Author Manuscript Published OnlineFirst on November 2, 2018; DOI: 10.1158/0008-5472.CAN-18-1495 Author manuscripts have been peer reviewed and accepted for publication but have not yet been edited.
#CANCER RESEARCH CAN-18-1495-AT, Revised version R2.
Loss of TRIM29 alters keratin distribution to promote cell invasion in squamous
cell carcinoma
1, *Teruki Yanagi, 2Masashi Watanabe, 1Hiroo Hata, 1Shinya Kitamura, 1Keisuke
Imafuku, 3Hiroko Yanagi, 3Akihiro Homma, 4, 5Lei Wang, 6Hidehisa Takahashi,
1Hiroshi Shimizu, 2, *Shigetsugu Hatakeyama
Departments of 1Dermatology, 2Biochemistry, 3Otolaryngology - Head and Neck
Surgery, and 4Cancer Pathology, Faculty of Medicine and Graduate School of
Medicine, Hokkaido University; 5Global Station for Soft Matter, Global Institution for
Collaborative Research and Education (GI-CoRE), Hokkaido University; 6Department
of Molecular Biology, Yokohama City University Graduate School of Medical Science
*Correspondence and requests for materials should be addressed to T. Y.
([email protected]) or S. H. ([email protected]).
Conflicts of Interest
The authors have no conflicts of interest to declare.
Word count: Abstract 199 words, Text 5000 words
References: 36
Tables: 0, Figures: 7, Supplemental Figures: 18, Supplemental Table: 1
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Short title: TRIM29 in squamous cell carcinoma
Abbreviations:
TRIM: tripartite motif-containing protein
SCC: squamous cell carcinoma
EMT: epithelial mesenchymal transition
SPC: sphingosylphosphorylcholine
IP: immunoprecipitation
IS: immunoscore
Significance:
Findings identify TRIM29 as a novel diagnostic and prognostic marker in stratified
epithelial tissues.
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ABSTRACT
TRIM29 (tripartite motif-containing protein 29) is a TRIM family protein that has been
implicated in breast, colorectal, and pancreatic cancers. However, its role in stratified
squamous epithelial cells and tumors has not been elucidated. Here we investigate the
expression of TRIM29 in cutaneous head and neck squamous cell carcinomas (SCC)
and its functions in the tumorigenesis of such cancers. TRIM29 expression was lower
in malignant SCC lesions than in adjacent normal epithelial tissue or benign tumors.
Lower expression of TRIM29 was associated with higher SCC invasiveness. Primary
tumors of cutaneous SCC showed aberrant hypermethylation of TRIM29. Depletion of
TRIM29 increased cancer cell migration and invasion; conversely, overexpression of
TRIM29 suppressed these. Comprehensive proteomics and immunoprecipitation
analyses identified keratins and keratin-interacting protein FAM83H as TRIM29
interactors. Knockdown of TRIM29 led to ectopic keratin localization of keratinocytes.
In primary tumors, lower TRIM29 expression correlated with the altered expression of
keratins. Our findings reveal an unexpected role for TRIM29 in regulating the
distribution of keratins, as well as in the migration and invasion of SCC. They also
suggest that the TRIM29-keratin axis could serve as a diagnostic and prognostic
marker in stratified epithelial tumors and may provide a target for SCC therapeutics.
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Introduction
Tripartite motif (TRIM) family proteins have various functions in cellular
processes, including intracellular signaling, cell development, apoptosis, protein
quality control, and carcinogenesis (1). TRIM family proteins have conserved domains
that include a RING, a B box type 1, a B box type 2, and a coiled-coil region.
Although most TRIM family proteins have a RING domain, TRIM29 (also known as
ataxia-telangiectasia group D complementing protein, or ATDC) lacks it (2). We
previously showed that TRIM29 regulates the assembly of DNA repair proteins into
damaged chromatin (3). TRIM29 interacts with BRCA1-associated surveillance
complex, cohesion, DNA-PKcs, and components of the TIP60 complex, suggesting
that TRIM29 functions as a scaffold protein in DNA damage response. Further, a study
on TRIM29 knockout mice revealed TRIM29 to be a regulator for the activation of
alveolar macrophages, the expression of type I interferons and the production of
proinflammatory cytokines in the lungs (4). Moreover, TRIM29 has been reported to
be overexpressed in several cancers, including lung (5), colorectal (6), and pancreatic
cancers (7). A review of the expression of TRIM29 in many cancers revealed an
important link between upregulated TRIM29 expression and poor prognosis in patients
with malignant neoplasms (8). TRIM29 transgenic mice revealed that TRIM29
upregulates CD44 in pancreatic cancer cells via the activation of beta-catenin signaling,
leading to the induction of epithelial mesenchymal transition (EMT) along with the
expression of Zeb1 and Snail1 (9). These studies suggest that TRIM29 promotes
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tumorigenesis and tumor progression in certain cancers. Conversely, in breast cancer,
TRIM29 is often silenced due to aberrant gene hyper-methylation, which leads to the
invasive behavior of breast cancers (10). Further, we previously reported that the
TRIM29-positive cells disappear in prostate cancers (11). Thus, the expression levels
of TRIM29 in cancers may depend on the cell/tissue types (12). Its role in stratified
squamous epithelial cells/tumors has not been elucidated.
Cutaneous squamous cell carcinoma (SCC) is a common cancer in Caucasian
populations, accounting for 20-30% of skin malignancies (13). The risk of metastasis
is low for most patients, not exceeding 5%; however, aggressive SCC is associated
with high morbidity and mortality. Although cutaneous SCC can be treated by surgical
removal, radiation, or chemotherapy, or by a combination of these therapies, the
prognosis of patients with metastatic SCC is poor (14). Even in head and neck lesions,
squamous cell carcinoma is the most common histological type. The risk factors of
distant metastasis for head and neck SCC (HN-SCC) are related to age, the site of the
primary cancer, local and/or regional extension, and histological grading (15). Patients
with localized HN-SCC are treated with potentially curative therapy using treatment
modalities that include surgery, radiation therapy, chemotherapy, and biologic therapy
(16). The recurrence rate in early-stage HN-SCC ranges from 10 to 20%, and the
recurrence rate in locally advanced HN-SCC exceeds 50%. Patients with metastatic
HN-SCC have a poor prognosis with a median overall survival of less than 1 year (16).
