Cigarette smoking is a major risk factor in the development of non–small cell lung cancer (NSCLC), which accounts for 80% of all lung cancers. Nicotine, the major addictive component of tobacco smoke, can induce proliferation, invasion, and epithelial-to-mesenchymal transition (EMT) in NSCLC cell lines and promote metastasis of NSCLC in mice. Here, we demonstrate that the scaffolding protein β-arrestin-1 is necessary for nicotine-mediated induction of mesenchymal genes vimentin and fibronectin as well as EMT regulators ZEB1 and ZEB2. Nicotine induced changes in cell morphology and ablate tight junctions consistent with EMT; β-arrestin-1, but not β-arrestin-2, was required for these changes. β-Arrestin-1 promoted the expression of the mesenchymal genes, as well as ZEB1 and ZEB2, through the mediation of the E2F1 transcription factor; this required Src kinase activity. Stimulation of multiple NSCLC cell lines with nicotine led to enhanced recruitment of β-arrestin-1 and E2F1 on vimentin, fibronectin, and ZEB1 and ZEB2 promoters. Furthermore, there was significantly more β-arrestin-1 and E2F1 associated with these promoters in human NSCLC tumors, and β-arrestin-1 levels correlated with vimentin and fibronectin levels in human NSCLC samples. A549-luciferase cells lacking β-arrestin-1 showed a significantly reduced capacity for tumor growth and metastasis when orthotopically implanted into the lungs of SCID-beige mice. Taken together, these studies reveal a novel role for β-arrestin-1 in the growth and metastasis of NSCLC. Cancer Res; 75(6); 1009–20. ©2015 AACR.
Cigarette smoking is highly correlated with the development of non–small cell lung cancer (NSCLC), which accounts for 80% of all lung cancers (1). Nicotine, the addictive component of tobacco smoke has been found to induce cell proliferation, angiogenesis, and epithelial-to-mesenchymal transition (EMT) through nicotinic acetylcholine receptors (nAChR; refs. 2, 3). In addition, nicotine confers resistance to apoptosis induced by chemotherapeutic agents (4). Although nicotine is not known to initiate tumors, it can promote the growth and metastasis of solid tumors in vivo, suggesting that nicotine might promote the progression of tumors already initiated by tobacco-specific nitrosamines (5, 6).
The arrestin family consists of four members, including visual arrestins (arrestin1 and 4), which are expressed exclusively in the retina and ubiquitously expressed nonvisual arrestins (β-arrestin-1 and 2 or ARRB1 and ARRB2). Although it is established that β-arrestins promote internalization and desensitization of GPCR (G protein-coupled receptors), they also regulate signaling by Notch, endothelin A receptor, frizzled, smoothened, and T-cell receptors (7–11). Our earlier studies demonstrated that nAChR signaling induces nuclear translocation of β-arrestin-1 (arrestin, β 1 or ARRB1) in a Src-dependent manner, where it recruited the histone acetyltransferase p300 to E2F1-regulated proliferative promoters, facilitating their transcription (12).
Nicotine can induce changes in gene expression consistent with EMT, a signature of more advanced and less differentiated cancers. The EMT program is a highly conserved developmental event that promotes epithelial cell dissociation and migration to appropriate sites during embryogenesis (13); it also facilitates the metastasis of tumors (14). During EMT, epithelial markers such as E-cadherin (CDH1) and catenins are downregulated with a concomitant upregulation of mesenchymal markers, including vimentin (VIM) and fibronectin (FN1; ref. 15). TGFβ is known to induce EMT robustly in many cell types (16). Here, we demonstrate that fibronectin and vimentin promoters are E2F1 regulated and the expression of these genes is induced by nicotine in a β-arrestin-1–dependent manner. There was a direct correlation between the levels of these genes and β-arrestin-1 in human NSCLC samples. In addition, β-arrestin-1 regulated the expression of EMT-promoting transcription factors such as ZEB1 and ZEB2. β-Arrestin-1–depleted cells could not form tumors or metastasize in SCID mice in response to nicotine stimulation. Our results suggest that β-arrestin-1 plays a key and specific role in nicotine-induced EMT and metastasis.
