- 1Department of Hepatobiliary Surgery, The First Affiliated Hospital of Fujian Medical University, Fuzhou, China
- 2Fujian Abdominal Surgery Research Institute, The First Affiliated Hospital, Fujian Medical University, Fuzhou, China
- 3Key Laboratory of Gastrointestinal Cancer (Fujian Medical University), Ministry of Education, Fuzhou, China
- 4Fujian Key Laboratory of Tumor Microbiology, Department of Medical Microbiology, Fujian Medical University, Fuzhou, China
Spermine synthase (SMS) is an enzyme participating in polyamine synthesis; however, its function and role in pancreatic cancer remains elusive. Here we report that SMS is upregulated in pancreatic cancer and predicts a worse overall survival and significantly promotes the proliferation and migration of pancreatic cancer cells. Excessive SMS reduces the accumulation of spermidine by converting spermidine into spermine, which activates the phosphorylation of serine/threonine kinase (AKT) and epithelial-mesenchymal transition (EMT) signaling pathway, thereby inhibiting pancreatic cancer cell proliferation and invasion. Moreover, SMS was identified as the direct target of both methyltransferase like 3 (METTL3) and insulin like growth factor 2 mRNA binding protein 3 (IGF2BP3), which directly bind to the m6A modification sites of SMS and inhibit mRNA degradation. Knockdown of METTL3 or IGF2BP3 significantly reduced the SMS protein expression and inhibited the migration of pancreatic cancer. We propose a novel regulatory mechanism in which the METTL3-IGF2BP3 axis mediates the mRNA degradation of SMS in an m6A-dependent manner to regulate spermine/spermidine conversion, which regulates AKT phosphorylation and EMT activation, thereby inducing tumor progression and migration in pancreatic cancer.
Introduction
Pancreatic cancer is a highly malignant tumor with the highest annual mortality among all cancers (1). At present, the main treatment for pancreatic cancer is surgical removal (2); however, most pancreatic cancers have already metastasized at the time of diagnosis (3). The molecular mechanism of pancreatic cancer metastasis has not been clarified. Thus, it is important to uncover the mechanism of how pancreatic cancer metastasizes to provide potential therapeutic targets for more effective management of this deadly disease.
m6A is the most abundant epigenetic modification in eukaryotic mRNAs and is tightly and closely correlated to many fundamental biological processes (4) (5). Numerous studies have found that m6A modification plays an important role in the occurrence and development of tumors including pancreatic cancer (4, 6, 7) (8–10). Xia et al. found that METTL3 can promote the proliferation and invasion of pancreatic cancer (9). Y. Chen found that ALKBH5 can mediate PER1 m6A and then regulate the EMT of pancreatic cancer (11). It has also been suggested that METTL3 inhibits tumorigenesis (12). In view of the multiple roles of m6A in pancreatic cancer, more in-depth research is needed.
SMS is an enzyme involved in the synthesis of spermine, which converts spermidine into spermine and plays an important role in maintaining the homeostatic balance of polyamines in the cell (13). The native polyamines include putrescine, spermidine and spermine, which are small-molecule polar compounds containing two or more amino groups (14). Polyamines can regulate metabolism, intracellular DNA oxidative damage stress (15), and are important factors for cell growth and development. Studies have reported that polyamines are elevated to varying degrees in most tumor cells. Moreover, polyamines can promote the progression of pancreatic cancer (16). However, the effects of the changes in various components of polyamines are rarely studied in the context of pancreatic cancer. Studies have shown that extremely high levels of spermidine can inhibit the growth of myeloma (17). In addition, spermine plays an important role as an immune suppressant. Studies have shown that spermidine can affect the NADPH oxidase activation of neutrophils and thus inhibit the immune response (18, 19). Some researchers believe that exogenous spermidine can inhibit the phosphorylation of AKT causing inactivation, thereby promoting autophagy and ultimately leading to cell growth (20). Spermine synthetase can alter the ratio of polyamine components in the cell by synthesizing spermidine into spermine (21). Therefore, it is worthwhile to examine the role of spermine synthase in pancreatic cancer.
EMT is an important sign of tumor migration and invasion (22). As an important signal transduction pathway, the PI3K-AKT pathway plays a key role in tumor proliferation and migration (23). PI3K-AKT pathway can regulate the EMT pathway, leading to tumor cell migration and invasion (24). We speculate that a reduced spermidine to spermine ratio further leads to weakened inhibition of AKT phosphorylation. The phosphorylated AKT can promote the EMT transition of cells through the signal amplification mechanism, and ultimately lead to tumor metastasis.
