node metastasis reduced 5-year overall survival rates, compared with patients without lymph node metastasis [
4]. Pelvic and abdominal aortic lymph node metastasis is common in advanced cervical cancer patients. Therefore, the aim of chemotherapy is to reduce tumor size, tumor growth and inhibit tumor metastasis in patients with cervical cancer.
In general, cytotoxic drugs are widely used in the treatment of tumors. 5-fluorouracil (5-FU), active cytotoxic drugs, inhibit the enzymatic activity of thymidylate synthase in DNA replication [
5]. Oxaliplatin, another chemotherapeutic agent, inhibits tumor cell growth, causing cell stage G2 arrest and DNA covalent binding to form platinum-DNA adducts [
6]. Chemotherapy is the most effective treatment for most cancer patients. However, drug resistance can cause tumor recurrence and reduce patient survival. Therefore, it is important for cancer patients to elucidate the mechanism of resistance to chemotherapy drugs.
In general, chemotherapy drugs can affect mitochondrial function. The characteristics of mitochondrial dysfunction is the loss of mitochondrial membrane potential, thereby causing the release of toxic reactive oxygen intermediates, leading to mitochondrial permeability transition pore opening, the release of cytochrome c and apoptosis [
7‐
9]. Not surprisingly, cells have adaptive mechanisms, autophagy-that causes damaged mitochondria to be pinched off, eliminated, and protected by mitochondrial function. Autophagy is an important cytoplasmic process by recycling organelles as well as proteins to support normal cellular physiological functions during periods of stress. Classical autophagy is a selective accumulation of Parkin through the accumulation of PINK1 in the outer membrane of the mitochondrion, which ultimately promotes the degradation of dysfunctional mitochondria [
10]. In summary, inhibition of autophagy contributes to the improvement of resistance to chemotherapeutic drugs.
SH2 domain-containing protein tyrosine phosphatase-2 (SHP-2) is one of the members of protein tyrosine kinase (PTK) family [
11]. Some studies have shown that SHP-2 activation and mutation is closely related to the occurrence and development of malignant tumors. SHP-2 is overexpression in HPV infected cervical cancer patients. We have found that SHP-2 plays a critical role in mediating cervical cancer chemotherapeutic drugs resistance via degradation of dysfunctional mitochondria, and activation of the autophagy.
Discussion
Capecitabine (5-FU) combined with platinum based chemotherapy has been widely used in the treatment of various types of cancer [
12]. Although the initial response to surgery and chemotherapy in patients with cervical cancer is often effective, resistant carcinomas usually occur with patients who die of disease recurrence [
13,
14]. Therefore, understanding the mechanisms of chemoresistance in cervical cancer is critical for optimizing current treatment strategies.
The mechanism of chemotherapeutic drugs cannot be separated from the induction of apoptosis. Dysfunction of mitochondrial function is the beginning of apoptosis induction. Mitochondrial dysfunction is manifested by a decrease in mitochondrial membrane potential, resulting in increased permeability of the mitochondrial membrane, resulting in the release of ROS, cytochrome c and ultimately apoptosis. Therefore, if the mitochondrial function is damaged, if it is not removed in time, it will damage the tissues of the body. In the cell, autophagy activation will remove damaged mitochondria.
SHP-2, as a subset of the protein tyrosine phosphatase family [
15,
16], is an important role in cell proliferation, apoptosis, differentiation and migration, and is also the downstream signal molecules of various cytokines, extracellular matrix and antigen gene. The literature showed that SHP-2 is overexpression in HPV infected cervical cancer patients. Thus, the degree of malignancy of cervical cancer is related to HPV infection. Therefore, studying the role of SHP-2 in cervical cancer is of great significance. Through our study, we found that SHP-2 can induce chemoresistance of cervical cancer. Further studies have shown that SHP-2 protects against mitochondrial damage in cervical cancer cells. Finally, the mechanism of SHP-2 was investigated, and it was found that autophagy could protect the normal physiological functions of cervical cancer cells by activating autophagy to remove damaged mitochondria. Damaged mitochondria are recognized by the E3 ubiquitin ligase Parkin, which decorates their outer membrane proteins with poly-ubiquitination chains [
17]. p62 bind to poly-ubiquitination chains through its UBA domain to autophagic clearance [
18]. Therefore, we investigated whether Parkin is involved in SHP-2 induced autophagy. After research found that SHP-2 promotes the destruction of damaged mitochondria by activating the Parkin signaling pathway.
