The TKS4 KO cells displayed diverse expression levels of several conventional EMT markers. Proteins specific to epithelial cell types such as CDH1, cytokeratin, occludin, and TJP1/2 are reduced in expression, but most of them are recovered after treatment. Meanwhile, mesenchymal markers such as FN1, VIM, Zeb1, and SNAI2 show increased expression, according to the sequencing data. However, Twist1 and N-cadherin are downregulated, and no alteration was found in the EMT main marker, snai1. These alterations suggest a partial EMT (pEMT) and align with previous findings involving the TKS4 KO cell line [
9]. We proposed that the hyperactivity of EZH2 is responsible for the induced p-EMT because the gene expression of most genes was restored after treatment of EZH2 activity inhibition. Both EZH2 and EMT are intricately linked, as stated in the literature. EZH2 has been shown to enhance EMT by interacting with SNAIL1 and reducing the expression of E-cadherin [
97,
98]. EZH2 can promote gene silencing of Disabled Homolog2-Interacting Protein (DAB2IP) to control EMT and metastasis in colorectal cancer cells [
99]. MMPs play a significant role in promoting EMT and invasion and are mostly upregulated in TKS4 KO cells, they are predominantly restored upon the EZH2 inhibitor treatment, despite MMP13 and MMP14 showing decreased expression.
In addition to the pEMT, the EZH2 overactivation led to invasion in TKS4 KO cells. This is expected since the first step of undergoing invasion is usually EMT. Besides the invasion assay, we observed that most of the invasion markers were upregulated in the TKS4 KO sample and restored in the KO-T sample, indicating the role of EZH2 in cell invasion. EZH2's role in the invasion is mostly correlated with the literature, in which EZH2 is shown to enhance tumor cell invasion. EZH2 suppresses TIMP2 expression through H3K27me3, leading to the MMP stimulation that leads to migration and invasion in ovarian cancer cells [
100] and through MMP2 and MMP9 in triple-negative breast cancer (TNBC) cells [
101]. EZH2 plays a role in controlling cell migration and invasion by regulating the expression of TGF-β1 [
102]. EZH2 mediates the activation of EMT and invasion, leading to increased metastasis in several cancers, including CRC, melanoma, and breast cancer.
In addition to migration, pEMT, and invasion, there are numerous established markers for invadopodia and podosome formation like Lasp1 [
103], paxillin (PXN), dynamin (DNM1, DNM2, and DNM3), fascin (FSCN1, FSCN2, and FSCN3), vinculin (VCL), and paladin (PALD1) [
104] are upregulated, and these upregulations are mostly due to the disruption caused by EZH2 hyperactivity induced by TKS4 deletion because most of them are strongly reversed upon EZH2 inhibition treatment. While other markers such as MMP14, Zyxin (ZYX), [
105], Arp2/3, and N-WASP (WASL) [
106] are downregulated in the TKS4 KO cells, and cannot be restored with EZH2 inhibition, corresponding to the protein that is crucial for invadopodia [
107] and podosome formation [
7]. We performed an immunostaining study to show the localization of MMP14 protein upon the TKS4 deletion, we found that MMP14 is more precisely located around the nucleus of the TKS4 KO cells, with a decreased protein level compared to MMP14 observed in the spindles (invadopodia and podosome) of WT cells (
Supplementary Figure S8). In combination, these findings demonstrate that the removal of TKS4 leads to a widespread decrease in the expression of genes associated with the formation of invadopodia and podosome.
Unexpectedly, the TKS4 KO cells experience a notable decrease in their proliferation rate, along with an increase in their migration and invasion. Usually, the proliferation is parallel with migration, EMT, and invasion [
108]. However, both the morphological study and the gene expression alterations provided evidence of the decrease in proliferation. We found a decrease in the expression of cyclin-dependent kinases (CDKs) and an increase in the expression of cyclin inhibitor proteins (CDKNs), which are not reversed with EZH2 activity inhibition. The effect of a decrease became stronger in most proliferation markers. The TKS4 KO cells exhibit downregulation of multiple genes in the MAPK cascade, including different RAS isoforms, RAF, MEK1/2, and ERK1/2 (mainly responsible for cell proliferation), which are not affected by EZH2 inhibition, or the effect on some of them becomes more prominent after treatment (
Figure 8). This indicated the decreased proliferation was due to the disruption caused by TKS4 deletion and not by EZH2 hyperactivity.
4.2. LncRNAs Connecting TKS4 and EZH2
An important aspect of our study is the effect of TKS4 deletion on the expression of different lncRNAs and their connection to EZH2. Gaps in the functional annotation of lncRNAs complicate the in-depth analysis of our results in terms of possible molecular mechanisms, but a considerable number of the identified lncRNAs have already been shown to interact with EZH2 and participate in the regulation of the affected signaling pathways.