However, there are only a few reports describing the role of SMS in pancreatic cancer (18, 25). In this study, we explored the clinical relationship between SMS and pancreatic cancer, investigated its biological functions and the molecular mechanism by which SMS promotes the progression of pancreatic cancer.
Materials and methods
Patients and specimens
Clinical tissue samples from 59 patients were obtained from The First Affiliated Hospital of Fujian Medical University (Fuzhou, China). All experiments involving human samples and clinical data were approved by the Accreditation Committee of The First Affiliated Hospital of Fujian Medical University.
Public datasets
The public datasets used in this study included four GEO datasets (http://www.ncbi.nlm.nih.gov/geo/, GSE15471, GSE16515, GSE71989 and GSE22780). GEPIA (http://gepia.cancer-pku.cn/),the m6A-ATLAS database (www.xjtlu.edu.cn/biologicalsciences/atlas).
Immunohistochemistry
Immunohistochemistry staining was performed using antibodies targeting SMS (Novus, 1:800), METTL3 (Abcam, 1:2000), IGF2BP3 (Abcam, 1:200), AKT (CST, 1:200), p-AKT(T308) (CST, 1:200) and p-AKT(S473) (CST, 1:200). The immunoreactivity was scored blindly according to the value of immunoreaction intensity (none = 0; weak = 1; intermediate = 2; and strong = 3) and the percentage of tumor cell stained (none = 0; <10% = 1; 10–50% = 2; >50% = 3). The intensity and percentage values were added to provide immunoreactivity score ranging from 0 to 6. High expression of SMS was defined as an immunohistochemical score of ≥5, and low expression was defined as <5. (26)
Establishment of cell lines
Human pancreatic cancer cell lines ASPC-1, PANC-1, BxPC-3, SW1990, Mia-Paca2 were purchased from American Type Culture Collection (ATCC, USA). Cells were cultured in Dulbecco’s Modified Eagle’s medium (DMEM) supplemented with 2 mM L-glutamine and 10% FBS. Cells were cultured in a 37 °C, 5% CO2 incubator. Plasmids were transfected in HEK-293 T cells using Lipofectamine 3.0 (Invitrogen) following the manufacturer’s instructions. Next, the pancreatic cancer cell lines with stable gene expression were selected in culture medium supplemented with puromycin (1 μg/ml; Sigma Aldrich). Small interfering RNA (siRNA) targeting METTL3/IGF2BP3 specific regions were synthesized by Gene Pharma (Shanghai, China). Transfections were carried out using Lipofectamine 3000 (Invitrogen) following the manufacturer’s instructions. The siRNA sequence is summarized in Table S2.
Western blot analysis
For Western blot analysis, the nuclear and total cellular protein fractions were extracted with Western IP Lysis Buffer (Beyotime, China). The primary antibodies were incubated at 4oC overnight and then incubated with secondary antibodies (1:2000, CST) for 1h. Finally, they were washed using 1% TBST and detected by a chemiluminescence system.
Colony formation assay
Cells were seeded into 6-well plates at a density of 500 cells/well and the culture was replaced with new medium every 48 hours, then were cultured for 10-14 days. The colonies were fixed in 4% paraformaldehyde and stained with 0.1% crystal violet (Beyotime, China). Numbers of colonies in triplicate wells were counted for each treatment group.
Cell proliferation assay
1,000 cells suspended in 100 µL DMEM medium were seeded into 96-well plate. The cell proliferation was assessed by the CCK8 (Dojindo, Japan). 10 ul CCK8 solution CCK8 solution (10 µL) was added to each well of the plate after different incubation times. The absorbance was measured 2h later at 450 nm using a microplate reader after 2 hours.
Cell invasion assays
Cell invasion was assessed with transwell plates (BD Biosciences, USA) as previously described (27).
Animal experiments
Male BALB/c nude mice (5-week old) were purchased from Beijing Vital River Laboratory Animal Technology Co, Ltd. (Beijing, China), and cultured at the specific pathogen-free (SPF) facility. A total of 3× 106 stably transfected cells with genetically altered expression of SMS were subcutaneously injected into the axillary fossa of the nude mice (eight mice per group). Tumor length (L) and width (W) were measured every 4 days, and tumor volume was calculated as 0.5×L×W2. Stably transfected Mia-Paca2 cells with SMS overexpression were then injected into the tail veins of nude mice at a dose of 5×106 cells/mouse to establish the lung metastasis model.