Materials and Methods
Cell lines and reagents
NSCLC cell lines A549, H1650, H358, H1975, Calu6, H23, and PC9 were obtained from ATCC and were used within 6 months; they have been reauthenticated by STR analysis. A549 NSCLC cells were cultured in F12K medium with 10% serum (Cellgro). H358, H1975, Calu6, H23, PC9, and H1650 human NSCLC cells were grown in RPMI with 10% serum. A549 cells stably expressing the firefly luciferase gene (A549-luc) were obtained from Caliper and grown in RPMI with neomycin (200 ng/mL). shRNA cell lines were made by stably transfecting A549 cells with shRNA constructs that specifically target β-arrestin-1 or a control vector obtained from a shRNAmir library from Open Biosystems. A549 cells transfected with empty vector (called shcontrol) were used as the control. All shRNA cells lines were maintained in media containing 1 μg/mL puromycin. For treatment with nicotine or TGFβ, cells were rendered quiescent by serum starvation for 36 hours, and subsequently stimulated with nicotine (Sigma) at 1 μmol/L or TGFβ at 5 ng/mL concentration. The TGFβ receptor inhibitor SB 431542 was purchased from Cayman Chemical and was used at 1 μmol/L. For treatment with Src inhibitors dasatinib and PP2, cells were serum starved for 36 hours and treated with nicotine 1 μmol/L for 24 hours in the presence of 0. 2 μmol/L dasatinib or 0.5 μmol/L PP2.
Detailed experimental procedures for orthotopic lung tumor model, migration assay, 3D culture, immunofluorescence, Western blot analyses, chromatin immunoprecipitation (ChIP) assays, and transfections are provided in the Supplementary Methods section.
Constructs and transfections
Fibronectin (pFN 1.2 kb) and vimentin (VimPro-1.5 kb) promoter luciferase constructs were kindly provided by Dr. Jesse Roman (Emory University, Atlanta, GA; ref. 17) and Dr. C. Gilles (Liege University, Belgium; ref. 18). The A549 and H1650 cells were transfected using Fugene HD reagent (Roche) following the manufacturer's instruction. Luciferase assays were done 48 hours after transfection, using the Dual Luciferase Assay system (Promega) following the manufacturer's protocol.
siRNA transfections and real-time PCR
For siRNA transfections, 50, 75, or 100 pmol of siRNAs (Santa Cruz Biotechnology) with Oligofectamine were added to cells. For real-time PCR, total RNA was isolated using RNeasy miniprep kit (QIAGEN) following the manufacturer's protocol, followed by first-strand cDNA synthesis using iScript cDNA Synthesis Kit (Bio-Rad). Data were analyzed by the ΔΔCt method, where gene of interested was normalized to 18s rRNA, then compared with the nontargeting siRNA control sample. Error bars represent the SD of three independent experiments. Details of siRNAs and sequences of primers used for RT-PCR are given in Supplemental Methods.
A549 cells were grown in a 6-well plate (Falcon Becton Dickinson) transfected with siRNAs. These cells were starved in serum-free media for 24 hours and then washed with 1× Dulbecco's PBS (MediaTech). The cells were scratched with a sterilized 200 μL pipette tip in three separate places in each well and medium containing 1 μmol/L nicotine or starvation media were added to the wells. After 24 hours, the wounds were observed and images were taken in ×20 magnification using Zeiss inverted phase contrast microscope.
Boyden Chamber assays were used to assess the invasive ability of cells as described previously (2). The upper surface of the 6.5 mm filters (Corning) was coated with collagen (100 μg/filter) and Matrigel (BD Biosciences; 50 μg/filter). Twenty thousand cells were plated in the upper chamber with 0.1% BSA (Sigma). Media containing 20% FBS was placed in the lower well as chemoattractant. The cells that invaded through the filters were quantified by counting three fields under ×20 objective magnifications.
