Abstract
Background
The ubiquitin–proteasome and autophagy-lysosomal systems collaborate in regulating the levels of intracellular proteins. Dysregulation of protein homeostasis is a central feature of malignancy. The gene encoding 26S proteasome non-ATPase regulatory subunit 2 (PSMD2) of the ubiquitin–proteasome system is an oncogene in various types of cancer. However, the detailed role of PSMD2 in autophagy and its relationship to tumorigenesis in esophageal squamous cell carcinoma (ESCC) remain unknown. In the present study, we have investigated the tumor-promoting roles of PSMD2 in the context of autophagy in ESCC.
Methods
Molecular approaches including DAPgreen staining, 5-Ethynyl-2ʹ-deoxyuridine (EdU), cell counting kit 8 (CCK8), colony formation, transwell assays, and cell transfection, xenograft model, immunoblotting and Immunohistochemical analysis were used to investigate the roles of PSMD2 in ESCC cells. Data-independent acquisition (DIA) quantification proteomics analysis and rescue experiments were used to study the roles of PSMD2 in ESCC cells.
Results
We demonstrate that the overexpression of PSMD2 promotes ESCC cell growth by inhibiting autophagy and is correlated with tumor progression and poor prognosis of ESCC patients. DIA quantification proteomics analysis shows a significant positive correlation between argininosuccinate synthase 1 (ASS1) and PSMD2 levels in ESCC tumors. Further studies indicate that PSMD2 activates the mTOR pathway by upregulating ASS1 to inhibit autophagy.
Conclusions
PSMD2 plays an important role in repressing autophagy in ESCC, and represents a promising biomarker to predict prognosis and a therapeutic target of ESCC patients.
Supplementary Information
The online version contains supplementary material available at 10.1186/s13578-023-01016-4.
Keywords: PSMD2, Autophagy, Proliferation, Proteomics, ASS1, Esophageal squamous cell carcinoma
Background
Human cells have evolved two major systems, the ubiquitin–proteasome system (UPS) and autophagy, to maintain their protein homeostasis by degrading proteins and organelles. The UPS mostly degrades unfolded single polypeptides whereas autophagy primarily deals with larger cytosolic structures. Proteasome- and autophagy-mediated protein degradation plays coordinated and complementary roles in maintaining protein quality control [1–3]. Cancer can develop when the homeostasis of different proteins is broken, and therefore, is often characterized by the accumulation of mutant or dysregulated proteins in malignant cells. The mammalian target of rapamycin complex 1 (mTORC1) is a key regulator that senses intracellular protein quality and quantity. In the presence of sufficient levels of amino acids, mTORC1 is activated to promote anabolic processes; however, upon the depletion of free amino acids, mTORC1 is inactivated, triggering the switch to the autophagy-inducing catabolic state [4–6].
Many UPS components directly promote or suppress tumorigenesis, depending on the context and cancer types [7]. For instance, PSMD4, a non-ATPase subunit of the 19S regulatory particle (RP) of the proteasome, has been identified as an oncoprotein in gastrointestinal stromal tumors and melanoma [8, 9]. Recently, PSMD2 has been characterized as a ubiquitin receptor in the 19S RP of the 26S proteasome, which is responsible for substrate recognition and binding [10, 11]. A previous study has reported that knockdown of PSMD4 activates the autophagic compensatory pathway [12], suggesting that the PSMD family might also be involved in autophagy. It has been shown that overexpression of PSMD2 positively correlates with cell proliferation, invasion and metastasis, and poor prognosis in many types of primary tumors [13–16]. However, the underlying mechanism is largely unknown. Whether PSMD2 plays a role in autophagy remains an interesting research subject.
Esophageal squamous cell carcinoma (ESCC) is one of the most common malignancies and the sixth leading cause of cancer-related death worldwide [17]. With a high metastatic potential, the prognosis of this malignancy is relatively poor [18–21]. ESCC lacks effective targeted therapies, mainly because of the lack of the mechanistic understanding of this disease and the potential molecular targets for its treatment. Thus, a better understanding of the molecular mechanisms implicated in ESCC progression may lead to the identification of new diagnostic approaches and prognostic markers. Recently, we have performed whole-genome and transcriptome sequencing of ESCC [22], and by deeply mining the data, we have found that PSMD2 overexpression is associated with poor survival of the ESCC patients, suggesting that PSMD2 is an important molecule in the development of ESCC. In the present study, we aimed to investigate the roles of PSMD2 in ESCC, providing novel insights into ESCC pathogenesis.
