Abstract
Prostate cancer is a frequent cause of male death in the Western world. Relatively few genetic alterations have been identified, likely owing to disease heterogeneity. Here, we show that the transcription factor JUNB/AP-1 limits prostate cancer progression. JUNB expression is increased in low-grade prostate cancer compared with normal human prostate, but downregulated in high-grade samples and further decreased in all metastatic samples. To model the hypothesis that this downregulation is functionally significant, we genetically inactivated Junb in the prostate epithelium of mice. When combined with Pten (phosphatase and tensin homologue) loss, double-mutant mice were prone to invasive cancer development. Importantly, invasive tumours also developed when Junb and Pten were inactivated in a small cell population of the adult anterior prostate by topical Cre recombinase delivery. The resulting tumours displayed strong histological similarity with human prostate cancer. Loss of JunB expression led to increased proliferation and decreased senescence, likely owing to decreased p16Ink4a and p21CIP1 in epithelial cells. Furthermore, the tumour stroma was altered with increased osteopontin and S100 calcium-binding protein A8/9 expression, which correlated with poor prognoses in patients. These data demonstrate that JUNB/AP-1 cooperates with PTEN signalling as barriers to invasive prostate cancer, whose concomitant genetic or epigenetic suppression induce malignant progression.
The incidence of prostate cancer is increasing in the Western world and patients with invasive disease have poor prognosis.1 Serum prostate-specific antigen (PSA) is used as a biomarker for cancer detection, but has shown limited predictive value for progression.2 Thus, there is an urgent need for improvements in both diagnosis and therapy. Presumably due to disease heterogeneity, very few genes have been identified that control progression of benign neoplasia to invasive prostate cancer. The use of mouse models has revealed that key genes and pathways like phosphatase and tensin homologue/protein kinase B (PTEN/AKT), TRP53 and transforming growth factor beta/Smad are crucial for prostate cancer.3, 4, 5, 6
The Activating Protein 1 (AP-1) transcription factor and its upstream kinases have been implicated in prostate cancer initiation/progression.7, 8, 9, 10, 11 c-Jun or c-Fos overexpression increased proliferation and invasiveness of prostate cancer cell lines and c-Fos, c-Jun and phosphorylated-c-Jun are increased in prostate cancer samples.8, 10 In contrast, although the c-Jun N-terminal kinase (JNK) signalling pathway is a functional target of PTEN,11 JNK ablation in mouse prostate epithelium leads to invasive prostate cancer, when combined with Pten loss.9 These studies indicate that although AP-1 members are implicated in prostate cancer, their functions might be stage- and context-specific.
JunB is a close homologue of c-Jun with tumour-suppressive function in the myeloid lineage,12 which was proposed to be functionally relevant in human prostate cancer progression.13 Here, we show that JunB is downregulated in high-grade human prostate cancer. Moreover, using genetically modified mouse models, we demonstrate that although the loss of Junb in the prostate epithelium does not affect prostate homeostasis, combined loss of Junb and Pten even in a limited number of adult cells, leads to early-onset and invasive prostate cancer. Finally, we describe how JunB prevents the progression of invasive Pten-deficient prostate neoplasia by affecting both the tumour cells and the stroma.
Results
Decreased JUNB levels in prostate cancer progression
Prostate sections from prostatectomy samples were stained for JUNB expression by immunohistochemistry (IHC). As seen in Figure 1a, areas with normal prostate epithelia displayed low or undetectable JUNB, whereas areas with low-grade prostate cancer showed strong staining. Remarkably, and consistent with a previous report,13 JUNB was almost undetectable in the areas where the tumour had progressed to high grade (Figure 1a).
Next, JUNB mRNA expression was compared at different stages of prostate cancer using publicly available data sets.14, 15, 16 Strikingly, metastatic prostate cancer samples displayed significantly decreased JUNB mRNA expression in three independent data sets, when compared with primary tumours (Figure 1b). Interestingly, decreased c-JUN and c-FOS mRNA expression was also observed, whereas no consistent changes were noted for JUND, FRA1 and FRA2 across the three data sets (Supplementary Figure 1). Collectively, these data indicate that JUNB is downregulated, both at the mRNA and protein level, in aggressive prostate cancer.
