Abstract
During the process of tumor progression and clinical treatments, tumor cells are exposed to oxidative stress. Tumor cells are frequently resistant to such stress by producing antiapoptotic signaling, including activation of Src family kinases (SFKs), although the molecular mechanism is not clear. In an attempt to identify the SFK-binding proteins selectively phosphorylated in gastric scirrhous carcinoma, we identified an uncharacterized protein, C9orf10. Here we report that C9orf10 (designated Ossa for oxidative stress-associated Src activator) is a novel RNA-binding protein that guards cancer cells from oxidative stress-induced apoptosis by activation of SFKs. Exposure to oxidative stress such as UV irradiation induces the association of Ossa/C9orf10 with regulatory domains of SFKs, which activates these kinases and causes marked tyrosine phosphorylation of C9orf10 in turn. Tyrosine-phosphorylated Ossa recruits p85 subunits of phosphatidylinositol 3-kinase (PI3-kinase) and behaves as a scaffolding protein for PI3-kinase and SFKs, which activates the Akt-mediated antiapoptotic pathway. On the other hand, the carboxyl terminus of Ossa has a distinct function that directly binds RNAs such as insulin-like growth factor II (IGF-II) mRNA and promotes the extracellular secretion of IGF-II. Our findings indicate that Ossa is a dual-functional protein and might be a novel therapeutic target which modulates the sensitivity of tumors to oxidative stress.
Tumor cells are exposed to oxidative stress in various situations in vivo. Reactive oxygen species (ROS) such as superoxide and hydrogen peroxide (H2O2) are generated by exposure of cancer cells to hypoxia, followed by reperfusion; radiotherapy; photodynamic therapy; and some chemotherapeutic agents such as cisplatin (6, 25). This production of ROS generally induces apoptosis, whereas some tumor cells become resistant to this kind of apoptosis by some mechanism such as elevated expression of antioxidant thiols in the cells (17, 27).
Src family kinases (SFKs) play important roles in various cell functions such as cell proliferation, cell adhesion, and cell migration (26), and the activities of SFKs often correlate with the malignant potential of cancer and a poor prognosis (37). Activation of c-Src is observed after the cells are exposed to oxidative stress (1, 9, 11, 34), and the activation of SFKs contributes to the resistance to apoptosis induced upon cellular stress. For instance, treatment of cells with oxidative stress such as UV irradiation or H2O2 causes apoptotic cell death, which is rescued by expression of v-Src (28). In our attempt to identify the key molecules that promote the expansion of gastric scirrhous carcinoma in vivo by mediating signals from activated SFKs, we identified an uncharacterized protein, C9orf10.
C9orf10 (Homo sapiens chromosome 9 open reading frame 10) was originally found by the human genome sequence project as an annotated protein, and the gene was mapped to chromosome 9q22.31 (12). C9orf10 was recently detected within the Purα-containing mRNA-protein complex in the brain, although no functional information about this protein is available (14). We show that C9orf10 protects cells from apoptosis through activation of SFKs in response to oxidative stress. The kinase activity of SFKs is regulated by two intramolecular interactions. The inactive form is achieved by interaction of the SH2 domain with the phosphorylated C-terminal tail and association of the SH3 domain with a polyproline type II helix formed by the linker region between the SH2 domain and the catalytic domain (30). C9orf10 functions as a novel activator of SFKs that unfolds the inactive form of SFKs by association with both the SH2 and SH3 domains of SFKs. Tyrosine phosphorylation of C9orf10 is induced by the activated SFKs in turn, producing scaffolds to recruit phosphatidylinositol 3-kinase (PI3-kinase) and activate PI3-kinase-Akt signaling, which plays a key role in protecting cancer cells from oxidative stress-induced apoptosis. Therefore, we named C9orf10 Ossa (oxidative stress-associated Src activator).
We also showed that the carboxyl terminus of Ossa directly binds to RNA, suggesting a distinct role for Ossa as an RNA-binding protein. As one of the target RNAs, Ossa directly binds to insulin-like growth factor II (IGF-II) mRNA, which subsequently enhances the extracellular secretion of IGF-II. Because an increase in IGF-II promotes cell proliferation, the RNA-binding function of Ossa may also contribute to the survival of cancer cells in vivo.
Scirrhous gastric carcinoma diffusely infiltrates a broad region of the stomach and is frequently associated with metastasis to lymph nodes and peritoneal dissemination and therefore has the worst prognosis among the various types of gastric cancer (35). Blocking of the survival signaling mediated by Ossa, which sensitizes the cancer cells to stress-induced apoptosis, may be a novel therapeutic approach for gastric scirrhous carcinoma cells.
MATERIALS AND METHODS
Plasmids, antibodies, and reagents.
Full-length cDNAs of human Ossa/C9orf10 and IGF-II mRNA-binding protein 1 (IMP-1) from 44As3 cells were amplified by reverse transcription (RT)-PCR. Mutant forms of C9orf10 lacking the cytoplasmic tail (Ν1, amino acids [aa] 1 to 339; Ν2, aa 1 to 405; Ν3, aa 1 to 570) were generated by PCR-based techniques. To make Flag-tagged C9orf10, a DNA fragment encoding the Flag tag was inserted 3′ to C9orf10. GST-C9orf10 fragments were generated by cloning of PCR-amplified cDNA of C9orf10 into pGEX4T2 (Amersham Pharmacia). The plasmids encoding the IGF-II leader 3 mRNA were donated by J. Christiansen (University of Copenhagen). Full-length cDNA of IMP-1 was amplified by RT-PCR, and the region encoding KH domains 1 to 4 was subcloned into pGEX4T2. To generate the recombinant retrovirus, cDNAs were subcloned into a pDON-AI vector (Takara). A monoclonal antibody that recognizes the Flag tag was purchased from Sigma. A goat polyclonal antibody that recognizes IMP-1 was purchased from Santa Cruz Biotechnology, Inc. To generate polyclonal antibodies against C9orf10, anti-C9orf10-N and -C9orf10-C antibodies were obtained by rabbit immunization with C9orf10 aa 1 to 80 or 829 to 1119 fused to glutathione S-transferase (GST). Monoclonal antibodies for phosphotyrosine (4G10) and Ki-67 were obtained from Upstate and DakoCytomation, respectively. Antibodies to c-Src (clone GD11), Fyn, and c-Yes were purchased from Upstate Biotechnology, Santa Cruz, and Transduction Laboratories, respectively. Antibodies to phospho-Src family Tyr416 or Tyr527 (corresponding to Tyr419 and Tyr530 of human Src, respectively), anti-phospho-p53 (Ser15), and anti-phospho-ATM (Ser1981) were from Cell Signaling. Anti-phospho-Src Tyr416 cross-reacts with c-Src, Fyn, c-Yes, Lyn, Lck, and Hck, and anti-phospho-Src Tyr527 cross-reacts with c-Src, Fyn, c-Yes, Fgr, and Yrk. Rabbit polyclonal antibodies for pan-Src (Src2), which reacts with Src, Fyn, Ye,s and Fgr, and anti-PI3-kinase p85α were from Santa Cruz. The SFK inhibitor 4-amino-5-(4-chlorophenyl)-7-(t-butyl)pyrazolo[3,4-d]pyrimidine (PP2) and the structural analog 4-amino-7-phenylpyrazolo[3,4-d]pyrimidine (PP3) were purchased from Calbiochem. The DeadEnd colorimetric terminal deoxynucleotidyltransferase-mediated dUTP-biotin nick end labeling (TUNEL) system was purchased from Promega.
