SUMMARY
Hippo signaling is a tumor suppressor pathway involved in organ size control and tumorigenesis, through the inhibition of YAP and TAZ. Here we show that energy stress induces YAP cytoplasmic retention and Ser127 phosphorylation and inhibits YAP transcriptional activity and YAP-dependent transformation. These effects require the central metabolic sensor AMP-activated protein kinase (AMPK), and the upstream Hippo pathway components Lats1/2 and Angiomotin-like 1 (AMOTL1). We further show that AMPK directly phosphorylates Ser793 of AMOTL1. AMPK activation stabilizes and increases AMOTL1 steady-state protein levels, contributing to YAP inhibition. The phosphorylation-deficient Ser793Ala mutant of AMOTL1 showed a shorter half-life and conferred resistance to energy stress-induced YAP inhibition. Our findings link energy sensing to the Hippo-YAP pathway, and suggest that YAP may integrate spatial (contact inhibition), mechanical and metabolic signals to control cellular proliferation and survival.
INTRODUCTION
Hippo signaling has been implicated in organ size control by restricting the transcriptional co-activators YAP/TAZ(Dong et al., 2007; Harvey and Tapon, 2007; Harvey et al., 2013; Pan, 2007). The core components of the pathway construct a kinase cascade, in which Mst1/2 in complex with SAV1, phosphorylate and activate Lats1/2 kinases. Subsequently, Lats1/2 kinases in complex with Mob, phosphorylate YAP/TAZ, leading to their cytoplasmic retention and inhibition (Harvey et al., 2003; Udan et al., 2003; Wu et al., 2003). Inhibition of this kinase cascade leads to dephosphorylation of YAP/TAZ, and their accumulation in the nuclei. Nuclear YAP/TAZ bind to TEA domain transcription factors (TEAD), and promote the expression of target genes, and modulate diverse cellular functions, including proliferation, apoptosis, migration, and differentiation(Harvey et al., 2013; Hong and Guan, 2012). Consistently, loss-of-function mutations of upstream Hippo pathway components, or overexpression of YAP, lead to tissue expansion and tumorigenesis in many tissues (Pan, 2010; Schlegelmilch et al., 2011; Zhou et al., 2009; Zhou et al., 2011).
Previously, it has been shown that multiple upstream signals, such as cell-cell contact(Zhao et al., 2007), mechanical forces and cytoskeletal reorganization(Dupont et al., 2011; Zhao et al., 2012), and serum lipids and their receptors(Miller et al., 2012; Yu et al., 2012), could modulate YAP localization and Ser127 phosphorylation through Hippo pathway kinases dependent or independent mechanisms. To identify novel modulators of the Hippo-YAP pathway, we developed a high-content imaging assay using HEK293A cells to directly visualize the nuclear localization of endogenous YAP. YAP nuclear localization can be quantified by the Pearson’s correlation coefficient with the nuclear staining, providing a sensitive and robust cellular assay to study the regulation of YAP (Figure S1A). Using such a system, we have discovered that energy stress and inhibition of glucose metabolism could inhibit YAP, providing new molecular mechanisms linking cellular metabolism to tumorigenesis.
