Blockade of B-Catenin–Induced CCL28 Suppresses Gastric Cancer
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Published OnlineFirst March 10, 2020; DOI: 10.1158/0008-5472.CAN-19-3074 CANCER RESEARCH | TUMOR BIOLOGY AND IMMUNOLOGY Blockade of b-Catenin–Induced CCL28 Suppresses Gastric Cancer Progression via Inhibition of Treg Cell Infiltration Lu Ji1,2, Wei Qian3, Liming Gui1,2, Zhongzhong Ji1,2, Pan Yin1,2, Guan Ning Lin3, You Wang4, Bin Ma1,2, and Wei-Qiang Gao1,2 ABSTRACT ◥ Dysregulation of Wnt/b-catenin signaling is frequently observed the stomach. Moreover, an anti-CCL28 antibody attenuated Treg cell in human gastric cancer. Elucidation of the tumor immune micro- infiltration and tumor progression in H. felis/MNU mouse models. environment is essential for understanding tumorigenesis and for the Diphtheria toxin–induced Treg cell ablation restrained gastric cancer development of immunotherapeutic strategies. However, it remains progression in H. felis/MNU-treated DEREG (Foxp3-DTR) mice, unclear how b-catenin signaling regulates the tumor immune clarifying the tumor-promoting role of Treg cells. Thus, the b-cate- microenvironment in the stomach. Here, we identify CCL28 as a nin–CCL28–Treg cell axis may serve as an important mechanism for direct transcriptional target gene of b-catenin/T-cell factor (TCF). immunosuppression of the stomach tumor microenvironment. Our Protein levels of b-catenin and CCL28 positively correlated in human findings reveal an immunoregulatory role of b-catenin signaling in gastric adenocarcinoma. b-Catenin–activated CCL28 recruited reg- stomach tumors and highlight the therapeutic potential of CCL28 ulatory T (Treg) cells in a transwell migration assay. In a clinically blockade for the treatment of gastric cancer. relevant mouse gastric cancer model established by Helicobacter (H.) felis infection and N-methyl-N-nitrosourea (MNU) treatment, inhi- Significance: These findings demonstrate an immunosuppressive bition of b-catenin/TCF activity by a pharmacologic inhibitor role of tumor-intrinsic b-catenin signaling and the therapeutic iCRT14 suppressed CCL28 expression and Treg cell infiltration in potential of CCL28 blockade in gastric cancer. Introduction Wnt/b-catenin signaling has been identified in more than 70% patients with gastric cancer (6). In addition to genetic mutations, alterations in Gastric cancer is the fifth most common cancers and the third many Wnt pathway components may occur through various mechan- leading cause of cancer-related deaths worldwide (1). The initiation isms either to upregulate the expression of the positive regulators or and progression of gastric cancer is attributable to complex genetic and downregulate the expression of the negative regulators, eventually environmental interactions. Majority of stomach tumors are adeno- leading to an aberrant activation of the canonical Wnt pathway (7). It carcinomas that are traditionally divided into two main histologic has also been shown that H. pylori infection promotes Wnt/b-catenin subtypes: intestinal and diffuse types. Among all the environmental activation in gastric epithelial cells (8, 9). Together, these findings factors, Helicobacter pylori (H. pylori) infection is overwhelmingly the pinpoint a crucial role of Wnt/b-catenin signaling in the pathogenesis greatest risk factor for gastric cancer and is associated with approx- of gastric cancer. imately 90% of cases (2, 3). Recent comprehensive molecular profiling Immune evasion has been recognized as an emerging hallmark of has provided new classifications and highlighted the molecular com- cancer (10). Understanding the tumor immune microenvironment is plexity of gastric adenocarcinoma (4, 5). Canonical Wnt pathway- essential for the discovery of new therapeutic targets as well as prediction related genes including APC and CTNNB1 are among the most and guidance of immunotherapeutic responsiveness. Data from murine significantly mutated genes (4, 5). Importantly, dysregulation of models or patient samples have suggested the involvement of myeloid- derived suppressor cells (MDSC) and M2 macrophages in the immu- 1State Key Laboratory of Oncogenes and Related Genes, Renji-Med-X Clinical nosuppression of gastric cancer (11, 12). Regulatory T (Treg) cells are Stem Cell Research Center, Renji Hospital, School of Medicine and School of another group of immunosuppressive cells that accelerate tumor pro- Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. 2Med- gression in a broad range of cancer types (13, 14). However, the X Research Institute, Shanghai Jiao Tong University, Shanghai, China. 