Abstract
Early clinical studies suggested infiltrating T cells might be associated with poor outcomes in prostate cancer (PCa) patients. The detailed mechanisms how T cells contribute to PCa progression, however, remained unclear. Here, we found PCa cells have a better capacity to recruit more CD4(+) T cells than the surrounding normal prostate cells via secreting more chemokines-CXCL9. The consequences of more recruited CD4(+) T cells to PCa might then lead to enhance PCa cell invasion. Mechanism dissection revealed that infiltrating CD4(+) T cells might function through the modulation of FGF11→miRNA-541 signals to suppress PCa androgen receptor (AR) signals. The suppressed AR signals might then alter the MMP9 signals to promote the PCa cell invasion. Importantly, suppressed AR signals via AR-siRNA or anti-androgen Enzalutamidein PCa cells also enhanced the recruitment of T cells and the consequences of this positive feed back regulation could then enhance the PCa cell invasion. Targeting these newly identified signals viaFGF11-siRNA, miRNA-541 inhibitor or MMP9 inhibitor all led to partially reverse the enhanced PCa cell invasion. Results from in vivo mouse models also confirmed the in vitro cell lines in co-culture studies. Together, these results concluded that infiltrating CD4(+) T cells could promote PCa metastasis via modulation of FGF11→miRNA-541→AR→MMP9 signaling. Targeting these newly identified signals may provide us a new potential therapeutic approach to better battle PCa metastasis.
Keywords: Prostate cancer, T cells, Androgen Receptor, Tumor metastasis, Tumor microenvironment
1. Introduction
The incidence of prostate cancer (PCa) across the Western World is increasing at an alarming rate and becoming the most common form of cancer in men in the USA and the second leading cause of cancer death (Jemal et al., 2008). Many factors, including age, family history, and diet may influence the PCa development, however, the detailed mechanism(s) remain unclear(Maitland and Collins, 2008).
The androgen receptor (AR) has been recognized as the key player in the PCa progression (Chang et al., 2013; Chang et al., 1988; Heinlein and Chang, 2004; Wen et al., 2013). Importantly, more and more data suggested that AR might have duel roles to either promote PCa proliferation or suppress PCa metastasis (Lai et al., 2012; Lin et al., 2013a; Lin et al., 2013b; Niu et al., 2008a; Niu et al., 2008b; Niu et al., 2010). Using knocked-out AR in selective cells, Niu et al (Niu et al., 2008a; Niu et al., 2008b; Niu et al., 2010) and Lai et al (Lai et al., 2012) concluded that PCa stromal AR could promote PCa progression and AR in epithelial luminal cells could also play positive roles to maintain PCa survival. However, AR in epithelial basal intermediate cells might play a suppressor role in PCa metastasis (Niu et al., 2008a; Niu et al., 2008b; Niu et al., 2010). Other reports suggested that AR might function as suppressor in PCa metastasis via modulation of the epithelial-mesenchymal transition (EMT) and stem cell population (Sun et al., 2012; Tu and Lin, 2012).
The prostate tumor microenvironment (pTME) with many inflammatory immune cells may play important roles during PCa development and progression (Fang et al., 2013; Izumi et al., 2013; Lin et al., 2013a; Omabe and Ezeani, 2011; Reebye et al., 2011; Vendramini-Costa and Carvalho, 2012; Wang et al., 2013; Yates, 2011). Among these infiltrating immune cells, T cells with CD4(+) and/or CD8(+) were found to be associated with PCa (Steiner et al., 2002) and early clinical studies suggested infiltrated CD4(+) T cells might be linked to the poor outcome in patients with PCa (McArdle et al., 2004). The detailed mechanism how these CD4(+) T cells were recruited to the PCa and how they contributed to the PCa metastasis, however, remained unclear.
Here we demonstrated that infiltrated CD4(+) T cells could enhance PCa cell invasion and mechanism dissection found the infiltrated CD4(+) T cells might go through modulation of FGF11→miRNA-541→AR→MMP9 signaling to influence the PCa metastasis.