Cell culture, transfection, and retrovirus infection.
The 44As3 and NKPS gastric cancer cell lines were cultured in RPMI 1640 medium supplemented with 10% fetal bovine serum. The SYF cell line was purchased from the American Type Culture Collection. Cos1 cells were cultured in Dulbecco modified Eagle medium with 10% fetal bovine serum. For transient expression assays, Cos1 cells and gastric cancer cells were transfected with plasmid DNA by using Lipofectamine 2000 reagent (Invitrogen). Recombinant retroviral plasmid pDON-AI was cotransfected with the pCL-10A1 retrovirus packaging vector (IMGENEX) into 293gp cells to allow the production of retroviral particles. Gastric cancer cells were infected with retroviruses for the transient expression of mutant C9orf10 proteins and used for experiments 48 h after infection. For some experiments, 44As3 or NKPS cells stably overexpressing wild-type C9orf10 were established after retrovirus infection through selection in medium containing G418 (600 μg/ml). In some experiments, cells were irradiated with UV-C by using UV-linker (FS-800; Funakoshi).
Construction of stealth siRNA and miR RNA interference (RNAi) vectors.
Stealth small interfering RNA (siRNA) of C9orf10 was synthesized as follows (Invitrogen): Sense-1, 5′-CAAACCAUAUCAGCGGGAACAAGAU-3′; Antisense-1, 5′-AUCUUGUUCCCGCUGAUAUGGUUUG-3′; Sense-2, 5′-CAAACAAAGGCAGAAGGCUCGUCCA-3′; Antisense-2, 5′-UGGACGAGCCUUCUGCCUUUGUUUG-3′. The control siRNA (scramble II duplex, 5′-GCGCGCUUUGUAGGAUUCGdTdT-3′) was purchased from Dharmacon. siRNAs were incorporated into cells with Lipofectamine 2000 according to the manufacturer's instructions (Invitrogen). Assays were performed at 72 h posttreatment.
A system stably expressing siRNA was generated with the BLOCK-IT PolII miR RNAi expression vector kit (Invitrogen) according to the manufacturer's instructions. In the generation of the miR RNAi vector for humans, C9orf10 was chosen as the target sequence with the forward primer 5′-TGCTGTGTTCCCGCTGATATGGTTTGGTTTTGGCCACTGACTGACCAAACCATCAGCGGGAACA-3′ and the reverse primer 5′-CCTGTGTTCCCGCTGATGGTTTGGTCAGTCAGTGGCCAAAACCAAACCATATCAGCGGGAACAC-3′. Cells stably expressing the microRNA vector for C9orf10 and LacZ were established and cultured in medium containing blasticidin (Invitrogen) at a concentration of 10 μg/ml for 3 weeks.
Immunoprecipitation and immunoblotting.
Cell lysates were prepared with protease inhibitors in PLC buffer (50 mM HEPES [pH 7.5], 150 mM NaCl, 1.5 mM MgCl2, 1 mM EGTA, 10% glycerol, 100 mM NaF, 1 mM Na3VO4, 1% Triton X-100). To precipitate the proteins, 1 μg of monoclonal antibody or affinity-purified polyclonal antibody was incubated with 500 μg of cell lysate for 2 h at 4°C and then precipitated with protein G-agarose for 1 h at 4°C. Immunoprecipitates were extensively washed with PLC buffer, separated by sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and immunoblotted.
RT-PCR.
The presence of IGF-II mRNA bound to the C9orf10 complex was verified by RT-PCR analysis. Following immunoprecipitation of Flag-tagged C9orf10 with anti-Flag M2 agarose in the presence of RNase inhibitor (100 U/ml; Toyobo), RNA was extracted from the agarose beads with 1 ml of Isogen (Nippon Gene) according to the manufacturer's instructions. The isolated RNA was reverse transcribed with random primers for cDNA synthesis. The cDNA was used for PCR with IGF-II-specific primers spanning 200 bp located at the N terminus of the IGF-II coding region, glyceraldehyde-3-phosphate dehydrogenase (GAPDH), and ribosomal acidic phosphoprotein (RPLO) as described previously (18, 19). PCR products were subjected to electrophoresis on 2% agarose gels, and DNA was visualized by ethidium bromide staining.
In vivo tumor transplantation.
The animal experimental protocols used in this study were approved by the Committee for Ethics of Animal Experimentation, and the experiments were conducted in accordance with the Guidelines for Animal Experiments in the National Cancer Center. To obtain nude mouse tumors, 5 × 106 cells were injected into the subcutaneous tissue of 6-week-old BALB/c nude mice (CLEA Japan, Inc.). Peritoneal dissemination of tumors was tested by injection of 4 × 106 44As3 or 5 × 106 NKPS cells suspended in 0.3 ml of RPMI 1640 medium into the peritoneal cavity. The mice were sacrificed 2 to 4 weeks after injection.
Immunohistochemistry and immunofluorescence.