Measurement of intracellular polyamines
Chromatography was performed with a Shiseido nanospace SI-2 HPLC system (Shiseido Co., Tokyo, Japan) coupled to a Shiseido MG C18 column (5 μm, 150 × 1.5 mm i.d.). A gradient eluent (A, 0.2% acetic acid; B, 0.2% acetic acid in acetonitrile) at100 μL/min was used. All data were recorded on a Thermo LCQ advantage iontrap MS equipped with electrospray ionization (ESI; Thermo,San Jose, CA, USA) operated in the positive ionization mode. The operating conditions were set as follows: spray voltage, 6 kV; capillary voltage, 4 V; tube lens offset voltage,40 V; sheath gas flow rate, 30 units; and capillary temperature, 250°C. In tandem MS analysis, the protonated molecular ions were fragmented by helium gas collisions. Levels of polyamines were normalized to protein amount (28).
RNA extraction, reverse transcription and quantitative PCR
Total RNA was extracted by Trizol Reagent (Invitrogen) from cells. cDNA was obtained from total RNA with PrimeScript™ RT reagent kit (Takara Bio, Inc., Otsu, Japan). The mRNA expression was assessed by Real-time quantitative PCR. The primers for RT-qPCR are shown in Table S3.
mRNA stability assay
Cells were plated in 6-wells dish and incubated with actinomycin D (Santa Cruz) at 5 µM for the indicated time. The first time point (t = 0 h) was taken after 10 min, then 4 and 8 h. Total RNA extracted from each sample was used for reverse transcription and qRT–PCR analysis.
MeRIP-qPCR
M6A RNA immunoprecipitation (MeRIP) was performed with Magna MeRIP m6A kit (17–10, 499, Millipore) according to the manufacturer’s instructions.
Luciferase reporter assay
The wild type (SMS-WT) and m6A sites mutated SMS (SMS-MUTE 1, 2, 3) were constructed into luciferase reporter vector pmir-GLO. After 48 h transfection, the cells were lysed by passive lysis buffer. Firefly Luciferase and Renilla Luciferase of lysis were detected, respectively.
Statistical analysis
Statistical analyses were performed using the SPSS software (version 17.0). Differences between the indicated groups were compared using the t-tests and one-way analysis of variance (ANOVA) followed by Fisher’s least significant difference (LSD) test. The cumulative overall survival (OS) rates were calculated using the Kaplan–Meier method, and differences between curves were evaluated using the log-rank test. P value < 0.05 was considered statistically significant.
Results
SMS expression is increased in pancreatic cancer and is related to prognosis
We analyzed the GEO database to determine the differentially expressed genes in pancreatic cancer and took the intersection of differential genes in GSE15471, GSE16515, GSE22780, and GSE71989. The results showed that there were 65 overlapping genes (Figure 1A), with 46.15% up-regulated and 53.85% down-regulated (Figure 1). Among these genes, SMS was the only gene related to polyamine metabolism. We further analyzed the expression of SMS in pancreatic cancer tissues. By analyzing the results in the GEO database, we found that the expression of SMS in pancreatic cancer tissues was significantly higher than that in adjacent tissues (Figures 1C–F). Additionally, we analyzed The Cancer Genome Atlas (TCGA) database and the results showed that the expression of SMS in cancer tissue specimens was significantly higher than that in adjacent tissues, and the expression of SMS was related to the prognosis of pancreatic cancer. The survival time of patients with high SMS expression was much shorter than that of the low expression group after surgery (P < 0.05) (Figure 1G). To further verify the results of bioinformatics analysis, we performed immunohistochemical analysis on 59 cases of cancerous and adjacent tissues. The results showed that the expression of SMS in cancerous tissues was significantly higher than that in adjacent tissues (Figures 1H–K). Moreover, survival analysis showed that the postoperative survival time of the SMS high expression group was significantly shorter than that of the low expression group (Figure 1L). Based on clinical-pathological data of patients, chi-square test analysis showed that the expression level of SMS was correlated with lymph node metastasis and tumor stage of pancreatic cancer, but not with sex, age, tumor differentiation, and tumor size (Table S1). Therefore, the expression of SMS in pancreatic cancer is increased and represents an important factor in the progression of pancreatic cancer, which is in line with the findings of Phanstiel et al in their study the relative mRNA expression of SMS was significantly increased in both PanIN and PDAC samples of 223 human patients (25).
