1. Introduction
Pancreatic ductal adenocarcinoma (PDAC) represents the most abundant type of pancreatic cancer and is characterized by early metastatic spread, late diagnosis and the lack of efficient therapies [
1,
2,
3]. PDAC is predicted to become the 2
nd leading cause of cancer-related deaths worldwide by the year 2030. The extremely poor prognosis emphasizes the urgent need for obtaining a better understanding of PDAC development and progression. Recent studies have focused on the tumor stroma, which comprises the majority of the tumor mass [
4,
5] and is extremely rich in various extracellular matrix (ECM) components, a phenomenon termed desmoplasia [
5]. Increasing efforts have been made to therapeutically target this non-malignant but still transformed compartment in order to slow down tumor development and reduce its aggressive nature [
4,
6]. Tumor stroma formation and composition are controlled to a large extent by transforming growth factor (TGF)-β. A prototype example for a matrix protein, whose expression is induced by this growth factor is the small leucine-rich proteoglycan, biglycan (BGN). Of note, the secreted form of BGN is able to bind and sequester TGF-β in the pericellular space, thereby preventing access to its cognate receptors and neutralizing its biological activity towards tumor-promoting effects. BGN and TGF-β form an autoregulatory feedback loop since
BGN itself is subject to positive regulation by canonical TGF-β signaling involving the common-mediator Smad, SMAD4 [
7]. The canonical TGF-β/Smad pathway involves, besides SMAD4, the receptor-regulated Smads, SMAD2 and SMAD 3 [
8]. Alterations in this pathway, particularly mutations in or genomic deletion of
DPC4 (encoding SMAD4) are crucial steps in PDAC progression [
4]. However, TGF-β can also signal through Smad-independent pathways, i.e., the extracellular signal-regulated kinases ERK1/2, JNK/p38 or PI3K/AKT [
8,
9,
10,
11]. The differential activation of canonical and non-canonical signaling by TGF-β, which in turn depends on the cellular context and disease stage, determines to a large extent, whether this growth factor acts as a tumor suppressor or tumor promoter in PDAC [
12].
Recently, it was demonstrated in two genetically engineered mouse models (GEMMs) of pancreatic cancer that the TGF-β pathway is controlled by full-length, transcriptionally active p73 (TAp73), a p53 family member and close homologue [
13], through regulation of Bgn secretion via intermittent Smad3/4 expression/activity [
14]. Removal of TAp73, and, as a consequence, deficient Smad3 and Smad4 expression, led to activation of TGF-β signaling through a Smad-independent pathway, favoring oncogenic TGF-β effects and epithelial-mesenchymal transition (EMT). PDAC arising in TAp73
-/- mice presented with reduced expression of E-cadherin and an elevated one of N-cadherin, vimentin and Snail (a master regulator of EMT) as compared to PDAC from TAp73 wildtype (WT) mice. Moreover, compared with TAp73
+/+, TAp73
−/− cells along with the increased EMT phenotype showed enhanced migratory and invasive abilities and reduced survival and impacted murine PDAC development [
14]. The pro-EMT effect could be attributed to the loss of Bgn secretion and its function as an inhibitor of TGF-β, since this growth factor is well known as a master regulator of the EMT process. A simultaneous absence of TAp73 and Bgn led to a reinforced TGF-β signaling switch from Smad-dependent to Smad-independent pathways with activation of Erk and Pi3k signaling after treatment with TGF-β1. Hence, TAp73 functions as an inhibitor of the EMT process and potent barrier to PDAC progression through modulation of TGF-β signaling [
14]. Extending these investigations to human PDAC in vitro has revealed that the alpha isoform of TAp73 (TAp73α) has a similar role in human PDAC, blocking basal and TGF-β1-dependent activation of ERK1/2 and cell motility [
15]. Mechanistically, this is a consequence of TAp73-induced induction of
DPC4 and subsequent SMAD4-mediated inhibition of ERK activation and cell migration [
15]. However, it remained open if these SMAD4 effects are direct, or if
BGN as a SMAD4 response gene is mediating them.
These newly discovered functions of TAp73 revealed in murine and human PDAC cells, namely induction of expression of Smads, Bgn/BGN and concurrent inhibition of Erk/ERK activation and cell motility are reminiscent of what we observed earlier for the small GTPase, RAC1b, a splice isoform of the
RAC1 gene, in PDAC cells of human origin [
16,
17,
18,
19]. Indeed, RAC1b promoted SMAD3 and BGN expression [
16], and inhibited TGF-β1-induced ERK1/2 activation [
17] and cell migration [
17,
18]. Moreover, our previous immunohistochemical and immunoblot data from human PDAC tissues and cell lines have shown that RAC1b is preferentially expressed in G1 and G2 but less in G3 tumors [
18]. RAC1b is also more abundant in well-differentiated PDAC cell with an epithelial phenotype [
16], while corresponding data on TAp73 expression in human PDAC tissues and cell lines with different histomorphological phenotypes are not yet available. However, RAC1b shares many cellular responses associated with inhibition of EMT in common with TAp73 although in different cellular systems: promotion of the expression of epithelial markers such as E-cadherin and BGN, as well as inhibition of the mesenchymal markers SNAIL, vimentin, and N-cadherin [
16,
17]. In addition, both RAC1b [
16,
17,
18] and TAp73 [
14,
15] inhibited the tumor cells' basal and TGF-β1-dependent migratory activity. In regard to RAC1b,
we earlier identified SMAD3 as a mediator of this inhibitory effect [
16]
(Figure 1).
