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Molecular and Cellular Biology, March 2006, p. 2055-2064, Vol. 26, No. 6
0270-7306/06/$08.00+0 doi:10.1128/MCB.26.6.2055-2064.2006
Copyright © 2006, American Society for Microbiology. All Rights Reserved.
Xi Chen,1,6,
Yoichi Kato,2
Paul M. Evans,1,6
Subo Yuan,3
Jun Yang,1,6
Piotr G. Rychahou,3
Vincent W. Yang,4
Xi He,5
B. Mark Evers,3,6 and
Chunming Liu1,6*
Department of Biochemistry and Molecular Biology, University of Texas Medical Branch, Galveston, Texas 77555,1 Department of Biomedical Sciences, Florida State University College of Medicine, Tallahassee, Florida 32306,2 Department of Surgery, University of Texas Medical Branch, Galveston, Texas 77555,3 Division of Digestive Diseases, Emory University School of Medicine, Atlanta, Georgia 30322,4 Division of Neuroscience, Children's Hospital-Harvard Medical School, Boston, Massachusetts 02115,5 Sealy Center for Cancer Cell Biology, University of Texas Medical Branch, Galveston, Texas 775556
Received 29 September 2005/ Returned for modification 28 November 2005/ Accepted 22 December 2005
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Wnt/ß-catenin signaling plays important roles in normal intestinal homeostasis and colorectal cancers. The intestine can be divided into crypts, which contain proliferating cells, and villi, which contain differentiated cells. The differentiated cells can be further divided into absorptive cells (enterocytes) and secretory cells (Paneth, goblet, and enteroendocrine cells). Wnt signaling maintains the proliferation of crypt progenitor cells and controls the differentiation of enterocytes, Paneth cells, goblet cells and enteroendocrine cells (1, 15, 27, 28, 30, 41). Disturbance of intestinal homeostasis can lead to a number of human diseases, including colorectal cancers. Mutations in the Wnt/ß-catenin signaling pathway have been found in most colorectal cancers (20, 29). These mutations activate Wnt/ß-catenin signaling, promote cell proliferation, and inhibit differentiation, ultimately leading to tumor formation (27).
Normal intestinal homeostasis is regulated by multiple signaling pathways that have been intensively studied; however, the cross talk between these pathways is less understood. KLF4, previously known as gut-enriched Krüppel-like factor or epithelial zinc-finger protein, is a member of the Krüppel-like transcription factor family (4). Like all Krüppel-like factors, KLF4 has three zinc-finger domains in its C terminus. Depending on the cellular context, KLF4 expression can lead to either transcriptional activation or repression (11). KLF4 is expressed in the epithelial cells of the gastrointestinal tract, skin, and several other organs (35), and its expression is associated with terminal differentiation (6, 33, 34, 49, 50). KLF4-null mice die within 15 h of birth, presumably due to severe defects in the late-stage differentiation of skin (31). Moreover, KLF4-null mice demonstrate a markedly reduced number of goblet cells in the colon (18).
KLF4 expression has been studied in adenomatous polyps and colon cancers; RNA and protein levels of KLF4 were significantly decreased in the dysplastic epithelium of the colon (33). In the multiple intestinal neoplasm mouse, KLF4 levels inversely correlate with the size of the intestinal adenoma (7). In adenomas removed from patients with familial adenomatous polyposis, KLF4 mRNA levels are significantly lower than in the adjacent normal mucosa (33). Loss of heterozygosity of the KLF4 locus, mutations in the KLF4 open reading frames, and hypermethylation of the KLF4 promoter have been identified in a number of human colorectal cancers and cell lines (51). Overexpression of KLF4 in the colon cancer cell line RKO reduces colony formation, cell migration, and invasion, suggesting that KLF4 is a tumor suppressor protein (8). Recently, similar findings have been noted in gastric cancer; KLF4 is down-regulated in gastric cancer, and KLF4 knockout mice demonstrate defects in gastric differentiation and have precancerous changes in the stomach (17, 45). Here, we report that KLF4 interacts with ß-catenin and inhibits ß-catenin signaling. We found that KLF4 binds the transcriptional activation domain of ß-catenin and inhibits ß-catenin-mediated transcription. Our results suggest that the cross talk between KLF4 and ß-catenin plays important roles in intestinal homeostasis and colorectal carcinogenesis.
