Abstract

Complement factor H (CFH) is a fluid phase regulator of complement proteins and functions to prevent complement attack and immune surveillance. CFH is known to inactivate therapeutic antibody-dependent complement-mediated cellular cytotoxicity. We found that CFH was highly expressed in human lung cancer cells and tissues. To investigate mechanisms of CFH upregulation, we searched for a CFH transcription factor and its regulatory factors. First, signal transducer and activator of transcription 4 (STAT4) expression patterns coincided with CFH expression patterns in lung cancer tissues. Knockdown of STAT4 led to decreased CFH secretion from lung cancer cells. STAT4 bound directly to the CFH promoter, as demonstrated by luciferase reporter assay, electrophoretic mobility shift assay (EMSA), and chromatin immunoprecipitation (ChIP) assay, suggesting that STAT4 is a transcription factor for CFH. In addition, a low level of suppressors of cytokine signaling (SOCS)-1/3, a Janus kinase (JAK) inhibitor, was observed in lung cancer cells and its transfection decreased CFH protein levels and promoter activity. Unexpectedly, the low level of SOCS-1/3 was not due to epigenetic silencing. Instead, differential methylation was found on the regulatory region of STAT4 between normal and lung cancer cells. In conclusion, our results demonstrated that CFH is upregulated by constitutive activation of STAT4, which is accounted for by SOCS silencing in lung cancer cells.

Highlights

  • Lung cancer accounts for the highest mortality rate among all cancers [1,2]

  • To investigate whether the higher FH expression level in lung cancer cell lines are translated to primary cells, we performed immunohistochemistry staining on human lung tissues and Western blot analysis on the primary culture of human lung tissues

  • Our results showed STAT1 levels were higher in cancer tissues #3 and #4S, while STAT3 levels were higher in cancer tissues #3, #4, and #5, but the correlation with Complement factor H (CFH) expression was weaker than that of signal transducer and activator of transcription 4 (STAT4)

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Summary

Introduction

Lung cancer accounts for the highest mortality rate among all cancers [1,2] This is, in part, due to undiagnosed subjective symptoms at the early stages of cancer and common metastasis to other organs after diagnosis [2,3]. Cancers 2019, 11, 471; doi:10.3390/cancers11040471 www.mdpi.com/journal/cancers (mAb anti-VEGF-A) have been widely used as cancer therapy drugs [5,6,7]. These mAbs enhance complement activation and evoke antibody-dependent cellular cytotoxicity (ADCC) and apoptosis [3,5]

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