In summary, SHP-2 protects cells from the destruction of chemotherapeutic drugs by activating autophagy to remove damaged mitochondria. Its molecular mechanism is to degrade mitochondria via the ubiquitin ligase of Parkin. These studies preliminarily illustrate the influence of SHP-2 on autophagy. But there is a need for comprehensive validation in vivo.
Materials and methods
Reagents
Oxaliplatin, 5-FU and CCCP were purchased from Sigma-Aldrich (St. Louis, USA). Dye DAPI was purchased from Invitrogen (Carlsbad, USA). Paraformaldehyde (PFA) was purchased from Yonghua Chemical Technology (Jiangsu) Co. Ltd. (Changshu, China). Triton X-100 was purchased from Shanghai Chao Rui Biotech. Co. Ltd. (Shanghai, China). BSA was purchased from Roche Diagnosis (Shanghai) Ltd. (Shanghai, China).
Antibodies
Primary antibodies against caspase 3, caspase 9 and β-actin were obtained from Santa Cruz Biotechnology (CA, USA); LC3, Bax and Bcl-2 was from Bioworld (OH, USA) and antibodies against PARP, SHP-2, VDAC1, Tubulin, Tom20, Parkin and Poly-Ub were purchased from Cell Signaling Technology (Danvers, MA); Antibodies to SQSTM1/p62 were obtained from Abcam (Cambridge, UK). IRDye™ 800 conjugated secondary antibodies were obtained from Rockland Inc. (Philadelphia, USA). Alexa Fluor 488 donkey anti-rabbit IgG, Alexa Fluor 594 donkey anti-mouse IgG were obtained from Invitrogen (CA, USA).
Cell culture
Human cervical cancer cell lines Hela (HPV18-positive) and C33A (HPV-negative) were purchased from the American Type Culture Collection (ATCC, USA). All cells were cultured in Dulbecco’s Modified Eagle Medium (Gibco, USA) containing 10% fetal bovine serum at 37 °C in 5% CO2.
Annexin V/PI staining
Cells were harvested, washed and resuspended in PBS, then stained with the Annexin V/PI Cell Apoptosis Detection Kit (KeyGen Biotech, Nanjing, China) according to the manufacturer’s instructions. Data acquisition and analysis were performed with a Becton–Dickinson FACS Calibur flow cytometer using Cell-Quest software (BD Biosciences, Franklin Lakes, NJ). The cells in early stages of apoptosis were Annexin V positive and PI negative, whereas the cells in the late stages of apoptosis were both Annexin V and PI positive.
Mitochondrial transmembrane potential (ΔΨ
m
) assessment
The electrical potential difference across inner ΔΨ
m
was monitored using the ΔΨ
m
-specific fluorescent probe JC-1 (Beyotime Institute of Biotechnology, China). The ΔΨ
m
-specific fluorescent probe JC-1 (Beyotime Institute of Biotechnology, China) exists as a monomer with an emission at 530 nm (green fluorescence) at low membrane potential but forms J-aggregates with an emission at 590 nm (red fluorescence) at higher potentials. Cells were harvested and incubated with JC-1 for 30 min at 37 °C in the dark, then resuspended in washing buffer and photographed with a confocal laser scanning microscope (Fluoview FV1000, Olympus, Tokyo, Japan).