Statistical methods and analysis
A log transformation was performed to make mRNA expression values of four genes [β- arrestin-1, vimentin, fibronectin, and 18SrRNA] approximately normal. Pearson rank correlation (r) was used to assess correlation among these three genes. An exact normal scores test was used to assess the association between mRNA expression values of these genes and pathologic stage. The reduced monotonic regression model (19) was used to assess the association between mRNA expression values of these genes and smoking pack years. An optimal cut point for disease-free survival, defined as the time for surgical resection to disease recurrence or death, was tested for using the maximal χ2 test. All statistical analyses were performed using SAS (Version 9.2; SAS Institute).
β-arrestin-1 is necessary for nicotine-induced disruption of tight junctions to facilitate EMT and invasion
We previously observed that nAChR stimulation results in changed reminiscent of EMT (2, 20). To investigate the role of β-arrestin-1 in this process, A549 cells that lack β-arrestin-1 were generated by stably expressing β-arrestin-1–specific shRNA (shβ-arrestin1); cells transfected with empty vector were used as control (shcontrol). These cells were rendered quiescent by serum starvation and stimulated with 1 μmol/L nicotine, which is equivalent to the levels observed in the blood stream of heavy smokers. Immunofluorescence experiments revealed membranous staining of tight junction protein zona occludens 1 (ZO-1) in quiescent cells; nicotine treatment reduced ZO-1 levels in shcontrol cells, but not in shβ-arrestin1 cells (Fig. 1A, top; Supplementary Fig. S1E). Selective knockdown of β-arrestin-1 by shRNA and siRNAs is shown in Supplementary Fig. S1A–S1D. Similar results were observed when β-arrestin-1 was depleted by siRNA in H1650 cells (Fig. 1A, bottom; Supplementary Fig. S1F and S1G), suggesting that β-arrestin-1 is necessary for reducing tight junctions upon nAChR activation. In addition to ZO-1, the levels of E-cadherin, an epithelial marker, were significantly decreased upon nicotine stimulation only in shcontrol cells but not in shβ-arrestin1 cells (Supplementary Fig. S2A and S2B). Shcontrol cells and shβ-arrestin-1 cells were grown as 3D cultures on collagen in the presence or absence of nicotine; shcontrol cells treated with nicotine acquired a more elongated, migratory morphology, but shβ-arrestin1 cells did not show such changes (Fig. 1B). Shβ-arrestin1 cells were also impaired in their ability to migrate (Supplementary Fig. S2C) or invade in response to nicotine stimulation (Fig. 1C). Depletion of β-arrestin-1 impaired nicotine-mediated invasion of a variety of NSCLC cell lines (Fig. 1D), indicating a definite role for β-arrestin-1 in the induction of mesenchymal features in response to nAChR signaling.
β-Arrestin-1 is required for the expression of vimentin and fibronectin in response to nAChR signaling
We examined whether β-arrestin-1 regulates the expression of the mesenchymal genes fibronectin and vimentin upon nAChR stimulation. Western blotting showed that nicotine treatment induced the expression of fibronectin and vimentin in shcontrol cells, but not in shβ-arrestin1 cells (Fig. 2A); this induction occurred at the transcriptional level (Fig. 2B). In contrast, depletion of β-arrestin-1 did not alter TGFβ-mediated vimentin or fibronectin expression, suggesting that β-arrestin-1 plays a role in mediating EMT downstream of nAChRs. Transient transfection assays were then conducted using luciferase reporter constructs driven by human vimentin and fibronectin promoters. Shcontrol and shβ-arrestin1 cells were transfected with the reporters, rendered quiescent by serum starvation, and stimulated with nicotine or TGFβ. Both promoters were induced by nicotine in shcontrol cells but not in shβ-arrestin1 cells while TGFβ could induce them in cells (Fig. 2D). Similar pattern of induction of fibronectin and vimentin was observed when H358 cells transfected with either control siRNA or β-arrestin-1 siRNA were stimulated with nicotine or TGFβ (Fig. 2E), showing that β-arrestin-1 plays a role in the nicotine-mediated induction of these genes. Interestingly, β-arrestin-2, a closely related arrestin, did not play a role in nicotine-induced invasion or expression of mesenchymal markers (Supplementary Fig. S3A–S3F)
Because nicotine induces cell proliferation by α7nAChR (CHRNA7)-mediated activation of Src, experiments were conducted to assess whether they contribute to the induction of these mesenchymal promoters. Western blot analysis (Fig. 2F) and RT-PCR (Fig. 2G) showed that depletion of Src and α7nAChR by siRNAs abrogated induction of vimentin and fibronectin by nicotine, but not TGFβ. Since nicotine is known to induce TGFβ in certain cell lines (21, 22), we examined whether nAChR-mediated mesenchymal gene expression is indirectly mediated through the activation of the TGFβ pathway. A549 cells were serum starved and treated with nicotine or TGFβ in the presence or absence of TGFβ1 receptor inhibitor SB431542. SB431542 abrogated the induction of vimentin and fibronectin expression by TGFβ but not nicotine (Fig. 2H), suggesting that nicotine-mediated induction of these genes is independent of TGFβ. To further establish the role of β-arrestin-1 in nicotine-induced EMT, we determined the levels of tight junction protein ZO-1 and epithelial markers E-cadherin and β-catenin from membrane fractions of shcontrol and shβ-arrestin1 cells. As seen in Fig. 2I, nicotine treatment decreased the levels of E-cadherin, β-catenin, and ZO-1 in shcontrol cells, but not in shβ-arrestin1 cells.