We obtained 10 paraffin-embedded tumor tissue samples of gastric scirrhous carcinoma in 2006 from the National Cancer Center Hospital. The study population consisted of five men (50%) and five women (50%). Paraffin blocks were sectioned into slices and subjected to immunohistochemical staining by the indirect polymer method with Envision reagent (Dako). Antigen retrieval was performed by placing sections in citrate buffer and heating them in a microwave pressure cooker according to the manufacturer's instructions. All sections were incubated with anti-C9orf10-C antibody (diluted 1:200).
UV cross-linking analysis.
Cos1 cells were transfected with the indicated plasmids and extracted with a buffer containing 50 mM HEPES (pH 7.4), 0.1% NP-40, 140 mM KCl, 1 mM MgCl2, 1% glycerol, and 1 mM EDTA (3). Extract was cleared at 14,000 × g for 10 min at 4°C, and the supernatant was used for the cross-linking assay. Cross-linking was performed in a binding buffer consisting of 10 mM HEPES (pH 7.4), 50 mM KCl, 3 mM MgCl2, 5% glycerol, 1 mM dithiothreitol, and 100 μg/ml yeast tRNA. [32P]UTP-labeled RNA transcripts with a specific amount or radioactivity (2 × 106 cpm) were incubated with 15 μg of Cos1 cells or 10 nM GST fusion protein for 30 min at room temperature. After UV cross-linking with UV-linker (FS-800; Funakoshi) for 4 min, the samples were treated with RNase A (0.5 mg/ml) at 37°C for 20 min and separated by SDS-PAGE. The gel was then dried and subjected to autoradiography.
RESULTS
Identification of C9orf10 as a tyrosine-phosphorylated protein binding to SFKs in gastric scirrhous carcinoma.
To identify signaling molecules that mediate the progression of gastric scirrhous carcinoma cells in vivo, we analyzed the phosphotyrosine-containing proteins that bind to SFKs. We previously established human gastric scirrhous carcinoma cell line, 44As3, possessing a high potential for peritoneal dissemination in nude mice (Fig. 1A and B) (35). The histology of disseminated tumor nodules of 44As3 cells in the mouse peritoneal cavity reflects typical human gastric scirrhous carcinoma with the characteristics of scattered or loosely connecting cancer cells with stromal fibrosis (Fig. 1B). Among c-Src, Fyn, and c-Yes, major SFKs in epithelial cells, the SH2 domain of c-Yes most effectively pulled down the tyrosine-phosphorylated proteins prepared from 44As3 tumor nodules disseminated in the peritoneal cavities of nude mice (data not shown). Within the proteins associated with c-Yes, proteins with molecular masses of 130 to 150 kDa were prominently phosphorylated in invasive tumor nodules compared with the usual tissue culture conditions (Fig. 1C). Therefore, the protein lysates of these 44As3 tumor nodules were sequentially purified with two affinity columns by using the c-Yes SH2 domain and anti-phosphotyrosine antibody 4G10; these 130- to 150-kDa bands were then cut out and analyzed by matrix-assisted laser desorption ionization-tandem mass spectrometry. In addition to several peptides corresponding to p130 Cas and CDCP1 (32, 33), two peptides were determined as parts of an uncharacterized protein called C9orf10. With a specific antibody against C9orf10, it was confirmed that c-Yes SH2 could actually pull down C9orf10 at the proper molecular weight, while the SH2 domain of the c-Src, Fyn, or SH2/SH3 adaptor protein could not (Fig. 1D). Tyrosine phosphorylation of C9orf10 was also observed in gastric cancer cells, which was effectively suppressed by treatment of cells with the SFK inhibitor PP2 (Fig. 1E).
To gain insight into the biological function of C9orf10, we next examined the intracellular distribution of C9orf10 with a polyclonal antibody generated against the carboxyl-terminal region of C9orf10. C9orf10 was abundantly expressed in the cytoplasm of the gastric cancer cells as fine granular staining (Fig. 2A). In some populations of the cells, C9orf10 also accumulated at the protruding cell edges (Fig. 2C). Such staining of C9orf10 was significantly reduced by treatment of cells with siRNA of C9orf10, and there was no signal by the control staining without the primary antibody (Fig. 2B and D).
Expression of C9orf10 was further examined in human gastric scirrhous cancer tissues by immunohistostaining. In normal gastric mucosa, weak cytoplasmic staining of C9orf10 was observed in the bottom region but not in the superficial region of the foveolar epithelium (Fig. 2 E and F). High-level expression of C9orf10 was clearly detected in gastric cancer cells invading the gastric wall (Fig. 2G). On the other hand, stromal cells such as fibroblasts, endothelial cells of veins, and muscle did not express C9orf10. No detectable signal was observed in the immunostaining of cancer cells with the second antibody alone (data not shown). Elevated expression of C9orf10 was observed in 70% of the scirrhous-type gastric cancer tissues (n = 10) compared with normal gastric mucosa, as shown in Fig. 2H.
C9orf10 physically interacts with SFKs and is a novel regulator of SFKs.
The physical association between C9orf10 and SFKs was further examined by immunoprecipitation analysis. Although C9orf10 preferentially binds with the SH2 domain of c-Yes in vitro, C9orf10 was coimmunoprecipitated not only with c-Yes but also with Fyn and c-Src (Fig. 3A). C9orf10 was effectively pulled down by the SH3 domains of c-Src, Fyn, and c-Yes but not by the SH3 domain of cortactin, suggesting that the SH3 domains of SFKs are involved in the general association between C9orf10 and SFKs (Fig. 3B). From the analysis with truncated mutant forms of C9orf10, the region required for the interaction with the SH3 domain of Fyn was restricted to aa 339 to 405, which contains a polyproline motif (Fig. 3C). Similar results were obtained with GST-Src SH3 and GST-Yes SH3 (see Fig. S1A in the supplemental material). Coexpression of C9orf10 with c-Fyn in Cos1 cells caused marked tyrosine phosphorylation of C9orf10 (Fig. 3D). The specificity of c-Src, Fyn, and c-Yes for phosphorylation of C9orf10 was further examined in the SYF cell line, which is deficient in c-Src, Fyn, and c-Yes. When C9orf10 was coexpressed with individual SFKs, phosphorylation of C9orf10 was highly induced by Fyn and c-Yes and c-Src induced relatively weak phosphorylation of C9orf10 (see Fig. S1B in the supplemental material). These results indicate that C9orf10 associates with SFKs and is a novel substrate of SFKs.