RESULTS
Energy stress induces YAP cytoplasmic retention, Ser127 phosphorylation and inhibits its transcriptional activity
Previously, we and others have discovered that serum deprivation significantly induces YAP cytoplasmic retention through serum lipids. To further study whether other nutrient and energy stress signals could modulate YAP, we screened a set of small molecule compounds known to modulate nutrient and energy sensing pathways, including inhibitors of glucose metabolism and ATP production, PI3K/AKT/mTOR signaling, and growth factor signaling, in the YAP translocation assay. In serum stimulated, confluent HEK293A cells, we observed that treatment of the mitochondrial complex I inhibitor metformin (Glucophage) and its more potent analogue phenformin, inhibits YAP nuclear localization within 3 hr (Figure 1A, and Figure S1B). Metformin and phenformin lower cellular ATP levels, increase AMP to ATP ratio in the cell, and activate AMP-activated protein kinase (AMPK), a central cellular metabolic sensor(Hardie, 2007; Mihaylova and Shaw, 2011). Consistently, we also found that treatment with 5-aminoimidazole-4-carboxamide-1-β-riboside (AICAR), a precursor of ZMP which acts as an AMP mimetic and direct activator of AMPK(Shackelford and Shaw, 2009), has similar effects on YAP cytoplasmic retention. AICAR also potently inhibits YAP nuclear localization in cells cultured at low density (Figure S1C). In HaCaT keratinocyte cells, treatment of phenformin (1mM) and AICAR (1mM) for 6h also elevates p-YAP (S127) and p-TAZ (S89) levels (Figure 1b). Phosphorylation of a well-known AMPK substrate, acetyl-CoA carboxylase (ACC) indicates the activation of AMPK. Similarly, treatment of HEK293 cells with the specific AMPK activator A-769662, induces p-YAP (S127) (Cool et al., 2006)(Figure S1D). Furthermore, energy stressors inhibit YAP-dependent transcription using a TEAD-binding element driven luciferase reporter (MCAT-YAP-Luc) and the expression of direct YAP target genes (ANKRD1, CTGF and Cyr61) by qRT-PCR (Figure 1C, D).
In addition, deprivation of glucose from the culture media and inhibition of glucose metabolism by 2-deoxy-D-glucose (2-DG) elevated p-YAP (S127) and inhibited YAP-dependent reporter (Figure 1B, C). Consistently, glucose deprivation inhibits, and adding back glucose largely rescued YAP reporter activity (Figure S1E, F). Taken together, these data indicate that energy stress and direct activation of AMPK could inhibit YAP. Similar effects were observed in other cell types, although less significantly in fibroblast cells such as NIH3T3 (Figure S1G). These effects are independent from inhibition of cell growth, as other anti-proliferative compounds, including inhibitors of PI3K, AKT, mTOR and CDK4 (wortmannin, LY294002, rapamycin and roscovitine) have little effect on p-YAP induction under similar conditions (Figure S1H, I). Taken together, these results suggest that inhibition of YAP activity by energy stress could be a conserved and direct signaling event.
Energy stress inhibits YAP-dependent transformation and cancer cell proliferation
Expression of YAP in MCF10A cells disrupts the normal acinar structures and promotes EGF-independent growth in Matrigel(Overholtzer et al., 2006; Zhang et al., 2009). To evaluate whether energy stress could inhibit YAP oncogenic activity, we tested metformin in MCF10A cells transduced with YAP, constitutively active YAP S127A mutant and a vector control. Treatment with metformin (2mM and 10mM) showed a significant and dose dependent reduction in colony number in cells expressing wild type YAP (Figure 1E, F). Although the mean colony size is decreased upon metformin treatment, this effect was not statistically significant due to high variation of the size measurement in 3-D culture (Figure S1J). The significant colony number inhibition likely reflects the inhibition of YAP-mediated cell survival rather than cell growth. In contrast, metformin did not inhibit colony formation in cells expressing YAP S127A mutant, suggesting that the effects of metformin are specifically through the inhibition of YAP nuclear localization. Consistently, the expression of YAP target genes (CTGF and Cyr61) is inhibited by metformin in wild type YAP-expressing cells, while expression of YAP S127A confers resistance (Figure S1K).
Mice lacking Mst1/2 in the liver develop aggressive YAP-dependent hepatocellular carcinoma (HCC). We tested whether energy stress would block the proliferation of HCC cells isolated from liver specific Mst1−/−Mst2−/− mice (Zhou et al., 2009). Indeed, metformin dose dependently inhibits the proliferation of an HCC cell line (JF001). Expression of YAP S127A mutant confers resistance to the compound treatment, confirming that metformin inhibits HCC proliferation through the inhibition of YAP (Figure 1G). Taken together, our results illustrate that energy stress can block YAP-dependent transformation and cancer cell proliferation.