Figure 1 The expression and prognostic value of SMS in human pancreatic cancer. (A) Coincidence of differential Genes in GSE15471, GSE16515, GSE22780, and GSE71989 from GEO database. (B) The heat map of up-regulated genes and down-regulated genes in overlapping genes. (C-F) Expression level of SMS in pancreatic tumor and adjacent normal tissues from GEO database were analyzed. (G) Kaplan–Meier analyses of SMS high expression and low expression were analyzed from the TCGA database. (H-K) The expression of SMS in 59 paraffin embedded specimens from the internal cohort was determined by IHC staining. Representative IHC images are shown (H), and the relative SMS staining intensity was scored (I-K). Scale bar, 200 μm. (L) Kaplan–Meier analyses of the correlations between SMS expression and overall survival of all PDAC patients. *P < 0.05; ****P < 0.0001.
SMS can promote the growth, migration, and invasion of pancreatic cancer in vitro
Western blotting showed that compared to the immortalized pancreatic epithelial cells HPDE, SMS expression in other cell lines was increased to varying degrees, and PANC-1 was representative of high expression, while Mia-Paca2 expression increased slightly (Figure 2A). Therefore, we used lentiviral transfection technology to construct a stable transfected cell line (Figure 2B). The growth curve showed that over-expression of SMS can promote the growth of pancreatic cancer cells, while knockdown of SMS can inhibit their proliferation (Figure 2C). Colony formation experiments also showed that increasing the level of SMS expression can increase the number of clones, whereas reducing SMS expression can inhibit the formation of clones (Figures 2E–H).The results of the wound-healing experiment showed that over-expression of SMS can promote the migration of pancreatic cancer cells while knocking down SMS significantly inhibited the migration rate (Figures 2I–L). Additionally, the results of transwell assays demonstrated that overexpression of SMS can promote the migration and invasion of pancreatic cancer cells, while knockdown of SMS had the opposite effect (Figures 2M–R). Therefore, increased expression of SMS in pancreatic cancer cells promotes the proliferation, migration, and invasion of pancreatic cancer cells.
Figure 2 SMS can promote the growth, migration and invasion of pancreatic cancer. (A) The protein levels of SMS in normal human pancreatic duct epithelial (HPDE) cells and selected human pancreatic cancer cell lines were quantitated by western blot assays. (B) Mia-Paca2 cells with stable SMS overexpression PCDH-SMS-OE and PANC-1 cells with SMS knockdown PLKO.1-shSMS#1 and PLKO.1-shSMS#2 were generated. The changes in SMS expression were conformed using western blot. (C, D) The proliferative ability of stably transfected PANC-1 or Mia-Paca2 cells was investigated via CCK-8 assays. (E-H) Representative colony formation images are shown (E, F), and the numbers of colonies were summarized (G, H). (I-L) Wound-healing assays with stably transfected Mia-Paca2 (I) and PANC-1 (J) cells were performed. Representative images and quantifcation of wound closure are presented (K, L). (M-R) Transwell assays with stably transfected Mia-Paca2 (M) and PANC-1 (N) cells were performed. Representative images and quantifcation of the results are presented. (O-R) *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001.
