SUMMARY
Prostate-Tumor-Overexpressed-1 (PTOV1) is a conserved adaptor protein discovered as
overexpressed in prostate cancer. Since its discovery, the number of binding partners
and associated cellular functions has increased and helped to identify PTOV1 as regulator
of gene expression at transcription and translation levels. Its overexpression is
associated with increased tumor grade and proliferation in prostate cancer and other
neoplasms, including breast, ovarian, nasopharyngeal, squamous laryngeal, hepatocellular
and urothelial carcinomas. An important contribution to higher levels of PTOV1 in
prostate tumors is given by the frequent rate of gene amplifications, also found in
other tumor types. The recent resolution of the structure by NMR of the PTOV domain
in PTOV2, also identified as Arc92/ACID1/MED25, has helped to shed light on the functions
of PTOV1 as a transcription factor. In parallel, by studying its interaction with
RACK1, we have discovered PTOV1 action in promoting mRNAs translation. Here, we will
focus on the role of PTOV1 in cancer, re-examine its pro-oncogenic effects and re-evaluate
the most relevant interactions and evidences of its cellular functions. The data are
used to formulate a model for the mechanisms of action of PTOV1 in line with its recently
described activities and cellular pathways modulated in cancer.
THE GENE STRUCTURE
Prostate Tumor Overexpressed-1 (PTOV1) was first described as gene and protein overexpressed
in prostate tumors and preneoplastic lesions of high grade intraepithelial neoplasia
(HGPIN) [1]. The gene was assigned to chromosome 19q13.3 by FISH analysis on human
metaphase chromosomes. This region harbors a large number of androgens modulated and
prostate cancer (PC) related genes, including the proteases prostate specific antigen,
kallikrein 1 (KLK1), kallikrein related peptidase 2 (KLK2) [2], the apoptotic regulator
BCL2 associated X (BAX) [3], kallikrein related peptidase 11 (TLSP) [4] or kallikrein
related peptidase 6 (Zyme/Neurosin) [5].
The gene PTOV1 spans 9.51 Kb and includes 12 exons of which exons 3 to 6 code for
the first PTOV homology block, or A domain, and exons 7 to 12 for the second block,
or B domain [1] (Figure 1A). At least two transcripts resulting from differential
splicing have been described: the first one includes 1,875 bps and translates for
a protein of 416 residues, the second one includes 1,539 bps and translate for protein
of 374 amino acids [6]. Two alternative splicing events at the 5’ and 3’ ends in the
latter transcript result in a shorter protein with different N-terminal and C-terminal
residues. These differences likely affect the function of the final product.
Figure 1
Gene and protein structure of PTOV1
A. The gene includes 12 coding exons and two untranslated regions (UTR). In the putative
promoter region, the localization of regulatory sites for ARE (Androgen Responsive
Element), SP1 (Specificity protein 1), and AP2 (Activator protein 2) are shown (not
in scale). B. Protein organization showing the A and B domains, the Nuclear Localization
Sequences (NLS1 and NLS2) and the extended AT-hook (eAT-hook) motif (not in scale).
The three-dimensional structure of the A and B domains based on the Swiss Model, is
shown in color [13].
A related gene containing one PTOV-domain, identified as PTOV2, was discovered on
the same chromosome, 14 Kb upstream from the putative first exon of PTOV1 [1]. PTOV2
was later found to correspond to the subunit 25 of the Mediator complex, MED25, composed
of up to thirty proteins, that is an essential component of the eukaryotic RNA polymerase
II complex regulating eukaryotic transcription [7–9]. The Mediator functions as a
transcription coactivator in all eukaryotes. It is also referred as the vitamin D
receptor interacting protein (DRIP) coactivator complex and the thyroid hormone receptor-associated
proteins (TRAP) [10]. It is required for the transcription of most class II genes
in yeasts and mammals and is essential for activator-dependent transcription. The
Mediator acts as a bridge between the RNA polymerase II and the activator transcription
factors [10]. MED25 was also identified as p78/Arc92/ACID1 [8, 11]. In this review,
we will refer to PTOV2 as MED25.
The orthologous PTOV1 gene in Drosophila melanogaster (acc. AC013074) shows a similar
modular arrangement, but a lower degree of similarity between the two domains A and
B (33% identity; 57% similarity) [1]. The orthologous MED25 gene, found on chromosome
3R at 3Mb from PTOV1, was also predicted to encode a protein with a single PTOV block
embedded within an 863-amino acid protein.
The putative promoter region of PTOV1 reveals the presence of consensus sequences
for transcription factors SP1 and AP2 and a putative Androgen Responder Element (ARE),
similar to those observed in the PSA gene. In agreement with these observations, PTOV1
expression is androgen-responsive [1]. This has been confirmed in vascular smooth
muscle cells (VSMCs) where the gene was suggested to play a critical role in androgen
related atherogenesis in the human aorta through the regulation of proliferation of
neointimal VSMCs [12].
