Summary
A-Raf belongs to the family of oncogenic Raf kinases that are involved in mitogenic signalling by activating the MEK-ERK pathway. Low kinase activity of A-Raf towards MEK suggested that A-Raf might have alternative functions. We show that A-Raf prevents cancer cell apoptosis contingent on the expression of the hnRNP H splice factor, which is required for the correct transcription and expression of A-Raf. A-Raf prevented apoptosis by sequestering and inactivating the pro-apoptotic MST2 kinase. Knock-down of hnRNP H or A-Raf resulted in MST2-dependent apoptosis, while enforced expression of either one partially counteracted apoptosis induced by etoposide. In vivo expression studies in colon specimens corroborated the over-expression of hnRNP H in malignant tissues and its correlation with A-Raf levels. In summary, we present a novel route that is usurped by tumor cells to escape naturally imposed apoptotic signals.
Keywords: hnRNP H, apoptosis, A-Raf, splicing, MST2
Introduction
Heterogeneous nuclear ribonucleoprotein H (hnRNP H) is a member of the subfamily of hnRNPs including hnRNP H, H', F, and 2H9 (1). HnRNP H functions in the splicing of selected target mRNAs such as c-src in neuronal cells (2), Bcl-x (3, 4), PLP/DM20 (5), Drosophila nanos (6), HIV-1 splicing substrates (7), and rodent tropomyosin (8). According to available knowledge of their functions, hnRNP F/H and hnRNP A/B are key players in alternative splicing (9). As shown more recently, they also have a role in generic splicing, i.e. in molecular mechanisms of intron definition (10). Over-expression of hnRNP H was described in various human cancers including hepatocellular, pancreatic, and laryngeal carcinomas (11, 12). Whether and how hnRNP H is linked to the pathogenesis of cancer remains unexplored to date. We combined specific inhibition of hnRNP H expression with whole genome transcriptome analysis, with the aim to analyze the phenotype of hnRNP H-deficient carcinoma cells. High levels of hnRNP H were mandatory for the expression of the full-length A-Raf protein while it impacted neither on Raf-1 nor B-Raf protein expression. Upon knock-down of hnRNP H expression, a-raf mRNA levels were reduced. The expression of A-Raf was essential to sequester and deactivate the pro-apoptotic kinase MST2 and inhibit apoptosis. Thus, this study provides a rational explanation for the over-expression of hnRNP H in human tumours as a splicing regulator of the a-raf mRNA. In addition, it identifies a role for A-Raf as a potent inhibitor of the MST2 tumour-suppressor pathway in carcinoma cells.
Material and methods
Immunohistochemistry
Carcinoma specimen and healthy tissue were obtained during routine biopsy or surgery after informed consent. Carcinoma and healthy tissues specimen were snap-frozen, cryo-preserved, and processed to generate serial sections (4μm). For immunohistological staining, polyclonal rabbit anti-human hnRNPH antibody (Bethyl Laboratories, Montgomery, US) and polyclonal goat anti-human A-Raf antibody sc-408-G (Santa Cruz, Santa Cruz, US) were used. Antigen–antibody complexes were visualized using the avidin–biotin–PO (ABC) method (13).
Cell lines
HeLa human cervical carcinoma cells, GHD-1 human hypopharynx carcinoma cells, HCT116 human colon carcinoma cells, and HEK293 human embryonic kidney cells were cultured in standard DMEM containing 10% fetal calf serum (FCS) and passaged three times each week. HeLa, HCT116, and HEK293 cell lines were either purchased from ATCC or CRUK. The cells were authenticated by the European Collection of Cell Cultures (ECACC) in September 2009 using microsatellite genotyping (PCR-based). GHD-1 is a self-established cell line from a hypopharynx HNSCC tumour (14).
Laser scanning fluorescence microscopy
Endogenous A-Raf and MST2 expression in HeLa carcinoma cells and human carcinoma specimen was analyzed using a fluorescence laser scanning system (TCS-SP2 scanning system and DM IRB inverted microscope, Leica, Solms, Germany). For A-Raf, MST2, and cytochrome C detection cells were fixed and stained with specific antibodies against A-Raf, MST2, and cytochrome C. Dye-coupled Alexa antibodies (Alexa-488 and Alexa-647; Molecular Probes, Eugene, US) were used as secondary antibodies. Subsequently, Hoechst 33342 was used for labelling of nuclear DNA (Sigma, Taufkirchen, Germany). Leica Confocal Software Lite (Leica, Solms, Germany) for evaluation and quantification was used according to the manufacturer's instructions.
