2.3. ERK1/2 Is Critical for TPA-Mediated CDH1 Repression
As E-cadherin downregulation is the prototypic hallmark of EMT, we then investigated E-cadherin protein levels in untreated (t0) and TPA-treated cells in the presence and absence of U0126. In HepG2 cells, exposure to TPA for 30 min to 48 h resulted in significantly lower levels of E-cadherin protein (≈60% at 24 h) than in control conditions, and this decrease was prevented by U0126 (
Figure 3A,B). In the absence of TPA, U0126 had no apparent effect on E-cadherin protein levels (data not shown). Indirect immunofluorescence studies (
Figure 3C) showed that E-cadherin was restricted to zones of cell-to-cell contact in control conditions. In the presence of TPA, its distribution was disorganized, resulting in a loss of membrane labeling. Co-treatment with U0126 prevented the effect of TPA. As expected, the expression of E-cadherin (
CDH1) gene decreased within 24 h of TPA exposure, and a sustained decrease was observed thereafter (≈80% after 48 h of TPA treatment). Inhibition of ERK1/2 activity restored the basal level of
CDH1 expression. One the other hand, it has been described that TPA activated the c-Jun
N-terminal protein kinases (JNKs) [
32]. To ensure that effects observed using the MEK1/2 inhibitor U0126 were attributable to ERK1/2, we used specific small interfering RNAs (siRNAs) directed against ERK1/2. As shown in
Figure 3E, the ERK1/2 silencing significantly improved the down-regulation of
CDH1 caused by TPA. TPA therefore seems to abolish the transcription of the
E-cadherin gene in an ERK1/2-dependent manner.
The
CDH1 promoter is frequently repressed, directly or indirectly, by specific transcriptional repressors, such as Snail, Slug and Twist 1. Previous study had shown that the EMT triggered by TPA is dependent on Snail [
27]. Accordingly, we sought to determine if ERK1/2 was responsible for the Snail activation. Because this protein is extremely labile (half-life of only 25 min), we firstly used qPCR analysis to determine whether TPA directly affected Snail gene expression. mRNA levels were about seven times higher in HepG2 cells exposed to TPA than in control cells, and the TPA-induced expression of Snail was prevented by simultaneous incubation with U0126 (
Figure 4A). This induction was both rapid (within 4 h of TPA treatment) and transient. It is to note that TPA treatment did not increase expression of the Twist, Slug or Zeb genes (data not shown), confirming the role of Snail as the most important E-cadherin repressor activated by TPA in HepG2 cells. Due to the instability of the Snail protein [
33], we sought to determine if the up-regulation of Snail gene expression came with a sustained protein expression. As shown in
Figure 4B, TPA upregulated Snail in a time dependent manner, as soon as 30 min when compared to T0 condition. It is to note that this protein increased was transient, as the Snail level diminished after 24 h TPA treatment. This increased Snail level observed during 24 h TPA treatment is prevented by the U0126.
Secondly, we investigated the requirement of the ERK1/2 signaling pathway for the E-cadherin repression induced by TPA, using chromatin immunoprecipitation (ChIP) assays. PCR-amplified fragments specific to the
CDH1 promoter region containing the E-box (obtained with two different primer pairs, ChIP1 and 2,
Figure 4B) gave a weak signal for DNA extracted in control conditions (DMSO and U0126, data not shown) and immunoprecipitated with an antibody against Snail. The treatment of Hepg2 cells for 45 min with TPA resulted in significant binding of Snail to the E-cadherin promoter, and this effect was strongly decreased by simultaneous incubation with U0126 (
Figure 4C,D). Thus, TPA induced the Snail binding on the
CDH1 promoter via an upregulation (
Figure 4A,B) and an increased translocation of this transcription factor in the nucleus (
Figure 4D,E). Indeed, as transcription factors, Snail proteins must translocate to the nucleus in order to be functional. The co-incubation with U0126 could diminish the
CDH1 promoter occupancy as the result of diminished Snail protein level and/or affinity of Snail for E-box sequences. However, the fact that U0126 prevented the upregulation of Snail at the mRNA and protein levels suggest that data obtained from ChIP experiments were due to the decreasing expression, nuclear translocation and functionality of Snail.
