Abstract
Oncogenic RAS mutations are associated with tumor resistance to radiation therapy. Cell-cell interactions in the tumor microenvironment (TME) profoundly influence therapy outcomes. However, the nature of these interactions and their role in Ras tumor radioresistance remain unclear. Here we use Drosophila oncogenic Ras tissues and human Ras cancer cell radiation models to address these questions. We discover that cellular response to genotoxic stress cooperates with oncogenic Ras to activate JAK/STAT non-cell autonomously in the TME. Specifically, p53 is heterogeneously activated in Ras tumor tissues in response to irradiation. This mosaicism allows high p53-expressing Ras clones to stimulate JAK/STAT cytokines, which activate JAK/STAT in the nearby low p53-expressing surviving Ras clones, leading to robust tumor re-establishment. Blocking any part of this cell-cell communication loop re-sensitizes Ras tumor cells to irradiation. These findings suggest that coupling STAT inhibitors to radiotherapy might improve clinical outcomes for Ras cancer patients.
Subject terms: Cancer microenvironment, Mechanisms of disease
Dong, Vadla et al. find that oncogenic Ras and p53 cooperatively stimulate JAK/STAT cytokines to promote non-autonomous tissue overgrowth in Drosophila. Further, blocking STAT signalling prevents the growth-inducing effect of p53 overexpression and ionising irradiation in human cancer lines in culture and in mouse xenografts, suggesting a therapeutic route.
Introduction
Oncogenic Ras mutations activate a complex network of interacting signals to cause aggressive cancers1,2. Gold standard treatment options include radiation therapy and conventional chemotherapies that cause irreversible genomic damage and trigger apoptosis3. However, oncogenic Ras mutations enable cancer cells to resist these genotoxic agents, ultimately leading to cancer recurrence4–13. We define tumor radioresistance as incomplete sensitivity and/or the capacity of tumors to rapidly re-form following radiation therapy.
Various mechanisms have been proposed to explain the resistance of Ras cancers to treatments, including the presence of cancer stem cells in the tumor microenvironment5,14–16. Another view is that therapy-resistant cancer cells possess robust DNA repair mechanisms that curtail the proapoptotic effect of the treatment. In many cancers, including lung and colorectal cancers where oncogenic Ras mutations are common, an association between polymorphisms in DNA damage response genes and an improved clinical response to genotoxic agents has been observed17–23. However, cellular responses to DNA damage are complex and include activation of cell–cell interactions that we do not fully understand24. How these nonautonomous effects influence the response of Ras-driven cancers to genotoxic therapies is an underexplored area of research. Animal tumor models provide the advantage of interrogating tumor resistance mechanisms at the tissue level, enabling the identification of novel and broadly applicable mechanisms.
In genetic screens for suppressors of oncogenic Ras (RasV12)-mediated tissue overgrowth in Drosophila25,26, we isolated genotoxic mutations, including null alleles of the Pax2 transactivation domain-interacting protein coding gene (ptip−/−). Interestingly, ptip−/− inhibits the growth of RasV12 cells but also triggers the overgrowth of the surrounding tissues. PTIP is essential for maintaining genomic stability under normal conditions and after DNA damage27–29. Disruption of the PTIP DNA repair complex causes genomic instability and triggers a DNA damage response that culminates in the activation of p53 (dp53 in Drosophila), which orchestrates DNA repair or triggers apoptosis of damaged cells29,30.
It is becoming evident that p53 biology is far more complex than initially thought and involves nonautonomous functions that are not well-understood31–34. We found that ptip−/− causes genomic instability and consequently upregulates dp53 in RasV12 cells. This upregulation of wild-type dp53 cooperates with oncogenic Ras signaling to stimulate the secretion of JAK/STAT (Janus kinases/signal transducers and activators of transcription) ligands (interleukin 6-related cytokines known as unpaired in Drosophila). These ligands activate JAK/STAT in the surrounding cells, leading to tissue overgrowth. Ionizing radiation (IR) of Drosophila RasV12 tissues or of human cancer cells harboring oncogenic Ras mutations triggers similar nonautonomous effects. Blockade of any part of this p53/RasV12-STAT signaling relay inhibits the nonautonomous growth effect and resensitizes RasV12 tissues to IR treatment.
In addition to highlighting the complexity of p53 biology, our work defines a treatment-induced cell–cell interaction dynamic that promotes the recurrence of oncogenic Ras mutant tumors after genotoxic therapies. Our data also provide a possible explanation for why some Ras mutant cancers resist genotoxic therapies despite the lack of p53 mutations.
Results
Ptip−/− promotes nonautonomous tissue overgrowth
In Drosophila, the MARCM (mosaic analysis with a repressible cell marker) technique permits the expression of oncogenic Ras (RasV12) in clones of cells within the developing eye epithelium26. These clones coexpress a fluorescent protein, making them distinguishable from the surrounding wild-type cells. RasV12-mediated tissue overgrowth is readily detectable by the appearance of large and hyperplastic fluorescent clones (tumors) that ultimately kill the animal35–37. RasV12 suppressor mutations are isolated through the identification of mutations that significantly reduce the clone size and rescue animal viability when introduced in RasV12-expressing cells35.
