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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2015.3209</article-id>
<article-id pub-id-type="publisher-id">ijo-47-06-2123</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>S100A4 interacts with mutant p53 and affects gastric cancer MKN1 cell autophagy and differentiation</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>SHEN</surname><given-names>WEI</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref><xref rid="af2-ijo-47-06-2123" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>DANQI</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref><xref rid="af3-ijo-47-06-2123" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>SHANSHAN</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>CHEN</surname><given-names>LISHA</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>YU</surname><given-names>AIWEN</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>FU</surname><given-names>HAO</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref><xref rid="af4-ijo-47-06-2123" ref-type="aff">4</xref></contrib>
<contrib contrib-type="author">
<name><surname>SUN</surname><given-names>XIUJU</given-names></name><xref rid="af1-ijo-47-06-2123" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-47-06-2123"/></contrib></contrib-group>
<aff id="af1-ijo-47-06-2123">
<label>1</label>Department of Medical Genetics, China Medical University, Shenyang North New Area, Shenyang, Liaoning 110122, P.R. China</aff>
<aff id="af2-ijo-47-06-2123">
<label>2</label>Department of Pathophysiology, Shenyang Medical College, Shenyang, Liaoning 110034, P.R. China</aff>
<aff id="af3-ijo-47-06-2123">
<label>3</label>Department of Environmental Medicine, NYU School of Medicine, Tuxedo, NY 10987, USA</aff>
<aff id="af4-ijo-47-06-2123">
<label>4</label>Department of Biochemistry, Shenyang Medical College, Shenyang, Liaoning 110034, P.R. China</aff>
<author-notes>
<corresp id="c1-ijo-47-06-2123">Correspondence to: Dr Xiuju Sun, Department of Medical Genetics, China Medical University, No. 77 Puhe Road, Shenyang North New Area, Shenyang, Liaoning 110122, P.R. China, E-mail: <email>xjsun@mail.cmu.edu.cn</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>12</month>
<year>2015</year></pub-date>
<pub-date pub-type="epub">
<day>15</day>
<month>10</month>
<year>2015</year></pub-date>
<volume>47</volume>
<issue>6</issue>
<fpage>2123</fpage>
<lpage>2130</lpage>
<history>
<date date-type="received">
<day>10</day>
<month>06</month>
<year>2015</year></date>
<date date-type="accepted">
<day>19</day>
<month>08</month>
<year>2015</year></date></history>
<permissions>
<copyright-statement>Copyright: &#x000A9; Shen et al.</copyright-statement>
<copyright-year>2015</copyright-year>
<license license-type="open-access">
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by-nc-nd/4.0/">Creative Commons Attribution-NonCommercial-NoDerivs License</ext-link>, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.</license-p></license></permissions>
<abstract>
<p>The acquired p53 mutations are the most common genetic alterations in human cancers. Mutant p53 proteins tend to accumulate, augmenting their oncogenic potential. However, the mechanisms for mutant p53 accumulation are not known. Previous studies have shown that S100A4 interacts with wild-type p53. The present study marks the first time the effect of S100A4 on mutant p53 levels in gastric cancer MKN1 cells, which harbor mutant p53<sup>V143A</sup>, and the functional consequences have been investigated. S100A4 interacted with mutant p53<sup>V143A</sup> in the cells, and S100A4 inhibition decreased mutant p53<sup>V143A</sup> levels, indicating that S100A4 promoted mutant p53 accumulation through their interaction. We also found that S100A4 inhibition altered the expression of the mutant p53<sup>V143A</sup> target genes &#x0005B;<italic>c-Myc</italic> and inhibitor of DNA binding 2 (<italic>Id2</italic>)&#x0005D;. Moreover, we demonstrated that S100A4 knockdown increased mutant p53-related autophagy and cell differentiation. In conclusion, our data suggest a novel mechanism for mutant p53<sup>V143A</sup> accumulation and add a new facet to the role of S100A4 in cancer.</p></abstract>
<kwd-group>
<kwd>S100A4</kwd>
<kwd>mutant p53</kwd>
<kwd>protein-protein interaction</kwd>
<kwd>gastric cancer cell</kwd>
