Prediction of invasiveness of hepatic tumor cells

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1 Prediction of invasiveness of hepatic tumor cells (Overexpression of Romo1 Promotes Production of Reactive Oxygen Species and Invasiveness of Hepatic Tumor Cells) (Romo1 : Reactive Oxygen Species Modulator 1) 고려대학교의과대학 유영도, PhD

2 (Various markers involved in hepatocarcinogenesis) A. Singhal et al. / Critical Reviews in Oncology/Hematology 82 (2012)

3 Romo1 1. Introduction : ROS and Diseases 2. Romo1 discovery 3. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 4. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

4 ROS and diseases

5 ROS and Diseases Oxidants>Antioxidants Oxidative damage (DNA, RNA, lipid, protein) (Physiol. Rev. 82:47, 2002)

6 ROS and Diseases An persistent production in ROS has been implicated in the pathogenesis of cancer, diabetes mellitus, atherosclerosis, neurodegenerative diseases, rheumatoid arthritis, ischemia/reperfusion injury, obstructive sleep apnea, and other diseases. (Droge W (2002) Physiol Rev 82(1): 47)

7

8 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

9 Identification of Romo1 To identify the genes related in the chemoresistance In 1998 Tissues of a patient who was sensitive to chemotherapy but became C R resistant after a recurrence DD-PCR identified the 136-bp partial cdna fragment which had been upregulated in the chemoresistant tumor tissue. Lymph node cdna library screening -> 600 bp Romo1

10 Identification of Romo1 q11.22 q11.23 Chr 20 start site Romo kb stop site -GenBank Accession : BC and AK consists of 2 exons

11 Amino acid sequences of the predicted Romo1 protein a hypothetical translation using the Translate program on the EXPASY website ( - encodes a 79 amino acid peptide - The molecular weight of Romo1 to be approximately 8.9 kda and Romo1 to be a transmembrane protein The function of this protein? Romo1 is a novel protein with an unknown function (Reactive oxygen species modulator 1)

12 Romo1 (reactive oxygen species modulator) Stresses => Romo1 => ROS => chronic oxidative stress => senescence, inflammation => Cancer 11 papers were published Chung JS, Park S, Park SH, Park ER, Cha PH, Kim BY, Chung YM, Woo SR, Han CJ, Kim SB, Suh KS, Jang JJ, Lee K, Choi DW, Lee S, Lee GY, Hahm KB, Shin JA, Kim BS, Noh KH, Kim TW, Lee KH, Yoo YD. Overexpression of Romo1 Promotes Production of Reactive Oxygen Species and Invasiveness of Hepatic Tumor Cells. Gastroenterology. In Press Lee SB, Kim JJ, Chung JS, Lee M, Lee K, Kim BS, Tansey WP and Yoo YD. Romo1 is a negative feedback regulator of c-myc. J. of Cell S cience, 24: , Lee SB, Kim HJ, Shin J, Kang ST, Kang S, Yoo YD. Bcl-XL prevents serum deprivation-induced oxidative stress mediated by Romo1. Onc ol Rep (5): Kim JJ, Lee SB, Park JK, Yoo YD. TNF-alpha-induced ROS production triggering apoptosis is directly linked to Romo1 and Bcl-X(L). Cell Death Differ (9): Lee SB, Kim JJ, Kim TW, Kim BS, Lee MS, Yoo YD. Serum deprivation-induced reactive oxygen species production is mediated by Romo1. Apoptosis (2): Chung JS, Lee SB, Park SH, Kang ST, Na AR, Chang TS, Kim HJ, Yoo YD. Mitochondrial reactive oxygen species originating from Romo1 exert an important role in normal cell cycle progression by regulating p27(kip1) expression. Free Radical Research, 2009; 43(8): Chung YM, Lee SB, Kim HJ, Park SH, Kim JJ, Chung JS, Yoo YD. Replicative senescence induced by Romo1-derived reactive oxygen spe cies. J Biol Chem ;283(48): Na AR, Chung YM, Lee SB, Park SH, Lee MS, Yoo YD. A critical role for Romo1-derived ROS in cell proliferation. Biochem Biophys Res C ommun ;369(2): Hwang IT, Chung YM, Kim JJ, Chung JS, Kim BS, Kim HJ, Kim JS, Yoo YD. Drug resistance to 5-FU linked to reactive oxygen species mo dulator 1. Biochem Biophys Res Commun ;359(2): Chung YM, Kim JS, Yoo YD. A novel protein, Romo1, induces ROS production in the mitochondria. Biochem Biophys Res Commun ;347(3):

13 Romo1 expression in various mouse tissues (Chung et al., BBRC, 2006)

14 Romo1-GFP GFP Romo1-GFP GFP Cellular localization of Romo1 A Green FL Mitotracker Merge B Green FL Mitotracker Merge C D Romo1-Myc Cy M Cy M Romo1-Myc -actin Cytochrome C COX IV HSP90 (Chung et al., BBRC, 2006)

15 (A) mros of a control cell. (E) Swollen mitochondria contained relatively high mros. Ten minutes after laser irradiation, all the mitochondria swelled (Peng et Ann NY Acad Sci 2004;1011:112-22) The ROS derived by photoirradiation induce mitochondrial swelling.

