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Trop-2, Na+/K+ ATPase, CD9, PKCα, cofilin assemble a membrane signaling super-complex that drives colorectal cancer growth and invasion

Abstract

Trop-2 is a transmembrane signal transducer that is overexpressed in most human cancers, and drives malignant progression. To gain knowledge on the higher-order molecular mechanisms that drive Trop-2 signaling, we applied next-generation sequencing, proteomics, and high-resolution microscopy to models and primary cases of human colorectal cancer (CRC). We had previously shown that Trop-2 induces a Ca2+ signal. We reveal here that Trop-2 binds the cell membrane Na+/K+-ATPase, and that clustering of Trop-2 induces an intracellular Ca2+ rise followed by membrane translocation of PKCα, which in turn phosphorylates the Trop-2 cytoplasmic tail. This feed-forward signaling is promoted by the binding of Trop-2 to the PKCα membrane-anchor CD9. CRISPR-based inactivation of CD9 in CRC cells shows that CD9 is required by Trop-2 for recruiting PKCα and cofilin-1 to the cell membrane. This induces malignant progression through proteolytic cleavage of E-cadherin, remodeling of the β-actin cytoskeleton, and activation of Akt and ERK. The interaction between Trop-2 and CD9 was validated in vivo in murine models of CRC growth and invasion. Overexpression of the components of this Trop-2-driven super-complex significantly worsened disease-free and overall survival of CRC patients, supporting a pivotal relevance in CRC malignant progression. Our findings demonstrate a previously unsuspected layer of cancer growth regulation, which is dormant in normal tissues, and is activated by Trop-2 in cancer cells.

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Fig. 1: Trop-2 induces intracellular Ca2+ rise through Na+/K+-ATPase.
Fig. 2: The Trop-2 cytoplasmic tail is required for PKCα recruitment to the cell membrane but not for intracellular Ca2+ rise.
Fig. 3: The Trop-2/PKCα feed-forward signaling.
Fig. 4: Trop-2 modulates cytoskeletal dynamics and interacts with CD9 at the cell membrane.
Fig. 5: CD9 is an obligate mediator of Trop-2 signaling.
Fig. 6: The Trop-2-centered growth control module.
Fig. 7: Expression of the Trop-2-driven super-complex correlates with the clinical outcome of patients with CRC.

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Acknowledgements

We thank G. Vacca, F. Dini, E. Eleuterio, and S. Angelucci for help during the course of this work. We also thank C. Berrie for language editing of the paper.

Funding

Italian Ministry of Health (RicOncol RF-EMR-2006-361866), Italian Ministry of Development—FESR 2016–2018. SSI000651, art. 69 Reg. (CE) n. 1083/2006 and Reg. (CE) n. 1828/2006, Region Abruzzo (POR FESR 2007–2013: Activity 1.1.1 line B) C78C14000100005, Oncoxx Biotech, Italy and Marie Curie Transfer of Knowledge Fellowship—EC VI Framework Program (Contract 014541) to SA. Programma Per Giovani Ricercatori “Rita Levi Montalcini”, Italian Ministry of University and Research (Grant PGR12I7N1Z) to MT. EG is an inventor in patents WO201687651 and WO201784763, and a partner in Mediterranea Theranostic Srl. MT is an inventor in patent WO201784763. SA is an inventor in patents WO201089782, WO201687651, and WO201784763, and is founder and CEO of Oncoxx Biotech Srl and Mediterranea Theranostic Srl. VR was an employee of Oncoxx Biotech Srl. PS is an inventor in a patent application under consideration (EP3546948).

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MT, VR, RT, AS, KH, PS, EG, MC, and and ALA performed the biochemical and functional assays; RLS, RL, NT, and MP collected the human tumor samples, assembled tissue microarrays, and performed IHC analysis; DV. performed the 2D-PAGE and the NanoLC-MS/MS assays; DV, IF, and MS analyzed the data from NanoLC and MS/MS assays; MT and SA planned the study and wrote the paper.

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Correspondence to Marco Trerotola or Saverio Alberti.

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The authors declare no competing interests.

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All procedures involving animal care were approved by the Interuniversity Animal Research Ethics Committee (CEISA), Chieti-Pescara and Teramo Universities (Prot. 26/2011/CEISA/PROG/16), and were conducted in compliance with consensus international protocols (D.L. No. 116, G.U. Feb. 18,1992; No. 8, G.U. July, 1994; UKCCCR Guidelines for the Welfare of Animals in Experimental Neoplasia; EEC Council Directive 86/609, Dec. 12,1987; Guide for the Care and Use of Laboratory Animals, US-NRC,1996). Studies on human tumor samples were approved by the Italian Ministry of Health (RicOncol RF-EMR-2006-361866).

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Guerra, E., Relli, V., Ceci, M. et al. Trop-2, Na+/K+ ATPase, CD9, PKCα, cofilin assemble a membrane signaling super-complex that drives colorectal cancer growth and invasion. Oncogene 41, 1795–1808 (2022). https://doi.org/10.1038/s41388-022-02220-1

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