SMS promotes pancreatic cancer metastasis, which is mediated through the AKT/EMT signaling pathway
Treatment with spermidine in vitro can inhibit the phosphorylation of AKT, thereby inhibiting cell growth (20). We speculate that changes in the expression of SMS in pancreatic cancer could affect the levels of spermidine and spermine in cells, while changes in spermidine/spermine levels could affect the phosphorylation of AKT and ultimately affect the activation and inhibition of the AKT signaling pathway. Therefore, we detected spermine and spermidine levels in the cells. The results showed that the spermine level was significantly increased in cells overexpressing SMS, while after knocking down SMS, the spermidine level was significantly accumulated (Figures 3A, B). It is noteworthy that similar results of spermidine buildup have been seen in the fibroblasts of patients with Snyder Robinson Syndrome which have defective SMS (29). To further verify the relationship between SMS and AKT, western blot analysis was performed and showed that over-expression of SMS can up-regulate the level of p-AKT while knocking down SMS can reduce the expression of p-AKT (Figure 3C). We further verified the relationship between SMS content and the corresponding pathway. The results showed that SMS overexpression can promote the EMT pathway. As a key protein in EMT, E-cadherin was decreased whereas snail and Vimentin were increased. Inhibition of SMS expression had the opposite effect (Figure 3D). Moreover, we have also found that overexpression or knockdown of SMS expression can affect ERK and mTOR phosphorylation (Figures S2 A, B). Furthermore, we found that the addition of spermidine/spermine could reverse the expression of AKT phosphorylation (Figure 3E) and the migratory ability of SMS-overexpressed or knockdown -stable cells by Transwell assay (Figure 3F). Therefore, SMS promotes AKT phosphorylation and affects the EMT pathway by converting spermidine to spermine, ultimately leading to pancreatic cancer progression. It should be realized that SMS may also directly act on other oncogenes through protein-protein interactions. There are three domains in SMS protein (29, 30). By searching The Molecular INTeraction Database (MINT database), we found some proteins that may interact with SMS proteins, including IMMP2L, MAPK6, MAPKAPK3, MAPK8IP2, RPS6KA3. Furthermore, through Co-IP experiments we found that SMS protein may interact with MAPKAPK3 (data not shown), but this part of the mechanism needs to be verified in future studies.
Figure 3 SMS promotes pancreatic cancer metastasis is mediated through the AKT/EMT signaling pathway. (A) SMS metabolizes spermidine to spermine. The levels of spermidine (SPD), and spermine (SPM) in SMS-OE or SMS-knockdown Mia-Paca2 and PANC1 cells were determined by LC-MS. (B) Mass spectrometry images of spermidine and spermine detection. (C, D) The protein expressions of AKT and EMT pathway were analyzed. (E) Spermidine/spermine could rescue the expression of AKT phosphorylation. (F) Spermidine/spermine could rescue the migration ability of overexpressed/knockdown SMS-stable cells by transwell assay. *P < 0.05; **P < 0.01; ****P < 0.0001. ns, no significance.
METTL3 and IGF2BP3 are involved in m6A modification of SMS and promote pancreatic cancer progression
We have demonstrated that expression of SMS is upregulated in pancreatic cancer, thereby promoting its progression. However, the underlying mechanism remains to be determined. By searching the GEO database, we found that knockout of both METTL3 and METTL4 significantly reduced the expression of SMS (Figure 4A). Through the GEO database, it was found that expression of METTL3 and IGF2BP3 in pancreatic cancer tissues were higher than those in adjacent tissues (Figures 4B, C). We also analyzed the expression of m6A readers in pancreatic cancer tissues from the TCGA database, and the expression of IGF2BP3 was associated with the prognosis of pancreatic cancer (Figure S1A). Additionally, the GEPIA online prediction website showed that the expression of IGF2BP3 mRNA in pancreatic cancer was positively correlated with the expression of SMS (Figure 4D). Therefore, we speculate that METTL3 can regulate SMS mRNA m6A methylation and be recognized by IGF2BP3 to further affect the prognosis of pancreatic cancer. Furthermore, the results of the immunohistochemical analysis showed that the expression of METTL3 and IGF2BP3 was consistent with that of SMS (Figure 4E). All results were scored and a chi-square test was performed, with the results showing that the expression of METTL3/IGF2BP3 was significantly correlated with SMS expression (Figure 4F). These findings indicate that METTL3 may play a regulatory role in SMS expression. Moreover, it was found that the expression levels of METTL3 and IGF2BP3 were higher in cancer tissues than those in adjacent tissues (Figures 4G–J). Survival analysis showed that the expression of METTL3 and IGF2BP3 affected the prognosis of pancreatic cancer patients and that high expression of METTLE/IGF2BP3 can promote the progression of pancreatic cancer (Figures 4K, L). Therefore, METTL3 and IGF2BP3 may play key roles in the m6A modification of SMS and pancreatic cancer progression.
Figure 4 METTL3 and IGF2BP3 are highly expressed in pancreatic cancer and predicts poor prognosis of pancreatic cancer patients. (A) The expression of SMS in the METTL3 and METL14 double knock chips in the GEO database. (B, C) The expression of METTL3 and IGF2BP3 in cancer tissues and adjacent tissues. (D) The GEPIA database showed that IGF2BP3 was positively correlated with SMS mRNA expression. (E) The expressions of METTL3/IGF2BP3 and SMS in tissues of PDAC patients were evaluated by IHC. (F) The correlation between METTL3/IGF2BP3 and SMS levels in tissues was analyzed. (G-J) The expression of METTL3 and IGF2BP3 in pancreatic cancer tissues was higher than that in adjacent tissues by IHC, and the relative METTL3/IGF2BP3 staining intensity was scored. (K, L) Kaplan–Meier analyses of the correlations of METTL3/IGF2BP3 expressions and overall survival of PDAC patients. ****P < 0.0001.
