Federica
del Gaudio
abc,
Ida Chiara
Guerrera
d,
Raffaele
Riccio
a and
Maria Chiara
Monti
*a
aDepartment of Pharmacy, University of Salerno, Via Giovanni Paolo II, 132, 84084 Fisciano (SA), Italy. E-mail: mcmonti@unisa.it
bPhD Program in Drug Discovery and Development, Dipartimento di Farmacia, University of Salerno, Via Giovanni Paolo II 132, 84084 Fisciano (SA), Italy
cBiomolecular Mass Spectrometry and Proteomics, Bijvoet Center for Biomolecular Research and Utrecht Institute for Pharmaceutical Sciences, Utrecht University, Padualaan 8, 3584 CH Utrecht, The Netherlands
dProteomics Platform 3P5-Necker, Université Paris Descartes – Structure Fédérative de Recherche Necker, INSERM US24/CNRS UMS3633, Paris 75014, France
First published on 3rd December 2019
A positive prognosis of triple-negative breast cancer can be considered as one of the major challenges in clinical studies; accordingly, scientific research has the mission to find out novel chemotherapeutics to make it curable. In recent times, a good potential of dietary bioactive natural substances, called nutraceuticals, in suppressing cancer cell proliferation via gene expression regulation has been discovered: this effect and the lack of toxicity make nutraceuticals potentially effective agents against cancers. Monacolin K from red rice, a FDA-approved and well-tolerated compound generally employed to treat hypercholesterolemia, has been proved to have anti-proliferative and apoptotic effects in a wide panel of triple-negative breast cancers. Thus, an unbiased analysis of monacolin K-induced MDA-MB-231 cellular pathway alterations has been carried out by quantitative proteomics exploiting isobaric tags. Despite the positive modulation of some proteins already reported in the literature, an increased concentration of the tissue-type plasminogen activator PLAT has interestingly been found. This is a marker of good prognosis in mammary cancer, suggesting the anti-metastatic properties of this molecule as strongly associated with the alterations in the cytoskeleton organization and the consequent modulation of adhesion, motility and proteolysis. In accordance, some of the found monacolin K-induced phosphoproteome alterations have a tight connection to cell migration mechanisms. In this setting, the over-phosphorylation of Lamin A and of melanophilin induced by monacolin K has been very attractive. Moreover, monacolin K exerts its effect on the over-expression of the tissue inhibitor metalloproteinase-2 (TIMP-2), an endogenous metalloproteinase inhibitor. This protein modulates growth, migration and invasion of tumor cells and inhibits tumor angiogenesis.
TNBCs have a large variety of subtypes sharing a negative profile for ER (ER-), progesterone receptor (PR-) and human epidermal growth factor receptor (HER2-), the three markers exploited to classify breast cancers.1,3 High nuclear grade, accelerated tumor proliferation rate, high nuclear-cytoplasmatic ratio and increased mitotic activity are the most common histopathological features of triple-negative breast cancers.3–6 Based on their gene expression profiling, six different subgroups of triple-negative breast cancers have been distinguished but, due to this inter- and intra-heterogeneity, the detection of clinical biomarkers for early diagnosis is still a challenging issue. In parallel, it could be helpful to find molecular targets for directed therapies, leading to novel chemotherapeutics.