THE PROTEIN STRUCTURE
PTOV1 is an adaptor, conserved in vertebrates (mammals and fish) and in arthropods
(insects), although not in fungi (yeasts). The protein interacts with a number of
factors both in the nucleus and the cytoplasm to regulate gene expression at transcription
and posttranscriptional levels and to promote cancer cell proliferation and motility.
The predicted protein, 416 aminoacids long, reflects the structure of the gene and
presents two highly homologous domains arranged in tandem, identified as A domain
(146 amino acids) and B domain (143 amino acids), that show 66% identity and 79% similarity
among each other [1, 13] (Figure 1B). The protein presents two putative nuclear localization
signals (NLS), one in the A domain and the second in the B domain. Recent studies
using NMR technology revealed the structure of the PTOV domain of MED25 [14–16]. This
domain (391–543) exhibits high sequence identity with the A and B domains of human
PTOV1 (81% and 73%, respectively). The secondary structure of MED25 forms a seven-stranded
β-barrel framed by three α-helices of topology A(↑)B(↓)D(↑)G(↓)F(↑)E(↓)C(↑) in which
strands C, E, F and G are flanked by α-helices I and III, and helix II connects strand
D and E at one end of the barrel [15, 16]. MED25 also presents two different positively
electrostatic charged regions that appear to be important for its binding to the trans
activation domain (TAD) of the RNA Polymerase II.
The PTOV domain in MED25 shares structural similarity with the β-barrel domains of
the Ku70/Ku80 heterodimer and the Spen paralog and ortholog C-terminal (SPOC) domain
of SMRT/HDAC1-associated repressor protein (SHARP) [14–16]. These proteins are involved
in transcriptional activation, double-stranded DNA break repair, and transcriptional
repression by interaction with histone deacetylase complexes. For instance, SHARP
has been identified as a component of the Notch co-repressor complex [17]. The PTOV
domain shares the central β-barrel and two flanking helices with the SPOC domain in
SHARP, but differs from the SPOC domain by the absence of four helices that flank
the barrel, the presence of a C-terminal helix α3 with a unique location and a long
loop connecting β1 and β2 [16]. These observations suggest that the PTOV domain in
MED25 and PTOV1 might have a crucial function in chromatin remodeling and for connecting
the activity of several transcription factors to the RNA Polymerase II complex. However,
in contrast to MED25, PTOV1 did not interact with the Mediator complex [11].
Very recently, an extended (e)AT-hook motif comprising the first N-terminal 43 amino
acids was identified in PTOV1, suggesting a function as nucleic acid binding protein
(Figure 1B) [18]. Classical AT-hook motifs in proteins can bind nucleic acids at AT-rich
sequences in the minor groove of the DNA, and have been described as characteristics
of proteins associated with chromatin remodeling, histone modifications, chromatin
insulator and proposed to anchor chromatin-modifying proteins [19, 20]. However, the
(e)AT-hook discovered at the N-terminal of PTOV1 is a new functional AT-hook-like
motif that differs in the basic amino acid patches from the canonical G-R-P (glycine-arginine-proline)
core. This motif showed higher RNA binding affinity compared to DNA [18], and its
deletion resulted in a stronger signal of the mutated protein in the nucleus. These
apparently contrasting observations may be explained considering the following findings.
We have previously shown that the nuclear localization of a GFP-PTOV1, where the first
56 amino acids comprising the (e)AT-hook were replaced by GFP, did not significantly
accumulate in the nucleus, suggesting that other features, such as two conserved NLS
signals, might be responsible for the localization of the (e)AT-hook deleted PTOV1
[21, 22]. In addition, we have also shown that PTOV1 enters the nucleus at the beginning
of the S- phase of the cell cycle [21]. Furthermore, the higher affinity of the (e)AT-hook
for RNA may suggest that PTOV1 can be found in ribonucleic-complexes that shuttle
their carriers (mRNA) from the nucleus to the cytoplasm, in agreement with its interaction
with RACK1 in ribosomes. Thus, the accumulation of the (e)AT-hook deleted PTOV1 in
the nucleus observed by Filarsky and collaborators [18], might be the result of the
cell type used, the cycle phase at the time of observations, and/or the lack of ribonucleic
complexes formation that would shuttle PTOV1 and its cargo to the cytoplasm.