JunB loss promotes invasive prostate cancer in mice lacking Pten
We next analyzed JunB expression in the PtenΔP (Ptenflox/flox; PSA:CreT/+) mouse model, where conditional inactivation of Pten is achieved by selective expression of Cre recombinase in the prostate epithelium.5, 17 Consistent with our observations in human samples, IHC and mRNA expression revealed low to absent JunB in wild-type prostate and strong expression in prostatic intraepithelial neoplasia (PIN), which are low-grade neoplasia occurring in PtenΔP mutants (Figure 2a and Supplementary Figure 2a).
We next generated JunBΔP mice, with specific inactivation of Junb in the prostate epithelium (JunBflox/flox; PSA:CreT/+). JunBΔP mutant mice were viable and fertile and no histological alterations were observed in the prostate up to 9 months of age (Figure 2b), indicating that JunB is dispensable for prostate development and homeostasis.
To address the functional relevance of JunB in prostate cancer, JunB and Pten mutants were inter-crossed (JunBflox/flox; Ptenflox/flox; PSA:CreT/+). The resulting JunBΔP; PtenΔP double mutants developed prostate cancer as early as 8 weeks of age (Figure 2c). In addition, nearly 50% of double mutant mice showed invasive prostate cancer at 12 weeks of age, which was not observed in PtenΔP single mutants (Figure 2d and Supplementary Figure 2b). Interestingly, although c-Jun expression was also increased in PIN from PtenΔP mice (Supplementary Figure 2c), c-JunΔP; PtenΔP (c-Junflox/flox; Ptenflox/flox; PSA:CreT/+) mice developed PIN with a similar latency as PtenΔP mice, and no invasive prostate cancer was observed (Supplementary Figure 2b). IHC confirmed the specific loss of c-Jun expression in prostate epithelium (Supplementary Figure 2c). These data indicate that JunB, but not c-Jun, prevents invasive prostate cancer in mice lacking Pten.
We, therefore, decided to focus our attention on investigating the function of JunB in prostate cancer. In-depth analyses revealed loss of basal cells and disrupted basal membranes in the invasive JunBΔP; PtenΔP double-mutant tumours, which is characteristic of human prostate cancer (Figure 2e and Supplementary Figures 2d and e). IHC confirmed that JunB was similarly decreased in the prostate epithelium of invasive and noninvasive tumours, whereas stromal and immune cells remained JunB positive (Figure 2f). Molecular analyses revealed unaltered phosphorylation of AKT, extracellular signal-regulated kinase (ERK), p65 and comparable AP-1 and Smad4 gene expression between JunBΔP; PtenΔP and PtenΔP tumours (Supplementary Figures 2f and h). Interestingly, JNK phosphorylation appeared decreased in double-mutant tumours (Figure 2g), consistent with the reported function of JNK in invasive prostate cancer.9 These data indicate that JunB has an important role in the invasive progression of prostate neoplasia caused by Pten loss.
JunB loss leads to increased proliferation and decreased senescence
JunB has been shown to affect proliferation and senescence,18, 19 two cellular processes relevant to prostate cancer. JunBΔP; PtenΔP double-mutant tumours had significantly more Ki67-positive proliferating cells in the noninvasive areas, when compared with PtenΔP tumours (Figure 3a,Supplementary Figure 3a) and this increase was maintained in the invasive areas (Figure 3b).
Transient-amplifying cells (TACs) area subset of basal cells from which prostate cancer is thought to originate and in human samples, JUNB was suggested to maintain TAC senescence.13 Although the number of TACs was not different between PtenΔP and noninvasive JunBΔP; PtenΔP tumours (Supplementary Figures 3b and c), the double-mutant tumours displayed weaker senescence-associated beta-galactosidase activity (Figure 3c). Furthermore, IHC revealed decreased p16Ink4a immune reactivity in JunBΔP; PtenΔP tumours, particularly in invasive areas (Figure 3d). Decreased p16Ink4a, but also p21CIP1, was confirmed by western blot analyses (Figure 3e).