2. Materials and Methods
2.1 Patients
We found 20 patients whose biopsies showed clinical evidence of PCa by biospy. All these patients were treated with radical prostatectomy and no other therapy before surgery. Each patient biopsy tissue was divided into 2 groups: one was the PCa area and the other was the adjacent normal tissue area. The detailed information of patients was shown in Table 1.
Table 1. The clinical information from 20 PCa patients.
Patient number (n) | 20 |
---|---|
age (years ) | 63.8±5.6 |
*tPSA ( ng/ml) | 21.57±19.63 |
**f/tPSA | 0.12±0.05 |
TNM2002 AJCC* | |
T1 | 15 |
T2 | 5 |
pT2a | 3 |
pT2b | 2 |
Gleason score | |
Gleason 6 | 17 |
Gleason 7 | 1 |
Gleason 8 | 2 |
tPSA: total prostate-specific antigen
f/tPSA: the ratio between free PSA and total PSA.
2.2 Cell culture
The LNCaP and CWR22RV1 cell lines were purchased from the American Type Culture Collection (Rockville, MD, USA), the C4-2 cell line was a gift from Dr. Jer-Tsong Hsieh (Southwestern Medical Center, USA) and grown in RPMI-1640 media (Invitrogen #A10491, Grand Island, NY, USA) containing 1% penicillin and streptomycin, supplemented with 10% fetal bovine serum (FBS). The immortalized non-transformed RWPE-1 prostate epithelial cell line was purchased from American Type Culture Collection and grown in keratinocyte serum free medium (K-SFM) supplemented with bovine pituitary extract (BPE) and human recombinant epidermal growth factor (EFG). CD4(+) T lymphocytic cell lines HH and Molt-3 were acquired from the American Type Culture Collection (ATCC# CRL-2105 and CRL-1552 respectively), and maintained in 10% heat-inactivated fetal bovine serum RPMI media with 1% Pen/Strep. All cell lines were cultured in a 5% CO2 humidified incubator at 37°C.
2.3 Reagents
Monoclonal anti-CXCL9 antibodies were purchased from R&D systems (Minneapolis, MN, USA), and 500 μg/ml stock was reconstituted in phosphate buffered saline (PBS). For anti-CXCL9 treatment, stocks were adjusted to a final concentration of 6 μg/ml. MMP9 inhibitor was purchased from ABGene (Pittsburgh PA, USA) and was adjusted to a final concentration of 5 μg/ml. For cell treatment, Enzalutamide were adjusted to a final concentration of 10 μM.
2.4 Migration assay
The PCa cells and normal prostate RWPE-1 cells at 1×105were plated into the lower chamber of the transwells with 5 μm pore polycarbonate membrane inserts (Corning, #3422, Corning, NY, USA). 1×105HH or Molt-3 cells were plated onto the upper chamber. After 6 hrs, the cells migrated into the lower chamber media were collected and counted by the Bio-Rad TC10 automatic cell counter. Each sample was assayed in triplicate and the experiments were repeated twice.
2.5 Invasion assay
For in vitro invasion assays, the upper chambers of the transwells (Corning; 8 μm pores) were pre-coated with diluted growth factor-reduced matrigel (1:4 serum free RPMI media) (BD Biosciences, Sparks, MD). Before invasion assays, PCa cells were co-cultured with HH or Molt-3 for 48 hrs in 6-well transwell plates (Corning; 0.4μm). 1×105 of HH or Molt-3 cells were plated onto the upper chamber and 1×106PCa cells were plated into the lower chamber. The conditioned media (CM) or control media were collected, diluted with 10% FBS RPMI media at 1:1, plated into the lower chamber and the parental PCa cells without treatment were plated onto the upper chamber at 1×105. After 36 hrs of incubation, the cells in the upper chamber were removed. The insert membranes were fixed in ice cold 75% alcohol, stained with crystal violet, and the positively stained cells were counted under the microscope. The numbers of cells were averaged from counting of five random fields. Each sample was run in triplicate and in multiple experiments.