PTOV1 EXPRESSION IN NORMAL AND CANCER TISSUES
PTOV1, was suggested to be one of the genes most discerning between normal and carcinomatous
prostate [23]. Most functions of PTOV1 have been surmised in pathological conditions,
such as cancerous cells and tissues. However, its expression has also been detected
in normal tissues (human brain, heart, skeletal muscle, kidney, liver, ovary, aorta
and salivary gland), although little has been described about its function at those
sites [1, 12, 24, 25]. The expression of PTOV1 in human abdominal aorta and VSMCs
cells is androgen-responsive and may play a role in androgen related atherogenesis
[12]. In normal epithelial cells from different tissues, PTOV1 is mostly undetectable
or shows a weak staining [21, 26, 27]. However, few sporadic prostatic luminal cells
in isolated glands display intense staining, mostly cytoplasmic and in some cases
also nuclear. These PTOV1-positive cells also stain for chromogranin A, suggesting
their neuroendocrine origin [21].
In pre-neoplastic lesions of High Grade Prostate Epithelial Neoplasia, HGPIN, associated
with prostate carcinomas, PTOV1 expression is increased compared to the normal prostate
epithelium [28, 29]. This higher expression in HGPIN was found helpful to discriminate
those premalignant lesions associated with cancer, suggesting the potential value
of PTOV1 detection in the early diagnosis of PC [28]. Of interest, the proportions
of Ki-67 positive nuclei and the levels of PTOV1 in HGPIN areas adjacent to cancer
lesions are higher than those found in HGPIN areas away from the cancer, supporting
the concept of field cancerization or field effect in prostatic carcinogenesis [29,
30]. More recently, the expression of PTOV1 in atypical adenomatous hyperplasia (AAH),
a proliferative lesion of the transition zone of the prostate that morphologically
resembles low grade carcinoma, has been associated with PC [31].
In prostate adenocarcinoma 71% of T2 and T3 stages overexpressed PTOV1 [21]. This
overexpression was limited to the cytoplasm in 59% of samples whereas a strong expression
was detected both in the nucleus and the cytoplasm in the remaining samples, with
a small proportion of tumors showing a strong nuclear staining and weak cytoplasmic
staining. More recently, metastatic primary tumors and metastatic lesions were shown
to express significantly higher levels of PTOV1 compared to non-metastatic tumors
[32, 33]. This high expression of PTOV1 significantly associated to the Ki67 index
suggesting its participation in an active proliferative status. Remarkably, this relationship
was stronger in tumors with nuclear PTOV1 staining. These findings are supported by
observations in vitro, where in quiescent PC cells, PTOV1 localized in the cytoplasm
but after serum stimulation it partially translocated to the nucleus at the beginning
of the S phase [21]. The transfection of PTOV1 forced PC3 cells to enter the S phase
with a subsequently increase in the levels of cyclin D1, indicating that the overexpression
of PTOV1 can directly increase the proliferation of PC cells. In addition, PTOV1 is
required for the growth and full metastatic potential of PC cells in vivo [32, 33].
An important contribution to higher levels of PTOV1 in aggressive prostate tumors
might be given by the high rate of PTOV1 amplifications, also found in other tumor
types, as shown by analyses of publicly available genomic datasets (Figure 2A) [34,
35]. Significantly, the highest frequency of amplifications (above 18%) is found in
metastatic lesions of adenocarcinomas and neuroendocrine prostate tumors (Figure 2A)
[36]. Because very high expression of PTOV1 in sporadic luminal cells in prostate
glands associated to cancer very likely correspond to neuroendocrine cells [21], altogether
the above findings suggest that PTOV1 expression might be connected to the aggressive
features of neural subtypes of PC defined by expression profiles [37, 38].
Figure 2
Mutational landscape of PTOV1 across human cancer
A. Histogram representing the amplifications, deletions and mutations of PTOV1 in
different types of tumors according to cBioPortal data. Tumor tissue, sample size
and datasets information employed for the analyses are listed below each bar. NEPC:
neuroendocrine prostate cancer; ACC: Adrenocortical carcinoma; ccRCC: clear cell renal
carcinoma B. Schematic picture of the protein organization showing the mutational
profile (localization, type and frequency of each mutation) across human tumors. Filled
circles represent the position of the mutation and color indicates the type of mutation.
The description of the most frequent mutations and those tumors in which such mutation
was found are specified. *: nonsense mutation; fs: frameshift mutation; LSCC: lung
squamous cell carcinoma.
More recently, numerous reports have described the overexpression of PTOV1 in different
types of tumors. These included tumors of the breast, pancreas, liver, colon, kidney,
bladder, laryngeal, cerebral gliomas and ovary [25–27, 39–43]. The association between
its overexpression and high grade of malignancy was strong in primary hepato-cellular
carcinoma, epithelial ovarian cancer, breast cancer and clear cell renal carcinomas,
where PTOV1 expression was closely correlated with the clinic-pathological characteristics
and tumor aggressiveness. In addition, a significant association between high levels
of PTOV1 and unfavorable prognosis and poor survival has been observed in several
types of carcinomas. In breast cancer, 99.4% of the cancer samples analyzed expressed
PTOV1, of which 49.1% showed high expression. The median survival of patients with
high PTOV1 levels was 78 months versus 115 months in patients with low PTOV1 expression
[27]. In laryngeal squamous cell carcinoma, PTOV1 expression correlates with advanced
clinical stage and it was shown to be an independent predictor of overall survival
and progression-free survival [41]. HPV-positive head and neck cancers have better
prognosis than HPV-negative cancers [43–45]. In this context, the levels of expression
of PTOV1 in combination with the infection status with the human papillomavirus (HPV)
could predict outcome in early-stage laryngeal squamous cell carcinoma [41]. Association
to a better outcome was observed in HPV-positive/PTOV1-negative subgroup. In contrast,
the HPV-negative/PTOV1-positive subgroup showed the worst outcome.