Intracellular calcium level assessment
Cells were loaded with 10 mM Fluo-3 AM (Beyotime Institute of Biotechnology, China) which combined with Ca2+ and produced strong fluorescence. After 30 min incubation at 37 °C in the dark, the cells were washed with PBS twice and the fluorescence intensity was measured by FACSCalibur flow cytometry (Becton–Dickinson) at Ex./Em. − 488/525 nm.
Measurement of reactive oxygen species formation (ROS)
The level of ROS was detected using fluorescent dye 2,7-dichlorofluorescein-diacetate (DCFHDA, Beyotime Institute of Biotechnology, China). Levels of ROS was detected using fluorescent dye 2,7-dichlorofluorescein-diacetate (DCFHDA, Beyotime Institute of Biotechnology, China). Cells were collected and incubated with DCFH-DA for 30 min at 37 °C in the dark. The fluorescence intensity was measured using flow cytometry (FACSCalibur, Becton–Dickinson).
Mitochondrial fractionation
Mitochondrial fractionation kit (KeyGen Biotech, China) was used to get mitochondrial according to the following protocol. Cells were incubated 3.5 × 107 cells/1 mL ice-cold mitochondrial lyses Buffer, then suspended and ground the cells with tight pestle on ice. The homogenate was subjected to centrifuging at 800 g for 5 min at 4 °C to remove nuclei and unbroken cells, and then added 0.5 mL supernatant above the 0.5 mL Medium Buffer in the new 1.5 mL tube gently. After centrifugation at 15,000g for 10 min at 4 °C, the supernatant was carefully removed and collected as the cytosolic fraction and the remaining mitochondrial pellet was resuspended in the mitochondrial extraction buffer.
Cell transfection
GFP-LC3, mCherry-GFP-LC3 plasmid and pCMV-SHP2-HA plasmid (Addgene, MA, USA) and the shRNA targeting human SHP-2 or human Parkin, or control shRNA with scrambled sequence (Santa Cruz, CA, USA) were transfected using Lipofectamine 2000™ reagent (Invitrogen, CA, USA), according to the manufacturer’s instructions 50.
Western blot analysis
Western blot analysis was prepared as described previously (25). Protein samples were separated by 10% SDS-PAGE and transferred to onto nitrocellulose membranes. The membranes were blocked with 1% BSA at 37 °C for 1 h and incubated with indicated antibodies overnight at 4 °C, followed by IRDye800 conjugated secondary antibody for 1 h at 37 °C. Immunoreactive protein was detected with an Odyssey Scanning System (LI-COR Inc., Lincoln, Nebraska).
Immunofluorescence
Cells were washed with PBS, fixed with 4% paraformaldehyde and washed again with PBS. Nonspecific receptors on cells were blocked for 1 h with 3% BSA. Rabbit anti-p62 (Abcam, Cambridge, UK), Rabbit anti-Parkin (CST, MA, USA), Rabbit anti-Poly-Ub (CST, MA, USA), mouse anti-Tom20 (CST, MA, USA) were used for immunostaining. Alexa Fluor 488 donkey anti-rabbit IgG, Alexa Fluor 594 donkey anti-mouse IgG were used as secondary antibodies (Invitrogen, CA, USA). Samples were observed and captured with a confocal laser scanning microscope (Olympus Corp., Tokyo, Japan).
Statistical analysis
The data shown in the study were obtained in at least three independent experiments and all results represent the mean ± S.E.M. Differences between the groups were assessed by one-way ANOVA test. Details of each statistical analysis used are provided in the figure legends. Differences with P values < 0.05 were considered statistically significant.
Authors’ contributions
DY participated in the study design and analysis of the data, also helped to draft the manuscript. DZ and XZ carried out most of the experiment and help with the preparation of the method part of the manuscript. JS was in charge of the lab, designed this study, provided ideas and analysed data and drafted the manuscript. All authors read and approved the final manuscript.