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Cell, Tumor, and Stem Cell Biology |
Departments of 1 Radiation Oncology and 2 Neurological Surgery, University of California, San Francisco, California
Requests for reprints: Jean L. Nakamura, Department of Radiation Oncology, University of California, San Francisco, 505 Parnassus Avenue, Long Hospital L-75, San Francisco, CA 94143. Phone: 415-353-9694; Fax: 415-353-9883; E-mail: jnakamura{at}radonc.ucsf.edu.
| Abstract |
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| Introduction |
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The rapamycin-sensitive translational functions mediated by S6K and 4EBP1 have recently been recognized to be a result of mTOR's interaction with raptor to form the mTORC1 complex, whereas rapamycin-insensitive functions are a result of mTOR's interaction with rictor, forming mTORC2 (5–9). It remains to be determined how regulation of mTOR by raptor and rictor is coordinated, although each seems to control distinct and mutually exclusive mTOR functions. mTORC1, but not mTORC2, activates S6K, which can then inhibit insulin receptor substrate-I (IRS-1), thereby limiting insulin receptor–mediated signaling through phosphoinositide-3-kinase (PI3K). mTORC2, in contrast, has recently been shown to phosphorylate PKB at Ser473, thereby functioning as a PDK-2 (7).
Substantial indirect evidence indicates that mTOR fulfills a central role in tumor development and maintenance. Oncogenic signaling through a variety of molecules, such as the epidermal growth factor receptor, Ras, and PI3K, can up-regulate mTOR activity and promote neoplastic growth (10). Tumors lacking normal Akt control mechanisms have also been shown to be particularly vulnerable to mTOR inhibition (11) and evidence of elevated mTOR activity can be found in multiple types of tumors (12), including malignant gliomas (13). These findings have led to the idea that mTOR plays a role in tumor maintenance, and to the development of mTOR inhibitors as systemic therapy against a wide range of malignancies.
Despite evidence of a link between mTOR, S6K, and eIF4E in response to growth factor activation, it is unclear whether S6K and/or eIF4E connect mTOR to tumor development and growth. Evidence from model systems has implicated eIF4E and S6K in tumor development in specific oncogenic contexts. For example, overexpression of eIF4E has been shown to transform rat fibroblasts in cooperation with v-myc or E1A, and in vivo eIF4E overexpression causes the development of lymphomas, angiosarcomas, lung adenocarcinomas, and hepatocellular adenomas (14–17). Inhibition of cap-binding by eIF4E also suppresses eIF4E-driven transformation (15). Although S6K has not been described as an oncoprotein, phosphorylated S6 protein levels are elevated in various tumor types, including malignant glioma (13, 18), and translational targets of S6K such as HIF1
seem to be critical in supporting tumor growth (19). Tumors with elevated HIF1 are sensitive to mTOR inhibition, and expression of HIF1
5'-TOP sequences confers sensitivity to the mTOR inhibitor CCI-779 (20). Recent data also indicates that inhibition of angiogenesis by the tumor suppressor promyelocytic leukemia protein is in part dependent on its ability to inhibit mTOR and the synthesis of HIF1
(21). Although these data suggest that eIF4E and S6K may directly mediate transformation through mTOR, amplification or mutation of eIF4E or S6K has not been found in spontaneously arising tumors, nor is mTOR itself thought to be an oncogene. Thus, the contribution of eIF4E and S6K to mTOR-dependent glial transformation remains open.
In order to test whether mTOR-dependent transformation requires both eIF4E and S6K functions, we genetically and pharmacologically manipulated mTOR and its downstream effectors and monitored its effects on the transformation status of human glioma cell lines and transformed human astrocytes. We found that suppression of mTOR or raptor was sufficient to significantly reduce anchorage-independent growth in soft agar, an assay of transformation. Furthermore, S6K1, but not eIF4E, rescued glioma growth in soft agar from rapamycin-mediated suppression, and transient S6K1 inhibition was sufficient to significantly reduce glioma growth in soft agar. In vivo S6K1 suppression in intracranially implanted glioma xenografts reduced levels of phosphorylated S6 and also resulted in reduced intracranial tumor growth. This data is the first direct demonstration of S6K's importance in supporting tumor growth both in vitro and in vivo. Collectively, these findings define a significant role for the mTOR-raptor (mTORC1)-S6K pathway in supporting gliomagenesis.
| Materials and Methods |
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Proliferation assay. To assess cell proliferation, the 3-(4-5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium salt (MTS) assay was used (CellTiter96; Promega). Cells were plated in triplicate into 96-well plates at a concentration of 2,000 cells/well (100 µL/well). At specified time points, 20 µL of MTS reagent were added to each well and allowed to incubate for 1 h. Absorbance (490 nm) was then determined in a 96-well plate reader.