Since several molecules have been reported to activate SFKs by association with the regulatory domain of SFKs, we next examined whether the expression of C9orf10 affects the activity of SFKs. The overexpression of C9orf10 increased the activity of SFKs in Hek293 cells, as judged by the antibody recognizing the phosphorylation of Tyr419 of SFKs, which recognizes c-Src, Fyn, c-Yes, Lyn, Lck, and Hck (Fig. 4A). SFK was also activated by expression of C-terminally truncated mutant C9orf10 Ν3, which possesses the region that binds SFKs, but not by Ν1, which is unable to bind the SFK SH3 domain (Fig. 4B). Activation of SFKs in 44As3 cells by stably expressed C9orf10 was negated by treatment with C9orf10 siRNA (Fig. 4C). On the other hand, overexpression of C9orf10 did not affect the phosphorylation level of Tyr530, which negatively regulates SFK activity. These results indicate that C9orf10 is a novel activator of SFKs. Moreover, activation of c-Src, Fyn, and c-Yes by C9orf10 was individually examined in SYF cells. The coexpression of C9orf10 induced the activation of all three of these kinases. Although the proportion of the activated form of c-Src was relatively low, the relative increase in their activation by C9orf10 was almost the same (see Fig. S1C in the supplemental material).
C9orf10 is required for activation of the SFKs/PI3-kinase pathway to prevent oxidative stress-induced apoptosis.
During the search for the biological function of the C9orf10 protein, we noticed that Akt was significantly activated in 44As3 cells stably expressing C9orf10, while only slight activation of Erk was detected (Fig. 4C). The activation of Akt was abolished by the treatment of cells with C9orf10 siRNA (Fig. 4C). These results indicate that Akt, which is one of the most significant proteins for the antiapoptotic function of cells, is involved in C9orf10-mediated signaling.
Oxidative stress caused by various cell stimuli such as UV irradiation or H2O2 treatment can lead to apoptotic cell death. We observed that the SFK inhibitor PP2 clearly increased apoptosis induced by exposure to UV in 44As3 cells or in another gastric scirrhous carcinoma cell line, NKPS. On the other hand, it did not affect the basal level of apoptosis of these cells under normal culture conditions (Fig. 5A). These results suggest an antiapoptotic effect of SFK activity in response to the oxidative stress.
Treatment of 44As3 cells with UV irradiation or H2O2 induced marked elevation of SFK activity, along with significant tyrosine phosphorylation of C9orf10 with a peak at 3 min and maintenance for 30 min (Fig. 5B; see Fig. S2A in the supplemental material). The activation of SFKs and phosphorylation of C9orf10 were dependent on the generation of ROS, because they were inhibited by the pretreatment of cells with N-acetylcysteine, a scavenger of ROS (Fig. 5C). Then we examined whether C9orf10 is required for the activation of SFKs as an antiapoptotic response to oxidative stress.
Reduction of endogenous C9orf10 expression by treatment of cells with siRNA clearly inhibited the activation of SFKs, Akt, and Erk caused by UV irradiation (Fig. 5D). We also observed that siRNA of C9orf10 blocks H2O2-induced activation of SFKs (see Fig. S2B in the supplemental material). At the same time, suppression of C9orf10 expression by 44As3 cells significantly enhanced apoptosis after treatment with UV irradiation or H2O2 (Fig. 5E, top; see Fig. S2C in the supplemental material). No significant change in apoptosis was caused by reduction of C9orf10 expression under normal culture conditions (Fig. 5E, top; see Fig. S1C in the supplemental material). On the other hand, overexpression of C9orf10 rescued cells from apoptosis after UV irradiation in Hek293 cells (Fig. 5E, middle). Importantly, mutant C9orf10 Ν1, which does not bind to SFKs, had no apoptosis-preventive effect (Fig. 5E, middle).
The SYF cell line was then used to examine whether the antiapoptotic function of C9orf10 exclusively depends on the activation of SFKs. Overexpression of C9orf10 in SYF cells did not affect apoptosis induced by UV irradiation, while it clearly rescued the apoptosis in SYF+/+ cells, into which c-Src was stably reintroduced (Fig. 5E, bottom). Again, C9orf10 expression did not affect the basal level of apoptosis under normal culture conditions in SYF cells. Furthermore, coexpression of C9orf10 with c-Src more effectively rescued SYF cells from UV irradiation induced apoptosis (see Fig. S2D in the supplemental material). These results suggest that the antiapoptotic effect of C9orf10 depends on the activation of SFKs.
To understand the molecular mechanism of C9orf10-mediated Akt activation, we further examined whether C9orf10 mediates PI3-kinase activity through SFKs, as PI3-kinase is one of the major regulators of Akt. When the cells were treated with UV-C, the association of C9orf10 with SFKs or the p85 subunit of PI3-kinase was increased (Fig. 6A and B). The physical association of C9orf10 with p85 was abolished by the treatment of cells with PP2, suggesting that tyrosine phosphorylation of C9orf10 by SFKs is required for the association with p85 (Fig. 6B). It was also shown that the SH2 domain of p85 could efficiently pull down C9orf10 by affinity precipitation analysis (Fig. 6C). Marked tyrosine phosphorylation of p85 was induced by UV irradiation of cells and also abolished by treatment with PP2 (Fig. 6D). These results suggest that C9orf10 behaves as a scaffolding protein for p85 and SFK in response to UV irradiation, which leads to the phosphorylation and activation of PI3-kinase by SFK. The increased association of C9orf10 with SFK and PI3-kinase by UV irradiation was also suggested by the intracellular distribution of these proteins. C9orf10 is basically localized diffusely in the cytoplasm. UV irradiation causes the spreading of cells, and C9orf10 accumulates at the cell membrane, where SFKs are abundantly localized (Fig. 6E). Accumulation of C9orf10 in the nucleus to some extent was also observed (Fig. 6E). The distribution of p85 of PI3-kinase is similar to that of C9orf10, and membrane translocation of p85 was also observed after UV irradiation (Fig. 6F). A similar change in the intracellular localization of C9orf10 and p85 was observed in H2O2-treated cells (see Fig. S2E in the supplemental material). From these results, we designated C9orf10 Ossa for Oxidative stress-associated Src activator.
Ossa/C9orf10 is a novel RNA-binding protein and promotes the secretion of IGF-II.