<kwd>autophagy</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The tumor suppressor gene <italic>TP53</italic> plays a pivotal role in maintaining and regulating normal cellular functions. The acquired <italic>TP53</italic> mutations are the most common genetic alterations in human cancer, which are mostly missense mutations (<xref rid="b1-ijo-47-06-2123" ref-type="bibr">1</xref>). Some p53 mutants not only result in the loss of wild-type p53 activity, but also may acquire new oncogenic properties known as gain-of-function. The mutation usually leads to the formation of mutant p53 proteins, which often accumulate at high levels in tumors (<xref rid="b2-ijo-47-06-2123" ref-type="bibr">2</xref>&#x02013;<xref rid="b4-ijo-47-06-2123" ref-type="bibr">4</xref>). In fact, immunohistochemical detection of p53 in tumors usually indicates <italic>TP53</italic> missense mutation and provides prognostic and predictive information. As the notion that mutant p53 accumulation augments their oncogenic potential, the field of molecular modulators of mutant p53 level and activity is gaining interest. A prominent notion underlying mutant p53 accumulation is that the mutations in <italic>TP53</italic> abrogate its ability to transactivate <italic>MDM2</italic>, which typically regulates the ubiquitin-mediated degradation of p53 (<xref rid="b5-ijo-47-06-2123" ref-type="bibr">5</xref>,<xref rid="b6-ijo-47-06-2123" ref-type="bibr">6</xref>). However, recent <italic>in vivo</italic> data challenge this hypothesis by demonstrating that mutant <italic>Trp53</italic> knock in mice (<italic>Trp53</italic> encodes mouse p53) do not have mutant p53 accumulation in normal tissues, whereas mutant p53 levels are increased in most tumors (<xref rid="b7-ijo-47-06-2123" ref-type="bibr">7</xref>). The findings indicated that <italic>TP53</italic> mutations alone are insufficient for the accumulation of mutant p53 and that additional events are required to prevent mutant p53 degradation. It has been reported that molecules such as heat shock proteins (HSP90) or phosphatase and tensin homolog (PTEN) interact with mutant p53 and lead to its accumulation in tumors (<xref rid="b8-ijo-47-06-2123" ref-type="bibr">8</xref>,<xref rid="b9-ijo-47-06-2123" ref-type="bibr">9</xref>).</p>
<p>S100A4 (also known as Mts1) belongs to the S100 family of Ca<sup>2+</sup>-binding proteins that are overexpressed in a multitude of cancers and that are accompanied by increased metastatic capacity (<xref rid="b10-ijo-47-06-2123" ref-type="bibr">10</xref>&#x02013;<xref rid="b12-ijo-47-06-2123" ref-type="bibr">12</xref>). S100A4 is involved in cancer progression and metastasis through interaction with target proteins. Using <italic>in vitro</italic> or <italic>in vivo</italic> binding assays, several groups have demonstrated the interaction between wild-type p53 and S100A4, and the functional consequence of wild-type p53-S100A4 interaction has been reported. Mutant p53 and S100A4 interaction in mouse mammary cancer CSML-100 cells has also been reported (<xref rid="b13-ijo-47-06-2123" ref-type="bibr">13</xref>). However, whether mutant p53 and S100A4 can interact in human cancer cells and the functional consequences have yet to be revealed. The human gastric cancer cell line MKN1 harbors mutant p53<sup>V143A</sup> (<xref rid="b14-ijo-47-06-2123" ref-type="bibr">14</xref>). We investigated whether S100A4 and mutant p53 interact in MKN1 cells and whether the interaction contributes to the accumulation of mutant p53. We also studied the role of S100A4 in regulating mutant p53-related molecular and cellular effects.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The human gastric cancer cell line MKN1 was kindly provided by professor Kazunari K. Yokoyama (Riken, The Institute of Physical and Chemical Research, Saitama, Japan). Cells were cultured in RPMI-1640 medium (Invitrogen, Carlsbad, CA, USA) supplemented with 10&#x00025; fetal calf serum in a 37&#x000BA;C humidified incubator with 5&#x00025; CO<sub>2</sub>.</p></sec>
<sec>
<title>Double immunofluorescence</title>
<p>MKN1 cells were seeded on glass coverslips (1&#x000D7;10<sup>5</sup> cells/ml). After 24 h, the cells were fixed with methyl alcohol and acetone, and then blocked with 10&#x00025; normal goat serum. The cell monolayer was treated overnight at 4&#x000BA;C with primary antibodies: rabbit anti-S100A4 antibody (1:100 dilution; Lab Vision, Fremont, CA USA) and mouse anti-p53 antibody (DO-1; Santa Cruz Biotechnology, Santa Cruz, CA, USA; 1:100 dilution). The p53 antibody (DO-1) is a mouse monoclonal antibody raised against amino acids 11&#x02013;25 of p53 of human origin, which was recommended for detection of wild and mutant p53 of human origin according to the instruction book. In the present study, we used DO-1 to detect mutant p53<sup>V143A</sup> expression in MKN-1 cells. After incubating in primary antibodies, the cells were treated with fluorescein isothiocyanate-conjugated secondary goat anti-rabbit IgG and tetramethylrhodamine isothiocyanate-conjugated goat anti-mouse IgG (Sigma, St. Louis, MO, USA). Lastly, the nuclei were stained with diaminophenylindole (DAPI) in phosphate-buffered saline (PBS) for 10 min. Specimens were examined under a Leica TCS SP2 AOBS confocal laser microscope (Leica Microsystems, Wetzlar, Germany).</p></sec>
