Abstract
UDP-GlcNAc is a sugar substrate necessary for the O-GlcNAcylation of proteins. SLC35B4 is one of the nucleotide sugar transporters that transport UDP-GlcNAc and UDP-xylose into the endoplasmic reticulum and Golgi apparatus for glycosylation. The roles of SLC35B4 in hepatocellular carcinoma (HCC) tumorigenesis remain unknown. We find that the expression levels of SLC35B4 are higher in HCC tissues than adjacent non-tumor tissues. SLC35B4 is important for the proliferation and tumorigenesis of HCC cells. Mechanistically, SLC35B4 is important for the O-GlcNAc modification of c-Myc and thus the stabilization of c-Myc, which is required for HCC tumorigenesis. Therefore, SLC35B4 is a promising therapeutic target for treating HCC.
Keywords: O-GlcNAcylation, HCC, c-Myc, SLC35B4, nucleotide sugar transporters
Introduction
Liver cancer is one of the most common human cancers and the third leading cause of cancer death in 2020 (Sung et al., 2021). Hepatocellular carcinoma (HCC) is the major type of primary liver cancer (Sung et al., 2021). The main risk factors causing HCC include chronic infection with hepatitis B virus or hepatitis C virus, heavy alcohol use, and non-alcoholic fatty liver disease usually associated with obesity and type 2 diabetes (Rawla et al., 2018). Available therapeutic options for HCC include tumor resection, liver transplantation, percutaneous ethanol injection, and radiofrequency ablation (Karaman et al., 2014; Llovet et al., 2021). However, the effective therapies for advanced HCC are limited due to the lack of understanding of the pathways driving HCC (Jeng et al., 2015). Therefore, to develop more effective HCC therapy, it is important to identify new therapeutic targets that drive HCC tumorigenesis.
O-linked N-acetylglucosaminylation (O-GlcNAcylation) is a common post-translational modification of the serine or threonine residues of protein, which occurs in the endoplasmic reticulum (ER) and Golgi apparatus using UDP-N-acetylglucosamine (UDP-GlcNAc) as the substrate (Hart et al., 2011). This modification is catalyzed by O-GlcNAc transferase (OGT) and removed by O-GlcNAcase (OGA) (Ong et al., 2018). Previous studies have shown that O-GlcNAcylation, the new hallmark of cancer, promotes tumorigenesis via multiple mechanisms, including the regulation of cell cycle, chromatin dynamics, and tumor metastasis (Fardini et al., 2013). Elevated O-GlcNAcylation enhances glycolysis by regulating the activity of key glycolytic enzymes, including GLUT1, PFK1, and PGK1 (Bacigalupa et al., 2018; Nie et al., 2020). O-GlcNAcylation has been shown to regulate the stability of c-MYC and HIF-1α via direct or indirect manners, which are two oncogenic transcriptional factors critical for tumor progression (Itkonen et al., 2013; Ferrer et al., 2014). Nucleotide sugar transporters (NSTs) are a family of transport proteins that move the glycosylation substrates across the ER or Golgi apparatus membranes (Handford et al., 2006; Hadley et al., 2014). Solute carrier family 35 member B4 (SLC35B4) is one member of NSTs that can transport both UDP-GlcNAc and UDP-xylose (Ashikov et al., 2005). A previous study has demonstrated that SLC35B4 is regulated by oncoprotein YAP1 and promotes gastric cancer development and progression (Liu et al., 2019). However, the roles of SLC35B4 in promoting tumorigenesis remain unknown.
In this study, we showed that the expression levels of SLC35B4 in HCC are higher than normal liver tissues, and the overexpression of SLC35B4 is correlated with the poor prognosis of cancer patients. SLC35B4 knockdown dramatically decreased the proliferation and migration of HCC cells. Mechanistically, while SLC35B4 knockdown did not affect the mRNA levels of c-Myc, it significantly decreased c-Myc protein levels. In addition, we discovered that SLC35B4 knockdown in HCC cells decreased the O-GlcNAcylation of c-MYC that is known to stabilize c-Myc. Therefore, SLC35B4 drives HCC progression by stabilizing c-Myc through O-GlcNAc modification of c-Myc.