2.6 3D invasion assay
Thaw Matrigel on ice and add 40 μl of Matrigel to each well of 8-well glass chamber slide (at 50 μl/cm2) and spread the Matrigel evenly using a P-200 tip. Place the slides in the cell culture incubator and allow the Matrigel to solidify (takes 15–20 min). Plate 1×105 CWR22RV1 cells into each well with different CMs containing 5% Matrigel and 10 ng/ml EGF and media containing 2.5% Matrigel and 5ng/ml EGF were replenished every 4 days. PCa cells take about 7 days to form acini-like structures. 10 different random fields under 200× microscope were chosen randomly and the number of structures in each field counted.
2.7 Quantitative PCR
Total RNA was extracted from each cell line using Trizol (Invitrogen). Reverse transcription was performed using the iScript reverse transcription kit (Bio-Rad, Hercules, CA, USA). Quantitative real-time PCR (qRT-PCR) was conducted using a Bio-Rad CFX96 system with SYBR green to determine the level of mRNA expression of a gene of interest. Expression levels were normalized to the expression of GAPDH RNA.
2.8 Western Blot assay
Cells were washed twice in PBS and lysed with RIPA buffer containing 1% protease inhibitors (Amresco, Cochran, NY, USA). Protein concentration in the cell lystate solution was determined by BCA protein assay (Amresco). The cell lystate was mixed with 5×SDS-PAGE loading buffer (Amresco). Equivalent protein quantities were heated at 95°C for 10 min before separation on precasted 7%-15% SDS-polyacrylamide gels (Bio-Rad). Proteins were electrotransferred to PVDF membranes (Millipore, Atlanta GA, USA) that were blocked in Tris-buffered saline plus 0.05% Tween-20 (TBS-T) containing 5% non-fat dried milk for 1 hr. The membranes were washed in TBS-T and incubated with primary monoclonal antibodies overnight at 4°C in TBS-T containing 1% non-fat milk. The following primary antibodies were used: rabbit anti-AR (1:1000; Santa Cruz Biotechnology, CA,USA); rabbit anti-MMP9 (1:1000; Abcam, Cambridge, MA, USA) mouse anti-GAPDH (1:1000; Santa Cruz Biotechnology). After a washing in TBS-T buffer, membranes were incubated with goat anti-horseradish peroxidase-conjugated secondary antibody (1:1000 ; Invitrogen) for 1 hr at room temperature in 1% non-fat milk dissolved in TBS-T. Membranes were then washed with TBS-T buffer, and signals were visualized by use of an enhanced chemi-luminesence system (Themor, Pittsburgh, PA, USA).
2.9 Lentivirus package and transfection
We designed the AR and FGF11 siRNA sequences and inserted into the PLKO1.0 vector, packaged with psPAX2 and pMD2.G plasmid, then transfected into 293T cells for 48 hr to get the lentivirus soup for freezing at −80°C until use. The pSuperior–ARsiRNA targeting human AR mRNA sequence is 5′-gtggccgcagcaaggggctg-3′ (1530–1550); the pSuperior-FGF11siRNA targeting human FGF11 mRNA sequence is 5′-tcaaaggcatcgtcaccaa-3′ (454-473).
2.10 In vivo metastasis studies
Male 6-8 weeks old nude mice were purchased from NCI. CWR22RV1 cells were engineered to express luciferase reporter gene (PCDNA3.0-luciferase) by stable transfection and the positive stable clones were selected and expanded in culture. 12 mice were injected with 1 × 106 CWR22RV1-Luc cells (mixed with Matrigel, 1:1v/v) and the 20 other mice divided into equal 2 groups were co-injected with CWR22RV1-Luc cells with HH or Molt-3 cells (1 × 105) into both anterior prostate (AP). Metastasis in live mice was measured by using a Fluorescent Imager (IVIS Spectrum, Caliper Life Sciences, Hopkinton, MA) at 4 different time points (1, 4, 5, and 6 wks after injection). After a final monitoring with the imager, mice were sacrificed. Each specimen of tumor metastasis in diaphragm was fixed in 4% neutral buffered para-formaldehyde for 24 hours, embedded in paraffin, sectioned to 4 μm slices, and prepared for hematoxylin and eosin (H&E) staining.