Thakur and colleagues [
14] have almost exclusively focused on the murine system and hence it is not clear whether the above-mentioned effects of TAp73 in murine cells also operate in their human counterparts and whether they are duplicated by RAC1b, i.e., promotion of SMAD4 expression
. When comparing these types of regulatory interactions, which we have illustrated in
Figure 1, a conceivable scenario arose from it, namely that TAp73 and RAC1b may be part of the same tumor-suppressive pathway in human PDAC cells to sustain SMAD4 and BGN expression, while suppressing ERK1/2 activation and cell migration/invasion. In this study, we sought to clarify if the regulatory interactions between TAp73 and BGN previously discovered in the GEMMs also operate in human PDAC cells, and if RAC1b collaborates with TAp73 in these tumor-suppressive activities in human cells.
However, in order to demonstrate that TAp73 and RAC1b synergize in inducing BGN and in inhibiting cell motility through BGN in human PDAC cells, several open questions need to be resolved in the human system: i) does TAp73 induce BGN, ii) does RAC1b induce SMAD4, iii) does RAC1b activate TAp73 or vice versa, and iv) can BGN mimic the inhibitory effect of TAp73 or RAC1b on ERK activation and cell motility. Using different PDAC-derived cancer cell lines we are going to show that the previously proposed tumor-suppressive TAp73-Smad4-Bgn signaling also operates in human cells and that RAC1b acts as an upstream activator of this pathway.
4. Discussion
Although some progress has recently been achieved in the treatment of PDAC, the prognosis for patients suffering from this cancer type is still dismal. A better understanding of the molecular events driving tumor development and progression is thus of utmost importance. The p53 homologue, TAp73, has been reported to be involved in cancer development through regulating cell proliferation and apoptosis. Several studies have confirmed the crosstalk of the p53 and the TGF-β networks [
20], two major regulators of cancer-associated pathways. In PDAC, their interplay seems to be associated with SMAD proteins, in particular SMAD4 [
21], the deletion or mutation of the SMAD4-encoding
DPC4 correlates with shorter survival and widespread metastasis. However, a similar interplay between TAp73 and TGF-β signaling has only later been revealed in a pioneering study by Thakur and coworkers. Using GEMMs, these authors have shown that TAp73-deficient PDAC exhibited enhanced desmoplasia and characteristics of EMT, including increased migratory/invasive capacity and drug resistance, suggesting enhanced activity of TGF-β [
14]. The absence of TAp73 also led to a decrease in SMAD protein levels resulting in a failure to activate the SMAD-dependent pathway and to induce expression of the TGF-β/Smad target, Bgn. As a result of the absence of TGF-β binding and neutralization by Bgn, elevated levels of free TGF-β accumulate in the tumor cells. Of note,
high serum TGF-β1 has been proposed to be linked to an increased risk of pancreatic cancer [
22]. Moreover, in a GEMM of metastatic breast cancer
TGF-β induced by anticancer treatment has been identified as a pro-metastatic signal in tumor cells [
23]. In the absence of Smad4 and Bgn, TGF-β signaling switches to Smad-independent pathway activation. Derepression of non-Smad, i.e., ERK and PI3K/AKT signaling in TAp73 deficient cells [
14] favors the expression of EMT-associated transcription factors and thus promote EMT and invasion. The data presented by the Thakur study in the TAp73-deficient GEMM suggest that TAp73 efficiently prevents a switch in TGF-β function from tumor suppressive to tumor promoting and that this switch also involves secreted factors acting in an autocrine/paracrine fashion. However, whether this TAp73 driven pathway also operates in human PDAC has remained unresolved so far. In recent work, we were able to show in the human PDAC cell lines PANC-1 and HPAFII that TAp73α [
15] antagonized EMT by upregulating basal and TGF-β1-induced expression of epithelial markers, like ECAD, and downregulating that of mesenchymal markers, like SNAIL, and non-Smad, i.e., ERK1/2 signaling [
15]. Moreover, TAp73 exhibited a strong antimigratory effect on these cells consistent with its anti-EMT function. These induction of epithelial genes and pathways with simultaneous suppression of mesenchymal ones was reminiscent of what we observed earlier for RAC1b [
17]. As shown here for TAp73, RAC1b, too, induces the expression of the TGF-β inhibitor, BGN [
16]. In concordance with the crucial of Bgn in mediating the tumor-suppressive effect of TAp73 in
Tp73-deficient mice, we provide evidence in the present study that in human PDAC RAC1b and TAp73α collaborate in promoting the expression of BGN and, as a consequence, inhibition of basal and TGF-β driven ERK activation and cell migration. Specifically, we have identified BGN as a paracrine effector of RAC1b and TAp73 in human pancreatic cancer cells by showing that the basal and TGF-β1-driven ERK activating and promigratory effects of RAC1b/
RAC1 exon 3b silencing [
17,
18], TAp73 silencing [
15], or SMAD4 silencing [
15] are duplicated by gene silencing of
BGN or by antibody-mediated neutralization of its biological activity in culture supernatants.
