Curcumol inhibits the expression of programmed cell death-ligand 1 through crosstalk between hypoxia-inducible factor-1α and STAT3 (T705) signaling pathways in hepatic cancer
Graphical abstract
Introduction
Curcuma wenyujin is a plant belonging to the family Zingiberaceae that is found in South Asia and China. It is used as a plant medicine based on its traditional effect to treat liver diseases and blood clots, and it is also prescribed as an analgesic. Curcuma wenyujin possesses anti-oxidant, anti-proliferative, and anti-tumorigenic properties, and many researchers demonstrated the efficacy of C (Liu et al., 2019). Curcuma wenyujin against various types of cancer include liver cancer (Liu et al., 2017). Curcuma wenyujin as a traditional Chinese medicine has been applied for medicinal purposes with its own unique theoretical system, which includes processing theory, technology, and standards, since ancient times (Liu et al., 2017). Curcuma wenyujin processed using vinegar has been applied in the clinic for 1500 years, beginning during the Northern and Southern dynasties (Chinese Pharmacopoeia). Curcumol is a representative index component for the quality control of the essential oil of Curcuma wenyujin, which is currently used as an anti-cancer drug, and is included in the State Pharmacopoeia Commission of the People's Republic of China (2005). Pharmacological studies suggested that curcumol has anti-tumor (Wei et al., 2019), anti-fibrotic (Jia et al., 2018), and anti-microbial (Chen et al., 2018) activities. Despite its known anti-cancer properties, the mechanisms of action and molecular effects of curcumol have not yet been fully elucidated. Therefore, from the perspective of cancer immunotherapy, it is particularly important to explore new effects of curcumol.
During the process of immune editing, cancer cells cleverly escape immune surveillance by manipulating immune checkpoint molecules, that are critical for maintaining balanced immune activity to prevent autoimmunity and limit collateral tissue damage (Watanabe and Nakajima, 2012). PD-L1 is a critical immune checkpoint molecule exploited by cancer cells to escape immune surveillance (Pardoll, 2012). When PD-L1 expressed on cancer cells and macrophages binds to programmed cell death protein-1 (PD-1) on activated cytotoxic T-cells infiltrating into tumors, the PD-L1–induced inhibitory signal blocks the anti-tumor activity of the cells. (Chen, 2004). However, interactions between PD-1 and PD-Ls are reversible, and blockade of PD-1/PD-L1 interactions restores effector T-cell functions and anti-tumor immune responses in vivo (Iwai et al., 2002; Koh et al., 2016). These findings suggest that blockade of the PD-1/PD-L1 pathway might affect immune-mediated tumor surveillance in vivo, thereby enhancing tumor cell death. Thus, the PD-1 and PD-L1 axis is recognized as an attractive target for cancer immunotherapy.
Signal transducer and activator of transcription 3 (STAT3) is a transcription factor that plays a pivotal role in tumor cell proliferation, being constitutively activated (phosphorylated) in numerous cancer cells (Yu et al., 2009). STAT3 is phosphorylated by JAKs and c-Src kinase (Lee et al., 2015; Ren and Schaefer, 2002; Schreiner et al., 2002). STAT3 has two important phosphorylation sites for its activation, namely Tyr705 and Ser727. (Aggarwal et al., 2009). In cancer cells, STAT3 is activated via phosphorylation at Tyr705, leading to STAT3 dimerization and DNA binding, and phosphorylation of STAT3 at Ser727 enhances its homodimerization and DNA binding by facilitating the recruitment of p300/CBP. Following phosphorylation, the target genes of STAT3 include PD-L1. (Ihle, 1996; Koh et al., 2016; Lee et al., 2015).