Materials and Methods
Cell Lines and Cell Culture
Hepatocellular carcinoma cell line (HepG2) was obtained from ATCC. Hepatocellular carcinoma cell line (QGY-7703) was provided by the Pathology Department of Sun Yat-sen University Cancer Center. HEK 293FT was purchased from Thermo Fisher Scientific. All of the cell lines were cultured in Dulbecco’s Modified Eagle Medium (DMEM) containing 10% fetal bovine serum (FBS) and 1% penicillin/streptomycin at 37°C with 5% CO2.
Animals and Human HCC Samples
All animal experiments were performed according to the protocols approved by the Institutional Animal Care and Use Committee (IACUC) of Southern Medical University. For xenograft tumor growth, 5 × 106 cells were injected subcutaneously into the left (control group) and the right (SLC35B4 knockdown group) flanks of the immunodeficient NSG mice (purchased from Shanghai Model Organisms, Shanghai, China. n = 6), respectively. For inducible gene knockdown, the drinking water containing 2 mg/L of doxycycline was supplied with doxycycline (20 mg/kg body weight) injected intraperitoneally every day.
After obtaining adequate informed consent, HCC tissue and adjacent normal tissue (ANT, exceeding the edge of the tumor by at least 2 cm) were obtained from HCC patients who underwent curative resection for HCCs in Nanfang Hospital of Southern Medical University, Guangzhou, China, between November 2010 and May 2015. This study was approved by IRB of Nanfang Hospital at Southern Medical University and was performed according to the Declaration of Helsinki (6th revision, 2008).
Data Analysis From TCGA
GSE25097 dataset analysis was obtained from Gene Expression Omnibus (GEO) database (https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE25097). Kaplan–Meier survival curves of overall survival in HCC patients were plotted according to the data from a previous study (Nagy et al., 2021).
Cellular Proliferation and Clonal Formation Assays
HCC cells were digested by 0.25% trypsin at 37°C for 3 min and washed with PBS. For cellular proliferation assay, cells (2,000 cells/well or 5,000 cells/well) were seeded into a 96-well plate. Twenty-four hours later, 10 μl of CCK8 solution was added into each well and incubated at 37°C for 1 h before the absorbance was detected at 450 nm using a microplate reader. Every experiment at least had three repetitions. For clonal formation assay, cells (500 cells/well) were seeded into a 6-well plate and incubated at 37°C for about 2 weeks. After fixation by 100% methanol at room temperature for 15 min, the cell colonies were stained with 0.1% crystal violet for 1 h at room temperature and counted. Every experiment at least had three repetitions.
Cell Lysis and Western Blotting Analysis
After washing with PBS and harvested, HCC cells were sonicated at 4°C in RIPA buffer (50 mM Tris–HCl pH 8.0, 150 mM NaCl, 1% Triton X-100, 0.5% sodium deoxycholate, 0.1% SDS) containing 1% protease inhibitor cocktail (Thermo Fisher Science). Lysate suspension was obtained after centrifugation at 4°C for 10 min and the protein concentration determined using BCA assay kit (Sigma). Protein denaturation was performed at 100°C for 5 min in 1× sample buffer (Bio-Rad). For Western blotting, the same amount of protein was loaded onto PAGE gel and transferred to a PVDF membrane (Merck) by tank transfer system (Bio-Rad). After being blocked by 5% milk at room temperature for 1 h, primary antibody was incubated with the membrane at 4°C overnight. Immunoblot signal was detected using ChemiDoc Touch Imaging System (Bio-Rad) after the incubation with secondary antibody at room temperature for 1 h.