Therefore, identifying the molecular mechanisms involved in cutaneous, and head and
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neck SCC pathogenesis is of vital clinical importance.
In this study, we investigated the role of TRIM29 in the tumorigenesis/
progression of squamous cell carcinoma. Searches of public databases revealed that
TRIM29 is highly expressed in stratified epithelial tissues, including in skin, and head
and neck lesions. Immunohistochemically, TRIM29 has lower expression in malignant
SCC lesions than in adjacent normal epithelial tissue or benign tumors. DNA
methylation analysis revealed the CpG lesion of TRIM29 in primary cutaneous SCC
tumors to be aberrantly hypermethylated, whereas that in normal epidermis is not
methylated. RNAi-mediated gene-knockdown of TRIM29 increases cancer cell
migration and invasion; conversely, overexpression of TRIM29 inhibits these. Using
non-biased comprehensive proteomics analysis, keratins and keratin-interacting protein
FAM83H have been identified as TRIM29 interactors. Immunohistochemically,
TRIM29 co-localizes with keratins in the cytoplasm, and the knockdown of TRIM29
alters the distribution of keratins. Furthermore, in primary tumors, lower levels of
TRIM29 expression correlate with altered distribution patterns of keratins. Our
findings reveal a critical function of TRIM29 in regulating keratin distribution as well
as migration/invasion of SCC.
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Materials and Methods
Cell lines and cell culture
The human cutaneous SCC A431 cells were purchased from the American Type
Culture Collection. The human cutaneous SCC DJM-1 cells were isolated from human
skin squamous cell carcinoma (17). The human immortalized keratinocyte cell line
(HaCaT) was purchased from Cell Lines Service (Eppelheim, Germany). The SAS
human head and neck squamous cell carcinoma (HN-SCC) cell line was obtained from
the Japanese Collection of Research Bioresources cell bank. Cell lines were cultured in
DMEM supplemented with 10% FBS. All cells were authenticated by short tandem
repeat profiling (Promega, August 2018) and were used within six months of
continuous passage. All cells were tested and checked for the absence of Mycoplasma
(VenorGeM).
Reagents and antibodies
Antibodies against TRIM29/ATDC (mouse: A-5, Santa Cruz; rabbit: HPA020053,
Sigma), FAM83H (rabbit: HPA024604 , Sigma), keratin 5 (rabbit: PRB160P, Covance),
keratin 14 (rabbit: PRB155P, Covance), pan-cytokeratin (rabbit: 10550, Progen;
mouse: AE1/AE3, Dako; mouse: 34bE12, Abcam), FLAG (mouse, M2, F1804, Sigma),
HA (rat, 3F10, Roche), beta-actin (mouse, AC-74, Sigma) and horseradish-peroxidase
(HRP)-conjugated secondary antibodies (GE Health Care, UK) were purchased from
the indicated sources. Pre-designed pooled small interfering RNAs (siRNAs) directed
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against human TRIM29 and the negative scramble control were purchased from
Dharmacon. 5-Azacytizine (A2033) was purchased from Tokyo Chemical Industry.
siRNA transfection
For the transient knockdown, cells were transfected with siRNA duplexes by a reverse
transfection method using Lipofectoamine RNAiMAX (Life Technologies).
shRNA constructs, luciferase expression vector, lentivirus and infection
GIPZ-TRIM29 shRNA#1 (TGTGCTCCTGGAACATGCA), shRNA#2
(TGGGTGTCAGGTACATGGA) and non-silencing scramble-control were purchased
from Dharmacon. pLenti PGK Blast V5-LUC (w528-1) was a gift from Eric Campeau
and Paul Kaufman (Addgene plasmid # 19166) (18). Lentiviral supernatants were
generated according to an established protocol (19). Cells were selected with 1 µg/ml
puromycin (Thermo Fisher Scientific) or 10 µg/ml blasticidin (Wako), and then
expanded.
Retroviral transfection and generation of stable cell lines
cDNAs encoding full-length TRIM29 and various mutated versions of TRIM29 were
inserted into a pQCXI-puro vector. Retroviral supernatants were generated according
to an established protocol (20). Briefly, the murine EcoVR was first introduced into
cells by using an amphotropic virus in order to make the human cells susceptible to the
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subsequent infection by ecotropic viral vectors. Infected cell populations were selected
using puromycin (MP Biomedicals) and then expanded.
Extraction of total RNA and quantitative RT-PCR analysis
We isolated total RNA from cultured cells or fresh-frozen sections using the RNeasy
Plus Mini Kit (QIAGEN). RNA concentrations were measured spectrophotometrically
and samples were stored at -80 °C until use. We reverse-transcribed RNA using
SuperScript IV VILO Master Mix (11756050, Thermo Fisher Scientific).
Complementary DNA samples were analyzed by the SYBR Green system (Takara).
The sequences for primers specific for human TRIM29 and the control housekeeping
genes for human GAPDH are as follows:
Human TRIM29
Forward: 5’- TTCCAGGAGCACAAGAATCA -3’
Reverse: 5’- GCAATGACAGCTCCGTCTC -3’
Human GAPDH
Forward: 5’- GAAGGTGAAGGTCGGAGTC -3’
Reverse: 5’- ATGGGATTTCCATTGATGAC -3’
All experiments were performed in duplicate and normalized with respect to GAPDH
levels.
Cell proliferation assay. Cells were plated at a density of 3,000-5,000 cells per well,
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and cultured for 24, 48 or 72 hours. MTT assay was performed according to the
manufacture’s protocol (Cell titer 96 non-radioactive cell proliferation assay, Promega).