Similarly to prostate carcinomas, the subcellular distribution of PTOV1 in breast
cancer and nasopharyngeal carcinomas was detected both in the nucleus and cytoplasm
of carcinomatous cells [21, 27, 39]. In aggressive prostate tumors, PTOV1 stained
intensely in the nucleus of local and distal (bones) metastatic cells [33]. In urothelial
carcinoma (UC) nuclear staining was significantly more frequent compared to benign
tissue and a reduced cytoplasmic expression significantly correlated with higher pathological
stage and grade, suggesting a functional shift for PTOV1 from the cytoplasm to the
nucleus in the progression of these tumors [42]. These observations are in line with
previous reports showing that intense nuclear PTOV1 expression was able to distinguish
in a significant manner high-grade urothelial carcinoma [40]. Thus, the nuclear presence
of PTOV1 might be critical for proliferation and tumor progression, suggesting that
its transcription regulating abilities are relevant functions.
As mentioned above, gene amplifications for PTOV1 are frequent in prostate carcinomas,
pancreas and present in other tumors (Figure 2A). In addition, mutations are also
frequent in several tumors types. About 57% of the mutations are localized inside
the A domain (Figure 2B). The majority are missense mutations, more frequent in colorectal,
stomach, lung squamous cell carcinoma, esophageal, and breast cancer. Most of the
missense mutations have a predicted functional impact score neutral or low according
to Mutation-Assessor [46]. However, the R117L/Q mutation found in LSCC and prostate
cancer respectively, has a predicted functional impact score of medium, suggesting
it might be a critical change for the function of PTOV1 in these tumors. A recurrent
in frame mutation (K212del) is found in adenocortical carcinoma, colorectal, breast
and stomach carcinoma.
PTOV1 TRANSCRIPTIONAL REGULATORY FUNCTIONS
Homology models of MED25 PTOV and human PTOV1 have shown that amino acid residues
involved in TAD binding in MED25 are generally conserved in PTOV1, suggesting that
both domains may serve as activator-binding modules [16]. However, in contrast to
MED25, PTOV1 did not interact with the Mediator complex [11]. The differential biological
activities of PTOV in MED25 and PTOV1 were suggested to be due to modulation of protein-protein
interactions patterns by some amino acid residues which are differently grouped peripherally
around the charged surface region [14, 15]. It was described that the retinoic acid
(RA) activates the response of its receptor (RAR) using MED25 that, through its VWA
domain, interacts with the Mediator and, through the PTOV domain, binds to the activators
(histone acetyltransferase CBP) [47]. These observations suggest a role for the PTOV
domain of MED25 in chromatin remodeling and pre-initiation complex assembly to recruit
activators to the basal transcriptional machinery [11]. Additional evidences confirmed
that the domain PTOV of MED25 is responsible for binding the TAD domain of several
transcription factors, including ERM/ETV5, a PEA3 member of ETS-related transcription
factors [48], the nuclear receptor Hepatocyte Nuclear Factor 4 alpha [49], the transcription
factor ATF6 alpha [50], a master regulator of endoplasmic reticulum (ER) stress response
genes, the retinoic acid receptor (RAR) [51], STAT6 and chromatin remodelers [52].
Because PTOV1, in contrast to MED25, did not interact with the Mediator complex [11],
its action may plausibly modulate, or hamper, the MED25 PTOV module binding the activator
in those cells where it is overexpressed, as described below for the Retinoic Acid
Receptor (RAR). In agreement with the above observations, PTOV1 was recently identified
as a regulator of transcription of several genes, including RAR, HES1, HEY1, and Dickkopf-1.
The retinoic acid receptor promoter
Retinoids are promising chemotherapeutics that inhibit cell growth by inducing apoptosis,
senescence and differentiation of cancer cells [53, 54]. Unfortunately, intrinsic
or acquired resistance to these agents frequently occurs after cancer therapy [55].
The formation of the complex MED25-RAR and RA, induced the stimulation of RAR promoter
activity [47]. PTOV1 was shown to suppress the MED25-enhanced RAR activity by binding
the activator CREB-binding protein (CBP) (Table 1 and Figure 3) [51]. Thus, the expression
of PTOV1 prevented CBP binding to MED25 inducing a repression of the RAR promoter.