Real-Time PCR
Total RNA from cells was extracted using RNeasy Mini Kit (Invitrogen) according to the manufacturer’s instruction. Briefly, cells were lysed in RLT lysis buffer and homogenized using a 1-ml syringe with needle. RNA was purified with RNeasy Mini Kit columns and finally dissolved in RNase-free water. cDNA synthesis from total RNA was performed using PrimeScript RT reagent Kit (Takara) following the manufacturer’s protocol. TB Green Premix Ex Taq II (Takara) was used for Real-Time PCR detection according to the manufacturer’s instruction. Every experiment at least had three repetitions.
Construct and Lentivirus Production
For SLC35B4 knockdown, two different SLC35B4 shRNA target sequences were synthesized and inserted into pLKO.1-puro vector (Addgene 8453) and tet-pLKO-puro vector (Addgene 21915). For lentivirus production, package plasmid psPAX2 (Addgene 12260), envelop plasmid pMD2.G (Addgene 12259), and the pLKO.1 vectors were co-transfected into HEK 293FT cells. Forty-eight hours after transfection, the supernatant was harvested and concentrated with Lenti-X concentrator (Clontech). The lentivirus was stored at −80°C.
Cell Migration Assay
For cell migration assay, culture media (500 μl) containing 10% FBS was added into the wells of a 24-well plate with 1 × 105 cells cultured in the inside compartment of a Transwell insert supplemented with DMEM media without FBS. Twenty hours after incubation, the cells attached to the membrane of the Transwell insert were fixed and stained by 0.1% crystal violet. Every experiment at least had three repetitions.
Immunoprecipitation Assay
HCC cells were harvested and were lysed using Pierce IP lysis buffer (25 mM Tris–HCl pH 7.4, 150 mM NaCl, 1 mM EDTA, 1% NP-40, and 5% glycerol). Protein concentration was determined by BCA assay. For immunoprecipitation assay, 1 mg of total lysate was incubated with anti-c-Myc or anti-O-GlcNAc antibody 4°C overnight. After the incubation with Protein A and G magnetic beads at room temperature for 1 h, the beads were collected and washed 3 to 5 times using lysis buffer. The beads were heated at 100°C for 5 min with 2× sample buffer and stored at −80°C.
Statistical Analysis
The statistical significance of Kaplan–Meier survival plot was determined by log-rank analysis. The other statistical significance was detected by t-test. All of the statistical analyses were performed in GraphPad Prism. *p < 0.05, **p < 0.01, ***p < 0.001, and ****p < 0.0001; n.s. means non-significant.
Results
SLC35B4 is Overexpressed in HCC and Correlated With the Poor Prognosis of HCC Patients
To examine the potential involvement of SLC35B4 in HCC, the GSE25097 dataset of HCC patients was analyzed, indicating that the SLC35B4 gene was significantly higher in HCC than in adjacent normal tissues (Figures 1A,B). In addition, the analysis of SLC35B4 mRNA levels in 42 paired HCC tissues and adjacent non-tumor tissues further confirmed this conclusion (Figures 1C,D). SLC35B4 was also widely expressed in HCC cell lines, including HepG2, PLC, and 7703 cells (Figure 1E). The overexpression of SLC35B4 is correlated with the poor prognosis of the HCC patients (Figure 1F). These findings suggest that SLC35B4 plays important roles in driving HCC development.
SLC35B4 Promotes the Proliferation and Migration of HCC Cells
To study the roles of SLC35B4 in HCC progression, we knocked down SLC35B4 in HCC cell lines 7703 and HepG2 using two specific short hairpin RNAs (Figures 2A,B). The results showed that SLC35B4 knockdown significantly suppressed the proliferation and colony formation capability of HCC cells (Figures 2C–F). In addition, SLC35B4 knockdown suppressed the migration of HCC cells (Figure 2G). Consistent with these findings, the inducible knockdown of SLC35B4 dramatically suppressed tumor growth in the immunodeficient NODSCID mice (Figures 2H,I). These results demonstrate that SLC35B4 is important for HCC tumorigenesis in vitro and in vivo.
