Summary
Extracellular signals are transduced to the cell nucleus by effectors that bind to enhancer complexes to operate transcriptional switches. For example, the Wnt enhanceosome is a multiprotein complex associated with Wnt-responsive enhancers through T cell factors (TCF) and kept silent by Groucho/TLE co-repressors. Wnt-activated β-catenin binds to TCF to overcome this repression, but how it achieves this is unknown. Here, we discover that this process depends on the HECT E3 ubiquitin ligase Hyd/UBR5, which is required for Wnt signal responses in Drosophila and human cell lines downstream of activated Armadillo/β-catenin. We identify Groucho/TLE as a functionally relevant substrate, whose ubiquitylation by UBR5 is induced by Wnt signaling and conferred by β-catenin. Inactivation of TLE by UBR5-dependent ubiquitylation also involves VCP/p97, an AAA ATPase regulating the folding of various cellular substrates including ubiquitylated chromatin proteins. Thus, Groucho/TLE ubiquitylation by Hyd/UBR5 is a key prerequisite that enables Armadillo/β-catenin to activate transcription.
Keywords: Wnt/β-catenin signaling, Groucho/TLE repression, HECT E3 ubiquitin ligase, VCP/p97
Graphical Abstract
Highlights
-
•
Wnt-dependent inactivation of Groucho/TLE requires ubiquitylation by Hyd/UBR5
-
•
Inactivation of ubiquitylated Groucho/TLE also depends on VCP/p97
-
•
Groucho/TLE ubiquitylation by Hyd/UBR5 enables β-catenin-dependent transcription
Flack et al. discover that the transcriptional co-repressor Groucho/TLE is disabled during Wnt signaling by ubiquitylation by the HECT E3 ligase Hyd/UBR5. This Hyd/UBR5-dependent inactivation of Groucho/TLE also involves VCP/p97, an AAA ATPase regulating the folding of various cellular substrates.
Introduction
During the development of animals, cell fates are specified by a handful of highly conserved cell communication pathways that operate context-dependent transcriptional switches (Barolo and Posakony, 2002). An ancient example is the Wnt/β-catenin signaling pathway, highly conserved from the most primitive animals to humans, which controls numerous cell fate decisions during development (Cadigan and Nusse, 1997). This pathway also operates in stem cell compartments of adult tissues, likely explaining why its dysregulation often leads to cancer. Indeed, the great majority of colorectal cancers are initiated by aberrant activation of β-catenin in the intestinal epithelium (Clevers and Nusse, 2012).
The transduction of the Wnt signal from the cell membrane to the nucleus is understood in outline (MacDonald et al., 2009). This crucially depends on the β-catenin effector, which is highly unstable in the absence of a Wnt signal, owing to phosphorylation of specific sites in its N terminus. These phosphorylations are imparted by two kinases (glycogen synthase kinase 3, GSK3, primed by casein kinase 1α, CK1) within a multiprotein complex assembled by Axin and the APC tumor suppressor (“Axin degradasome”; Mendoza-Topaz et al., 2011), which targets β-catenin for ubiquitylation and proteasomal degradation. Wnt signaling inhibits the Axin degradasome, allowing β-catenin to accumulate in the cytoplasm and nucleus. This enables β-catenin to gain access to TCF factors bound to Wnt-responsive enhancers, which are kept silent prior to Wnt signaling by TCF-associated Groucho/TLE co-repressor. Once bound to TCF, β-catenin activates the transcription of downstream target genes, by recruiting a series of transcriptional co-activators via its C terminus, including chromatin remodelers and modifiers (Mosimann et al., 2009).
Groucho/TLE is tethered to enhancers by DNA-binding proteins including HES (Hairy/Enhancer-of-Split), RUNX, and TCF and appears to repress transcription of linked genes primarily by chromatin compaction (Sekiya and Zaret, 2007), although histone deacetylation also plays a role (Jennings and Ish-Horowicz, 2008, Turki-Judeh and Courey, 2012). In the case of TCF, Groucho/TLE-dependent repression is overcome by stabilized (i.e., activated) β-catenin, but how this is achieved is unclear. Initially, it was thought to rely on displacement of Groucho/TLE by β-catenin from TCF by direct competition for binding, but this now seems unlikely since β-catenin and TLE1 can bind simultaneously to TCF (Chodaparambil et al., 2014). Indeed, a recent genome-wide study in Drosophila found Groucho to be associated with target genes regardless of their activity, leading the authors to conclude that the repressive activity of Groucho does not depend on its recruitment to targets (Chambers et al., 2017).
Consistent with this, Groucho/TLE is an integral component of a multi-protein transcription complex termed the Wnt enhanceosome, helping to tether this complex to transcriptional enhancers via its association with TCF to earmark them for timely Wnt responses (Fiedler et al., 2015, van Tienen et al., 2017). The Wnt responsiveness of this complex is conferred by Pygopus (Pygo) which binds to its core module Chip/LDB-SSDP (ChiLS) and captures stabilized Armadillo/β-catenin via the Legless/BCL9 adaptor (Kramps et al., 2002, Townsley et al., 2004). In Drosophila, Pygo function becomes largely dispensable if Groucho is eliminated by mutation (Mieszczanek et al., 2008), suggesting that Pygo enables Armadillo to access TCF and overcome Groucho-dependent repression. But how TCF-bound Armadillo/β-catenin inactivates the repressive function of Groucho/TLE remains an open question and is likely to require further co-factors.
Here, we report that the HECT E3 ubiquitin ligase Hyperplastic discs (Hyd) and its human ortholog UBR5 (also known as EDD1) are crucial co-factors of Armadillo/β-catenin, enabling it to relieve Groucho/TLE-dependent repression. Loss-of-function and epistasis analyses show that Hyd/UBR5 is required downstream of Armadillo/β-catenin for transcriptional Wnt responses in Drosophila wing imaginal discs and human cell lines. Its relevant substrate is Groucho/TLE, whose ubiquitylation by UBR5 is Wnt-inducible and conferred by β-catenin. Our evidence implicates valosin-containing protein (VCP, also known as p97) in the UBR5-dependent inactivation of TLE. We have thus uncovered a mechanism by which Hyd/UBR5 and VCP/p97 co-operate to overcome Groucho/TLE-dependent repression of transcription.
Results
hyd Is Essential for the Activity of Stabilized Armadillo
Previous work indicated that UBR5 affects Wnt/β-catenin signaling in human cell lines; however in one study, UBR5 seemed to negatively regulate β-catenin, destabilizing it via upregulation of APC (Ohshima et al., 2007), whereas in another, UBR5 positively regulated the stability of β-catenin via assembling on it non-canonical ubiquitin (Ub) conjugates (linked via lysine 11 and 29, K11 and K29; Hay-Koren et al., 2011). To resolve this discrepancy, we examined the consequences of Hyd loss on Wingless (Wg) responses in Drosophila, by generating hyd mutant clones in wing imaginal discs (note that hyd is essential for viability, and for germline development, which precludes analysis of embryonic stages; Mansfield et al., 1994). These hyd mutant clones produce wing phenotypes similar to those caused by pygo mutant clones, with margin defects accompanied by ectopic margin bristles (Figure 1A).
Next, we monitored Wg target gene expression in wing discs by staining clone-bearing discs with antibodies against Senseless (Sens) and Wg: wg is expressed in a stripe along the prospective wing margin where it progressively narrows its own expression by a negative feedback loop (Rulifson et al., 1996) while activating sens in neighboring cells (Figure 1B). Accordingly, sens expression is eliminated in pygo mutant clones near the margin (Parker et al., 2002), while wg is derepressed within these clones (Figure 1C). The same is true in hyd mutant clones, although their phenotypes are somewhat stronger (Figure 1D). We also examined vestigial (vg), another Wg target gene expressed in a broad domain straddling the margin (Schweizer et al., 2003), which is downregulated in pygo mutant clones in the prospective wing blade (Fiedler et al., 2015), and likewise in hyd mutant clones (Figure 1E). In other words, hyd mutant clones phenocopy pygo mutant clones, causing loss of Wg responses in the wing disc. Hyd, like Pygo, is thus a positive regulator of Wg signaling in this tissue. We also note that the hyperplastic phenotype initially described in hyd hypomorphic flies (Mansfield et al., 1994) can be ascribed to SoxF (Figure S1), a repressor of proliferation activated by Wg in various tissues including the prospective wing hinge (Dichtel-Danjoy et al., 2009). In other words, this hyperplastic phenotype further supports the notion of Hyd as a positive regulator of Wg responses in the wing disc. hyd mutant germ cells do not develop, and we therefore cannot analyze hyd function at earlier developmental stages.
Given the striking similarities between hyd and pygo mutant phenotypes, we asked whether hyd blocks the activity of stabilized Armadillo (called ArmS10; Pai et al., 1997), as pygo does in fly embryos (Thompson et al., 2002). Indeed, hyd mutant clones expressing ArmS10 invariably lack Sens (although sens is ectopically activated by ArmS10 in adjacent wild-type [WT] cells) but exhibit derepressed Wg staining (Figure 1F). Essentially the same is seen in double mutant hyd axin clones (Figure S1). We conclude that hyd acts downstream of stabilized Armadillo, like Pygo (Kramps et al., 2002, Parker et al., 2002, Thompson et al., 2002). Notably, the levels of Armadillo are normal in hyd mutant clones (Figure S1), as in pygo mutant clones (Parker et al., 2002, Thompson et al., 2002). This appears to contrast with human cells whose β-catenin seemed stabilized (Ohshima et al., 2007) or destabilized (Hay-Koren et al., 2011) after UBR5 depletion. However, in our hands, siRNA-mediated depletion of UBR5 (with several different siRNAs, including those used by these authors) proved highly unreliable and produced inconsistent effects on β-catenin levels and activity (N.N., unpublished data).