Decreased p21CIP1 expression between primary and metastatic prostate cancer was also observed in publicly available human patient data sets (Supplementary Figure 3f). Furthermore, p21CIP1 and JUNB expressions positively correlated, suggesting an interaction between these two genes and prostate cancer progression (Figure 3f). Collectively, these data indicate that, both in mouse models and in patients, loss of JunB likely affects the proliferation and senescence of the neoplastic prostatic epithelium by decreasing p16Ink4a and p21CIP1 expressions.
JunB loss in prostate epithelium affects the surrounding stroma
Enhanced expression of the calcium-binding proteins S100 calcium-binding protein A8 and A9 (S100A8 and S100A9) was observed in human prostate cancer,20 and Jun/AP-1 controls the S100a8/S100a9 expression in mouse epidermis.21, 22 Increased expression of S100A8 and S100A9 was detected by western blot and IHC in JunBΔP; PtenΔP tumours, while mRNA expression was unchanged (Figure 4a and c). The S100A8- and S100A9-positive cells appeared to be non-epithelial and IHC co-staining with F4/80 indicated that most positive cells were of the monocyte/macrophage lineage (Figure 4b, Supplementary Figure 4a). Surprisingly, pStat3 or Il-1b and Ccl2 expressions were not different between JunBΔP; PtenΔP and PtenΔP tumours (Supplementary Figure 4b).
Osteopontin (SPP1) is a part of the prognostic signature for human prostate cancer4 and is modulated by AP-1 in several tissues, such as the lung and liver.23, 24 Consistent with the increased invasiveness, Spp1 mRNA was increased in JunBΔP; PtenΔP tumours (Figure 4d). Interestingly, IHC analyses indicated that SPP1 was increased in invasive and noninvasive double-mutant tumours mainly in the stroma (Figure 4e). Furthermore, expression of S100A8, S100A9 and SPP1 was increased in human metastatic prostate cancer samples and inversely correlated with JUNB was increased (Figure 4f). These data indicate that the loss of JunB in Pten-deficient prostate epithelium leads to increased S100A8, S100A9 and SPP1 in the stroma through a non-cell-autonomous mechanism.
Targeting JunB and Pten in a limited cell number leads to invasive prostate cancer
We took advantage of an orthotopic viral Cre delivery approach25 to assess the genetic interactions between Pten and JunB in a clonal expansion model. Adeno-Cre was injected in the anterior prostate of 6-week-old Ptenflox/flox or JunBflox/flox; Ptenflox/flox mice and the resulting somatic mutants (PtenΔAd and JunBΔAd; PtenΔAd) were analyzed 30 weeks later for tumour formation. Macroscopic lesions could be identified in the injected lobe of a subset of mutants (Figure 5a). Microscopic analysis revealed that although ~50% of injected mice had formed lesions, lesion incidence was not related to the genotype. However, morphometric analysis indicated that JunBΔAd; PtenΔAd lesions were significantly larger than PtenΔAd lesions (Figure 5b). Furthermore, histological analysis revealed that half of the JunBΔAd; PtenΔAd tumours were invasive, whereas none of the PtenΔAd PIN had progressed (Figure 5c and d). Increased proliferation was also apparent in JunBΔAd; PtenΔAd lesions by Ki67 IHC (Figure 5e). IHC confirmed that the JunB expression was abolished in JunBΔAd; PtenΔAd tumours and all lesions stained positive for phospho-AKT regardless of the genotype (Figure 5f,Supplementary Figure 5a). The invasive JunBΔAd; PtenΔAd lesions were lacking basal cells, consistent with the observations in the genetic inactivation model. In addition, areas with invasive basal cells and TACs were identified (Supplementary Figure 5b). IHC showed reduced p16Ink4a in JunBΔAd; PtenΔAd tumours when compared with PtenΔAd lesions, whereas SPP1, S100A8 and S100A9 expressions were increased in the stroma (Supplementary Figure 6). Overall, these results show that the combined loss of JunB and Pten in a subset of adult prostate epithelial cells is sufficient to promote invasive cancer.