We isolated several RasV12 suppressors, including mutation #3804, using this approach. Mutation 3804 potently suppresses RasV12-mediated tumor overgrowth and yields viable adult animals (Fig. 1a versus 1b; 1c versus 1d; 1g–l). To determine whether this mutation synthetically suppresses oncogenic Ras or is cell deleterious on its own, we generated wild-type or 3804 mutant clones in developing and adult eye tissues to determine whether this mutation synthetically suppresses oncogenic Ras or is deleterious to the cell itself. Adult eye clones are marked by the absence of the red pigment. As expected, wild-type cells contributed ~50% to the eye field. In contrast, 3804 mutant cells were barely detectable in tissues, suggesting that the affected gene is essential for cell viability (Fig. 1m–o).
Interestingly, although 3804 suppressed RasV12 tumor overgrowth in the developing eye tissue and correspondingly yielded adult animals, the eyes of the rescued animals were overgrown to varying extents, as evidenced by the appearance of tissue folds (Fig. 1e, f versus 1g–l, w). The overgrown tissues exclusively consisted of wild-type cells (GFP-negative) (Fig.1p–s).
We used deficiency mapping and allele sequencing approaches and determined that 3804 represents a null mutation in the PAX transcriptional activation domain-interacting protein (PTIP). Homozygosity of the 3804 mutation is animal lethal. Two independent deficiency alleles (ED4529 and ED4536) that overlap at the PTIP gene fail to complement 3804 animal lethality (Fig. 1t). Direct sequencing of the 3804 allele revealed a G>A mutation leading to a premature stop codon in the protein (Fig.1u, v). Thus, we hereafter refer to 3804 as ptip−/− and conclude that while ptip−/− suppresses growth in a cell-intrinsic manner, it cooperates with oncogenic Ras to promote the growth of the surrounding tissue.
Ptip−/− promotes nonautonomous tissue overgrowth via p53
We sought to delineate the underlying mechanism. PTIP was originally identified in a yeast two-hybrid screen38. In mammals, PTIP interacts with histone methyltransferase complexes to control developmental transcription programs38,39. Additionally, PTIP is essential for maintaining genomic stability29,40,41. Genomic instability triggers the DNA damage response signals, which culminate in the sequential activation of p53 and p21 (Dacapo or dap in Drosophila) to drive cell cycle arrest or apoptosis42–44. We investigated whether ptip−/− causes DNA damage in Drosophila RasV12 epithelial cells and found that it does. DNA damage triggers the phosphorylation of a histone 2A variant (γH2Av), which is readily detected in immunostaining experiments using phospho-specific antibodies45,46. We examined γH2Av in ptip−/− cells or in RasV12 cells with or without the ptip−/− mutation. We observed an increase in the number of γH2Av nuclear foci in ptip−/− and RasV12ptip−/− double mutant cells, but not in cells expressing RasV12 alone (Fig. 2a–c′). In addition, quantitative polymerase chain reaction (qPCR) assays revealed transcriptional upregulation of dp53 and dap/p21 in ptip−/− or RasV12ptip−/− double mutant tissues compared to wild-type controls (Fig. 2j, k). Consistent with DNA damage, ptip−/− caused an increase in dp53 and dap/p21 protein levels in RasV12 cells (Fig. 2d–g′).
We posited that the cellular response to genomic stress likely underlies the nonautonomous growth effect of ptip−/− on the RasV12 clones. Janus N-terminal kinase (JNK, also known as Bsk in Drosophila) and p53 play central roles in cellular response to DNA damage47–49. In addition, we and other researchers have shown that JNK promotes nonautonomous tissue growth in Drosophila35,50,51, suggesting that ptip−/− acts via JNK to drive nonautonomous growth in RasV12 mosaic tissues. Consistent with this hypothesis, JNK was activated in RasV12 ptip−/− mutant cells compared to RasV12 control cells (Fig. 2h-i′). We inhibited JNK by expressing a potent dominant-negative JNK transgene (BskDN) in RasV12ptip−/− cells (RasV12ptip−/−BskDN triple defective cells) and asked whether this genetic manipulation suppresses the nonautonomous tissue overgrowth phenotype to directly test this hypothesis. BskDN failed to suppress RasV12ptip−/− nonautonomous tissue overgrowth (Figs. 2l–n and 2l’-n’), making it unlikely that JNK plays a significant role in this phenomenon.
We explored alternative mechanisms. Nonautonomous growth-inducing clones (RasV12ptip−/− mutant cells) showed higher levels of the wild-type p53 protein (p53wt) than RasV12 cells, which did not cause nonautonomous growth (Fig. 2d-e′). Because the ptip−/− mutation occurs very early and is permanent, the resulting high p53wt protein levels (Fig. 2d, d′, j, and k) likely persist throughout the life of RasV12 cells. Normally, p53wt has a high turnover rate52. We wondered whether the elevated p53wt protein levels observed in the RasV12ptip−/− mutant cells play an active role in the nonautonomous tissue growth effect. Indeed, RNAi knockdown of dp53 in RasV12ptip−/− cells remarkably suppressed nonautonomous tissue overgrowth (Fig. 2m, m′, o, o′, and s). Similarly, blocking dp53 transcriptional activity in RasV12ptip−/− cells by expressing a DNA binding-defective dp53 mutant version (p53R155H)53 also suppressed the overgrowth of the surrounding wild-type cells (Fig. 2m, m′, p, p′, and s). In addition, direct overexpression of p53wt (p53OE) in clones of RasV12 cells was sufficient to trigger the overgrowth of the surrounding wild-type tissue, mimicking RasV12ptip−/− clones (Fig. 2l, l′, r, and r′). The ability of p53wt to drive nonautonomous tissue overgrowth requires oncogenic Ras. Overexpression of dp53wt alone failed to generate a similar effect (Fig. 2l, l′, q, and q′).