Energy stress inhibits YAP involving AMPK, Lats1/2 kinases and the tight junction protein AMOTL1
To further explore the mechanisms, we treated wild type and AMPK-null (AMPKα1−/−α2−/−) mouse embryonic fibroblasts (MEFs) with 2-DG (25mM) or phenformin (1mM) for 12h. 2-DG and phenformin increased p- ACC, as well as p-YAP (S127) in wild type MEFs, albeit to a lesser extent than in epithelial cells. In AMPK-null MEFs, p-YAP induced by phenformin and 2-DG were largely inhibited, suggesting that AMPK activity is necessary for p-YAP induction (Figure 2A). AMPK-null MEFs also have lower basal p-YAP levels compared to wild type MEFs, suggesting that loss of AMPK might lead to YAP activation. Moreover, we found that a small molecule AMPK inhibitor, Compound C, blocks AICAR, metformin and phenformin-induced YAP cytoplasmic retention (Figure 1A, and Figure S1B, C). As Compound C might also inhibit other protein kinases(Bain et al., 2007), we used siRNAs targeting AMPKα1 and α2 to confirm the effects. The siRNAs (~90% knock-down efficiency) decreased p-ACC, and greatly inhibited p-YAP induced by phenformin, suggesting that AMPK is indeed required to mediate the regulation of YAP (Figure 2B). Consistently, we also observed that siRNAs targeting AMPKα1 and α2 rescued the effects of metformin and phenformin on YAP nuclear localization (Figure 2C, Figure S2A). Taken together, these data showed that the cellular energy sensor, AMPK is required to mediate YAP regulation in response to metabolic and energy stress.
To probe whether AMPK-mediated YAP inhibition requires upstream core Hippo pathway kinases, we first tested the effects in Mst1−/−Mst2−/− HCCs. Interestingly, metformin treatment induces and co-treatment of Compound C inhibits p-YAP (Ser127) in these cells, suggesting that Mst1/2 kinases are dispensable to inhibit YAP (Figure 2D). This is also consistent with our data that metformin blocks the proliferation of Mst1−/−Mst2−/− HCCs (Figure 1H). We then used siRNAs to silence Lats1 and Lats2 (~ 90% knockdown) (Figure S2B), which decreased the basal level of p-YAP and completely blocked the effects of energy stressors (Figure 2E), suggesting that energy stress-mediated YAP phosphorylation requires Lats1/2 kinases.
Next, we examined the changes of known Hippo pathway regulators upon energy stress. We found that phenformin treatment significantly increased the protein levels of angiomotin like 1 (AMOTL1) by 7.3-fold. The protein levels of other motin family proteins (AMOT and AMOTL2) also increased, although less significantly (Figure 3A). In total, the levels of motin proteins increased more than 12-fold upon phenformin treatment. AMOT, AMOTL1 and AMOTL2 are tight junction proteins that inhibit YAP through three mechanisms: 1) binding to and sequestering YAP out of nuclei (Yi et al., 2011; Zhao et al., 2011); 2) binding to and enhancing Lats1/2 activation(Paramasivam et al., 2011); 3) reducing the stability of YAP by promoting its ubiquitination (Adler et al., 2013a). This is consistent with our observation that, upon metabolic stress, changes in YAP translocation are more quickly detected than its Ser127 phosphorylation, suggesting that direct sequestration and enhanced Lats1/2 activity both play roles in the regulation. Indeed, we observed moderate activation of Lats1 (p-Lats1 Ser909) by 2.2 fold with phenformin treatment. Other upstream Hippo pathway components, such as NF2 and MST2 were not significantly changed. We then evaluated the mRNA levels of motin family members by qRT-PCR. We observed that phenformin treatment did not significantly increase the mRNA levels of AMOTL1 and AMOTL2, and AMOT mRNA levels increase by ~2-fold (Figure S3A). We chose to focus our studies on AMOTL1 in energy stress mediated YAP inhibition, as its changes are the most significant.
To test whether metabolic stress could stabilize AMOTL1, we treated cells with metformin or DMSO control, together with protein synthesis inhibitor cycloheximide, and analyzed the protein levels of endogenous AMOTL1 by western blotting at different time points (Figure 3B). We observed that the half-life of endogenous AMOTL1 increases from 15.4 min to 56.2 min with metformin treatment (Figure 3C). Therefore, energy stress might stabilize the AMOTL1 protein and thus increase its steady state protein levels, leading to YAP inhibition.