UBR5 Is Required for Efficient Transcriptional Activity of β-Catenin in Human Cells
Given this unreliability of UBR5 depletion by RNAi, we decided to delete UBR5 in HEK293T cells by CRISPR/Cas9 (Figure S2, Tables S1 and S2) to test Wnt responses in null mutant human cells (UBR5 KO cells). We used a TCF-dependent reporter assay (called SuperTOP; Veeman et al., 2003) to monitor the transcriptional activity of β-catenin. SuperTOP activity is substantially reduced in UBR5 KO cells treated with Wnt3A or LiCl (which stabilizes β-catenin through inhibition of GSK3), and this transcriptional response can be restored toward normal by re-expression of UBR5 (Figure 2A) but not of catalytically dead UBR5 (UBR5-CS, bearing a cysteine-to-serine substitution, C2768S, in its catalytic site), which has a mild dominant-negative effect (Figure S2). An independently isolated KO line behaved the same (Figure S2). Furthermore, endogenous Wnt target genes such as NKD1, AXIN2, and SP5 (Hanson et al., 2012, Lustig et al., 2002) are less inducible in LiCl-stimulated UBR5 KO cells compared to their parental controls (Figure 2B; Table S3). By contrast, deletion of other HECT E3 ligases previously linked to Wnt signaling (HUWE1, HECTD1, UBE3C), or to UBR5 itself (TRIP12) (Figure S2), does not reduce the transcriptional Wnt response in HEK293T cells, although HUWE1 deletion causes hypersensitivity to Wnt3A (Figure 2C), as expected, since HUWE1 negatively regulates the upstream Wnt signaling component Dishevelled (de Groot et al., 2014). Thus, UBR5 is unique among these ligases in behaving as a positive regulator of Wnt-induced transcription in human cells.
Given this equivalence between UBR5 and Hyd, we asked whether UBR5 is required for the transcriptional activity of stabilized β-catenin. We thus expressed an unphosphorylatable mutant of β-catenin (Δ45-β-catenin, found in colorectal cancers; Morin et al., 1997), which is hyperactive in stimulating SuperTOP in WT HEK293T cells, but this activity is much reduced in UBR5 KO cells (Figure 2D). UBR5 thus functions downstream of stabilized β-catenin in human cells, like its Hyd counterpart in flies.
TLE3 Is Ubiquitylated by UBR5 in a Wnt-Dependent Fashion
From these epistasis analyses, we expected the functionally relevant substrate of Hyd/UBR5 to be downstream of Wnt-activated Armadillo/β-catenin. To identify this substrate, we adopted a proteomics approach based on co-immunoprecipitation (coIP) of proteins associated with FLAG-tagged UBR5 in LiCl-stimulated cells, using a catalytically dead version as bait (FLAG-UBR5-CS), to maximize substrate capture. For comparison, we used a mutant version of FLAG-UBR5-CS lacking its MLLE domain (Figure 2A) embedded in the N terminus of its HECT domain (FLAG-UBR5-CS-ΔMLLE), since this domain binds substrates through a PAM2 motif (Kozlov et al., 2010) and regulates binding of PAM2-motif-containing substrates to the HECT domain (Muñoz-Escobar et al., 2015). Analysis of proteins eluted from these baits by mass spectrometry identified a number of proteins consistently associated with UBR5 baits but not with the control. The UBR5-specific hits found in two independent experiments included several known substrates with a PAM2 motif (e.g., BUB1, BUB1β, and ATXN2L), but the only Wnt signaling component was TLE3, whose association with UBR5 seemed independent of MLLE (Figure S3), consistent with its lack of a recognizable PAM2 motif. We used coIP assays in HEK293T cells co-expressing GFP-UBR5-CS and HA-TLE3 to confirm specific association between these two proteins (Figure S3).
To test whether TLE is a substrate of UBR5, we conducted ubiquitylation assays in UBR5 KO cells, co-expressing Myc-TLE3 and GFP-UBR5 (or GFP-UBR5-CS as control) with His-Ub and monitoring polyubiquitylated TLE3 (Ub-TLE3) after affinity purification with Ni-NTA resin. Indeed, GFP-UBR5 but not GFP-UBR5-CS generates Ub-TLE3; notably, this activity is only detectable in LiCl-, but not in mock-, treated cells (Figure 3A). Similarly, exposure of cells to Wnt3A induces UBR5-dependent ubiquitylation of Myc-TLE3 (Figure 3B), while endogenous TLE is also ubiquitylated in LiCl-treated cells in a UBR5-dependent fashion (Figure S3). We also detect substantial levels of LiCl-dependent Ub-TLE3 in WT cells, seemingly conferred by endogenous UBR5 (whose levels are similar to those of GFP-UBR5 re-expressed in UBR5 KO cells; Figure 3C). This striking Wnt-induced ligase activity of UBR5 toward TLE3 indicates that TLE3 is a physiological substrate of UBR5 in cells with an active Wnt pathway. Consistent with this, both endogenous and re-expressed GFP-UBR5 are confined to the nucleus (Hay-Koren et al., 2011) (Figure 3D), and so most physiological substrates of UBR5 are expected to be nuclear proteins.
An important corollary of our findings is that Groucho/TLE is inactivated during Wnt signaling by Hyd/UBR5-dependent ubiquitylation. If so, genetic inactivation of Groucho/TLE should restore Wnt responses in cells lacking Hyd/UBR5. We tested this, by examining Wg responses in hyd gro double mutant wing disc clones. Indeed, we observe partial restoration of Sens staining in these double mutant clones near the wing margin (in 22/42 clones scored), but these clones with restored Sens staining do not exhibit Wg derepression (Figure 3E), in contrast to hyd mutant clones, which invariably show Wg derepression but never any Sens expression (Figure 1D), or to gro mutant clones, which invariably show derepressed Sens in Wg signaling territories (Mieszczanek et al., 2008). In other words, these two different Wg responses that are lost in hyd mutant clones are partially (Sens expression) or fully (Wg repression) restored in the double mutant clones. In addition, the SoxF-dependent overgrowth seen in hyd mutant clones in the prospective hinge region is fully suppressed in hyd gro double mutant clones (Figure S1). Thus, Hyd is dispensable to a large extent for Wg responses in the absence of Groucho, implying that Groucho is a functionally relevant substrate of Hyd in Wg-stimulated cells.
Stabilized β-Catenin Promotes UBR5-Dependent Ubiquitylation of TLE3
Given that UBR5 acts below β-catenin, which accumulates during Wnt signaling (Figure 3B), we asked whether stabilized β-catenin by itself could induce UBR5-dependent Ub-TLE3. We expressed Δ45-β-catenin in UBR5 KO cells, with or without resupplied GFP-UBR5, and monitored Ub-TLE3. Indeed, UBR5-dependent Ub-TLE3 is nearly as highly induced by expression of Δ45-β-catenin as by LiCl treatment (Figure 4A). Furthermore, endogenous β-catenin coIPs with GFP-UBR5-CS, but this association is only detectable in LiCl-stimulated cells (Figure 4B). Crucially, the association between GFP-UBR5-CS and HA-TLE3 is strongly increased by LiCl stimulation (Figure 4B) but is barely detectable in β-catenin-depleted cells (Figure 4C). Taken together, these results support the notion that stabilized β-catenin binds to UBR5 and apposes it to TLE3, thereby directing its ubiquitin ligase activity toward TLE3. Notably, this appears to occur within the Wnt enhanceosome, given that FLAG-UBR5-CS coIPs with co-expressed GFP-TCF4 and GFP-PYGO1, regardless of Wnt stimulation (Figure S3). Indeed, in an independent study based on proximity labeling, we detected constitutive association of endogenous UBR5 with the Wnt enhanceosome, near PYGO (van Tienen et al., 2017).
We also considered the possibility that UBR5 may be autoinhibited, like other HECT E3 ligases (see Discussion), and that its disinhibition required β-catenin. However, UBR5 ubiquitylates other substrates in the absence of Wnt pathway activity (Shearer et al., 2015) including PAIP2 (Yoshida et al., 2006). We confirmed that HA-PAIP2 is ubiquitylated efficiently by co-expressed FLAG-UBR5, regardless of Wnt signaling (Figure 4D). Thus, UBR5 is intrinsically active and does not require disinhibition by β-catenin or other factors.
Given that stabilized β-catenin promotes the E3 ligase activity of UBR5 toward TLE3, we asked whether we could detect UBR5-dependent Ub-TLE3 in the colorectal cancer cell line HCT116, whose Wnt pathway activity is elevated due to a Δ45 mutation in one of its β-catenin alleles (Morin et al., 1997). We thus used the CRISPR/Cas9 system to delete UBR5 in these cells and examined their Ub-TLE3. Indeed, Ub-TLE3 is detectable in the parental HCT116 line but not in the UBR5 KO derivatives (Figure 4E). Furthermore, the β-catenin-dependent transcription is significantly reduced in the KO cells compared to their parental controls (Figure 4F). This corroborates the results from our epistasis analysis, underscoring the notion that stabilized β-catenin is sufficient to direct UBR5 activity toward TLE3 to inhibit its repressive function.