Plasmids, transfection, and selection of cells. A pCAN1 vector encoding wt-eIF4E was a gift from Frank McCormick (University of California, San Francisco, San Francisco, CA). To generate a construct permitting wt-eIF4E expression with a unique selectable marker in E6/E7/hTert/HRasV12 and E6/E7/hTert/HRasV12/Akt cells, wt-eIF4E was subcloned from pCAN1-wt-eIF4E into the retroviral vector pMXI, which encodes green fluorescent protein (GFP) as a marker. Subcloning was performed as follows: pCAN1-wt-eIF4E was digested with XhoI and EcoRI, followed by gel purification of the wt-eIF4E encoding insert and ligation of the insert into identically digested pMXI. The retroviral pBABE constructs encoding wild-type S6K1 or rapamycin-resistant S6K (pBABE/F5A-E389) were gifts from John Blenis (Harvard Medical School, Boston, MA). Retroviral vectors were used to infect cells as previously described (22). Small interfering RNA (siRNA) targeting S6K1 (Ambion), 4EBP1 (Ambion), and control scramble sequence (Ambion) were transfected using FUGENE 6 (Roche). Monolayer cells, grown to
80% confluence, were exposed to retroviral supernatants with 8 µg/mL of polybrene. Pools of productively infected cells (obtained by selection with puromycin or hygromycin) were used for further analyses. Cells expressing GFP were separated by fluorescence-activated cell sorting (FACS) on a FACSVantage sorter (Becton Dickinson) located in the UCSF Laboratory for Cell Analysis at a band-pass filter of 530/30 nm. Sorting gates were set such that 99% of the negative population and <1% of the positive population were excluded from the collection. Pooled collected cells were used for further analyses.
Lentiviral production and infection. Lentiviral short hairpin RNAs (shRNA) targeting mTOR (6) was obtained from Addgene, Inc. The lentivirus was packaged by cotransfection of 293T cells with the shRNA expression vector, vesicular stomatitis virus-glycoprotein, and
-VPR plasmids at a ratio of 1:0.9:0.1, using FUGENE 6 (Roche). Forty-eight hours after transfection, the supernatants containing lentiviral particles were harvested. Monolayer cells, grown to
80% confluence, were exposed to the above lentiviral supernatants in the presence of 8 µg/mL of polybrene for 48 h, followed by selection with 2 µg/mL of puromycin for 1 week. After antibiotic selection, pools of productively infected cells were used for further analyses.
S6K1 was silenced in a tetracycline-inducible fashion by cloning a 97mer hairpin oligonucleotide targeting the S6K1 transcript into the pPRIME Tet-inducible construct (24). The following sequence was used to generate shRNA targeting S6K1: forward 5'-CCCCTGTCAGCCCAGTCAAATTTTCAAGAGAAATTTGACTGGGCTGACAG TTTTT-3', reverse 3'-GGGGACAGTCGGGTCAGTTTAAAAGTTCTCTTTAAACTGACCCGACTTCAAAAA-5'. This sequence was cloned into pPRIME Tet-GFP-FF3 (a kind gift from Stephen J. Elledge, Harvard University) producing pPRIME Tet-GFP-S6K1 (SCT). The cloning product was confirmed by sequencing, virus was generated as described above, and 293T cells were infected with either pPRIME Tet-GFP-FF3 (targeting firefly luciferase, 8 µg of vesicular stomatitis virus-glycoprotein, 8 µg of pCMV, and 16 µg of lentiviral vector, and used as a negative control) or pPRIME Tet-GFP-SCT. Viral supernatant was concentrated using Centricon Plus-20 filters (Millipore), then added to HRasV12-transformed human astrocytes. After 4 days of incubation, infected cells were sorted for GFP expression, and this GFP-positive pooled population was maintained in standard culture conditions described above. Doxycycline (Sigma-Aldrich) at 5 µg/mL in standard medium was added to induce the expression of shRNA in culture.
Soft agar colony formation assay. As previously described (22), cells (1 x 104) were plated in DMEM plus 10% FCS in 0.35% (w/v) low-melting temperature agar between layers of 0.7% low-melting temperature agar. After 3 weeks, colonies were stained with 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (Sigma-Aldrich) and colonies of >50 cells were scored by counting under a microscope. All experiments were performed at least in quadruplicate.