Transfections
Transient transfections of siRNAs and expression plasmids were conducted with MATra-A reagent (IBA, Goettingen, Germany) or the Nucleofector system (amaxa GmbH, Koeln, Germany) according to the manufacturer's instructions. The total amounts of transfected DNA or siRNA was kept constant by filling up with empty vector or control siRNA as required. The following siRNA sequences were used: hnRNPH siRNA#1: 5′-GGAGCUGGCUUUGAGAGGA dTdT-3′, siRNA#2: 5′-GAAUAGGGCACAGGUAUAU dTdT-3′, siRNA#3: 5′-GCAAGGAAGAAAUUGUUCA dTdT-3′ (Eurogentec, Liège, Belgium), A-Raf: Silencer Validated siRNA 151 (Ambion, Austin, US), MST2: 5′-GGAUAGUUUUUCAAAUAGGdTdT-3′, Control siRNA: 5′-UCGUCCGUAUCAUUUCAAU dTdT-3′.
Semi-quantitative RT-PCR
Total RNA from cell lines was isolated using the High Pure RNA Isolation Kit (Macherey & Nagel, Dueren, Germany) and cDNA was generated using the reverse transcription system (Promega, Madison, US) according to the manufacturer's instructions. Total RNA from human tissues was isolated using the Precellys 24 cell lysis system (Bertin Technologies, Montigny-le-Bretonneux, France) and the RNeasy Mini Kit (Qiagen, Hilden, Germany) according to the manufacturer's instructions. cDNA was generated using the SuperScript First-Strand Synthesis System for RT-PCR (Invitrogen, Paisley, UK) according to the manufacturer's instructions.
We performed semi-quantitative PCR analysis for the expression of hnRNPH, Bcl-X, A-Raf, GAPDH, and MAPK1 (95 °C for 30 s, annealing for 30 s, 72 °C for 30 s). Amplicon size of the PCR is given in brackets: hnRNPH (385bp): 5′-AAAATGGGGCTCAAGGTATTCG-3′, 5′-GCTATTTCCTGTGAAGCAAACTGC-3′, A-Raf (210bp): 5′-ATGGAGCCACCACGGGGC-3′, 5′-CGTCTTTCGTCCCTTGATGAGTC-3′, Bcl-x (xl isoform 456bp, xs isoform 267bp): 5′-ATGGCAGCAGTAAAGCAAGCG-3′, 5′-TCATTTCCGACTGAAGAGTGA-3′, GAPDH (258bp): 5′-TGTCGCTCTTGAAGTCAGAGGAGA-3′, 5′-AGAACATCATCCCTGCCTCTACTG-3′, MAPK1 (233bp): 5′-CCTTCCAACCTGCTGCTCAACAC-3′, 5′-GGAAAGATGGGCCTGTTAGAAAGC-3′. ImageJ software (U. S. National Institutes of Health, Bethesda, USA, (15) was used for quantification of RT-PCRs.
Immunoprecipitations
HA-A-Raf was immunoprecipitated using immobilised monoclonal mouse anti-HA tag antibody 3F10 (Roche Diagnostics, Mannheim, Germany). Flag-MST2, flag-A-RafWT and mutants, flag-Raf-1, and flag-B-Raf were immunoprecipitated using immobilised monoclonal mouse anti-flag antibody M2 (Sigma, Taufkirchen, Germany). Endogenous A-Raf was immunoprecipitated using the polyclonal goat anti-human A-Raf antibody sc-408-G (Santa Cruz, Santa Cruz, US). Endogenous MST2 was immunoprecipitated using the polyclonal goat anti-human MST2 antibody sc-6211 (Santa Cruz, Santa Cruz, US). As an isotype control the polyclonal goat anti-human Enolase antibody sc-7455 (Santa Cruz, Santa Cruz, US) was used. HA-tagged A-Raf was immunoprecipitated using the monoclonal mouse anti-HA antibody 3F10 (Roche Diagnostics, Mannheim, Germany). All antibodies were covalently bound to protein-G sepharose (Amersham, Freiburg, Germany) as described elsewhere (16) in order to avoid interference of immunoglobulin heavy chain bands with the similar sized MST2 protein. Cells were lysed in 10mM TrisHCl pH7.5, 150mM NaCl, 0.5% NP40, supplemented with protease and phosphatase inhibitors (Roche Diagnostics). Lysates were cleared of debris by centrifugation (20,000g, 10') and the supernatant used for immunoprecipitation. The immunoprecipitates were washed three times with lysis buffer and separated by SDS-PAGE and immunoblotted.