CBP belongs to a family of large multifunctional transcriptional coactivators that
through their acetyl transferase action modify histones and other proteins, regulating
a large number of transcription activators and cellular functions (Table 1) [56].
Both PTOV1 and MED25 proteins interact with the acetyl transferase CBP through the
PTOV domain [32, 51]. Chromatin IP (ChIP) assays showed that PTOV1 itself is not recruited
to the RA-responsive RARβ2 promoter. Instead, the increased PTOV1 expression inhibited
CBP chromatin binding by forming a chromatin-free PTOV1-CBP interaction that sequesters
away CBP from MED25 [51]. In this context, in response to RA the LIM family member
Zyxin was shown to interact and cooperate with PTOV1 in RAR repression, by forming
a ternary complex with CBP and PTOV1 that antagonized MED25 for CBP binding [57].
These data suggest a potential molecular mechanism for PTOV1 in RA resistance.
Table 1
PTOV1 interaction partners
Interactor
Experimental evidence
Dataset
Description
BECN1
Affinity capture-MS
[122]
Beclin 1. Plays a key role in autophagy as a component of the phosphatidylinositol-3-kinase
(PI3K) complex which mediates vesicle-trafficking processes in multiple cellular processes,
including tumorigenesis, neurodegeneration and apoptosis [123, 124].
CBP/CREBBP
Co-IP
[32, 47]
cAMP-response element binding protein (CREB) binding protein. It is involved in the
transcriptional coactivation of many different transcription factors. It plays critical
roles in embryonic development, control of growth, and homeostasis by coupling chromatin
remodeling to transcription factor recognition. The protein encoded by this gene has
intrinsic histone acetyltransferase activity and also acts as a scaffold to stabilize
additional protein interactions with the transcription complex. Acetylated histones
and non-histones proteins may act as a transcriptional activator [56, 125, 126].
CUL2
Affinity capture-MS
[127]
Cullin2. Core component of multiple cullin-RING-based ECS (ElonginB/C-CUL2/5-SOCS-box
protein) E3 ubiquitin-protein ligase complexes, which mediate the ubiquitination of
target proteins [128].
DMTN/EBP49
Two hybrid
[129]
Dematin actin binding protein/erythrocyte membrane protein band 4.9. Cytoskeletal
protein that bundles actin filaments in a phosphorylation-dependent manner. Dematin
deletion has been reported in prostate tumors [130, 131].
FLOT1
Co-IPCo-localizationCo-fractionation
[22]
Flotillin-1. It associates to lipid rafts and localizes to non-caveolar membranes.
This protein plays a role in vesicle trafficking, cell morphology and signaling. Elevated
expression of FLOT1 has been reported in different types of tumors. Its nuclear localization
is associated to induction of proliferation. FLOT1 regulates the function of Aurora
B kinase in metaphase cells [111, 113, 116]
HDAC1
Pull-down
[32]
Histone deacetylase 1. It is a component of the histone deacetylase complex which
plays a key role in regulation of eukaryotic gene expression. Together with metastasis-associated
protein-2 (MDM2), it deacetylates p53 and modulates its effect on cell growth and
apoptosis. It is an element of the Notch repressor complex [32, 132].
HDAC4
Pull-down
[32]
Histone deacetylase 4. It possesses histone deacetylase activity and represses transcription
when tethered to a promoter. It is an element of the Notch repressor complex. Inhibitors
of function increase cytotoxicity of docetaxel in gastric cancer cells [133, 134]
HDAC6
Protein-peptide
[100]
Histone Deacetylase 6. Deacetylates lysine residues on the N-terminal part of the
core histones. Histone deacetylation gives a tag for epigenetic repression alters
chromosome structure and affects transcription factor access to DNA and plays an important
role in transcriptional regulation, cell cycle progression and developmental events.
The protein contains an internal duplication of two catalytic domains which appear
to function independently of each other [100, 135].
KLHDC2
Affinity capture-MS
[136]
Kelch domain containing 2. Represses CREB3-mediated transcription by interfering with
CREB3-DNA binding [137]
NCoR
Pull-down assay
[32]
Nuclear receptor corepressor 1. Transcriptional repressor of thyroid-hormone and retinoic-acid
receptors. It is part of a complex which also includes histone deacetylases and other
transcriptional regulators [138]
PEX19
Affinity capture-MS
[136]
Peroxisomal biogenesis factor 19. Required for early peroxisomal biogenesis [139]
PIN1
Two hybrid
[129]
Peptidylprolyl cis/trans isomerase, NIMA-interacting 1. It catalyzes the cis/trans
isomerization of peptidyl-prolyl peptide bonds. This PPIase specifically binds to
phosphorylated ser/thr-pro motifs to catalytically regulate the post-phosphorylation
conformation of its substrates. The conformational regulation catalyzed by this PPIase
has a profound impact on key proteins involved in the regulation of cell growth, genotoxic
and other stress responses, the immune response, induction and maintenance of pluripotency,
germ cell development, neuronal differentiation, and survival [140–142].