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TAP assay. ß-Catenin with an N-terminal Flag tag followed by a hemagglutinin (HA) tag was transfected into HeLa cells. Stable cell lines were selected using the method described by Shi et al. (32). Nuclear proteins were isolated from 20 liters of HeLa cells. The tagged ß-catenin and its binding proteins were purified by sequential Flag and HA affinity columns and eluted by Flag and HA peptides, respectively. Protein samples were separated by 4 to 20% sodium dodecyl sulfate-polyacrylamide gel electrophoresis and stained by Coomassie blue. Proteins bands specifically present in ß-catenin-expressing samples were analyzed by a mass spectrometer in the UTMB Proteomics Core.
Xenopus embryo injection and cap assay. KLF4 cDNA was cloned into pCS2+ vector, and KLF4 mRNA was synthesized using an SP6 in vitro transcription kit (Ambion). Embryo injection, phenotype analysis, and the animal cap assay were performed as previously described (16, 24, 37). The expression of Wnt/ß-catenin target genes, Siamois and Xnr3, was analyzed by real-time PCR as described by Xanthos et al. (47). The PCR primers for Xnr3 were 5'-TGAGGCACCATGAAGAGATG-3' (forward) and 5'-ATGGATCGGCACAACAGATT-3' (reverse); the PCR primers for Siamois were 5'-CAGACATCTGCCAAGAGCAA-3' (forward) and 5'-CAGTTTGGGTAGGGCTGTGT-3' (reverse).
Coimmunoprecipitation and Western blotting. Cells were lysed in 1% Triton lysis buffer (37). Immunoprecipitations were performed as previously described (25). KLF2 and KLF4 antibodies were purchased from Cemines (Golden, CO) and were used for immunoprecipitation. A novel KLF4 antibody generated in this study was used for Western blotting (see Fig. S1 in the supplemental material). Western blotting was performed as previously described (24).
Immunohistochemistry, immunofluorescence, and enzymatic assays. Tissues fixed in 10% formalin or 4% paraformaldehyde were paraffin embedded and sectioned (19). The sections (5 µm) were stained with anti-ß-catenin antibody (dilution of 1:100; Upstate), anti-CD44 antibody (dilution of 1:100; Rockland, Gilbertsville, PA), and the KLF4 antibody specially generated in this study. Cells grown on coverslips were fixed for 10 min with 4% paraformaldehyde. The cells were permeabilized with phosphate-buffered saline containing 0.2% (wt/vol) Triton X-100 for 20 min and then blocked by serum-free protein blocking buffer (DakoCytomation, Denmark) for 1 h. Anti-ß-catenin antibody (1:600; Sigma, St. Louis, MO) and anti-Flag antibody (1:600; Sigma) were diluted in antibody diluent (DakoCytomation) and incubated with cells overnight. The cells were washed three times with Tris-buffered saline-Tween and then incubated with Alexa 594-labeled anti-mouse immunoglobulin G (1:800) and Alexa 488-labeled anti-rabbit immunoglobulin G (1:800) diluted in Tris-buffered saline-Tween for 1 h. The coverslips were washed, mounted on glass slides, viewed, and photographed with a Zeiss LSM510 confocal microscope (Germany). Intestinal alkaline phosphatase (IAP) activity was detected by an IAP kit from Sigma. Luciferase activity was analyzed by a dual-luciferase reporter assay system (Promega, Madison, WI). Cell proliferation was analyzed by MTT [3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl tetrazolium bromide] cell proliferation reagent (Sigma).
RNA interference (RNAi). The KLF4 small interfering oligonucleotides were purchased from Dharmacon (Chicago, IL). The oligonucleotides were designed according to a previous study (48) and transfected into cells using Lipofectamine as described (25).