Also, we assessed cell growth by direct cell-counting. 1.0 x 105 cells with shRNA were
plated onto 60-mm-diameter plates. The cells were counted 1, 3, and 5 days after
seeding.
Cell migration and invasion analysis
For analysis of cell motility, cells were seeded onto 6-cm-diameter plates in DMEM
with 10% FBS overnight. The injury line was made with a yellow tip on the confluent
cell monolayer. After 4 to 24 hours, the lengths of movement were measured (21). The
cell invasion assay was performed using the Corning BioCoat Matrigel invasion
chamber with 8.0-micron pore size (Corning 354480). Seventy-two hours after the top
well was seeded, the bottom well was fixed and stained with 0.4% crystal violet
solution. Invading cells were photographed in four randomly selected fields and
counted.
SDS-PAGE and immunoblotting
Cells were harvested with radioimmunoprecipitation assay (RIPA) buffer (Wako) or IP
buffer (1% NP40 buffer, Thermo Fisher Scientific). Cells were left on ice for 20 min
and then centrifuged at 14,000 g for 10 minutes. The Bio-Rad protein assay kit
(Bio-Rad) was used to determine protein concentrations. Proteins were separated with
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SDS-PAGE 4-15% gradient gels (Life Technologies) and transferred onto PVDF
membranes. The membranes were blocked for 1 hour in Tris-buffered saline (TBS)
with 5% non-fat dry milk and then incubated overnight at 4°C with primary antibodies.
The membranes were rinsed three times in TBS and incubated with secondary
HRP-conjugated antibodies for 1 hour at room temperature. An enhanced
chemiluminescence (ECL) method (GE Health Care) was used for antibody detection.
To distinguish between soluble and insoluble proteins, cells were washed with PBS
and resuspended in 1% NP40 buffer. Cell extracts were then centrifuged at 14,000 g
for 10 min, the soluble fraction collected, and the pellets resuspended with 1x Laemmli
SDS sample buffer as the insoluble fraction.
Immunoprecipitation
For immunoprecipitation (IP), cells were lysed in IP lysis buffer (Thermo Fisher)
containing 20 mM Tris-HCl, pH 7.5, 150 mM NaCl, 0.1mM EDTA, 1% Nonidet P-40,
5 mM NaF and an EDTA-free cOmplete protease cocktail tablet. Three milligrams of
protein lysate were used for immunoprecipitation by incubation with 2 µg of the
antibody for 2 hours at 4°C. 30 µl of Dynabeads protein G (#10004D, Life
Technologies) was added for 1 hour at 4°C, and the IPs were washed four times with
lysis buffer. Sample buffer was then added, and the beads were heated for 10 minutes
at 70°C. Samples were then analyzed by SDS-PAGE followed by immunoblotting.
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Sample preparation for mass spectrometry analysis
Cells were lysed in a solution containing 50 mM Tris-HCl (pH 7.6), 300 mM NaCl,
10% glycerol, 0.2% NP-40, 10 mM iodoacetamide (Sigma-Aldrich), 10 mM
n-ethylmaleimide (Sigma-Aldrich), 0.5 mM 4-(2-aminoethyl)-benzenesulfonyl fluoride
hydrochloride (AEBSF, Roche, Branchburg, NJ), 10 μM MG132 (Merck, Darmstadt,
DE), and PhosStop phosphatase inhibitors (Sigma-Aldrich). The cell lysates were
sonicated and centrifuged at 16,000 g for 10 min at 4°C, and the resulting supernatant
was incubated with anti-FLAG M2 agarose (Sigma-Aldrich) for 2 hours at 4°C. The
resin was separated by centrifugation, washed five times with ice-cold lysis buffer, and
eluted with 250 μg/ml of FLAG peptides (Sigma-Aldrich). The eluate was then treated
with 0.1 U of Benzonase Nuclease (Sigma-Aldrich) for 30 min at 37°C. After
precipitation with trichloroacetic acid, proteins were dissolved in 50 mM ammonium
bicarbonate (Wako), reduced in 5 mM dithiothreitol (Thermo Fisher Scientific) for 5
min at 95°C, and alkylated with 10 mM iodoacetamide (Thermo Fisher Scientific) for
20 min at room temperature. Reduced and alkylated proteins were digested overnight
with 5 μg of Trypsin Gold (Promega) at 37°C with rotation. After tryptic digestion,
samples were acidified with TFA and desalted by solid-phase extraction using GL-Tip
GC and GL-Tip SDB (GL Sciences, Tokyo, Japan) before LC-MS analysis.
Mass spectrometry analysis
Desalted tryptic digests were analyzed by nanoflow ultra-HPLC (EASY-nLC 1000;
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Thermo Fisher Scientific) on-line coupled to the Orbitrap Elite instrument (Thermo
Fisher Scientific). The mobile phases were 0.1% formic acid in water (solvent A) and
0.1% formic acid in 100% acetonitrile (solvent B). Peptides were directly loaded onto
a C18 Reprosil analytical column (3-μm particle size, 75-μm i.d., and 12-cm length;
Nikkyo Technos, Tokyo, Japan) and separated using a 150-min two-step gradient
(0-35% in 130 min, 35-100% in 5 min, and 100% in 15 min of solvent B) at a constant
flow rate of 300 nL/min. For ionization, 1.6 kV of liquid junction voltage and a
capillary temperature of 200°C were used. The Orbitrap Elite instrument was operated
in the data-dependent MS/MS mode using Xcalibur software (Thermo Fisher
Scientific), with survey scans acquired at a resolution of 120,000 at m/z 400. The 10
most abundant isotope patterns with charges ranging from 2-4 were selected from the
survey scans with an isolation window of 2.0 m/z and fragmented by collision-induced
dissociation with normalized collision energies of 35. The maximum ion injection time
for the survey and the MS/MS scans was 60 ms, and the ion target values were set to
1e6 for the survey and MS/MS scans. Ions selected for MS/MS were dynamically
excluded for 60 sec for binding protein identification.