For many years, plant-based natural products have been the source for many successful drugs, as their peculiar chemical structures are usually optimized along evolution, making the biomedical potential of natural organisms widely recognized. Moreover, they could be helpful to inspect proteins involved in biological processes to contribute to the advancement in target discovery. The crucial point is their involvement in different cellular pathways influencing protein expression, their co-/post-translational modifications, their interactome and crosstalk. In particular, many studies found that nutraceuticals may also reverse, repress, or prevent the carcinogenesis process, mainly suppressing cell proliferation and blocking the mutagenic activity. Dietary bioactive substances may have a great impact on the regulation of gene expression, even at very low concentrations:7 their effects in combination with the lack of toxicity make them potentially efficient anti-cancer agents.8
In this scenario, we were intrigued by monacolin K (MNK), a polyketide pigment produced by the mold of the Monascus species (mostly M. purpureus, M. ruber and M. pilosus) upon the fermentation of red rice (Oryza sativa, L.). Among all the metabolites isolated from red yeast rice, monacolins have been identified to be responsible for the red yeast rice-related bioactivities on dyslipidaemias, the major therapeutic effect of this functional food. MNK has been disclosed to act as the drug lovastatin with the advantage of a drop in the severe side effects reported for the latter synthetic alternative. Its foremost use involves lowering the hematic concentration of cholesterol acting as an inhibitor of 3-hydroxy-3-methyl-glutaryl coenzyme A (HMG-CoA) reductase.9 From a chemical point of view, MNK is a polyketide, whose reactive centre is the γ-lactone ring which is present as a mixture of the closed ring and the β-hydroxy acid open form in equilibrium; the latter form is the active one for HMG-CoA reductase inhibition.10 Nowadays, recent scientific evidences link this molecule, and more generally statins, to anti-proliferative and apoptotic effects in a wide panel of cancers such as human colon HCT-116 and HT-29 cell lines, human adenocarcinoma A549 cell line, human prostate cancer PC-3 cell line and in vivo related model, hepatocarcinoma HepG2 cells, human intestinal Caco-2 and human breast adenocarcinoma MCF-7 as well as breast cancers and TNBCs.11 Besides, red yeast rice has been investigated for its anti-inflammatory effect,12 hypotensive and cardioprotective activities, anti-diabetic potential and osteo-protective effect. Since statins are FDA-approved, well tolerated and affordable, they provide the opportunity for an accelerated repurposing as cancer therapeutics. Particularly, their anti-proliferative activity on in vitro models of breast cancers has been evaluated: only lipophilic statins (fluvastatin, simvastatin and lovastatin) were able to pass the cell membrane and affect cellular proliferation;13 furthermore, their IC50s were sensitively lower for the triple-negative breast cancer models (as MDA-MB-231 cells) than for the non-triple-negative breast cancer models (MCF-7 cells and SKBr3 cells).14,15
Therefore, MNK has got a good potential to prevent or treat a subset of breast cancers such as TNBCs. However, the mechanism of MNK action as an anticancer in TNBCs is still unexplored. Often, small molecules, particularly natural compounds, have more than one cellular targets affecting cell response from more than one point of the same pathway and/or from several levels of different pathways, either involved in crosstalk or non-communicating directly.
In this work, we performed MS-based proteomics for a detailed and unbiased analysis of the role of MNK in the context of TNBC cell models. In particular, we investigated protein expression and phosphorylation affected by MNK in MDA-MB-231 cells, applying a quantitative proteomic approach exploiting isobaric tags (TMT™-10plex). Real-time assays on live cell systems were performed to identify the optimal MNK concentrations and times of stimulation. MDA-MB-231 cells were treated with MNK and the corresponding mixtures of proteins were digested and processed following a quantitative MS-based workflow to find out the changes in both proteomes and phosphoproteomes. Western blotting analysis was performed to validate proteomics data and to confirm MNK-based alterations in TNBC cells.
For each protein, the intensity was normalized to non-treated cells, used as the control (ESI,† Table S1). As expected, there is certain variation between the different replicates and, for this reason, two-way ANOVA statistical test on the identified proteins was performed setting two categorical classes for the stimulation: time of stimulation and MNK concentration. Thus, 10 proteins were quantified whose abundance was altered by the drug treatment with a p value <0.01. These proteins were clustered and visualized in a heat map after normalization by the z-score: they were mainly increased at the highest MNK dose (5 μM) and the longest time of exposure (24 hours as reported in Fig. 3A and 4A). Only lethal(3)malignant brain tumour-like protein 3 (L3MBTL3) was drastically increased already at MNK 0.5 μM concentration, suggesting a marked effect of the natural compound on L3MBTL3 expression (Fig. 3A and A). The same behavior was not revealed at an MNK concentration of 5 μM: anyway, in this condition several other proteins were overexpressed.