Vimentin and fibronectin promoters are E2F1 and Rb responsive
Recent studies have indicated that E2Fs function in a wide range of biologic processes in addition to cell-cycle progression (23–26). Because β-arrestin-1 interacts with E2F1 (12), attempts were made to assess whether E2F transcription factors played a role in the induction of fibronectin and vimentin during EMT. An analysis of the promoter regions (1 kb) upstream of transcription start site using MatInspector program (Genomatix) revealed the presence of six potential E2F-binding sites on the vimentin promoter (Supplementary Fig. S4A) and two sites on the fibronectin promoter (Supplementary Table S1).
ChIP assays conducted on A549 cells detected the binding of E2F1 and Rb to vimentin and fibronectin promoters (Supplementary Fig. S4B); further, transient transfection experiments showed that E2F1 could induce using vimentin-Luc and fibronectin-Luc reporters, while Rb suppressed this induction (Supplementary Fig. S3C). Similar results were obtained in additional NSCLC cell lines (Supplementary Fig. S4D and S4E). Although E2Fs 2–5 could also induce these promoters, E2F1 had the maximal effect (Supplementary Fig. S3F). Supporting these results, transfection of 75 pmols of an E2F1 siRNA significantly reduced the levels of endogenous vimentin and fibronectin, (Supplementary Fig. S4G and S4H).
Transient transfections were conducted using deletion mutants of vimentin promoter to fine map the promoter region required for E2F-mediated induction (Supplementary Fig. S5A); it was found that the full-length promoter (1.5kb; six E2F-binding sites) and the deletion mutant vim-387+24 (Vim-411; three sites) could be transcriptionally induced by E2F1, but the shortest mutant vim-245+24 (Vim-269) was not E2F1 responsive (Supplementary Fig. S5B), suggesting that the three proximal sites were sufficient for E2F-mediated transcriptional induction. Similar experiments on the deletion mutants of fibronectin promoter revealed that only a proximal binding site was necessary for induction by E2F1 (Supplementary Fig. S5C and S5D); this was confirmed by mutating this site (Supplementary Fig. S5E). These experiments demonstrate a direct role for E2F1 in regulating these mesenchymal promoters.