Protein identification from MS data
Proteome Discoverer software (version 1.4; Thermo Fisher Scientific) was used to
generate peak lists. The MS/MS spectra were searched against the UniProt
Knowledgebase (version 2015_09) using the SequestHT search engine. The precursor
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and fragment mass tolerances were set to 10 ppm and 0.6 Da, respectively. Methionine
oxidation, protein amino-terminal acetylation, Asn/Gln deamidation, Ser/Thr/Tyr
phosphorylation, and diglycine modification of Lys side chains were set as variable
modifications, and Cys carbamidemethyl modification was set as a static modification
for database searches. Peptide identification was filtered at a 1% false discovery rate.
To identify binding proteins, the results of samples (cells expressing FLAG-TRIM29
or not) were assembled into one multi-consensus report using Proteome Discoverer
software. Cumulative protein scores were compared based on the protein sequence
coverages and the total numbers of identified sequences (PSMs).
Immunofluorescence and microscopy
Immunofluorescence staining was performed as described previously (19). Cells were
seeded on 8-well chamber culture slides (Lab-Tek II, Thermo Fisher Scientific). After
appropriate treatment or transfection, the cells were fixed with 4% paraformaldehyde
(Wako) for 20 minutes at room temperature and permeabilized with 0.5% Triton-X100
in PBS buffer for 15 minutes. The cells were incubated overnight at 4°C with primary
antibodies diluted in PBS with 3% bovine serum albumin (BSA). After three
10-minute washes in PBS, the cells were incubated for 60 minutes at room temperature
with fluorochrome-conjugated secondary antibodies. Culture slides were washed three
times for 10 minutes in PBS. For imaging, cells were stored in Vectashiled hard set
mounting medium with DAPI (H-1500, Vector Laboratories). Cell imaging was
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accomplished with a BZ-9000 microscope (Keyence) or a FV-1000 confocal
microscope (Olympus).
Experimental metastasis model
All animal experiments were approved by the Institutional Animal Care and Use
Committee of Hokkaido University (17-0100). In in vivo imaging experiments,
luciferase-tagged A431 cells (A431-LUC) with or without shRNA targeting TRIM29
cells (5x105 cells, GFP-tagged) were injected into the tail vein of athymic (nu/nu) mice,
and metastatic incidence was determined using an IVIS imaging system over time. On
the final day (Day 23), we assessed the number of metastases in all extracted lungs by
GFP channel using fluorescence microscopy (BZ-9000, Keyence). Metastatic colonies
in the lungs were detected by GFP expression in fresh tissues. Similar experiments
were performed using GFP-tagged DJM1 cells containing shRNA (control or
targeting-TRIM29-#2).
Animal imaging
Live animal images were captured using the IVIS system, Xenogen (Caliper Life
Sciences). D-Luciferin potassium salt (VivoGlo Luciferin, Promega) was injected
intraperitoneally (300 mg/kg) and animals were anesthetized in an oxygen-rich
induction chamber with 2% isoflurane (Abbie). Images were collected 10 min after
d-luciferin injection using the IVIS System (Exposure time: 2 min). Photons were
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quantified using Living Image Software (Xenogen).
Immunohistochemistry
Dewaxed tissue sections (4.0-5.0 μm) were immunostained as reported previously
using primary antibodies (22). The application of the primary antibody was followed
by incubation with goat anti-mouse or rabbit polymer-based EnVision-HRP-enzyme
conjugate (Dako, Japan). DAB chromogen was applied to yield a brown color. For the
evaluation of immunohistochemical staining, the total score (value from 0 to 6) was
calculated by measuring the staining intensity (negative = 0, weak = 1, moderate = 2,
strong = 3) plus the proportion of immunopositive tumor cells (0% = 0, 1-25 % = 1,
26-50% = 2, >50% = 3).
Patient specimens
For cutaneous SCC, Bowen’s disease, verruca vulgaris, seborrheic keratosis,
keratoacanthoma (KA), KA-like SCC, and head and neck SCC (HN-SCC) analyses,
specimens were procured retrospectively under an Institutional Review Board-approved
protocol at the Hokkaido University Hospital, which deemed this retrospective analysis
appropriate for a waiver of informed consent (016-0435, 017-0263). These studies were
conducted in accordance with the Declaration of Helsinki. Thirty-six patients with SCC,
10 patients with Bowen’s disease, 5 patients with verruca vulgaris, 5 patients with
seborrheic keratosis, 4 patients with KA, 6 patients with KA-like SCC, and 35 patients
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with HN-SCC were enrolled. Normal epidermis was harvested from the patients with
SCC (N = 29). The patients’ attributes are shown in Supplemental Table. 1.
DNA methylation analysis
To identify the methylation status of CpG islands in the TRIM29 promoter, published
methods were used (10). Briefly, a total of 0.5 μg of genomic DNA extracted from
each frozen tissue sample using the QIAmp DNA Mini Kit (Qiagen, Chatsworth, CA)
was treated with the EZ DNA Methylation-Gold Kit (Zymo Research, Orange, CA) for
bisulfate reaction. The promoter region of the TRIM29 genes was amplified by PCR
using the following gene-specific primers.
Left primer: 5’-TTAGGTGGGGTTTGAGATGTAGT-3’
Right primer: 5’-CCAACTAAAAACTACCAAAAAACCA-3’
PCR products were cloned into the pCR4-TOPOVector (Life Technologies, Carlsbad,
CA). To define the methylation status of the TRIM29 promoter region, six SCC
samples and two normal epidermal tissues were sequenced with the 3130xl Genetic
Analyzer (Applied Biosystems, Foster City, CA).
Gene expression
Tissue-specific gene expression data were downloaded from the Human Protein Atlas
(https://www.proteinatlas.org/) (23).
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Statistical Analysis
Statistical analysis was performed using the Excel add-in software Statcel (OMS Ltd.,
Tokyo, Japan). Means and standard deviation (SD) were calculated statistically from
three determinations. The data are expressed as mean ± SD. We used t-tests (Student’s
or Welch’s t) to assess the statistical significance of differences between various samples.