These results are consistent with previous findings and demonstrate that the binding of Snail to the overlapping E-box sequences in the E-cadherin promoter is dependent on ERK1/2 activity. Altogether, these data demonstrated that TPA upregulated Snail at the mRNA and protein levels, increasing its stabilization and its functionality in an ERK1/2 dependent manner.
2.4. Snail Is Necessary, but Not Sufficient, for TPA-Induced EMT
We used siRNAs to knock down endogenous Snail expression in HepG2 cells, to confirm the essential role of Snail in TPA-driven EMT. We first assessed the ability of Snail siRNAs to knock down Snail expression. The transfection of cells with Snail siRNA significantly decreased Snail protein (≈75%) and mRNA (≈60%) levels (
Figure 5A,B, respectively).
Snail silencing resulted in significantly lower levels of TPA-induced E-cadherin protein and mRNA loss (
Figure 5A,C, respectively) than observed after transfection with nonspecific siRNA (siCT) and in mock transfection conditions. Having confirmed the essential role of Snail in TPA-driven E-cadherin repression, we investigated the contribution of Snail and ERK1/2 signaling pathways to the EMT of TPA-exposed HepG2 cells. The induction of vimentin (
Figure 6A) and fibronectin (data not shown) by TPA was prevented by both Snail siRNA and ERK1/2 inhibition. TPA-induced S100a4 expression was partially restored by Snail siRNA, and totally repressed by U0126 (
Figure 6B). These results are consistent with the poor efficacy of Snail silencing against EMT morphological changes in HepG2 cells exposed to TPA (
Figure 6C). Indeed, the morphological modifications induced by TPA were strongly inhibited by exposure to U0126 (
Figure 6C, TPA + U0126, −siRNA), whereas Snail siRNA was less effective at preventing development of the spindle-shaped fibroblast-like cell morphology (
Figure 6C, TPA, +siRNA). As shown in
Figure 6E, the area occupied by cells in TPA condition is almost the same whether it is with or without siRNA (
Figure 6D), suggesting that Snail silencing has only a slight effect on cell spreading induced by TPA.
S100a4 is a known Wnt target gene, suggesting a possible role for TPA in the activation of β-catenin/TCF signaling. Moreover, it has been shown that Snail can increase Wnt-dependent target gene expression by interacting functionally with β-catenin. We therefore investigated whether Snail associated with β-catenin upon TPA treatment. Co-immunoprecipitation and western blotting demonstrated that Snail bound to β-catenin (
Figure 6E). This binding was enhanced at 24 h of TPA treatment and was significantly inhibited by U0126.
These results suggest that there is cross-talk between the Snail and β-catenin signaling pathways in the commitment of EMT induced by TPA in HepG2 cells.
2.5. TPA Activates the Wnt/β-Catenin Signaling Pathway
β-catenin signaling requires stabilization of the cytoplasmic component of β-catenin, which then enters in nucleus, where it associates with and activates TCF/LEF transcription factors. We therefore investigated whether the EMT process observed in HepG2 cells exposed to TPA resulted from the co-activation of Snail and the Wnt/β-catenin pathway. The distribution of β-catenin within the cell was analyzed by western blotting (
Figure 7A) and immunofluorescence analysis (
Figure 7B) in TPA-treated HepG2 cells. Total β-catenin levels increased, in a time-dependent manner, in cells exposed to TPA (
Figure 7A), without mRNA induction (data not shown). These findings are consistent with stabilization of the β-catenin protein. A significant increase in the amount of β-catenin in the nucleus of the cells was observed within 4 h of incubation with TPA, whereas cytoplasmic protein levels remained unchanged. This nuclear translocation was reversed by U0126. For confirmation of these results, we visualized the distribution of β-catenin, by immunofluorescence imaging. As expected, in basal conditions, HepG2 cells showed staining of the plasma membrane and weaker staining of the nucleus. These cells are known to co-express the wild-type and a constitutive active truncated mutant of β-catenin, resulting in a dual distribution, at the membrane and in the nucleus. However, in the presence of TPA, marked nuclear staining of endogenous β-catenin was observed (24 h), this effect being prevented by U0126 (
Figure 7B).