3School of prognostic role of Treg cells in gastric cancer is still controversial based Biomedical Engineering, Shanghai Jiao Tong University, Shanghai, China. on previous clinical studies (15–20) and the tumor-promoting or 4 Department of Obstetrics and Gynecology, Renji Hospital, School of Medicine, tumor-inhibiting function of Treg cells in gastric adenocarcinoma is Shanghai Jiao Tong University, Shanghai, China. still not verified. Moreover, tumor immune microenvironment or Note: Supplementary data for this article are available at Cancer Research immunotherapy in gastric cancer is much less well explored than many Online (http://cancerres.aacrjournals.org/). other cancer types such as melanoma and lung cancer (21–23). Corresponding Authors: Wei-Qiang Gao, Shanghai Jiao Tong University, 160 Recent studies have underlined a strong impact of oncogenic Pujian Road, Shanghai 200017, China. Phone: 86-21-62932049; Fax: 86-21- pathways on evasion of antitumor responses (24). For example, in 68383916; E-mail: [email protected]; and Bin Ma, Med-X Research mouse models of live carcinoma, p53 maintains the expression of Institute, 1954 Huashan Road, Shanghai 200030, China. Phone: 86-21- – – 62933631; E-mail: [email protected] natural killer (NK) cell recruiting chemokines and NK cell mediated antitumor responses (25, 26); melanoma-intrinsic b-catenin signaling Cancer Res 2020;80:1–13 reduces dendritic and T-cell infiltration via downregulation of doi: 10.1158/0008-5472.CAN-19-3074 CCL4 (27). However, it remains to be elucidated how oncogenic Ó2020 American Association for Cancer Research. pathways such as Wnt/b-catenin and tumor-derived chemokines AACRJournals.org | OF1 Downloaded from cancerres.aacrjournals.org on September 25, 2021. © 2020 American Association for Cancer Research. Published OnlineFirst March 10, 2020; DOI: 10.1158/0008-5472.CAN-19-3074 Ji et al. determine the composition of gastric cancer immune microenviron- After washing with PBS, slides were incubated with anti-mouse or anti- ment. The present study was set forth to answer this important rabbit HRP–conjugated secondary antibodies (1:1,000 dilution) and question. Our experiments revealed that activation of b-catenin in visualized using a DAB Peroxidase Substrate Kit (Gene Tech). Staining gastric cancer caused an upregulation of CCL28 expression and was visualized by Olympus BX53 System Microscope. Staining of subsequent Treg cell recruitment. Blockade of CCL28 suppressed Treg b-catenin and CCL28 on human gastric cancer tissue sections was cell infiltration and gastric cancer progression, thus shedding new light analyzed by ImageJ. To quantify the histopathologic score of mouse on the role of b-catenin signaling in shaping the gastric cancer immune stomach, tissue sections were stained with hematoxylin-eosin and was microenvironment. evaluated as described previously (28). Immunofluorescence of gastric cancer cells or mouse stomach tissue Materials and Methods sections was performed using the rabbit anti-b-catenin (clone E247, Abcam, 1:300 dilution) or rabbit polyclonal anti-GFP antibody Cell lines and plasmid transfection (Abcam, 1:300 dilution). Secondary antibody was Alexa Fluor 488– Human gastric cancer cell lines SGC7901, AGS, and BGC823 conjugated polyclonal goat anti-rabbit IgG (Abcam, 1:1,000 dilution). were obtained from the Cell Bank of Chinese Academy of Sciences Immunofluorescence images were acquired using Zeiss LSM 710 (Shanghai, China). MKN28 and MKN45 cell lines were obtained from Confocal Microscope. the Japanese Collection of Research Bioresources (JCRB) Cell Bank. Human normal gastric epithelial cell line GES-1 was a kind gift from Chromatin immunoprecipitation assay Dr. Helen H. Zhu (Renji Hospital, Shanghai Jiao Tong University Chromatin immunoprecipitation (ChIP) assay was performed as School of Medicine, Shanghai, China). Authentication of these cell described previously (29). Relative enrichment was calculated as lines was performed by Shanghai Biowing Applied Biotechnology Co. relative binding of anti-b-catenin over control IgG on the potential Ltd. using the short tandem repeat genetic analysis. All cell lines were DNA binding sites. maintained in RPMI1640 supplemented with 10% FBS and 1% penicillin–streptomycin (Thermo Fisher Scientific), cultured for no Luciferase reporter assay more than 2–3 weeks after thawing, and routinely checked for Myco- Wnt/b-catenin pathway reporter plasmid M50 Super 8X TOP- plasma infection using PlasmoTest Kit (InvivoGen). Transfection of Flash (Addgene plasmid, catalog no. 12456; ref. 30) was a kind gift À þ plasmids into gastric cancer cells was performed using jetPRIME from Randall Moon. A 2.8-kb promoter ( E2576/ 205 relative to CCL28 fi fl transfection reagent (Polybus Transfection) following the manufac- transcription start site) of human gene was cloned into a re y turers’ protocols. luciferase reporter construct pGL4. Mutations on potential T-cell factor/lymphoid enhancer factor (TCF/LEF) biding sites on CCL28 RNA purification and qPCR promoter were introduced