Reverse-transcription PCR (RT-PCR). Total RNA was isolated from cultured cells using an RNeasy minikit (QIAGEN, Valencia, CA). The RNA samples were converted into cDNA using oligo(dT)18 primer (NEB, Beverly, MA) and reverse transcriptase (Roche). The PCR consisted of 28 cycles with a fast-start high-fidelity PCR system (Roche). Amplified products were analyzed on a 1.5% agarose gel. Primers were ordered from Sigma-Genosys (The Woodlands, TX). Primer sequences were as follows: for Axin2, 5'-CACCACCACCACCACCATTC-3' (forward) and 5'-GCATCCACTGCCAGACATCC-3' (reverse); for c-myc, 5'-TATGTGGAGCGGCTTCTCG-3' (forward) and 5'-TCCGCTGTGAGGAGGTTTG-3' (reverse); for IAP, 5'-CCATTGCCGTACAGGATGGAC-3' (forward) and 5'-CGCGGCTTCTACCTCTTTGTG-3' (reverse); and for ß-actin, 5'-CAACCGCGAGAAGATGAC-3' (forward) and 5'-AGGAAGGCTGGAAGAGTG-3' (reverse).
Tumor xenografts. LS174T-KLF4 or DLD-1-KLF4 cells (2 x 106) were injected subcutaneously into both flanks of athymic nude mice as previously described (10, 43). Drinking water, with or without 200 µg/ml doxycycline, was given to the mice. The tumor growth was analyzed twice weekly. After 3 weeks, the tumor xenografts were harvested and embedded in paraffin. Cross-sections (5 µm) of each tumor were analyzed by histochemical and immunohistochemical methods. Hematoxylin and eosin (HE) staining and periodic acid-Schiff (PAS) staining were performed in the UTMB Histopathology Core. KLF4 and Ki67 immunostaining was performed using the polyclonal KLF4 antibody generated in this study and an MIB-1 monoclonal antibody against Ki67 (Beckman Coulter, Fullerton, CA).
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FIG. 1. KLF4 interacts with ß-catenin in the nucleus. (A) KLF4 was identified as a component of ß-catenin complex. The ß-catenin complex was purified by TAP assay from the nuclear extracts of HeLa cells that express Flag-tagged and HA-tagged ß-catenin. A 55-kDa protein was identified to be KLF4. (B) KLF4 precipitated ß-catenin. ß-Catenin (myc tagged) was cotransfected with empty vector or KLF4 (Flag tagged) into HEK 293T cells. Immunoprecipitation (IP) was performed with a Flag antibody. ß-Catenin was analyzed with ß-catenin antibody, and KLF4 was analyzed with a Flag antibody. As a control, Flag-tagged KLF6 was transfected into HEK 293T cells; KLF6 does not precipitate ß-catenin. (C) Endogenous KLF4 precipitated endogenous ß-catenin. Immunoprecipitation (IP) was performed with KLF4 antibody and KLF2 antibody (control) from mouse intestinal tissue lysates. ß-Catenin was analyzed with ß-catenin antibody. KLF4 was analyzed with KLF4 antibody. (D) KLF4 and ß-catenin were colocalized in the cell nucleus. KLF4 (Flag tagged) was transfected into HeLa cells. The cells were immunostained with a Flag antibody and a ß-catenin antibody. Nucleus was stained with DAPI (4',6'-diamidino-2-phenylindole). Colocalization (yellow fluorescence) of KLF4 (red fluorescence) and ß-catenin (green fluorescence) was detected in the cell nucleus (blue fluorescence).
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KLF4 inhibits Wnt/ß-catenin signaling. To study the functional effects of the KLF4/ß-catenin interaction, we performed several TCF/ß-catenin reporter assays. The TopFlash plasmid contains a luciferase reporter under the control of three copies of the TCF binding element upstream of the thymidine kinase minimal promoter, and it is specifically regulated by Wnt/ß-catenin signaling (22). Without Wnt signaling, the TopFlash reporter only had minimal activity in HEK 293T cells; Wnt3A transfection stabilized ß-catenin and increased the TopFlash reporter activity (Fig. 2A, top panel). We found that KLF4 inhibited Wnt3A-induced TopFlash reporter activity, suggesting that KLF4 inhibits Wnt signaling. It has been previously reported that KLF4 can decrease ß-catenin mRNA levels in the human colon cancer cell line HT29 (36). To examine whether KLF4 inhibits Wnt signaling by regulating ß-catenin protein levels, we analyzed cytoplasmic ß-catenin levels by Western blotting (Fig. 2A, bottom panel). Whereas Wnt3A stabilized ß-catenin, KLF4 had no effect on Wnt3A-induced ß-catenin stabilization.