GNB2L1/RACK1
Two hybridCo-localizationCo-IP
[33]
Guanidine Nucleotide Binding protein (G protein), beta polypeptide 2-like 1. Interacts
with PKC isoforms and ribosomes. It is involved in different cellular processes including
apoptosis, cell spreading, cell proliferation, regulation of insulin receptor and
resistance to drugs [94, 97]
RASSF6
Affinity capture-MS
[143]
Ras association (RalGDS/AF-6) domain family (N-terminal) member 9. Involved in the
induction of apoptosis. It may act as a Ras effector protein [144].
RBP-Jκ/CBF-1
Co-IPPull-down assay
[32]
Recombination signal binding protein for immunoglobulin kappa J region. Is a transcriptional
regulator in the Notch signaling pathway. It acts as a repressor when not bound to
Notch proteins and an activator when bound to Notch proteins. It is thought to function
by recruiting chromatin remodeling complexes containing histone deacetylase or histone
acetylase proteins to Notch signaling pathway genes [32, 145].
RPS6
Co-IPCo-localizationCo-fractionation
[33]
Ribosomal protein S6. It is a component of the 40S subunit. It is the major substrate
of protein kinases in the ribosome. Phosphorylation is induced by a wide range of
stimuli, including growth factors, tumor-promoting agents, and mitogens. Dephosphorylation
occurs at growth arrest. The protein may contribute to the control of cell growth
and proliferation through the selective translation of particular classes of mRNA.
Overexpressed in esophageal squamous cell carcinoma, renal cell carcinoma metastases
and hyperphosphorilated in lung cancer [146–148].
SFN/14-3-3 sigma
Affinity capture-MS
[149]
Stratifin. Adapter protein implicated in the regulation of numerous signaling pathways
including cancer metabolic reprogramming. When bound to KRT17, regulates protein synthesis
and epithelial cell growth by stimulating Akt/mTOR pathway. It is a p53-regulated
inhibitor of G2/M progression [150, 151].
SPTAN1
Two hybrid
[152]
Spectrin, alpha, non-erythrocytic 1. Filamentous cytoskeletal protein involves in
the stabilization of the plasma membrane and organization of intracellular organelles.
Also involved in DNA repair, cell cycle regulation, cell migration and its deletion
is related to some encephalopaties [152, 153]
UBC
Reconstituted complex
[154]
Ubiquitin C. Polyubiquitin precursor. Provides extra ubiquitin during stress and it
loss cannot be compensated by induction of the other Ub genes [155].
USP16
Protein-peptide
[100]
Ubiquitin specific peptidase 16. Deubiquitinates histone H2A. Regulates kinetochore
localization of Plk1 to promote proper chromosome alignment in mitosis [156].
YWHAH/14-3-3 eta
Affinity capture-MS
[157]
Tyrosine 3-monooxygenase/tryptophan 5-monooxygenase activation protein, eta. Adapter
protein implicated in the regulation of numerous signaling pathways. Role in mitotic
progression, potentially a therapeutic target for cancers [158, 159].
The table summarizes the interactors reported for PTOV1 based on STRING [120] and
BIOGRID [121]. It describes the experimental evidences for each interaction and includes
a brief explanation on the role reported for the interacting partner. IP: immunoprecipitation;
MS: mass spectrometry.
Figure 3
Functional interaction network of PTOV1
Proteins interacting with PTOV1 are clustered according to their proposed cellular
functions.
The HES1 and HEY1 promoters
Notch is an evolutionarily conserved signaling pathway that regulates cell fate, tissue
homeostasis, cell differentiation, proliferation and growth [58]. Activation of the
Notch receptor induces its entrance to the nucleus where it acts as a transcription
factor for numerous targets, including HES1 and HEY1 genes, two well known downstream
regulators of the pathway [59, 60]. In the absence of activated Notch a transcriptional
repressor complex, that include SMRT/NCoR and HDAC1, is formed on target promoters
[61].
Aberrant Notch signaling has been detected in different types of cancer to suppress
or activate cancer progression depending on the cell context and tumor type [62–64].
In PC, its role in progression has been studied in vitro and in vivo with contradictory
results [65–67]. We have shown that PTOV1 in metastatic prostate tumors is significantly
overexpressed and represses the transcription of the downstream targets of Notch,
the HES1 and HEY1 genes, by interacting with SMRT, RBP-Jκ, NCoR, HDAC1 and HDAC4 (Figure
3) [32]. PTOV1 is bound to the chromatin of these promoters when Notch is inactive.