UBR5 Ubiquitylates the Ligand-Binding WD40 Domain of TLE3
Previous evidence based on cells expressing ubiquitin mutants with only a single lysine available for conjugation (K-only Ub) suggested that UBR5 modifies β-catenin with “non-canonical” ubiquitin conjugates (linked at K29 and K11; Hay-Koren et al., 2011) in cells. However, the UBR5 construct used by these authors bore a His tag at its C terminus, and we confirmed that this inactivated its E3 ligase activity (N.N., unpublished data), as might be expected (Salvat et al., 2004). Removing this tag revealed the activity of UBR5 toward TLE3 and PAIP2 (see above), yet ubiquitylation of β-catenin was not detectable in the same lysates (Figure 4A). We thus also re-examined the linkage specificity of UBR5, using an in vitro Ub assay supplemented with K-only Ub mutants (bearing arginine-to-lysine substitutions at all but one lysine) and bacterially expressed HECT domain of UBR5 (UBR52217-2799). UBR52217-2799 auto-ubiquitylates when supplied with WT Ub, and with K48-only Ub, but not with any of the other K-only Ub mutants (Figure S4). Consistent with this, analysis of affinity-purified FLAG-TLE3 by mass spectrometry (see below) revealed di-Ub peptides exclusively derived from K48-linked Ub in addition to unlinked Ub peptides (while parallel affinity purifications of Dishevelled revealed association with K11-linked Ub; Mund et al., 2015). We used UbiCREST assays (Hospenthal et al., 2015), cleaving Ub-TLE3 with deubiquitylases (DUBs) specific for K11-, K29-, K33-, K48-, and K63-linked Ub, to show that only the K48-specific enzyme is active toward Ub-TLE3 (Figure 5A), confirming that UBR5 generates K48-Ub conjugates.
A likely implication is that UBR5 substrates are targeted for proteasomal degradation by their K48-Ub chains. Indeed, the levels of Ub-TLE3 are elevated after proteasome inhibition (Figure 3A). However, cycloheximide chase experiments did not reveal any differences in the steady-state levels of TLE3 between LiCl-stimulated WT and UBR5 KO cells (Figure S4). Likewise, the levels of Gro staining are unaltered within hyd mutant clones compared to their neighboring WT cells (J.M., unpublished data). While this suggests that UBR5 does not primarily target TLE for proteasomal degradation, it is possible that these assays monitoring bulk Groucho/TLE are not sensitive enough to detect UBR5-dependent destabilization of the TCF-associated pool of TLE. Furthermore, the rate of Ub-TLE turnover may be too slow to be detected in these short-term assays.
Next, we mapped the domain of TLE3 ubiquitylated by UBR5, by generating various TLE3 truncations. This revealed that the C-terminal WD40 domain of TLE3 is both necessary and sufficient for UBR5-dependent ubiquitylation in LiCl-stimulated cells (Figure 5B). As expected, this domain coIPs with GFP-UBR5-CS, and this interaction is enhanced by LiCl (Figure 5C). Thus, TLE3 interacts with UBR5 via its WD40 domain, which becomes ubiquitylated as a result. We also examined the in vivo ubiquitylation of individual K-only WD40 mutants, which revealed that most of these mutants can be ubiquitylated efficiently, with K720-only being one of the strongest ubiquitin acceptors (Figure S5). Notably, K720 is solvent-exposed within the pore of the WD40 propeller domain and is crucial for its binding to a short C-terminal motif in HES and RUNX proteins (Jennings et al., 2006). Evidently, this and other lysines on either propeller surface can serve as Ub attachment sites for UBR5.
The WD40 domain is also required for TLE’s association with ChiLS (Fiedler et al., 2015), and for its binding to nucleosomal arrays (Sekiya and Zaret, 2007). We thus asked whether the ubiquitylation of WD40 would block its binding to these ligands. However, Ub-WD40 coIPs efficiently with GFP-HES1 or GFP-ChiLS, and Ub-TLE3 is also pulled down by biotinylated histone H2A, H3, and H4 tails (see Chodaparambil et al., 2014) comparably to unmodified TLE3 (Figure S5). Thus, the ubiquitylation of WD40 does not block its ligand binding. We note however that these coIP assays have technical limitations, and we suspect would not be able to detect subtle attenuations of ligand binding that could be crucial in cells.
VCP/p97 Is Required for UBR5-Dependent Inactivation of Ub-TLE
During our attempts to identify Ub attachment sites within the WD40 domain by mass spectrometry, we discovered peptides derived from VCP/p97 in the TLE3 immunoprecipitate. VCP/p97 is an AAA ATPase that has been implicated in the segregation of polyubiquitylated proteins from chromatin in various systems (Dantuma et al., 2014, Xia et al., 2016). We thus wondered whether the inactivation of TLE by UBR5-dependent ubiquitylation might involve VCP/p97.
To test this, we co-expressed a widely used catalytically dead version of this ATPase (bearing a glutamate-to-glutamine substitution, E578Q, in its D2 catalytic pocket; VCP-EQ-GFP) in UBR5 KO cells and examined Ub-TLE3 after re-supply of UBR5 and LiCl stimulation. We thus found the levels of UBR5-dependent Ub-TLE3 to be strongly increased by VCP-EQ-GFP (Figure 6A). The same is true if the transfected cells are treated with NMS-873, a highly specific allosteric inhibitor of VCP/p97 (Magnaghi et al., 2013), or with a distinct VCP/p97 inhibitor called CB-5083, which acts ATP-competitively through its D2 catalytic pocket (Zhou et al., 2015). In fact, these inhibitors are more effective in elevating the Ub-TLE3 levels than proteasome inhibition by MG132 (Figure 6B), which we used in most of our experiments. Furthermore, Ub-TLE3 also coIPs with catalytically dead VCP/p97 (Figure 6C). Taken together, these results suggest a functional link between VCP/p97 and Ub-TLE3.
Finally, we asked whether these interactions between VCP/p97 and TLE3 are functionally relevant for Wnt signaling, by monitoring β-catenin-dependent transcription in WT or UBR5 KO cells with or without VCP-EQ-GFP, or after VCP/p97 inhibitor treatment. Indeed, the LiCl-induced SuperTOP activity is severely reduced in WT HEK293T cells under both conditions of VCP/p97 inhibition, but barely affected in UBR5 KO cells (Figure 6D). If this activity is restored in the KO cells by UBR5 re-expression, this also restores sensitivity to VCP/p97 inhibition (Figure S6). Notably, SuperTOP is also sensitive to VCP/p97 inhibition by NMS-873 if this reporter is induced by Δ45-β-catenin in WT HEK293T cells (Figure 6E), supporting the notion that the functionally relevant target of VCP/p97 is in the downstream (nuclear) part of the Wnt signaling cascade. Finally, NMS-873 also attenuates the LiCl inducibility of endogenous Wnt target genes in WT cells, but barely in UBR5 KO cells (Figure S6). Thus, our results implicate VCP/p97 in the Wnt-dependent inactivation of Ub-TLE3.
Discussion
An essential step enabling Wnt-dependent transcription is the conversion of the Wnt enhanceosome from silent to active. This involves the binding of the Wnt effector β-catenin to TCF, which releases the transcriptional silence imposed on the linked genes by TCF-bound Groucho/TLE. We have discovered a crucial role of Hyd/UBR5 in this process, and our evidence suggests that β-catenin directs the activity of this HECT ubiquitin ligase toward Groucho/TLE, to block its repressive activity (Figure 7). Our evidence also implicates VCP/p97 in this UBR5-dependent inactivation of Groucho/TLE during Wnt signaling.
Groucho/TLE Is a Physiological Substrate of Hyd/UBR5 in Wnt-Stimulated Cells
By generating UBR5 null mutant cell lines, we were able to resolve previous inconsistencies regarding the effects of UBR5 depletion on Wnt/β-catenin responses in human cell lines (Hay-Koren et al., 2011, Ohshima et al., 2007). Our UBR5 KO cell lines consistently showed reduced Wnt responses, but no changes in β-catenin levels. This parallels our results from hyd mutant clones in flies, providing unequivocal evidence for Hyd/UBR5 as a positive regulator of Wnt signaling in fly and human cells.
Three strands of evidence implicate Groucho/TLE as a physiologically relevant substrate of Hyd/UBR5 during Wnt signaling. First, our epistasis analysis revealed that Hyd/UBR5 acts below Armadillo/β-catenin, and thus likely targets a substrate in the nucleus, consistent with its nuclear localization. Second, the activity of UBR5 in ubiquitylating Groucho/TLE is triggered by Wnt/β-catenin signaling. Third, in Drosophila wing discs, hyd is largely dispensable in the absence of Groucho (as revealed by hyd gro double mutant clones), which provides powerful evidence that Hyd acts by antagonizing Groucho.
