Our foremost goal is to identify autophagy-regulating proteins that are suitable targets for cancer therapy
Elisabeth Corcelle, PhD, Line Groth-Pedersen, PhD, Pietri Puustinen, PhD, and Marja Jäättelä, MD, PhD
Dianna Skousborg Larsen, Tiina Naumanen, Louise Bro and Louise Vanderfox
Thomas Farkas, Jennifer Kricker, Monika Mortensen, Anna Rytter
Maria Høyer-Hansen, Anne Keldsbo Pedersen, Piotr Szyniarowski, Signe Diness Vindeløv
Figure 1. Autophagosome fuses with lysosome. Transmission electron microscopy image of an autophagosome (left) fusing with a lysosome (right) in MCF7 cells treated with a vitamin D analogue EB1089. (Høyer-Hansen et al., Cell Death Diff 2005).
We entered the autophagy field when an undergraduate student Maria Høyer-Hansen discovered "funny-looking" vesicles in transmission electron microscopy images of vitamin D-treated breast cancer cells in 2004 (Figure 1). Her subsequent enthusiasm for the autophagic program was highly contagious and she rapidly attracted others to this exciting and emerging field. At the same time, autophagy was becoming a hot topic in cancer research as a putative tumor suppressor mechanism and as a cytoprotective mechanism enhancing the survival of stressed cancer cells. Our expertise in lysosome biology, cell death mechanisms and signaling pathways paving the way, we could rapidly build an advanced technology platform for autophagy research and verify that autophagy, indeed, is a highly promising area of cancer research, both as a target for cancer therapy and as a tumor suppressor mechanism. The research goals and achievements of our Autophagy Group are summarized below.
Macroautophagy (hereafter autophagy) is a highly regulated catabolic process for the recycling of old or damaged organelles and macromolecules. It is controlled by a set of evolutionarily conserved Atg genes, which orchestrate the formation of a double-membrane structure called phagophore that engulfs portions of cytoplasm and even whole organelles thereby forming an autophagosome (Figure 2).
Figure 2. A simplified cartoon of autophagosome formation and maturation.
Inhibition of mTORC1 leads to autophagosome formation by allowing the ULK1-dependent activation of the autophagy-specific class III phosphoinositide 3-kinase (PI3KCIII/Vps34) complex. The activation of Vps34 triggers the nucleation and assembly of the primary autophagosome membrane that depends on two unique ubiquitin-like conjugation systems Atg12-Atg5-Atg16 and LC3/Atg8-phospatidylethanolamine (LC3-PE or LC3-II). The former is essential for the autophagosome formation and the latter appears to be a structural component of the autophagosomes. (Corcelle et al., FEBS J 2009)
The outer membrane of autophagosome then fuses with endo-lysosomal vesicles eventually forming an autolysosome (Figure 1). Subsequently, the cargo and the autophagosomal inner membrane are degraded by the lysosomal hydrolases and the processed molecules are returned back to the cytoplasm.
Autophagic flow is low in optimal growth conditions, but can be rapidly activated in response to starvation, cytotoxic drugs, and other forms of cellular stress. In such conditions, autophagy promotes cell survival by sustaining metabolic homeostasis and preventing the accumulation of toxic waste. Thus, autophagy can promote tumor progression in the microenvironment devoid of nutrients and oxygen and contribute to resistance to cancer therapy. On the other hand, autophagy may act as a barrier for transformation. Accordingly, many tumor-suppressor proteins act as positive regulators of autophagy and most human cancers display hyper-activation of signaling pathways that suppress autophagy.
Mammalian target of rapamycin complex 1 (mTORC1) kinase, the major negative regulator of autophagy, serves as a signaling nexus that integrates information regarding cellular stress and availability of nutrients and growth factors to maintenance of the appropriate balance between anabolic and catabolic processes. The signaling pathways promoting mTORC1 activation are induced by numerous mitogenic factors and oncoproteins via the class I phosphoinositide-3 kinase (PI3K)-Akt pathway, whereas various cellular stresses inhibit the mTORC1 activity via activation of AMP-activated protein kinase (AMPK) (Figure 3).
Figure 3. Autophagy signaling - major signalling pathways upstream of mTORC1.