To confirm that Motin proteins are required to mediate the effects, we transfected siRNAs targeting AMOT and AMOTL1 with GFP into HEK293A cells, and treated the cells with 1mM phenformin or DMSO. The siRNAs effectively knock down AMOT and AMOTL1 (Figure S3B). In siRNA-transfected cells (GFP+), we observed that knocking down AMOT/AMOTL1 blocked phenformin effects. In the non-transfected cells (GFP-), phenformin remains effective, serving as a good internal control (Figure 3D, Figure S3C). In HaCaT cells, AMOTL1 shRNA alone could sufficiently block phenformin-induced p-YAP (Figure 3E). In addition, when AMOTL1 is silenced by shRNA, inhibition of YAP target genes expression (CTGF, Cyr61 and ANKD1) by phenformin could be significantly rescued (Figure S3D). Most importantly, the growth inhibition of these cells by phenformin and metformin could also be significantly rescued when AMOTL1 is silenced (Figure 3F). Taken together, these results suggest that the motin family proteins, particularly AMOTL1, are involved in the regulation of YAP in response to energy stress.
AMPK directly phosphorylates AMOTL1 at Ser793
We then set out to study how AMPK regulates AMOTL1. To test whether motin proteins could be direct substrates of AMPK, we carried out a bioinformatics search for conserved AMPK substrate motifs (Dale et al., 1995; Gwinn et al., 2008; Scott et al., 2002). We found that all motin proteins contain AMPK substrate motif (AMOTL1 Ser793, AMOT Ser787 and AMOTL2 Ser667), all of which are evolutionarily conserved among vertebrates (Figure 4A). We then performed co-immunoprecipitation (IP) experiments, and found that the AMPKα subunit directly bind to AMOTL1 (Figure S4A). To confirm that AMOTL1 could be phosphorylated upon AMPK activation in cells, we carried out phosphoproteomic studies using Flag-AMOTL1 isolated from cells treated with DMSO control, metformin, or co-treated with Compound C. We detected non-phosphorylated peptides (Peak A), peptides phosphorylated at an adjacent site Ser805 (Peak B), peptides phosphorylated at the predicted AMPK site Ser793 (Peak C) and peptides with double phosphorylation at Ser793 and Ser805 (Peak D, Figure 4B) by LC-MS/MS methods (Figure S4B). We then quantified their relative abundance by calculating the area under the curve (AUC). Treatment with metformin increased the abundance of peptide fragments containing p-Ser793 (Peak C and D) and co-treatment with Compound C dramatically decreased p-Ser793 peptides abundance, suggesting that activation of AMPK leads to increased phosphorylation of AMOTL1 at Ser793 in cells (Figure 4C). In addition, the phosphorylation levels of the adjacent Ser805 site are independent of AMPK activation and inhibition, serving as an ideal internal control (Figure 4B).