Immunoblot analysis
Protein lysates or immunoprecipitates were resolved by SDS PAGE (10-15%) and blotted on PVDF membrane (Millipore, Bedford, US). Protein visualisation was performed using the following antibodies in combination with HRP-conjugated secondary antibodies and the ECL system (GE-Healthcare, Munich, Germany): Polyclonal rabbit anti-human hnRNPH antibody (Bethyl Laboratories, Montgomery, US), polyclonal goat anti-human A-Raf antibody sc-408-G (Santa Cruz, Santa Cruz, US), polyclonal rabbit anti-human MST2 antibody (Stratagene, La Jolla, US), polyclonal rabbit anti-human Bcl-xl antibody (Cell Signalling, Danvers, US), monoclonal mouse anti-human Actin antibody sc-1616 (Santa Cruz, Santa Cruz, US), monoclonal mouse anti-human tubulin antibody sc-8035 (Santa Cruz, Santa Cruz, US), monoclonal mouse anti-human c-Myc antibody sc-40 (Santa Cruz, Santa Cruz, US), monoclonal mouse anti-human Flag antibody F3165 (Sigma, Taufkirchen, Germany), monoclonal mouse anti-human c-Raf-1 antibody 610152 (Becton Dickinson, Franklin Lakes, US), polyclonal rabbit anti-human B-Raf antibody sc-166 (Santa Cruz, Santa Cruz, US), monoclonal rabbit anti-human MST2 (N-term.) antibody 1943-1 (Epitomics Inc., Burliname, US), polyclonal rabbit anti-human mitogen acivated protein kinase (ERK1, ERK2) antibody M-5670 (Sigma, Taufkirchen, Germany), monoclonal mouse anti-human MAP kinase, activated (Diphosphorylated ERK-1&2) antibody M-8159 (Sigma, Taufkirchen, Germany), polyclonal rabbit anti-human Puma antibody (Sigma, Taufkirchen, Germany), polyclonal rabbit anti-human caspase-3 antibody sc-7148 (Santa Cruz, Santa Cruz, US), monoclonal rabbit anti-human caspase-3 antibody (8G10) sc-9665 (Santa Cruz, Santa Cruz, US), monoclonal mouse anti-human PARP antibody (Becton Dickinson, Franklin Lakes, US)).
MST2-kinase activity assay
MST2 immunoprecipitates or cell lysates were separated by SDS-PAGE using gels that were co-polymerised with 0.5mg/ml myelin basic protein (MBP). In-gel kinase assays were performed as described previously (17) except that after the final wash gels were soaked in 50mM Hepes pH7.4, 10mM MgCl2, 2mM DTT, for 30 minutes prior to the addition of 50μM ATP including 1.85MBq [32P] γ-ATP in a total volume of 10ml.
Apoptosis assays
Attached and floating cells were harvested, washed with PBS, and fixed in 80% ethanol. Subsequently, cells were incubated with RNase A (10U, Roche, Mannheim, Germany) and stained with propidium iodide (50μg/ml) prior to analysis on a FACS flow cytometer (BD Clontech, Heidelberg, Germany). Apoptosis was determined by measuring subgenomic DNA content.
Image analysis and quantification
Relative expression levels from RT-PCRs and immunoblots were assessed using Quantity One software according to the manufacturer's instructions (Biorad, Richmond, USA).