2.11 Immunohistochemistry (IHC)
The tumor samples from prostate tumors in situ were fixed in 4% neutral buffered para-formaldehyde, embedded in paraffin, and sectioned to 4 μm slices. The primary antibodies of the rabbit anti-CD4(+) (1:50 Thermo), rabbit anti-CD8(+) (1:100 Thermo), rabbit anti-AR (1:200 Santa Cruz), the rabbit anti-MMP9 (1:500 Abcam), and rabbit anti-FGF11 (1:50 Abcam) were used for staining. The primary antibody was recognized by the biotinylated secondary antibody (Vector, Burlingame, CA, USA), and visualized by VECTASTAIN ABC peroxidase system and peroxidase substrate DAB kit (Vector).
2.12 Statistical Analysis
Data are expressed as mean±SEM from at least 3 independent experiments. Statistical analyses involved paired t-test with SPSS 17.0 (SPSS Inc., Chicago, IL). In our in vivo studies, measurements of tumor metastasis among the three groups were analyzed through one-way ANOVA coupled with the Newman-Keuls test. P <0.05 was considered statistically significant.
3. Results
3.1 PCa has better capacity than surrounding normal prostate to recruit T cells via secreting morechemokinesCXCL9
Early studies documented the existence of T cells in some TMEs including PCa (Ebelt et al., 2008). We were interested to see the distribution of T cells in PCa and their potential impacts on PCa progression. We first compared T cells infiltration in PCa with normal prostate in clinical specimens using IHC staining with T cell markers, CD4(+), and results revealed that more infiltrated CD4 (+) T cells were found in PCa than surrounding normal prostate tissues (Fig. 1A).
We then applied the in vitro co-culture system T cell recruitment assay to confirm the above in vivo clinical results. In the Boyden chamber migration system, we placed the various PCa cells (LNCaP, C4-2, CWR22RV1) vs non-malignant prostate epithelial cells(RWPE-1) in the lower chamber and then placed CD4(+) T cells (HH cells or Molt-3 cells) onto the upper chamber (Fig. 1B, left panel). After6 hours incubation, we counted the number of HH or Molt-3 cells that migrated through the membranes and into the bottom chamber, and found PCa cells have a much better capacity to recruit the T cells as compared to the non-malignant prostate RWPE-1 cells (Fig. 1B, middle and right panels). Similar results were also obtained when we replaced PCa cells/normal prostate cells with their CMs in the lower chambers (Fig. 1C).
To dissect the mechanisms why PCa has a better capacity than normal prostate to recruit T cells, we then used q-PCR to assay the most reported chemokines that are related to attracting T cells (Koch, 2005; Oldham et al., 2012) from PCa vs normal prostate cells in the above co-culture system. The results revealed a higher CXCL9 expression in PCa C4-2 cells than normal prostate RWPE-1 cells (Fig 2A). Similar results were also obtained when we replaced C4-2 cells with LNCaP or CWR22RV1 cells (Fig. 2B).
We then applied an interruption assay with CXCL9 neutralizing antibody in the Boyden chamber migration system and found blocking CXCL9 led to partially suppress the HH cells migration toward PCa (LNCaP, C4-2, CWR22RV1) cells (Fig. 2C). Similar results were also obtained when we replaced HH cells with Molt-3 cells (Fig. 2D).
Taken together, these studies from Figs. 1-2 suggest that PCa tissue has a better capacity to recruit T cells than the surrounding normal prostate that may involve the secretion of more CXCL9 from PCa cells.
3.2 Increased Infiltrated T cells to PCa enhanced the PCa cell invasion via down-regulation of AR signals in PCa cells
What are the consequences after PCa cells recruited more T cells? Using a co-culture system with transwell plates, we co-cultured PCa cells with T cells for 2 days and the CMs were collected to test T cells effect on PCa invasion (Fig. 3A). Results showed the CM collected from co-culture of infiltrated T cells (HH or Molt-3) with different PCa cells could enhance the PCa (LNCaP, C4-2 or CWR22RV1) cell invasion (Fig. 3B).