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FIG. 2. KLF4 inhibits Wnt/ß-catenin signaling. (A) KLF4 inhibited Wnt3A-induced TCF/ß-catenin reporter activity. Normalized luciferase activities are reported as arbitrary units, with the control (transfected with empty vector) defined as 1 (top). Wnt3A-induced ß-catenin stabilization was not inhibited by KLF4 (bottom). (B) KLF4 inhibited ß-catenin induced TCF/ß-catenin reporter activity. ß-Catenin levels were not affected by KLF4 (bottom). (C) KLF4 inhibited ß-catenin(S33A)-induced TCF/ß-catenin reporter activity. ß-Catenin(S33A) protein levels were not affected by KLF4 (bottom) (D) Depletion of KLF4 increased TCF/ß-catenin reporter activity in HCT116T cells. KLF4 double-stranded RNAi duplexes decreased KLF4 protein levels (bottom) (E) KLF4 inhibited axis formation in Xenopus embryos. KLF4 mRNA (2 ng) was injected into the dorsal side of 47 embryos. The table shows the dorsal-anterior index numbers of these embryos. (F) Examples of dorsal-injected embryos: wild-type embryo (top) and KLF4-injected embryos (bottom). (G) KLF4 inhibited Wnt/ß-catenin-induced axis duplication. Ventral injection of Wnt8 or ß-catenin mRNA induced dorsal axis duplication. Coinjection of KLF4 inhibited Wnt8A- or ß-catenin-induced a double-axis phenotype. The table shows the numbers of embryos with each phenotype. (H) KLF4 inhibited ß-catenin target gene expression in Xenopus embryos. ß-catenin target genes, Xnr3 and Siamois, were analyzed by cap assay and real-time PCR. KLF4 inhibited Xnr3 and Siamois expression induced by Wnt8A or ß-catenin. Cat, ß-catenin; Cat33A, ß-catenin(S33A); CS2, pCS2+ vector; C-Ri, control RNAi; KLF4-Ri, KLF4 RNAi.
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Wnt/ß-catenin signaling controls Xenopus embryogenesis (46). Dorsal accumulation of ß-catenin is required for axis formation (46). The ventral injection of either Wnt or ß-catenin mRNA induces dorsal axis duplication (double-axis phenotype) (46). The Xenopus axis formation is a standard in vivo assay for Wnt/ß-catenin function (46). To further confirm that KLF4 inhibits ß-catenin signaling, KLF4 mRNA was injected into the dorsal side of Xenopus embryos at the 4-cell stage. We found that primary axis formation was inhibited by KLF4 (Fig. 2E and F). The dorsal-anterior index number for embryos injected with KLF4 mRNA was 0 to 1, representing a high degree of ventralization. Ventral injection of Wnt or ß-catenin mRNA induced axis duplication in the Xenopus embryos. Coinjection of KLF4 mRNA blocked the Wnt/ß-catenin-induced double-axis phenotype (Fig. 2G). To confirm that inhibition of axis formation is specific to Wnt/ß-catenin signaling, the expression of two Wnt/ß-catenin target genes, Xnr3 and Siamois, was analyzed by real-time PCR (Fig. 2H). Injection of Wnt or ß-catenin mRNA induced Xnr3 and Siamois expression in the animal caps of Xenopus embryos. Coinjection of KLF4 mRNA inhibited the expression of Xnr3 and Siamois, suggesting that KLF4 inhibits axis formation by inhibiting Wnt/ß-catenin signaling. KLF4 inhibited formation of both the primary axis and the ectopic axis, thus further confirming that KLF4 inhibits Wnt/ß-catenin signaling and indicating that KLF4 or its homologue plays an important role in Xenopus embryogenesis. These results demonstrate that the interaction of KLF4 and ß-catenin leads to repression of ß-catenin-mediated transcription.