Methods
Clinical samples and study subjects
Primary ESCC specimens and their matched adjacent nontumor tissues (≥ 5 cm from tumor site) were obtained with written informed consent from 144 ESCC patients who underwent esophagectomy without chemotherapy or radiotherapy before surgery at Linzhou Cancer Hospital (Linzhou, Henan, China) between September 2015 and September 2016.
Cell lines and culture
ESCC cell lines (KYSE30 and KYSE450) were kind gifts from Dr. Y. Shimada of Hyogo College of Medicine (Nishinomiya, Hyogo, Japan). All ESCC cell lines were maintained in RPMI 1640 medium (Corning, Manassas, VA, USA) supplemented with 10% fetal bovine serum (FBS, HyClone, Logan, Utah, USA) at 37 °C in a humidified incubator with 5% CO2. All cell lines were authenticated by DNA fingerprinting analysis and tested for mycoplasma contamination.
Lentiviral production and infection
Tumor cells were infected with either pLKO.1-U6-T2A-puro lentiviral vectors (Hanbio, Shanghai, China) containing short hairpin RNA (shRNA) sequences against either luciferase (as a nontarget control) or human PSMD2 (IGEbio, Guangzhou, Guangdong, China). KYSE30 and KYSE450 cells were infected with the virus and cultured in a complete medium for 24 h. Infected cells were selected with 2 μg/mL puromycin (MCE, Beijing, China). For the stable overexpression of PSMD2, pHBLV-CMV-MCV-MCS-EF1-ZsGreen-T2A-puro (Hanbio, Shanghai, China) lentiviral vector was used.
Transient overexpression and RNA interference
The plasmids for PSMD2 (#23,850–1) and ASS1 (GV362) transient overexpression were purchased from (GeneChem, Shanghai, China). Plasmid transfections were performed using Lipofectamine 3000 (Invitrogen, Carlsbad, CA, USA). Small interfering RNAs (siRNAs) targeting PSMD2, ASS1, or ATG7 (JTS, Beijing, China) were transfected into cells with Lipofectamine RNAiMAX Reagent (Invitrogen, Carlsbad, CA, USA). The sequences of siRNAs are shown in Additional file 1: Table S1.
Western blotting analysis
Cells transfected with siRNA, plasmid, lentivirus were harvested in sample buffer supplemented with Protease/Phosphatase Inhibitor Cocktail (#5872, Cell signaling Technology, Shanghai, China). Protein concentrations were detected by bicinchoninic acid (BCA) assay (P0010S, Beyotime, Shanghai, China) according to the manufacturer’s instructions. The antibodies against PSMD2 (ab197054, 1:1000 dilution), GAPDH (ab181602, 1:10000 dilution), Atg7 (ab52472, 1:100000 dilution) were purchased from Abcam (Cambridge, UK). The antibodies against mTOR (2972, 1:1000 dilution), phospho-mTOR (2971, 1:1000 dilution), p62 (8025, 1:1000 dilution), Beclin-1 (3495, 1:1000 dilution) or LC3A/B (12741, 1;1000 dilution) were from Cell Signaling Technology (Beverly, Massachusetts, USA). The antibody against ASS1(16210–1-AP, 1;1000 dilution) was purchased from Proteintech (Beijing, China).