Many of the overexpressed proteins are involved in cell growth, proliferation and/or migration. For some, particularly the low-density lipoprotein receptor (LDLR), the NACHT, LRR and PYD domain-containing protein 1 (NLRP1), the Rho-related GTP-binding protein (RHOB) and the tissue-type plasminogen activator (PLAT), there are some evidences in the literature linking MNK and/or other statin treatments of MDA-MB-231 and/or other cancers models with anti-proliferative/apoptotic/anti-migration effects.18–25
These results support the pertinence and the reliability of the reported experimental workflow and data analyses. Besides these, further unforeseen expression profiles were altered by MNK treatment of the MDA-MB-231.
Treating MDA-MB-231 with MNK at a concentration of 5 μM for 24 hours, the amount of tissue inhibitor of metalloproteinase 2 (TIMP2) was increased compared to naïve MDA-MB-231 cells. Analogously, MNK was responsible for the spread of the expression of the bromodomain-containing protein 3 (BRD3), the mediator of RNA polymerase II transcription subunit 23 (MED23) and the surfeit locus protein 2 (SURF2).
In order to obtain quantitative MS information for the phosphoproteome besides those for the proteome, phospho-enrichment of the peptides was performed using a BRAVO Agilent system, obtaining an enrichment of around 90% in phosphopeptides. All the fractions were then purified by Sep-Pak and prepared for the following mass spectrometric analysis. The phosphoproteomic analysis allowed the reliable quantification of 5331 phosphosites, precisely on 4824 serines, 488 threonines and 18 tyrosines (ESI,† Table S2). Then, two-way ANOVA statistical test on the identified proteins was performed as reported above (p value < 0.05). The proteins with enhanced phosphorylation were clustered and visualized in a heat map after normalization by the z-score (as reported in Fig. 3B and 4A).
Indeed, MNK treatment induces alterations in the phosphorylation level of 12 proteins. For instance, the Rho GTPase-activating protein 31 (ARHGAP31 also reported as CdGAP), the A-kinase anchor protein 13 (AKAP13), the Lamin A/C (LMNA) and the melanophilin (MLPH) phosphorylation states were increased upon MNK treatment of the MDA-MB-231 cells (Fig. 3B and 4A). Then, immunoblotting analyses were performed.
Heat map visualization was obtained using the Perseus software. ST is short-time treatment of 30 minutes; IT is the intermediate-time treatment of 6 hours; and LT is long-time treatment of 24 hours with MNK at 0.5 μM concentration (MNK05) and at 5 μM concentration (MNK5). P1–P4 are the four biological replicates obtained for each MNK treatments. The color map is reported below together with the increase or decrease fold (for proteome from 3.5 to −2.5 and from 1.3 to 0.7 times in respect of the results obtained for the untreated samples which are not shown).
Regarding MNK-induced proteome alterations, the positive modulation of some of the reported proteins mediated by statins and/or MNK either in the MDA-MB cellular systems or in similar ones has already been deeply discussed in the literature. At times, some proteins over-expressed by MNK under our experimental conditions showed this trend due to statins’ action as HMG-CoA reductase inhibitors on cholesterol-related pathways. For instance, it is extensively reported that statins increased low-density lipoprotein receptor (LDLR) levels in cancer cells and that this effect is related to their action in reducing cardiovascular diseases.18 Indeed, since statins decrease the level of cholesterol, the intracellular cholesterol synthesis is blocked and, consequently, the expression of LDLR is increased. Furthermore, it has been reported that in the presence of pravastatin, LDLR gene expression in triple-negative breast cancer MDA-MB-231 cells is enhanced by almost 30 times.