Statistical analysis
Significance levels were determined by two-tailed Student t-test analyses using Microsoft Excel. Due to the non-normal distribution of the expression analysis data (RT-PCR), results are given as the median with the interquartile range (IQR). For comparison of hnNRP H and A-Raf expression between sample groups, we used the Mann–Whitney U-test. The association between hnRNPH expression and the expression of A-Raf was tested using Pearson correlation. All tests were two-sided and results considered significant if p<0.01. Calculations were carried out with Minitab 15 software (Minitab Ltd., Coventry, UK).
Results
HnRNP H is overexpressed in carcinomas
HnRNP H was over-expressed in head and neck carcinomas, while normal mucosa samples displayed low levels of hnRNP H with the exception of an intermediate expression in cells of the basal membrane layer (Fig. 1). HnRNP H was overexpressed in the vast majority of head and neck carcinoma, i.e. in 60% of oropharynx, 80% of hypopharynx, 100% of larynx carcinomas, and 67% of lymph node metastases (Suppl. Table 1). Dysplasia of the head and neck area also showed an increase in hnRNP H expression (data not shown). In normal tissue, hnRNP H was absent or only faintly detectable in most human tissues including muscle, heart, liver, kidney, and pancreas samples. Prostate, gastric, and gut epithelium, as well as spleen and testis cells showed an intermediate expression of hnRNP H as compared with carcinoma samples (Suppl. Fig. S1).
Downregulation of hnRNP H induces apoptosis
Knock-down of hnRNP H in HeLa (cervix), GHD-1 (hypopharynx), and HCT116 (colon) cells via RNA interference (Figs. 2a, S2a,b) reduced cell numbers (Fig. 2b) by induction of apoptosis as evidenced by activation of Caspase 3, PARP cleavage, and tenfold increases in DNA fragmentation with up to 50% of cells displaying a pronounced sub-G1 DNA content (Fig. 2a). Decreased cell numbers could be completely rescued by exogenous hnRNP H expression (Suppl. Fig. S2c) and were hence not the result of off-target effects of the siRNAs used. Transient hnRNP H overexpression also protected against etoposide-induced apoptosis by 50% (Fig. 2c), confirming that hnRNP H has anti-apoptotic properties under both normal growth conditions and under cytotoxic drug challenge.
A-Raf and Bcl-xl are splicing targets of hnRNP H
As hnRNP H is a splicing factor, we performed a genome-wide cDNA microarray screening to profile hnRNP H target mRNAs potentially involved in apoptosis (data not shown). Down-regulation of hnRNP H caused a decrease in anti-apoptotic Bcl-xl and A-Raf mRNA and protein levels (Figs. 3a,b), which theoretically could promote apoptosis. HnRNP H specifically regulated the expression of wild-type A-Raf, leaving Raf-1 or B-Raf unaffected (Fig. 3b). Transfection of A-Raf, but not Bcl-xl, prevented apoptosis resulting from hnRNP H repression (Fig. 3c). Double staining of hnRNP H and A-Raf in HNSCC sections and single stainings of consecutive tumour sections revealed a tight correlation between A-Raf and hnRNP H expression, at the single cell level (Fig. 3d, Suppl. Fig. S3a-f).
A-Raf counteracts apoptosis by controlling MST2 activity
To test whether A-Raf mediates hnRNP H apoptosis protection, its expression was suppressed by siRNA (Fig. 4a,b). Knock-down of A-Raf caused a 3-fold reduction in cell numbers (Fig. 4a) and an increase in apoptotic cells similar to the levels observed after hnRNP H inhibition (Fig. 4b). Likewise, A-Raf over-expression counteracted etoposide-mediated apoptosis comparably to hnRNP H (Fig. 4c).