Discussion
Dysregulation of the PTEN/AKT pathway is the most frequent event in prostate cancer26 and it is, therefore, important to identify the cofactors modulating prostate cancer progression in the context of altered PTEN/AKT signalling. Mouse models with specific loss of Pten in combination with other genes have unravelled prostate cancer modulators, such as TRP53, SMAD4 and JNK.4, 6, 9, 3, 27, 28, 29 We show here that JunB limits tumour progression of Pten-deficient prostate neoplasia as the loss of Junb, even in few cells, is sufficient to promote invasiveness.
In human samples, JUNB protein and mRNA expression was decreased in advanced and metastatic disease. Interestingly, we additionally observed that JUNB was upregulated in human but also in mouse prostate low-grade hyperplasia, when compared with normal prostate epithelium. This suggests that JunB could have a dual function, promoting the development of benign lesions and limiting subsequent invasion. However, inactivating JunB in the prostate by two independent approaches revealed that JunB is dispensable for PIN development, at least in the context of Pten loss, as the incidence of prostate tumours was not altered upon additional inactivation of Junb. In addition, although the combined inactivation of Pten and JunB elicited invasive prostate cancer, JunB was found dispensable for prostate development and no tumours developed in single Junb-deficient mice.
Intriguingly, our bioinformatic analyses of human prostate cancer data sets revealed decreased c-Jun mRNA in metastatic samples. Increased c-Jun protein and phosphorylated-c-Jun is documented in prostate cancer samples and is associated with worse patient outcome.8, 10 This would indicate that, unlike JunB, the regulation of c-Jun expression in human prostate cancer is largely post transcriptional and rather supports an oncogenic function for c-Jun. c-Jun was also increased in PtenΔP PIN samples. In addition, no significant differences in tumorigenesis were observed, when c-Jun was inactivated in PtenΔP mice and no invasive prostate cancer was observed up to 6 months of age. Although we cannot exclude subtle and minor differences given the number of mice examined, c-Jun appears dispensable for the development of low-grade neoplasia in PtenΔP mutants.
Prostate cancer is proposed to arise from a single clone from which sub-clones can emerge.30, 31, 32 We took advantage of an orthotopic adenovirus-based, Cre delivery approach25 to model the human scenario. Targeting few epithelial cells in the prostate was sufficient to trigger invasive prostate cancer, when both Junb and Pten were inactivated. Thus, two independent ablation methods led to the same result and increased the invasiveness of Pten-deficient prostate epithelial cells. It should be noted that pathological examination of the lungs and lymph nodes did not reveal metastatic cells in any of the mutant mice, possibly owing to the relatively short observation period.
Loss of Junb resulted in increased proliferation of Pten-deficient prostate cells and this increase was independent of invasiveness. Decreased expression of the cell cycle inhibitors p21CIP1 and p16Ink4a was consistently observed in JunB/Pten-deficient tumours, and p21CIP1 and JUNB expressions correlated in human samples. Increased proliferation was accompanied by a decrease in cellular senescence, a process that opposes cancer progression upon Pten loss.33 Thus, Junb can be added to the limited list of genes, such as Trp53,6 Jnk 9 and Smad4,4 which allow bypassing senescence and promoting tumourigenesis in Pten-deficient PIN.