Regarding the NACHT, LRR and PYD domain-containing protein 1 (NLRP1), it is reported that statins increased inflammasome gene and NLRP1 expression via regulating the sterol regulatory element-binding protein 1 (SREBP-1) pathway.19–22
The expression of the Rho-related GTP-binding protein RhoB has also been enhanced by MNK in the experiments carried out. It is reported that statins have anti-neoplastic effects by modulating prenylation of Ras and Rho proteins: in particular, Rho prenylation is important for Rho's interaction with upstream regulators and downstream effectors. It has been found that MNK increased RhoA and C solely in their unprenylated forms, but it increased both prenylated and unprenylated RhoB.23 This over expression affects cell adhesion and growth factor signaling pathways, playing a negative role in tumor genesis. Indeed, RhoB is considered as anti-proliferative and pro-apoptotic.24
Furthermore, an increased concentration of the tissue-type plasminogen activator PLAT, a marker of good prognosis in mammary cancers, has been found. A very similar result has been reported for breast cancer cells F3II treated with MNK.25 More in detail, it seems that MNK induced a significant increase in PLAT expression, suggesting the anti-metastatic properties of this molecule. This is strongly associated with the alterations in cytoskeleton organization and the consequent modulation of adhesion, motility and proteolysis.25 A similar behavior of MNK can be speculated also in MDA-MB-231 cells. A very interesting MNK effect has been exerted on the overexpression of the tissue inhibitor of metalloproteinase-2 (TIMP-2), an endogenous metalloproteinase inhibitor. This protein modulates the growth, migration and invasion of tumor cells and inhibits tumor angiogenesis. In a TNBC model, preliminary results showed that recombinant TIMP-2 protein inhibited tumor growth by 50%, causing the reduction of mammary tumor size in mouse models and revealing a therapeutic potential to decrease mammary carcinoma progression.26 Moreover, it has been reported that the ethanol extract of Ampelopsis japonica, a traditional oriental herb with anti-inflammatory and anticancer activities, increased the level of the same protein correlating this action with its high potential in suppressing migration and invasion in human MDA-MB-231 breast cancer cells.27
Another MNK key point action on TNBC cells regards the bromodomain-containing protein 3 (BRD3) overexpression. The contribution of bromo- and extra-terminal (BET) domain proteins to cancer progression has been largely reported, reinforcing their value as therapeutic targets notably for several cancers. In particular, it has been reported that BRD3 depletion is mostly associated with an upregulation of the major epithelial-to-mesenchymal transition (EMT) transcription factors, suggesting that this protein acts as a repressor of this pathway. Moreover, the EMT developmental program is usually activated by cancer cells to acquire a highly plastic phenotype that promotes invasion, metastasis, as well as chemoresistance and cancer stem cell generation.28 Thus, the MNK-induced enhancement of BRD3 concentration found in MDA-MB-231 cells correlates well with its action on downgrading invasion, metastasis, as well as chemo-resistance and cancer stem cell generation.
Finally, MNK increases the lethal(3)malignant brain tumor-like protein 3 (L3MBTL3) which is a poorly characterized member of the MBT (malignant brain tumor) family of methyl-lysine readers that act as chromatin-interacting transcriptional repressors.29,30 It is considered the universal modulator of Notch signaling: in particular, L3MBTL3 acts as a negative regulator of Notch target genes. Since breast cancers, like many other tumors, have been shown to over-express the Notch signaling pathway, it seems to be of interest to switch off this pathway.31
Regarding MNK-induced phosphoproteome alterations, increased phosphorylation of Rho GTPase-activating protein 31 (also called ARHGAP31) has been reported. Its phosphorylation reduces the GTPase-accelerating protein (GAP) activity. Indeed, the aberrant activity of Ras homologous (Rho) family of small GTPases is implicated in cancers and other human diseases.32–34 Similarly, an increase in phosphorylation of AKAP 13 protein has been measured after the cell treatment with MNK. The A-kinase anchor proteins (AKAPs) are a group of structurally diverse proteins that have the common function of binding to the regulatory subunit of protein kinase A (PKA). This subunit is associated with the guanine nucleotide exchange activation for the Rho/Rac family of small GTP-binding proteins, resulting in the conversion of the inactive GTPase to the active form capable of transducing signals. It interacts with RhoA, RhoB and RhoC.