METTL3 and IGF2BP3 can promote the migration and invasion of pancreatic cancer
To further explore the role of METTL3 and IGF2BP3 in pancreatic cancer, we conducted western blot experiments by transfecting METTL3-siRNA and IGF2BP3-siRNA into PANC-1 and Mia-Paca2. The results showed that compared to the control group, interference with METTL3 and IGF2BP3 expression can reduce the expression of SMS (Figures 5A–D). Therefore, we further explored the role of METTL3 and IGF2BP3 on pancreatic cancer cell. In the migration and invasion experiments, interfering with the expression of METTL3 and IGF2BP3 inhibited the migration and invasion of pancreatic cancer (Figures 5E–L). Moreover, wound healing assay results showed that knockdown of METTL3 expression significantly inhibited cell migration (Figure S1B). Furthermore, the overexpression of METTL3 reversed the expression of SMS in SMS stable knockdown cells, while knockdown of METTL3 reversed the protein expression of SMS in overexpressed SMS (Figures 6M, N). The Transwell migration assay also demonstrated that METTL3 could reverse the migration ability of overexpressed/knockdown SMS pancreatic cancer cells (Figures 5O, P). The results of the CCK-8 assay showed that METTL3 could reverse the proliferation of stably transfected cells (Figure 5Q). Therefore, the highly expressed SMS protein in pancreatic cancer may be related to the expression of METTL3 and IGF2BP3, and the expression of METTL3 and IGF2BP3 related to the migration and invasion of pancreatic cancer.
Figure 5 METTL3 and IGF2BP3 regulate SMS expression and promote pancreatic cancer metastasis. (A-D) The expression level of SMS interferes with the expression of METTL3 and IGF2BP3 in Mia-Paca2 and PANC1 cells. (E-L) Transwell assays of SMS interferes with the expression of METTL3 and IGF2BP3 in Mia-Paca2 and PANC1 cells were performed. Representative images and quantifcation of the results are presented. (M, N) METTL3 reversed the expression of SMS in stable SMS overexpression/knockdown PDAC cell. (O, P) Transwell experiments found that METTL3 could reverse the migration ability of stable SMS overexpression/knockdown PDAC cell. (Q) CCK-8 experiments found that METTL3 could reverse the proliferation of stable SMS overexpression/knockdown PDAC cell. *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001.
Figure 6 The METTL3-IGF2BP3 axis promotes increased SMS mRNA stability and protein expression by mediating SMS m6A modification. (A, D) ME-RIP assays showed the relative percentage of SMS mRNA with methylation. (B, C, E and F) The mRNA stability and degradation halftime of SMS in Mia-Paca2 and PANC1 treated by Actinomycin D. (G) Wild-type or mutant 1-3 sites m6A consensus sequence was fused with firefly luciferase reporter, respectively. (H-K) Mutation of m6A sites in SMS (constructed in firefly reporter) repressed the luciferase expression of reporter. *P < 0.05; **P < 0.01; ***P < 0.001; ****P < 0.0001. ns, no significance.
The METTL3-IGF2BP3 axis promotes increased SMS mRNA stability and protein expression by mediating SMS m6A modification
We next performed a methylated RNA immunoprecipitation (ME-RIP) analysis to further explore the regulatory relationship between the METTL3-IGF2BP3-axis and SMS. The results showed that knockdown of METTL3 significantly reduced m6A level of SMS mRNA (Figures 6A, D). The RNA stability experiment results showed that compared to the control group, interference with METTL3 and IGF2BP3 led to an increase in the degradation rate of SMS mRNA (Figures 6B, C, E, F). We then constructed three mutant SMS CDS plasmids for the luciferase reporter assay to determine the specific modification sites (Figure 6G). The results of the dual-luciferase reporter experiment showed that the transcriptional level of wild-type, MUT1 or MUT2, but not MUT3, was significantly decreased with METTL3 or IGF2BP3 knockdown (Figures 6H–K), assuming that the regulation of SMS expression was under control of METTL3 associated m6A modification, which was acted mainly through the MUT3 site since SMS expression in the presence of intact Site 3 as in wild-type, MUT1 or MUT2 correlated with METTL3 status.