The Wnt-Induced Ligase Activity of UBR5 toward TLE Is Conferred by β-Catenin
We considered two possible mechanisms by which β-catenin might activate UBR5 toward TLE3 during Wnt signaling. Either, β-catenin might disinhibit UBR5 if this enzyme were normally autoinhibited, like the NEDD4 family HECT ligases (e.g., Mari et al., 2014, Mund and Pelham, 2009). Indeed, one of these ligases (WWP2) is disinhibited by Dishevelled, which, upon polymerization, engages in multivalent interactions with WWP2 to release its cognate binding sites from autoinhibitory contacts (Mund et al., 2015). However, the strong activity of UBR5 toward PAIP2 in the absence of Wnt signaling (Figure 4D) argues against this mechanism. We thus favor an alternative mechanism, namely that β-catenin apposes enzyme and substrate, e.g., via triggering a conformational change of the Wnt enhanceosome that results in proximity between UBR5 and Groucho/TLE (Figure 7). Support for this mechanism comes from previous proximity labeling experiments that revealed a β-catenin-dependent rearrangement of some of the components within the Wnt enhanceosome (van Tienen et al., 2017), and from our coIP assays showing that β-catenin promotes the association between UBR5 and TLE3 (Figures 4B and 4C).
Inactivation of Groucho/TLE by UBR-Dependent Ubiquitylation
How does UBR5-dependent ubiquitylation of Groucho/TLE inactivate its co-repressor function? The most obvious mechanism involves proteasomal turnover of Ub-TLE, given the specificity of UBR5 in generating K48-linked Ub chains, which are efficient proteasomal targeting signals. In support of this, the levels of UBR5-dependent Ub-TLE3 are elevated after proteasome inhibition. However, our negative results from the cycloheximide chase experiments argue against rapid proteosomal degradation being the primary mechanism underlying the UBR5-dependent inactivation of Groucho/TLE.
We also considered that the ubiquitylation of the WD40 domain might interfere with its binding to cognate ligands, and thus weaken the association of Groucho/TLE with the Wnt enhanceosome. However, this does not seem to be the case since Ub-TLE3 appears to bind to its ligands as efficiently as unmodified TLE, including a K-only mutant which can only be ubiquitylated at K720, a WD40 pore residue that is crucial for ligand binding (Jennings et al., 2006) and co-repression (Komachi and Johnson, 1997). Evidently, the extended C terminus through which ubiquitin is attached to K720 is flexible enough to allow simultaneous ligand binding. However, for technical reasons, we have been unable to test the binding of Ub-TLE to the key ligand through which Groucho/TLE exerts its repressive function—namely the nucleosomes to which Groucho/TLE binds via both its structured domains, to promote chromatin compaction (Sekiya and Zaret, 2007). Nevertheless, we consider it plausible that the attachment of multiple ubiquitin chains to the WD40 domain (as indicated by our experiments) would loosen up the binding of Groucho/TLE to nucleosomes, and thus attenuate its ability to compact chromatin.
Our evidence based on dominant-negative VCP/p97 and two distinct VCP/p97 inhibitors (Figure 6) implicates this ATPase in the Wnt-dependent inactivation of Ub-TLE. Intriguingly, a recent proteomic screen for NMS-873-induced VCP/p97-associated proteins identified TLE1 and TLE3 as the only Wnt signaling components, along with VCP/p97 adaptors and other putative substrates (Xue et al., 2016), consistent with our notion of Groucho/TLE as a substrate of this ATPase. VCP/p97 regulates the folding of ubiquitylated proteins, to promote their segregation from large structures, such as endomembranes, and also from large protein complexes, including DNA repair and chromatin complexes (Dantuma et al., 2014, Xia et al., 2016). It is therefore conceivable that VCP/p97 unfolds Groucho/TLE upon its ubiquitylation, especially if this modification loosened the interaction of Groucho/TLE with nucleosomes. Whatever the case, unfolding of the Groucho/TLE tetramer by VCP/p97 is likely to destabilize it, which would disable its repressive function (Song et al., 2004, Chodaparambil et al., 2014). This is consistent with a recent proposal that the relief of Groucho-dependent repression is based on kinetic destabilization of the Groucho complex (Chambers et al., 2017), which may be facilitated by its ubiquitylation and unfolding by VCP/p97.
Differences between UBR5 and XIAP
One other E3 ligase has been shown to ubiquitylate TLE3, namely the RING ligase XIAP, which constitutively monoubiquitylates the Q domain of TLE3, apparently stimulating Wnt-dependent transcription by blocking its binding to TCF4 (Hanson et al., 2012). This contrasts with the Wnt-induced activity of UBR5 toward TLE3 revealed by our study. Evidently, the two ligases act distinctly, and also independently, given that the UBR5-dependent polyubiquitylation of TLE3 is normal in XIAP KO cells (Figure S7). However, we also noted that the reduction of Wnt-dependent transcription in the XIAP KO cells was modest at best, compared to the substantial reduction in UBR5 KO cells (Figure 2). Either XIAP plays a lesser role in promoting transcriptional Wnt responses or a compensating E3 ligase was upregulated during the process of establishing XIAP KO cells. We note that the XIAP KO mice are viable, and without any overt mutant phenotypes (Harlin et al., 2001), and that the Drosophila XIAP mutants do not show wg-like phenotypes (e.g., Robbins et al., 2014), in contrast to the hyd mutant clones that phenocopy strong wg-like mutant phenotypes (Figure 1). All in all, it appears that UBR5 has a more profound role than XIAP in enabling transcriptional Wnt responses.
Other Functions of UBR5
Inactivation of Groucho/TLE by UBR5 and VCP/p97 (Figure 7) could also underlie other signaling-dependent gene switches that involve Groucho/TLE-dependent repression, e.g., Notch signaling, which depends on binding of Groucho/TLE to HES repressors (Jennings and Ish-Horowicz, 2008, Turki-Judeh and Courey, 2012). Indeed, recent genetic screens in C. elegans have identified the UBR5 ortholog sog-1 as a negative regulator of Notch signaling during nematode development (Safdar et al., 2016). Although it is conceivable that hyd also affects Notch responses in flies, we found that the derepression of the Notch target gene wg in hyd mutant wing disc clones is not sensitive to blockade by dominant-negative Mastermind (Figure S1), which argues against a role of Hyd in Notch-dependent transcription in this tissue. We also note that Ubr5 has been linked to defective Hedgehog signaling in mice (Kinsella et al., 2016), following an earlier lead of Groucho as a putative Hyd target in the context of Hedgehog signaling (Lee et al., 2002), although these links between Hyd/Ubr5 and Hedgehog signaling appear to be indirect.
However, UBR5 clearly also modifies substrates other than Groucho/TLE, including proteins with PAM2 motifs that are recognized by its MLLE domain (Kozlov et al., 2010), e.g., PAIP2 involved in translational control (Muñoz-Escobar et al., 2015). Furthermore, via its UBR domain (Figure 2A), UBR5 may recognize substrates of the N-end rule pathway (Sriram et al., 2011), though few of these have been identified to date. Given the nuclear location of UBR5, it seems highly likely that most of its physiologically relevant substrates are nuclear proteins, e.g., the RING E3 ligase RNF168, which is ubiquitylated and destabilized by UBR5 during the DNA damage response (Gudjonsson et al., 2012).
Implications for Cancer
UBR5 has been heavily implicated in cancer, although it is somewhat unclear whether it promotes or antagonizes tumor progression, which may depend on context (Shearer et al., 2015). However, UBR5 amplification is the predominant genetic alteration in many types of cancers (far more prevalent than loss-of-function UBR5 mutations), and amplified UBR5 correlates with poor outcomes in breast cancer (Shearer et al., 2015). This implies a tumor-promoting role of UBR5, consistent with its role in relieving Groucho/TLE-dependent repression of Wnt responses. It will be interesting to test whether UBR5 loss-of-function inhibits β-catenin-dependent tumorigenesis, e.g., in the intestine. This might be expected, given our results from the colorectal cancer cell line HCT116 whose β-catenin-dependent transcription is attenuated by UBR5 KO (Figures 4D and 4E) and whose proliferation is slowed down by VCP/p97 inhibition (Magnaghi et al., 2013). If this were to apply generally to other colorectal cancer lines, this would indicate the potential of UBR5 and VCP/p97 as new enzymatic targets for therapeutic intervention in colorectal and other β-catenin-dependent cancers. It could widen the application of CB-5083, an orally bioavailable VCP/p97 inhibitor currently in phase 1 clinical trials (Zhou et al., 2015).