KLF4 binds and inhibits the ß-catenin transactivating domain. Wnt/ß-catenin signaling can be regulated at multiple steps (e.g., regulation of ß-catenin protein levels, ß-catenin nuclear localization, ß-catenin/TCF interaction, or interactions between ß-catenin and transcriptional mediator proteins) (12). The above experiments suggested that KLF4 has no effect on ß-catenin protein levels or its localization. To determine whether KLF4 prevents binding between ß-catenin and TCF, we tested the effects of KLF4 on a lymphoid enhancer factor (LEF)-ß-catenin fusion protein (Fig. 3A). LEF is a member of the TCF family, and a LEF-ß-catenin fusion protein can activate the TopFlash reporter (42). If KLF4 inhibits ß-catenin signaling by altering ß-catenin and TCF/LEF binding, KLF4 should not inhibit the LEF-ß-catenin fusion protein. However, we found that KLF4 inhibits the TopFlash activity induced by the LEF-ß-catenin fusion protein, indicating that KLF4 inhibits the function, but not the formation, of the ß-catenin/LEFcomplex (Fig. 3B). An LEF-VP16 fusion protein, which strongly activates the TopFlash reporter (42), was used as a control. KLF4 has no significant effect on the LEF-VP16 fusion protein, suggesting that KLF4 inhibits TopFlash reporter through ß-catenin. ß-Catenin has several functional domains; the N-terminal S/T domain controls ß-catenin stability, the central armadillo domains interact with TCF/LEF and E-cadherin, and the C-terminal domain interacts with the transcriptional mediator complex and activates gene transcription (13). A fusion protein of LEF and the C-terminal domain of ß-catenin can efficiently activate the TopFlash reporter. We found that this fusion protein was also inhibited by KLF4, suggesting that KLF4 can suppress the function of the ß-catenin C-terminal transactivating domain (Fig. 3B). We tested the binding between KLF4 and the ß-catenin C terminus by immunoprecipitation and found that KLF4 indeed binds the ß-catenin C terminus (Fig. 3C).
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FIG. 3. KLF4 binds and inhibits the ß-catenin transactivating domain. (A) Schematic representation of KLF4, ß-catenin, their derivatives, and LEF fusion proteins. LEF-CAT is a fusion protein of LEF N (lacking the N-terminal ß-catenin binding domain) and full-length ß-catenin. LEF-CAT-C is a fusion protein of LEF N and the ß-catenin transactivating domain. LEF-VP16 is a fusion protein of LEF N and the VP16 transactivating domain. (B) KLF4 inhibited LEF-CAT- and LEF-CAT-C-induced TCF/ß-catenin reporter activity but not LEF-VP16-induced TCF/ß-catenin reporter activity. (C) KLF4 interacted with the ß-catenin C terminus. ß-catenin C terminus (myc tagged) was cotransfected with empty vector or KLF4 (Flag-tagged) into HEK 293 cells. Immunoprecipitation (IP) was performed with a Flag antibody. The ß-catenin C terminus was analyzed with a myc antibody (MT-Cat-C). KLF4 was analyzed with a Flag antibody. (D) KLF4 C interacted with the ß-catenin C terminus. KLF4 C (Flag tagged) was cotransfected with Cat-N (myc tagged) or Cat-C (myc tagged). Immunoprecipitation (IP) was performed with a Flag antibody. Cat-N and Cat-C were analyzed with a myc antibody. KLF4 C was analyzed with a Flag antibody. (E) Wild-type KLF4 but not KLF4 C inhibited ß-catenin(S33A)-induced TCF/ß-catenin reporter activity. (F) KLF4 inhibits and KLF4 C activates TCF/ß-catenin reporter activity. Cat, ß-catenin; Cat33A, ß-catenin(S33A); IB, immunoblot; CS2, pCS2+ vector.