<sec>
<title>Co-immunoprecipitation (Co-IP)</title>
<p>Cells were washed with PBS and lysed in Triton lysis buffer. Cell extracts were precleared by incubating with 50 &#x003BC;l Protein G PLUS-Agarose (Santa Cruz Biotechnology) for 30 min at 4&#x000BA;C and centrifuged. Precleared cell extracts were incubated with 4 &#x003BC;g mouse anti-p53 antibody or rabbit anti-S100A4 antibody at 4&#x000BA;C for 1 h. IgG was used as the control for the Co-IP. Thereafter, 70 &#x003BC;l resuspended Protein G PLUS-Agarose was added to the lysate-antibody mix and incubated overnight at 4&#x000BA;C on a rotating wheel. After incubation, the beads were centrifuged and the supernatant was discarded. The beads were washed four times with PBS, resuspended and boiled in 20 &#x003BC;l SDS sample buffer, and immunoblotted with anti-S100A4 antibody or anti-p53 antibody (1:200 dilution).</p></sec>
<sec>
<title>Plasmid construction and cell transient transfection</title>
<p>The pCMV-Neo-Bam p53<sup>V143A</sup> expression vector was a gift from Professor Bert Vogelstein (Johns Hopkins University, Baltimore, MD, USA). The S100A4-specific shRNA expression vector was constructed in a previous study by our group (<xref rid="b15-ijo-47-06-2123" ref-type="bibr">15</xref>). The double-stranded shRNA oligo was cloned into a pSilencer 4.1-CMV neo vector (Ambion, Austin, TX, USA) to construct pS100A4-shRNA. A scrambled sequence without significant homology to human gene sequences was used as the control (pControl-shRNA). Cell transfections were carried out using Lipofectamine 2000 (Invitrogen) according to the manufacturer's instruction.</p></sec>
<sec>
<title>RNA extraction and semi-quantitative RT-PCR</title>
<p>Total cellular RNA was extracted using TRIzol reagent (Invitrogen); 1 &#x003BC;g RNA was reverse-transcribed using First-Strand cDNA Synthesis kit (Promega, Madison, WI, USA). The newly synthesized complementary DNA was amplified by PCR. Primers specific for human <italic>TP53</italic>, <italic>S100A4</italic> and <italic>&#x003B2;-actin</italic> were designed as follows: (<italic>TP53</italic>) sense, 5&#x02032;-CAGCCAAGTCTGTGACTTGCACGTAC-3&#x02032; and antisense, 5&#x02032;-CTATGTCGAAAAGTGTTTCTGTCATC-3&#x02032;; (<italic>S100A4</italic>) sense, 5&#x02032;-GATGTGATGGTGTCCACCTT-3&#x02032; and antisense, 5&#x02032;-ATTTCTTCCTGGGCTGCTTA-3&#x02032;; (<italic>&#x003B2;-actin</italic>) sense, 5&#x02032;-CTCTTCCAGCCTTCCTTCCT-3&#x02032; and antisense, 5&#x02032;-CACCTTCACCGTTCCAGTTT-3&#x02032;. Amplification cycles were: 95&#x000BA;C for 5 min, and then 30 cycles at 95&#x000BA;C for 30 sec, 58&#x000BA;C for 30 sec, and 72&#x000BA;C for 30 sec, followed by 72&#x000BA;C for 10 min. Aliquots of the PCR product were electrophoresed on 1.5&#x00025; agarose gels, and PCR fragments were visualized by ethidium bromide staining.</p></sec>
<sec>
<title>Quantitative real-time RT-PCR</title>
<p>The RNA extraction and reverse transcription reaction were performed as described above. Quantitative real-time PCR analysis was performed by using SYBR Premix Ex Taq II (Takara Bio, Dalian, China). Reactions were processed and analyzed on an ABI 7500 Real-Time PCR system (Applied Biosystems, Foster City, CA, USA). The sense and antisense primers used for <italic>Id2</italic>, <italic>c-Myc</italic>, and glyceraldehyde-3-phosphate dehydrogenase (<italic>GAPDH</italic>) were 5&#x02032;-TCAGCCTGCATCACCAGAGA-3&#x02032; and 5&#x02032;-CTGCAAGGACAGGATGCTGATA-3&#x02032;; 5&#x02032;-ACCAGATCCCGGAGTTGGAA-3&#x02032; and 5&#x02032;-CGTCGTTTCCGCAACAAGTC-3&#x02032;; and 5&#x02032;-ATCATCAGCAATGCCTCC-3&#x02032; and 5&#x02032;-CATCACGCCACAGTTTC-3&#x02032;, respectively.</p></sec>
<sec>
<title>Western blotting</title>
