HepaCAM (GlialCAM) is frequently deleted in carcinomas, and reintroduction of hepaCAM into transformed cell lines reduces cellular growth and induces senescence. Mutations in HEPACAM give rise to the neurodegenerative disease megalencephalic leukoencephalopathy with subcortical cysts (MLC) since mutated hepaCAM prevents shuttling of MLC1 protein to astrocytic junctions in the plasma membrane. Here we identify that hepaCAM associates with connexin 43, a main component of gap junctions, and enhances connexin 43 localization to the plasma membrane at cellular junctions. HepaCAM also increases the levels of connexin 43, not by enhancing its transcription but by stabilizing connexin 43 protein. In the absence of hepaCAM, connexin 43 undergoes a faster degradation via the lysosomal pathway while proteasomal degradation seems not to be involved. Mutations in hepaCAM that cause MLC, or neutralization of hepaCAM by antibodies disrupt its association with connexin 43 at cellular junctions. By discovering the requirement of hepaCAM for localizing connexin 43, a well-established tumor suppressor, to cellular junctions and stabilizing it there, this study suggests a mechanism by which deletion of hepaCAM may support tumor progression.
Cell adhesion molecules (CAMs) are cell surface proteins that mediate cell-extracellular matrix (ECM) and cell-cell interactions. These molecules with tightly-regulated expression are essential for the development and maintenance of tissue architecture. Besides mediating cell adhesion, there is increasing evidence that CAMs also function as receptors which modulate signal transduction in many cellular processes including proliferation, apoptosis, migration and differentiation. Deregulation of these biological processes in malignant tumors has been associated with the aberrant expression of CAMs, demonstrating that alterations in CAMs play a pivotal role in cancer development and progression1,2.
HepaCAM was first identified as a cell adhesion molecule which is frequently downregulated in hepatocellular carcinoma3. HepaCAM is a member of the immunoglobulin superfamily and consists of an extracellular domain with two immunoglobulin loops, a transmembrane segment and a cytoplasmic tail4.
HepaCAM has been found to be downregulated in hepatocellular carcinoma, and reexpression of hepaCAM in hepaCAM-negative hepatocellular carcinoma cells inhibits their growth3 which is characteristic of a tumor suppressor. Similar data have been obtained for many other solid cancers. HepaCAM is suppressed in carcinomas of the breast, kidney, colon, rectum and stomach5. HepaCAM reexpressed in renal carcinoma and breast cancer cells inhibited cell proliferation and colony formation, and induced cell senescence5,6,7,8. In bladder cancer, it has been found that the expression of hepaCAM is silenced by hypermethylation, and reversal of hypermethylation by inhibiting DNA methyltransferases led to the reexpression of hepaCAM and reduction in cell growth9,10,11. Further, hepaCAM expression has been shown to induce differentiation of glioblastoma cells12. In addition, hepaCAM regulates cell adhesion and migration3,4,13,14, processes which are essential for normal development and metastasis.
HepaCAM was also discovered in the central nervous system (CNS) where it was called GlialCAM15. HepaCAM associates with MLC1, and is required to shuttle MLC1 to the cell membrane where it localizes to cellular junctions. Mutations in either gene, HEPACAM or MLC1, lead to the development of the neurodegenerative disease megalencephalic leukoencephalopathy with subcortical cysts (MLC)16. HepaCAM also associates with the chloride channel ClC-217.
In this study we demonstrate that hepaCAM associates with the major gap junction protein connexin 43 and shuttles it to cellular junctions on the cell surface. Further, hepaCAM stabilizes connexin 43 protein at cellular junctions. Antagonistic anti-hepaCAM antibodies and hepaCAM mutations that cause MLC also prevent its association with connexin 43. Since connexin 43 has anti-tumor activity, its regulation by hepaCAM may explain the anti-tumor activity of hepaCAM.