Cell proliferation assays
In vitro cell proliferation was examined by cell growth, EdU (Beyotime Biotechnology, Shanghai, China) incorporation, and colony formation assays. For cell growth assays, cells were seeded in 96-well plates at a density of 2500–3500 cells/well in 100 μL of cell suspension. After a certain time in culture, cell viability was measured with the CCK-8 kit (Dojindo, Kumamoto, Japan) at 24, 48, 72, and 96 h. Each assay with 6 replicates was repeated 3 times. For EdU incorporation assays, 5 × 105 cells were plated on coverslips in 6-well culture plates containing RPMI 1640 medium supplemented with 10% FBS and then analyzed according to the manufacturer’s instructions. Images were captured by confocal microscopy, and the percentage of EdU-positive cells calculated using the formula EdU-positive cell count/total cell count × 100%. Each assay was performed in triplicate. For colony formation assays, cells were plated into 6-well culture plates at 1000–3000 cells/well, cultured for 14 days before being fixed with 4% paraformaldehyde (Sangon Biotech, Shanghai, China), and stained with 0.5% crystal violet (C0121, Beyotime, Shanghai, China).
Invasion and migration assays
The invasion assays were performed in 24-well Millicell chambers in triplicate. The 8-μm pore inserts were coated with 60 µL of Matrigel (BD Biosciences, Franklin Lakes, New Jersey, USA). Cells (5 × 104 per well) were added to coated filters in 150 µL of serum-free medium. The medium containing 20% FBS was added to the lower chamber as a chemoattractant. After 16–18 h at 37 °C in a 5% CO2 incubator, the matrigel coating on the upper surface of the filter was removed. Cells that migrated through the filters were fixed with 4% methanol (Sangon Biotech, Shanghai, China), stained with 0.5% crystal violet, and photographed with a microscope (Olympus, Shanghai, China). The number of cells in 3 random fields was counted. The migration assay was conducted similarly without coating with matrigel.
Xenograft mouse models
ESCC cells (1 × 107 KYSE30 cells, or 5 × 106 KYSE450 cells) with the overexpression or silence of PSMD2 were subcutaneously injected into the armpit of 4-week-old female NOD/scid mice (5–8 mice per group) purchased from the Beijing Huafukang bioscience company in China, maintained in animal facility of a controlled condition (23 ± 1 °C, 50 ± 10% humidity and 12–12 h light–dark cycle). Tumor volume was measured 3 times a week for 4 weeks and calculated using the formula Volume = 0.5 × Width2 × Length. When the tumors had reached a volume of approximately 1500 mm3, the mice were euthanized by carbon dioxide inhalation, the tumors were excised and embedded in paraffin for IHC analysis. For the treatment part, one week after KYSE450 cells transplantation, mice were randomly divided into 2 groups and treated with Everolimus (RAD001) (MCE, Beijing, China) intragastrically (5 mg/kg) every other day for 14 days. Tumors were measured 3 times a week and volume was counted.
Autophagy detection
A total of 3 × 105 ESCC cells were seeded in glass-bottom cell culture dishes. Autophagy was induced by culturing in serum-free medium for 3 h or 20 h. After the supernatant was discarded, the cells were incubated with DAPGreen (Dojindo, Kumamoto, Japan) working solution for 30 min at 37 °C. After washing with serum-free medium twice, cell nuclei were stained with 1 μg/ml Hoechst 33342 (Thermo, Rockford, Illinois, USA) and examined under a confocal fluorescence microscope (Leica, Wetzlar, Germany). Images in the same panel were taken under the same excitation conditions to precisely examine autophagy under different conditions. Autophagy was also examined with the ratio of LC3B-II to LC3B-I by immunoblot analysis. The protein bands were quantified by gray scanning. Cells were also treated with 80 μM chloroquine diphosphate (CQ, MCE) for 2 h to inhibit lysosome function. The mRFP-GFP-LC3 lentiviral was obtained from GeneChem (Shanghai, China). 104 ESCC cells were plated in 24-well plates, followed by incubation in 1640 with lentiviral for 24 h. LC3 puncta were detected with Zeiss LSM980 confocal microscope fitted with a × 63 oil immersion objective.
Sample preparation and DIA
Total cellular protein extracted from PSMD2 knockdown cells and shControl cells was examined with data-independent acquisition (DIA) proteomics by BGI Genomics (Shenzhen, Guangdong, China). Differential expression analysis was used to identify the potential downregulated proteins after PSMD2 knockdown.