<p>Whole cell extracts were prepared from cells by homogenizing cells in a lysis buffer (50 mM Tris, pH 7.2, 1&#x00025; Triton X-100, 0.5&#x00025; sodium deoxycholate, 0.1&#x00025; SDS, 500 mM NaCl, 10 mM MgCl<sub>2</sub> with 10 &#x003BC;g/ml leupeptin, 10 &#x003BC;g/ml aprotinin and 1 mM PMSF) and quantified by Bradford method. Protein (100 &#x003BC;g) was separated on a 12&#x00025; polyacrylamide gel by electrophoresis, transferred onto polyvinylidene difluoride membranes (Millipore, Bedford, MA, USA) and blocked with TBS-T supplemented with 5&#x00025; non-fat milk. Membranes were incubated with rabbit anti-S100A4 antibody (1:500 dilution) and mouse anti-p53 antibody (1:500 dilution), rabbit anti-&#x003B2;-actin antibody (1:1,000 dilution; Santa Cruz Biotechnology). After washing, membranes were incubated with a peroxidase-conjugated second antibody (goat anti-rabbit IgG or goat anti-mouse IgG) (1:2,000 dilution; Beijing Zhongshan Golden Bridge Biotechnology Co., Ltd., Beijing, China). The reagent for enhanced chemiluminescence (Amersham Biosciences, Freiburg, Germany) was used for detection and developed by X-ray film. The experiments were performed three times.</p></sec>
<sec>
<title>Chromatin immunoprecipitation assays (ChIP)</title>
<p>ChIP assays were performed according to the manufacturer's instructions (Active Motif, Carlsbad, CA, USA). The target protein p53 was immunoprecipitated with either 3 &#x003BC;g anti-p53 antibody or 3 &#x003BC;g IgG as the negative control. DNA was extracted as recommended by the protocol. To amplify the mutant p53 binding site from nucleotides &#x02212;163 to +22 in the <italic>Id2</italic> gene promoter region, PCR was performed using the forward and reverse primers 5&#x02032;-GCACTTACTGTACTGTACTCTAT-3&#x02032; and 5&#x02032;-GCTGGAGCTTCCCTTCGTC-3&#x02032;, respectively (<xref rid="b16-ijo-47-06-2123" ref-type="bibr">16</xref>).</p></sec>
<sec>
<title>Induction and quantification of autophagy</title>
<p>To analyze autophagosomes, we constructed pEGFP-C1-<italic>LC3</italic> expression vectors and transfected them into MKN1 cells five days after pS100A4-shRNA or pControl-shRNA transfection in the cells. After 36 h, cells were cultured for 12 h in serum-free Hank's balanced salt solution medium, referred to as nutrient-free medium, for serum and amino acid starvation (<xref rid="b17-ijo-47-06-2123" ref-type="bibr">17</xref>). Autophagy was quantified by determining the percentage of cells with GFP-LC3 accumulation in vacuoles (GFP-LC3vac, of a minimum 100 cells per preparation in three independent experiments). Under fluorescence microscopy, cells presenting mostly diffuse distribution of GFP-LC3 in the cytoplasm and nucleus were considered non-autophagic, whereas cells with several intense punctate GFP-LC3 aggregates with no nuclear GFP-LC3 were classified as autophagic (<xref rid="b18-ijo-47-06-2123" ref-type="bibr">18</xref>). Each GFP-LC3 staining was read by two independent investigators.</p></sec>
<sec>
<title>Measurement of ALP activity</title>
<p>MKN1 cells were harvested by trypsinization and rinsed twice with PBS five days after pS100A4-shRNA or pControl-shRNA transfection. Then, cells were incubated in 0.2&#x00025; Triton X-100 for 24 h at 4&#x000BA;C, and sonicated. ALP activities in the cell lysates were measured by determining the formation of <italic>p</italic>-nitrophenol from <italic>p</italic>-nitro-phenol phosphate using a commercially available kit (Nanjing Jiancheng Biotech Co., Ltd., Nanjing, China) according to the manufacturer's instructions. ALP activity was expressed as ALP units per mg protein. All results were normalized by protein quantitation. The results were repeated in at least three independent experiments.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>The data are presented as mean &#x000B1; SD (standard deviation). Each experiment was repeated at least three times. Statistical analyses were performed using the Student's t-test or analysis of variance (ANOVA) according to the number of groups compared. Student-Newman-Keuls (SNK) test was used after the ANOVA for pairwise comparison. All analyses used SPSS version 16.0 software. A P-value of &lt;0.05 was considered statistically significant.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>S100A4 and mutant p53<sup>V143A</sup> colocalization in MKN1 cells</title>
<p>The colocalization of S100A4 and mutant p53<sup>V143A</sup> in the nucleus and cytoplasm of MKN1 cells was identified by double immunofluorescence staining (<xref rid="f1-ijo-47-06-2123" ref-type="fig">Fig. 1</xref>).</p></sec>
<sec>
<title>S100A4 interaction with mutant p53<sup>V143A</sup> in MKN1 cells</title>