HepaCAM associates with connexin 43 and regulates its localization and expression
Since hepaCAM has been shown to associate with MLC1, a gap junction protein16, we hypothesized that hepaCAM may also associate with connexin 43 a component of gap junctions. Indeed, the two proteins colocalized at cell-cell contacts of U373 MG cells as shown by confocal microscopy (Fig. 1A). Connexin 43 is predominantly localized intracellularly in U373 MG cells. Expression of WT hepaCAM redistributed connexin 43 to the cell surface, particularly to sites of cell-cell contacts, where colocalization of the two molecules was detected (Fig. 1A). Since mutations in hepaCAM can cause the disease MLC, we also investigated the effects of mutations on connexin 43 localization. We selected two naturally occurring mutations, R92Q and R92W, in the hepaCAM extracellular domain, specifically in the first Ig-like domain. These two mutations not only cause MLC but also diminished the colocalization with connexin 43 at cell-cell contacts (Fig. 1A).
The physical interaction of WT hepaCAM and connexin 43 was verified by a co-immunoprecipitation assay (Fig. 1B). The R92Q and R92W mutations, however, diminished the physical association of hepaCAM and connexin 43 since the two proteins could hardly be co-precipitated when carrying one of the two mutations (Fig. 1C).
The confocal staining of connexin 43 in the hepaCAM-transfected cells indicated not only a cellular redistribution of connexin 43 by hepaCAM but also an induction of connexin 43 expression (Fig. 1A). An enhancement of connexin 43 expression by WT hepaCAM was confirmed by Western blot analysis (Fig. 1D,E). However, the two hepaCAM mutations, especially R92Q, were less effective in enhancing connexin 43 expression (Fig. 1D,E).
Similar to the mutations in hepaCAM, neutralization of hepaCAM by an antibody diminished its colocalization with connexin 43 at cell-cell contacts (Fig. 2A). In addition, anti-hepaCAM antibody treatment resulted in decreased connexin 43 protein levels (Fig. 2B). The reduction in connexin 43 levels in U373 MG cells by neutralization of hepaCAM appears to be stronger in the confocal images compared to the Western blot. This is possibly due to lesser connexin 43 clustering at the cell membrane in the presence of the anti-hepaCAM antibody, which affects the intensity of the confocal staining more than the signal on the Western blot. Wang and Rose18 had observed that a high expression of connexin 43 did not necessarily result in immunostaining for connexin 43 clusters at cell-cell contacts.
HepaCAM stabilizes connexin 43
The reduced connexin 43 levels in the absence of hepaCAM is consistent with the higher connexin 43 levels in cells expressing WT compared to mutated hepaCAM (Fig. 1D). However, the presence of hepaCAM did not enhance transcription of connexin 43 since connexin 43 mRNA levels did not differ between cells expressing no hepaCAM or WT or mutated hepaCAM (Fig. 3A), which suggests that hepaCAM stabilizes connexin 43 protein, or that hepaCAM induces a translation-mediated or posttranslational increase in connexin 43. To further assess whether hepaCAM influences connexin 43 protein stability, the kinetics of connexin 43 degradation were determined by a cycloheximide (CHX) chase experiment. Cells expressing WT hepaCAM had increased stability of connexin 43, as shown by its slower rate of degradation upon inhibition of translational elongation with CHX (Fig. 3B,C). The influence of hepaCAM on connexin 43 stability was supported by observations of enhanced connexin 43 protein levels in HEK293T cells transiently transfected with WT hepaCAM (Fig. 3D,E). Treatment with the lysosome inhibitor chloroquine led to a gradual increase in connexin 43 expression in control U373 MG cells (Fig. 3F), while treatment with the proteasome inhibitor MG132 had no effects (data not shown). This suggests that connexin 43 is predominantly degraded by the lysosomal pathway in U373 MG cells, and that hepaCAM expression slows down connexin 43 turnover via this pathway.
HepaCAM has been identified as a tumor suppressor3. But the underlying mechanism(s) of hepaCAM-mediated suppression of cancer cell growth is largely unknown. A gene expression analysis of hepaCAM-expressing and control bladder cancer cells identified a large number of differentially regulated genes, indicating that hepaCAM may mediate its growth-inhibitory effect via multiple pathways19.
Connexin 43, like hepaCAM, has been identified as a tumor suppressor protein20,21. Both molecules are frequently downregulated in cancers and exert growth-inhibitory activities. In addition, several studies have also shown an abnormal localization of connexin 43 in the cytoplasm of tumor cells, instead of the cell membrane22. As with previous studies23, a predominant localization of connexin 43 in the cytoplasm of glioblastoma cells was observed in this study. Since hepaCAM increases connexin 43 levels, and promotes its trafficking from the cytoplasm to cellular junctions, the deletion of either gene may have similar growth-promoting effects for cancer cells.