16 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

17 Stresses Oncogenes Romo1 DNA damage Tumor invasion ROS Chronic Oxidative stress Inflammation Senescence Mulidrug resistance Cancer cell survival

18 Romo1 ROS

19 Romo1-Myc Romo1-Myc Vector Romo1-Myc Romo1-Myc Vector Romo1-induced ROS generation A DAPI Red FL Green FL C DAPI Red FL Green FL Mito DCF-DA Mito DCF-DA B DAPI Red FL Green FL D DAPI Red FL Green FL (Chung et al., BBRC, 2006)

20 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

21 ROS production is increased in cancer cells -Production of large amounts of hydrogen peroxide by human tumor cells. (Szatrowski, T.P. and Nathan, C.F Cancer Res. 51 : 794, 1991) -Controlling tumor growth by modulating endogenous production of reactive oxygen species. (Laurent A et al. Cancer Res. 65: , 2005)

22 Mitosox fluorescence (% of Control sirna) ROS down-regulation by Romo1 sirna transfection A B C R Romo1 Romo1 sirna Control sirna β-actin C DAPI Mito-Sox Merge D DAPI Mito-Sox Merge * 20 0 Control sirna Romo1 sirna * : P<0.05 (Na et al., BBRC, 2008)

23 Control IMR-90 WI-38/VA-13 A549 HeLa Survival (%) Romo1 knockdown-induced growth inhibition in various cell lines A 100 (Na et al., BBRC, 2008) B HeLa A549 RKO WI-38/VA-13 IMR-90 C R C R C R C R C R Time (day) phospho AKT total AKT phospho ERK total ERK β-actin Down-regulation of intracellular ROS levels by Romo1 knockdown and Romo1 knockdown-induced growth inhibition in various cell lines

24 Romo1 Antioxidant capacity Tumor cells ROS Cell death Proliferation ROS level Growth inhibition Growth inhibition Normal cells Romo1 Antioxidant capacity ROS Proliferation Growth inhibition

25 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

26 24 h 12 h 0 h + H2O2 (200 um) 48 h 48 h Romo1 induced DNA damage in H1299 cells (γ-h2ax foci formation ) DAPI γ-h2ax DAPI γ-h2ax (Chung et al., J Biol Chem, 2008)

27 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

28 Replicative Senescence Induced by Romo1-derived Reactive Oxygen Species % of SA-ß-gal % of SA-β gal PDL #32 PDL #67 PDL # RKO Romo1 Control sirna 28S 18S Romo1 sirna * plncx2 H-Ras Romo1 * * plncx2 H-Ras Romo1 (Chung et al., J Biol Chem, 2008)

29 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

30 TNF-a and inflammation Cell death Survival

31 Physiological conditions TNF-a Complex I Complex II NF-kB A20, Mn-SOD FHC, etc Mitochondrial ROS (?) NADPH oxidase Romo1 JNK Survival Death Inflammation and liver regeneration

32 TNF-α-induced ROS production triggering apoptosis is directly linked to Romo1 and Bcl-X L (Kim et al., Cell Death and Differentiation, 2010)

33 Complex II TRAF2 Pro-capase-8 79 TRADD RIP FADD 1 Bcl-xL

34 What is the physiological role of Romo1?

35 Romo1-indued ROS is required for normal cell proliferation Endogenous Romo1 ROS ERK -> p-erk Cell growth (Chung et al., Free Radical Res, 2009)

36 Romo1 is a negative-feedback regulator of c-myc Mitogenic stimulation Romo1 ERK activation Myc Romo1 ROS Skp2 Ubiquitin-mediated degradation (Lee et al., J. of Cell Science, 2011)

37 Romo1 is a molecular bridge between TNF-α signaling and the mitochondria for ROS production that triggers TNF-α-mediated apoptosis (Kim et al., Cell Death and Differentiation, 2010)

38 1. Romo1 discovery 2. Romo1 history - Romo1 and mitochondrial ROS - A critical role for Romo1-derived ROS in cell proliferation - Romo1 and DNA damage - Romo1 and aging - Romo1 and inflammation 3. Role of Romo1-derived ROS in tumor cell invasion : Clinical Implication of Romo1 in Hepatocarcinogenesis

39 Romo1 GAPDH Cancer cell lines Romo1 GAPDH Expression of Romo1 in cancer cell lines (Chung et al., BBRC, 2006)

40 ROS is important in mediating hepatocyte death and tissue injury in the liver pathology Signaling Transduction Mechanisms of ROS and Hepatocarcinogenesis Roles of reactive oxygen species in hepatocarcinogenesis and drug resistance gene expression in liver cancers. Mol Carcinog. 2006