<p>As S100A4 and mutant p53<sup>V143A</sup> were colocalized in MKN1 cells, we hypothesized that S100A4 could interact with the mutant p53 in the cells. To investigate the interaction, whole cell lysates of MKN1 cells were prepared and precipitated with anti-S100A4 antibody, and the proteins from the immunoprecipitates were detected by western blotting using anti-p53 antibody. We detected mutant p53<sup>V143A</sup>, which indicated that it coprecipitated with S100A4. Similarly, when whole cell lysates were precipitated with anti-p53 antibody, S100A4 was detected from the immunoprecipitates (<xref rid="f2-ijo-47-06-2123" ref-type="fig">Fig. 2</xref>), indicating that S100A4 can coprecipitate with mutant p53<sup>V143A</sup>. Normal IgG was used as the negative control. These results demonstrate that S100A4 interacts with mutant p53<sup>V143A</sup> in MKN1 cells.</p></sec>
<sec>
<title>Effect of S100A4 on mutant p53<sup>V143A</sup> levels</title>
<p>After demonstrating that S100A4 could interact with mutant p53<sup>V143A</sup>, we used western blotting and RNA interference to investigate whether inhibiting S100A4 would affect mutant p53 levels. S100A4 inhibition (<xref rid="f3-ijo-47-06-2123" ref-type="fig">Fig. 3A and B</xref>) decreased mutant p53<sup>V143A</sup> levels (<xref rid="f3-ijo-47-06-2123" ref-type="fig">Fig. 3C</xref>), indicating that S100A4 could contribute to the accumulation of mutant p53<sup>V143A</sup> in MKN1 cells.</p></sec>
<sec>
<title>Inhibitor of DNA binding 2 (Id2) was a target gene of mutant TP53<sup>V143A</sup></title>
<p><italic>Id2</italic> is a target gene of some p53 mutants, such as p53<sup>R273H</sup>, p53<sup>P309S</sup> and p53<sup>R248W</sup> (<xref rid="b16-ijo-47-06-2123" ref-type="bibr">16</xref>), but it is not clear whether it is the target gene of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic>. To investigate this, we first performed chromatin immunoprecipitation (ChIP), and the results showed that mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> bound to the promoter region of the <italic>Id2</italic> gene (<xref rid="f4-ijo-47-06-2123" ref-type="fig">Fig. 4A</xref>). We further investigated the effect of <italic>TP53</italic><italic><sup>V143A</sup></italic> on <italic>Id2</italic> expression via pCMV-Neo-Bam p53<sup>V143A</sup> transfection. RT-PCR and western blotting showed that the levels of TP53 mRNA and protein expression were significantly increased at 48 h after pCMV-Neo-Bam p53<sup>V143A</sup> transfection compared to the control cells (<xref rid="f4-ijo-47-06-2123" ref-type="fig">Fig. 4B and C</xref>), indicating that the pCMV-Neo-Bam p53<sup>V143A</sup> transfection led to mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> overexpression in the cells. Mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> overexpression decreased <italic>Id2</italic> mRNA expression in the cells (<xref rid="f4-ijo-47-06-2123" ref-type="fig">Fig. 4D</xref>). The results indicate that <italic>Id2</italic> is a target gene of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> and that its expression is directly repressed by mutant <italic>TP53</italic><italic><sup>V143A</sup></italic>.</p></sec>
<sec>
<title>S100A4 affected the expression of mutant TP53<sup>V143A</sup> target genes</title>
<p>It has been reported that <italic>c-Myc</italic> is a target gene of mutant p53<sup>V143A</sup> (<xref rid="b19-ijo-47-06-2123" ref-type="bibr">19</xref>); our results above indicate that <italic>Id2</italic> is a target gene of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic>. Therefore, we performed real-time RT-PCR to investigate the effect of S100A4 on <italic>c-Myc</italic> and <italic>Id2</italic> mRNA expression. S100A4 inhibition decreased the expression of <italic>c-Myc</italic> mRNA and increased the expression of <italic>Id2</italic> mRNA (<xref rid="f5-ijo-47-06-2123" ref-type="fig">Fig. 5A</xref>). Rescue experiments showed that pCMV-Neo-Bam p53<sup>V143A</sup> transfection into p<italic>S100A4</italic>-short hairpin RNA (shRNA) cells attenuated the decreased expression of <italic>c-Myc</italic> mRNA and the increased expression of <italic>Id2</italic> mRNA induced by S100A4 suppression (<xref rid="f5-ijo-47-06-2123" ref-type="fig">Fig. 5B</xref>). Collectively, the results suggest that S100A4 affects the expression of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> target genes such as <italic>c-Myc</italic> and <italic>Id2</italic>, therefore, it affects the molecular function of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic>.</p></sec>
<sec>
<title>S100A4 suppression promoted MKN1 cell autophagy and differentiation</title>
