Aberrant RSPO3-LGR4 Signaling in Keap1-Deficient Lung
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Oncogene (2015) 34, 4692–4701 © 2015 Macmillan Publishers Limited All rights reserved 0950-9232/15 www.nature.com/onc ORIGINAL ARTICLE Aberrant RSPO3-LGR4 signaling in Keap1-deficient lung adenocarcinomas promotes tumor aggressiveness X Gong1,2,JYi1,2, KS Carmon1,2, CA Crumbley1,2, W Xiong1,2, A Thomas1,2,XFan1,2, S Guo3,ZAn1,2, JT Chang1,4,5,6 and QJ Liu1,2 The four R-spondins (RSPO1–4) and their three related receptors LGR4, 5 and 6 (LGR4–6) have emerged as a major ligand-receptor system with critical roles in development and stem cell survival through modulation of Wnt signaling. Recurrent, gain-of-expression gene fusions of RSPO2 (to EIF3E) and RSPO3 (to PTPRK) occur in a subset of human colorectal cancer. However, the exact roles and mechanisms of the RSPO-LGR system in oncogenesis remain largely unknown. We found that RSPO3 is aberrantly expressed at high levels in approximately half of Keap1-mutated lung adenocarcinomas (ADs). This high RSPO3 expression is driven by a combination of demethylation of its own promoter region and deficiency in Keap1 instead of gene fusion as in colon cancer. Patients with RSPO3-high tumors (~9%, 36/412) displayed much poorer survival than the rest of the cohort (median survival of 28 vs 163 months, log-rank test Po0.0001). Knockdown (KD) of RSPO3, LGR4 or their signaling mediator IQGAP1 in lung cancer cell lines with Keap1 deficiency and high RSPO3-LGR4 expression led to reduction in cell proliferation and migration in vitro, and KD of LGR4 or IQGAP1 resulted in decrease in tumor growth and metastasis in vivo. These findings suggest that aberrant RSPO3-LGR4 signaling potentially acts as a driving mechanism in the aggressiveness of Keap1-deficient lung ADs. Oncogene (2015) 34, 4692–4701; doi:10.1038/onc.2014.417; published online 22 December 2014 INTRODUCTION the formation of a supercomplex between RSPO-LGR4 and Wnt R-spondins are a group of four highly related secreted proteins receptors. In this configuration, IQGAP1 brings in MEK1/2 to (RSPO1–4) with critical roles in embryonic development phosphorylate LRP5/6 for the β-catenin-dependent pathway and and organogenesis as well as in the self-renewal and survival of N-WASP/mDia1 to coordinate actin dynamics for the β-catenin- adult stem cells.1 In particular, loss of RSPO2 led to hypoplasia independent pathway.11 and reduced branching of the lung during mouse Dysregulation of Wnt signaling occurs in nearly every major development.2,3 Work from us and others demonstrated that type of solid tumors. Gain-of-expression gene fusions of RSPO2 (to RSPOs activate three related receptors LGR4–6 (leucine-rich EIF3E) and RSPO3 (to PTPRK) were identified in 10% (7/68) of repeat-containing, G protein-coupled receptor 4, 5 and 6) to human colon cancer.14 The fusions were inferred to have a driving 4–6 potentiate Wnt signaling. LGR4–6 contain a large extracellular role in the carcinogenesis of the affected tumors because of their domain with 17 leucine-rich repeats and a seven transmembrane recurrent occurrence and exclusivity with Apc/β-catenin mutat- domain homologous to members of the rhodopsin family of G 14 7–9 ions. In MMTV-induced mouse models of breast and colon cancer, protein-coupled receptors. LGR4-bound RSPOs directly interact RSPO2 and RSPO3 were two of the most frequent viral integration with two membrane-bound E3 ligases (RNF43 and ZNRF3), which 10 sites, and ectopic expression of RSPO2/3 in mouse mammary otherwise ubiquitinate Fzd receptors for degradation. Formation epithelial cells increased tumor formation and metastasis.15–17 of the LGR4-RSPO-RNF43/ZNRF3 ternary complex induces Furthermore, knockout of LGR4 in mice led to profound hypoplasia the clearance of the E3 ligases, leading to reduced ubiquitination and impaired tubulogenesis in multiple organs during develop- and eventually elevated levels of Wnt receptors on the cell 18–20 surface and increased Wnt signaling.10 Just recently, we ment, suggesting a critical role of LGR4 in the regulation of cell identified IQGAP1 as an LGR4-binding protein and showed that proliferation and migration. Intriguingly, LGR4 was found to be it plays an essential role in RSPO-LGR4-induced potentiation highly upregulated in both adenocarcinomas (AD) and squamous of Wnt signaling.11 IQGAP1 is an intracellular scaffold protein cell carcinomas of non-small-cell lung cancer (NSCLC) despite low 21 that binds to and modulates the activities of a plethora of expression in normal adult lung. We found that RSPO3 was highly signaling molecules to regulate cell adhesion and migration.12,13 expressed in a subset of ADs. Here we show that the aberrant RSPO3 We found that RSPO-LGR4 not only induces the clearance of expression in lung ADs was not driven by PTPRK fusion as in colon RNF43/ZNRF3 but also increases the affinity of IQGAP1 for cancer, and that RSPO3-LGR4 signaling plays a major role in the dishelvelled (DVL) bound to the Wnt signalosome. This leads to aggressiveness of RSPO3-high tumors. 1Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, Houston, TX, USA; 2Texas Therapeutics Institute, University of Texas Health Science Center at Houston, Houston, TX, USA; 3Divison of Oncology, University of Texas Health Science Center at Houston, Houston, TX, USA; 4Center for Clinical and Translational Sciences, University of Texas Health Science Center at Houston, Houston, TX, USA; 5Department of Integrative Biology and Pharmacology, University of Texas Health Science Center at Houston, Houston, TX, USA and 6School of Biomedical Informatics, University of Texas Health Science Center at Houston, Houston, TX, USA. Correspondence: Dr QJ Liu, Brown Foundation Institute of Molecular Medicine, University of Texas Health Science Center at Houston, 1825 Pressler Street, Suite 530A, Houston, TX 77030, USA. E-mail: [email protected] Received 29 April 2014; revised 31 October 2014; accepted 3 November 2014; published online 22 December 2014 RSPO3-LGR4 signaling in lung cancer X Gong et al 4693 RESULTS (CCLE) project24 (Supplementary Figure 1b). Using our recently 25 RSPO3 is aberrantly expressed in a subset of lung ADs and its high characterized LGR4 monoclonal antibody 7E7, we analyzed the expression is associated with poor survival expression of LGR4 in normal and AD samples of the lung on We mined the RNA-Seq data of LGR4–6, RSPO1–4, and other tissue microarrays. LGR4 staining was detected in all AD samples genes encoding Wnt ligands, receptors and modulators in TCGA’s with two representatives shown (Figures 1a and b). No expression of LGR4 was observed in respiratory epithelial or alveolar cells in provisional Lung AD cohort (LUAD, 230 samples) as provided by 22 normal adult lung (Figure 1c), consistent with previous report of the cBio Portal website. Based on the RSEM values (RNA-Seq by 21 23 LGR4 upregulation in lung ADs. Expectation-Maximization) of the transcripts, LGR4 was Of the potential RSPO ligands, RSPO3 was expressed at expressed at moderate to high levels in ~ 90% of the cases, significant levels with a highly skewed pattern, that is, high levels whereas LGR5 and LGR6 were expressed at much lower levels in in ~ 10% (25/230) of the tumors with no to little expression in the nearly all samples (Supplementary Figure 1a). A similar pattern of rest of the cases (Figure 1d). The other three RSPOs were expression for LGR4–6 was also found in the 186 lung cancer cell expressed at much lower, insignificant levels with two exceptions line collection characterized by the Cancer Cell Line Encyclopedia in RSPO2 (Supplementary Figure 1c). Comparison of the RSPO3 Tumor-1 Tumor-2 Normal lung 15 15 RSPO3-CCLE 100 RSPO3-high (One-way ANOVA p = 0.2) RSPO3-TCGA RSPO3-norm 12 LGR4-TCGA 80 (Logrank test p = 0.003) 10 60 9 40 % Surviving 5 Exp (log2[signal]) 6 20 N = 173 RSPO3 Exp (log2[RSEM]) N = 22 3 0 0 0 50 100 150 200 250 0 50 100 150 200 250 Sample # Months of Survival Stage-I Stge-II Stage-III Stage-IV 120 120 RSPO3-high RSPO3-high 100 RSPO3-high 100 100 RSPO3-norm RSPO3-norm RSPO3-norm 80 (Logrank test p < 0.0001) 80 (Logrank test p = 0.01) 80 (Logrank test p = 0.01) 60 60 60 40 % Surviving % Surviving 40 % Surviving 40 N = 376 N = 44 20 20 N = 127 20 N = 36 N = 14 N = 5 0 0 0 0 50 100 150 200 250 0 50 100 150 200 250 0 50 100 150 200 250 Months of Survival Months of Survival Months of Survival Figure 1. High level of RSPO3 expression is correlated with poor survival in lung AD. (a-c) Immunohistochemistry staining of LGR4 in two lung AD samples (a, b) and normal adult lung (c). (d) Expression distribution of RSPO3 and LGR4 in 230 lung AD samples of TCGA’s LUAD cohort and RSPO3 in CCLE’s 186 lung cancer cell lines. Values in log2 of expression signal (RSEM for TCGA samples and RMA for CCLE samples) were sorted from low to high for each gene and plotted. (e) Kaplan–Meier survival plot of patients with tumors of high RSPO3 expression vs the rest of the cohort in the TCGA LUAD set. RSPO3-high was defined as samples with log2[RSEM] values at 1 s.d. above the population mean (Z 4= +1) while the remaining samples were defined as RSPO-norm. (f) Scatter plot of RSPO3 expression among different tumor stages in TCGA’s LUAD cohort. (g) Kaplan–Meier survival plot of patients with RSPO3-high vs RSPO3-norm tumors in stages I-II of TCGA’s LUAD cohort.