Immunohistochemical analysis
Paraffin-embedded tissue section and microarray were incubated with antibodies against PSMD2 (1:200; ab197054, Abcam, Cambridge, UK), ASS1 (1:200; 16210–1-AP, Proteintech, Beijing, China), LC3 (1:200; 14600–1-AP, Proteintech, Beijing, China) and p62 (1: 200; 88588, Cell Signaling.
Technology, Massachusetts, USA) at 4 °C overnight, and detected with the ABC Kit (Pierce, Rockford, Illinois, USA). The labeling score of intensity was estimated as negative (0), weak (1), moderate (2), or strong (3). The level of staining, defined as the percentage of positively stained cells in all cells, was scored as 1 (≤ 10%), 2 (11–50%), 3 (51–80%), or 4 (> 80%). The total immunoreactive score was obtained by multiplying the intensity score with the levels of staining, ranging from 0 to 12.
Statistical analysis
We used the Student’s t-test when samples were not paired and the paired t-test for paired samples. When more than two variables were compared, either one-way ANOVA or Kruskal–Wallis test was used. The Fisher exact test was used in the analysis of contingency tables. Spearman’s rank correlation coefficient was used to measure the correlation between two continuous variables. We used the log-rank test in univariate survival analysis and the Cox proportional hazards model in multivariate survival analysis. The Kaplan–Meier plot was used for presentation. All statistical tests were two-tailed and P < 0.05 was considered significant. Analyses were performed using Prism 6.0 (Graphpad Software Inc).
Results
PSMD2 inhibits autophagy and promotes the proliferation of ESCC cells
Since PSMD2 is a component of UPS and UPS impairment may activate selective autophagy [23, 24], we hypothesized that PSMD2 itself may be directly involved in autophagy. To test this notion, we treated ESCC cells after fetal bovine serum (FBS) deprivation, which has been shown to induce autophagy [25, 26]. We found that, in response to FBS deprivation, the puncta of microtubule-associated protein light chain 3 (LC3), a marker protein involved in the formation of autophagosomes, were significantly decreased in cells with PSMD2 overexpression but significantly increased in cells with PSMD2 knockdown as compared with control cells without the PSMD2 expression change (Fig. 1A, B, Additional file 1: Fig. S1A, B). We also examined the autophagy with the autophagy flux. KYSE30 and KYSE450 cells expressing tandem mRFP-GFP-tagged LC3B were treated with FBS deprivation for 20 h. We observed a significant increase of RFP + GFP + signal (autophagosome) in PSMD2 knockdown ESCC cells (Additional file 1: Fig. S2A, B). Suggesting that PSMD2 plays an important role in autophagy. When treated with or without the lysosomal inhibitor chloroquine diphosphate (CQ) [27, 28], p62, a receptor for autophagy, were significantly increased in ESCC cells with PSMD2 overexpression and decreased in cells with PSMD2 knockdown when compared with control cells (Fig. 1C, D). The ratios of LC3-II to LC3-I were significantly lower in ESCC cells with PSMD2 overexpression but higher in cells with PSMD2 knockdown when compared with control cells (Fig. 1C, D). These results indicate that PSMD2 inhibits autophagosome formation in ESCC cells after FBS deprivation independently of the lysosome function. To examine if PSMD2-mediated autophagy is involved in the malignant phenotype of ESCC cells, we abolished the autophagic activity in PSMD2-silenced ESCC cells by depleting autophagy-related 7 (ATG7) [29]. Our results showed that the depletion of ATG7 expression could abrogate the inhibition of ESCC cell proliferation and colony formation caused by PSMD2 silencing (Fig. 1E–G, Additional file 1: Fig. 1C–E). Together, these results suggest that PSMD2 could promote the growth of ESCC cells by inhibiting autophagy.