Tumor hypoxia activates a battery of genes that induce angiogenesis, metastasis, drug resistance, and tumor invasion by stabilizing hypoxia-inducible factor-1 (HIF-1) (Wilson and Hay, 2011). HIF-1 is a heterodimeric transcription factor composed of α and β subunits (Wang and Semenza, 1995). Although HIF-1β is expressed constitutively, HIF-1α expression is tightly controlled by oxygen levels. HIF-1α is a central molecule involved in mediating the effects of hypoxia. Under hypoxic conditions, PHD activity is inhibited; thus, HIF-α can translocate to the nucleus, dimerize with HIF-1β, and activate the transcription of PD-L1 by binding to the hypoxia-response elements (HREs). (Li et al., 2015; Noman et al., 2014).
The detailed molecular mechanism of curcumol-mediated anti-tumor immunity is not well understood. In this study, we found that curcumol reduced the expression of phosphorylated (p)-STAT3 (T705) via JAK1, JAK2, and Src pathways and inhibited HIF-1α protein synthesis via mTOR/p70S6K/eIF4E and MAPK pathways. Furthermore, we revealed that crosstalk between STAT3 and HIF-1α pathways collaboratively regulated PD-L1 activation, and curcumol plays a role in this regulation. Moreover, curcumol inhibited the migration, invasion, and tube formation of human umbilical vein endothelial cells (HUVECs) through the suppression of PD-L1. We also found that curcumol restored the tumor-killing activity of T-cells by inhibiting of PD-L1. The anti-tumor activity of curcumol was further confirmed in a murine xenograft model, and no apparent toxicity was observed in the animals. Curcumol may represent a promising lead compound for the development of new targeted anti-cancer therapeutics.
Section snippets
Cell culture and reagents
HeLa cervical cancer cells, A549 lung cancer cell, Hep3B human hepatocellular carcinoma cells and HUVEC cells were cultured in DMEM with penicillin (100 units/mL)-streptomycin (100 units/ml) (Invitrogen, Carlsbad, CA, USA) that was supplemented with 10% fetal bovine serum (Hyclone, Logan, UT, USA). These cells were purchased from FuHeng Cell Center (Shanghai, China). The hypoxic culture was kept in a gas-controlled chamber (Thermo Electron Corp. Marietta, OH, USA) maintained at 1% O2, 94% N2,
Curcumol suppresses constitutive STAT3 activation by JAK1, JAK2, and Src
It has been reported that the STAT3 pathway mediates the critical properties of tumor formation and progression, such as proliferation, metastasis, angiogenesis, and cell survival. Therefore, in this study, we examined whether curcumol affects STAT3 signaling. Fig. 1B, presents the possible curcumol binding at Tyr705 in p-STAT3. Subsequently, we performed STAT3 reporter assays to investigate whether curcumol modulated STAT3 transcriptional activation. STAT3 reporter gene expression was
Discussion
Curcumol has been demonstrated to directly exert anti-cancer effects on hepatic cancer cells by downregulating IDH1 (Zang et al., 2017). Additionally, recent studies described the molecular mechanism of the effects of curcumol on the induction of cell growth arrest and apoptosis in Jurkat cells, a model of CD4+ T-cells (Wang et al., 2014), suggesting that the anti-tumor effects of curcumol may also be linked to the immune response. In this study, our results supported this possibility by
Author contributions
Xuejun Jin and Juan Ma conceived and designed the study. Hong Xiang Zuo and Yong Jin performed all the experiments and wrote the manuscript. Zhe Wang, Zhi Hong Zhang, Ming Yue Li performed part of culture cell experiments. Jing Ying Wang, Yue Xing and Myong Hak Ri performed part of animal experiments. Guang Hua Xu provided the compound. Cheng Hua Jin, Lian Xun Piao, Juan Ma and Xuejun Jin reviewed and edited the manuscript. All authors read and approved the manuscript.
Declaration of competing interest
The authors declare that there are no financial conflicts of interest in regard to this work.
Acknowledgments
This work was partially supported by National Natural Science Foundation of China, No. 81660608 and 81760657. This work was partially supported by Jilin Province Science and Technology Development Outstanding Young Talents (20180520057JH) and the 13th five-year program of science and technology of the Ministry of Education of Jilin Province (JJKH20191152KJ).
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These two authors equally contributed to this work.