SMS can promote tumor growth and metastasis in vivo
A subcutaneous tumor model was established by subcutaneously injecting the pancreatic cancer cells into nude mice. Compared to the control group, overexpression of SMS can promote tumor growth, while knockdown of SMS can significantly inhibit tumor formation and slow the rate of tumor growth (Figure 7A–F). The immunohistochemistry results showed that knockdown of SMS resulted in decreased phosphorylation of AKT, while overexpression of SMS resulted in increased phosphorylation of AKT (Figure 7). Stably transfected Mia-Paca2 cells with SMS overexpression were then injected into the tail veins of nude mice to establish the lung metastasis model. Additionally, the anatomy of the lung metastasis model mice showed that the number of lung metastases in the SMS overexpression group was greater than that in the control group (Figure 7I). H-E staining showed similar results (Figure 7). Therefore, these results indicate that SMS can promote the growth and metastasis of pancreatic cancer in vivo.
Figure 7 SMS can promote tumor growth and metastasis in vivo. (A, D) Tumor xenograft models were constructed with stable SMS-overexpressing (n = 5) or SMS-knockdown (n = 5) Mia-Paca2 cells and PANC1 corresponding negative control cells. (B, E) Then tumors were collected from sacrificed mice and tumor weights were measured. (C, F) The size of the tumors was measured at the indicated time points. (G) Tumors from mice were analyzed by IHC staining, Scale bar, 200 µm. (H-J) Representative images of lung metastasis and hematoxylin and eosin staining are shown. Metastatic nodules were counted with or without a microscope and recorded. Spd, spermidine;Spm, spermine.*P < 0.05; **P < 0.01; ***P < 0.001.
Discussion
At present, the incidence of pancreatic cancer is increasing annually (31). As a grave disease with high mortality, research into pancreatic cancer has achieved widespread attention. (1, 32) Despite extensive research, the specific molecular mechanism underlying the metastasis of pancreatic cancer has not yet been elucidated.
SMS is an enzyme in the pathway of polyamine synthesis, which can specifically convert spermidine to spermine and plays an important role in polyamine synthesis and metabolism (13). At present, there are relatively few studies on SMS in tumors, although studies have shown that overexpression of SMS can promote the progression of colon cancer (21). Ja Ladanki et al. demonstrated that the use of SMS inhibitors can inhibit the level of polyamines, thereby inhibiting tumor cell proliferation (33). Numerous studies have shown that the level of polyamines in tumors is significantly increased and that polyamines play a critical role in the growth of tumor cells (13, 16, 34). However, there remains little research on the role of each component in polyamines. Additionally, studies have shown that spermidine can inhibit the proliferation of myeloma cells, and exogenous spermidine can inhibit cell proliferation; this effect is caused by inhibiting the phosphorylation process of AKT (35). In this study, we confirmed that overexpression of SMS can promote the increase of spermine levels in pancreatic cancer cells, knockdown of SMS can lead to increased spermidine, and the level of SMS protein is positively correlated with AKT phosphorylation and the PI3K-AKT/EMT pathways. Moreover, at both cellular and animal levels, we also verified that SMS can promote the proliferation, migration, and invasion of pancreatic cancer.
The development of epigenetics has led to a deeper understanding of gene expression regulation (36, 37). m6A modification has been extensively studied as an important regulatory mechanism (38, 39). At present, the role of m6A in tumorigenesis and development has been proven (11, 40; Wei 38, 41). The role of m6A in pancreatic cancer has also been extensively studied, and some studies have shown that it can regulate pancreatic cancer progression by affecting alternative splicing of METTL14 (42). In view of the multiple effects of m6A modification on tumors, further research is needed. By searching the m6A-ATLAs database, we found that SMS mRNA has many m6A modifications, with three m6A-specific sites predicted in SMS mRNA. Therefore, m6A modification plays a key role in the regulation of SMS expression. Through further exploration, we found that METTL3 and IGF2BP3 can significantly inhibit the migration and invasion of pancreatic cancer cells. Additionally, interference with the expression of METTL3 and IGF2BP3 increased the degradation rate of SMS mRNA. These results well explain why the expression of SMS in pancreatic cancer is elevated, as well as the main cause of polyamine anabolic disorder in pancreatic cancer.
