1. Introduction
Pancreatic ductal adenocarcinoma (PDAC), the most common form of pancreatic cancer, has a very poor prognosis due to early metastatic spread, late diagnosis and the lack of efficient therapies [
1,
2,
3]. This type of cancer is predicted in 2030 to become the second leading cause of cancer-related deaths worldwide, which highlights the urgent need to better understand PDAC development and progression. This knowledge is crucial to identify vulnerabilities that can be targeted therapeutically to improve the patient’s fate and quality of life. Recent advances in PDAC biology have focused on the intratumor microenvironment, which comprises up to 90% of the tumor mass [
4,
5]. The tumor stroma is mainly composed of cancer-associated fibroblasts, immune cells and excess extracellular matrix (ECM) [
5], a phenomenon termed desmoplastic reaction. There is growing interest in targeting this non-malignant but nevertheless transformed compartment and its consequent impact on tumor development [
4,
6] in order to reduce tumor aggressiveness. The formation and composition of the ECM is orchestrated primarily by transforming growth factor-β (TGF-β) along with specific ECM components, the expression of which is induced by this growth factor. In PDAC, TGF-β can act as both a tumor suppressor and tumor promoter depending on the cellular context and the stage of disease progression [
8]. TGF-β signals primarily via the Sma and Mad-related (Smad) proteins SMAD2, 3 and 4 [
9] but also through Smad independent pathways, i.e., PI3K/AKT, JNK/p38 or the extracellular signal-regulated kinase (ERK) pathway [
9,
10,
11,
12]. Alterations in the TGF-β/SMAD4 signaling pathway, particularly in
DPC4 (the gene encoding SMAD4) are critical events in PDAC progression [
4].
Recently, it was revealed in two relevant and specific engineered pancreatic cancer mouse models made homozygous-null for transcriptionally active p73 (TAp73) that this p53 family member is a critical regulator of the TGF-β pathway. Mechanistically, TAp73 induces biglycan, a small proteoglycan and TGF-β inhibitor, via intermittent activation of Smad signaling [
13]. The absence of TAp73, and as a consequence loss of expression of Smad4 and biglycan, led to activation of TGF-β signaling through Smad independent pathway(s), i.e., ERK1/2, favoring oncogenic TGF-β effects and epithelial-mesenchymal transition (EMT) in the tumor cells of TAp73
−/− mice. The enhanced EMT phenotype of TAp73
−/− as compared to TAp73 wildtype (WT) cells was associated with greater invasive abilities and a reduced sensitivity to gemcitabine treatment. The higher aggressiveness of PDAC from TAp73
−/− mice was most convincingly demonstrated by an increase of stromal compartment with enhanced deposition of ECM, and reduced survival of the TAp73
−/− mice [
13]. These findings in the murine PDAC models suggest that TAp73 functions as a potent barrier to PDAC progression and implicates deletion of the
TP73 locus in PDAC initiation or progression. Although in human cancers mutations in
TP73 are less frequent than those in
TP53, genetic aberrations of
TP73 were nevertheless reported in PDAC and previous studies had already shown that loss of TAp73 induced spontaneous tumor development because of enhanced genomic instability [
14]. In human pancreatic cancer cells,
TP73 monoallelic expression was also observed [
15] and correlated with patient outcome [
13]. With respect to functional activities TAp73 has so far been implicated in the regulation of cell growth/death, neoangiogenesis and cellular metabolism/energy production [
13,
16,
17].
In the PDAC mouse model carrying a loss of
TP73, Thakur and colleagues have shown that TAp73 functions as an inhibitor of the EMT process and potent barrier to PDAC progression through modulation of TGF-β signaling. In their study, the authors focused on the murine system and on TAp73-dependent regulation of the TGF-β pathway via intermittent secretion of biglycan [
13]. However, the role of SMAD4 as a downstream target of TAp73 and possible upstream repressor of the ERK pathway has not been functionally dissected. Hence it remains open whether the cellular effects of TAp73 in murine cells, particularly the induction of
DPC4 and the impact of SMAD4 on TGF-β-induced ERK activation, also operate in human PDAC. The goal of this study, therefore, was to reveal if the regulatory interactions between TAp73 and SMAD4 dependent and independent signaling are of biological significance in human pancreatic cancer cells and whether these affect cancer relevant functions such as spontaneous and TGF-β1 dependent cell migration. Based on the data presented here, we conclude that TAp73 and SMAD4 signaling independently block basal and TGF-β1-induced ERK activation and cell migration in human PDAC-derived tumor cells.