Animal injection. Immunodeficient rats (rnu/rnu; National Cancer Institute) were injected intracranially as described previously (22) with HRasV12-transformed human astrocytes expressing either control lentivirus (Ras Tet) or SCT (Ras SCT). Three days after injection, animals were fed either LabDiet 5053 or LabDiet 5053 (Purina) supplemented with doxycycline at 6,000 ppm daily. After 14 days of exposure to doxycycline or control feed, animals were sacrificed, perfused with 4% paraformaldehyde, and brains were fixed in paraformaldehyde and paraffin-embedded.
Immunoblot analysis. Cells were harvested in lysis buffer [150 mmol/L NaCl, 20 mmol/L Tris-HCl (pH 7.5), 1% NP40, 1 mmol/L EDTA, 1 mmol/L EGTA, 1 mmol/L sodium orthovanadate, and protease inhibitor mixture (Boehringer Mannheim, Co.)] at 4°C. Lysate was centrifuged (12,000 x g) for 10 min at 4°C to remove insoluble components. Protein was quantitated by the Bio-Rad Dc protein assay. Equal amounts of protein were separated on SDS-PAGE 12% to 16% gels, then transferred to Immobilon-P polyvinylidene difluoride membrane (Millipore). The membrane was blocked with 5% nonfat dry milk in TBS containing 0.1% Tween 20. The membrane was then incubated with primary antibody in TBST, followed by secondary antibody linked to horseradish peroxidase diluted in TBST. ECL Detection System for Western blot Analysis (Amersham) was used according to the manufacturer's instructions for antibody detection. An AlphaImager 2000 Documentation and Analysis System (Multi Image light cabinet photodensitometer) was used to quantify the appropriate bands (Alpha Innotech Corporation). Primary antibodies used were anti-raptor, anti-mTOR, anti-S6K, anti–phosphorylated p70S6K Thr389, anti-phosphorylated S6 Ser235/236 (all from Cell Signaling), and anti–
-tubulin (Santa Cruz Biotechnology).
Immunohistochemistry. Five-micrometer sections were obtained through paraffin-embedded brain tumors at intervals of 500 µm. Sections were stained with H&E, and the maximum cross-sectional dimension of the tumor was measured under a microscope by an observer blinded to treatment. The maximal tumor area was calculated on each consecutive slide through the tumors and summed for each tumor. Phosphorylated S6 Ser235/236 (Cell Signaling) was assessed on paraffin-embedded sections using immunofluorescent staining as described previously (25). Images were captured and merged using Openlab (Improvision).
Statistics. Statistical analyses were performed using the GB-STAT statistical package (Dynamic Microsystems). Standard errors were calculated for each mean, and statistical differences between groups were determined by Student's t test or ANOVA followed by Newman-Keul post hoc tests as indicated.
| Results |
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To confirm these results, we also determined whether specific suppression of mTOR altered the growth of glioma cell lines in soft agar. To do so, we stably introduced lentivirus encoding shRNA targeting mTOR in U251 and U373, then assessed levels of mTOR and the downstream effectors phosphorylated p70S6K Thr389 and phosphorylated Akt Ser473 by Western blotting. As shown in Fig. 1A , shRNA targeting mTOR selectively suppressed mTOR levels in both cell lines, leading to decreased phosphorylated p70S6K Thr389 levels. Consistent with prior observations, we also observed a concomitant increase in phosphorylated Akt Ser473 (26). Although suppression of mTOR in cell lines did not significantly alter the proliferation rates of cells in culture (Fig. 1B), it did suppress the growth of cells in soft agar (relative to scramble control) to an extent comparable to the loss of growth observed with rapamycin exposure (Fig. 1C). These results show that mTOR plays a key role in maintaining anchorage-independent growth and transformation in glioma cells.