Its repressive action was reverted by trichostatin A (TSA), an HDAC inhibitor, indicating
the requirement for the activity of HDACs. Interestingly, the repression by PTOV1
was abolished by the overexpression of CBP, in agreement with previous reports showing
that HES1 transcription was activated by CBP [68]. PTOV domains shares structural
similarity with the SPOC domain of SHARP, a known component of the Notch repressor
complex [17, 69], and thus PTOV1 may be a facultative additional Notch co-repressor
restricted to cancerous events. Additional in vivo evidence supports the role of PTOV1
as a negative regulator of the Notch pathway [32]. In the Drosophila melanogaster
wing model, the expression of the human PTOV1 exacerbated Notch deletion mutant phenotypes
and suppressed the effects of constitutively active Notch. In human tissues, the normal
prostate epithelium revealed high levels of expression of HES1 and HEY1 proteins,
supporting activated Notch signaling, whereas metastatic samples expressed significantly
lower levels of these proteins, suggesting a Notch repressed state [32]. In contrast,
the expression of PTOV1 in the normal prostate epithelium was mostly absent, but the
protein was significantly overexpressed in metastatic samples. In human PC cell lines,
the downregulation of PTOV1 induced an upregulation of the endogenous HEY1 and HES1
genes, and reciprocally, the ectopic expression of PTOV1 in PC cells and HaCaT keratinocytes,
where Notch acts as tumor suppressor, caused the inhibition of expression of HEY1
and HES1 genes [70, 71]. All together, these observations support a pro-oncogenic
role for PTOV1 as a negative regulator of Notch signaling in PC progression. They
also support a tumor-suppressor function of Notch in PC, similarly to previous reports
in skin, myeloid leukemia, and cervical carcinoma cells [62, 70, 72].
The dickkopf-1 promoter
Aberrant activation of Wnt/β-catenin signaling was reported in breast cancer and strong
evidence point to a possible epigenetic silencing of negative regulators of Wnt, although
the regulatory mechanisms underlying these epigenetic changes are poorly understood
[73]. Very recently, PTOV1 expression was shown to activate Wnt/β-catenin signaling
in breast cancer [74]. In the canonical Wnt pathway, binding of Wnt ligand to frizzled
receptors and lipoprotein receptor-related protein-5 or 6 (LRP5/6) co-receptors initiates
a cascade, which results in β-catenin activation, its nuclear translocation and transcription
of target genes [75]. Dickkopf-1 (DKK1) is negative regulator of Wnt signaling. Silencing
its expression was tightly associated with DNA hypermethylation and histone deacetylation
[76, 77]. DKK1 methylation has been reported in 27% of breast cancer cell lines and
19% of breast cancer patients [78].
In human breast carcinoma, high levels of PTOV1 expression correlated with high levels
of nuclear β-catenin and low levels of DKK1 [74]. The overexpression of PTOV1 in breast
cancer cell lines induced the nuclear translocation of β-catenin and increased β-catenin/TCF
transcriptional activity. PTOV1 overexpression repressed DKK1 transcription via the
recruitment of HDACs to the promoter and a concomitant decrease of histone acetylation
[74]. Treatment with TSA reverted the repression of DKK1. These findings suggest a
role for PTOV1 as a novel epigenetic regulator of the Wnt/β-catenin pathway in breast
tumorigenesis.
ROLE OF PTOV1 IN CANCER STEM CELLS
Extensive research over many years have posited a cancer stem cell (CSC) model for
tumorigenesis in which a small proportion of cells, possibly originated from normal
stem cells, reside inside tumors and may be subject of additional genetic changes
or epigenetic transitions that can drive tumor initiation, progression to metastasis
and drug resistance [79, 80]. These cells, identified and isolated in a number of
solid cancers models, including prostate cancer, have self-renewing and differentiation
abilities and are capable of recapitulating the characteristics of the original tumor
from which they were isolated [81]. As the normal stem cells, CSCs possess the ability
to grow in vitro as self-renewing spheres. However, the mechanisms implicated in CSCs
self-renewal and differentiation, critical to understand CSCs biology and their role
in tumorigenesis, are still under investigation. In the prostate, recent studies have
shown that CSCs can also be isolated from cancer cell lines, and the analysis of their
transcriptome shows expression profiles that support CSCs identity [82].
Recently, it was shown that PTOV1 promotes the in vitro formation of spheres in HaCaT
transformed keratinocytes and PC3 prostate cancer cells, and promoted tumor growth
in vivo [32, 33]. In addition, in breast cancer cells PTOV1 was shown to enhance tumor
growth, increase the number of mammospheres, the proportion of the side population
(SP), and of CD24-/CD44+ cells [74]. These findings reveal the ability of the protein
PTOV1 to promote CSCs-like properties in cells from different tumor types. Significantly,
the associated overexpression of the protein in more aggressive tumors with poor prognosis
provides support for a role of PTOV1 in favoring CSCs self-renewal and tumor progression.