4. Discussion
Despite recent advances in chemotherapeutic treatments, the prognosis for PDAC is still poor and urgently requires a deeper understanding of the molecular events and critical signaling pathways that drive tumor development and evolution. Previous studies reported that the p53 homolog, TAp73, is involved in cancer development through cell growth and death regulatory mechanisms. However, the significance of its altered expression in various cancers, including PDAC, has not yet been clearly defined. Using endogenous mouse models of PDAC, a pioneering study by Thakur and coworkers investigated the role of TAp73 in pancreatic carcinogenesis and showed that TAp73 deficient PDAC exhibited characteristics of EMT and enhanced desmoplasia, suggesting enhanced activity of TGF-β [
13]. Interestingly, the increased amount of free TGF-β, which is suspected to be associated with a higher risk of pancreatic cancer [
24] and resistance to anticancer treatment [
25] resulted from the inability to trigger activation of the Smad dependent pathway (primarily due to downregulation of Smad4) and to induce expression of the Smad4 target and TGF-β inhibitor biglycan. As a consequence of the increased levels of free TGF-β, the tumor cells can display high levels of Smad independent pathway activation, such as that involving ERK derepressed under conditions of TAp73 deficiency [
13]. These favor the expression of EMT-related transcription factors such as Snail and Zeb and promote EMT, enhanced migratory capacity and invasiveness as well as resistance to chemotherapeutic agents in TAp73 deficient murine PDAC cells. The data from murine cells suggest that both cell-intrinsic and paracrine effects brought about by TAp73 deficiency force a switch in function of TGF-β in carcinogenesis from tumor suppressive to tumor promoting [
13].
While plentiful data from mice have been presented in the Thakur study, any conclusions as to whether this TAp73 driven network also operates in human PDAC has remained open. A clue that TAp73 is involved in EMT regulation in human cells, however, came from the observation that knockdown of TAp73 induced MCF10A mammary epithelial cells to undergo EMT via downregulation of
CDH1 and upregulation of
SNAI1, and an increase in cell migration [
26]. By suppressing EMT, TAp73 physiologically achieves maintenance of normal cell polarity in these cells [
26]. This is consistent with the role of TAp73 in cellular differentiation and suppression of the mesenchymal phenotype [
27,
28,
29].
In our study, we initially found evidence for a tumor suppressive role of TAp73 in PDAC cells of human origin by observing that TAp73 upregulated the basal expression of ECAD and SMAD4, while downregulating that of SNAIL. By employing luciferase assays with a strictly SMAD-responsive reporter plasmid we were, in addition, able to reveal that TAp73 promotes TGF-β signaling through activation of a SMAD4 dependent pathway. In line with this, TAp73 was required for TGF-β1 regulatory effects on TGF-β/SMAD dependent target genes, like
CDH1 (downregulation) and
TGFB1 (upregulation). Besides its role as a promoter of epithelial gene expression, TAp73 was identified in murine cells as an inhibitor of mesenchymal gene expression, i.e., Snail, and mesenchymal non-Smad signaling, i.e., Erk1/2 [
13], two functions that we have demonstrated here to operate also in human PDAC cells. The coordinated induction of epithelial genes and concurrent suppression of mesenchymal genes and pathways suggests that TAp73 is also a crucial antagonist of EMT and cell motility in human PDAC cells.
Regarding Smad independent signaling we observed in both PANC-1 and HPAFII cells constitutive ERK pathway activation that was enhanced as a result of TAp73 silencing. Since we had shown previously that exogenous TGF-β1 was able to rapidly stimulate ERK1/2 activation in PANC-1 and other PDAC cell lines that have retained sensitivity to this growth factor [
18], we asked whether another tumor suppressive function of TAp73 could be repression of TGF-β1-driven ERK activation. To this end, in TAp73 depleted cells short-term ERK activation was significantly enhanced. Moreover, using dominant-negative and RNA interference with WT SMAD4 function in two different PDAC lines, we were able to show that higher ERK activation was a direct consequence of SMAD4 inhibition.
Prompted by suppression of the EMT phenotype we reasoned that TAp73 should also interfere with cell migration/invasion. Therefore, in another set of experiments we applied the real-time xCELLigence technology to monitor the migratory potential of PANC-1 and HPAFII cells after siRNA-mediated knockdown of TAp73 or after ectopic expression of plasmids encoding either TAp73α (the most abundant p73 isoform [
22]) or TAp73β. These assays showed strong de-repression of cell migration in the p73 knockdown cells and inhibition after ectopic expression of TAp73α but not TAp73β. Finally, to verify that the anti-migratory effect of TAp73 was due to induction of SMAD4 expression, we performed migration assays with PANC-1 cells harboring defective SMAD4 function as a result of ectopic expression of dominant-negatively acting SMAD4 mutant. In accordance with the p73 siRNA data, cells with defective SMAD4 function also exhibited an increased migratory activity. This is consistent with studies in other PDAC-derived tumor cell lines, in which SMAD4 acted as an inhibitor of migration or invasion [
30,
31] confirming the tumor suppressing function of SMAD4 in PDAC cells. The observation that both TAp73 and SMAD4 target ERK1/2 activation for inhibition are in perfect agreement with earlier findings from us [
32] and others [
12] on the crucial role of this pathway in driving EMT and migration/invasion in PDAC. Moreover, suppression of ERK activation by (endothelial) Smad4 has been demonstrated to restrain the transition to hematopoietic progenitors [
33].
