- Open Access
Ubiquitin ligase A20 regulates p53 protein in human colon epithelial cells
© Liu et al.; licensee BioMed Central Ltd. 2013
- Received: 8 February 2013
- Accepted: 6 October 2013
- Published: 7 October 2013
Intestinal polyps may further develop into colon cancer; the pathogenesis is not clear. The p53 gene is an important anti-cancer gene in the body, which is suppressed in cancer. The ubiquitin E3 ligase A20 (A20) plays a role in regulating the activities of epithelial cells. This study was designed to investigate the role of the colon polyp epithelium-derived A20 in the pathogenesis of colon cancer.
Eighty-eight colon cancer patients and 136 colon polyp patients were recruited into this study. Human colon cancer tissue, the epithelium of adenomas polyp and hyperplastic polyp showed high levels of A20, which had a positive correlation with the cancerous tendency of colon polyps. The levels of A20 were much higher in the adenomas and hyperplastic polyps than that in the inflammatory polyps; the latter showed less cancerous tendency. A20 bound p53 to form complexes in colon cancer tissue and colon polyps. Over expression of A20 suppresses P53 protein levels in the HEK293 cells.
A20 may play an important role in the cancerous tendency of colon polyposis.
- Ubiquitin E3 ligase A20
- P53 protein
- Colon polyp
Colon cancer is one of the leading causes of human death in the world [1, 2]. The study in the pathogenesis of colon cancer advanced rapidly in recent years; still the etiology of colon cancer is unclear. The community based colon cancer screening contributes to the early diagnosis of colon cancer, which has markedly increased the therapeutic effect of colon cancer . The survival rate of colon cancer is affected by the local recurrence, lymphatic metastasis and hematogenous dissemination . Immune system and molecular deregulation are considered as important factors in tumor recurrence and tumor metastasis [5, 6].
Colon polyps are a common disorder in human. It is estimated, after 60 years of age, more than 50% people suffers from colon polyps . The phenotypes of colon polyps include hyperplastic polyps, inflammatory polyps and adenomas polyps. Certain types of colon polyps grow large and fast and become cancerous . Adenomas polyps account about 50% colon polyps . How the polyp epithelium differentiate into cancer tissue is still unclear.
P53 protein is a cancer suppressor protein; it is encoded by the TP53 gene in human. P53 protein is a crucial regulator of cell cycle and apoptotic process in the cell; it functions in the cancer prevention . The gene expression disorders of p53, including mutations in exon 7 , codon 245 , conserved areas , and the L3 structural domain , are associated with the pathogenesis of colon cancer. To date, the factors causing p53 suppression are still to be investigated.
Recent studies indicate the ubiquitin E3 ligase A20 (A20, in short) plays a critical role in the immune regulation as well as in associating with the pathogenesis of cancer . By promoting the tolerogenicity in dendritic cells, A20 plays a role in the induction of immune tolerance, which is a crucial drawback in cancer prevention in the body. A20 and other ubiquitin E3 ligases may be involved in the suppression of p53 function . In this study, we found that the adenomas and hyperplastic colon polyps had high levels of A20, which was significantly correlated with the tumorigenesis of colon polyps.
The antibodies of A20, p53 were purchased from Santa Cruz (Shanghai, China). The reagents for real time RT-PCR, Western blotting, A20 over expression and immune precipitation were purchased from Invitrogen (Shanghai, China). The HEK293 cells were purchased from China Cell Line (Shanghai, China). MG132 was purchased from Sigma Aldrich (Shanghai, China). Recombinant A20 and p53 proteins were purchased from R&D Systems (Shanghai, China).
Patients with colon cancer, non-cancer colon polyp and IBS (irritable bowel syndrome) were recruited into this study from 2005 to 2012 at our department. The diagnosis was carried out by their physicians and pathologists. After diagnosis, the colon polyps were removed by their surgeons under colonoscopy. The colon cancer tissue and polyp epithelium (dissected under an analytical microscope) were collected in the operation room. Biopsies from IBS patients were obtained under colonoscopy. The tissue was processed for the RNA and protein extraction immediately after collection; the extracts were stored at -80°C until use. The using human tissue in this study was approved by the Human Research Ethic Committee of the China PLA General Hospital. The written, informed consents were obtained from each patient.