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C) was sufficient for ß-catenin binding and that KLF4
C specifically binds the ß-catenin C terminus, which contains the transactivation domain (Fig. 3D). Although KLF4
C contains the ß-catenin binding domain, KLF4
C did not inhibit ß-catenin-induced TopFlash reporter activity (Fig. 3E). Interestingly, KLF4
C further increased TopFlash reporter activity (Fig. 3E and F), suggesting that KLF4
C is a dominant negative mutant of KLF4 and that the KLF4 C terminus is required for ß-catenin inhibition. KLF4 function in colon cancer cells. Since ß-catenin is an oncogene and KLF4 is a potential tumor suppressor gene for colorectal cancer (51), we analyzed the functional correlation of KLF4 and ß-catenin in colon cancer cells. Wnt/ß-catenin signaling can be blocked by DnTCF. The effects of DnTCF have been well studied in colon cancer cells (39). Both KLF4 and DnTCF inhibit Wnt/ß-catenin signaling. Therefore, to determine the functional correlation of KLF4 and DnTCF in the intestinal cells, we generated DLD-1 stable cell lines that express doxycycline-induced KLF4 or DnTCF using a Tet-on system (39) (Fig. 4A). KLF4 and DnTCF have similar effects on cell growth. Induced expression of KLF4 or DnTCF inhibits cell proliferation (Fig. 4B and C). The expression of Wnt/ß-catenin target genes, c-myc and Axin2, was analyzed by semiquantitative RT-PCR. As expected, DnTCF decreased the mRNA levels of both target genes. Importantly, we also found that KLF4 inhibits both Axin2 and c-myc expression (Fig. 4D). As a control, actin mRNA levels were not affected by KLF4 or DnTCF expression. IAP is a target gene of KLF4 (14). We found that IAP expression was up-regulated by either KLF4 or DnTCF (Fig. 4D). KLF4 and DnTCF also increased the enzymatic activity of IAP (Fig. 4E). Since IAP is a differentiation marker for intestinal cells (44), these results suggest that both KLF4 and DnTCF can induce intestinal cell differentiation. Collectively, the above results suggest that KLF4 and ß-catenin play antagonistic roles in regulating intestinal cell proliferation and differentiation, further confirming that KLF4 inhibits Wnt/ß-catenin signaling in intestinal cells.
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FIG. 4. KLF4 functions in colon cancer cells. (A) Stable cell lines that express inducible KLF4 and DnTCF. KLF4 (Flag tagged) and DnTCF (myc tagged) were transfected into DLD-1-TR7 cells. Stable cell lines were analyzed by Western blotting. The expression of KLF4 and DnTCF was induced by doxycycline. (B) Induced expression of KLF4 or DnTCF4 in DLD-1 cells inhibited cell proliferation. The cells were stained by crystal violet after 5 days of induction by doxycycline. (C) MTT cell proliferation assay. Induced KLF4 expression inhibits DLD-1 cell proliferation. (D) KLF4 inhibited ß-catenin target genes. Axin2 and c-myc are ß-catenin target genes. IAP is a differentiation marker and is a target gene of KLF4. The mRNA levels of these genes were analyzed by semiquantitative RT-PCR; ß-actin mRNA levels were analyzed as a control. (E) IAP enzymatic activities in the DLD-1 cells with or without doxycycline were analyzed. IAP activity was induced by KLF4 expression or DnTCF expression. Dox, doxycycline; IB, immunoblot.
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FIG. 5. KLF4 inhibits xenograft tumor growth. LS174T-KLF4 or DLD-1-KLF4 cells (2 x 106) were injected subcutaneously into the flanks of athymic nude mice. Drinking water with or without 200 µg/ml doxycycline was given to the mice. The tumor volume was measured two times per week. A portion of each tumor was removed and stored in liquid nitrogen. Protein expression was analyzed by Western blotting. Each tumor was fixed and embedded in paraffin. Tumor sections were analyzed by histochemical and immunohistochemical methods. (A) LS174T-KLF4 and DLD-1-KLF4 cell lines. The KLF4 expression was detected by anti-Flag antibody. Flag-tagged KLF4 was only expressed in the doxycycline-treated cells. (B) Representative nude mice photographed 3 weeks after injection showing that the xenograft tumors treated with doxycycline were significantly smaller than the xenograft tumors without doxycycline treatment. (C) KLF4 expression in xenograft tumors. A portion of each tumor was homogenized and analyzed by Western blotting with anti-KLF4 Ab. (D) Quantification of tumor volume. The average volume for four xenograft tumors from each cell line with or without doxycycline was determined. (E) Immunohistochemical studies of xenograft tumors. The tumors were fixed and paraffin embedded and sectioned at 5 µm. KLF4 expression was analyzed by immunostaining with the anti-KLF4 antibody generated in this study. Cell proliferation marker Ki67 was analyzed with an anti-Ki67 antibody, MIB-1. (F). Histochemical studies of xenograft tumors. Tumor sections were analyzed by HE staining and PAS staining. Dox, doxycycline.