A major goal of this study was to evaluate if TAp73 and RAC1b are members of the same tumor-suppressive pathway. Of note, we have previously established a RAC1b-SMAD3-BGN axis in PANC-1 cells to be critical in maintaining the epithelial phenotype, already suggesting the possibility that RAC1b may be able to induce other Smad proteins besides SMAD3 as shown previously for TAp73 in mice [
14]. In the present study, we found that in human PDAC cells RAC1b, indeed, positively controls SMAD4 expression at both the mRNA and protein level. Given the preferred association of RAC1b expression in PDAC with cells of an epithelial subtype [
16], this suggested the possibility that SMAD4 (and SMAD3) contribute to both maintenance of the epithelial phenotype and tumor suppression and that TAp73 and RAC1b act upstream of these SMADs as part of the same pathway to control their expression (
Figure 7). Having shown that RAC1b and TAp73 collaborate in pro-differentiation, anti-EMT and anti-migration effects in PDAC-derived cells by promoting SMAD3/4 and BGN expression and inhibiting ERK activation, we sought to know whether RAC1b is located upstream or downstream of TAp73. In a series of expression experiments with reciprocal inhibition and overexpression or mutual rescue experiments with migratory activities as readout, we came to the conclusion that RAC1b acts upstream of TAp73. Hence, we postulate the existence of a RAC1b-TAp73α-SMAD4-BGN axis operating in both murine and human cells to provide tumor suppression by maintaining epithelial differentiation.
If RAC1b is to activate TAp73 then it should be located in the nucleus. In fact, nuclear localization of RAC1b has been reported and c
ompared to the parental isoform, RAC1, RAC1b more strongly accumulates in the nucleus as a result of less prenylation, which in turn is due to a more stable association with SmgGDS-607 [
24]
. This spatial proximity to TAp73 may explain why RAC1b can induce SMAD4 via TAp73 binding to the
DPC4 promoter. As speculated earlier for murine cells [
14], TAp73 deficiency in PANC-1 cells may cause a decrease in transactivation of the
DPC4 promoter harboring a p53 response element [
14].
Despite being a mesenchymal matrix protein BGN is nevertheless subject to positive regulation by both RAC1b [
16], TAp73 ([
14], this study) and SMAD4 (this study). This is noteworthy as it clearly shows that the type of regulation depends on the protein’s function with respect to EMT (here a TGF-β inhibitor) rather than its general structure. Thakur and colleagues have shown that Bgn, unlike other mesenchymal proteins, is a potent inhibitor of the EMT process in murine cells, likely by its ability to bind TGF-β and neutralize its biological activity [
14]. Our data here in human cells are in good agreement with those from the mouse as we have shown that inhibition of BGN expression or its biological activity derepresses the cells’ migratory/invasive activities and that this is associated with activation of non-SMAD/ERK signaling (
Figure 7). The strong promoting effect of TAp73 on the induction of
BGN by TGF-β1 via intermittent SMAD4 expression may thus serve to ensure sufficient BGN production for neutralization of this growth factor in a TGF-β-rich microenvironment.
Of note, although RAC1b inhibition caused a decrease in SMAD3 and SMAD4 abundance, the overall TGF-β signaling activity was higher, which was the result of a RAC1b-mediated suppression of the synthesis of ALK5 (the major TGF-β type I receptor) [
18] (
Figure 7). As a consequence, RAC1b inhibited ALK5 signaling activity, namely TGF-β-induced activation of SMAD2/3 [
18]. Notably, this function of RAC1b was not shared by TAp73 (H.U., unpublished observation), which we interpret as additional evidence for RAC1b being located upstream of TAp73, because in case of the reverse situation TAp73 would be expected to also impair ALK5 expression and signaling.
Altogether, these data clearly suggest that the absence of RAC1b or TAp73 impairs TGF-β signaling toward the tumor-suppressing SMAD4-dependent pathway. Hence, the collaboration between RAC1b and TAp73 in suppressing EMT and cell motility might extend to other tumor-suppressive modes of TGF-β s, for instance a SMAD4-dependent lethal form of EMT [
25]. Also, in vivo data in mouse models will reveal if TAp73 or RAC1b deficiency will reduce the number of liver metastases developing from the cells after their injection into the pancreas, and – mechanistically - if the resulting mesenchymal conversion accounts for the pro-metastatic effect.