PSMD2 promotes the progression of ESCC
We then analyzed the PSMD2 mRNA expression levels in ESCC and paired adjacent normal tissues from 94 individuals [22] and found that the PSMD2 mRNA expression levels were significantly higher in tumors than in normal tissues (Fig. 2A). Analysis of the TCGA esophageal cancer dataset (ESCA) also revealed significantly higher PSMD2 expression in tumors than in normal tissues (Fig. 2B). We found that PSMD2 was significantly overexpressed in ESCC when compared to the normal tissues (fold change = 2.05, FDR = 4.58e-32; Additional file 1: Table S2). Immunohistochemical (IHC) staining of tissue arrays (n = 144) showed that 73.6% (106/144) of ESCC had higher PSMD2 protein levels than their adjacent normal tissues (p < 0.0001; Fig. 2C). The higher PSMD2 levels were more evident in advanced ESCC (III and IV stages) compared to those of early I and II stages (p < 0.0001; Fig. 2D), and were correlated with the poor prognosis of ESCC patients (p = 0.045 for the log-rank test; Fig. 2E). Mouse xenograft experiments showed that tumors formed by PSMD2 overexpressing ESCC cells grew significantly faster than tumors formed by control ESCC cells (Fig. 2F, G). Consistent with this finding, the growth of tumors formed by PSMD2 silenced ESCC cells were dramatically suppressed compared with that of tumors formed by control ESCC cells (Additional file 1: Fig. S3A, B). We also examined the relationship between the PSMD2, ASS1, LC3 and p62 expression levels determined by IHC staining in mice xenografts derived from ESCC cells with the PSMD2 expression changes, and the results were consistent with the in vitro findings that PSMD2 increases the expression of ASS1 and inhibits autophagy (Fig. 2H, I, Additional file 1: Fig. S4A–D). In addition, PSMD2 overexpression significantly promoted the migration and invasion capabilities of ESCC cells, and PSMD2 knockdown inhibited the migration and invasion capabilities of ESCC cells (Fig. 2J, Additional file 1: Fig. S3C). Together, these results support the notion that PSMD2 promotes ESCC progression.
PSMD2-ASS1 pathway promotes ESCC proliferation by inhibiting autophagy
To elucidate the molecular mechanism underlying the inhibitory effect of PSMD2 on autophagy, we used data-independent acquisition quantification proteomics analysis to profile the differentially expressed proteins in KYSE30 cells with or without PSMD2 silencing. Protein candidates were divided into up- or down-regulated groups (Fig. 3A), identifying 62 downregulated and 34 upregulated proteins (Additional file 1: Table S3). Both KEGG (Kyoto Encyclopedia of Genes and Genomes) and Metascape analysis revealed that the differentially expressed proteins in cells after PSMD2 silencing were enriched in the the arginine biosynthesis pathway with the expression levels of ASS1 gene encoding argininosuccinate synthase 1 about twofold downregulated in cells with PSMD2 silencing compared with that in control cells (Fig. 3B, D). In addition, the expression levels of ASS1 levels in ESCC samples were significantly higher than those in adjacent normal tissues (p < 0.0001; Fig. 3D), and the higher expression levels of ASS1 were correlated with advanced clinical stages (p = 0.0134; Fig. 3E). The expression levels of ASS1 in ESCC tumors were positively correlated with PSMD2 levels, further suggesting that the ASS1 expression may be regulated by PSMD2 (Fig. 3F, Additional file 1: Fig. S5A). We also showed that PSMD2 induces the levels of ASS1 mRNA (Fig. 3G–J). In support of this notion, PSMD2 increased the stability of ASS1 protein in ESCC cells (Fig. 3K). ASS1 had the same function on autophagosome formation and proliferation of ESCC cells as PSMD2, suggesting that the tumorigenic roles of PSMD2 in ESCC progression are mediated by ASS1 (Fig. 3L–O, Additional file 1: Fig. S5B, C).
To determine the involvement of ASS1 in mediating roles of PSMD2 in autophagy, we silenced ASS1 expression in cells with PSMD2 overexpression or overexpressed ASS1 in cells with PSMD2 depletion, and examined their autophagy state. The results showed that silencing ASS1 expression in cells with PSMD2 overexpression reversed the phenotype of decreased autophagosome formation in PSMD2 expressing cells (Fig. 4A–D). In addition, the overexpression of ASS1 in cells with PSMD2 depletion reversed the phenotype of increased autophagosome formation in PSMD2 silenced cells (Fig. 4E–H). Therefore, ASS1 plays an important role in mediating PSMD2-dependent inhibition of autophagy.