Similar results were also obtained when we replaced the Boyden chamber invasion system with 3D invasion assay. After 7-day treatment with the CM of CWR22RV1 co-cultured with T cells, the parental CWR22RV1 cell could form more acini-like structures (Fig. 3C).
To dissect the mechanism(s) why infiltrated T cells could enhance PCa cell invasion, we first focused on the AR as early reports suggested that targeting AR could result in the PCa cells becoming more invasive (Izumi et al., 2013; Luo et al., 2013; Niu et al., 2008a; Niu et al., 2008b; Niu et al., 2010). Using q-PCR assay, we found the down-regulation of AR mRNA expression in PCa cells after co-culture with T cells for 2 days (Fig. 4A). Western-Blot analyses further confirmed the down-regulation of AR expression at the protein level in LNCaP, C4-2 and CWR22RV1(22RV1) cells after co-culture with the HH or Molt-3 cells (Fig. 4B).
To further examine the importance of AR roles in the mediation of infiltrating T cells for the influence of PCa cell invasion, we then applied the interruption assay with AR-siRNA to knock-down AR in PCa cells, and results revealed that infiltrating T cells capacity to enhance PCa cell invasion was suppressed, suggesting the essential role of AR for the mediation of infiltrating T cells to enhance PCa cell invasion (Fig. 4C).
Together, results from Fig. 4A-C suggest that infiltrated T cells could down-regulate AR in PCa cells, and may be related with T cell promoting PCa cell invasion.
To further dissect how suppressed AR in PCa played key roles to mediate the infiltrated T cells-enhanced PCa cell invasion, we applied qPCR and western-blot assays to examine the expression of AR modulated down-stream metastasis genes in PCa cells after co-culture with T cells, and found the MMP9 expression was consistently up-regulated in co-culture of PCa (LNCaP, C4-2 and CWR22RV1) cells with T cells (HH or Molt-3) at the mRNA (Fig. 4D) and protein levels (Fig. 4E).
Using interruption assay with adding MMP9 inhibitor in PCa cells, we found blocking MMP9 in PCa cells partially reversed the infiltrated T cells-enhanced PCa cell invasion (Fig. 4F), suggesting AR→MMP9 signals in PCa could play key roles to mediate the infiltrated T cells-enhanced PCa cell invasion.
3.3 Mechanism(s) how Infiltrated T cells suppress AR signals in PCa cells
An early report suggested that FGF family members might play key roles in PCa invasion (Lin and Wang, 2010).We assayed the expression of 7 FGF family members in HH or Molt-3 T cells by comparing T cells alone vs T cells co-cultured with PCa C4-2 cells. We also assayed FGF family gene expressions in C4-2 cells by comparing C4-2 cells alone vs co-cultured with T cells. We found the FGF11 expression was consistently higher in T cells after co-culture with C4-2 (Fig. 5A).
Importantly, we found knocking down FGF11 with lentivirus FGF11-siRNA in T cells (HH and Molt-3) (Fig. 5B) partially reversed the T cells-enhanced PCa cells (LNCaP, C4-2 and CWR22RV1) invasion (Fig. 5C), and knocking-down FGF11 in T cells also reversed the expression of AR and MMP9 in PCa cells in the co-culture system (Fig. 5D), suggesting the axis of FGF11 from T cells to PCa AR-MMP9 signals might play key roles in infiltrated T cells-enhanced PCa cell invasion.
To further dissect how FGF11 can influence AR protein and mRNA at the molecular level, we surveyed a panel of micro-RNAs (miRNAs) that control gene expression via inhibiting protein translation and/or degrading the target mRNA (Bartel, 2009; He and Hannon, 2004), especially to those miRNAs that could down-regulate AR in PCa (Ostling et al., 2011). Our T cell/PCa cell co-culture system with or without knocking-down FGF11 via siFGF11, demonstrated two potential down-stream targets, miRNA-541 and miRNA-876, as their expression was repeatedly altered in PCa cells (Fig. 5E).
