Abstract

Nerve growth factor (NGF) is increasingly implicated in cervical cancer progression, but its mechanism in cervical cancer is unclear. Here, studies demonstrate that NGF inhibits the Hippo signaling pathway and activates Yes-associated protein (YAP) to induce cervical cancer cell proliferation and migration. Our results suggested that stimulation of NGF promoted cell growth and migration and activated YAP in HeLa and C-33A cell lines. The expression of YAP target genes (CTGF and ANKRD1) was upregulated after NGF treatment. The NGF inhibitor Ro 08-2750 and siRNA-mediated NGF receptor gene silencing suppressed HeLa and C-33A cells proliferation and migration, activated large suppressor kinase 1 (LATS1) kinase activity, and suppressed YAP function. In addition, the expression of YAP target genes (CTGF and ANKRD1) was suppressed by Ro 08-2750 treatment in HeLa and C-33A cells. Interestingly, proliferation was significantly higher in NGF-treated cells than in control cells, and this effect was completely reversed by the YAP small molecule inhibitor-verteporfin. Furthermore, the mouse xenograft model shows that NGF regulates YAP oncogenic activity in vivo. Mechanistically, NGF stimulation inactivates LATS1 and activates YAP, and NGF inhibition was found to induce large suppressor kinase 1 (LATS1) phosphorylation. Taken together, these data provide the first direct evidence of crosstalk between the NGF signaling and Hippo cancer pathways, an interaction that affects cervical cancer progression. Our study indicates that combined targeting of the NGF signaling and the Hippo pathway represents a novel therapeutic strategy for treatment of cervical cancer.

Highlights

  • Cervical cancer is the leading cause of cancer-related mortality in women in developing countries [1]

  • The emerging data have shown that Nerve growth factor (NGF)/Tyrosine kinase receptor A (TrkA) are overexpressed in cervical squamous cell carcinoma, but very low levels in normal tissues, which are correlated with the initiation, progression, and prognosis of cervical cancer [11]

  • To explore the biological function of NGF in cervical cancer cells, we investigated the effect of NGF on HeLa and C-33A cell lines at certain concentration (200 ng/ml) (Figure 1)

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Summary

Introduction

Cervical cancer is the leading cause of cancer-related mortality in women in developing countries [1]. NGF interacts with two separate receptors: Tyrosine kinase receptor A (TrkA) and p75NTR [4]. TrkA is a high-affinity tyrosine kinase receptor that mainly mediates multiple effects of NGF signaling to promote survival, proliferation, and invasiveness of cells [5]. During recent years, accumulating data support a role for NGF/TrkA signaling in tumorigenesis and progression, including pancreatic cancer, breast cancer, and prostate cancer [8, 9]. The emerging data have shown that NGF/TrkA are overexpressed in cervical squamous cell carcinoma, but very low levels in normal tissues, which are correlated with the initiation, progression, and prognosis of cervical cancer [11]. Information regarding the NGF/TrkA potential role in the progression of cervical cancer remains unclear

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