In the absence of hepaCAM, connexin 43 may become unstable or may cease to get shuttled from the cytoplasm to the plasma membrane, and therefore its amount gradually diminishes at cellular junctions, which may lead to reduced cell-cell communication (Fig. 4A,B). Connexin 43 is known to undergo rapid turnover24, either by the proteasomal and/or the lysosomal pathways25. We found connexin 43 expression to be increased in U373 MG cells expressing WT hepaCAM, which is not due to an increase in connexin 43 transcription, but due to a slower rate of turnover by the lysosomal pathway. The increased stability of connexin 43 protein depends on its interaction with hepaCAM, as treatment of cells with an antibody against the hepaCAM extracellular domain disrupts this interaction and causes a downregulation in connexin 43 expression. Similarly, the R92Q and R92W mutations in hepaCAM, which lead to a weaker interaction with connexin 43, did not enhance connexin 43 protein levels in U373 MG cells, unlike WT hepaCAM. This is in line with previous observations that the interaction of hepaCAM with MLC1 in rat astrocytes increases the protein stability of MLC126.
Neutralization of hepaCAM by antibodies (Fig. 4B) or inactivation by mutations (Fig. 4C) reduced not only expression of connexin 43 but also its localization at the plasma membrane. This is paralleled by the finding that hepaCAM ablation reduced expression of MLC1 at the plasma membrane26. Both MLC1 and connexin 43 are structural components of cellular junctions which implies that hepaCAM may be a general regulator of cellular junctions. Similarly, hepaCAM associates with the chloride channel ClC-2, and coexpression of hepaCAM with ClC-2 in HeLa cells led to an increased presence of ClC-2 on the plasma membrane17.
It had been found that it is the extracellular domain of hepaCAM that is necessary for its targeting to cell junctions, and for its interactions with itself and with MLC1 and ClC-227. This finding is in line with our data that the mutations as well as the monoclonal antibody that interrupt the association of hepaCAM with connexin 43 are located in or target the extracellular domain.
By discovering the requirement of hepaCAM for localizing connexin 43, a well-established tumor suppressor, to cellular junctions and stabilizing it there, this study identifies a mechanism by which deletion of hepaCAM may support tumor progression.
Materials and Methods
Cell culture and transfection
U373 MG glioblastoma cells (a kind gift from Dr. Celestial Yap, National University of Singapore) were maintained in F-12 medium (Life Technologies, Carlsbad, CA, USA) supplemented with 10% FBS (Biowest, Nuaille, France). Wild-type hepaCAM/GlialCAM (WT), GlialCAM-R92Q, and GlialCAM-R92W were cloned into the pcDNA3.1 vector (Life Technologies) 5′ to a FLAG epitope. Stable transfection of U373 MG cells was performed using Lipofectamine PLUS reagent (Life Technologies) according to the manufacturer’s instructions. Cells were selected in culture medium containing 800 μg/ml G418 (Sigma-Aldrich, St. Louis, MO, USA) for 2 weeks before cloning. Human embryonic kidney HEK293T cells (a kind gift from Dr. Paul MacAry, National University of Singapore) were maintained in in high glucose Dulbecco’s Modified Eagle Medium (DMEM; Sigma-Aldrich) supplemented with 10% FBS. Transient transfection of HEK293T cells was performed using Turbofect Transfection Reagent (Thermo Scientific, Rockford, IL, USA) according to the manufacturer’s instructions.
Treatment of cells with hepaCAM antibody
U373 MG cells stably expressing hepaCAM were treated overnight with a monoclonal antibody against the extracellular hepaCAM domain (clone 419305; R&D Systems, Minneapolis, MN, USA) at a concentration of 10 μg/ml. Mouse IgG1 (MOPC-21; Sigma-Aldrich) was used as an isotype control.
Cells were cultured on glass coverslips to 80% confluency, fixed with 4% paraformaldehyde and permeabilized with 0.2% Triton X-100. Non-specific sites were blocked with 1% BSA. Subcellular localization of hepaCAM was detected with a custom-made mouse monoclonal antibody against the cytoplasmic hepaCAM domain (GenScript, Piscataway, NJ, USA) or with an antibody against the extracellular hepaCAM domain (clone 419305), followed by Alexa Fluor 488 goat anti-mouse IgG (Life Technologies). Subcellullar localization of connexin 43 was detected with rabbit polyclonal anti-connexin 43 (clone 3512; Cell Signaling Technology, Danvers, MA, USA) and Alexa Fluor 594 goat anti-rabbit IgG (Life Technologies). Cells were counterstained with DAPI, and the coverslips were mounted onto glass slides for viewing with an Olympus FV1000 confocal laser scanning microscope.
