All trans-retinoic acid analogs promote cancer cell apoptosis through non-genomic Crabp1 mediating ERK1/2 phosphorylation
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OPEN
received: 09 November 2015
accepted: 11 February 2016
Published: 03 March 2016
All trans-retinoic acid analogs
promote cancer cell apoptosis
through non-genomic Crabp1
mediating ERK1/2 phosphorylation
Shawna D. Persaud1,*, Sung Wook Park1,*, Mari Ishigami-Yuasa2, Naoko Koyano-Nakagawa3,
Hiroyuki Kagechika2 & Li-Na Wei1
All trans retinoic acid (atRA) is one of the most potent therapeutic agents, but extensive toxicity caused
by nuclear RA receptors (RARs) limits its clinical application in treating cancer. AtRA also exerts nongenomic activities for which the mechanism remains poorly understood. We determine that cellular
retinoic acid binding protein 1 (Crabp1) mediates the non-genomic activity of atRA, and identify two
compounds as the ligands of Crabp1 to rapidly and RAR-independently activate extracellular signal
regulated kinase 1/2 (ERK1/2). Non-canonically activated ERK activates protein phosphatase 2A (PP2A)
and lengthens cell cycle duration in embryonic stem cells (ESC). This is abolished in Crabp1-null ESCs.
Re-expressing Crabp1 in Crabp1-negative cancer cells also sensitizes their apoptotic induction by atRA.
This study reveals a physiological relevance of the non-genomic action of atRA, mediated by Crabp1,
in modulating cell cycle progression and apoptosis induction, and provides a new cancer therapeutic
strategy whereby compounds specifically targeting Crabp1 can modulate cell cycle and cancer cell
apoptosis in a RAR-independent fashion, thereby avoiding atRA’s toxicity caused by its genomic effects.
All-trans retinoic acid (atRA), the active ingredient of Vitamin A, affects diverse biological processes including development, growth, immune function, neural function, reproduction, and vision. Like other steroid hormones, atRA elicits genomic action via its nuclear receptors retinoic acid receptors (RARs) and non-genomic
action. The non-genomic mediator of atRA and its mechanism of action remain poorly understood. For estrogens, studies reported membrane-associated estrogen receptor (ER) as the principal endogenous mediator for
their non-genomic action1–3. For thyroid hormones, a study reported a yet-to-be identified membrane-localized
receptor for its non-genomic action modulating nitrate oxide synthase, guanylyl cyclase and protein kinase GII4.
Interestingly, glucocorticoids can involve a membrane-bound glucocorticoid receptor (GR) and a non-classical
membrane GR that is a glycoprotein5 for non-genomic activities.
Typical genomic action of steroid hormones occurs after a time lag of several hours, and alters target gene
expression lasting for an extended period of time6. On the contrary, non-genomic steroid actions such as thyroid hormone occur much faster, ranging from minutes to seconds, and can affect multiple signaling pathways6.
However, the physiological implication of these non-genomic actions has been debated. Most critically, a lack of
specific ligands that can selectively elicit the “non-genomic” action of these hormones without acting on their
nuclear receptors has prevented a validation of these studies and hindered the progress in the field. For atRA,
non-genomic action has been reported in multiple studies7, such as activating PKCα 8, binding to membrane RAR
to affect neuron spine formation9, and rapidly activating extracellular signal regulated kinase 1/2 (ERK1/2)10,11.
ERK activation by atRA has been most widely detected in different experimental model systems. This current
study establishes a physiological role for Crabp1 in mediating the non-genomic activities of atRA, and identifies
specific ligands for Crabp1 that can elicit atRA’s non-genomic actions without involving RARs.
1
Department of Pharmacology University of Minnesota, Minneapolis, MN 55455, USA. 2Tokyo Medical and Dental
University (TMDU), Institute of Biomaterials and Bioengineering, 2-3-10 Kanda-Surugadai, Chiyoda-ku, Tokyo 1010062, JAPAN. 3Department of Medicine, University of Minnesota, MN 55455, USA. *These authors contributed
equally to this work. Correspondence and requests for materials should be addressed to L.-N.W. (email: weixx009@
umn.edu)
Scientific Reports | 6:22396 | DOI: 10.1038/srep22396
1
www.nature.com/scientificreports/
Figure 1. RAR-independent, rapid activation of ERK1/2 by compounds 3 and 4. (A) Structure of
compounds. (B) Activation of ERK1/2 in Cos-1 assessed by western blot analyses under 100 nM for 30 min.
Upper band depicts ERK1 (44 kDa) and lower band depicts ERK2 (42 kDa). (C) Compounds 3 and 4 do not
activate RAR activity as detected by RAR reporter assay performed in Cos-1 cells treated with compounds at
250 nM for 24 hrs. (D) Pan-RAR antagonist AGN 193109 (100 nM, 1 hr pretreatment) fails to block rapid ERK
activation in Cos-1 cells. Data (B–D) are representative of at least 3 independent experiments. (E) In vitro
competition assay to displace 3H-atRA from Crabp1 by atRA, C3, and C4. Data is displayed as counts per minute
(CPM). Asterisk shows significance: RA (p < 0.001), C3 (p = 0.023) and C4 (p = 0.014) versus control, and
mean ± S.E.M (n = 4).
The non-genomic effects of atRA are particularly interesting in a stem cell context such as embryonic stem
cells (ESCs) and cancer cells. Maintaining their self-renewal requires a tight control over cell cycle progression
that ultimately governs cell proliferation, differentiation, senescence and apoptosis12. It is known that during
differentiation protein phosphatase 2A (PP2A) activity gradually increases; and inhibiting PP2A promotes ESC
self-renewal12. Interestingly, in this current study we identify PP2A as a target of non-genomic ERK1/2 activation,
elicited by holo-Crabp1, in ESC.
From a translational point of view, atRA can be a potent therapeutic for various diseases because of its
anti-proliferative, anti-oxidative, pro-apoptotic, and differentiation-inducing activities. It has been most successful in treating acute promyelocytic leukemia13. In animal models of skin, oral, lung, breast, bladder, ovarian, and
prostate cancers, atRA has also been found to suppress carcinogenesis14–19. In various human clinical trials to
prevent oral, head and neck, non-melanoma skin cancers, breast, cervical, and hepatocellular carcinoma, retinoids were a highly promising category of compounds that have been investigated20. However, toxic side effects
and retinoic acid syndrome have drastically limited clinical use of these compounds. These toxicities are mainly
attributed to retinoids’ canonical, genomic actions through binding to RARs21. Furthermore, at therapeutic doses
atRA loses efficacy as RA resistance develops. RA resistance currently is attributed to RAR action and hinders
therapeutic potential of retinoid compounds22,23. An important question is, whether it is possible to elicit certain desirable effects of retinoids without activating the wide spectrum RAR-mediated genomic actions. To this
end, this study reports two compounds that act specifically (...truncated)