One of the key features of triple-negative breast cancers is the enhanced capability of the cells to migrate, leading both to an amplified invasiveness of the tumor and to a wider risk for developing numerous metastatic loci.1,3,35,36 Mutations and/or alterations in protein expression and PTM levels involving cytoskeleton and/or cytoskeleton-associated proteins have been recognized as the molecular basis in tumor cell migration, invasion and metastasis.37 In this case, some of the MNK-induced phosphoproteome alterations have a tight connection to cell migration mechanisms as the overphosphorylation of Lamin A. It is well known that Lamin A is overexpressed in triple-negative breast cancer cells,38 but its phosphorylation has not been studied in detail. The nucleoskeletal protein prelamin A/C has been shown to contribute to cell sorting and survival in migration via constraining micropores in diverse human cells; indeed, the right amount of lamins is thus a requirement to ensure both successful 3D-migration and survival. Although insights into the phosphorylation levels of lamins during 3D-migration are scarce, the increased mobility of the phosphorylated protein has been speculated to be one mechanism promoting nuclear deformability, thereby facilitating migration. On the contrary, it is also reported that an increased phosphorylation of lamins generates softer nuclei, which are prone to fragmentation leading to cell death since they can easily be squeezed through tissue during migration.39,40
Cytoskeleton-related signaling pathways mediating cell migration and invasion involve both actin and microtubule networks. The scientific suggestions of the relationship between a distortion in microtubules dynamics and tumor process are clear, and they are fueling a novel interest in the role of microtubules-dependent networks in tumor metastatic processes.37–41 Taking into account these evidences, the hyper-phosphorylated level of melanophilin (MLPH) due to MNK treatments has been considered as an interesting result. In cell, MLPH is the most versatile component of a tripartite complex together with the Rab27a and myosin Va (MyoVa) subunits, and it also binds the actin and the microtubule's positive terminal upon ABD domain, by its C-terminal domain. In an appealing study, Oberhofer and co-workers elucidated the molecular basis for the switching of the MLPH between the actin and microtubule networks.42 Based on their findings, the ABD domain of the MLPH binds the actin upon electrostatic interactions, while the microtubule binding is regulated in a phosphorylation-dependent manner.42 As reviewed by Hall, different cell types – but even the same cell type in response to different external stimuli and environments – can change their modes of migration by switching between actin-based and microtubule-based mechanisms.41 Based on this evidence reported in the literature, it can be speculated that the hyper-phosphorylation of the MLPH induced by MNK could result in an altered migration capability of MDA-MB-231 cells.
Notably, it has been already reported in the literature that MNK itself has an impact on the migratory capabilities of MDA-MB231 cells by functional experiments in agreement with our findings over the proteome and phosphoproteome alteration. Indeed, Issat and Klawitter,7,32 using wound healing and scratch assay test, showed that the untreated cells migrated to the scratched area and almost refilled the gap within 72
hours, whereas MNK significantly reduced the migration and the gap refilling of 20% and 30% after 24 and 72 hours, respectively. Therefore, MNK may reduce the invasiveness of cancer cells. Moreover, it has been demonstrated by Yang17 that MNK, when used at a concentration range between 0.1 and 10 μM, dose-dependently inhibited proliferation of MDA-MB-231 cells. In respect of other cancer cell lines, MNK preferentially suppressed proliferation and induced apoptosis in triple-negative breast cancer cells.32 In conclusion, the TMT-based quantitative proteomic approach described herein has successfully disclosed novel MNK-induced alterations on the proteome and phosphoproteome of the MDA-MB-231 cells, profiling new hypothesis to explain the molecular basis of the anti-proliferative and anti-migration properties of this natural statin. A deep investigation on the role of MNK or other statins in other triple-negative breast cancer models may be valuable to corroborate these findings, depicting a more general mechanism of action.
000 rcf, 10 minutes), and the resulting protein mixture from each sample was quantified by the Bradford spectrophotometric assay to normalize the protein concentrations between treatments. Then 500 μg of proteins from each experimental condition was in-solution digested. Briefly, proteins were diluted in 100 mM AmBic (pH = 8) and then treated with 5 mM DTT (60 minutes, 37 °C) and 14 mM iodoacetamide (45 minutes, RT, darkness). Digestion was allowed to proceed overnight (37 °C) treating the samples with trypsin (1
:
50) and Lys-C (1
:
75), and then the sample was quenched with 2% FA. Samples were centrifuged (20
000 rcf, 20 minutes), and the supernatant containing peptide mixtures was desalted by C-18 solid phase extraction (Sep-Pak). The C-18 columns were conditioned with 1 mL of ACN (3 times) and equilibrated with 1 mL of H2O + 0.6% AA (3 times) before loading the sample. After washing with 1 mL of H2O and 0.6% AA (3 times), peptides were eluted with 80% ACN + 0.6% AA and dried under vacuum.