All the patients with colon polyps were required to do follow-up visits every three months after the colonoscopy surgery.
Quantitative real time RT-PCR (qRT-PCR)
Total RNA was extracted from the collected cancer tissue and polyp epithelium using Trizol reagent according to the manufacturer’s instructions. Two micrograms of RNA were reversely transcribed in a 20 μl reaction using random primers and Transcriptor First Strand Synthesis kit. SYBR green-based qRT-PCR was performed with a Bio-Rad MiniOpticon™ Real-Time PCR Detection System. Expression of target genes was normalized to β-actin mRNA levels. The primers of A20 were: Forward: gagagcacaatggctgaaca; reverse: tccagtgtgtatcggtgcat (NCBI: NM_006290.2).
Equal amounts of total protein from each sample were separated using SDS–PAGE and transferred to nitrocellulose membranes. Membranes were then blocked with 5% skim milk in TBST (Tris-buffered saline with Tween) and incubated overnight with the primary antibodies (0.5-1 μg/ml) at 4°C. Following washes with TBST, the membranes were incubated with HRP-conjugated secondary antibodies for 1 h at room temperature. The detection was carried out using an enhanced chemiluminescence Western blotting system.
Enzyme-linked immunoassay (ELISA)
The protein extracts or an irrelevant protein (bovine serum albumin, BSA; using as negative controls), or recombinant A20 or p53 proteins, were added to micro plates at 20 μg/ml (0.1 ml/well) in duplicate; the plate was incubated overnight at 4°C. After blocking with 5% skim milk for 1 h, the first antibodies against the target proteins was added to the wells (at 10 ng/ml; incubated for 1 h), and followed by incubating with horseradish peroxidase (HRP)-conjugated secondary antibodies (5 ng/ml; incubated for 1 h)”. Washing with TBST was performed after each incubation. The formed immune complex in the plate was developed by adding 3,3',5,5'-Tetramethylbenzidine (TMB) for 20 min; the reaction was stopped by adding 25 μl 2 M H2SO4. The optical density (OD) of each well was determined by a micro plate reader (Bio Tek, Shanghai, China). The OD value of the negative controls was subtracted from the OD values of each sample well. The results were calculated against the standard curves. The sensitive limit for A20 was 2 pg/ml, and 5 pg/ml for p53 respectively.
The colon tissue was obtained from 10 colon cancer patients and 10 IBS patients. The samples were processed for cryosections and stained with anti-A20 antibodies. The samples were observed with a confocal microscope. Isotype IgG was used as a negative control.
Overexpression of A20
DNA fragments encoding A20 were generated by polymerase chain reaction (PCR) using the human source (NCBI: NM_006290.2) sense primer (5′-cttaacggatcc gccacc tgccttgaccaggacttggg-3′) and antisense primer (5′-ggtggcgaccggt taatgttgactcttgtgaaa-3′) (ggatcc: BamHI; accggt: AgeI; gccacc: Kozak sequence). DNAs were gel purified and ligated into BamH I/Age1-digested pcDNA3.1. The A20-plasmid was designated as the pA20. HEK293 cells were transfected with pA20 or control plasmid (cpA20; containing no A20 sequence) respectively, using the Lipofectamine 2000 according to the manufacturer’s protocols. On the next day, the cells were treated with 50 μg/ml ampicillin and exposed to fresh media containing the same concentration of ampicillin every 3 days for 2-3 weeks. Individual drug-resistant clones were collected and expanded for further identification.
Immunoprecipitation was performed to detect the complexes of A20/p53 using the Dynabeads® Protein G Immunoprecipitation Kit according to the manufacturer’s instruction. The precipitation antibodies were either anti-A20, or anti-p53, or isotype IgG. Proteins in the immunoprecipitations were separated by SDS-PAGE. The membrane was stained with either anti-A20 or anti-p53.
All data were expressed as mean ± SD. The means were compared between groups with one-way analysis of variance (ANOVA) and the Student t test. p value <0.05 was considered significant.