We then applied the interruption assay via adding miRNA-541 or miRNA-876 inhibitor in PCa cells and found blocking miRNA-541, but not miRNA-876, in PCa cells partially reversed the infiltrated HH cells-enhanced PCa cell invasion (Fig. 5F), and the AR and MMP9 expression were also reversed (Fig. 5G), suggesting FGF11→miRNA-541→AR→MMP9 signals could be a key step to mediate the infiltrated T cell influences on PCa cell invasion.
Together, results from Fig. 1-5 suggest that infiltrated T cells could secrete more FGF11 during co-culture with PCa cells to enhance PCa cell invasion via down-regulation of AR-MMP9 signals.
Interestingly, we also found down-regulated AR in PCa cells, in return, could also lead PCa cells to recruit more T cells. As shown in Fig.S1A&B, targeting AR with AR-siRNA in LNCaP, C4-2 and CWR22RV1 cells led to recruit more T HH or Molt-3 cells in the co-culture system. Similar results were also obtained when we replaced AR-siRNA with anti-androgen Enzalutamide (Fig. S1C&D).
These results suggest a positive feed back between down-regulation of AR signals in PCa cells and increased T cell infiltration: more T cells recruited to PCa cells could lead to down-regulation of AR in PCa cells, which might then recruit more infiltrating T cells. The consequences of this positive feed back regulation then leads to enhance the PCa cell invasion.
3.4 Infiltrated T cells enhanced PCa metastasis in the in vivo mouse models
To confirm the above in vitro results from various cell lines studies, we then investigated the effects of infiltrated T cells on PCa metastasis using in vivo mouse PCa xenografted models with PCa CWR22RV1 cells co-implanted with T cells(HH or Molt-3) at 10:1 ratio. CWR22RV1 cells have been transfected with pCDNA3-luciferase for monitoring tumor growth and metastasis using the in vivo real-time imaging system (IVIS) image.
After 6 weeks injection, we found results from IVIS showing that the CWR22RV1/T cells co-implanted group mice had more metastatic luminescence signals located at distant organs as compared with CWR22RV1 only group (Fig. 6A). The mice were then sacrificed for tumor examination, and results showed higher metastasis rate (89% in 8 of 9 mice) with metastatic tumors found in the diaphragms in the co-implanted CWR22RV1+HH cells groups and 78% (7 of 9 mice) in the co-implanted CWR22RV1+Molt-3 group. In contrast, only 27% (3 of 11 mice) were found to have metastatic tumors in CWR22RV1 only group.
We further confirmed the PCa lesions by H&E staining (Fig. 6B), and IHC staining also found the expression of those key molecules such as AR, MMP9, CCL5 and FGF11 matched well to the above in vitro cell lines studies showing lower expression of AR, and higher expression of MMP9 and FGF11 in those co-injected PCa cells with T cells as compared to those injected with PCa cells alone (Fig. 6C).
Together, results from in vivo mouse model studies confirmed the above in vitro cell lines studies and demonstrated that infiltrated T cells could enhance PCa metastasis via modulating FGF11→miRNA-541→AR→MMP9 signaling.
3.5 FGF11 expression in human PCa tissues
To further prove the FGF11 roles in the T cell promotion of PCa cell invasion. We also examined the FGF11 expression in 20 human PCa tissues via IHC staining. The results revealed that the IHC staining of FGF11 was higher in PCa area than surrounding normal prostate area (Fig. 7A). Serial paraffin sections were used to detect the distribution of CD4(+) T cell and expression of FGF11 also revealed that FGF11 was located in the epithelial cells and CD4(+) T cells area (Fig. 7B), suggesting a positive correlation between the expression of FGF11 and infiltration of CD4(+) T cells (x2=8.37, P=0.016).
4. Discussion
Several CD3(+) lymphocytes were found in the pTME, and among these infiltrated T cells, CD4(+) was the major sub-population (Ebelt et al., 2008; Ebelt et al., 2009). McArdle et al found the increased CD4(+) T-lymphocyte infiltration within the tumor was associated with poor outcome in PCa patients (McArdle et al., 2004). Other studies also indicated that increased infiltrated CD4(+) or CD8(+) T-lymphocytes were associated with decreased survival in patients with renal cancer (Bromwich et al., 2003), and recruited CD4+ T cells in mammary tumors could enhance metastasis (Tan et al., 2011). However, the detailed mechanisms how infiltrated T cells could influence those tumors progression remained unclear.