Kaplan–Meier survival curves were calculated for the two groups (high TRIM29 or low
TRIM29), and the log-rank test was used to compare overall survival (OS). Fisher’s
exact test was used in the analysis of contingency tables. p < 0.05 was considered
significant.
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Results
Loss of TRIM29 in squamous cell carcinoma
To clarify the kinds of tissues in which TRIM29 is highly expressed, we accessed the
Human Protein Atlas public database (https://www.proteinatlas.org/). Investigation
using public databases revealed that TRIM29 is highly expressed in stratified epithelial
cells, including skin, esophagus, and tonsil (Supplemental Fig. 1). Based on the
previous reports on the roles of TRIM29 in certain cancers, we assessed the levels of
TRIM29 expression in primary cutaneous SCC tumor specimens by
immunohistochemistry. Expression levels of TRIM29 were high in normal epidermis
and were markedly lower in cutaneous SCC (Fig. 1A). Similar results were observed in
Bowen’s disease (Supplemental Fig. 2A). We further examined the expression of
TRIM29 in patients with metastatic cutaneous SCC. The expression levels of TRIM29
were lower in the samples of lymph node metastasis than in those of primary tumors
(Fig. 1B). Moreover, the expression levels of TRIM29 in benign tumors (seborrheic
keratosis, verruca vulgaris, and keratoacanthoma) were high (Supplemental Fig. 2, B
and C, and Supplemental Fig. 3). Also, we assessed the levels of TRIM29 in head and
neck SCC (HN-SCC, primary tongue cancer, N = 35). TRIM29 expression levels in
HN-SCC tumors were lower than in adjacent epithelium (Fig. 1, C-G). In the cases
with lower expression of TRIM29 in primary tumors (N = 23), the expression level of
TRIM29 in invasive tumors was even lower than that in microinvasive lesions (Fig. 1,
E, F, H). The prognostic value of TRIM29 was assessed in the patients with stage
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III/IV tongue tumors. Low TRIM29 protein levels significantly correlated with lower
overall survival (Fig. 1I).
Next, we assessed the mRNA expression of TRIM29 in cutaneous SCC
samples. mRNA expression of TRIM29 in six fresh-frozen cutaneous SCC tumors was
lower than in normal epidermis (Supplemental Fig. 4A). Further, we analyzed
epigenetic silencing of TRIM29 using frozen cutaneous SCC samples in bisulfite
sequence testing, which revealed that aberrant DNA methylation in the CpG island of
TRIM29 was observed in all of the cutaneous SCC samples, whereas very few
methylations were detected in normal epidermis (Supplemental Fig. 4, B-D). Also, we
assessed the DNA methylation of cultured cells. DNA methylation in the CpG lesion of
TRIM29 was observed in A431 SCC cells, whereas none was detected in normal
keratinocytes or in HaCaT cells (Supplemental Fig. 5A). We treated A431 cells with
the DNA demethylating drug 5-azacytidine for 10 days and harvested RNA and
genomic DNA. Quantitative RT-PCR analysis revealed a 5- to 7-fold rise in TRIM29
transcript (Supplemental Fig. 5B). Consistent with gene re-expression, 10 days of
5-azacytidine produced a decrease in TRIM29 methylation of A431 cells
(Supplemental Fig. 5C).
Knockdown of TRIM29 increases SCC cell motility and invasiveness
To investigate the effect of TRIM29 knockdown on cutaneous SCC cells, we
performed gene-knockdown experiments using two shRNAs. Quantitative RT-PCR
20
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and immunoblotting confirmed the knockdown of mRNA and protein levels by both of
the TRIM29-targeting shRNAs in A431 SCC cells (Fig. 2A). Through direct
cell-counting and MTT proliferation assays, we determined that the growth rates of the
TRIM29-knockdown cells did not differ significantly from those of the control cells
(Supplemental Fig. 6, A-C, and Supplemental Fig. 7, A and B). In the cell migration
assay, we observed greater cell migration into the wound in the TRIM29 knockdown
A431 cell lines than in the control lines (Fig. 2B). Conversely, the cell migration of
A431 lines overexpressing TRIM29 was lower than that of mock A431 lines (Fig. 2, C
and D). Similar results were obtained for the SCC DJM-1 and immortalized HaCaT
keratinocytes (Supplemental Fig. 8, A-D, and Supplemental Fig. 9, A-D). Invasion
assays using A431 cells with or without A431 knockdown were performed using a
Matrigel chamber assay, which showed that TRIM29 knockdown enhanced the
invasion activity (Fig. 3A). The cell invasion of A431 cells overexpressing TRIM29
was lower than those of mock cell lines (Fig. 3B). Similar results were obtained for
DJM1, HaCaT cells, and oral SCC SAS cells (Supplemental Fig. 10, A-D, and
Supplemental Fig. 11, A and B). To extend these studies to an in vivo context, we used
luciferase-tagged A431 SCC cells (A431-LUC) containing control-shRNA or
TRIM29-shRNA (#2) in a xenograft model. Immunocompromised (nu/nu) mice were
injected intravenously with A431-LUC cells, and lung metastases were observed over
time. A live-animal imaging system (IVIS) revealed that TRIM29 knockdown
enhanced the cancer cell metastasis to the lungs (Fig. 3, C and D). Extracted lungs also
21
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showed that the number of tumor metastases was greater for the TRIM29-knockdown
A431 cells than for the control cells (Fig. 3, E and F). Similar results were observed in
the in vivo metastasis model using GFP-tagged DJM1 cells (Supplemental Fig. 12, A
and B).