High levels of A20 and low levels of p53 in colon cancer
Demographic data of pateitns with colon cancer
Number of patients
56.3 ± 12.6
Levels of A20 and p53 are correlated with recurrence of colon polyp
Colon polyps with high levels of A20 show tumorigenic tendency
Demographic data of patients with colon polyp
Number of patients
Developed into cancer
45.6 ± 14.5
A20 binds p53 protein in colon cancer
A20 suppresses p53 protein
The present study reports that high levels of A20 and low levels of p53 were detected in colon cancer tissue and colon polyps. The levels of A20 were significantly correlated with the cancerous tendency of colon polyps. By immune precipitation assay, we noted that A20 bound to p53 to form a complex. Over expression of A20 significantly suppressed the expression of p53 in the cells. It is well documented that colon polyps have high tendency of tumorigenesis. After removing by surgery, adenomas and hyperplastic colon polyps relapse often; some of them eventually develop into colon cancer [19–21]. Our data are in line with the previous studies [19–21] by showing that more than 70% adenomas type of colon polyps developed into colon cancer. The hyperplastic colon polyps also have a high cancerous tendency as observed in the present study. Among the recruited patients, more than 50% colon polyps are inflammatory phenotype; these colon polyps contain less A20 as compared to other two phenotypes; also the cancerous rate is much less.
Based on published data, A20 plays a role in the immune regulation. The well-documented role of A20 in the immune regulation is that A20 inhibits NF-κB activation . NF-κB functions as an oncogene and the link between inflammation and cancer . Other reports indicate that A20 plays an important role in the induction of immune tolerance [24, 25]. It seems that A20 has multiple functions depending on the cell types and the micro environment. Recent reports indicate that intestinal epithelial cells express A20, and A20 plays a critical role in epithelial cells’ basic functions such as the antigen processing and the barrier function [26, 27]. Considering that the original lesion location of colon cancer and polyp is colon epithelial cells, we inferred that A20 may play a role in these diseases. The results have confirmed our hypothesis. High levels of A20 were detected in colon cancer and colon polyp epithelium. The levels of A20 were correlated with the tumorigenesis of colon polyps.
P53 protein is a critical molecule in the maintenance of the cell homeostasis and prevention of tumorigenesis. Cumulative reports have revealed that the expression of p53 is suppressed in cancer tissue . The TP53 gene mutation is suggested as an important factor in the dysfunction of p53 that leads to tumorigenesis . Our study has expanded the studies of the p53 expression by showing that the A20 binds to p53 to form complexes in colon cancer tissue and colon polyp epithelium. Such a binding leads to the suppression of p53 expression in the cells. On the other hand, MDM2 (Mouse double minute 2 homolog) is a known E3 ligase for p53. The function and regulation of MDM2 as a component of a p53-dependent negative feedback loop has formed a core paradigm in the p53 field . Do MDM2 and A20 play redundant roles in human colon cancer and colon polyps is an interesting point to be further investigated.
High levels of A20 in colon cancer tissue and colon polyp epithelium. Colon polyp epithelium with high A20 levels has the cancerous tendency.
JL, SY, ZW and XC performed the experiments, analyzed experimental data and reviewed the manuscript. ZZ designed the project, supervised the experiments and wrote the paper. All authors read and approved the final manuscript.