We used the MARCM technique to juxtapose RasV12p53OE clones (RFP-labeled) with RasV12 clones (GFP-labeled) and assessed whether this RasV12/p53 cooperation similarly accelerates the growth of adjacent RasV12 cells (see Methods). This alteration caused massive overgrowth of RasV12 clones compared to controls (abutting RasV12 clones without dp53 OE) (Fig. 2t-u″ and s). RasV12ptip−/− clones exerted a similar nonautonomous effect on Ras clones (Supplementary Fig. 1). Taken together, these findings indicate that oncogenic Ras cooperates with elevated levels of the wild-type dp53 protein to drive tumor overgrowth via a novel nonautonomous mechanism.
Oncogenic Ras and p53 cooperatively stimulate JAK/STAT cytokines to promote nonautonomous tissue overgrowth
We set out to delineate the underlying mechanism. The Drosophila JAK/STAT ligands Unpaired1-3 (upd, upd2, and upd3) mediate nonautonomous tissue growth35,50,51. We asked to what extent oncogenic Ras and dp53OE act via the JAK/STAT pathway. Immunostaining experiments using a upd reporter line, upd-lacZ54, to monitor upd transcriptional activity revealed that dp53OE causes RasV12 cells to upregulate upd (Fig. 3a–b′). In a complementary qPCR approach, we found that dp53OE causes RasV12 cells to upregulate all of the upd ligands (upd1-3) in tissues (Fig. 3d). The ptip−/− mutation exerted similar effects on RasV12 tissues, including activation of JAK/STAT in cells surrounding the mutant (RasV12ptip−/−) clones (Fig. 3a, a′, c, c′ and Supplementary Fig. 2a–d and 2g–j). We inhibited p53 via RNAi knockdown or by expressing dominant-negative dp53 (p53R155H) in RasV12ptip−/− cells to further establish that RasV12ptip−/− tissues rely on dp53 for the stimulation of upd and found that each of these manipulations blocked the upregulation of upd ligands (Fig. 3e). These findings suggest that RasV12p53OE clones induce the growth of surrounding cells via the secretion of JAK/STAT cytokines. We blocked the secretion of JAK/STAT cytokines into the tissue surrounding RasV12p53OE clones and asked whether this blockade suppresses the nonautonomous growth effect to functionally test this hypothesis. We simultaneously knocked down upd and upd2 in RasV12p53OE clones by combining upd-RNAi expression with upd2 deletion mutants. This manipulation dramatically reduced the tissue size (Fig. 3f–h). Knockdown of Upd in RasV12ptip−/− clones similarly suppressed nonautonomous tissue overgrowth (Supplementary Fig. 2e, f, k, and l).
We evaluated our findings in human breast and lung cancer cells using supernatant transfer experiments. MCF-10A breast epithelial cells were cultured in media conditioned with MCF-10A cells (controls) or MCF-10A cells overexpressing wild-type p53 alone or coexpressing oncogenic HRAS. STAT signaling status was assessed using western blot experiments with antibodies that specifically detect activated STAT (anti-phosphorylated STAT). Growth was determined by scoring cell numbers. In this and subsequent experiments, the superscripts “P53OE” or “HRasG12V” denote overexpression of wild-type p53 or oncogenic Ras, respectively. As expected, MCF10AHRasG12V, P53OE cells showed elevated levels of the p53 protein and Ras signaling (determined by phospho-ERK) levels compared to untransfected controls (Fig. 4a, b). MCF10AHRasG12V, P53OE-conditioned media stimulated STAT signaling and correspondingly induced the growth of MCF-10A cells (Fig. 4c, f, and supplementary Fig. 6). This growth-promoting effect was significantly reduced when the conditioning cells lacked oncogenic Ras (MCF-10AP53OE) (Fig. 4f and supplementary Fig. 6).
Similar results were observed in lung cancer cells. We overexpressed wild-type p53 in H460, A549, H358, and H441 lung cancer cells, generating H460P53OE, A549P53OE, H358P53OE, and H441P53OE cells (Fig. 4h and supplementary Fig. 6). Genetically, all of these cells carry oncogenic Ras mutations. However, endogenous p53 is wild-type in H460 and A549 cells and mutated in H358 and H441 cells55. Compared to matched controls, media conditioned with H460P53OE, A549P53OE, H358P53OE, and H441P53OE cells stimulated STAT signaling and cell growth (Fig. 4i–k and supplementary Fig. 6). Media conditioned with irradiated breast (MCF-10AHRasG12V) or lung (H358, H460, and A549) cancer cells generated similar nonautonomous effects (Fig. 4g, l, n, and supplementary Fig. 6). Importantly, blocking STAT signaling with the small-molecule inhibitor Ganetespib56 suppressed the nonautonomous growth-inducing effect of p53OE and IR on both breast and lung cancer cells (Fig. 4f, g, k, l, and supplementary Fig. 6).