<p>We demonstrated that S100A4 interacts with mutant p53 and affects mutant p53 levels. It has been reported that there is a good correlation between many p53 variants (including p53<sup>V143A</sup>) and their ability to inhibit autophagy (<xref rid="b20-ijo-47-06-2123" ref-type="bibr">20</xref>). It presents the possibility that S100A4 may affect MKN1 cell autophagy through mutant p53<sup>V143A</sup>. Therefore, we examined the potential effect of S100A4 in inducing autophagy. Knockdown of S100A4 significantly increased green fluorescent protein-light chain 3 (GFP-LC3) aggregation in the cytoplasmic dots induced by nutrient deprivation (<xref rid="f6-ijo-47-06-2123" ref-type="fig">Fig. 6A</xref>), indicating that S100A4 suppression could increase MKN1 cell autophagy.</p>
<p>We determined that S100A4 affected the expression of the mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> target genes <italic>Id2</italic> and <italic>c-Myc</italic>. The <italic>Id2</italic> and <italic>c-Myc</italic> genes are implicated in the regulation of cell differentiation (<xref rid="b16-ijo-47-06-2123" ref-type="bibr">16</xref>,<xref rid="b21-ijo-47-06-2123" ref-type="bibr">21</xref>). We hypothesized that S100A4 may affect cell differentiation. Alkaline phosphatase (ALP) activity is a marker of differentiation. The expression of an ALP isoenzyme was stronger in well-differentiated gastric carcinoma than in poorly differentiated carcinoma (<xref rid="b22-ijo-47-06-2123" ref-type="bibr">22</xref>). In the present study, ALP activity was significantly increased in pS100A4-shRNA cells compared to in pControl-shRNA cells (<xref rid="f6-ijo-47-06-2123" ref-type="fig">Fig. 6B</xref>), indicating that S100A4 inhibition may promote MKN1 cell differentiation.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Using <italic>in vitro</italic> binding studies, several different groups have demonstrated direct interaction between recombinant p53 and S100A4 using different methods (<xref rid="b23-ijo-47-06-2123" ref-type="bibr">23</xref>&#x02013;<xref rid="b25-ijo-47-06-2123" ref-type="bibr">25</xref>). A report has also been published on the interaction between S100A4 and p53 in a complex sample involving coimmunoprecipitation (Co-IP) of mouse mammary cancer cells harboring mutant p53 (<xref rid="b13-ijo-47-06-2123" ref-type="bibr">13</xref>). Recent research has shown that S100A4 interacted with wild-type p53 in human cancer cells (<xref rid="b26-ijo-47-06-2123" ref-type="bibr">26</xref>). However, whether S100A4 and mutant p53 interact in human cancer cells, and whether S100A4 affects mutant p53 accumulation is not clear. The present study marks the first report of the nuclear and cytoplasmic colocalization of S100A4 and mutant p53, as well as the <italic>in vivo</italic> interaction between S100A4 and mutant p53, which was detected using double immunofluorescence and Co-IP in MKN1 cells, which harbor mutant p53<sup>V143A</sup>. Importantly, our results show that S100A4 inhibition decreased mutant p53<sup>V143A</sup> expression, which suggests that S100A4 might promote mutant p53<sup>V143A</sup> accumulation. The mechanism may depend on the interaction between S100A4 and mutant p53<sup>V143A</sup>. A recent report demonstrated the frequent combination of mutated <italic>TP53</italic>-positive and S100A4-positive status in colorectal carcinoma samples (<xref rid="b27-ijo-47-06-2123" ref-type="bibr">27</xref>), which supports our findings from a clinicopathological perspective. As described above, it was reported recently that endogenous S100A4 and wild-type p53 interact in complex samples, and S100A4 knockdown resulted in p53 stabilization in two wild-type p53 cell lines, indicating that S100A4 promotes wild-type p53 degradation (<xref rid="b26-ijo-47-06-2123" ref-type="bibr">26</xref>). These reports suggested that S100A4 has the opposite effect on wild-type p53 compared to its effect on mutant p53, as reported in this study. Similar to the effect of S100A4 on p53, the molecular chaperone HSP90, another partner of p53, also has the opposite effect on wild-type p53 compared to its effect on mutant p53. Wild-type p53 accumulated following HSP90 inhibition, whereas mutant p53 protein levels were reduced (<xref rid="b9-ijo-47-06-2123" ref-type="bibr">9</xref>). These findings suggest that mutant and wild-type p53 might demonstrate different dependence on the same partner.</p>