STAR★Methods
Key Resources Table
REAGENT or RESOURCE | SOURCE | IDENTIFIER |
---|---|---|
Antibodies | ||
α-UBR5 | Abcam | Cat#ab70311; RRID: AB_2210186 |
α-GFP (rabbit) | Sigma | Cat#G1544; RRID: AB_439690 |
α-GFP (mouse) | Sigma | Cat#G6539; RRID: AB_259941 |
α-Flag (mouse) | Sigma | Cat#F1804; RRID: AB_262044 |
α-Flag (rabbit) | Sigma | Cat#F7425; RRID: AB_439687 |
α-HA (rat) | Sigma | Cat#3F10 |
α-HA (rabbit) | Abcam | Cat#ab9110; RRID: AB_307019 |
α-Myc | Santa Cruz Biotechnology | Cat#sc-789; RRID: AB_631274 |
α-active β-catenin (ABC) | Cell Signaling Technologies | Cat#8814S; RRID: AB_11127203 |
α-β-catenin | BD Transduction Laboratories | Cat#610153 |
α-XIAP | BD Transduction Laboratories | Cat#610763; RRID: AB_398086 |
α-HUWE1 | Abcam | Cat#ab70161; RRID: AB_1209511 |
α-TRIP12 | Abcam | Cat#ab86220; RRID: AB_1925533 |
α-HECTD1 | Abcam | Cat#ab101992; RRID: AB_10711075 |
α-UBE3C | Abcam | Cat#ab101512; RRID: AB_10711205 |
α-β-tubulin | Sigma | Cat#T4026; RRID: AB_477577 |
α-TLE1-4 | Santa Cruz Biotechnology | Cat#sc-13373; RRID: AB_2203721 |
α-GST | Abcam | Cat#ab19256; RRID: AB_444809 |
HRP conjugated Goat α-Mouse | Santa Cruz Biotechnology | Cat#sc-2005; RRID: AB_631736 |
HRP conjugated Goat α-Rabbit | Santa Cruz Biotechnology | Cat#sc-2301; RRID: AB_650500 |
HRP conjugated Goat α-Rat | Santa Cruz Biotechnology | Cat#sc-2032; RRID: AB_631755 |
HRP conjugated Donkey?α-Goat | R&D Systems | Cat#HAF109; RRID: AB_357236 |
Alexa Fluor 488 conjugated Goat α-Rabbit | Life Technologies | Cat#A11008 |
Alexa Fluor 488 conjugated Goat α-Mouse | Life Technologies | Cat#A11029 |
Alexa Fluor 546 conjugated Goat α-Mouse | Life Technologies | Cat#A11003 |
Alexa Fluor 647 conjugated Goat α-Guinea pig | Invitrogen | Cat#A21450 |
α-Senseless | Prof. Hugo J. Bellen | N/A |
α-Vestigial | Prof. Sean B. Carroll | N/A |
α-Wingless | DSHB | Cat#4D4; RRID: AB_528512 |
α-Armadillo | DSHB | Cat#N27A1; RRID: AB_528089 |
Chemicals, Peptides, and Recombinant Proteins | ||
Ni-NTA Agarose | QIAGEN | Cat#30210 |
α-FLAG M2 Affinity Gel | Sigma | Cat#A2220 |
EZview Red α-HA Affinity Gel | Sigma | Cat#E6779 |
GFP-trap_A | Chromotek | Cat#gta-20 |
Glutathione Sepharose 4b | GE Healthcare | Cat#17075601 |
Dynabeads MyOne Streptavidin C1 | Invitrogen | Cat#65001 |
Lipofectamine2000 | Invitrogen | Cat#11668019 |
Polyethylenimine, linear, MW25000 | Polysciences | Cat#23966 |
EDTA-free Protease Inhibitor Cocktail | Roche | Cat#04693159001 |
MG132 | Sigma | Cat#C2211 |
NMS-873 | Cayman Chemical co. | Cat#1418013-75-8 |
CB-5083 | Cayman Chemical co. | Cat#1542705-92-9 |
Cycloheximide | Sigma | Cat#C104450 |
Puromycin dihydrochloride | Sigma | Cat#P8833 |
3xFLAG-Peptide | Sigma | Cat#F4799 |
L-Glutathione reduced | Sigma | Cat#G4251 |
VectaShield with DAPI | Vector Laboratories | Cat#H-1200 |
Ubiquitin-activating enzyme E1 (UBE1A) | Boston Biochem | Cat#E-305 |
Ubiquitin-conjugating enzyme E2 (UBE2L3) | Boston Biochem | Cat#E2-640 |
Ubiquitin | Boston Biochem | Cat#U-100 |
Methyl-ubiquitin | Boston Biochem | Cat#U-501 |
K6-only ubiquitin | Boston Biochem | Cat#UM-K60 |
K11-only ubiquitin | Boston Biochem | Cat#UM-K110 |
K27-only ubiquitin | Boston Biochem | Cat#UM-K270 |
K29-only ubiquitin | Boston Biochem | Cat#UM-K290 |
K33-only ubiquitin | Boston Biochem | Cat#UM-K330 |
K48-only ubiquitin | Boston Biochem | Cat#UM-K480 |
K63-only ubiquitin | Boston Biochem | Cat#UM-K630 |
Histone H2A (1-22) - GK(Biotin) | AnaSpec | Cat#64639-1 |
Histone H3 (1-21) Biotinylated | AnaSpec | Cat#AS-61702 |
Histone H4 (1-23) - GGK(Biotin) | AnaSpec | Cat#AS-65097 |
KOD DNA polymerase | Merck Millipore | Cat#71086-4 |
Phusion DNA polymerase | NEB | Cat#M0530L |
Critical Commercial Assays | ||
Dual-Luciferase Reporter Assay System | Promega | Cat#E1910 |
UbiCREST Deubiquitinase Enzyme Kit | Boston Biochem | Cat#K-400 |
RNeasy Mini Kit (RNA Purification) | QIAGEN | Cat#74104 |
iScript cDNA synthesis kit | Biorad | Cat#170-8890 |
SYBR Select Master Mix | Applied Biosystems | Cat#4472908 |
Deposited Data | ||
Raw Imaging Data | This paper | http://dx.doi.org/10.17632/j2wjdkj5cn.1 |
Experimental Models: Cell Lines | ||
HEK293T | ATCC | Cat#CRL-3216 |
HeLa | ATCC | Cat#CCL-2 |
HCT116 | ATCC | Cat#CCL-247 |
Experimental Models: Organisms/Strains | ||
D. melanogaster: hydK7-19 | Prof. Jessica E. Treisman | FlyBase: FBal0144234 |
D. melanogaster: groMB36 | Prof. David Ish-Horowicz | FlyBase: FBal0230454 |
D. melanogaster: axinP | Prof. Tetsu Akiyama | FlyBase: FBal0097414 |
D. melanogaster: UAS.SoxF | Dr. Fernando Casares | FlyBase: FBtp0051564 |
D. melanogaster: pygoS123 | Bloomington Drosophila Stock Center | FlyBase: FBal0146872 Bloomington: 7209 |
D. melanogaster: UAS.ArmS10 | Bloomington Drosophila Stock Center | FlyBase: FBtp0001723 Bloomington: 4782 |
D. melanogaster: UAS.MamDN | Prof. Sarah Bray | FlyBase: FBtp0014588 |
D. melanogaster: Vg-Gal4, UAS-flp; FRT82b GFP | Bienz Laboratory | Miller et al., 2013 |
Oligonucleotides | ||
Primer sequences for RT-qPCR, see Table S3 | This paper | N/A |
Recombinant DNA | ||
Plasmid: pCMV-tag2b-Flag-UBR5 | Prof. Rina Rosin-Arbesfeld | Hay-Koren et al., 2011 |
Plasmid: pCS2 Myc-TLE3 | Prof. Ethan Lee | Hanson et al., 2012 |
Plasmid: pcDNA3.1 VCP-GFP | Prof. Nico Dantuma | Tresse et al., 2010 |
Plasmid: pcDNA3.1 HA-Δ45-β-catenin | Bienz Laboratory | Morin et al., 1997 |
Plasmid: pET GST-HES1 | Prof. Stefano Stifani | Grbavec and Stifani, 1996 |
Plasmid: pCMV His-ubiquitin | Dr. Thomas Mund | Mund et al., 2015 |
Plasmid: pcDNA3.1 HA-PAIP2 | Bienz Laboratory | N/A |
Plasmid: pcDNA3.1 SSDP-GFP | Bienz Laboratory | Fiedler et al., 2015 |
Plasmid: pcDNA3.1 LDB1-GFP | Bienz Labaratory | Fiedler et al., 2015 |
Plasmid: pcDNA3.1 GFP-TCF4 | Bienz Labaratory | N/A |
Plasmid: pcDNA3.1 GFP-Pygo1 | Bienz Labaratory | N/A |
Plasmid: pSpCas9(BB)-2A-GFP (PX458) | Addgene | Ran et al., 2013; Addgene#48138 |
Plasmid: pSpCas9(BB)-2A-Puro (PX459) | Addgene | Ran et al., 2013; Addgene#62988 |
Plasmid: pTA-Luc m50 Super 8x TopFLASH | Addgene | Veeman et al., 2003; Addgene#12456 |
Plasmid: pRL-CMV Renilla luciferase | Promega | Cat#E2261 |
Contact for Reagent and Resource Sharing
Requests for further information or reagents should be directed to the lead contact and corresponding author, Mariann Bienz (mb2@mrc-lmb.cam.ac.uk).
Experimental model and subject details
HEK293T, HCT116 and HeLa cells were cultured in DMEM (GIBCO), supplemented with 10% fetal bovine serum (FBS) at 37°C in a humidified atmosphere with 5% CO2. All cells were screened for Mycoplasma infection.
Method details
Cell-based assays
Transient transfections of all cells were performed using polyethylenimine or Lipofectamine 2000. Wnt inductions were for 6 hr, either with Wnt3A-conditioned media or 20 mM LiCl (or 20 mM NaCl as control). Where noted, 10 μM MG132, 5 μM NMS-873, 2.5 μM CB-5083 or 50 μg mL−1 cycloheximide was added for the same time.