- Jemal A, Siegel R, Ward E, Hao Y, Xu J, Thun MJ: Cancer Statistics, 2009. CA Canc J Clin. 2009, 59: 225-249. 10.3322/caac.20006.View ArticleGoogle Scholar
- Edwards BK, Ward E, Kohler BA, Eheman C, Zauber AG, Anderson RN, Jemal A, Schymura MJ, Lansdorp-Vogelaar I, Seeff LC, van Ballegooijen M, Goede SL, Ries LAG: Annual report to the nation on the status of cancer, 1975-2006, featuring colorectal cancer trends and impact of interventions (risk factors, screening, and treatment) to reduce future rates. Cancer. 2010, 116: 544-573. 10.1002/cncr.24760.PubMed CentralView ArticlePubMedGoogle Scholar
- Richards CA, Kerker BD, Thorpe L, Olson C, Krauskopf MS, Silver LS, Weber TK, Winawer SJ: Increased Screening Colonoscopy Rates and Reduced Racial Disparities in the New York Citywide Campaign: An Urban Model. Am J Gastroenterol. 2011, 106: 1880-1886. 10.1038/ajg.2011.191.View ArticlePubMedGoogle Scholar
- Weir HK, Thun MJ, Hankey BF, Ries LAG, Howe HL, Wingo PA, Jemal A, Ward E, Anderson RN, Edwards BK: Annual Report to the Nation on the Status of Cancer, 1975Γ€“2000, Featuring the Uses of Surveillance Data for Cancer Prevention and Control. J Natl Canc Inst. 2003, 95: 1276-1299. 10.1093/jnci/djg040.View ArticleGoogle Scholar
- Arya M, Patel HRH, Williamson M: Chemokines: key players in cancer. Curr Med Res Opin. 2003, 19: 557-564. 10.1185/030079903125002216.View ArticlePubMedGoogle Scholar
- Hu B, Elinav E, Flavell RA: Inflammasome-mediated suppression of inflammation-induced colorectal cancer progression is mediated by direct regulation of epithelial cell proliferation. Cell Cycle. 2011, 10: 1936-1939. 10.4161/cc.10.12.16008.View ArticlePubMedGoogle Scholar
- Coe SGWM: Management of small and diminutive colorectal polyps: a review of the literature. Minerva Gastroenterol Dietol. 2011, 57: 167-176.PubMedGoogle Scholar
- Teriaky A, Driman DK, Chande N: Outcomes of a 5-year follow-up of patients with sessile serrated adenomas. Scand J Gastroenterol. 2012, 47: 178-183. 10.3109/00365521.2011.645499.View ArticlePubMedGoogle Scholar
- Miwa S, Mitomi H, Igarashi M, Kobayashi K, Katsumata T, Ihara A, Otani Y, Ojima T, Saigenji K: Clinicopathologic differences among subtypes of serrated adenomas of the colorectum. Hepatogastroenterology. 2005, 52: 437-440.PubMedGoogle Scholar
- Fu L, Lee CC: The circadian clock: pacemaker and tumour suppressor. Nat Rev Canc. 2003, 3: 350-361. 10.1038/nrc1072.View ArticleGoogle Scholar
- Iniesta P, Vega FJ, Caldés T, Massa M, de Juan C, Cerdán FJ, Sánchez A, López JA, Torres AJ, Balibrea JL, Benito M: p53 Exon 7 mutations as a predictor of poor prognosis in patients with colorectal cancer. Canc Lett. 1998, 130: 153-160. 10.1016/S0304-3835(98)00138-4.View ArticleGoogle Scholar
- Samowitz WS, Curtin K, Ma K, Edwards S, Schaffer D, Leppert MF, Slattery ML: Prognostic significance of p53 mutations in colon cancer at the population level. Int J Canc. 2002, 99: 597-602. 10.1002/ijc.10405.View ArticleGoogle Scholar
- Jernvall P, Mäkinen M, Karttunen T, Mäkelä J, Vihko P: Conserved region mutations of the p53 gene are concentrated in distal colorectal cancers. Int J Canc. 1997, 74: 97-101. 10.1002/(SICI)1097-0215(19970220)74:1<97::AID-IJC17>3.0.CO;2-F.View ArticleGoogle Scholar
- Børresen-Dale AL, Lothe RA, Meling GI, Hainaut P, Rognum TO, Skovlund E: TP53 and long-term prognosis in colorectal cancer: mutations in the L3 zinc-binding domain predict poor survival. Clin Canc Res. 1998, 4: 203-210.Google Scholar
- Wang M, Li S: Bladder Polypoid Cystitis-Derived A20 Associates with Tumorigenesis. Cell Biochem Biophys. 2013, 66: 1-5. 10.1007/s12013-012-9390-x.View ArticleGoogle Scholar