Moreover, we tested our findings in vivo by performing mouse xenograft experiments. We inoculated one million A549 cells into each of the flanks of nude mice. Left flank inoculants were unmodified, while right flank inoculants consisted of a 50-50 mixture of untreated and irradiated cells. Eight weeks after treatment, tumor xenografts from the mixed population (right flanks) grew markedly larger than xenografts arising from the homogenous inoculants (left flanks) in the same animal (Fig. 4j and k; 83%; N = 6 animals). We treated animals with the validated pharmacological STAT blocker Ruxolitinib to test whether STAT plays a role in the observed tumor overgrowth, as suggested by our tissue culture and fly data57. Animals were treated orally with Ruxolitinib at 10 mg/kg, a dose that is well tolerated in nude mice57. Ruxolitinib suppressed the overgrowth of tumors arising from the mixed cells (Fig. 4p, q). Endpoint western blot analyses of tumor xenografts harvested from animals that were treated with or without Ruxolitinib confirmed the inhibition of STAT signaling in the treated and slower growing mixed tumors (Fig. 4r).
JAK/STAT signaling supports tissue growth by promoting cell survival or cell proliferation58,59. We examined cell death and cell proliferation in human cells using flow cytometry approaches to distinguish between these two mechanisms. Notably, p53OE and IR-induced nonautonomous JAK/STAT signaling mainly stimulated cell proliferation (Supplementary Figs. 3, 4).
Taken together, the above data indicate that stimulation of wild-type p53 cooperates with oncogenic Ras to induce JAK/STAT signaling in the surrounding cells, resulting in nonautonomous growth.
The Oncogenic Ras/p53-STAT signaling relay promotes the radioresistance of Drosophila RasV12 tumor tissues
In several cancer types, oncogenic Ras mutations are associated with disease recurrence following radiation therapy and genotoxic chemotherapies4–13.
We used Drosophila RasV12 tumor tissues exposed to IR to test whether IR-stimulated dp53 generates similar growth-promoting effects in tissues. Specifically, we asked whether dp53 cooperates with oncogenic Ras to establish tumor recurrence via the nonautonomous STAT signaling relay described above.
We first performed a study to determine a dose that generates cellular effects without grossly impeding animal development. Second-instar larvae harboring GFP-labeled oncogenic Ras clones in eye imaginal discs were treated with 600 R, 1000 R, or 2000 R. Each dose was administered three times in 6 hours intervals to mimic clinical settings where total radiation treatments are administered in fractions60,61. Larvae treated with the 3 × 600 R dose developed normally into adults without any detectable abnormalities, and those treated with 3 × 2000 R died during the pupal stage. Larvae that received 3 × 1000 R yielded adult flies with mild rough eyes, making it an ideal dosing regimen for our study.
We next determined the extent to which IR recapitulates fundamental aspects of the RasV12/p53OE-STAT signaling relay, namely, stimulation of both dp53 and JAK/STAT cytokine production. Compared to nontreated RasV12 control tissues, IR increased levels of the dp53 protein in the immunostaining experiments. Notably, dp53 stimulation was nonuniform, and dp53 was undetectable in portions of wild-type (GFP-negative) and RasV12 cells (GFP-positive) (Fig. 5a–b′). This mosaicism supports our finding that RasV12 cells expressing high levels of dp53 protein stimulate the growth of the surrounding RasV12 cells with lower dp53 levels (Fig. 2o-p″). Our qPCR data showed that IR transcriptionally stimulates all unpaired cytokines (upd1-3) (Fig. 5e). Similar to ptip−/−-induced upd stimulation, IR-triggered upregulation of upd cytokines in RasV12 cells was lost when we introduced dominant-negative dp53 (p53R155H) (Fig. 5f). Collectively, our data indicate that irradiation transcriptionally induces the production of upd cytokines downstream of dp53.
We sought to directly test the functional relevance of IR-induced STAT signaling in RasV12 tumor radioresistance in Ras tissues. IR reduced the size of wild-type clones and the overall tissue size, as expected (Fig. 5h, h′, and m). In sharp contrast, IR increased the RasV12 clone size and failed to reduce the overall tissue size (Fig. 5i, i′, m, n, and n′). We extended our analysis to other tumor signaling contexts, tissues containing clones of cells carrying homozygous null mutations in tumor suppressors (Salvador/Sav or tuberous sclerosis/Tsc) or tissues containing clones of cells overexpressing the oncogene dMYC, to determine whether this resistance is unique to oncogenic Ras signaling. In all of these tissues, IR effectively reduced clone and overall tissue sizes (Fig. 5i–l′, and m). Thus, similar to humans, Drosophila oncogenic Ras-driven tumors are uniquely radioresistant.
Next, we asked to what extent the depletion of dp53 or JAK/STAT cytokines sensitizes RasV12 tissues to IR. We induced RasV12 clones in wild-type or dp53−/− null mutant discs, assessed whether the dp53−/− mutation sensitizes RasV12 tumor tissues to IR and found that it does (Fig. 5n–p, and u).
Next, we simultaneously depleted Upd1 and Upd2 cytokines from RasV12 cells and asked whether this manipulation also sensitizes RasV12 tumor tissues to IR. Two independent approaches were used. First, we introduced an upd2 null mutation into RasV12 cells coexpressing Upd1-RNAi (RasV12,upd−/−,Upd1-RNAi clones). Second, we generated clones of cells coexpressing RasV12, Upd-RNAi and Upd2-RNAi. Both approaches abolished the capacity of RasV12 tissues to grow following IR treatment, supporting a sensitization effect (Fig. 5n, n′, q–r′, and u). Similarly, specific inhibition of the JAK-STAT receptor domeless in RasV12 cells via the expression of a potent dominant-negative protein version (domeless-DN)62 sensitized RasV12 tissues to IR (Fig. 5n, n′, s–t′, and u).