As nuclear β-catenin is the hallmark of active Wnt signaling, we investigated TCF/LEF activation, by assessing expression of the
MMP-7 and
CD44 genes by qPCR, two known down-stream target genes of the β-catenin/TCF transcription complex. A large increase in
MMP-7 and
CD44 gene expression was observed in HepG2 cells exposed to TPA (
Figure 7C). Interestingly, U0126 prevented this induction of gene expression, whereas Snail siRNA had no such effect. These findings suggested a Snail-independent regulation of these critical genes.
Thus, TPA induces ERK1/2-dependent β-catenin translocation into the nucleus, leading to the activation of specific target genes dependently and independently of Snail activation. These data indicate that TPA-driven EMT requires both the Snail and β-catenin activation pathways and is dependent on ERK1/2.
2.6. Discussion
Features of EMT have been observed in cancers developing in several tissues. In the liver, there is a body of evidence to suggest that hepatocellular EMT plays a key role in the dissemination of malignant hepatocytes during HCC progression, allowing hepatic tumor cells to invade the capsule or the portal vein [
9]. EMT is now recognized as key process in the mechanisms of metastasis, but the molecular signaling processes underlying EMT in HCC remain poorly understood. This study is the first to reveal the complex networks implicated in EMT in HCC, involving crosstalk between Snail and the β-catenin/Wnt pathway, governed by ERK1/2.
Our results highlight the importance of ERK signaling in the onset of hepatocellular EMT in response to TPA stimulation. We found that the inhibition of ERK1/2 signaling prevented E-cadherin repression, mesenchymal marker induction, cell scattering and the acquisition of a spindle cell-like phenotype during EMT. A crucial role for ERK1/2 signaling pathways in the onset and progression of EMT in several cell or biological models has been widely demonstrated [
11,
34,
35]. Previous experimental studies have shown that the ERK pathway is necessary either for mesodermal gene induction during development [
36,
37] or for the full EMT induced by several stimuli in tumor cell lines [
38–
41]. For instance, it has been shown that U0126 completely abolishes the mesenchymal conversion of the thyroid epithelial cells in response to costimulation with TGF-β1 and EGF [
39]. Levels of ERK1/2 production and activity are significantly higher in HCC models and human HCC tissue specimens than in healthy liver [
42,
43]. Moreover, MAPK/ERK activity has been shown to be positively correlated with tumor size and aggressive tumor behavior [
44,
45], suggesting that ERK1/2 activation reflects aggressive tumor behavior in clinical conditions.
Our findings, together with those of previous studies, provide evidence for a crucial role of Snail in E-cadherin repression by TPA. Moreover, we show that the transcription of Snail and the binding of this factor to the
CDH1 promoter following exposure to TPA are dependent to the activation of ERK1/2. These observations were supported by the inhibition of the Snail induction and activation (qPCR and ChIP experminents, respectively) by U0126, and are also consistent with previous findings. For example, it has been shown that suppression of ERK1/2 activity in MCF7 or HEK293 cells correlated with the downregulation of Snail [
33]. Moreover, the ERK pathway leads to the activation of the transcription factor Snail1 in chick embryo that undergoes a process of EMT in the central dermomyotome [
46]. We notably found that ERK1/2 was involved in the binding of Snail to the
CDH1 promoter and, thus, in the repression of E-cadherin gene transcription.
Snail activity can also be regulated post-translationally [
43], but Snail gene transcription generally displays the reverse pattern to E-cadherin gene transcription, being detected in cells that have lost their epithelial characteristics. Indeed, an inverse correlation between E-cadherin and Snail levels has been reported in a panel of epithelial and dedifferentiated cells derived from carcinomas of various types, including HCC [
47]. EMT is initiated principally by the abolition of E-cadherin gene expression by zinc-finger proteins (e.g., Snail, Slug) or bHLH family transcriptional factors (e.g., Twist), which bind to three E-boxes located in the proximal promoter of
CDH1 [
48]. The disruption of E-cadherin-mediated adhesion is thought to be a key step in progression toward the invasive phase of hepatocarcinoma [
49–
51]. The connection between the loss of E-cadherin function in cancer cells and the occurrence of EMT is well documented. E-cadherin downregulation in HCC is associated with increases in tumor size, low levels of histological differentiation, invasion recurrence, metastasis and poor prognosis [
19,
52]. The disruption of E-cadherin/β-catenin complexes at cell-to-cell junctions is characteristic of hepatocellular EMT. Indeed, E-cadherin is frequently found in the cytoplasm and may even be entirely absent in poorly differentiated HCC, as it remains at the plasma membrane in well-differentiated human HCC [
9,
20,
53]. Increases in the expression of E-cadherin repressors, such as Snail, constitute a critical step in EMT in HCC, as demonstrated by the acceleration of invasion by Snail overexpression [
54,
55].