During the search for proteins that physically associate with Ossa, we noticed that Ossa associates with IMP-1 (unpublished data). It was later proved, however, that the association between Ossa and IMP-1 is RNA dependent (see Fig. S3 in the supplemental material). The RNA-binding activity of Ossa was thus examined by using synthetic ribonucleotide homopolymers. GST-fused proteins of three separate parts of Ossa were blotted onto a membrane and probed with 32P-labeled RNA homopolymers. As shown in Fig. 7A, the carboxyl-terminal portion of Ossa (C9-C, aa 829 to 1119), but not the amino-terminal region (C9-Ν1, aa 1 to 338) or the middle part of Ossa (C9-M, aa 339 to 828), could directly bind to poly(U), as well as control IMP-1 KH domains (IMP-1 ΔN) (22). The Ossa C terminus could also bind poly(A) and poly(G) RNA homopolymers (data not shown).
Inspired by the association of Ossa with IMP-1 via RNA, we next checked the possibility that Ossa and IMP-1 directly bind to common mRNA targets such as IGF-II, which binds to IMP-1 (22). The binding of GST-tagged Ossa fragments with 6.0-kb IGF-II leader 3 mRNA (8) was examined by UV-cross-linking analysis. The signal for 32P-labeled IGF-II mRNA was detected at the estimated location with the GST-fused carboxyl-terminal region of Ossa but not with any Ossa fragment which lacks the C-terminal region (Fig. 7B, left). The association between Ossa and IGF-II mRNA was disrupted in reaction mixtures containing IGF-II competitor RNA but not β-galactosidase competitor RNA (Fig. 7B, middle two panels), and Ossa did not bind to the coding region of β-galactosidase mRNA, which was used as a nonspecific control RNA (Fig. 7B, right). In addition, the coexpression of c-Fyn with Ossa in Cos1 cells did not alter the binding affinity of full-length Ossa for the IGF-II mRNA (Fig. 7C). These results indicate that the carboxyl terminus of Ossa, containing aa 829 to 1119, directly binds to IGF-II mRNA in a tyrosine phosphorylation-independent manner. Binding of Ossa with IGF-II mRNA was further demonstrated in vivo by detection of endogenous IGF-II mRNA in immunoprecipitate of epitope-tagged full-length Ossa but not Δ829-1119 Ossa from gastric cancer cell extracts (Fig. 7D). As controls, the same amount of nonspecific carry over of RNAs was observed in immunoprecipitates as detected by GAPDH and RPLO (Fig. 7D).
As RNA-binding proteins are reported to modify the translation of their target mRNAs, we next examined whether Ossa affects the production of IGF-II protein. When Ossa was overexpressed in gastric cancer cells, IGF-II protein in the culture medium was significantly increased; it was decreased to the basal level by reduction of Ossa expression from the same cells (Fig. 7E). The overexpression of the mutant form of Ossa which lacks the C-terminal region did not affect the extracellular secretion of IGF-II (Fig. 7E).
Suppression of Ossa/C9orf10 expression induced tumor apoptosis and blocked tumor invasion in nude mice.
In order to analyze the effects of reduction of Ossa/C9orf10 expression on tumor formation and tumor invasion of gastric scirrhous carcinoma cells in vivo, we prepared 44As3 miOssa cells (stably expressing the microRNA for Ossa), which showed stable suppression of Ossa expression, by transducing the siRNA for Ossa with an RNAi expression vector system and selection in medium containing blasticidin (Fig. 8A, g). When 44As3 miOssa cells and control 44As3 miLacZ cells (stably expressing the microRNA for LacZ), into which a nonspecific siRNA for LacZ was introduced, were subcutaneously transplanted into 10 nude mice each, the tumor size was significantly reduced in miOssa cells compared to that in control miLacZ cells (Fig. 8A, a to e). Similar results were obtained from NKPS miOssa cells derived from gastric cancer cell line NKPS (data not shown). On the other hand, the proliferation of these cells under standard culture conditions was not significantly changed (Fig. 8A, f).
This reduction in tumor size may reflect an inhibition of growth and/or an increase in apoptosis of cancer cells in vivo. Therefore, the states of proliferation and apoptosis were individually examined in the tumor tissues. Subcutaneous tumor of 44As3 miOssa showed an increased level of apoptosis by analysis of TUNEL staining (Fig. 8B). The percentage of TUNEL staining-positive cancer cells was around 20% in the tumor of 44As3 miOssa cells and 3 to 4% in the tumor of 44As3 miLacZ cells. In contrast, there was no significant change in the level of Ki67, a marker of cell proliferation (Fig. 8C). These results indicate that Ossa might be suppressing tumor apoptosis during the progression of tumors in vivo.
The effect of Ossa on tumor invasion was also examined in vivo in an animal model of peritoneal dissemination. When control cells of 44As3 miLacZ or NKPS miLacZ were injected intraperitoneally into nude mice, severe carcinomatous peritonitis was observed, as previously described. Innumerable whitish nodules were observed in the mesentery and the surface of the liver of almost all of the mice injected with 44As3 miLacZ cells (n = 10, Fig. 8D; see Fig. S4 in the supplemental material). On the other hand, peritoneal dissemination of 44As3 miOssa cells was apparently modest. We did not observe dissemination of 44As3 miOssa cells on the liver surface, and tumor nodules in the mesentery were small and few (Fig. 8D; see Fig. S4 in the supplemental material). This reduction in tumor dissemination in the peritoneal cavity was also observed in NKPS miOssa cells (data not shown).
DISCUSSION
Exposure of cells to oxidative stress such as UV irradiation or H2O2 elicits a variety of responses. Severe oxidative stress leads to programmed cell death (7). On the other hand, oxidative stress also activates cell survival signaling, possibly by a protective response. For example, treatment of cells with UV irradiation or H2O2 induces the activation of Src by an unknown mechanism (1, 9, 11, 13). In this report, we demonstrate that Ossa/C9orf10 is a critical component of the oxidative stress-induced survival signaling through the activation of SFKs and PI3-kinase.
The fate of cells exposed to oxidative stress depends on the balance between survival and apoptotic signaling. ROS-mediated DNA damage causes phosphorylation of ATM/ATR and p53, which leads to apoptosis (15, 17, 38). The time course of SFK activation, tyrosine phosphorylation of Ossa, and PI3-kinase activation was rapid, within 30 min of UV irradiation, which precedes the phosphorylation of ATM and p53 (see Fig. S5 in the supplemental material). Moreover, reduction of Ossa by siRNA did not affect the phosphorylation of p53 and ATM after lethal UV irradiation (data not shown). Therefore, Ossa-mediated activation of SFK and PI3-kinase seems to be a separate phenomenon from the p53-mediated signaling triggered by the DNA damage.