Thus, in Drosophila and human cancer cells, the p53 response to genomic instability cooperates with oncogenic Ras to induce JAK/STAT activation in surrounding cells. This nonautonomous effect stimulates tumor growth and promotes the rapid recurrence of oncogenic Ras tumors.
Discussion
Oncogenic Ras mutations are associated with resistance to genotoxic therapies. The underlying resistance mechanism remains poorly understood. The molecular responses of tumor cells to genotoxic stress have been investigated mainly in isolated cells, which limits our ability to capture the broader tissue-level tumor biology.
Using Drosophila eye tissue in a clonal genetic screen for RasV12 suppressors, we unexpectedly isolated the genotoxic mutation ptip−/−. Interestingly, in addition to blocking Ras tumor growth, ptip−/− stimulates the surrounding RasV12 tissue to overgrow, mirroring the resistance of RasV12 tumors to genotoxic therapies. This nonautonomous effect stems from cooperation between oncogenic Ras signaling and ptip−/−, as oncogenic Ras or ptip−/− mutant cells alone do not cause nonautonomous growth. Our mechanistic studies reveal that this cooperation is centered on p53.
P53 is broadly known as a tumor suppressor gene. The majority of p53 mutations in human cancers are missense mutations that stabilize the p53 protein, leading to elevated levels of the mutant p53 protein in cancers. These gain-of-function mutations interfere with the canonical tumor suppressor role of p53 while causing it to function as an oncogene63–66. The accumulation of mutant p53 is associated with aggressive cancers63–67. Interestingly, overexpression of wild-type p53 is also observed in many cancers lacking p53 mutations, including in lung cancers where oncogenic Ras mutations are common68–72. How wild-type p53 overexpression relates to oncogenic Ras cancers and their resistance to genotoxic therapies remained unclear. Here, we show that genotoxic stress-activated p53 acts non-cell autonomously to promote the radioresistance of Ras mutant tumor tissues.
The ptip−/− mutation causes genomic instability in RasV12 cells, resulting in the upregulation of the dp53 protein. This stimulation of p53 is essential for the nonautonomous tissue overgrowth effect of RasV12ptip−/− tumor clones. RNAi depletion of dp53 in RasV12ptip−/− clones abrogates the nonautonomous tissue overgrowth effect. In addition, direct overexpression of dp53 in RasV12 clones is sufficient to trigger overgrowth of the surrounding tissues, mimicking the ptip−/− mutation.
The nonautonomous tissue overgrowth effect is mediated by the dp53 transcriptional program. Expression of a DNA binding-defective dp53 mutant (p53R155H)53 in RasV12ptip−/− cells blocks the nonautonomous tissue overgrowth effect. Consistent with this finding, the transcriptional program of wild-type p53 is modified in cancer-associated fibroblasts to promote cancer progression73. Additionally, under ectopic wild-type p53 conditions, oncogenic Ras modifies the p53 transcriptional program, leading to the senescence-associated secretory phenotype (SASP)74–76.
JAK/STAT cytokines are the primary transcriptional targets relevant to the cooperative effect of Ras/p53 on nonautonomous growth. JAK/STAT cytokines are transcriptionally upregulated in tissues showing nonautonomous growth (RasV12ptip−/− or RasV12p53OE) compared to controls (RasV12). The specific depletion of Upd cytokines in RasV12ptip−/− or RasV12p53OE clones suppresses nonautonomous tissue overgrowth. Increases in wild-type p53 levels either via IR, the ptip−/− mutation alone, or direct dp53 overexpression are sufficient to stimulate upd cytokine production (Fig. 5e and Supplementary Fig. 5c–e), but these effects do not cause nonautonomous growth, likely because these cells are quickly eliminated in the absence of oncogenic Ras.
The cooperative effect of oncogenic Ras and p53 on paracrine STAT signaling may also reflect an ability of Ras to rewire the dp53 transcriptional program and/or to increase the exocytosis of STAT cytokines above a required threshold. Consistent with these possibilities, oncogenic Ras stimulates exocyst in flies and mammals, and we identified and validated dp53-binding sites near upd genes. Interestingly, the deletion of these sites significantly suppressed upd expression but did not restore upd expression to basal levels in reporter assays (Supplementary Fig. 5), possibly because of cryptic dp53-binding sites located near upd genes. Notably, p53 binds to noncanonical DNA sites to expand its transcriptional network77. In the future, it would be desirable to map these noncanonical p53 sites on upd in order to better understand p53 function.
The nonautonomous Ras/p53-STAT signaling relay allows Ras mutant clones to resist the damaging effects of IR treatment in Drosophila, as dp53 or STAT depletion sensitizes Ras mutant tumor tissues to IR. Wild-type dp53 is stimulated nonuniformly in irradiated Ras mutant tissues. This heterogeneity might be due to stochastic variation or reflect different cell-inherent capacities to successfully withstand genotoxic stress. Treatment-induced p53 heterogeneity within Ras mutant tumor tissues would allow cells with extensive genomic insults (high dp53 levels) to directly induce the upregulation of JAK/STAT ligands, which instructs nearby less-damaged (low dp53) RasV12 cells to overproliferate and reestablish the tumor following treatment.