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S6K supports anchorage-independent growth. S6K has been shown to modulate the translation of messages possessing 5'-TOP sequences, but has not been implicated in tumorigenesis. To directly address the role of S6K in transformation, we expressed wild-type S6K, or a constitutively active, rapamycin-resistant mutant S6K (E389R) in U373 and U251, then assessed its effects on growth in soft agar with and without rapamycin present. As shown in Fig. 3A
, introduction of a vector encoding wild-type or constitutively activated S6K (E389R) increased levels of S6K and phosphorylated S6 Ser235/236 2-fold to 3-fold in both cell lines relative to empty vector cells (pBabe). Having confirmed protein expression in viral transfectants, pooled transfectants were grown in soft agar in the presence or absence of rapamycin, and colonies were counted after 3 weeks. As shown in Fig. 3B, colony formation by U251 cells expressing wild-type S6K remained sensitive to rapamycin exposure, whereas colony formation by U251 cells expressing the mutant S6K E389R was resistant to the presence of rapamycin. In U373 cells, expression of either wild-type S6K or the mutant S6K E389R resulted in partial rescue of soft agar colony formation in the presence of rapamycin, as compared with the empty vector (Fig. 3B). The reduced expression of wild-type S6K, compared with the expression of mutant S6K E389R in the U251 cells, may explain the absence of rescue from rapamycin-mediated suppression of soft agar growth that was observed in the U251 as compared with the U373 cells which, in comparison, had more comparable protein levels of the wild-type and mutant forms of S6K. To further assess S6K's importance in maintaining a transformed state, we performed the converse experiment by transiently transfecting U373, U251, and HRasV12-transformed human astrocytes with siRNA targeting S6K1, plating cells 24 hours after transfection into soft agar and monitoring colony formation 3 weeks later. As shown in Fig. 4A
, siRNA transfection produced an
50% to 70% reduction of total S6K1 protein levels in all three cell lines by 96 hours after transfection, and a 50% to 70% reduction in phosphorylated S6 Ser235/236 levels. Cells transfected with siRNA targeting S6K1 grew to confluence at a similar rate as cells transfected with scramble control (data not shown). Consistent with the idea that S6K1 maintains anchorage-independent growth, however, S6K1 suppression was associated with a significant loss of colony formation in soft agar by U373, U251, and HRasV12-transformed human astrocytes (Fig. 4B).
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50% smaller tumors in the animals injected with Ras SCT tumor cells and receiving doxycycline feed relative to controls. These data indicate that HRasV12-transformed human astrocytes showed significant cytoplasmic levels of phosphorylated S6 in vivo, and suggest that S6K1 knockdown occurred in a doxycycline-dependent manner. These results show that maintenance of S6K1 activity supports HRasV12 transformation in vivo, and that loss of S6K1 activity compromises tumor growth.
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| Discussion |
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Our data suggest that mTORC2 function is less significant in mTOR-dependent anchorage-independent growth for a few reasons. Rapamycin has been reported to have alternate effects on Akt phosphorylation; prolonged rapamycin exposure has been shown to inhibit the assembly of mTORC2, thereby inhibiting Akt (28), and mTOR inhibition has also been described to induce IRS-1, leading to Akt activation (26). In the human glioma cell lines U251 and U373, we found that suppression of mTOR resulted in a significant increase in phosphorylated Akt Ser473 as compared with cells expressing scramble control. Despite the increase in phosphorylated Akt Ser473, mTOR knockdown nonetheless significantly compromised these cells' anchorage-independent growth. These data suggest that in gliomas, mTORC2 is not the dominant arm supporting mTOR-dependent transformation, although it is possible that mTORC2 has effects on tumorigenesis that are Akt-independent.
Our data also suggest that S6K and eIF4E have distinct roles in gliomagenesis. Although prior findings have shown that eIF4E transforms rat fibroblasts, we found that eIF4E expression in U373 glioma cells and HRasV12- and HRasV12/Akt-transformed human astrocytes failed to restore anchorage-independent growth in the setting of mTOR inhibition. Silencing 4EBP1 also failed to rescue anchorage-independent growth from rapamycin-mediated suppression. eIF4E overexpression, however, increased colony formation in HRasV12/Akt-transformed human astrocytes, suggesting that eIF4E plays a positive role in transformation, and it is possible that eIF4E's effects on transformation require other mTOR-dependent pathways such as S6K1. Another reason we cannot fully exclude a role by eIF4E in glial transformation is that superphysiologic levels of eIF4E beyond the 2-fold to 4-fold increases generated in this study may be required for transformation. Malignant gliomas have been described immunohistochemically to express more eIF4E as compared with normal neuroglial cells (29), although the degree of eIF4E overexpression in malignant gliomas remains undefined.