In summary, our findings verified the effects of SMS on the proliferation, migration, and invasion of pancreatic cancer in vitro and in vivo. Moreover, overexpression of SMS could change the spermidine/spermine levels and further regulated the phosphorylation process of AKT and the state of PI3K-AKT/EMT signaling pathways. Finally, regarding the SMS regulation mechanism, we verified that the METTL3-IGF2BP3-axis could promote the migration and invasion of pancreatic cancer and that METTL3 and IGF2BP3 further increased the stability of SMS mRNA by modifying SMS mRNA by m6A. This led to increased SMS protein expression, the regulation of which relied on m6A modification of its mRNA (Figure 8).
Figure 8 Flowchart of our experiments: METTL3-IGF2BP3 axis promotes pancreatic cancer progression by mediating SMS m6A modification.
Conclusion
SMS promotes pancreatic cancer progression in vitro and in vivo. Overexpression of SMS could change the spermidine/spermine levels and further regulate the phosphorylation of AKT and the state of PI3K-AKT/EMT signaling pathways.The METTL3-IGF2BP3-axis could increase the stability of SMS mRNA in a m6A-dependent manner.
Data availability statement
The datasets presented in this study can be found in online repositories. The names of the repository/repositories and accession number(s) can be found below: https://www.ncbi.nlm.nih.gov/geo/, GSE15471, GSE16515, GSE71989 and GSE22780. The data used to support the findings of this study are available from the corresponding author upon request.
Ethics statement
The animal study was reviewed and approved by The animal experiments were approved by Animal Welfare Committee of Fujian Medical University (Fuzhou, China).
Author contributions
Conception and design: ZG, SW. Development of methodology: ZG, XZ, CL, YH, YZ, HG, ZZ. Acquisition of data (acquired and managed patients, provided facilities, etc.): ZG, XZ, CL, YH, YZ, HG, ZZ. Analysis and interpretation of data (e.g., statistical analysis, biostatistics, computational analysis): ZG, XZ, CL. Writing, review, and/or revision of the manuscript: ZG, XZ, CL, SW. Study supervision: SW. All authors contributed to the article and approved the submitted version.
Acknowledgments
We would like to thank Prof. Xu Lin for his help with providing experimental instruments and platforms. Prof. Xinjian Lin for his help for editing the manuscript. Dr. Kunqi Chen for his help with bioinformatics analysis. Dr. Yun He, Dr. Wenjun Liao for their help with animal experiment. Dr. Jiajian Shi for his help with Immunohistochemistry.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Supplementary material
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fonc.2022.962204/full#supplementary-material
Abbreviations
METTL3, methyltransferase like 3; IGF2BP3, Insulin like growth factor 2 mRNA binding protein 3; AKT, Serine/threonine kinase; ME-RIP, Methylated RNA immunoprecipitation;M6A,N6- methyladenosine;SMS, Spermine Synthase; GEO, Gene Expression Omnibus; H&E, hematoxylin and eosin; IHC, immunohistochemistry; LC/MS, Liquid chromatography-tandem mass spectrometry; mTOR, mechanistic target of rapamycin; NC, negative control; ATCD, Actinomycin D; qRT-PCR, quantitative real-time polymerase chain reaction; TCGA, The Cancer Genome Atlas; GEPIA, Gene Expression Profifiling Interactive Analysis.
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Keywords: spermine synthase, polyamine, m6A, pancreatic cancer, EMT, AKT
Citation: Guo Z, Zhang X, Lin C, Huang Y, Zhong Y, Guo H, Zheng Z and Weng S (2022) METTL3-IGF2BP3-axis mediates the proliferation and migration of pancreatic cancer by regulating spermine synthase m6A modification. Front. Oncol. 12:962204. doi: 10.3389/fonc.2022.962204
Received: 06 June 2022; Accepted: 20 September 2022;
Published: 06 October 2022.
Edited by:
Zexian Liu, Sun Yat-sen University Cancer Center (SYSUCC), ChinaReviewed by:
Qi Chen, University of Kansas Medical Center, United StatesOtto Phanstiel, University of Central Florida, United States
Copyright © 2022 Guo, Zhang, Lin, Huang, Zhong, Guo, Zheng and Weng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Shangeng Weng, c2hhbmdlbmdAc2luYS5jb20=
†These authors have contributed equally to this work