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AMPKα2 Regulates Bladder Cancer Growth through SKP2-Mediated Degradation of p27
Stavros Kopsiaftis1,2, Katie L Sullivan1,2, Isha Garg1,2
1Center for Vascular Biology, University of Connecticut Health Center, Farmington Connecticut.
Abstract:
AMP-activated protein kinase (AMPK) is the central metabolic regulator of the cell and controls energy consumption based upon nutrient availability. Due to its role in energy regulation, AMPK has been implicated as a barrier for cancer progression and is suppressed in multiple cancers. To examine whether AMPK regulates bladder cancer cell growth, HTB2 and HT1376 bladder cells were treated with an AMPK activator, 5-aminoimidazole-4-carboxamide ribonucleotide (AICAR). AICAR treatment reduced proliferation and induced the expression of p27Kip1 (CDKN1B), which was mediated through an mTOR-dependent mechanism. Interestingly, AMPKα2 knockdown resulted in reduced p27 levels, whereas AMPKα1 suppression did not. To further determine the exact mechanism by which AMPKa2 regulates p27, HTB2 and HT1376 cells were transduced with an shRNA targeting AMPKα2. Stable knockdown of AMPKα2 resulted in increased proliferation and decreased p27 protein. The reduced p27 protein was determined to be dependent upon SKP2. Additionally, loss of AMPKα2 in a xenograft and a chemical carcinogen model of bladder cancer resulted in larger tumors with less p27 protein and high SKP2 levels. Consistent with the regulation observed in the bladder cancer model systems, a comprehensive survey of human primary bladder cancer clinical specimens revealed low levels of AMPKα2 and p27 and high levels of SKP2.
Implications:
These results highlight the contribution of AMPKα2 as a mechanism for controlling bladder cancer growth by regulating proliferation through mTOR suppression and induction of p27 protein levels, thus indicating how AMPKα2 loss may contribute to tumorigenesis. Mol Cancer Res; 14(12); 1182-94. ©2016 AACR.
Insights
AMP-activated protein kinase alpha 2 (AMPKα2) suppresses bladder cancer growth by regulating proliferation via mTOR and p27 protein levels. Loss of AMPKα2 promotes tumor development, indicating its potential as a therapeutic target.
Area of Science:
- Cellular metabolism and cancer biology
- Oncology and molecular mechanisms of tumorigenesis
Background:
- AMP-activated protein kinase (AMPK) is a key metabolic regulator, often suppressed in cancers.
- AMPK's role in bladder cancer progression and its specific isoforms require further elucidation.
Purpose of the Study:
- To investigate the role of AMPK in regulating bladder cancer cell growth.
- To determine the specific AMPK isoform involved in controlling proliferation and p27 protein levels.
Main Methods:
- Treatment of bladder cancer cells (HTB2, HT1376) with an AMPK activator (AICAR).
- Knockdown of AMPKα1 and AMPKα2 using shRNA in cell lines.
- Analysis of proliferation, p27Kip1 (CDKN1B) and SKP2 protein levels.
- Evaluation in xenograft and chemical carcinogen bladder cancer models.
- Assessment of human primary bladder cancer specimens.
Main Results:
- AICAR treatment reduced bladder cancer cell proliferation and increased p27Kip1 via mTOR.
- AMPKα2 knockdown, but not AMPKα1, led to increased proliferation and decreased p27 protein.
- Reduced p27 was dependent on SKP2, with high SKP2 levels observed upon AMPKα2 loss.
- Loss of AMPKα2 in vivo resulted in larger tumors with reduced p27 and elevated SKP2.
- Human bladder tumors showed low AMPKα2 and p27, and high SKP2 levels.
Conclusions:
- AMPKα2 controls bladder cancer growth by suppressing proliferation through mTOR and inducing p27.
- Loss of AMPKα2 function contributes to bladder cancer development.
- AMPKα2 is a potential therapeutic target for bladder cancer treatment.
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