SLC35B4 Stabilizes c-Myc via O-GlcNAc Modification
c-Myc is a critical oncogenic transcription factor that directly binds to the promoters of oncogenes and plays key roles in driving cancer progression (Dang, 2012). O-GlcNAc modification of c-Myc protein by O-linked β-N-acetylglucosamine transferase (OGT) can stabilize c-Myc protein in cancer cells (Itkonen et al., 2013). Considering the involvement of SLC35B4 in glycosylation, we speculated that SLC35B4 could regulate the expression of c-Myc. Therefore, we examined the mRNA and protein levels of c-Myc in HCC cells before and after SLC35B4 knockdown. While SLC35B4 KD had no impact on the mRNA levels of c-Myc, it significantly reduced c-Myc protein levels by destabilizing c-Myc (Figures 3A–C). Mechanistically, we showed that SLC35B4 knockdown dramatically decreased the protein stability and the O-GlcNAc modification of c-Myc (Figures 3D–G). Considering the important roles of c-Myc in driving the turnorigenesis of NPC, these results demonstrate that SLC35B4 drives HCC progression by stabilizing c-Myc through O-GlcNAcylation.
Discussion
HCC remains one of the most lethal malignancies that lack effective therapy. To develop effective therapies and new therapeutics to treat HCC, extensive international effort has been devoted to identify new pathways that drive HCC tumorigenesis. In this study, we provide compelling evidence that SLC35B4, one member of the nucleotide sugar transporters required to transport nucleotide sugars into the ER or Golgi apparatus for protein glycosylation (Bazan et al., 2018), is overexpressed in HCC and drives HCC tumorigenesis. In this context, the knockdown of SLC35B4 inhibits the proliferation and migration of HCC cells in vitro, and the acute depletion of SLC35B4 in HCC tumors significantly suppresses the tumor growth in vivo. Therefore, SLC35B4 represents a promising new therapeutic target to treat HCC.
To understand the mechanism underlying SLC35B4-dependent tumorigenesis, based on the physiological functions of SLC35B4 in transporting substrates of O-GlcNAc modification into the Golgi and ER, we investigated oncogenic proteins that are regulated by O-GlcNAc modification. Our study demonstrates that SLC35B4 is important to stabilize c-Myc by promoting its O-GlcNAc modification.
c-Myc is a critical oncoprotein that is overexpressed in many types of human cancer and plays key roles in driving tumorigenesis (Pelengaris et al., 2002). Therefore, c-Myc could be an ideal therapeutic target to treat various types of cancers. However, due to the critical roles of c-Myc in normal cellular processes, the complete inactivation of c-Myc will have lethal effects on normal cells (Carabet et al., 2018). Therefore, c-Myc remains an undruggable target in cancer drug discovery. The destabilization of c-Myc protein in human cancers has become a promising strategy to target c-Myc. Therefore, while it remains to be confirmed, our findings that SLC35B4 depletion could destabilize c-Myc provide an alternative approach to target c-Myc in many types of human cancer.
Data Availability Statement
The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.
Ethics Statement
The animal study was reviewed and approved by IACUC, Southern Medical University.
Author Contributions
Conceptualization: LY and YX. Methodology: TJ, LY, and YX. Investigation: TJ, JY, HY, WC, and KJ. Formal analysis: TJ, LY, and YX. Resources: LY and YX. Writing—original draft: TJ, LY, and YX. Writing—review and editing: all authors. Supervision: LY and YX. Project administration: LY and YX. Funding acquisition: LY and YX.
Funding
This study was supported by the National Natural Science Foundation of China (Nos. 81930084 and 81902506), and the Key Research and Development Program of Guangdong Province (2019B020235003).
Conflict of Interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s Note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Data Availability Statement
The original contributions presented in the study are included in the article/Supplementary Material, further inquiries can be directed to the corresponding authors.