- Vucic D, Dixit VM, Wertz IE: Ubiquitylation in apoptosis: a post-translational modification at the edge of life and death. Nat Rev Mol Cell Biol. 2011, 12: 439-452. 10.1038/nrm3143.View ArticlePubMedGoogle Scholar
- Byrne WL, Mills KHG, Lederer JA, O’Sullivan GC: Targeting Regulatory T Cells in Cancer. Canc Res. 2011, 71: 6915-6920. 10.1158/0008-5472.CAN-11-1156.View ArticleGoogle Scholar
- Hymowitz SG, Wertz IE: A20: from ubiquitin editing to tumour suppression. Nat Rev Canc. 2010, 10: 332-341. 10.1038/nrc2775.View ArticleGoogle Scholar
- Bobe G, Murphy G, Albert PS, Sansbury LB, Lanza E, Schatzkin A, Cross AJ: Dietary lignan and proanthocyanidin consumption and colorectal adenoma recurrence in the Polyp Prevention Trial. Int J Canc. 2012, 130: 1649-1659. 10.1002/ijc.26184.View ArticleGoogle Scholar
- Burnett-Hartman AN, Newcomb PA, Phipps AI, Passarelli MN, Grady WM, Upton MP, Zhu LC, Potter JD: Colorectal Endoscopy, Advanced Adenomas, and Sessile Serrated Polyps: Implications for Proximal Colon Cancer. Am J Gastroenterol. 2012, 107: 1213-1219. 10.1038/ajg.2012.167.PubMed CentralView ArticlePubMedGoogle Scholar
- Messick CA, Church J, Bennett A, Kalady MF: Serrated polyps: new classifications highlight clinical importance. Colorectal Dis. 2012, 14: 1328-37. 10.1111/j.1463-1318.2012.03067.x.View ArticlePubMedGoogle Scholar
- Shembade N, Harhaj EW: Regulation of NF-[kgr]B signaling by the A20 deubiquitinase. Cell Mol Immunol. 2012, 9: 123-130. 10.1038/cmi.2011.59.PubMed CentralView ArticlePubMedGoogle Scholar
- DiDonato JA, Mercurio F, Karin M: NF-kappa B and the link between inflammation and cancer. Immunol Rev. 2012, 246: 379-400. 10.1111/j.1600-065X.2012.01099.x.View ArticlePubMedGoogle Scholar
- Hammer GE, Turer EE, Taylor KE, Fang CJ, Advincula R, Oshima S, Barrera J, Huang EJ, Hou B, Malynn BA, Reizis B, DeFranco A, Criswell LA, Nakamura MC, Ma A: Expression of A20 by dendritic cells preserves immune homeostasis and prevents colitis and spondyloarthritis. Nat Immunol. 2011, 12: 1184-1193. 10.1038/ni.2135.PubMed CentralView ArticlePubMedGoogle Scholar
- Kool M, van-áLoo G, Waelput W, De-áPrijck S, Muskens F, Sze M, van-áPraet J, Branco-Madeira F, Janssens S, Reizis B, Elewaut D, Beyaert R, Hammad H, Lambrecht B: The Ubiquitin-Editing Protein A20 Prevents Dendritic Cell Activation, Recognition of Apoptotic Cells, and Systemic Autoimmunity. Immunity. 2011, 35: 82-96. 10.1016/j.immuni.2011.05.013.View ArticlePubMedGoogle Scholar
- Song CH, Liu ZQ, Huang S, Zheng PY, Yang PC: Probiotics promote endocytic allergen degradation in gut epithelial cells. Biochem Biophys Res Commun. 2012, 426: 135-140. 10.1016/j.bbrc.2012.08.051.View ArticlePubMedGoogle Scholar
- Huang P, Geng XR, Yang G, Chen C, Liu Z, Yang PC: Ubiquitin E3 Ligase A20 Contributes to Maintaining Epithelial Barrier Function. Cell Physiol Biochem. 2012, 30: 702-710. 10.1159/000341450.View ArticlePubMedGoogle Scholar
- Arriaga JM, Bravo IA, Bruno L, Morales Bayo S, Hannois A, Sanchez Loria F, Pairola F, Huertas E, Roberti MP, Rocca YS, Aris M, Barrio MM, Baffa Trasci S, Levy EM, Mordoh J, Bianchini M: Combined metallothioneins and p53 proteins expression as a prognostic marker in patients with Dukes stage B and C colorectal cancer. Hum Pathol. 2012, 43: 1695-1703. 10.1016/j.humpath.2011.12.014.View ArticlePubMedGoogle Scholar
- Wade M, Li YC, Wahl GM: MDM2, MDMX and p53 in oncogenesis and cancer therapy. Nat Rev Canc. 2013, 13: 83-96. 10.1038/nrc3430.View ArticleGoogle Scholar
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