Consistent with the conclusion that ASS1 mediates the PSMD2-dependent inhibition of autophagy, we found that silencing ASS1 expression in cells with PSMD2 overexpression reversed the phenotype of increased proliferation and colony formation of ESCC cells (Fig. 5A–D Additional file 1: Fig. S6A). In addition, the overexpression of ASS1 in cells with PSMD2 depletion reversed the phenotype of decreased proliferation and colony formation of ESCC cells (Fig. 5E–H, Additional file 1: Fig. S6B). These results indicate that PSMD2-ASS1 pathway promotes ESCC proliferation by inhibiting autophagy.
PSMD2 inhibits autophagy by activating mTOR
Because ASS1 is known to activate mTOR that inhibits autophagy [47], we examined the roles of PSMD2 on the expression and activation of mTOR in ESCC cells. Increased expression of PSMD2 induced the phosphorylation levels of mTOR (Fig. 6A–D) while decreased the ratio of LC3II to LC3I (Fig. 6E, F). The silencing of PSMD2 had the opposite effects (Fig. 6G–L). The knockdown of ASS1 decreased the phosphorylation levels of mTOR (Fig. 6M, N). These findings indicate that PSMD2-ASS1 pathway activates mTOR.
Everolimus (RAD001) is an mTOR inhibitor that also induces autophagy. When mice were treated with a placebo, tumors derived from PSMD2 overexpressing cells grew at significantly faster rates compared with tumors derived from control cells. When ESCC bearing mice were treated with RAD001, the increased growth of tumors formed by PSMD2 overexpressing ESCC cells was significantly suppressed by RAD001 treatment, indicating that mTOR mediates the roles of PSMD2 in promoting tumorigenesis of ESCC (Fig. 6O). Together, these findings support the notion that PSMD2-ASS1-mTOR pathway promotes ESCC proliferation by inhibiting autophagy.
Discussion
PSMD2 is a newly identified receptor in the 19S regulatory particle of the proteasome, and its aberrant expression has been correlated with the progression of some types of cancer [13–16]. In this study, we found that the overexpression of PSMD2 is correlated with tumor aggression and poor survival of patients with ESCC. In addition, we revealed for the first time that PSMD2 may act as an autophagy inhibitor by inducing the expression of ASS1-mTOR pathway.
It has been known that autophagy can inhibit tumorigenesis by maintaining genome stability and inhibiting the accumulation of oncoproteins in cells [29–31]. In human breast and ovarian cancers, allelic deletion of the autophagy gene BECN1 has been documented [32]. In addition, mice deficient in the essential autophagy genes such as Atg4c, Atg5, and Atg7 are susceptible to tumorigenesis [33–35]. Oncogene activation may cause cancer and inflammation and the inflammatory conditions increase cancer risk. It has been shown that autophagy-deficient tumor tissues display an increased level of inflammation [36], indicating that the intact autophagy inhibits inflammation and cancer. Our findings that the depletion of ATG7 abrogates the inhibitory effects of PSMD2 knockdown on ESCC cell proliferation indicate that the tumor-promoting roles of PSMD2 in ESCC depends on its activity to inhibit autophagy. However, the role of autophagy in cancer development is complex; other studies have suggested that autophagy has tumor-promoting effects [37–40]. Therefore, a better understanding of the context-specific role of autophagy in certain cancers and the mechanism involved will be crucial for effective autophagy-based cancer therapy [41, 42].
Using DIA proteomics analysis, we demonstrate that overexpression of PSMD2 increases the expression levels of ASS1, a key enzyme in the urea cycle [43]. In the liver, ASS1 produces argininosuccinate from citrulline and aspartate. Outside the liver, ASS1 and its subsequent urea cycle enzyme argininosuccinate lyase regulate the citrulline-arginine cycle, both of which supply arginine and its downstream metabolites, including polyamines, nitric oxide, and proline, in a cell-specific manner [44, 45]. Because autophagy may result from the deficiency of amino acids in cells [46, 47], the enhanced urea cycle caused by PSMD2-ASS1 overexpression, which provides ESCC cells with more amino acids, would be expected to inhibit autophagy and promote cell proliferation. Furthermore, consistent with previous findings that arginine activates mTOR [48], we have found that the mTOR pathway is activated upon PSMD2-ASS1 overexpression in ESCC cells, suggesting that PSMD2-ASS1 induced autophagy may be mediated by the mTOR pathway.