nAChR stimulation leads to recruitment of E2F1 and β-arrestin-1 on fibronectin and vimentin promoters
Because nAChR stimulation induced the nuclear translocation of a subset of β-arrestin-1 (12), ChIP assays were conducted to determine whether it could associate with vimentin and fibronectin promoters. A549 cells were serum starved and stimulated with nicotine; quiescent cells had robust amount of Rb on these promoters. Nicotine stimulation led to an increase in the association of E2F1 and β-arrestin-1 with a concomitant dissociation of Rb from these promoters (Fig. 3A and Supplementary Fig. S6). ChIP assays followed by real-time PCR also showed the increased association of E2F1, β-arrestin-1, p300, and Ac-H3 with vimentin and fibronectin promoters in nicotine-treated shcontrol cells, but not on shβ-arrestin1 cells. Furthermore, Rb was present on vimentin and fibronectin promoters in shβ-arrestin1 cells even after nicotine stimulation (Fig. 3B). An unrelated promoter, c-Fos, was used as the negative control and there was only minimal association of E2F1, Rb, β-arrestin-1, p300, and Ac-H3 on this promoter (Supplementary Fig. S7); further, the fibronectin and vimentin promoters could not be detected in immunoprecipitations performed with a control irrelevant antibody (IgG), confirming the specificity of the assay. These results suggest that β-arrestin-1–mediated signaling events facilitated the dissociation of Rb and enhanced recruitment of E2F1, p300, and acetylation of histones on vimentin and fibronectin promoters.
To examine whether nicotine- or TGFβ-induced expression of these mesenchymal markers is dependent on E2F1, we transfected A549 cells with control siRNA or two different E2F1 siRNAs, and stimulated with nicotine or TGFβ. Western blotting (Fig. 3C and D) and RT-PCR showed that (Fig. 3E) E2F1 was necessary for nicotine-mediated, but not TGFβ-mediated, induction of vimentin and fibronectin. To assess whether β-arrestin-1 is required for the transcriptional induction of these promoters by E2F1, shcontrol and shβ-arrestin1 cells were transfected with vimentin or fibronectin promoter constructs along with E2F1. Interestingly, fibronectin and vimentin promoters were induced by E2F1 in shcontrol cells but not in shβ-arrestin1 cells (Fig. 3F and G), suggesting that β-arrestin-1 was necessary for the E2F1-mediated transcription of these genes. Experiments on control siRNA or E2F1 siRNA-transfected cells also showed that E2F1 was required for the induction of vimentin and fibronectin promoters upon nicotine stimulation, but not TGFβ stimulation (Fig. 3H and I). Collectively these results indicate that E2F1 and β-arrestin-1 are required for the nAChR-mediated, but not TGFβmediated, expression of fibronectin and vimentin.
Nuclear function of β-arrestin-1 is necessary for induction of EMT
To examine whether nuclear translocation of β-arrestin-1 regulates the expression of mesenchymal genes, we performed transient transfection assays using the β-arrestin-1–mutant Q394L, in which glutamine 394 has been mutated to leucine to create a nuclear export signal (27, 28). The mutant Q394L did not enhance E2F1-mediated transcription from fibronectin and vimentin promoters, suggesting that nuclear translocation of β-arrestin-1 is required for the transcription of these genes (Fig. 4A).
To further explore the requirement of the nuclear function of β-arrestin-1 in inducing EMT, shβ-arrestin1 cells were transfected with pcDNA3, WT-β-arrestin1-RFP, or Q394L-β-arrestin-1 constructs. Shcontrol cells transfected with pcDNA3 were used as the control. As shown in Fig. 4B, nicotine-induced expression of fibronectin and vimentin in Shβ-arrestin1 cells was rescued by the WT-β-arrestin-1-RFP construct but not the Q394L-β-arrestin-1 construct. Furthermore, WT-β-arrestin-1, but not Q394L-β-arrestin-1 could rescue the nicotine-induced migration and invasion (Fig. 4C and D) of shβ-arrestin1 cells, supporting the contention that β-arrestin-1 facilitates the transcriptional induction of mesenchymal genes upon nicotine stimulation. The level of β-arrestin-1 after rescue was examined by RT-PCR and Western blot analyses (Supplementary Fig. S8A–S8C).
