Abstract

BackgroundIonizing radiation (IR) is one of the major clinical therapies of cancer, although it increases the epithelial-mesenchymal transition (EMT) of non-small cell lung cancer (NSCLC), unexpectedly. The cellular and molecular mechanisms underlying this role are not completely understood.MethodsWe used NSCLC cell lines as well as tumor specimens from 78 patients with NSCLC to evaluate p53, Cathepsin L (CTSL) and EMT phenotypic changes. Xenograft models was also utilized to examine the roles of mutant p53 (mut-p53) and CTSL in regulating IR-induced EMT of NSCLC.ResultsExpression of CTSL was markedly increased in human NSCLC tissues with mutant p53 (mut-p53), and p53 mutation positively correlated with metastasis of NSCLC patients. In human non-small cell lung cancer cell line, H1299 cells transfected with various p53 lentivirus vectors, mut-p53 could promote the invasion and motility of cells under IR, mainly through the EMT. This EMT process was induced by elevating intranuclear CTSL which was regulated by mut-p53 depending on Early growth response protein-1 (Egr-1) activation. In the subcutaneous tumor xenograft model, IR promoted the EMT of the cancer cells in the presence of mut-p53, owing to increase expression and nuclear transition of its downstream protein CTSL.ConclusionTaken together, these data reveal the role of the mut-p53/Egr-1/CTSL axis in regulating the signaling pathway responsible for IR-induced EMT.

Highlights

  • Ionizing radiation (IR) is one of the major clinical therapies of cancer, it increases the epithelial-mesenchymal transition (EMT) of non-small cell lung cancer (NSCLC), unexpectedly

  • In order to study whether IR-induced tumor motility in presence of mut-p53 was mediated by EMT, we evaluated the expression level of EMT markers of mut-p53 cells after IR exposure by western blot

  • The results showed that the expression of EMT-associated transcription factors Snail and zinc finger E-box binding homeobox 1 (Zeb1) was increased in Flag-p53 (R273H) cells compared to the other cell lines (P < 0.01), besides the expression of Cathepsin L (CTSL)

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Summary

Introduction

Ionizing radiation (IR) is one of the major clinical therapies of cancer, it increases the epithelial-mesenchymal transition (EMT) of non-small cell lung cancer (NSCLC), unexpectedly. The progress of NSCLC involves multiple genetic abnormalities that lead to EMT of the aggressive bronchial epithelial cells [5, 6]. Among such genetic abnormalities, mut-p53 occurs in about 50% of NSCLC [7]. Apart from the loss of tumor-suppressor functions, mut-p53 may gain new functions independent of wild-type p53 (wt-p53), defined as gain-of-function (GOF), which enable them to contribute to malignant progression, including increased cell invasion and metastasis which are the main traits of EMT [8, 9].

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