Ossa was identified in tumor nodules as a tyrosine-phosphorylated protein which binds to the c-Yes SH2 domain but not obviously to the SH2 domain of c-Src or Fyn. In addition, Ossa binds to the SH3 domain of all three SFKs and the relative increases in the activation of c-Src, Fyn, and c-Yes were almost the same. Therefore, it was suggested that the SH3 domain-mediated interaction of Ossa with SFKs may be critical for activation. Among the three SFKs, Ossa was highly phosphorylated by c-Yes and Fyn and relatively weakly phosphorylated by c-Src under the transient expression of the individual kinase in SYF cells (see Fig. S1B in the supplemental material). Although the effect of c-Src on Ossa phosphorylation was mild, it was enough to rescue the cells from apoptosis. As one of the reasons for the mild effect of c-Src on Ossa phosphorylation, the kinase activity of Src is relatively weak in the unstimulated condition (see Fig. S1C in the supplemental material).
Several cross talks between Src kinases and PI3-kinase have been suggested. We showed that Ossa functions as a scaffolding protein for SFK and PI3-kinase, which enables SFK to phosphorylate and activate PI3-kinase. Such direct activation of PI3-kinase by SFK was supported by a previous report that incubation of purified p85/p110 with Src activated PI3-kinase activity in vitro (2). From this aspect, polyomavirus middle T also interacts with c-Src and activates its kinase activity that recruits PI3-kinase (10). As SFKs are also known to activate Akt through activation of the regulator of Akt such as 3- phosphoinositide-dependent protein kinases or PI3-kinase enhancer-activating Akt (31, 36), it is also possible that Ossa produces survival signaling via modification of these molecules. On the other hand, rapid activation of SFKs in response to oxidative stress does not depend on the RNA-binding activity of Ossa, as Ossa/C9orf10 Ν3, which lacks the mRNA-binding region, also activated SFKs (Fig. 4B).
As an early response to UV irradiation, Ossa is translocated to the cell membrane and tyrosine phosphorylated, which supports the idea that the cell survival function of Ossa is initiated at the cell membrane. Ossa has a hydrophobic amino acid stretch consisting of putative transmembrane domains; thus, Ossa may be recruited and tethered to the cell membrane (12). However, the molecular mechanism of the membrane recruitment of Ossa is not understood. A recent report suggests that cell surface membrane components such as G protein α subunits are directly activated by ROS, which contributes to Src activation (23). We cannot rule out the possibility that Ossa interacts with G protein and is recruited to the cell membrane, although treatment of cells with NF023, an antagonist of G protein α subunits, did not affect the membrane translocation of Ossa in response to UV irradiation (data not shown). In addition, direct activation of epidermal growth factor receptor or IGF receptor by UV irradiation or H2O2 treatment was recently demonstrated (4). Therefore, there is also a possibility that Ossa is involved in the RTK-mediated activation of the SFK/Akt pathway. Anyway, it is to be resolved further how oxidative stress triggers the rapid cellular response, including the translocation of Ossa. Upon treatment with Ossa siRNA, most of the cytoplasmic signal disappeared, suggesting a cytoplasmic localization of Ossa (Fig. 2A), although some signal remained, possibly caused by either remaining Ossa protein or nonspecific cross-reaction of the antibody.
Tumor cells are exposed to oxidative stress in various situations in vivo. Tumors rapidly outgrow their blood supply, leading to hypoxia, while tumors usually support their growth by stimulating angiogenesis. However, blood flow within the new vessels is often chaotic, causing periods of hypoxia followed by reperfusion. Such reperfusion causes the generation of ROS, which may therefore be a cause of oxidative stress within tumors (6, 24). In addition, tumors are frequently infiltrated by large numbers of macrophages, which have been shown to generate oxygen radicals (16). In addition, radiotherapy and photodynamic therapy generate oxygen radicals, and some chemotherapeutic agents such as cisplatin are also superoxide-generating agents (39). We observed increased expression of Ossa protein after the treatment of gastric cancer cells with cisplatin, suggesting some additional roles for Ossa in response to the chemotherapeutic agents (data not shown). Ossa may contribute to resistance to radiotherapy, photodynamic therapy, or chemotherapy by providing an antiapoptotic shield for cancer cells in these situations in vivo, which should be further elucidated by examination including the detection of tyrosine phosphorylation of Ossa in human cancer tissues after various clinical treatments.
We showed a distinct role for Ossa in the promotion of the extracellular secretion of IGF-II through the RNA-binding ability of the C-terminal region (aa 829 to 1119). Because many RNA-binding proteins function as translational regulators and control the protein level, Ossa may also affect the stability or translation of IGF-II mRNA, which increases the secretion of IGF-II. The human IGF-II gene contains four promoters, and each promoter drives the transcription of a distinct 5′ untranslated region (leader) that is spliced to the coding region (8). Ossa and IMP-1 bind to IGF-II leader 3 mRNA, which utilizes the major promoter in most tissues (8). Further experiments should be conducted to determine (i) whether Ossa and IMP-1 modify each other's functions and (ii) their biological significance in cancer progression. Elevated expression of IGF-II is often observed in human gastric cancer tissues, especially in the infiltrative-type cancers (29), and the paracrine or autocrine pathway of IGF-II causes a significant increase in the PI3-kinase and Akt pathway, which rescues cells from apoptosis (5). It was reported previously that cross talk occurs between SFKs and a factor that mediates nucleic acid-directed processes, a Src-associated substrate during mitosis, the 68-kDa protein Sam68, which belongs to the family of KH domain-containing RNA-binding proteins, and that its tyrosine phosphorylation via interaction with SFKs causes a decreased affinity for RNA (20, 21). On the other hand, the RNA-binding capacity of Ossa was not altered by phosphorylation via SFKs (Fig. 7C). Overall, the RNA-binding activity of the Ossa C-terminal region may be another mechanism to contribute to tumor growth and survival by the control of target mRNAs such as IGF-II mRNA.