Western blot analysis and co-immunoprecipitation
Cells were lysed in radioimmunoprecipitation assay (RIPA) buffer supplemented with a protease inhibitor cocktail (Sigma-Aldrich). For co-immunoprecipitation experiments, cells were lysed in lysis buffer (1% NP-40 in PBS) supplemented with protease inhibitors. The pre-cleared cell lysates (1 mg protein) were incubated with mouse anti-hepaCAM (clone 419305) or mouse IgG1 (MOPC-21) and protein G agarose beads (Thermo Scientific) overnight at 4 °C. The immunoprecipitates were washed four times with 1% NP-40 lysis buffer, re-suspended in Laemmli sample buffer and boiled for 10 min to elute the bound proteins. Protein samples were resolved by SDS-PAGE and transferred to PVDF membranes. Connexin 43 expression was detected with rabbit anti-connexin 43 (clone 3512). Expression of hepaCAM was detected with antibody against the extracellular hepaCAM domain (clone 419305) or with mouse anti-FLAG-horseradish peroxidase (HRP) antibody (clone 5A8E5; Genscript), where indicated. Mouse anti-GAPDH (Santa Cruz Biotechnology, Dallas, TX, USA) was used as a loading control. Bound unconjugated primary antibodies were detected with the appropriate HRP-conjugated secondary antibodies (Santa Cruz Biotechnology) and visualized by enhanced chemiluminescence (Thermo Scientific).
RNA isolation and RT-PCR
Total RNA was isolated with the RNeasy Mini Kit (Qiagen, Hilden, Germany) and subjected to on-column DNase digestion (Qiagen) to eliminate trace genomic DNA contamination. Semi-quantitative RT-PCR to determine connexin 43 mRNA expression was performed with the OneStep RT-PCR Kit (Qiagen). The primers for connexin 43 were 5′-GGG TTA AGG GAA AGA GCG ACC-3′ (sense) and 5′-CCC CAT TCG ATT TTG TTC TGC-3′ (antisense), as described previously by Eugenin et al.28. GAPDH was included as a housekeeping gene control. Reverse transcription of the RNA (0.5 μg) was carried out at 50 °C for 30 min, followed by incubation at 95 °C for 15 min to activate the HotStarTaq DNA polymerase. The PCR conditions used for the cDNA amplification were 94 °C for 30 s, 50 °C for 30 s, 72 °C for 1 min, for a total of 34 cycles. The RT-PCR products were subsequently resolved in 1.5% agarose gels.
Cycloheximide chase assay and treatment with chloroquine
To determine the stability of connexin 43 protein, cells were treated with 50 μg/ml cycloheximide (C4859; Sigma-Aldrich), a potent inhibitor of protein synthesis. At each time-point, cells were lysed with RIPA buffer supplemented with protease inhibitors. Cell lysates were analysed by Western blot and quantification of the bands was performed using the ImageJ software (National Institutes of Health, Bethesda, Maryland, USA).
To determine if connexin 43 is degraded by the lysosomal pathway, cells were treated with 50 μM of the lysosome inhibitor chloroquine (C6628; Sigma-Aldrich) and lysed with RIPA buffer supplemented with protease inhibitors at each time-point.
Statistical significance was determined by a two-tailed unpaired Student’s t-test, or one-way ANOVA. Values of p < 0.05 were considered significant.
How to cite this article: Wu, M. et al. HepaCAM associates with connexin 43 and enhances its localization in cellular junctions. Sci. Rep. 6, 36218; doi: 10.1038/srep36218 (2016).
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We thank Dr. Raúl Estévez, University of Barcelona, Spain for providing the hepaCAM mutations. We thank Ms. Lee Shu Ying and the Confocal Microscopy Unit of the Yong Loo Lin School of Medicine for their excellent technical assistance. This work was supported by a grant (EDG09may067) from the National Medical Research Council, Singapore.
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