<p>It is well known that p53 exerts its functions by regulating its target genes. Gain of function is dependent on the ability of mutant p53 to transactivate or repress specific target genes, such as <italic>c-Myc</italic>, <italic>Fas</italic>, and nuclear factor-&#x003BA;B (NF-&#x003BA;B) (<xref rid="b19-ijo-47-06-2123" ref-type="bibr">19</xref>,<xref rid="b28-ijo-47-06-2123" ref-type="bibr">28</xref>,<xref rid="b29-ijo-47-06-2123" ref-type="bibr">29</xref>). The genes affected by the different p53 mutants vary. Id2 is a member of the inhibitor of differentiation (Id) family, which plays a role in tumor suppression in multiple tumor types. A previous study showed that <italic>Id2</italic> is a target gene of multiple p53 mutants, such as p53<sup>R273H</sup>, p53<sup>P309S</sup> and p53<sup>R248W</sup> (<xref rid="b16-ijo-47-06-2123" ref-type="bibr">16</xref>). The present study is the first to demonstrate that mutant p53<sup>V143A</sup> inhibits <italic>Id2</italic> expression by binding to the <italic>Id2</italic> promoter, which suggests that <italic>Id2</italic> is a target gene of mutant p53<sup>V143A</sup>.</p>
<p>As S100A4 is frequently overexpressed in gastric cancer (<xref rid="b11-ijo-47-06-2123" ref-type="bibr">11</xref>), and we found that S100A4 was responsible for mutant p53 accumulation by interacting with it in gastric cancer cells, we speculated that S100A4 could augment the oncogenic ability of mutant p53 in cells. How S100A4 affects mutant p53 activity requires further clarification. It has been reported that S100A4 binding to wild-type p53 interferes with the DNA binding activity of p53 <italic>in vitro</italic> and with reporter gene transactivation <italic>in vivo</italic> (in two mouse cancer cell lines: CSML-0 and VMR-Liv). In Tet-inducible cell lines expressing wild-type p53, differential modulation of the wild-type p53 target gene transcription &#x0005B;<italic>P21/WAF</italic>, <italic>BAX</italic>, thrombospondin-1 (<italic>THBS1</italic>), <italic>MDM2</italic>&#x0005D; was observed upon S100A4 induction (<xref rid="b13-ijo-47-06-2123" ref-type="bibr">13</xref>). We hypothesized that S100A4 may affect the target gene expression of mutant p53<sup>V143A</sup>. We detected the effect of S100A4 on the expression of <italic>c-Myc</italic> and <italic>Id2</italic>, two target genes of mutant p53<sup>V143A</sup>. S100A4 knockdown decreased <italic>c-Myc</italic> mRNA expression and increased <italic>Id2</italic> mRNA expression. Rescue assays showed that ectopic expression of mutant p53<sup>V143A</sup> reversed the expression altered by S100A4 suppression. The above findings suggest that interaction with S100A4 altered the gene-specific regulation by mutant p53V<sup>143A</sup>. Thus, our data add a new facet to the oncogenic properties of S100A4, where it affects mutant p53 target gene expression.</p>
<p>We further investigated the cellular consequences associated with mutant p53. In line with the gain-of-function hypothesis, mutant p53 destabilization upon HSP90 inhibition is accompanied by cell death (<xref rid="b9-ijo-47-06-2123" ref-type="bibr">9</xref>). The authors also demonstrated that S100A4 knockdown led to wild-type p53-dependent cell cycle arrest and increased cisplatin-induced apoptosis (<xref rid="b26-ijo-47-06-2123" ref-type="bibr">26</xref>). Autophagy is a catabolic process in which portions of the cytoplasmic organelles are sequestered within autophagosomes, and then targeted for bulk degradation. Disabled autophagy can accelerate tumor progression. It was reported that p53 mutants, including p53V<sup>143A</sup>, effectively repress autophagy (<xref rid="b20-ijo-47-06-2123" ref-type="bibr">20</xref>). We therefore hypothesized that, as a partner of mutant p53<sup>V143A</sup>, S100A4 could affect MKN1 cell autophagy, where S100A4 suppression increased it. These results mark the first time the effect of S100A4 on gastric cancer cell autophagy has been reported, and we hypothesize that mutant p53<sup>V143A</sup> mediates this effect, although it remains to be proven.</p>
<p>We found that S100A4 affected the expression of the mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> target genes <italic>Id2</italic> and <italic>c-Myc</italic>, which regulate cell differentiation (<xref rid="b16-ijo-47-06-2123" ref-type="bibr">16</xref>,<xref rid="b21-ijo-47-06-2123" ref-type="bibr">21</xref>). Clinical reports have shown that S100A4 overexpression is associated with poor differentiation in carcinoma (<xref rid="b30-ijo-47-06-2123" ref-type="bibr">30</xref>). However, the role of S100A4 in gastric cancer cell differentiation remains unclear. In the present study, ALP activity showed that S100A4 inhibition might promote differentiation in gastric cancer MKN1 cells. We speculate that S100A4 may inhibit cell differentiation through mutant p53<sup>V143A</sup> and its target genes such as <italic>Id2</italic> and <italic>c-Myc</italic>.</p>