For coIP assays, cells were lysed 36 hr post-transfection in lysis buffer (20 mM Tris-HCl pH 7.4, 200 mM NaCl, 10% glycerol, 5 mM NaF, 2 mM Na3VO4, 0.2% Triton X-100, protease inhibitor cocktail). Lysates were clarified by centrifugation (16,100x g, 10 min), and supernatants incubated with affinity gel (Flag- or HA-) or GFP-trap for 90 min at 4°C. Subsequently, immunoprecipitates were washed 4x in lysis buffer and eluted by boiling in LDS sample buffer for 10 min. coIP assays using biotinylated histone tail peptides were conducted in similar fashion, except that lysates were incubated with 1.5 μM biotinylated peptide for 45 min, prior to the addition of streptavidin dynabeads.
Ni-NTA pull-down experiments were conducted in the above fashion, except that cells were lysed in urea buffer (8 M urea, 50 mM Na2HPO4 pH 8, 300 mM NaCl, 2 mM N-ethylmaleimide (NEM), 5 mM chloroacetamide, 0.5% NP40, 25 mM imidazole, protease inhibitor cocktail) and sonicated for 2x 10 s with a Soniprep 150 plus sonicator (MSE) prior to addition of Ni-NTA agarose. Beads were washed 6x in urea buffer and ubiquitylated proteins eluted by boiling in sample buffer.
For luciferase reporter assays (SuperTOP) assays, cells were lysed 20 hr post-transfection with SuperTOP and CMV-Renilla (control) plasmids, and analyzed with the Dual-Glo Luciferase Reporter Assay kit (Promega) according to the manufacturer’s protocol. Values were normalized to Renilla luciferase, and are shown as mean ± SEM relative to unstimulated controls (set to 1 in Figures 2A, S2D, S6A, and S6B) or to stimulated WT cells (set to 100% in Figures 2C, 2D, 4F, 6D, S2C, and S7B).
For UbiCREST assays (Hospenthal et al., 2015), the UbiCREST DUB Enzyme kit was used, following the manufacturer’s protocol. Briefly, immunoprecipitates of Flag-TLE3 or HA-Ub (generated as above) were washed twice and resuspended in ‘1X DUB reaction buffer’. Deubiquitinases were added and reactions incubated for 45 min at 37°C (while rotating), and subsequently quenched by addition of LDS sample buffer.
Cloning
Mutagenesis of parental plasmid DNA was carried out using standard PCR-based methods, using either KOD DNA polymerase (Merck Millipore) or Phusion DNA polymerase (NEB) and verified by sequencing.
CRISPR/Cas9 genome editing
HEK293T or HCT116 KO cells were generated essentially as described (Ran et al., 2013), using single-guide RNA-encoding plasmid derivatives of pSpCas9(BB)-2A-GFP (PX458) (Table S1). Cells were selected for high expression of GFP by FACS 48 hr post-transfection, and individual clones expanded in 96-well plates. Clones were screened by western blot analysis and subsequently by DNA sequencing (Table S2) to confirm the presence of frameshifting indels. To ensure consistency, multiple UBR5 and XIAP KO lines were isolated and sequenced.
For transient knockdown of β-catenin, single-guide RNAs were cloned into pSpCas9(BB)-2A-Puro (PX459). Selection with puromycin was initiated 48 hr post-transfection and carried out for 96 hr. Cells were left to recover for 72 hr prior to seeding for experiment.
Drosophila strains and analysis
Double mutant Drosophila melanogaster strains were generated from parental strains with standard techniques, and checked by complementation.
Fly wings were dissected and mounted in 6:5 mixture of lactic acid:ethanol, and imaged with a Nikon Eclipse TE2000-E microscope.
Wing disc clones were generated with vg.GAL4, UAS.flp; FRT82b GFP (also used for overexpression of UAS transgenes), as previously described (Miller et al., 2013). Wing discs were dissected from late third-instar larvae, fixed in phosphate-buffered saline (PBS) containing 4% formaldehyde, 0.1% Triton X-100 for 30 min and permeabilized in PBS containing 0.1% Triton X-100 for 5x 5 min. Discs were blocked in blocking buffer (PBS supplemented with 0.5% bovine serum albumin, 0.1% Tween-20) for 1 hr and incubated with primary antibodies in blocking buffer at 4°C. Discs were washed in blocking buffer and incubated with secondary antibodies. All discs were embedded in VectaShield with DAPI mounting media, and single confocal images acquired at identical settings with a Zeiss Confocal Microscope.
Immunofluorescence
HeLa cells were treated with 20 mM LiCl for 6 hr, fixed on coverslips with 4% formaldehyde and permeabilized by 0.5% Triton X-100 in PBS. Cells were then blocked in 3% bovine serum albumin in PBS, and incubated with primary antibodies. Cells were washed in blocking buffer and incubated with secondary antibody. Coverslips were washed and embedded with VectaShield with DAPI mounting media. Images were acquired at identical settings with a Zeiss Confocal Microscope.
In vitro ubiquitylation assays
In vitro ubiquitylation assays were conducted in 20 μL format in buffer consisting of 25 mM Tris-HCl pH 7.4, 10 mM MgCl2, 1 mM ATP, 200 ng UBE1A, 750 ng UBE2L3, 800 ng GST-HECT2217-2799-wt or GST-HECT2217-2799-CS, and 500 ng ubiquitin (wt, methyl- or K-only mutant). Reactions were incubated for 2 hr at 30°C and quenched by the addition of LDS sample buffer. An aliquot of each reaction was resolved via SDS-PAGE and analyzed by western blotting.
Mass Spectrometry
For affinity purification of UBR5-associated proteins, 20x 175 cm2 flasks of HEK293T cells transfected with UBR5 or control baits were used for each experiment. Cells were lysed in 40 mL lysis buffer (20 mM Tris-HCl pH 7.4, 10% glycerol, 100 mM NaCl, 5 mM NaF, 2 mM Na3PO4, 0.2% Triton X-100, protease inhibitor cocktail), and sonicated 10x 10 s at 40% intensity with a Branson 250 Sonifier. Cell lysates were clarified by centrifugation (21,000x g, 30 min, 4°C) and incubated (while rotating) for 2 hr with Flag affinity gel at 4°C. Immunoprecipitates were washed 5x with lysis buffer, and subsequently eluted with lysis buffer supplemented with 250 μg mL−1 3xFlag-Peptide. Eluates were boiled in LDS sample buffer and resolved on 4%–12% Bis-Tris SDS-polyacrylamide gels. These were stained with Imperial Protein Stain, and gel lanes cut into 1-2 mm slices for in situ trypsin digestion. Resulting peptides were extracted in 2% formic acid / 2% acetonitrile mix. Digests were analyzed by nano-scale capillary LC-MS/MS using an Ultimate U3000 HPLC and C18 Acclaim PepMap100 nanoViper (Thermo Scientific Dionex). LC-MS/MS data were searched against a protein database (UniProt KB) with the Mascot search engine program (Matrix Science). MS/MS data were validated using the Scaffold program (Proteome Software).
Protein expression and purification
GST-tagged recombinant proteins were purified from BL21 (DE3) pRIL E. coli bacterial strains. Bacteria were grown in LB media supplemented with appropriate antibiotic to an OD600 of 0.7 and induced by addition of 0.4 mM isopropyl-β-D-1thiogalactopyranoside (IPTG). Proteins were expressed for 6 hr at 37°C or for 12 hr at 22°C. Cells were resuspended in lysis buffer (25 mM Tris-HCl pH 8, 200 mM NaCl, 10% glycerol, 5 mM β-mercaptoethanol, 10 μg mL-1 DNase, protease inhibitor cocktail) and lysed by high-pressure homogenization with an Emulsiflex C-3. Lysates were clarified by ultracentrifugation (140,000x g, 30 min, 4°C) and mixed with glutathione Sepharose 4B. Beads were washed 7x with lysis buffer, including a high salt (500 mM NaCl) fourth wash, and GST-tagged protein eluted with 20 mM L-glutathione (reduced). All proteins were purified by size exclusion chromatography, and purity was assessed by SDS-PAGE prior to use.
RT-qPCR
HEK293T cells were treated with 20 mM LiCl (or 20 mM NaCl) for 6 hr. RNA was extracted with the RNeasy mini kit and converted to cDNA using the iScript cDNA synthesis kit, as described in the manufacturers protocol. RT-qPCR reactions were run in 20 μL, 96-well format on a Vii7 Real-Time PCR System (Applied Biosystems) using SYBR Select Mix with the primer pairs listed (Table S3). Values were normalized to PMM1 (Hanson et al., 2012), and are shown as mean ± SEM relative to unstimulated controls (set to 1).
Quantitation and Statistical Analysis
All error bars are represented as mean ± SEM for at least three independent experiments. Statistical significance was calculated by Student’s t test and denoted as follows: ∗ = p < 0.01, ∗∗ = p < 0.001.
Data and Software Availability
Original uncropped imaging data have been deposited to Mendeley Data and are available at http://dx.doi.org/10.17632/j2wjdkj5cn.1.
Author Contributions
J.E.F. and N.N. performed the biochemical analysis and the cell-based assays, J.M. conducted the genetic analysis in Drosophila, and M.B. conceived and supervised the study and wrote the manuscript with input from all authors.