In vitro supernatant transfer and mouse xenograft experiments revealed a similar mechanism in human Ras cancer cells. Indeed, activation of STAT signaling is associated with resistance to genotoxic agents in human cancer cells78–80. Compared to controls, media conditioned with irradiated or p53-overexpressing Ras cancer cells elevate STAT signaling and stimulate cell proliferation across genetically diverse cancer cells. We propose that the Ras-p53 nonautonomous STAT signaling relay likely represents a tissue-level adaptive mechanism for selecting and expanding therapy-resistant tumor clones in the tumor microenvironment. This mechanism is reminiscent of the paracrine activation of TGFα/amphiregulin signaling by oncogenic Ras to establish resistance to EGFR blockade in colorectal cancers81.
In addition to highlighting an emerging role for p53 in cell–cell interactions, our findings provide a possible explanation for the paradoxical resistance of Ras cancers to genotoxic therapies, despite functional p5382,83. Thus, our data suggest that combining STAT inhibition with radiation therapy may improve clinical outcomes.
Developmental and regenerative signaling contexts may functionalize p53 in a similar manner to maintain tissue homeostasis. Neighboring cells with different levels of wild-type p53 influence the growth of other cells in Drosophila and mammalian tissues84.
Methods
Fly strains and generation of clones
Flies were raised on standard Drosophila media at 25 °C. Fluorescently labelled mitotic clones were produced in larval imaginal discs using the following strains: (1) yw, eyFLP1; Act>y + >Gal4, UAS-GFP.S65T; FRT82B, Tub-Gal80; (2) yw; eyFLP5, Act>y + >Gal4, UAS-GFP; FRT82B, Tub-Gal80; (3) FRT42D; eyFLP6, Act>y + >Gal4, UAS-GFP; (4) yw,upd2∆3-62;eyFLP5, Act>y + >Gal4, UAS-GFP; FRT82B, Tub-Gal80; (5) yw, eyFLP1; Act>y + >Gal4, UAS-GFP.S65T; FRT79E; (6) yw, eyFLP1; Act>y + >Gal4, UAS-GFP.S65T; Tub-Gal80, FRT79E; (7) yw, eyFLP1; Act>y + >Gal4, UAS-GFP.S65T; Tub-Gal80, ptip3804, FRT79E and (8) yw,eyFLP1;Act>y + >Gal4,UAS-GFP;Tub-Gal80,FRT79E. Additional strains used were as follows: (1) yw; FRT82B; (2) w;UAS-RasV12(II); (3) w; UAS-RasV12(III); (4) w;; FRT82B,Tsc1Q600X/TM6B; (5) yw; 82B,sav3/TM3; (6) yw; UAS-dMyc; Sb/TM6B; (7) UAS-dp53/CyO (gift from N. Senoo-Matsuda); (8) yw; UAS-p53R155H/T(2;3)TSTL, CyO: TM6B, Tb (Bloomington Stock Center, BL8419); (9) yw; p53 5A-1-4 (BL6815; (10) UAS-p53-RNAi (VDRC, v103001); (11) yw;FRT42D,ubi-RFP.nls; (12) w,UAS-BskDN; (13) yw; UAS-RasV12; FRT79E,ptip3804; (14) w; UAS-Upd-RNAi(R1) (III) (NIG5988R); (15) yw,upd2∆3-62 (gift from M. Zeidler); (16) yw,upd-lacZ (gift from H. Sun); and (17) w,UAS-dome∆cyt1.1 (gift from J. Hombria).
Drosophila x-ray irradiation
Second-instar larvae (54 ± 6 h after egg laying) were collected from a petri dish containing 3 ml food and irradiated with three fractions of 1000 R at 6 h intervals in a Cabinet Faxitron X-Ray machine (TRX 2800). All larvae were allowed to recover at 25 °C. Eye discs were dissected at the late third-instar stage (day 5) based on developmental markers (spiracles and mouth hooks). For timing experiments, second-instar larvae were irradiated using three fractions of 1000 R (10 Gy), and dissections were timed from the end of treatment.
Staining and imaging
Antibody staining was performed according to standard procedures for Drosophila imaginal discs. The following antibodies were used: mouse monoclonal anti-β gal (1:500, Sigma), mouse anti-dmp53 (1:50 DSHB), rabbit anti-Stat92E (1:1000; gift from S. Hou), rabbit anti p-JNK (1:100), mouse anti-p21 (1:200, DSHB) and mouse anti-H2Av monoclonal antibody (1:200, DSHB #UNC93-5.2.1). Secondary antibodies were purchased from Life Technologies. Images were acquired on a Leica SP8 confocal microscope. Measurements of tumor clone size within imaginal discs were performed from confocal pictures using Fiji imageJ software. Adult eyes were imaged with a Leica DFC 300FX camera in a Leica MZ FLIII fluorescence stereomicroscope.