000. Isolation width for the isolation of the ten most intense peaks having ion intensities above 500 counts was set to 2 m/z, and the selected precursor ions (enabling monoisotopic precursor selection and charge state rejection) were fragmented upon high-collision dissociation (for the HCD, 45% normalized collision energy at 30 ms activation time was selected). For the FTMS1, the automatic gain control (ACG) target was set at 1e6, while for FT MSn the value was fixed at 5e4; for both, 250 ms was set as the maximum ion time.
2 function was used to transform all the intensities. Then, the main columns were normalized against its control condition (i.e. the intensities referring to ST_CTRL, IT_CTRL and LT_CTRL were used as denominators for each experimental condition). Finally, a two-way ANOVA was used to point out the significative differences, both time- and concentration-related, between intensities referring to the expression level of the same protein under the different experimental conditions; p-value < 0.01. MNK-induced alterations of the proteome among the time were clustered and visualized as a heat map of the relative z-scored ratios of the altered proteins.
Concerning the phosphoproteome, the same kind of workflow was followed using Perseus to visualize the heat map of the MNK-induced significative alterations in the phosphorylation levels of the proteins. The “reporter intensity corrected” both for single-, double- and triply-phosphorylated species have been loaded as main columns to build up the first generic matrix in Perseus; the global “localization probability” was loaded as well in this first matrix as a numerical column. Besides the contaminants and the reverse hits, also the phosphosites with a localization probability <0.75 were filtered out from the initial matrix. The obtained main data were rearranged with the function “expand site table” allowing the visualization of one row for each phosphorylation site of the peptides and of a single column referring to the “multiplicity” of the phosphorylation on a peptide. The obtained matrix was further reduced by excluding phosphosites with any missing value (100% of valid values) in each time- or concentration-related group of variables, and transformation and normalization of the intensities were carried out as reported above. Then, besides protein specific annotation, sequence-specific annotations (Kinase_Substrate_Dataset.gz and Phosphorylation_site_dataset.gz were downloaded from PhosphoSitePlus website) were added to analyze the modifications. Particularly, the “position within protein”, “linear motifs”, “known phosphorylation sites” and “known kinase-substrate relations” columns have been created. The following steps to obtain the heat map were done as previously described for the full proteome analysis.
:
500 and 1
:
1000 in TBS-T + 5% milk) or with a monoclonal primary antibody against the phosphorylated form of the Lamin A and Rho GTPase-activating protein 31 (anti p-LMNA and anti p-CdGAP from SantaCruz Antibodies, 1
:
2000 both in TBS-T + 5% milk). After recognition of the primary antibodies from the proper HPR-tagged secondary ones, chemiluminescence developed upon treatment of the membrane with a mixture of luminol and hydrogen peroxide was detected using a ImageQuant LAS4000 film imaging system. The densitometric analysis was elaborated using ImageJ for the quantification of the pixels and Excel for the visualization of the resulting histograms. Normalizing densitometric values were calculated based on the signals obtained by hybridizing the membrane with a monoclonal antibody against GAPDH (Invitrogen by Thermo Scientific, 1
:
2000 in TBS-T + 5% milk); LMNA/C (against Lamin A and C at 70 and 65 kDa, respectively) and CdGAP antibodies (from SantaCruz Antibodies, 1
:
2000 in TBS-T + 5% milk).
Footnotes |
| † Electronic supplementary information (ESI) available. See DOI: 10.1039/c9mo00140a |
| ‡ The mass spectrometry proteomics data have been deposited to the ProteomeXchange Consortium via the PRIDE partner repository with the dataset identifier PXD013037. |
| This journal is © The Royal Society of Chemistry 2020 |