The identification of PSMD2 as an autophagy inhibitor in addition to being a ubiquitin receptor in the UPS system has potential clinical significance. Dual functions of PSMD2 might explain why the sole inhibition of the UPS system or autophagy is not effective in cancer treatment but instead promotes tumor progression [1, 58]. Applications of proteasome or mTOR inhibitors such as rapamycin derivatives [49, 50] to enhance cancer cell autophagy could therefore be a promising treatment strategy for ESCC with PSMD2 overexpression. It has been well documented that ASS1 expression is differentially regulated in different types of cancer. In many cancer types, ASS1 expression is epigenetically downregulated and the low ASS1 levels correlated with poor survival in patients [51, 52]. However, increased ASS1 levels have also been noted in some types of malignancy such as gastric, colorectal, and ovarian cancers [53–55]. In the present study, we have demonstrated that ASS1 is upregulated in ESCC as a consequence of PSMD2 overexpression. Upregulation of ASS1 may result in dysregulation of the metabolic urea cycle and thus decreases pyrimidine synthesis [56]. The increased pyrimidine level in cancer cells can cause mutational bias favoring pyrimidine, leading to high levels of hydrophobic immunogenic antigens and hence increased response to immunotherapy [57, 58]. In the present study, we have found that more than 70% of ESCC samples overexpressed ASS1 compared with their adjacent normal tissues, suggesting that these tumors may respond poorly to immunotherapy. Therefore, a combination of autophagy activators and immune checkpoint inhibitors might be beneficial for the treatment of ESCC.
Conclusions
In summary, we have identified PSMD2 as an oncogenic protein in ESCC and demonstrated their effects on autophagy inhibition via activating the ASS1-mTOR pathway, which significantly promotes ESCC cell proliferation in vitro and ESCC growth in vivo. These findings reveal a novel oncogenic role of PSMD2 in ESCC and provide a potential strategy for the treatment of PSMD2-overexpressing ESCC with autophagy activators.
Supplementary Information
Acknowledgements
Not applicable.
Abbreviations
- ATG7
Autophagy-related 7
- CQ
Chloroquine diphosphate salt
- ESCC
Esophageal squamous cell carcinoma
- ASS1
Argininosuccinate synthase 1
- FBS
Fetal bovine serum
- IHC
Immunohistochemical
- KEGG
Kyoto Encyclopedia of Genes and Genomes
- LC3B
Light chain 3B
- mTORC1
Mammalian target of rapamycin complex 1
- RP
Regulatory particle
- UPS
Ubiquitin–proteasome system
Author contributions
YX and LY conceptualized and supervised this study. YL, MW, and SX designed and conducted most experiments. XN, WL, CM, YL, AL collected the clinical data and tissue samples. WL performed the statistical analysis. YL wrote the initial manuscript, all other co-authors contributed to the final version. All authors read and approved the final manuscript.
Funding
This work was supported by National Natural Science Foundation of China (81930084, 82230102, 81902506).
Availability of data and materials
Data and materials will be shared.
Declarations
Ethics approval and consent to participate
The study protocol was approved by the ethics committee of the Chinese Academy of Medical Sciences Cancer Hospital. The tissue samples were obtained with written informed consent from each patient (Additional file 2: Table S4). Mouse experiments were performed according to animal care standards and all protocols were approved by the Animal Care Committee of the Chinese Academy of Medical Sciences (NCC2017A006).
Consent for publication
Informed consent for publication was obtained from all authors.
Competing interests
The authors declare that they have no competing interests.
Footnotes
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Yachen Liu, Meng Wu and Shuxiang Xu have contributed equally to this work
Contributor Information
Yang Xu, Email: xuyang2020@zju.edu.cn.
Lili Yu, Email: 2321128@zju.edu.cn.
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