We next examined whether nuclear functions of β-arrestin-1 require Src activity. A549 and H1650 cells were transfected with vimentin and fibronectin promoters along with a dominant negative or constitutively active Src expression vector. Luciferase assays revealed that dominant negative Src inhibited transactivation of these promoters (Fig. 4E) by E2F1. In addition, Src inhibitors dasatinib and PP2 could strongly inhibit E2F1 and β-arrestin-1–mediated transcription of fibronectin and vimentin reporters (Fig. 4F), suggesting that Src was necessary for the nuclear functions of β-arrestin-1. In addition, we performed ChIP assays on A549 cells treated with nicotine in the presence or absence of dasatinib and PP2. Nicotine treatment enhanced recruitment of E2F1, β-arrestin-1, and p300 on these promoters with concomitant release of Rb; these effects were abrogated in cells treated with the two Src inhibitors (Fig. 4G and H). Though less specific than dasatinib, treatment with both the agents led to a near complete dissociation of Rb, E2F1 β-arrestin-1, and p300 from the vimentin promoter; a minimal amount of Rb, comparable with that present in serum-starved cells, was retained on the FN promoter. There was no detectable amplification of the promoters in a control IP conducted with normal IgG, and these proteins were not associated with the unrelated c-Fos promoter. These results indicate that Src-mediated signaling events facilitate the nicotine-mediated induction of these promoters, by targeting Rb, E2F1 and β-arrestin-1.
E2F1–β-arrestin-1 interaction is necessary for the expression of mesenchymal genes
Previous studies from our laboratory had shown that amino acids 1-163 of β-arrestin-1 were required for its binding to E2F1 (Supplementary data in ref. 12). We conducted IP–Western blot assays to determine whether delivery of the 1-163 fragment of β-arrestin-1 disrupts the binding of endogenous E2F1 to β-arrestin-1. A549 cells were transfected with either the control vector (pcDNA3) or two levels of pcDNA3-β-arrestin-1 1-163 construct (4 μg or 8 μg). IP-Western blots showed that the binding of endogenous E2F1 and β-arrestin-1 was disrupted by β-arrestin-1 1-163 construct in a dose-dependent manner (Fig. 5A). Similar results were obtained when we overexpressed E2F1 and WT-β-arrestin-1 along with two different levels of β-arrestin-1 1-163 fragment (Fig. 5B).
We next examined whether disrupting the binding of β-arrestin-1 prevented the E2F-1–mediated induction of vimentin and fibronectin. A549 cells were transfected with the promoter luciferase constructs along with E2F1 and β-arrestin-1 alone or with different levels of β-arrestin-1 1-163; cotransfection of β-arrestin-1 1-163 abrogated promoter induction by E2F1 (Fig. 5C), suggesting that binding of β-arrestin-1 is necessary for E2F1-mediated induction of vimentin and fibronectin.
We performed functional assays to explore whether binding of β-arrestin-1 to E2F1 is required for nicotine-induced EMT. A549 cells were transfected with either pcDNA3 or β-arrestin-1 1-163 fragment, serum starved for 24 hours, and subsequently induced with 1 μmol/L nicotine. As seen in Fig. 5D, β-arrestin-1 1-163 fragment could effectively inhibit nicotine-mediated expression of vimentin and fibronectin, as well as nicotine-mediated invasion (Fig. 5E) and migration (Fig. 5F) of cells. In conclusion, disruption of E2F1- β-arrestin-1 binding by β-arrestin-1 1-163 fragment could significantly prevent nicotine-mediated mesenchymal gene expression, invasion, and migration of cells.
β-Arrestin-1 mediates the induction of EMT-promoting transcription factors
Attempts were made to analyze the global association of β-arrestin-1 with promoters upon nicotine stimulation by ChIP sequencing. It was found that β-arrestin-1 is recruited on the promoters of many genes that regulate EMT such as ZEB2 as well as other regulatory pathways (Supplementary Table S2; GEO accession number GSE40689). Because ZEB1 and ZEB2 are involved in the repression of epithelial genes during EMT, it was examined whether β-arrestin-1 contributes to the expression of these factors. Real-time PCR experiments showed that ZEB1 and ZEB2 are upregulated by nAChR stimulation and β-arrestin-1 was necessary for this (Supplementary Fig. S9A–S9F).
Because β-arrestin-1 does not possess a DNA-binding domain, we hypothesized that β-arrestin-1 associates with these promoters probably through E2F1. It was found that ZEB1 had six and ZEB2 had two E2F-binding sites (Supplementary Table S1) in the 1,000 bp promoter region upstream of TSS (Supplementary Fig. S10A). ChIP assays revealed the association of β-arrestin-1 and E2F1 on these promoters, along with dissociation of Rb upon nAChR stimulation (Supplementary Fig. S10B). Transient transfection assays demonstrated that these promoters are indeed E2F1 responsive (Supplementary Fig. S10C).