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Cross-sections of these tumors were analyzed by immunohistochemistry (Fig. 5E). KLF4 expression was detected in the nucleus of doxycycline-treated tumors, thus confirming the Western blotting results that doxycycline induced KLF4 expression in these tumors. Expression of Ki67, a cell proliferation marker, was also analyzed in these cross-sections. Tumors expressing KLF4 showed less Ki67 staining compared with tumors without KLF4 expression, suggesting that KLF4 expression inhibits tumor proliferation. The tumor sections were also analyzed with HE and PAS staining (Fig. 5F). HE staining was not significantly different among these tumors. However, in LS174T xenograft tumors, the PAS staining in KLF4-expressing tumors was much stronger than in tumors without KLF4 expression. Since PAS stains mucins, these findings indicate that KLF4 increased mucin production in these tumor cells.
KLF4 expression in the normal human intestine and colon cancers. To further study the correlation between KLF4 and Wnt/ß-catenin signaling in the intestine, we examined the expression of KLF4 in normal human intestine and colon cancers. In the normal human colon mucosa, KLF4 expression was noted in the most differentiated portion of the crypts (i.e., apex) and was decreased in the proliferative portion (i.e., bottom of the crypts) (Fig. 6A and B). In normal human small bowel tissue, KLF4 expression gradually increased from the crypt base to the villus and was strongly expressed in the differentiated villus epithelial cells (Fig. 6C). In contrast, the ß-catenin target gene, CD44, was strongly expressed in the crypts, and this expression was decreased as cells extended the crypt-villus axis (Fig. 6D), indicating that the interaction of KLF4 and ß-catenin contributes to the expression pattern of ß-catenin target genes. As the cells migrate up the crypt-villus axis, Wnt/ß-catenin signaling gradually decreases (39), and KLF4 expression increases; our data suggest that KLF4 contributes to the inhibition of Wnt/ß-catenin signaling and regulates the smooth transition between proliferation and differentiation zones along the crypt-villus axis. In colon cancers, ß-catenin levels were increased compared with the adjacent normal mucosa (Fig. 6E). In contrast, KLF4 levels were decreased in a majority cancers compared with normal intestinal epithelial cells (Fig. 6F). These results support the role of KLF4 as a potential tumor suppressor gene in colorectal cancer (51) and suggest that the inhibition of ß-catenin contributes to the tumor suppressor function of KLF4.
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FIG. 6. KLF4 expression in normal human intestine and colon cancers. (A) KLF4 expression was detected predominantly in the apex of the crypts in normal human colon tissue and was noted to be decreased toward the bottom of the crypts. (B) Magnified (x100) picture of nuclear KLF4 in the apex of colon (the magnification of the other panels is x40). (C) KLF4 was strongly expressed in the villi of the small bowel with decreased expression noted in the crypts. (D) CD44 is a target gene of ß-catenin. CD44 protein was detected in the crypts of the small bowel. (E) ß-Catenin expression in human colon cancers. ß-catenin levels were increased in tumor tissues. (F) KLF4 levels were decreased in human colon cancer tissues.
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Depending on the cellular context, KLF4 can act as either a transcriptional activator or repressor (11). KLF4 represses ß-catenin transcription in colon cancer HT29 cells (36). However, in our experiments KLF4 inhibited ß-catenin signaling but did not affect ß-catenin protein levels. Furthermore, KLF4 inhibited a fusion protein of ß-catenin and LEF, suggesting that KLF4 inhibits the function of the ß-catenin/LEF complex but not the formation of the complex. We found that KLF4 specifically interacted with and inhibited the ß-catenin C terminus, which contains the transcriptional activation domain. Since the ß-catenin C terminus interacts with transcriptional mediators such as p300/CBP (13) or Brg-1 (2), KLF4 may inhibit ß-catenin function by preventing ß-catenin binding to transcription mediators. For example, another ß-catenin binding protein, ICAT, binds the ß-catenin C terminus and inhibits ß-catenin/p300 binding (9). It is also possible that KLF4 recruits other transcriptional repressors to the ß-catenin/TCF complex and inhibits transcription. We are currently investigating these possible mechanisms.