Real-time RT-PCR
Total RNA from wild-type and tumor imaginal discs (n ≥ 30 pairs) were extracted using Trizol. cDNAs were synthesized from 500 ng total RNA with the iScript cDNA Synthesis Kit (Bio-Rad). cDNAs were subjected to real-time PCR with the SYBR Green Fast Kit (Applied Biosystems), according to the manufacturer’s instructions. The expression level of genes for each sample was calculated by comparing to the internal control, rp49. The relative fold change of each gene was normalized to the expression level of the same gene in the eye disc bearing RasV12. Three experiments for each condition were averaged. The following primers were used for qRT-PCR:
upd: 5′-TCCACACGCACAACTACAAGTTC-3′; 5′-CCAGCGCTTTAGGGCAATC-3′
upd2: 5′-AGTGCGGTGAAGCTAAAGACTTG-3′; 5′-GCCCGTCCCAGATATGAGAA-3′
upd3: 5′-TGCCCCGTCTGAATCTCACT-3′; 5′-GTGAAGGCGCCCACGTAA-3′
dp53: 5′-CTATTGAGCTGGCGTTCGTCTTGGAT-3′; 5′-TCTGCCAAAACTCGTGTATCGGGCG-3′
dap/p21: 5′-GTCAGCTTCCAGGAGTCGAG-3′; 5′-CCAAAGTTCTCCCGTT CTGA-3′
rp49: 5′-GGCCCAAGATCGTGAAGAAG-3′; 5′-ATTTGTGCGACAGCTTAGCATATC-3′
Luciferase assay
The XmaI-XbaI fragment, including the predicted p53 binding sites, from upstream of Upd2 was separated from BAC DNA (BACR32F24) by enzyme digestion and then ligated into the pGL3-promotor to get the pGL3-Upd2-luc reporter construct (Upd2-p53BDS). The upstream fragment of Upd3 was separated by XmaI-SpeI enzyme digestion from BAC DNA and then ligated into the pGL3-promoter plasmid to form the pGL3-upd3-luc (Upd3-p53BDS). The predicted p53 binding sites were deleted from the reporter constructs to generate pGL3-upd2∆-luc (Upd2-p53BDS∆) and pGL3-upd3∆-luc (Upd3-p53BDS∆). 1.6×105 Schneider S2R + cells per well were plated in a 24-well plate one day before transfection. S2R + cells were transfected with pGL3-Upd2-luc and pGL3-Upd3-luc reporter constructs and the p53 binding site deletion constructs separately along with metallothionein promoter-dp53 constructs (MT-p53) (from DGRC, FMO05476) and Renilla reporter (pRL-TK Vector) by using the X-treme GENE HP DNA Transfection Reagent (Roche). After 48 h of transfections, copper sulphate was added to the medium in a final concentration 500 μM to induce dp53 expression. After the inducing expression of dp53 for 24 h, a dual luciferase assay was performed. Relative expression levels were calculated based on the Renilla reporter as an internal control. Experiments were carried out using three or more biological replicates.
Cell lines and cell culture
H441, H358, H460, and A549 were authenticated at the Cell and Immunology Core facility at the University of Missouri. MCF-10A and MCF-10AOnc HRAS cells were a gift from G. Monogarov (DKFZ, Heidelberg, Germany). Cells were cultured following ATCC recommendation in DMEM media containing high glucose and L-glutamine (Gibco#11875-093) or in RPMI-1640 media for H441 cells. A549 cells were cultured in Dulbecco’s Modified Eagle Medium with L-glutamine and high glucose (DMEM#11965-092) supplemented with 10% FBS. MCF-10A cells were cultured in DMEM-F12 (11320-033) with 5% horse serum (Gibco, 16050-122), hydrocortisone 0.5 µg/ml, cholera toxin 100 ng/ml, insulin 10 µg/ml, and EGF 20 ng/ml. Cells were incubated in a humidified incubator with 5% CO2 at 37 °C.
Cell counting
TrypLE (Gibco#12604-021) was used for detaching cells. Cells were counted using Trypan Blue as a dead cell excluder (Cat #T8154, Sigma USA).
Transfection
The p53-GFP vector was purchased from addgene (#1209). DharmaFECT (Dharmacon# T2002-02) was used for transfecting the p53-GFP vector into the human cell lines, following the manufacturer’s recommendation.
Ganetespib cytotoxicity
MTT assays on cancer cells treated with increasing concentrations of Ganetespib (0.1–100 nM) determined the half maximal inhibitory concentration (IC50) at 25 nM. Cells were seeded in 96-well plates at a density of 1c105 cells per well and treated with Ganetespib (Biosciences, #A11402,) for 48 h. A 100 μl solution of MTT (100 μg/ml) was added to each well. Cell viability was measured with a spectrophotometer at 570 nm.
Immunoblotting
For the immunoblotting analysis, cells were lysed in a buffer (20 mM Tris-HCl pH-7.5, 150 mM NaCl, 1 mM Na2EDTA, 1 mM EGTA, 1% Triton, 2.5 mM sodium pyrophosphate, 1 mM b-glycerophosphate, 1 mM Na3VO4, 1 µg/ml leupeptin) supplemented with protease and a phosphatase inhibitor cocktail (Cell Signaling #9803S). Absolute protein concentration was determined and normalized using a BSA standard curve on Nanodrop (Thermo Fisher Scientific). Proteins were electrophoresed on SDS-PAGE using 4–15% Mini-PROTEAN® TGX™ precast gel (Biorad#456-1085) and transferred onto a nitrocellulose membrane using Trans-Blot® Turbo™ Transfer Pack (Biorad#170-4159). The nitrocellulose membrane was blocked in buffer (5% milk in Tris-buffered saline containing 0.01% Tween20). Membranes were probed overnight at 4 °C with anti-pSTAT-3 (Tyr 705) (1:1000, Cell Signaling #9145) or anti-STAT (1:1000, Cell Signaling #30835) or anti-GAPDH (1:1000, Cell signaling #5174S) or anti-pERK1/2 (12D4, 1:1000, SantaCruz #81492). Secondary horseradish peroxidase (HRP) antibodies were obtained from Invitrogen. An ECL Chemiluminescence Kit (Thermo Fisher Scientific #32106) and the ChemiDoc Imaging System (Bio-Rad) were used to detect protein bands.