Role of β-arrestin-1 in lung cancer metastasis
Given the above results, we examined whether β-arrestin-1 was necessary for nicotine-mediated growth and metastasis of tumors in mice. Shβ-arrestin1 cells showed markedly reduced ability to form tumors compared with shcontrol cells when implanted subcutaneously into athymic nude mice (Fig. 6A). The potential role of β-arrestin-1 in nicotine-mediated induction of metastasis was next examined. A549 cells stably expressing luciferase gene (A549-luc) along with β-arrestin-1–specific shRNA (shβarr1-luc) or A549-luc cells stably transfected with an empty vector as control (shcontrol-luc) were orthotopically implanted into the left lung of SCID-Beige mice (12/group). Mice were randomized into two groups and administered nicotine (n = 6) or vehicle (n = 6) every other day by intraperitoneal injection for 7 weeks and tumor growth monitored weekly using the IVIS-Caliper 200 system. Mice implanted with shcontrol-luc cells that received nicotine had significantly larger tumors compared with those who received vehicle (Fig. 6B and E); shcontrol-luc tumors displayed metastases to brain, adrenal glands, and liver (Fig. 6D) and nicotine treatment further enhanced metastases. Mice implanted with shβarr1-luc had significantly smaller tumors and nicotine treatment did not increase tumor growth or metastasis; ex vivo imaging of organs at the termination of the experiment confirmed these results (Fig. 6C).
Vimentin and fibronectin expression was significantly higher in tumors from nicotine-treated mice compared with vehicle-treated mice implanted with shcontrol cells; tumors from mice implanted with shβ-arrestin-1 cells displayed minimal staining for vimentin and fibronectin (Fig. 6F). The levels of β-arrestin-1 depletion in the stable β-arrestin-1 knockdown cells are shown in Fig. 6G. Taken together, these results confirm that β-arrestin-1 is indispensable for the growth and metastasis of lung tumors, especially in the context of nicotine exposure.
β-Arrestin-1 expression levels correlate with fibronectin and vimentin levels in lung tumor tissues from patients
We next examined whether the expression of β-arrestin-1 in human lung tumor samples correlates with levels of vimentin and fibronectin by conducting qRT-PCR on 116 patient samples. As shown in Fig. 7A and B and Supplementary Table S3, β-arrestin-1 expression showed a very strong positive correlation with vimentin (r = 0.59, P < 0.0001) and fibronectin (r = 0.52; P < 0.0001), which are known to be overexpressed in more aggressive tumors (29, 30). No significant association was observed between these gene expression patterns and pathologic stages or smoking history (pack years) and disease-free survival (data not shown), suggesting that β-arrestin-1 might be contributing to the growth and metastasis of lung cancer in both smokers and nonsmokers.
ChIP assays were conducted to examine whether β-arrestin-1 is recruited to the promoters of vimentin, fibronectin, ZEB1, and ZEB2 in human lung tumors. There was enhanced association of E2F1 and β-arrestin-1 and elevated levels of acetylated histone H3 on vimentin, fibronectin, ZEB1, and ZEB2 promoters in tumors compared with normal lung tissues in three sets of tumor samples (Fig. 7C–E). Taken together, these results indicate that β-arrestin-1 might have contributed to the growth and progression of NSCLCs by regulating the expression of E2F-regulated mesenchymal genes and EMT transcription factors.