A role in tumour-suppression was suggested for the mammalian MST1/2 kinases, based on their ability to induce cancer cell apoptosis (18-21). Raf-1 suppressed MST2-mediated apoptosis by binding to, and inhibiting the enzymatic activity of MST2, while B-Raf barely interacted with MST2 (17). Transfection of A-Raf inhibited MST2 kinase activity in a dose-dependent fashion (Fig. 5a). In contrast, the knock-down of either hnRNP H or A-Raf augmented MST2 kinase activity, which was fully prevented by complementation with an A-Raf expression plasmid when knocking down hnRNP H (Fig. 5b). MST kinases are cleaved by caspases, releasing a 36kDa kinase moiety that can translocate to the cell nucleus where it phosphorylates substrates involved in apoptotic processes (18, 22-26). MST2 cleavage and activation of caspase 3 occurred after knock-down of hnRNP H (Suppl. Fig. S4a,b), further confirming that the reduction of hnRNP H expression leads to a critical deregulation of MST2. Additionally, knock-down of either hnRNP H or A-Raf resulted in the activation of caspase 3 and PARP, and an up-regulation of the pro-apoptotic protein Puma (Suppl. Fig. S4a) indicating, that down-stream targets of the MST2 pathway are activated (27). Inhibition of MST2 expression with siRNA fully abrogated apoptosis induced by hnRNP H or A-Raf knock-down, confirming that hnRNP H and A-Raf regulation of apoptosis was MST2-dependent (Fig. 5c).
A-Raf and MST2 interact
Raf-1-mediated inhibition of MST2 effects was dependent on an interaction of both proteins (17). Transfected HA-A-Raf and flag-MST2 as well as endogenous A-Raf and MST2 interacted (Fig. 5d). In addition, A-Raf-K336M, a catalytically inactive mutant, A-Raf-Y301D, a kinase-active mutant, and A-Raf-YY301/302FF, a non-activatable mutant interacted with MST2 similarly as A-Raf (Suppl. Fig. 5a), hence indicating that kinase activity is dispensable for A-Raf's inhibitory effects on MST2. In contrast to the interaction of Raf-1 with MST2, which is disrupted by growth factors [O'Neill, 2004 #18] (Suppl. Fig. 5b), interaction between A-Raf and MST2 revealed largely resistant (Suppl. Fig. 5b). As shown before [O'Neill, 2004 #18], an interaction of the third isoform, B-Raf, with endogenous MST2 is hardly detectable (Suppl. Fig. 5b) and may occur via heterodimerisation of B-Raf and Raf-1 (17).
Endogenous localisation of A-Raf and MST2 was visualised in HeLa cells (Suppl. Fig. S6a). Both proteins appeared as cytoplasmic speckles, which perfectly merged in digital overlays (Suppl. Fig. S6b). These speckles represented mitochondria as demonstrated by co-staining with cytochrome C, indicating that A-Raf–MST2 interaction occurs at mitochondria. Importantly, the results obtained in cultured cancer cells were corroborated in human head and neck squamous cell carcinoma (Suppl. Fig. S6c). Similarly, A-Raf and hnRNP H stainings both overlayed with cytochrom C stainings (Suppl. Fig. 6d,e).
hnRNP H and A-Raf are both overexpressed in carcinomas
As suggested from immunohistochemistry with head and neck carcinomas, hnRNP H and A-Raf were both overexpressed in tumours. Next, endogenous mRNA expression levels of hnRNP H and A-Raf were analysed in a series (n=29) of human Dukes B colon carcinomas (T) and autologous adjacent non-malignant tissues (N) by semi-quantitative RT-PCR (Fig. 6a). As a basic principle, hnRNP H and a-raf mRNA levels correlated, independently of the tissue analysed. Expression levels of hnrnph and a-raf in normal tissue were then set to one for a comparison with the autologous carcinomas. A median relative expression of 2.6-fold for hnrnph and 1.7-fold for a-raf in tumour specimens was calculated, indicating that hnrnph and a-raf are over-expressed in carcinomas. HnRNP H overexpression significantly correlated with increased levels of A-Raf at the single patient level (Fig. 6b; rp=0.564; p<0.001). When patients were divided into three groups according to their relative expression levels of hnRNP H and a-raf mRNA in tumour tissue (Fig. 6b) a significantly elevated number of patients showed both high expression of hnRNP H (n=16/29, χ2=21.8, p=0.001) and a-raf (n=11/29, χ2=16.7, p=0.001) (Fig. 6b). Comparing the relative expression of hnRNP H and a-raf mRNA in normal and tumour tissues (Fig. 6c) we found that in tumour tissues the expression of hnRNP H (406 [IQR 278-462]) was significantly higher than in normal tissues (137 [IQR 100-290], p=0.0001), corresponding to a 3-fold increase. Expression of a-raf (328 [IQR 174-404]) was also significantly higher than in normal tissue (186 [IQR 138-276], p=0.0026), corresponding to a 1.8-fold increase.