Human cancer cells irradiation
For x-irradiation conditioned media experiments, cells were cultured in fresh media prior to irradiation (8 Gy, 280 cGy/min exposure) using an X-RAD 320 Biological Irradiator. Media were replaced immediately following irradiation, and the irradiated cells were cultured for 24 h to generate conditioned media. Supernatant from the irradiated cells was collected after centrifugation at 500 × g for 2 min to remove cellular debris.
Flow cytometry analysis
GFP cell sorting was performed on the MoFloXDP (Beckman Coulter), and the regular flow cytometer analysis was performed using a CyAn ADP (Beckman Coulter). Flow cytometry cell proliferation assays were performed using the 5-ethynyl-2’deoxyuridine (EdU) assay kit (Invitrogen #C10634). Cells were incubated with EdU for 24 h and labeled. The Click-iT reaction was performed using the Click-iT EdU assay kit with Alexa Fluor 647 fluorophore, according to the manufacturer’s instructions. The propidium iodide (PI) solution was at 10 µg/ml in PBS containing 1% BSA. Gating was set at 488/636 nm (excitation/emission) or at 633/660 nm to detect and score PI or EdU_Alexa647-positive cells, respectively.
Mouse xenograft experiments
The mouse study was performed with the approval and oversight of the Institutional Animal Care and Use Committee at the University of Missouri (Protocol#9501). 13-weeks old Fox n1<Nu> homozygous male and female mice were used. Thirteen-week-old athymic nude mice (homozygous Foxn1nu) were purchased from the Jackson Laboratory for xenografts experiments. Experiments were conducted in compliance with the National Institute of Health’s guide for the care and use of animals. All animals were housed under pathogen-free conditions on a 12/12 h light-dark cycle. The A549 cells were grown in Dulbecco’s Modified Eagle Medium with L-glutamine and high glucose supplemented with 10% FBS. Cells were collected in pharmaceutical grade PBS, counted, and resuspended in pharmaceutical grade PBS at 1 × 106/100 µL. All the left flanks were inoculated with 1 × 106 A549 cells. Right flanks were inoculated with a 50/50 mixture of A549 and irradiated A549 (0.5 × 106 + 0.5 × 106 cells) in a total of 100 µL. Tumor measurements were taken weekly using a digital caliper. The STAT inhibitor Ruxolitinib (Sigma Millipore #ADV390218177) was administered (10 mg/kg body weight) through oral gavage once a day for a period of three weeks.
Statistics and reproducibility
All experiments were performed in three biological replicates for reproducibility. Standard deviations represent at least three biological replicates. Student’s t test was used to determine the statistical significance of differences between groups. Effect size was determined by calculating Cohen’s d value [d = |mean(group1)-mean(group2)|/Pooled standard deviation].
Supplementary information
Acknowledgements
The authors thank M. Oren, G. Monogarov, J. Contessa, B. Dunn, S. Ding, F. Qian, H. Chang, and D. Manry for helpful discussions. We are grateful to M. Oren and G. Monogarov for providing MCF-10A cells. We also thank N. Senoo-Matsuda, H. Zeidler, J. Sun, S. Hombria, S. Hou, the Bloomington Stock Center, the Vienna Drosophila RNAi Center, and the National Institute of Genetics for fly strains and antibodies. T.K. was supported by an RSNA research grant. This work was supported in part by the Chinese National Natural Science Funds for Young Scholars (No. 31200687) to Y.D., the leading Innovative and Entrepreneur Team Introduction Program of Zhejiang (2018R01003) and Westlake University (TX). T.X. was an investigator at the Howard Hughes Medical Institute. The work was supported by start-up funds to CYC from the University of Missouri.
Author contributions
Y.D., T.K., J.L., P.G., T.X., and C.Y.C. conceived the study. Y.D. and T.K. developed the fly irradiation models. L.L. assisted with qRT-PCR and fly stock maintenance. Y.D. and V.A. performed fly experiments. G.P. performed the tissue culture and mouse xenografts experiments. C.Y.C. wrote the manuscript.
Data availability
All source data are provided in Supplementary Data 1. All other data are available from the corresponding author on reasonable request.
Competing interests
The authors declare no competing interests.
Footnotes
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
These authors contributed equally: Yong-Li Dong, Gangadhara P. Vadla.
Contributor Information
Tian Xu, Email: tian.xu@yale.edu.
Chiswili-Yves Chabu, Email: chabuc@missouri.edu.
Supplementary information
The online version contains supplementary material available at 10.1038/s42003-021-01898-5.
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Supplementary Materials
Data Availability Statement
All source data are provided in Supplementary Data 1. All other data are available from the corresponding author on reasonable request.