To confirm that Ser793 is directly phosphorylated by AMPK, we generated an AMOTL1 (S793A) mutant construct. Indeed, purified AMPK kinase could phosphorylate AMOTL1 wild type, but not the S793A mutant in vitro (Figure 4D). In addition, we quantified the radioactivity of the phosphorylated AMOTL1 in this assay. We observed the phosphorylation stoichiometry of 0.78mole of phosphate incorporation per mole of AMOTL1 (78% phosphorylated). These results suggest that Ser793 is indeed an AMPK substrate site. Furthermore, we utilized a Phos-tag gel to visualize phosphorylated and non-phosphorylated species of AMOTL1. In DMSO treated cells, 12% of the AMOTL1 protein is phosphorylated. Upon treatment with A-769662 or phenformin, the percentage of phosphorylated AMOTL1 increases to 37% and 73%, respectively (Figure 4E). Thus AMPK activation increases the amount of phosphorylated AMOTL1 in cells. Next, we generated a phosphospecific antibody against p-Ser793 of AMOTL1. Although the antibody is too weak to reliably detect endogenous AMOTL1 phosphorylation, it showed good specificity and sensitivity toward exogenous wild type but not Ser793 mutants (Figure S4C). We transfected HaCaT cells with Flag-AMOTL1, and treated the cells with phenformin, or DMSO control for 1hr or 2 hr. We observed that the AMOTL1 p-Ser793 increased within 1hr (Figure 4F), suggesting that its phosphorylation is indeed enhanced by AMPK activation. We also observed that exogenous Flag-AMOTL1 has high basal Ser793 phosphorylation levels, possibly resulting from the basal AMPK activity in the cells (Figure 4F, G). Consistently, when AMPK α1/α2 subunits are silenced by siRNAs (with knockdown efficiency of ~50%) in HEK293A cells, we observed a significant decrease in the basal p-AMOTL1 levels (Figure 4G), thus suggesting that inhibition of AMPK could inhibit p-AMOTL1. With the decrease of basal p-AMOTL1 levels, the fold induction of p-AMOTL1 by metformin treatment is more significant, suggesting that the phosphorylation of exogenous AMOTL1 at Ser793 indeed could be regulated by AMPK (Figure 4G). Collectively, these data suggest that AMOTL1 is indeed an AMPK substrate, and AMOTL1 Ser793 could be phosphorylated by AMPK directly.
AMPK-mediated AMOTL1 Ser793 phosphorylation leads to increased protein stability
We then probed the functional consequences of AMOTL1 Ser793 phosphorylation. We transfected HEK293T cell with either wild type or Ser793A AMOTL1 and treated cells with AMPK activator A-769662 (100μM). We then measured the protein half-life of wild type and S793A mutant of AMOTL1 by cycloheximide chase followed by western blotting (Figure 4H). We found that the half-life of the S793A mutant is markedly shorter than the wild type, suggesting that loss of Ser793 phosphorylation destabilizes AMOTL1. Furthermore, dephosphorylation of AMOTL1 by Compound C treatment also dramatically decreased the half-life of endogenous AMOTL1 (Figure S4D). As Lats1/2 phosphorylation of AMOT at Ser175 has been implicated in regulation of its localization and stability(Adler et al., 2013b; Dai et al., 2013), we tested whether Lats1/2 are required to stabilize AMOTL1 upon energy stress. We found that knocking down Lats1/2 decreased basal AMOTL1 protein levels, however had no effects on AMPK activator-mediated increase of AMOTL1 protein levels (Figure S4E). Further studies are needed to elucidate the cooperation between the Lats1/2 and AMPK phosphorylation sites on motin proteins.
To test whether AMOTL1 S793 phosphorylation is functionally involved in YAP inhibition, we knocked down endogenous AMOTL1 using shRNA and then overexpress the shRNA-resistant version of AMOTL1 wild type or AMOTL1 S793A mutant. Interestingly, we found that in cells expressing wild type AMOTL1, phenformin could significantly inhibit YAP target gene expression. However, in cells expressing AMOTL1 S793A mutant, phenformin failed to inhibit YAP target genes (Figure S4F). Furthermore, in cells expressing wild type AMOTL1, phenformin could potently inhibit cell proliferation, while expressing AMOTL1 S793A mutant significantly rescues the inhibitory effects of phenformin (Figure 4I). These results suggest that AMOTL1 S793 phosphorylation could modulate YAP functions in response to energy stress, and could be one of the mechanisms leading to YAP inhibition.