Acknowledgments
We thank Jessica Treisman, Sarah Bray, and Fernando Casares for fly strains, Rina Rosin-Arbesfeld and Stefano Stifani for plasmids, Mark Skehel and his team for mass spectrometry, Maria Daly for cell sorting, and Hugh Pelham, Thomas Mund, and Sarah Bray for discussion. This work was supported by Cancer Research UK (C7379/A15291) and the Medical Research Council (U105192713). N.N. was supported by a Cancer Research UK studentship.
Published: July 6, 2017
Footnotes
Supplemental Information includes seven figures and three tables and can be found with this article online at http://dx.doi.org/10.1016/j.molcel.2017.06.009.
Supplemental Information
References
- Barolo S., Posakony J.W. Three habits of highly effective signaling pathways: principles of transcriptional control by developmental cell signaling. Genes Dev. 2002;16:1167–1181. doi: 10.1101/gad.976502. [DOI] [PubMed] [Google Scholar]
- Cadigan K.M., Nusse R. Wnt signaling: a common theme in animal development. Genes Dev. 1997;11:3286–3305. doi: 10.1101/gad.11.24.3286. [DOI] [PubMed] [Google Scholar]
- Chambers M., Turki-Judeh W., Kim M.W., Chen K., Gallaher S.D., Courey A.J. Mechanisms of Groucho-mediated repression revealed by genome-wide analysis of Groucho binding and activity. BMC Genomics. 2017;18:215. doi: 10.1186/s12864-017-3589-6. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Chodaparambil J.V., Pate K.T., Hepler M.R., Tsai B.P., Muthurajan U.M., Luger K., Waterman M.L., Weis W.I. Molecular functions of the TLE tetramerization domain in Wnt target gene repression. EMBO J. 2014;33:719–731. doi: 10.1002/embj.201387188. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Clevers H., Nusse R. Wnt/β-catenin signaling and disease. Cell. 2012;149:1192–1205. doi: 10.1016/j.cell.2012.05.012. [DOI] [PubMed] [Google Scholar]
- Dantuma N.P., Acs K., Luijsterburg M.S. Should I stay or should I go: VCP/p97-mediated chromatin extraction in the DNA damage response. Exp. Cell Res. 2014;329:9–17. doi: 10.1016/j.yexcr.2014.08.025. [DOI] [PubMed] [Google Scholar]
- de Groot R.E., Ganji R.S., Bernatik O., Lloyd-Lewis B., Seipel K., Šedová K., Zdráhal Z., Dhople V.M., Dale T.C., Korswagen H.C., Bryja V. Huwe1-mediated ubiquitylation of dishevelled defines a negative feedback loop in the Wnt signaling pathway. Sci. Signal. 2014;7:ra26. doi: 10.1126/scisignal.2004985. [DOI] [PubMed] [Google Scholar]
- Dichtel-Danjoy M.L., Caldeira J., Casares F. SoxF is part of a novel negative-feedback loop in the wingless pathway that controls proliferation in the Drosophila wing disc. Development. 2009;136:761–769. doi: 10.1242/dev.032854. [DOI] [PubMed] [Google Scholar]
- Fiedler M., Graeb M., Mieszczanek J., Rutherford T.J., Johnson C.M., Bienz M. An ancient Pygo-dependent Wnt enhanceosome integrated by Chip/LDB-SSDP. eLife. 2015;4:e09073. doi: 10.7554/eLife.09073. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Grbavec D., Stifani S. Molecular interaction between TLE1 and the carboxyl-terminal domain of HES-1 containing the WRPW motif. Biochem. Biophys. Res. Commun. 1996;223:701–705. doi: 10.1006/bbrc.1996.0959. [DOI] [PubMed] [Google Scholar]
- Gudjonsson T., Altmeyer M., Savic V., Toledo L., Dinant C., Grøfte M., Bartkova J., Poulsen M., Oka Y., Bekker-Jensen S. TRIP12 and UBR5 suppress spreading of chromatin ubiquitylation at damaged chromosomes. Cell. 2012;150:697–709. doi: 10.1016/j.cell.2012.06.039. [DOI] [PubMed] [Google Scholar]
- Hanson A.J., Wallace H.A., Freeman T.J., Beauchamp R.D., Lee L.A., Lee E. XIAP monoubiquitylates Groucho/TLE to promote canonical Wnt signaling. Mol. Cell. 2012;45:619–628. doi: 10.1016/j.molcel.2011.12.032. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Harlin H., Reffey S.B., Duckett C.S., Lindsten T., Thompson C.B. Characterization of XIAP-deficient mice. Mol. Cell. Biol. 2001;21:3604–3608. doi: 10.1128/MCB.21.10.3604-3608.2001. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hay-Koren A., Caspi M., Zilberberg A., Rosin-Arbesfeld R. The EDD E3 ubiquitin ligase ubiquitinates and up-regulates β-catenin. Mol. Biol. Cell. 2011;22:399–411. doi: 10.1091/mbc.E10-05-0440. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hospenthal M.K., Mevissen T.E., Komander D. Deubiquitinase-based analysis of ubiquitin chain architecture using Ubiquitin Chain Restriction (UbiCRest) Nat. Protoc. 2015;10:349–361. doi: 10.1038/nprot.2015.018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jennings B.H., Ish-Horowicz D. The Groucho/TLE/Grg family of transcriptional co-repressors. Genome Biol. 2008;9:205. doi: 10.1186/gb-2008-9-1-205. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jennings B.H., Pickles L.M., Wainwright S.M., Roe S.M., Pearl L.H., Ish-Horowicz D. Molecular recognition of transcriptional repressor motifs by the WD domain of the Groucho/TLE corepressor. Mol. Cell. 2006;22:645–655. doi: 10.1016/j.molcel.2006.04.024. [DOI] [PubMed] [Google Scholar]
- Kinsella E., Dora N., Mellis D., Lettice L., Deveney P., Hill R., Ditzel M. Use of a Conditional Ubr5 Mutant Allele to Investigate the Role of an N-End Rule Ubiquitin-Protein Ligase in Hedgehog Signalling and Embryonic Limb Development. PLoS ONE. 2016;11:e0157079. doi: 10.1371/journal.pone.0157079. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Komachi K., Johnson A.D. Residues in the WD repeats of Tup1 required for interaction with α2. Mol. Cell. Biol. 1997;17:6023–6028. doi: 10.1128/mcb.17.10.6023. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kozlov G., Ménade M., Rosenauer A., Nguyen L., Gehring K. Molecular determinants of PAM2 recognition by the MLLE domain of poly(A)-binding protein. J. Mol. Biol. 2010;397:397–407. doi: 10.1016/j.jmb.2010.01.032. [DOI] [PubMed] [Google Scholar]
- Kramps T., Peter O., Brunner E., Nellen D., Froesch B., Chatterjee S., Murone M., Züllig S., Basler K. Wnt/wingless signaling requires BCL9/legless-mediated recruitment of pygopus to the nuclear β-catenin-TCF complex. Cell. 2002;109:47–60. doi: 10.1016/s0092-8674(02)00679-7. [DOI] [PubMed] [Google Scholar]
- Lee J.D., Amanai K., Shearn A., Treisman J.E. The ubiquitin ligase Hyperplastic discs negatively regulates hedgehog and decapentaplegic expression by independent mechanisms. Development. 2002;129:5697–5706. doi: 10.1242/dev.00159. [DOI] [PubMed] [Google Scholar]
- Lustig B., Jerchow B., Sachs M., Weiler S., Pietsch T., Karsten U., van de Wetering M., Clevers H., Schlag P.M., Birchmeier W., Behrens J. Negative feedback loop of Wnt signaling through upregulation of conductin/axin2 in colorectal and liver tumors. Mol. Cell. Biol. 2002;22:1184–1193. doi: 10.1128/MCB.22.4.1184-1193.2002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- MacDonald B.T., Tamai K., He X. Wnt/β-catenin signaling: components, mechanisms, and diseases. Dev. Cell. 2009;17:9–26. doi: 10.1016/j.devcel.2009.06.016. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Magnaghi P., D’Alessio R., Valsasina B., Avanzi N., Rizzi S., Asa D., Gasparri F., Cozzi L., Cucchi U., Orrenius C. Covalent and allosteric inhibitors of the ATPase VCP/p97 induce cancer cell death. Nat. Chem. Biol. 2013;9:548–556. doi: 10.1038/nchembio.1313. [DOI] [PubMed] [Google Scholar]
- Mansfield E., Hersperger E., Biggs J., Shearn A. Genetic and molecular analysis of hyperplastic discs, a gene whose product is required for regulation of cell proliferation in Drosophila melanogaster imaginal discs and germ cells. Dev. Biol. 1994;165:507–526. doi: 10.1006/dbio.1994.1271. [DOI] [PubMed] [Google Scholar]
- Mari S., Ruetalo N., Maspero E., Stoffregen M.C., Pasqualato S., Polo S., Wiesner S. Structural and functional framework for the autoinhibition of Nedd4-family ubiquitin ligases. Structure. 2014;22:1639–1649. doi: 10.1016/j.str.2014.09.006. [DOI] [PubMed] [Google Scholar]