Frequent overexpression of Ossa in gastric scirrhous carcinoma and the suppression of tumor growth by a decrease of Ossa in vivo suggest that Ossa may play a pivotal role in the progression of scirrhous-type gastric cancer. One of the critical functions of Ossa in cancer appears to be the support of cancer cell survival in environments with various oxidative stresses during cancer progression, invasion, and clinical treatments. The specific cellular signal mediated by the phosphorylation of Ossa is a promising therapeutic target of cancer progression and invasion.
Supplementary Material
Acknowledgments
We thank J. Christiansen (University of Copenhagen) for donating plasmids encoding IGF-II leader 3 mRNA.
This work was supported by a Grant-in-Aid for Cancer Research from the Ministry of Education, Culture, Science and Technology of Japan and in part by a Grant-in-Aid from the Ministry of Health, Labor and Welfare of Japan for the third-term Comprehensive 10-year Strategy for Cancer Control.
Footnotes
Published ahead of print on 17 November 2008.
Supplemental material for this article may be found at http://mcb.asm.org/.
REFERENCES
- 1.Abe, J.-I., M. Takahashi, M. Ishida, J.-D. Lee, and B. C. Berk. 1997. c-Src is required for oxidative stress-mediated activation of big mitogen-activated protein kinase 1 (BMK1). J. Biol. Chem. 27220389-20394. [DOI] [PubMed] [Google Scholar]
- 2.Arcaro, A., M. Aubert, M. E. Espinosa, E. Hierro, U. K. Khanzada, S. Angelidou, T. D. Tetley, A. G. Bittermann, M. C. Frame, and M. J. Seckl. 2007. Critical role for lipid raft-associated Src kinases in activation of PI3K-Akt signaling. Cell. Signal. 191081-1092. [DOI] [PubMed] [Google Scholar]
- 3.Atlas, R., L. Behar, E. Elliott, and I. Ginzburg. 2004. The insulin-like growth factor mRNA binding-protein IMP-1 and the Ras-regulatory protein G3BP associate with tau mRNA and HuD protein in differentiated P19 neuronal cells. J. Neurochem. 89613-626. [DOI] [PubMed] [Google Scholar]
- 4.Azar, Z. M., M. Z. Mehdi, and A. K. Srivastava. 2006. Activation of insulin-like growth factor type-1 receptor is required for H2O2-induced PKB phosphorylation in vascular smooth muscle cells. Can. J. Physiol. Pharmacol. 84777-786. [DOI] [PubMed] [Google Scholar]
- 5.Brady, G., S. J. Crean, A. Lorenzon, and S. Kapas. 2008. IGF-I protects human oral buccal mucosal epithelial cells from sodium nitroprusside-induced apoptosis via PI3-kinase. Growth Horm. IGF Res. 18298-306. [DOI] [PubMed] [Google Scholar]
- 6.Brown, N. S., and R. Bicknell. 2001. Hypoxia and oxidative stress in breast cancer. Oxidative stress: its effects on the growth, metastatic potential and response to therapy of breast cancer. Breast Cancer Res. 3323-327. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 7.Cerutti, P. A., and B. F. Trump. 1991. Inflammation and oxidative stress in carcinogenesis. Cancer Cells 31-7. [PubMed] [Google Scholar]
- 8.de Moor, C. H., M. Jansen, E. J. Bonte, A. A. M. Thomas, J. S. Sussenbach, and J. L. Van den Brande. 1995. Proteins binding to the leader of the 6.0 kb mRNA of human insulin-like growth factor 2 influence translation. Biochem. J. 307225-231. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 9.Devary, Y., R. A. Gottlieb, T. Smeal, and M. Karin. 1992. The mammalian ultraviolet response is triggered by activation of Src tyrosine kinase. Cell 711081-1091. [DOI] [PubMed] [Google Scholar]
- 10.Dilworth, S. M. 2002. Polyoma virus middle T antigen and its role in identifying cancer-related molecules. Nat. Rev. Cancer 2951-956. [DOI] [PubMed] [Google Scholar]
- 11.Griendling, K. K., D. Sorescu, B. Lassegue, and M. Ushio-Fukai. 2000. Modulation of protein kinase activity and gene expression by reactive oxygen species and their roles in vascular physiology and pathophysiology. Arterioscler. Thromb. Vasc. Biol. 202175-2183. [DOI] [PubMed] [Google Scholar]
- 12.Holden, S., and F. L. Raymond. 2003. The human gene Cxorf17 encodes a member of a novel family of putative transmembrane proteins: cDNA cloning and characterization of Cxorf17 and its mouse ortholog orf34. Gene 318149-161. [DOI] [PubMed] [Google Scholar]
- 13.Kitagawa, D., S. Tanemura, S. Ohata, N Shimizu, J. Seo, G. Nishitai, T. Watanabe, K. Nakagawa, H. Kishimoto, T. Wada, T. Tezuka, T. Yamamoto, H. Nishina, and T. Katada. 2002. Activation of extracellular signal-regulated kinase by ultraviolet is mediated through Src-dependent epidermal growth factor receptor phosphorylation. J. Biol. Chem. 277366-371. [DOI] [PubMed] [Google Scholar]
- 14.Kobayashi, Y., K. Suzuki, H. Kobayashi, S. Ohashi, K. Koike, M. Paolo, M. Kiebler, and K. Anzai. 2008. C9orf10 protein, a novel protein component of Purα-containing mRNA-protein particles (Pur α-mRNPs): characterization of developmental and regional expressions in the mouse brain. J. Histochem. Cytochem. 56723-731. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.Kulms, D., and T. Schwarz. 2002. Molecular mechanisms involved in UV-induced apoptotic cell death. Skin Pharmacol. Appl. Skin Physiol. 15342-347. [DOI] [PubMed]
- 16.Kundu, N., S. Zhang, and A. M. Fulton. 1995. Sublethal oxidative stress inhibits tumor cell adhesion and enhances experimental metastasis of murine mammary carcinoma. Clin. Exp. Metastasis 1316-22. [DOI] [PubMed] [Google Scholar]
- 17.Lau, A. T. Y., Y. Wang, and J. F. Chiu. 2008. Reactive oxygen species: current knowledge and applications in cancer research and therapeutic. J. Cell Biochem. 104657-667. [DOI] [PubMed] [Google Scholar]