TRIM29 expresses in the cytosol, and interacts with keratins and keratin-interacting
protein FAM83H
To clarify the molecular function of TRIM29, we first assessed the subcellular
localization of TRIM29. Immunofluorescence staining of TRIM29 revealed that
TRIM29 was mainly expressed in the cytosol, where the expression patterns were
filamentous or perinuclear (Fig. 4, A-C). Also, immunoblotting using whole cell
lysates (1x Laemmli buffer) and 1%NP40 lysate showed that TRIM29 mainly presents
in a detergent-insoluble fraction (Fig. 4D). Next, we established HaCaT and A431 cells
that stably expressed FLAG-tagged TRIM29. To detect the TRIM29-interacting
protein, we immunopurified FLAG-TRIM29 and TRIM29-associated proteins from
cell lysates (Fig. 4E) and performed mass spectrometry analysis. From screening by
mass spectrometry analysis, 67 proteins were identified as interacting specifically with
FLAG-TRIM29 (Supplemental Fig. 13, A and B). Immunoprecipitation analysis using
HaCaT cell lysates revealed that endogenous TRIM29 interacts with FAM83H and
keratins (Fig 4, F-H). Furthermore, immunofluorescence analysis using confocal
microscopy showed that TRIM29 co-localizes with keratin 5, 14 and FAM83H in the
22
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cytosol (Fig. 4, I-K, Supplemental Fig. 14, A-E, and Supplemental Fig. 15). These
results indicate that the TRIM29 forms a complex with keratins and keratin-interacting
proteins. To identify the domains of TRIM29 which are necessary for interaction with
keratins/FAM83H, we generated HaCaT cells that stably express the series of
truncated mutants of FLAG-TRIM29 (Supplemental Fig. 16A).
Immunoprecipitation/SDS-PAGE analysis revealed that the zinc finger, B-box,
coiled-coil, and C-terminal domains of TRIM29 were necessary for the formation of
the TRIM29-keratin-FAM83H complex (Supplemental Fig. 16, B-D), which was
consistent with the findings of immunofluorescence staining (Supplemental Fig. 16E).
TRIM29 regulates the distribution of keratins
To clarify the physiological role of TRIM29 in stratified epithelial cells, we performed
siRNA transfection experiments. HaCaT cells were reverse-transfected with pooled
siRNA targeting TRIM29 or a negative control. Immunoblotting revealed that TRIM29
knockdown did not alter the expression levels of keratin 5 (Fig. 5A).
Immunofluorescence staining showed that TRIM29 knockdown led to a perinuclear
distribution of keratins, whereas control cells showed cytosolic diffuse keratin
expression (Fig. 5B). We also established HaCaT keratinocytes that stably contained
HA-tagged TRIM29. The lysates from HaCaT cells containing HA-tagged TRIM29
did not show altered expression levels of keratin 5, either (Fig. 5C). Confocal
immunofluorescence images showed that forced-expressed TRIM29 led to the diffuse
23
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or unbiased distributions of keratins, which co-localized with TRIM29 (Fig. 5D).
These data suggest that TRIM29 regulates the cellular distribution of keratins.
Loss of TRIM29 is associated with altered keratin distribution in both the clinical
samples and a lung metastasis mouse model
We further examined the cutaneous SCC samples based on the keratin staining patterns
(Supplemental Fig. 17). In adjacent normal epidermis, keratin staining patterns were
diffuse. Also, SCC samples with high TRIM29 expression showed relatively diffuse
keratin patterns. In turn, cutaneous SCC with low TRIM29 expression showed
perinuclear or random “non-diffuse” keratin patterns (Fig. 6A). “Non-diffuse”
distribution patterns were significantly more common in low-TRIM29 tumor tissue
than in high-TRIM29 tumors (Fig. 6B). Similar results were observed in HN-SCC
samples (Fig. 6 C, D). Moreover, we analyzed the expression of keratins in an in vivo
lung metastasis model. TRIM29 knockdown altered the keratin expression of lung
metastatic tumors, whereas control xenograft tumors showed relatively diffuse
expression of keratins (Supplemental Fig. 18). These findings indicate that the loss of
TRIM29 correlates with the altered distribution of keratins.
Discussion
We herein reported that TRIM29 plays a crucial role in cutaneous and
head/neck SCC cell migration and invasion by regulating keratin distribution (Fig. 7).
24
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Clinically, the loss of TRIM29 was observed in only malignant tissues, and not in
normal epithelium or benign tumors. The expression levels of TRIM29 in invasive or
advanced lesions showed greater decreases than in primary tumors. These results
strongly suggest that TRIM29 is a novel diagnostic and prognostic biomarker for
stratified epithelial tumors.
In this study, immunohistochemistry and immunofluorescence analyses
revealed that TRIM29 localizes mainly in the cytoplasm. Previous studies suggested
that cytosolic TRIM29 has onco-suppressive effects in breast and prostate cancers
(10-12), whereas nuclear TRIM29 has pro-oncogenic effects in pancreatic, lung,
bladder, and gastric cancers (9, 24-27). Thus, the localization (cytosolic or
nuclear)-related physiological function of TRIM29 was determined by the kinds of
cells/tissues. Our results indicate that TRIM29 localizes mainly in the cytoplasm in
stratified epithelial cells, which is consistent with TRIM29 having an onco-suppresive
role in such cells.
Keratins are the intermediate filament-forming proteins of epithelial cells.
Keratin filaments play a role in the formation of an insoluble structural framework
within the cytoplasm, which plays a critical role in cell protection. Today, keratins
have been recognized as regulators of other cellular functions, including polarization,
motility, and signaling (28). Further, keratins are involved in cancer cell invasion and
metastasis, as well as in treatment responsiveness. It has been reported that keratin
distribution regulates cell migration in cancer cells as well as in normal cells. In injury
25
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experiments using human volunteers, injury to human epidermis prompted the keratin
filaments to reorganize from a diffuse cytoplasmic distribution to a perinuclear
distribution, which lead to keratinocyte migration to the wound (29). Further, human
epithelial tumor cells including pancreatic cancers treated with
sphingosylphosphorylcholine (SPC) show the reorganization of keratins to perinuclear
areas and enhanced cancer cell migration (30, 31). A study by Seltmann et al. using
keratin-knockout mice showed that keratin-knockout keratinocytes migrate faster than
wild-type keratinocytes (32). These results suggest that the absence of expression (or
the juxtanuclear localization) of keratins could facilitate cell migration. In the SPC
model, the phosphorylation of keratins by the MEK-ERK pathway is thought to be a
molecular mechanism in keratin reorganization. In our study, we analyzed the
phosphorylation of keratins (K5 and K14) using lysates of HaCaT with or without
TRIM29 knockdown; however, phos-tag SDS-PAGE (Wako) found no obvious
differences. Also, we analyzed the dimerization of keratins (K5, K14) through native
page analysis (33), which showed no obvious differences between TRIM29
knockdown and control HaCaT cells. Thus, the detailed mechanism of
TRIM29-mediated keratin re-organization remains unknown.