β-arrestins function as scaffold proteins that recruit a broad spectrum of signaling molecules to membrane-bound receptors (11, 31). In addition to their established roles in promoting internalization and desensitization of GPCRs, recent studies have implicated involvement of β-arrestins in Notch, frizzled, Wnt/β-catenin, nAChR signaling and regulation of gene expression by facilitating histone acetylation (32, 33). Accumulating evidences indicate a functional role for β-arrestin-1 as a mediator of cellular migration, invasion, and metastatic progression of colorectal, ovarian, and breast cancer (34–39). In this study, we demonstrate that β-arrestin-1, but not β-arrestin-2, plays a major role in nicotine-induced EMT and metastasis, thus contributing to invasive properties of nicotine. The elevated levels of β-arrestin-1, vimentin, and FN in tumors from both smokers and nonsmokers demonstrate that the molecules contribute to the growth and progression of NSCLCs; at the same time, the induction of these genes could be an important mechanism by which nicotine exerts its tumor-promoting functions. Interestingly, β-arrestin-1 was necessary for the induction of mesenchymal promoters upon nAChR stimulation, it did not play a role in TGFβ-mediated induction of these genes. The induction of these genes by β-arrestin-1 and E2F1 in response to nAChR signaling required Src activity; at the same time, TGFβ induces these mesenchymal genes through SMAD proteins, suggesting a unique role for β-arrestin-1 in mediating signals downstream of nAChRs (40, 41).
In addition, the present study demonstrates the critical role of E2F1 in regulating genes involved in EMT, including ZEB1 and ZEB2. ZEB1 suppresses the expression of basement membrane components, cell polarity factors, and epithelial genes, including E-cadherin (42–44), promoting tumor invasion and metastasis (45, 46). ZEB2 collaborates with the TGFβ signaling pathway by interacting with SMAD factors, and induces tumor cell invasion (47). A recent analysis of gene expression database of NSCLC cell lines identified a mesenchymal gene pattern (low E-cadherin, high vimentin) significantly associated with ZEB1 and ZEB2 expression but not with snail, slug, twist1, or twist2 (48). However, correlations between these genes with proliferative signaling cascades have not been elucidated. Our studies show that mitogenic signaling through the nAChRs can also activate components of invasive and metastatic phenotype of cancer.
The Rb–E2F transcriptional regulatory pathway plays a major role in cell-cycle regulation, but its role in other aspects of tumor progression, invasion, and metastasis is relatively less explored. E2F1 has been shown to induce VEGF receptors and MMPs, indicating the importance of the Rb–E2F pathway in promoting tumor angiogenesis and metastasis (23, 24). Recent studies demonstrated that Rb depletion results in disruption of cell–cell adhesion and downregulation of E-cadherin (49). In addition, other EMT-related transcription factors, including slug and ZEB1, are also induced by Rb depletion, suggesting that inhibition of EMT is a novel tumor-suppressor function of Rb (50). Our finding that the Rb–E2F pathway is involved in the regulation of mesenchymal proteins and EMT-related transcription factors provides a molecular mechanism by which Rb and E2F1 facilitate tumor progression. This also raises the possibility that signaling events that inactivate Rb and promote cell proliferation might also promote EMT and metastasis upon the acquisition of additional mutational events or signaling cues, suggesting an interrelated circuitry of signaling and transcriptional events that promote the initiation as well as progression of cancers.
Disclosure of Potential Conflicts of Interest
No potential conflicts of interest were disclosed.
Conception and design: S.P. Chellappan, S. Pillai, J.G. Trevino, G. Bepler
Development of methodology: S. Pillai, J.G. Trevino, S. Singh, G. Bepler
Acquisition of data (provided animals, acquired and managed patients, provided facilities, etc.): J.G. Trevino, M.J. Schell, E.B. Haura, G. Bepler
Analysis and interpretation of data (e.g., statistical analysis, biostatistics, computational analysis): S.P. Chellappan, S. Pillai, J.G. Trevino, B. Rawal, M.J. Schell, E.B. Haura
Writing, review, and/or revision of the manuscript: S.P. Chellappan, S. Pillai, J.G. Trevino, M.J. Schell, E.B. Haura, G. Bepler
Administrative, technical, or material support (i.e., reporting or organizing data, constructing databases): S.P. Chellappan, J.G. Trevino, X. Li, G. Bepler
Other (performed animal experiments): M. Kovacs, S.P. Chellappan
The authors thank Michael Damit and Jonathan Nguyen for technical assistance, the Core Facilities at Moffitt Cancer Center for assistance, and the Lung Cancer SPORE at Moffitt for continued support.
This work was supported by the grant CA127725 from the NCI.
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.