Discussion
Tissue homeostasis and tumour-suppression are in part maintained by naturally imposed pro-apoptotic events. Rapidly proliferating cells, including tumour cells, depend on anti-apoptotic signals that counteract intrinsic and extracellular death promoting factors in order to survive (28, 29). Various carcinoma entities present an over-expression of the nuclear factor hnRNP H (11, 12). Here we show that hnRNP H promotes the proper generation of a-raf mRNA to express full-length A-Raf protein. As a member of the Raf family, A-Raf was long seen as kinase, though with poor enzymatic potential. As a result of hnRNP H inhibition, an additional variant of a-raf mRNA was detectable, which probably represented a shortened, alternatively spliced variant. Whether this shortened mRNA gives rise to a variant A-Raf protein and what functions are assigned to this potential protein remains to be elucidated.
Knowledge of a pathophysiological role of A-Raf in cancer cells is rather scarce when compared to Raf-1 and B-Raf. Especially the comparatively low capacity of A-Raf to phosphorylate MEK, the only widely accepted substrate for Raf kinases, was suggestive of alternative functions of A-Raf (30, 31). Our results suggest that a physiological relevance of maintaining high-level expression of A-Raf is to prevent apoptosis by antagonizing the pro-apoptotic kinase MST2. This pathway has emerged as an important mode of control of apoptosis both in Drosophila melanogaster, where the MST2 orthologue is called Hippo (22), and in mammals (18). Downstream MST2 substrates such as Lats and hWW45 (called Warts and Salvador in Drosophila melanogaster, respectively) have been identified as tumour suppressor genes in mammals (32). Raf-1 has been shown to interfere with MST2 dimerisation and phosphorylation by directly binding MST2 (17). As a result, MST2-mediated apoptosis was prevented. The B-Raf isoform did not bind MST2 and could not compensate for Raf-1 in this respect (17). Our results show that the third Raf family member, the A-Raf isoform (33), can efficiently repress MST2 activity and induction of apoptosis. Interestingly, this capability depends on the presence of hnRNP H, which enhances the generation of full length A-Raf. MST2 and A-Raf were concomitantly over-expressed and co-localised at mitochondria in cancer cell lines and also in primary human tumours. The significance of this co-localisation at mitochondria warrants further investigation, but may explain why in human cancers A-Raf seems more efficient in inhibiting MST2 pro-apoptotic activity than Raf-1. A role for the potential shortened variant of A-Raf in binding MST2 is as yet unknown. A short isoform of A-Raf might lack the ability to bind to MST-2 and thus might be ineffective in repressing apoptosis.
In mice, A-Raf knock-out resulted in a severe phenotype in X−/Y males and in X−/X− females, hence in homozygous knock-outs as a-raf maps to the X-chromosome. Deficient animals died within 7-21 days after birth, displaying abnormalities in colon organogenesis, and neurological defects resulting in abnormal movement and proprioception. Although in vivo biochemical evidence is missing, these pathological phenotypes seem reconcilable with increased apoptosis due to a lack of A-Raf control over the MST2 pathway (34, 35). Inhibition of MST2 does neither require Raf-1's (17) nor A-Raf's kinase activity. Such an anti-apoptotic, kinase-independent function would be consistent with a comparably low MEK kinase activity of A-Raf (36) and was corroborated by the interaction of MST2 with a kinase-deficient variant of A-Raf. However, A-Raf still participates in ERK pathway as shown by double knock-outs of Raf-1 and A-Raf in mouse embryos (37), although an inverse correlation between the kinase activity of Raf homologues and the capacity to interact with MST2 emerges from the data available (17).
In summary, our study presents three central findings: (i) A-Raf is a potent inhibitor of MST2-dependent apoptosis; (ii) hnRNP H is necessary for proper splicing of mature A-Raf; and (iii) the hnRNP H–A-Raf–MST2 axis seems instrumental in human tumours.
Supplementary Material
Acknowledgements
Part of the work was supported by grants from the Deutsche Forschungsgemeinschaft to O.G. and C.M. (GI 540/1-1), the EU FP6 Interaction Proteome grant LSHG-CT-2003-505520 (E.O. and W.K.) and Cancer Research UK (W.K.).
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