Here we first demonstrated that infiltrating T cells could enhance PCa cell invasion via modulation of FGF11→miRNA-541→AR→MMP9 signaling. This is in agreement with previous studies showing AR could function as a suppressor to suppress metastasis in PCa (Chang et al., 2013; Izumi et al., 2013; Lai et al., 2012; Lin et al., 2013a; Lin et al., 2013b; Luo et al., 2013; Niu et al., 2008a; Niu et al., 2008b; Niu et al., 2010; Wen et al., 2013) and hepatocellular carcinoma (HCC) (Ma et al., 2012). Interestingly, using different PCa cell lines-MDA PCa 2b, Hara T, et al also reported that AR might promote PCa cell invasion via alteration the AR-MMP2/MMP9 signals (Hara et al., 2008).
Early studies also indicated that FGF family members might play important roles in PCa metastasis (Wesche et al., 2011). For example: FGF-8 was expressed at a high frequency in bone metastases of human PCa (Valta et al., 2008), and FGF9 and FGF19 were involved in PCa metastasis into bones (Feng et al., 2013; Teishima et al., 2012). Here we first identified that the FGF11 could be the AR up-stream signaling to modulate AR in PCa. Among 7 FGF family members detected, we found infiltrating T cells could promote FGF11 expression after co-culture with PCa cells.
The miRNAs are small and un-translated RNAs that control gene expression by inhibiting protein translation and/or degrading target mRNAs (Bartel, 2009; He and Hannon, 2004). Each miRNA can control hundreds of target genes and up to 60% of all transcripts are potentially modulated by miRNAs (Friedman et al., 2009). Among AR related miRNAs in PCa (Ostling et al., 2011), we found miRNA-541 and miRNA-876 were repeatedly altered in our co-culture of T cells with PCa cells with/without FGF-siRNA, and miRNA inhibitor assay showed miRNA-541 is the key molecule in our system. The miRNA-541 (Zhang et al., 2011) has been well studied for its roles in neuronal differentiation. However, our data is the first to suggest that it can also play a role in PCa cell invasion.
Targeting AR leading to enhanced T cells recruitment is also in agreement with early clinical studies showing PCa patients who received ADT had increased CD4(+) T cells in PCa lesions (Mercader et al., 2001), or increased population of CD3(+) T lymphocytes (Gannon et al., 2009; Sanchez et al., 2013; Shore et al., 2013).
In summary, our results concluded that infiltrating T cells could promote PCa metastasis via modulation of FGF11→miRNA-541→AR→MMP9 signals (Fig.S3), which may provide us new potential therapeutic approaches to better battle PCa metastasis via targeting these newly identified signals from infiltrated T cells.
5. Conclusions
We concluded that infiltrating CD4(+) T cells could promote PCa metastasis via modulation of FGF11→miRNA-541→AR→MMP9 signals, which may provide us a new potential therapeutic approach to better battle PCa metastasis via targeting these newly identified signals from infiltrated CD4(+) T cells.
Supplementary Material
Highlights.
We show the distribution of CD4+T cell in prostate cancer (PCa) tissue.
We show the potential risk of CD4+T cell effects on enhancing PCa metastasis.
We find the essential role of the cross-talk between FGF11 and AR signaling in PCa.
CD4+T cell and FGF11-AR pathway may become a new target for the future PCa therapy.
Acknowledgements
This work was supported by NIH grants (CA155477 and CA156700), George Whipple Professorship Endowment and Taiwan Department of Health Clinical Trial, Research Center of Excellence (DOH99-TD-B-111-004 to China Medical University, Taichung, Taiwan) and China 973 Program (2012CB518305).
Footnotes
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Conflict of interest: The authors have declared that no conflict of interest exists.
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