- Mendoza-Topaz C., Mieszczanek J., Bienz M. The Adenomatous polyposis coli tumour suppressor is essential for Axin complex assembly and function and opposes Axin’s interaction with Dishevelled. Open Biol. 2011;1:110013. doi: 10.1098/rsob.110013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mieszczanek J., de la Roche M., Bienz M. A role of Pygopus as an anti-repressor in facilitating Wnt-dependent transcription. Proc. Natl. Acad. Sci. USA. 2008;105:19324–19329. doi: 10.1073/pnas.0806098105. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Miller T.C., Mieszczanek J., Sánchez-Barrena M.J., Rutherford T.J., Fiedler M., Bienz M. Evolutionary adaptation of the fly Pygo PHD finger toward recognizing histone H3 tail methylated at arginine 2. Structure. 2013;21:2208–2220. doi: 10.1016/j.str.2013.09.013. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Morin P.J., Sparks A.B., Korinek V., Barker N., Clevers H., Vogelstein B., Kinzler K.W. Activation of β-catenin-Tcf signaling in colon cancer by mutations in β-catenin or APC. Science. 1997;275:1787–1790. doi: 10.1126/science.275.5307.1787. [DOI] [PubMed] [Google Scholar]
- Mosimann C., Hausmann G., Basler K. β-catenin hits chromatin: regulation of Wnt target gene activation. Nat. Rev. Mol. Cell Biol. 2009;10:276–286. doi: 10.1038/nrm2654. [DOI] [PubMed] [Google Scholar]
- Mund T., Pelham H.R. Control of the activity of WW-HECT domain E3 ubiquitin ligases by NDFIP proteins. EMBO Rep. 2009;10:501–507. doi: 10.1038/embor.2009.30. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Mund T., Graeb M., Mieszczanek J., Gammons M., Pelham H.R., Bienz M. Disinhibition of the HECT E3 ubiquitin ligase WWP2 by polymerized Dishevelled. Open Biol. 2015;5:150185. doi: 10.1098/rsob.150185. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Muñoz-Escobar J., Matta-Camacho E., Kozlov G., Gehring K. The MLLE domain of the ubiquitin ligase UBR5 binds to its catalytic domain to regulate substrate binding. J. Biol. Chem. 2015;290:22841–22850. doi: 10.1074/jbc.M115.672246. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ohshima R., Ohta T., Wu W., Koike A., Iwatani T., Henderson M., Watts C.K., Otsubo T. Putative tumor suppressor EDD interacts with and up-regulates APC. Genes Cells. 2007;12:1339–1345. doi: 10.1111/j.1365-2443.2007.01138.x. [DOI] [PubMed] [Google Scholar]
- Pai L.M., Orsulic S., Bejsovec A., Peifer M. Negative regulation of Armadillo, a Wingless effector in Drosophila. Development. 1997;124:2255–2266. doi: 10.1242/dev.124.11.2255. [DOI] [PubMed] [Google Scholar]
- Parker D.S., Jemison J., Cadigan K.M. Pygopus, a nuclear PHD-finger protein required for Wingless signaling in Drosophila. Development. 2002;129:2565–2576. doi: 10.1242/dev.129.11.2565. [DOI] [PubMed] [Google Scholar]
- Ran F.A., Hsu P.D., Wright J., Agarwala V., Scott D.A., Zhang F. Genome engineering using the CRISPR-Cas9 system. Nat. Protoc. 2013;8:2281–2308. doi: 10.1038/nprot.2013.143. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Robbins R.M., Gbur S.C., Beitel G.J. Non-canonical roles for Yorkie and Drosophila Inhibitor of Apoptosis 1 in epithelial tube size control. PLoS ONE. 2014;9:e101609. doi: 10.1371/journal.pone.0101609. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rulifson E.J., Micchelli C.A., Axelrod J.D., Perrimon N., Blair S.S. wingless refines its own expression domain on the Drosophila wing margin. Nature. 1996;384:72–74. doi: 10.1038/384072a0. [DOI] [PubMed] [Google Scholar]
- Safdar K., Gu A., Xu X., Au V., Taylor J., Flibotte S., Moerman D.G., Maine E.M. UBR-5, a conserved HECT-Type E3 ubiquitin ligase, negatively regulates Notch-type signaling in Caenorhabditis elegans. G3 (Bethesda) 2016;6:2125–2134. doi: 10.1534/g3.116.027805. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Salvat C., Wang G., Dastur A., Lyon N., Huibregtse J.M. The -4 phenylalanine is required for substrate ubiquitination catalyzed by HECT ubiquitin ligases. J. Biol. Chem. 2004;279:18935–18943. doi: 10.1074/jbc.M312201200. [DOI] [PubMed] [Google Scholar]
- Schweizer L., Nellen D., Basler K. Requirement for Pangolin/dTCF in Drosophila Wingless signaling. Proc. Natl. Acad. Sci. USA. 2003;100:5846–5851. doi: 10.1073/pnas.1037533100. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sekiya T., Zaret K.S. Repression by Groucho/TLE/Grg proteins: genomic site recruitment generates compacted chromatin in vitro and impairs activator binding in vivo. Mol. Cell. 2007;28:291–303. doi: 10.1016/j.molcel.2007.10.002. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Shearer R.F., Iconomou M., Watts C.K., Saunders D.N. Functional roles of the E3 ubiquitin ligase UBR5 in cancer. Mol. Cancer Res. 2015;13:1523–1532. doi: 10.1158/1541-7786.MCR-15-0383. [DOI] [PubMed] [Google Scholar]
- Song H., Hasson P., Paroush Z., Courey A.J. Groucho oligomerization is required for repression in vivo. Mol. Cell. Biol. 2004;24:4341–4350. doi: 10.1128/MCB.24.10.4341-4350.2004. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sriram S.M., Kim B.Y., Kwon Y.T. The N-end rule pathway: emerging functions and molecular principles of substrate recognition. Nat. Rev. Mol. Cell Biol. 2011;12:735–747. doi: 10.1038/nrm3217. [DOI] [PubMed] [Google Scholar]
- Thompson B., Townsley F., Rosin-Arbesfeld R., Musisi H., Bienz M. A new nuclear component of the Wnt signalling pathway. Nat. Cell Biol. 2002;4:367–373. doi: 10.1038/ncb786. [DOI] [PubMed] [Google Scholar]
- Townsley F.M., Cliffe A., Bienz M. Pygopus and Legless target Armadillo/β-catenin to the nucleus to enable its transcriptional co-activator function. Nat. Cell Biol. 2004;6:626–633. doi: 10.1038/ncb1141. [DOI] [PubMed] [Google Scholar]
- Tresse E., Salomons F.A., Vesa J., Bott L.C., Kimonis V., Yao T.P., Dantuma N.P., Taylor J.P. VCP/p97 is essential for maturation of ubiquitin-containing autophagosomes and this function is impaired by mutations that cause IBMPFD. Autophagy. 2010;6:217–227. doi: 10.4161/auto.6.2.11014. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Turki-Judeh W., Courey A.J. Groucho: a corepressor with instructive roles in development. Curr. Top. Dev. Biol. 2012;98:65–96. doi: 10.1016/B978-0-12-386499-4.00003-3. [DOI] [PubMed] [Google Scholar]
- van Tienen L.M., Mieszczanek J., Fiedler M., Rutherford T.J., Bienz M. Constitutive scaffolding of multiple Wnt enhanceosome components by Legless/BCL9. eLife. 2017;6:e20882. doi: 10.7554/eLife.20882. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Veeman M.T., Slusarski D.C., Kaykas A., Louie S.H., Moon R.T. Zebrafish prickle, a modulator of noncanonical Wnt/Fz signaling, regulates gastrulation movements. Curr. Biol. 2003;13:680–685. doi: 10.1016/s0960-9822(03)00240-9. [DOI] [PubMed] [Google Scholar]
- Xia D., Tang W.K., Ye Y. Structure and function of the AAA+ ATPase p97/Cdc48p. Gene. 2016;583:64–77. doi: 10.1016/j.gene.2016.02.042. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Xue L., Blythe E.E., Freiberger E.C., Mamrosh J.L., Hebert A.S., Reitsma J.M., Hess S., Coon J.J., Deshaies R.J. Valosin-containing protein (VCP)-Adaptor interactions are exceptionally dynamic and subject to differential modulation by a VCP inhibitor. Mol. Cell. Proteomics. 2016;15:2970–2986. doi: 10.1074/mcp.M116.061036. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Yoshida M., Yoshida K., Kozlov G., Lim N.S., De Crescenzo G., Pang Z., Berlanga J.J., Kahvejian A., Gehring K., Wing S.S., Sonenberg N. Poly(A) binding protein (PABP) homeostasis is mediated by the stability of its inhibitor, Paip2. EMBO J. 2006;25:1934–1944. doi: 10.1038/sj.emboj.7601079. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Zhou H.J., Wang J., Yao B., Wong S., Djakovic S., Kumar B., Rice J., Valle E., Soriano F., Menon M.K. Discovery of a First-in-Class, potent, selective, and orally bioavailable inhibitor of the p97 AAA ATPase (CB-5083) J. Med. Chem. 2015;58:9480–9497. doi: 10.1021/acs.jmedchem.5b01346. [DOI] [PubMed] [Google Scholar]
Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.