Although inactivation of the Ink4a/Arf locus, encoding both p16Ink4a and p19Arf, leads to accelerated PIN development in Pten+/− mice,34 combined deletion of Pten and p19Arf in prostate epithelium does not accelerate prostate cancer.35 This indicates that p16Ink4a is the relevant gene in the Ink4a/Arf locus for Pten-associated prostate cancer. In vitro experiments using primary human TACs suggested that JUNB maintains TAC senescence by increasing p16Ink4a mRNA,13 consistent with the modulation of proliferation, senescence and p16Ink4a transcription by JunB in mouse fibroblasts.19, 36 How the lack of JunB leads to decreased p16Ink4a and p21CIP1 proteins in JunB/Pten-deficient lesions in vivo with no apparent effect on mRNA remains to be determined. Differences in JunB-mediated transcriptional regulation between the distinct cell types, as already documented for p16Ink4a and cyclind1 in hematopoietic cells,37 could explain this discrepancy. It is also possible that changes in other transcriptional regulators and/or signalling pathways counterbalance the direct effect of JunB on p16Ink4a transcription in prostate epithelial cells, while promoting post-transcriptional effects. One pathway could involve JNK, as phospho-JNK was decreased in JunB/Pten-deficient lesions and JNK deficiency leads to comparable changes in the proliferation and senescence in Pten-deficient PIN.9
Interestingly, although loss of JunB expression did not alter the number of infiltrating immune cells, in particular F4/80-positive cells (data not shown), the loss of JUNB led to increased SPP1 and S100A8/A9 expressions in the stroma, particularly in monocytes/macrophages. As SPP1 and S100A8/A9 are associated with aggressive prostate cancer with poor prognosis,4, 20 the mechanistic basis of the cross-talk between the tumour and stroma in this model warrants further investigations. Likewise, although AKT signalling has been shown to modulate JunB/AP-1 expression and activity in vitro,38 studying the mechanism by which JunB/AP-1 is downregulated in human patient samples through genetic/epigenetic or environmental cues should be at centre stage for future experiments.
In conclusion, our mouse genetic data establish JunB as a novel gate keeper for prostate cancer progression in the context of pten loss. As PTEN and its downstream pathway are commonly lost or dysfunctional in human prostate cancer, our findings are likely of relevance for the development of diagnostic and therapeutic strategies.
Materials and Methods
Human samples
Prostate samples originate from prostatectomy. Four samples from well-differentiated samples with a Gleason score of 5–6 and four samples from advanced adenocarcinoma with Gleason 8–9 and perineural invasion were used for the study.
Mice and treatments
Junbflox/flox, c-Junflox/flox, Ptenflox/flox and PSA:Cre mice have been previously described.5, 17, 39, 40 Mice were maintained on a mixed C57Bl6x129sv background. Mice were killed at 8–12 weeks and age-matched littermates were used. Ptenflox/flox or Junbflox/flox;Ptenflox/flox mice were injected with 108 pfu Adeno-Cre (Iowa University) virus in 25 μl PBS at 6 weeks of age.25 Analysis for lesions 30 days later showed none to three small focal areas of pAKT-positive cells (data not shown). All experiments were stopped 30 weeks after virus injection and the prostate, lymph nodes and lungs were harvested for analysis.
Immunohistochemistry
Tissues were fixed in 4% PFA and embedded in paraffin. Haematoxylin and eosin staining was performed according to the standard procedures. Antigen retrieval was performed in a pressure cooker using citrate buffer at pH6. The following antibodies were used for IHC: JunB (CS3753), pAKT (CS4060), Ki67 (Dako, Barcelona, Spain; SP1 (rabbit) or TEC-3 (rat)), CK5 (PRB-160P, Covance, Madrid, Spain), CK8 (Troma1, Developmental Studies Hybridoma Bank (DSHB), University of Iowa, Iowa City, IA, USA), p16 (SC-1661), S100A9 (SC-8115), SPP1 (R&D Systems, Madrid, Spain; AF808), smooth muscle actin (SMA, Sigma A2547, Madrid, Spain) and F4/80 (Biolegend, Madrid, Spain). The appropriate secondary antibodies coupled with FITC455, AlexaFluorF594 or HRP were used for fluorescence or coupled with a chromogenic staining. Counterstaining was performed using DAPI or haematoxylin.
Senescence
Tissues were washed through a sucrose gradient and frozen in OCT. Eight-micron sections were cut and dried at 37 °C for 1 h before being washed with PBS for three times. Tissues were fixed for 10 min and incubated overnight with the staining solution (CS9860) at 37 °C, according to the manufacturer's instructions.