Although S6K has not been shown to be an oncoprotein, in the human gliomas assessed in this study, S6K seemed to be a key factor in maintaining anchorage-independent growth. The actions of S6K shown in human astrocytes may indicate that S6K has differing roles in various tissue types: for example, S6K1 deletion blocks growth factor–stimulated hypertrophy in muscle but not in neurons (30). S6K has numerous downstream targets, among them mRNAs with 5'-TOP sequences, the protein products of which are starting to be understood. The critical targets of S6K are not well defined, although the present data clearly suggest that these targets may be distinct from those influenced by eIF4E, and may represent better therapeutic targets. It should be noted that whereas the mTOR-S6K pathway seems to be critical for the growth of cells in soft agar, transformation of glial cells requires a series of events (p53 inactivation, retinoblastoma inactivation, telomerase reactivation, Ras activation) to which the mTOR-S6K pathway is merely a contributor (22, 31). This observation is consistent with the finding that supplying S6K to rapamycin-treated cells only partially rescues growth. The present findings suggest that S6K, but not eIF4E, plays a key, although not sufficient, role in glial transformation.
In addition to our data, which shows an important role for S6K1 in supporting gliomagenesis in vitro and in vivo, recently published data describe ribosomal S6 kinase 2 (RSK2) as supporting anchorage-independent growth induced by tumor-promoting agents such as epidermal growth factor and 12-O-tetradecanoylphorbol-13-acetate (32). RSK2, a homologue of S6K1, is similarly activated by mitogens and is inhibited by rapamycin (33). Although both RSK2 and S6K1 phosphorylate S6 in vivo, these kinases do not seem to be functionally redundant for a few reasons. S6K1 knockout mice have a small-body phenotype, despite the finding that mouse embryo fibroblasts from these animals show normal S6 phosphorylation in vivo, suggesting that RSK2 does not completely duplicate S6K1's functions (34). Comparisons of amino acid sequences and localization between the two S6 kinases also suggest distinct functional differences (33, 35). It remains possible that S6K1 and RSK2 support tumor growth through similar mechanisms, and further studies defining the transformation-promoting effects common or specific to these kinases are needed.
Defining the role of the mTOR-S6K pathway in glial transformation may have an effect on the design and implementation of glioma therapies. Current targeted therapies are based on our knowledge of pathways thought to be critical for tumorigenesis and proliferation. This rationale has led to the clinical testing of signaling inhibitors such as Tarceva and CCI-779. Despite this mechanistic approach to drug development, these agents have shown only modest effects, and combinatorial strategies that inhibit multiple kinases (for example PI3K or Akt in combination with mTOR) show more promise than strategies employing single kinase inhibition (36, 37). In the case of Akt/mTOR combinatorial therapy, the fact that mTOR inhibition can induce Akt activation through IRS-1 may explain why targeting the same pathway at multiple sites is associated with better efficacy. Concerns have been raised that Akt activation with mTORC1 inhibition could represent a mechanism for drug resistance and sustained tumor growth, although in our model, Akt activation did not rescue tumor growth from mTORC1 inhibition. Our observation that the mTOR-S6K pathway plays a key role in glial transformation suggests that targeting the Akt-mTOR-S6K pathway at a more distal point may be as effective as dual inhibition at a more proximal point. Selective S6K inhibitors are, at present, not available at the clinical or preclinical level, although the present study suggest that such agents, alone or in combination with other agents, might be rational choices for glioma therapy, and perhaps other tumors dependent on mTOR-S6K signaling for maintenance of the transformed phenotype.
| Disclosure of Potential Conflicts of Interest |
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| Acknowledgments |
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
Received 11/12/07. Revised 4/24/08. Accepted 5/25/08.
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translation and neoangiogenesis through repression of mTOR. Nature 2006;442:779–85.[CrossRef][Medline]This article has been cited by other articles:
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D. Guo, I. J. Hildebrandt, R. M. Prins, H. Soto, M. M. Mazzotta, J. Dang, J. Czernin, J. Y.-J. Shyy, A. D. Watson, M. Phelps, et al. The AMPK agonist AICAR inhibits the growth of EGFRvIII-expressing glioblastomas by inhibiting lipogenesis PNAS, August 4, 2009; 106(31): 12932 - 12937. [Abstract] [Full Text] [PDF] |
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S. P. Narayanan, A. I. Flores, F. Wang, and W. B. Macklin Akt Signals through the Mammalian Target of Rapamycin Pathway to Regulate CNS Myelination J. Neurosci., May 27, 2009; 29(21): 6860 - 6870. [Abstract] [Full Text] [PDF] |
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F. Meric-Bernstam and A. M. Gonzalez-Angulo Targeting the mTOR Signaling Network for Cancer Therapy J. Clin. Oncol., May 1, 2009; 27(13): 2278 - 2287. [Abstract] [Full Text] [PDF] |
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