- 18.Lemaire, F., R. Millon, J. Young, A. Cromer, C. Wasylyk, I. Schultz, D. Muller, P. Marchal, C. Zhao, D. Melle, L. Bracco, J. Abecassis, and B. Wasylyk. 2003. Differential expression of head squamous cell carcinoma (HNSCC). Br. J. Cancer 891940-1949. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 19.Liao, B., M. Patel, Y. Hu, S. Charles, D. J. Herrick, and G. Brewer. 2004. Targeted knockdown of the RNA-binding protein CRD-BP promotes cell proliferation via an insulin-like growth factor II-dependent pathway in human K562 leukemia cells. J. Biol. Chem. 27948716-48724. [DOI] [PubMed] [Google Scholar]
- 20.Lukong, K. E., and S. Richard. 2003. Sam68, the KH domain-containing superstar. Biochim. Biophys. Acta 165373-86. [DOI] [PubMed] [Google Scholar]
- 21.Najib, S., C. Martin-Romero, C. Gonzalez-Yanes, and V. Sanchez-Margalet. 2005. Role of Sam68 as an adaptor protein in signal transduction. Cell. Mol. Life Sci. 6236-43. [DOI] [PubMed] [Google Scholar]
- 22.Nielsen, J., J. Christiansen, J. Lykke-Andersen, A. H. Johnsen, U. M. Wewer, and F. C. Nielsen. 1999. A family of insulin-like growth factor II mRNA-binding proteins represses translation in late development. Mol. Cell. Biol. 191262-1270. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 23.Nishida, M., Y. Maruyama, R. Tanaka, K. Kontani, T. Nagao, and H. Kurose. 2000. Gαi and Gαo are target proteins of reactive oxygen species. Nature 408492-495. [DOI] [PubMed] [Google Scholar]
- 24.Otani, H. 2008. Ischemic preconditioning: from molecular mechanisms to therapeutic opportunities. Antioxid. Redox Signal. 10207-247. [DOI] [PubMed] [Google Scholar]
- 25.Ozben, T. 2007. Oxidative stress and apoptosis: impact on cancer therapy. J. Pharm. Sci. 962181-2194. [DOI] [PubMed] [Google Scholar]
- 26.Playford, M. P., and M. D. Schaller. 2004. The interplay between Src and integrins in normal and tumor biology. Oncogene 237928-7946. [DOI] [PubMed] [Google Scholar]
- 27.Portakal, O., O. Ozkaya, I. M. Erden, B. Bozan, M. Kosan, and I. Sayek. 2000. Coenzyme Q10 concentrations and antioxidant status in tissues of breast cancer patients. Clin. Biochem. 33279-284. [DOI] [PubMed] [Google Scholar]
- 28.Shen, Y., G. Devgan, J. E. Darnell, Jr., and J. F. Bromberg. 2001. Constitutively activated Stat3 protects fibroblasts from serum withdrawal and UV-induced apoptosis and antagonizes the proapoptotic effects of activated Stat1. Proc. Natl. Acad. Sci. USA 981543-1548. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 29.Shiraishi, T., M. Mori, M. Yamagata, M. Haraguchi, H. Ueo, and K. Sugimachi. 1998. Expression of insulin-like growth factor 2 mRNA in human gastric cancer. Int. J. Oncol. 13519-523. [DOI] [PubMed] [Google Scholar]
- 30.Sicheri, F., I. Moarefi, and J. Kuriyan. 1997. Crystal structure of the Src family tyrosine kinase Hck. Nature 385602-609. [DOI] [PubMed] [Google Scholar]
- 31.Tang, X., Y. Feng, and K. Ye. 2007. Src-family tyrosine kinase fyn phosphorylates phosphatidylinositol 3-kinase enhancer-activating Akt, preventing its apoptotic cleavage and promoting cell survival. Cell Death Differ. 14368-377. [DOI] [PubMed] [Google Scholar]
- 32.Uekita, T., L. Jia, M. Narisawa-Saito, J. Yokota, T. Kiyono, and R. Sakai. 2007. CUB-domain containing protein 1 is a novel regulator of anoikis resistance in lung adenocarcinoma. Mol. Cell. Biol. 277649-7660. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 33.Uekita, T., M. Tanaka, M. Takigahira, Y. Nakanishi, K. Yanagihara, and R. Sakai. 2008. CUB-domain containing protein 1 regulates peritoneal dissemination of gastric scirrhous carcinoma. Am. J. Pathol. 172:1729-1739. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 34.Ushio-Fukai, M., K. K. Griendling, P. L. Becker, L. Hilenski, and R. W. Alexander. 2001. Epidermal growth factor receptor transactivation by angiotensin II requires reactive oxygen species in vascular smooth muscle cells. Arterioscler. Thromb. Vasc. Biol. 21489-495. [DOI] [PubMed] [Google Scholar]
- 35.Yanagihara, K., H. Tanaka, M. Takigahira, Y. Ino, Y. Yamaguchi, T. Toge, K. Sugano, and S. Hirohashi. 2004. Establishment of two cell lines from human gastric scirrhous carcinoma that possess the potential to metastasize spontaneously in nude mice. Cancer Sci. 95575-582. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 36.Yang, K. J., S. Shin, L. Piao, E. Shin, Y. Li, K. A. Park, H. S. Byun, M. Won, J. Hong, G. R. Kweon, G. M. Hur, J. H. Seok, T. Chun, D. P. Brazil, B. A. Hemmings, and J. Park. 2008. Regulation of 3-phosphoinositide-dependent protein kinase-1 (PDK1) by Src involves tyrosine phosphorylation of PDK1 and Src homology 2 domain binding. J. Biol. Chem. 2831480-1491. [DOI] [PubMed] [Google Scholar]
- 37.Yeatman, T. J. 2004. A renaissance for Src. Nat. Rev. Cancer 4470-480. [DOI] [PubMed] [Google Scholar]
- 38.Yin, Y., G. Solomon, C. Deng, and J. C. Barrett. 1999. Differential regulation of p21 by p53 and Rb in cellular response to oxidative stress. Mol. Carcinog. 2415-24. [PubMed] [Google Scholar]
- 39.Yokomizo, A., M. Ono, H. Nanri, Y. Makino, T. Ohga, M. Wada, T. Okamoto, J. Yodoi, M. Kuwano, and K. Khono. 1995. Cellular levels of thioredoxin associated with drug sensitivity to cisplatin, mitomycin C, doxorubicin, and etoposide. Cancer Res. 554293-4296. [PubMed] [Google Scholar]
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