DISCUSSION
Here we propose a new signaling mechanism (Figure 4J), in which cellular energy level is an upstream regulator of Hippo signaling. We found that energy stress activates AMPK, stabilizes AMOTL1, and leads to YAP inhibition. Although glucose deprivation and metformin treatment could activate AMPK relatively quickly (in 1hr) (Nguyen et al., 2012), sustained AMPK activation (~2–6h) was required to inhibit YAP. This is consistent with our proposed mechanism in which phosphorylation of AMOTL1 by AMPK leads to AMOTL1 protein accumulation due to its increased half-life. However, other possible AMPK substrates (Kibra, ZO-2 and YAP) and other motin family members could also be involved in the regulation of YAP. Therefore, further studies to characterize them as AMPK substrates would shed new insights into the mechanisms of YAP regulation. In addition, it is also possible that other AMPK related kinases (such as SIK or MARK) could mediate the basal phosphorylation of AMOTL1, and AMPK activation boosts the existing phosphorylation in response to metabolic stress, which is not uncommon in AMPK-regulated substrates(Shackelford and Shaw, 2009).
Among the motin family proteins, AMOTL1 might be the major mediator of the effects. We could not detect phosphorylation of the predicted AMPK motif (Ser787) in AMOT by mass spectrometry. Other non-AMPK sites (Ser97, Ser714) are phosphorylated upon metformin treatment in mass spectrometry studies (Figure S4G). These results suggest that other kinases downstream of AMPK or less stringent AMPK substrate sites might be involved. Therefore, AMOT might be regulated differently than AMOTL1 and future studies are needed to elucidate the regulation of AMOT and AMOTL2 in response to energy stress, and their roles in YAP regulation.
LKB1/STK11 is a known tumor suppressor(Shackelford and Shaw, 2009) and a major upstream regulator of AMPK. Our results suggest that loss of LKB1 and AMPK activities might contribute to tumorigenesis through destabilizing AMOTL1, leading to hyperactivation of YAP. A recent study has showed that LKB1 acts through the microtubule affinity-regulating kinase (MARK) family to regulate the localization of Scribble(Mohseni et al., 2014). Our results and the results of Mohseni et al suggest that there are multiple pathways downstream of LKB1 to regulate YAP activity. This could have important implications for the treatment of LKB1-dependent tumors. Recent work by the Cancer Genome Atlas Project has identified mutations of AMOTL1 at the AMPK recognition motif (R789C, P790I, and R792H) in multiple cancers. Although at low frequency, such mutations might lead to loss of AMPK-mediated Ser793 phosphorylation, and promote YAP activation in these cancers. In summary, our studies have shown that cellular energy sensor AMPK could regulate YAP by directly phosphorylating and stabilizing tight junction protein AMOTL1, connecting energy sensing to the regulation of Hippo pathway.
METHODS
Immunofluorescence staining, YAP translocation assay and imaging analysis
Cells were fixed and then stained with primary antibody (anti-YAP). The images were acquired by high throughput confocal microscopy (Opera® High Content Screening System, Waltham, MA). 4 images/well were captured using a 20X objective at a resolution of ~0.65 μm/pixels. The images of YAP immunostaining and nuclear Hoechest were analyzed using a custom Acapella (PerkinElmer) script as previously reported or with CellProfiler (Carpenter et al., 2006). YAP nuclear/cytoplasmic translocation was defined using the Pearson’s correlation coefficient (R), between the YAP and the Hoechst fluorescence channels, across each pixel of the cellular object detected.
Supplementary Material
Acknowledgments
This work is supported by MGH, HSCI Seed Grant, Children’s Tumor Foundation, American Cancer Society (124929-RSG-13-291-01-TBE), NIH/NCI R01CA181537 (X.W.); and NIH/NCI R01CA166717 (B.Z.). We thank Drs. K.-L, Guan, A. Schmitt, J. Brugge, M. Sudol, D. McCollum, J. Avruch, K. Laderoute and L. Cantley for constructs, antibodies, cell lines or discussions. E.C.P., M.H. and J. L. are employees of Novartis.
Footnotes
Supplemental Information includes Supplemental Experimental Procedures and four figures can be found with this article online.
Author contributions J.Y. M.D. J.L. and X.W. conceived the concepts and designed the experiments; E.C.P. and J.A. performed mass spec studies of AMOTL1 and AMOT, respectively; J.Y., M.D. P.C. M.H. S.Z. J.F., N.B, C-H. S. and B.Z. performed the cell biology and biochemistry experiments, and all authors analyzed the data; J.Y., M.D. and X.W. wrote the manuscript.
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