<p>In conclusion, S100A4 interacts with mutant p53<sup>V143A</sup>, and is responsible for the accumulation of mutant p53<sup>V143A</sup> in human gastric cancer MKN1 cells. Subsequently, S100A4 affects the expression of mutant p53<sup>V143A</sup> target genes in the cells and further affects cellular characteristics such as autophagy and cell differentiation. S100A4 may be a powerful therapeutic target for inhibiting gain-of-function p53 mutants in gastric cancer.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>We would like to thank Professor Bert Vogelstein for kindly providing the mutant p53<sup>V143A</sup> constructs available to us. The gastric cancer cell line MKN1 was kindly provided by Professor Kazunari K. Yokoyama. This project was supported by grants from the National Natural Science Foundation of China (nos. 81272717 and 30570848) and the Liaoning Natural Science Foundation (no. 20102289).</p></ack>
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<floats-group>
<fig id="f1-ijo-47-06-2123" position="float">
<label>Figure 1</label>
<caption>
<p>S100A4 and mutant p53<sup>V143A</sup> colocalization in MKN1 cells under confocal microscopy. (A) DAPI nuclear staining. (B and C) Expression of S100A4 and mutant p53<sup>V143A</sup>, respectively. (D) Colocalization of S100A4 (green) and mutant p53<sup>V143A</sup> (red).</p></caption>
<graphic xlink:href="IJO-47-06-2123-g00.gif"/></fig>
<fig id="f2-ijo-47-06-2123" position="float">
<label>Figure 2</label>
<caption>
<p>Co-IP analysis of S100A4 and mutant p53<sup>V143A</sup> interaction in MKN1 cells. (A) Cell extracts were immunoprecipitated with anti-S100A4 antibody and immunoblotted for mutant p53. (B) Cell extracts were immunoprecipitated with anti-p53 antibody and immunoblotted for S100A4.</p></caption>
<graphic xlink:href="IJO-47-06-2123-g01.gif"/></fig>
<fig id="f3-ijo-47-06-2123" position="float">
<label>Figure 3</label>
<caption>
<p>Effect of S100A4 on mutant p53<sup>V143A</sup> levels. (A) RT-PCR or (B) western blotting measurement of S100A4 mRNA and protein levels in pS100A4-shRNA or pControl-shRNA cells. Lane M, DNA marker DL2000. (C) Western blotting measurement of p53 levels in pS100A4-shRNA or pControl-shRNA cells.</p></caption>
<graphic xlink:href="IJO-47-06-2123-g02.gif"/></fig>
<fig id="f4-ijo-47-06-2123" position="float">
<label>Figure 4</label>
<caption>
<p>Identification of <italic>Id2</italic> as a new target gene of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic>. (A) ChIP detected the binding of p53 to the <italic>Id2</italic> promoter in MKN1 cells. (B) RT-PCR or western blotting (C) measurement of TP53 mRNA and protein expression after pCMV-Neo-Bam p53<sup>V143A</sup> transfection. Lane M, DNA marker DL2000; lane 1, untransfected control cell; lane 2, cell transfected with pCMV-Neo-Bam p53<sup>V143A</sup>. (D) <italic>Id2</italic> mRNA expression after pCMV-Neo-Bam p53<sup>V143A</sup> transfection. The data represent the mean &#x000B1; SD from three experiments (<sup>*</sup>P&lt;0.05).</p></caption>
<graphic xlink:href="IJO-47-06-2123-g03.gif"/></fig>
<fig id="f5-ijo-47-06-2123" position="float">
<label>Figure 5</label>
<caption>
<p>S100A4 affects the expression of mutant <italic>TP53</italic><italic><sup>V143A</sup></italic> target genes. (A) Real-time PCR detection of <italic>c-Myc</italic> or <italic>Id2</italic> mRNA expression after S100A4 inhibition. Data represent the mean &#x000B1; SD (n=3), <sup>*</sup>P&lt;0.05. (B) Real-time RT-PCR detection of <italic>c-Myc</italic> or <italic>Id2</italic> mRNA expression after <italic>S100A4</italic>-shRNA and pCMV-Neo-Bam p53<sup>V143A</sup> cotransfection. Data represent the mean &#x000B1; SD (n=3), <sup>*</sup>P&lt;0.05.</p></caption>
<graphic xlink:href="IJO-47-06-2123-g04.gif"/></fig>
<fig id="f6-ijo-47-06-2123" position="float">
<label>Figure 6</label>
<caption>
<p>Effects of S100A4 on MKN1 cell autophagy and differentiation. (A) Effect of S100A4 inhibition on MKN1 cell autophagy. Image depicts fluorescence microscopy detection of GFP-LC3 aggregation in the cells. Shown are representative fluorescence microphotographs and quantitative results (mean &#x000B1; SD, n=3). (B) Effect of S100A4 inhibition on MKN1 cell differentiation. ALP activity was plotted as mean from triplicate experiments. Bars indicate SD; <sup>*</sup>P&lt;0.05 vs. the pControl-shRNA cells.</p></caption>
<graphic xlink:href="IJO-47-06-2123-g05.gif"/></fig></floats-group></article>