While the primary goal of this study was to demonstrate that the original findings on TAp73 in murine PDAC cells also operate in their human orthologues, we provided additional data that were not contained in the Thakur study. Specifically, we revealed that only the α but not the β isoform was able to stimulate ECAD and SMAD4 expression (
Figure 1), and to inhibit cell migration, while the latter response was even promoted by the β isoform (
Figure 5). TAp73β differs from TAp73α by the lack of the SAM domain, a potential protein–protein interaction domain that might contribute to the control of TAp73 transcriptional activity [
22]. Mechanistically, TAp73 may act via transactivation of the
DPC4 gene promoter, which harbors a p53 response element [
13].
Figure 6.
Cartoon illustrating the role of TAp73 in negative regulation of TGF-β dependent EMT and cell migration (CM) in human PDAC cells. Left-hand side, in WT TAp73 epithelial tumor cells TAp73α induces SMAD4 expression and following stimulation of cells with TGF-β1 (blue ovals) and activation of its receptors (blue rectangles) SMAD4 inhibits the basal and TGF-β1-induced formation of pERK and an ERK-mediated increase in EMT and CM. Right-hand side, following siRNA-mediated knockdown (KD) of TAp73α the subsequent decrease in SMAD4 expression and a failure to activate a SMAD dependent (dep.) pathway, reinforced TGF-β signaling switching to SMAD4 independent (indep.) pathways, e.g., MEK-ERK1/2, by removing the inhibitory effect of SMAD4 on pERK1/2 formation. In the course of this study, we have also carved out that only the α isoform of TAp73 (TAp73α) is able to promote SMAD4 and ECAD expression and to inhibit CM. The green arrows indicate activation, while the red lines indicate suppression. Grey-shaded arrows and lines indicate the inactive state. The stippled lines and arrows denote the possibility that these effects are indirect. For details see text.
Figure 6.
Cartoon illustrating the role of TAp73 in negative regulation of TGF-β dependent EMT and cell migration (CM) in human PDAC cells. Left-hand side, in WT TAp73 epithelial tumor cells TAp73α induces SMAD4 expression and following stimulation of cells with TGF-β1 (blue ovals) and activation of its receptors (blue rectangles) SMAD4 inhibits the basal and TGF-β1-induced formation of pERK and an ERK-mediated increase in EMT and CM. Right-hand side, following siRNA-mediated knockdown (KD) of TAp73α the subsequent decrease in SMAD4 expression and a failure to activate a SMAD dependent (dep.) pathway, reinforced TGF-β signaling switching to SMAD4 independent (indep.) pathways, e.g., MEK-ERK1/2, by removing the inhibitory effect of SMAD4 on pERK1/2 formation. In the course of this study, we have also carved out that only the α isoform of TAp73 (TAp73α) is able to promote SMAD4 and ECAD expression and to inhibit CM. The green arrows indicate activation, while the red lines indicate suppression. Grey-shaded arrows and lines indicate the inactive state. The stippled lines and arrows denote the possibility that these effects are indirect. For details see text.
In the present study, we provide evidence that TAp73 through induction of
DPC4 suppresses basal and TGF-β1 dependent activity of the MEK-ERK signaling pathway. According to the model proposed by Thakur et al., de-repression of ERK activation and an ensuing increase in EMT and migration/invasion - rather than being executed directly by SMAD4 - is believed to be an indirect effect, ultimately resulting from increased levels of free TGF-β due to the absence of TGF-β trapping by biglycan that, in turn, is induced via TAp73 and SMAD4 [
7,
13]. The issue of whether in human PDAC, too, Biglycan and endogenous TGF-β are involved here - although being highly relevant - was beyond the scope of the present study.
Altogether, our data on human PDAC clearly suggest that the absence of TAp73 impairs TGF-β signaling toward the tumor-suppressing SMAD4 dependent pathway. Hence, TAp73 in suppressing EMT and cell motility might have implications for other tumor suppressive functions, e.g., responsiveness to SMAD4 dependent cell death after TGF-β treatment [
34]. It will be interesting to see if TAp73 deficiency can render PANC-1 or HPAFII less apoptosis-sensitive to TGF-β/SMAD4 dependent cell death. Moreover, in vivo data in mouse models will reveal if after intra-pancreatic injection of human TAp73 deficient cells (as observed for the murine counterparts [
13]), the number of liver metastases that developed from these cells is higher than that with the TAp73 WT cells and if the loss of both tumor suppressive functions (anti-EMT/anti-invasion and apoptosis) contributes to the pro-metastatic effect.