The mammalian target of rapamycin complex 1 (mTORC1) is a key regulator (inhibitor) of mammalian autophagy. Akt activates mTORC1 and thereby inhibits autophagy in response to various growth factors, whereas in response to various stresses AMP-regulated kinase (AMPK) inhibits it thereby activating autophagy. (Corcelle et al., FEBS J 2009)
mTORC1 controls autophagy partly by inhibiting unc51-like kinases (ULK1 and ULK2), whose activation is essential for the nucleation of the isolation-membrane that eventually forms the autophagosome (Figure 2). This early step is dependent on the generation of phosphatidylinositol 3-phosphate (PtdIns(3)P) synthesized by the autophagy-specific class III PI3K (Vps34) complex. The ubiquitin like molecules Atg12 and microtubule-associated protein 1 light chain 3 (LC3 or Atg8) together with their corresponding conjugation systems are essential for the expansion of the isolation membrane.
Figure 4. LC3 decorates autophagosomal membranes.
Green fluorescent protein (GFP)-tagged LC3 displays diffuse distribution in MCF7 cells cultured in optimal culture conditions (left) but translocates rapidly to punctate structures (autophagosomal membranes) upon treatment with an mTORC1 inhibitor rapamycin (right). Courtesy of Maria Høyer-Hansen.
LC3 is present on the membranes of the completed autophagosome (Figure 4) and gets degraded in the autolysosome along with the membranes. The degradation of LC3 can thus serve as a marker for the autophagic flux (Figure 5).
Figure 5. Analysis of the kinetics of autophagic flux in living cells using Renilla Luciferase-based reporter assay.
MCF-7 cells stably expressing wild type (RLuc-LC3wt) or mutant (RLuc-LC3G120A) LC3 proteins fused to Renilla Luciferase were incubated with 50 nM of the live cell luciferase substrate EnduRenTM for 2 h prior to addition of medium (Control), 250 nM Rapamycin (Rapa), 50 µM Etoposide (Eto), 10 mM 3-MA or 250 nM Rapamycin + 10 mM 3-MA. Luciferase activity was measured with 1-2 h intervals as indicated. The values represent the mean ratio ± SEM of luciferase activities from the two cell lines expressed as percentages of the corresponding ratio in untreated cells at T0. The insert is a representation of the logarithm of the rapamycin values after subtraction of 27%, as a function of time (from 2 to 12 hours). The trendline and the corresponding R2 were calculated with excel software. The value "27 %" represents a hypothetical steady state of wt/G120A luciferase activity in the presence of rapamycin (established as the value giving a trendline with an R2 closest to 1). Below: Immunoblot analysis of indicated proteins from MCF-7 cells treated with rapamycin or etoposide as above. The densitometry data from the etoposide experiment are shown under the blots. The values represent the p70S6K-P/p70S6K ratio as percentage of the value in untreated cells. (Farkas et al., Autophagy 2009)
Due to its involvement in many pathological processes, autophagy is an utmost attractive drug target. Rapamycin, lithium, and chloroquine are the first examples of old drugs that are entering the clinics for new indications as regulators of autophagy. Rapamycin and lithium are mTORC1-dependent and -independent inducers of autophagy, respectively. As relatively safe drugs, they may prove useful in the treatment of various degradative disorders. The anti-malaria drug chloroquine inhibits autolysosomal degradation by disrupting the lysosomal pH gradient and it is presently the only autophagy inhibiting drug in clinical trials for cancer treatment. Chloroquine blocks the lysosomal function and is therefore a very unspecific autophagy inhibitor. Thus, there is an acute need for more specific autophagy inhibitors both in the autophagy research community and the clinic.
Inhibition of autophagy augments the efficacy of many currently available anticancer regimens, and our foremost goal is to identify autophagy-mediating proteins that are suitable targets for cancer therapy. For this purpose, Thomas Farkas has developed a Renilla luciferase reporter-based assay system that allows the monitoring of autophagy kinetics in living cells and is suitable for high throughput screening (Figure 5). Using this system as well as other methods, we have screened siRNA and small molecule libraries and identified numerous kinases, phosphatases, motor proteins, lipid modifying enzymes, and small molecules as autophagy regulators. Our present work aims at compiling this information and defining the best targets / molecules for autophagy inhibition in cancer therapy. Autophagy being a double-edged sword that in addition to enhancing the survival of cancer cells can also inhibit tumorigenesis, we are also investigating the tumor suppressive role of autophagy in leukemias and possibilities of switching cytoprotective autophagy to cytotoxic autophagy.