Protein isolation and western blots
Tissues were disrupted using a Precellys 24 device (Bertin, Lyon, France) in RIPA buffer containing a protease inhibitor cocktail (Sigma), 0.1 mM Na3VO4, 40 mM B-glycerophosphate, 40 mM NaPPi, 1 mM NaF. Approximately 50 μg of protein per sample were loaded for western blot analysis and loading was eventually adjusted using actin (Sigma, A-2066) and vinculin (Sigma, V-9131). The membranes were blocked with 2.5% BSA in TBS-T before being incubated with the primary antibody. The following antibodies were used: pJNK (CS9251), c-Jun (CS9165), JNK (CS9252), pAKT (CS4060), AKT (CS9272) pErk1/2 (CS9101), p-p65 (CS3031) p65 (SC-372), p16 (SC-1207), p21 (BD556430), pStat3 (CS3131), Stat3 (CS9132), S100A8 (R&D Systems, AF3059) and S100A9 (R&D Systems, AF2065). Appropriate HRP-linked secondary antibodies were purchased from Amersham and DAKO.
Quantitative reverse transcription PCR
RNA was isolated with Trizol (Sigma) and complementary DNA synthesized with Ready-To-Go-You-Prime-First-Strand Beads (GE Healthcare, Madrid, Spain), using 1 μg of DNAse-pretreated total RNA and random hexamers. Quantitative PCR was performed using GoTaq qPCR Master Mix (Promega, Madrid, Spain) and an Eppendorf fluorescence thermocycler. The comparative cycle threshold method was used for quantification. Expression levels were normalized using at least one housekeeping gene (actin, gapdh). Primer sequences are available upon request.
Data mining
Prostate bioset from Chandran et al.,14 Lapointe et al.15 and LaTulippe et al.16 were analysis in NextBio. Chandran et al.14 has 64 tumour samples and 24 metastasis samples. LaTulippe et al.16 has 23 tumour and 9 metastasis samples. Lapointe et al.15 (2004) has 62 tumour and 9 lymph node metastasis samples. Gene expressions from primary prostate cancer were compared with metastatic-derived prostate cancer. P-values were generated by NextBio analysis base on Student's t-test. Published array data analyses were used to generated box-plot and correlations analysis.
Statistical analyses
All experiments were performed at least three times and data in bar graphs represent mean±S.D. of the indicated sample numbers. Statistical analysis was performed using non-directional two-tailed Student's t-test. *P<0.05 was considered as significant.
Ethical study approval
Paraffin sections of prostate tissues originating from prostatectomy were provided by the CNIO tumour bank in accordance with the ethical guidelines of the Helsinki Declaration. Mouse handling and experimentation was done in accordance with local and institutional guidelines and regulations.
Acknowledgments
We are very grateful to G. Luque and G. Medrano for technical help with mouse procedures. This work was supported by the Banco Bilbao Vizcaya Argentaria Foundation (F-BBVA), the Spanish Ministry of Economy (Grant BFU2012-40230), the Association for International Cancer Research (AICR/13-0216) and a European Research Council–advanced grant (ERC-FCK/2008/37) to EFW. MKT was supported by a Juan de la Cierva postdoctoral fellowship. SCH was the recipient of a Boehringer Ingelheim Fonds PhD fellowship and a European Molecular Biology Organization short-term fellowship (ASTF 198–2012).
Glossary
- AP-1
activator protein 1
- Pten
phosphatase and tensin homologue
- PSA
prostate-specific antigen
- TAC
transient-amplifying cell
- ERK
extracellular signal-regulated kinase
- AKT
protein kinase B
- JNK
c-Jun N-terminal kinase
- IHC
immunohistochemistry
- SPP1
osteopontin
- S100A8/9
S100 calcium-binding protein A8/9
The authors declare no conflict of interest.
Footnotes
Supplementary Information accompanies this paper on Cell Death and Differentiation website (http://www.nature.com/cdd)
Edited by G Melino
Supplementary Material
References
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