MALAT1 is known to bind to EZH2 and direct it to specific chromatin regions, leading to tumor suppressor gene repression such as e-cadherin, p21, and p27 [
135,
136,
137]. It is found to enhance EMT by activating the EZH2-Notch1 signaling pathway [
138], while its upregulation enhances the activity of PI3K/Akt signaling pathway [
139]. The overexpression of MALAT1 in the TKS4 KO cells could be reversed by EZH2 inhibition, suggesting that EZH2 may be a negative regulator of this RNA. Importantly, the MALAT1 expression was not sensitive to EZH2 inhibition in the WT cells, indicating that EZH2 involvement in the regulation of MALAT1 expression may be related to the pathways perturbed by TKS4 deletion. Since apparently MALAT1 binding to EZH2 can inhibit tumor suppressor gene expression, overactivation of EZH2 in the KO cells may lead to a positive feedback loop, accelerating the malignant processes.
HOTAIR is another well-known lncRNA partner of EZH2, as it was suggested to regulate cell cycle progression through EZH2 [
140] and it induces cell invasion and metastasis through the PRC2 complex [
96,
141]. HOTAIR is also involved in the upregulation of Rapamycin and PI3K/Akt signaling pathway [
142]. While similarly to MALAT1, HOTAIR was also upregulated in the TKS4 KO cells, its expression was further increased upon EZH2 inhibition both in WT and KO cells. This observation suggests a complex, indirect involvement of EZH2 in the regulation of HOTAIR transcription.
NEAT1 promotes migration, invasion, metastasis, and EMT via interacting with EZH2 as a scaffold RNA [
143,
144,
145], but it can also interact directly with EZH2 and recruit PRC2 to p21, Myog, Myh4, Tnni2, LATS2, and Smad7 gene promoters [
146,
147,
148]. NEAT1 has been found to mainly modulate the Wnt/β-catenin signaling pathway [
145] and is sensitive to EZH2 inhibition in the WT and KO cells alike, supporting a hypothesis that EZH2 regulates an inhibitor of NEAT1 expression.
Other lncRNAs with significant changes in their expression have not yet been shown to bind EZH2 itself but are known to be involved in the regulation of the signaling pathways affected by TKS4 deletion. NORAD can bind to different microRNAs and induce malignancy via PI3k/AKT/mTOR [
149] and promote invasion and EMT through ERK [
150] or the WNT/B-catenin signaling pathway [
151]. BCAN-AS1 is suggested to interact with c-Myc through SMAD nuclear-interacting protein 1, which results in blocking c-Myc ubiquitination and degradation. Consequently, high BCAN-AS1 levels are associated with a poor prognosis [
152].
Inhibition of Mir4435-2HG by microRNAs leads to invasion, migration, and EMT [
153]. It triggers cancer progression through cell cycle regulators and mTOR signaling pathway [
154]. A decrease in MIR4435-2HG could inhibit cell proliferation via the miR-206/YAP1 axis [
155] or via modulating the Nrf2/HO-1 cascade [
156] in HCT116 cell lines. In a separate study on colon cancer, the MIR4435-2HG downregulation led to the downregulation of GLUT-1 which resulted in decreased cell proliferation [
157]. This is in accord with our observations as MIR4435-2HG expression is decreased in the TKS4 KO cells, where we also detected diminished proliferation rates. However, while EZH2 inhibition restored and even increased its transcription, this in itself was not enough to restore cell proliferation, indicating the importance of other regulatory mechanisms.
LINC01234 induces proliferation in colon cancer [
158] and promotes malignancy through the microRNA/mTOR signaling pathway [
159]. It appears to be regulated independently of EZH2, as it showed no significant reaction to EZH2 inhibition, and its levels were only slightly reduced in the KO cells.
LINC01123 interacts with the splicing factor SRSF7 and induces proliferation, migration, and invasion [
160] in colon cancer cells. It promotes malignant behavior through the microRNA/LASP1 [
161], microRNA/KIF4 [
162], microRNA/PYCR1 [
163], and microRNA/VEGF [
164] signaling pathways.
LncRNA TERC enhances proliferation, migration, and invasion, through controlling the expression of SOX12 [
165]. In our system, TERC expression appears to be inversely influenced by EZH2 activity, as it was significantly downregulated in the KO cells and EZH2 inhibition resulted in a marked upregulation of this transcript, in the WT and the KO cells alike.
LINC01405 is predicted to have a role in the regulation of Wnt, PI3K, and the TGF-beta signaling pathway [
166]. Its expression was strongly downregulated in the TKS4 KO cells, and this effect could be mitigated, but not reversed by EZH2 inhibition, indicating a connection between its transcriptional regulation and EZH2.
LINC02575, HAGLR, LINC00222, and HOTTIP are involved in the KRAS [
167], MAPK/AKT [
168], Wnt [
169], and c-Myc pathways [
170], respectively.