41 A Romo1 β-actin Romo1 β-actin B Normal Pre-cancer Cancer RKO Romo S rrna Romo1 expression in HCC cell lines and tumor tissues

42 Relative expression Romo1 overexpression and poor prognosis in HCC patients A N T N T N T N T N T N T N T N T N T N T N T N T Romo1 18S rrna B N T N T N T N T N T Romo1 18S rrna C p < D Non-tumor (n = 39) Tumor (n = 95) Normal liver tissue (x 400) Romo1-negative Romo1-positive tumor tissue (x 400) tumor tissue (x 400) Levels of Romo1 were increased compared with normal liver tissues in 63 of 95 HCC samples from patients. (Dr Lee, 원자력의학원, 서울대 )

43 Overall survival Disease-free survival E p = p = Romo1 low Romo1 high Months Romo1 low Romo1 high Months Romo1 overexpression and poor prognosis in HCC patients

44

45 Cell density (%) Cell density (%) Matrigel invasion (% of control) MitoSOX Cell density (%) Matrigel invasion (% of control) MitoSOX A R1 R3 Control sirna-fitc Romo1 sirna-fitc C Romo1 ROS R2 Control sirna-fitc R1 R4 R3 80 MitoSOX Control sirna Romo1 sirna *** D Romo1 β-actin Huh-7 Hep3B Huh-7 Control sirna Romo1 sirna 100 Romo1 Invasion R2 R ### *** B Huh-7 Romo1 sirna-fitc 0 Control sirna-fitc Romo1 sirna-fitc R1 R2 R3 R Control sirna Romo1 sirna *** ### Hep3B Control sirna Romo1 sirna *** MitoSOX Control sirna-fitc Romo1 sirna-fitc R1 R2 R3 R4 Control sirna Romo1 sirna *** ### E MCF-7 40 Huh-7 MMP-9 MitoSOX 20 0 R1 R2 R3 R4 Hep3B MMP-9 Decreased ROS levels and tumor invasion by Romo1 knockdown

46 No. of metastatic nodules Decreased ROS levels and tumor invasion by Romo1 knockdown F Control sirna Romo1 sirna *

47 Romo1 sirna Control sirna Fold of invaded cells Cell density (%) DCF-DA fluorescence (% of control) A B 5 min 15 min DMSO TPA DCF-DA Control sirna-fitc DMSO TPA DCF-DA Romo1 sirna-fitc * ## TPA (min) Ci + DMSO Ri + DMSO Ci + TPA Ri + TPA *** ** ### DMSO TPA TPA Romo1 ROS Invasion C MitoSOX MitoSOX 0 No treatment TPA TPA + NAC R1 R2 R3 R4 Control sirna Romo1 sirna ## *** 12.5 ### TPA NAC Blockage of TPA-induced ROS production and invasion by Romo1 knockdown

48 Relative luciferase activity (folds) Relative luciferase activity (folds) Relative luciferase activity (folds) TPA Romo1 Invasion D HepG2 MCF-7 TPA Control sirna NAC Romo1 sirna (nm) Control sirna Romo1 sirna (nm) MMP-9 MMP E *** ## HepG2 Huh-7 MCF-7 Control sirna Romo1 sirna ### # *** ## ### # ### *** ### ### Blockage of TPA-induced ROS production and invasion by Romo1 knockdown

49 Romo1 expression (% of control) DCF-DA fluorescence (% of control) A TPA (min) Romo1 β-actin TPA Romo1 ROS B TPA (min) TPA (min) Romo1 DCF-DA MitoTracker DAPI DAPI Merge Merge *** *** *** *** TPA (min) TPA (min) TPA-stimulated Romo1 expression and tumor invasion

50 Fold of invaded cells Romo1 Invasion C Flag-Romo1 Mock - NAC 5 mm NAC 20 mm Trolox 1 μm Trolox 10 μm D ** ### # ### ## E Mock Flag-Romo1 NAC (5 mm) NAC (20 mm) Trolox (1 μm) Trolox (10 μm) Flag β-actin Mock Flag-Romo1 NAC (5 mm) NAC (20 mm) + Trolox (1 μm) + Trolox (10 μm) TPA-stimulated Romo1 expression and tumor invasion

51 Conclusions - Romo1 is a promising biomarker for HCC diagnosis. - Control of Romo1 also provides a novel approach for the development of anti-cancer drugs that suppress the mitochondrial ROS production rather than eliminate up-regulated intracellular ROS.

52 Lab Members 박사과정정진실이소라이기영전임의 Dr 신정아 ( 강남세브란스 )

53 Collaborators Dr. 이기호 ( 원자력의학원 ) Dr. 김태우 ( 고려대의대 )

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