The function of KLF4 in intestinal development is not entirely understood, due to the early lethality of mice with homozygous KLF4 mutation. The KLF/ mice have normal colonocytes and enteroendocrine cells but demonstrate a significant decrease in the number of goblet cells in the colon, suggesting that KLF4 regulates goblet cell differentiation (18). We found that KLF4 induced mucin production in LS174T xenograft tumors. LS174T cells are goblet-like cells (23). This result supports the idea that KLF4 regulates goblet cell differentiation. The role of the Wnt/ß-catenin signaling pathway in goblet cell differentiation is not entirely known. Inhibition of Wnt/ß-catenin signaling by ß-catenin RNAi increased mucin production in LS174T cells (38). Activation of Wnt signaling by selective APC knockout leads to goblet cell depletion (30). These data suggest that inhibition of Wnt/ß-catenin signaling contributes to goblet cell differentiation. However, overexpression of the Wnt antagonist, DKK1, also reduces goblet cell numbers (28). Since depletion of intestinal stem cells results in depletion of the differentiated cells of intestinal mucosa including goblet cells (15, 21) and inhibition of goblet cell differentiation also leads to decreased goblet cell number, it will be necessary to generate intestinal-specific knockout mice to fully understand the in vivo function of KLF4.
Nuclear ß-catenin is gradually decreased (39), and KLF4 expression is increased along the crypt-villus axis. Similarly, ephrin-B1 is expressed in the villi and its receptor EphB2/B3 is expressed in the crypts. The interaction of ephrin-B1 and EphB2/B3 regulates the formation of the crypt-villus boundary and restricts cell intermingling (3). The interaction of KLF4 and ß-catenin may have a similar physiological role but acts within the nucleus. This expression pattern suggests that KLF4 contributes to the maintenance of intestinal homeostasis by preventing abnormal activation of ß-catenin signaling in the differentiated cells and, thus, inhibiting tumor formation.
The function of KLF4 is cell type specific. KLF4 expression is down-regulated in colon and gastric cancers and is considered a tumor suppressor for these cancers. In contrast, KLF4 is up-regulated in breast and pancreatic cancers. In these contexts, it is considered as an oncogene. The mechanisms regulating KLF4 function in different cell types are not known. A further assessment of the cross talk between KLF4 and ß-catenin will improve our understanding of tumor formation in different tissues.
In summary, our results suggest that the cross talk of KLF4 and ß-catenin plays a critical role in normal intestinal development and colorectal cancers (Fig. 7). In the normal intestine, ß-catenin regulates cell proliferation in the crypts and inhibits enterocyte differentiation. KLF4 is expressed predominantly in differentiated epithelial cells, with decreased expression noted in the crypts. Our findings suggest that KLF4 inhibits Wnt/ß-catenin signaling and induces cell cycle arrest and differentiation. Mutations of APC and ß-catenin in the intestine constitutively activate ß-catenin target genes which promote cell proliferation and inhibit cell differentiation, ultimately leading to cancer. KLF4 inhibits ß-catenin-mediated gene expression and thus inhibits the increased tumorigenesis noted by APC or ß-catenin mutation. Down-regulation of KLF4 in the intestine enhances ß-catenin-mediated gene expression. Our findings suggest that genetic events that both activate ß-catenin and inactivate KLF4 are required for colorectal carcinogenesis. Since KLF4 inhibits both mutant ß-catenin and ß-catenin in APC mutant cells, small molecules which mimic the function of KLF4 could be useful as therapeutic agents for colorectal cancers.
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FIG. 7. Model for ß-catenin/KLF4 cross talk in the intestine.
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The tandem affinity purification of ß-catenin complex was initiated by C.L. in the laboratory of X.H., who is supported by R01 GM057603 and R01 GM074241 from the National Institutes of Health (NIH); X.H. is a W. M. Keck Foundation Distinguished Young Scholar. V.W.Y. is supported by R01 DK52230 and R01 CA84197 from NIH. B.M.E. is supported by R01 DK48498, R01 CA104748, and P01 DK35608 from the NIH. C.L. is supported by a John Sealy Memorial Fund Recruitment Award and by R21 CA112007 from the NIH.
Supplemental material for this article may be found at http://mcb.asm.org/. ![]()
W.Z. and X.C. contributed equally to this work. ![]()
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