Furthermore, in addition to its role in the repression of E-cadherin, Snail is also known to stimulate mesenchymal gene transcription [
56]. We found that TPA induced the production of vimentin and fibronectin and that is this induction was dependent on Snail and ERK1/2. However, we demonstrated that Snail binding to and repression of the E-cadherin gene was not sufficient to induce a complete morphological transformation, unlike exposure to U0126. Indeed, Snail knockdown had only a limited effect on the induction by TPA of a spindle-shaped fibroblast-like morphology. Thus, Snail is not exclusively responsible for full commitment to the EMT process induced by TPA. It has been shown that, in some instances, Snail could induce an incomplete EMT. For instance, in mice lacking Snail, the cells of the primitive streak begin to invade, however the EMT is incomplete [
57]. Moreover, a study demonstrated that hypoxia condition could induce partial EMT of breast cancer cells where induction of Snail does not elicit a motile phenotype [
58]. By analogy, a loss of E-cadherin has been shown to be necessary, but not always sufficient, for the induction of full EMT [
59]. For example, the ectopic expression of E-cadherin does not restore the epithelial phenotype in cells overproducing Twist [
29,
60]. Taken together, our findings imply that TPA-induced EMT involves another signaling pathway in addition to Snail activation.
Although Snail plays a critical role in EMT, the repression of E-cadherin gene transcription has frequently been reported to occur in tandem with activation of the Wnt signaling cascade [
61,
62]. Wnt signaling may therefore help to stabilize the pool of β-catenin released after Snail-mediated E-cadherin repression [
63,
64]. Moreover, direct interactions between the Wnt signaling pathway and Snail activation have been demonstrated. Indeed, Stemmer
et al. showed that Snail can interact physically and functionally with β-catenin, to increase Wnt-dependent target gene expression [
65]. This association is thought to stimulate the Wnt pathway in a positive feedback loop. Consistent with this view, we found that TPA-induced ERK1/2 activation led to a physical interaction between Snail and β-catenin in differentiated hepatoma cells.
The Wnt/β-catenin signaling pathway plays a key role in liver development, growth, regeneration, zonation, metabolism and oxidative stress [
66]. It is also involved in the development of various liver diseases, ranging from hepatitis to HCC. Indeed, abnormal regulation of the transcription factor β-catenin has been identified as a major, early carcinogenic event in HCC development [
67]. Intriguingly, we found that ERK1/2, but not Snail, was required for the induction of MMP-7 and CD44. These results are consistent with an activation of the Wnt pathway that is dependent on ERK1/2 activation but independent of Snail. It thus seems likely that TPA-triggered ERK1/2-dependent EMT may result from the combined activation of the Snail/β-catenin axis and the Wnt pathway.
Aberrant activation of the Wnt/β-catenin pathway has been observed in 18%–67% of HCC tumors and has been shown to play an important role in hepatocarcinogenesis [
68]. β-catenin mutations have been identified as chief activators of the Wnt pathway in HCC. Such alterations were therefore believed to be involved in the occurrence and development of HCC [
69–
71]. We used the HepG2 cell line, a well-differentiated cell line derived from human HCC. These cells produce both full-length (wild-type) and a truncated form of β-catenin lacking the phosphorylation sites for GSK3 [
72]. Our findings are consistent with previous reports of a dual membrane and nuclear distribution of the β-catenin protein [
73]. We found that, despite the constitutive activation of canonical Wnt signaling in HepG2 cells, TPA increased the nuclear translocation of β-catenin and activation of the Wnt signaling pathway. We found that the stabilization of β-catenin in the nucleus after TPA exposure was associated with the overproduction of MMP-7 and CD44, two proteins directly involved in invasion and metastasis [
74,
75].