In the present study, keratin-interacting protein FAM83H was detected as a
novel interactor with TRIM29. Recently, the Kuga group discovered that FAM83H is
involved in certain cancer cell migrations via the regulation of keratins. High
expression of FAM83H in colorectal cancer cells causes casein kinase 1 alpha to be
26
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recruited to keratins and disrupts the keratin cytoskeleton, which leads to cell
migration/invasion (34, 35). Based on these reports, we investigated the FAM83H
expression in primary cutaneous SCCs samples and found no marked differences in
FAM83H protein expression. Also, in cell cultures, TRIM29 knockdown or forced
expression did not change the expression levels of FAM83H (Fig. 5, A and C). At this
point, it remains unclear whether FAM83H is directly associated with the interactions
between TRIM29 and keratins in stratified epithelial cells.
To date, TRIM29 has been reported to be positively or negatively involved in
epithelial mesenchymal transition (EMT) in cancers (10, 36). RNAi-mediated gene
knockdown of TRIM29 in breast cancer cell lines increases the expression of
mesenchymal markers (N-cadherin and vimentin), decreases the expression of
epithelial markers (E-cadherin), and increases the expression of the oncogenic
transcriptional factor TWIST1, which is a key driver of EMT (10). Another study used
epigenetic change analysis to identify TRIM29 as a driver candidate during EMT (36).
Further, experimental model mice have revealed that TRIM29 facilitates EMT in
pancreatic cancer cells (9). Based on these studies, we also assessed the protein
expression of EMT-related molecules including SNAIL2, TWIST1/2, FAK, p-FAK
and p63 using the lysate of TRIM29-knockdown cells, in which obvious alterations of
protein expression were not observed. As such, TRIM29-knockdown-mediated
migration/invasion in stratified epithelial cells may be associated with keratin
distribution/re-organization, rather than with the EMT process.
27
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In conclusion, we revealed an unrecognized role of TRIM29 in the cell
migration/invasion of cutaneous and head/neck SCC tumors. The present results
suggest that TRIM29 could be a novel diagnostic/prognostic marker in stratified
epithelial tumors. Also, the TRIM29-keratin axis may be a novel therapeutic target in
intractable/metastatic SCCs.
Acknowledgements
We thank Ms. Yuko Tateda and Dr. Kanae Takahashi for their technical assistance. This
work was supported in part by KAKENHI (#15H05998, #16K1970106, #18K08259 to
T. Yanagi; #17K19506, #18H02607 to S. Hatakeyama) from the Ministry of Education,
Culture, Sports, Science and Technology in Japan, and by the Ichiro Kanehara
Foundation for the Promotion of Medical Science (T. Yanagi), the Cosmetology
Research Foundation (T. Yanagi), the Ono Cancer Research Foundation (T. Yanagi),
the Takeda Science Foundation (T. Yanagi, and S. Hatakeyama), the Suhara Memorial
Foundation (T. Yanagi), the Geriatric Dermatology Foundation (T. Yanagi), the Uehara
Memorial Foundation (T. Yanagi), the Pias Skin Research Foundation (T. Yanagi), the
Life Science Foundation of Japan (S. Hatakeyama), the Princess Takamatsu Cancer
Research Fund (S. Hatakeyama), the Japan Foundation for Applied Enzymology (S.
Hatakeyama), the Tokyo Biochemical Research Foundation (S. Hatakeyama), and the
Project Mirai Research Grants (S. Hatakeyama).
28
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34
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Figure legends
Fig. 1. Loss of TRIM29 in squamous cell carcinoma. (A) TRIM29 immunoscore (IS)
data were generated from cutaneous squamous cell carcinoma (SCC) primary tumors.
Data (mean ± SD) comparing adjacent normal epidermis (N = 29) and cutaneous SCC
(N = 36). *** p < 0.001 Scale bar = 100 µm. (B) TRIM29 IS data were generated from
six patients with metastatic cutaneous SCC. Data (mean ± SD) comparing adjacent
normal epidermis (N = 6), primary tumor (N = 6), and metastatic lymph nodes (N = 6).
* p < 0.05, ** p < 0.01, *** p < 0.001, Scale bar = 100 µm. (C) Representative
examples of TRIM29 immunostaining results are provided for normal/in situ tongue
epithelium (D) and tongue cancer (E: microinvasive, F: invasive). Scale bar = 200 μm.
(G) Data (mean ± SD) comparing adjacent tongue epithelium (N = 35) and tongue
cancer (N = 35). *** p < 0.001 (H) In 23 cases with pathological decrease of TRIM29
in tongue cancer, we compared TRIM29 IS from the non-invasive and invasive lesions
(*** p < 0.001). (I) In 13 cases with stage III/IV tongue SCC, the overall survival was
compared between high (IS = 5, 6 ) or low (IS = 0-4) expression of TRIM29 (high = 8
cases, low = 5 cases). ** p < 0.01, Log-rank test.
Fig. 2. TRIM29 regulates migration of SCC cells. (A) mRNA and proteins were
generated from A431 SCC cells that stably contained shRNAs (#1, #2) and a scramble
35
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control. mRNA and proteins were analyzed by qRT-PCR (left) and immunoblotting
(right), respectively. (B) Cell cultures were wounded with a pipette tip and
photographed (0 hours and 12 hours after wounding). Scale bar = 200 µm. Data
indicate recovery lengths (N = 3 each). ** p < 0.01, *** p < 0.001 (C) Protein lysates
were generated from A431 SCC cells that stably contained HA-tagged TRIM29 and a
mock control. Proteins were analyzed by SDS-PAGE/immunoblotting using the
indicated antibodies. (D) Cultures were wounded with a yellow tip and photographed
(0 hours, 24 hours). Scale bar = 200 µm. Data indicate recovery lengths (N = 3 each).
*** p < 0.001
Fig 3. TRIM29 knockdown increases cell invasion in SCC cells. (A) A431 SCC cells
stably containing shRNAs (#1, #2) and the scramble control were employed for cell
invasion analysis. Invaded cells were counted in four randomly chosen fields, and the
averages of the invaded cells were bar-graphed (mean ± SD). * p < 0.05, ** p < 0.01
(B) A431 cells stably containing HA-tagged TRIM29 and mock control were
employed for cell invasion analysis. The averages of the invaded cells were
bar-graphed (mean ± SD). ** p < 0.01 (C). TRIM29 knockdown increases the
metastatic potential of A431 cells. sh-control-LUC cells or sh-TRIM29 (#2)-LUC cells
(5x105 A431 cells, GFP-tagged) were injected into the tail vein of athymic mice, and
metastatic incidence was determined using an IVIS imaging system over time. Animals
36
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were injected with d-luciferin (300 mg/kg) and bioluminescence was detected using
IVIS spectrum on days 15 and 23 after tumor cell injection. (D) Luminescent signals of
Regions of Interest (red dotted circles) on Day 23 (the lower panel of C) were
quantified by Living Image Software (Xenogen) (N= 3, mean ± SD, * p < 0.05). (E)
On the final day (Day 23), the lungs were extracted, and metastases were analyzed.
The numbers of tumor metastases were counted by low-magnification fluorescent
microscopy (GFP channel, BZ-9000, Keyence). The representative results are shown
by merged image of bright field and GFP channel. (E, scale bar = 1.0 mm; yellow
arrows indicate metastatic tumors). (F) The averages of tumor metastases are
bar-graphed (mean ± SD). ** p < 0.05
Fig. 4. TRIM29 expresses in cytosol and interacts with keratins and
keratin-interacting protein FAM83H. (A-C) HaCaT cells were reverse-transfected
with pooled siRNA targeting TRIM29 and a negative control. At 48 hours, mRNA
levels of TRIM29 were analyzed by qRT-PCR (C). Immunofluorescent staining
revealed that the TRIM29 mainly expressed in the cytosol (A, B; scale bar = 20 µm).
(D) Also, immunoblotting using whole cell lysate (1x Laemmli buffer) and 1%NP40
lysate indicates that TRIM29 exists in the insoluble fraction of the 1% NP40 lysate
(Sol: 20% of total soluble fraction; Ins: 5% of total insoluble fraction). (E) Silver
staining was performed using the TRIM29-containing protein complex
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immunopurified from HaCaT and A431 cells stably expressing FLAG-tagged TRIM29
on 4-20% gradient SDS-PAGE gel. TRIM29-associated proteins identified by mass
spectrometry. (See Supplemental Fig. 13) Among the candidate proteins, we focused
on the keratin-interacting protein FAM83H. (F, G, H) Immunoprecipitation analysis
using 1%NP40 lysate shows that endogenous TRIM29 interacts with FAM83H and
keratins. (I, J, K) Confocal immunofluorescence images show the co-localization of
endogenous TRIM29, keratin 5 (K5), keratin 14 (K14), and FAM83H. Scale bar = 20
µm.
Fig. 5. TRIM29 regulates the distribution of keratins. (A) HaCaT cells were
reverse-transfected with pooled siRNA targeting TRIM29 and a negative control. At 48
hours, the cell lysates were harvested and were analyzed by
SDS-PAGE/immunoblotting using the indicated antibodies. TRIM29 knockdown did
not change the expression levels of keratin 5. (B) Confocal immunofluorescence
images show that TRIM29 knockdown leads to the perinuclear distribution of keratins
(Scale bar = 20 µm). (C) The lysates from HaCaT cells containing HA-tagged TRIM29
or a mock control were analyzed by SDS-PAGE/immunoblotting. Forced expression of
TRIM29 did not change the expression levels of keratin 5 remarkably. (D) Confocal
immunofluorescence images show that keratins co-localize with forced-expressed
TRIM29 (white arrowheads, scale bar = 20 µm).
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Fig. 6. Loss of TRIM29 correlates with altered keratin distribution. (A) Keratin
distribution was analyzed immunohistochemically using an anti-cytokeratin antibody
(34bE12) in cutaneous SCC and adjacent normal epidermis. The keratin distribution
patterns were classified as either diffuse or non-diffuse (perinuclear or random). The
non-diffuse pattern was significantly more common in low-TRIM29 tumor tissue than
in high-TRIM29 tumors (B, ** p < 0.01). (C) Keratin distribution was analyzed in
head and neck SCC using an anti-cytokeratin antibody (AE1/AE3). The non-diffuse
pattern was significantly more common in low-TRIM29 tumor tissue than in
high-TRIM29 tumors (D, ** p < 0.01).
Fig. 7. Model of TRIM29 function in stratified epithelial tissue.
In normal stratified epithelial tissue (left), TRIM29 is required for the normal
distribution of keratins. In squamous cell carcinoma cells (right), the methylation of
DNA suppresses the expression of TRIM29, leading to the aberrant distribution of
keratins. Altered keratin distribution helps the cancerous cells to migrate and invade,
which leads to tumor metastasis and poor prognosis.
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Loss of TRIM29 alters keratin distribution to promote cell invasion in squamous cell carcinoma
Teruki Yanagi, masashi watanabe, Hiroo Hata, et al.
Cancer Res Published OnlineFirst November 2, 2018.
Updated version Access the most recent version of this article at: doi:10.1158/0008-5472.CAN-18-1495
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