ROLE OF PTOV1 IN PC RESISTANCE TO CHEMOTHERAPY
Because of the high resistance of metastasis to conventional androgen-depletion-therapy
(ADT) and chemotherapy, metastatic PC is virtually incurable [83]. The numerous evidences
that PTOV1 is expressed significantly more in aggressive tumors and metastatic lesions
and its implication in the mechanisms leading to cancer progression, suggested a potential
action of this protein in recurrence. Indeed, PTOV1 is expressed at higher levels
in cells resistant to chemotherapy with docetaxel compared to parental sensitive cells
(Cánovas et al., submitted 2016). The ectopic overexpression of PTOV1 in docetaxel
sensitive PC cells resulted in a significant increase in the number of prostatospheres
and a significantly greater capacity of the cells to survive to docetaxel treatment
(Cánovas et al., submitted 2016). These effects are associated to a significant increase
in the levels of genes associated with the resistance to docetaxel (ABCB1, CCNG2,
TUBB4A, TUBB2B) and with the stemness phenotype (LIN28A, ALDH1A1, MYC, NANOG). In
turn, the knockdown of PTOV1 very significantly inhibited self-renewal and proliferation
in all cell models. In addition, cells knockdowns for PTOV1 showed a striking cell
cycle arrest at the G2/M phase that was associated to a significant increase in apoptosis.
Docetaxel resistant cells knockdown for PTOV1 showed more extreme phenotypes. These
findings identify PTOV1 as a promoter of docetaxel resistance and a survival factor
for CRPC cells and give support to potential anticancer therapies directed to eliminate
the action of this protein in future therapeutic interventions.
SEARCH FOR PTOV1 INTERACTING PROTEINS TO UNVEIL ITS FUNCTIONS
Discovering new proteins interactions can be helpful in defining the functions in
which a protein of interest is involved. PTOV1 has been detected at different subcellular
locations, including sub-membrane sites, lipid rafts, cytoplasm especially the perinuclear
region, and the nucleus. These locations are likely associated with different interacting
proteins. A summary of the proteins interacting with PTOV1 is given in Table 1. These
proteins are involved in several cellular processes, although it is not clear how
each interaction contributes to a role of dysregulated PTOV1 expression in cancer
progression. Figure 3 summarizes the interactions of PTOV1 with other proteins in
relationship with their described functions. Groups including transcriptional regulation
and DNA replication, cell cycle regulation-mitotic functions contain numerous interactors.
Similarly, groups including protein synthesis, ubiquitination and membrane trafficking
functions contain each three interactors. Together, these observations indicate that
PTOV1 participates in different cellular events at different subcellular locations.
Interactions described by high-throughput capture affinity assays that lack further
functional analyses will not be reviewed here. Those interactions studied more in
detail, where some functional aspects are revealed, are reviewed below.
Receptor of activated protein C kinase, RACK1
We have described the interaction of PTOV1 with RACK1, also known as guanine nucleotide
binding protein beta polypeptide 2-like 1, GNB2L1 [33]. RACK1 contains seven repeats
of a short Trp-Asp [W-D] dipeptide, highly conserved in eukaryotes, and although was
first described to interact with Protein Kinase C (PKC) isoforms [84, 85], it is now
known to interact with numerous proteins and is involved in a diverse array of cellular
processes. These include apoptosis regulation of insulin receptor and IGF-1R signaling,
cell spreading, cell proliferation, STAT3 activation, and UV radiation [86–88]. In
2004, an interesting report described RACK1 as part of the 40S small ribosomal subunit,
and localized the protein at the head of the 40S subunit close to the mRNA exit channel
[89], suggesting that it may function as a molecular link connecting cell signaling
with the protein translation machinery. Later, RACK1 was described to recruit active
PKCβII on ribosomes to phosphorylate eukaryotic initiation factor 6 (eIF6) that allows
the assembly of the 80S ribosome on the pre-initiation mRNA complex [90, 91]. RACK1
has been described as an adaptor required for the PKC-mediated phosphorylation of
Ser129 of JNK [92]. More recently, the recruitment of JNK by RACK1 has been identified
as part of a mechanism underlying the quality control of newly synthesized proteins
under stress conditions [93]. After stress induction, RACK1 recruits activated JNK
to 40S on actively translating ribosomes to phosphorylates the elongation factor eEF1A2,
which in turn promotes the ubiquitination and degradation of damaged newly synthesized
polypeptides [93].
RACK1 overexpression has been reported in different tumors and it was found to be
a differential diagnostic biomarker and predictor for poor clinical outcome in breast
and pulmonary carcinomas [94–96]. In hepatocellular carcinoma it promotes chemoresistance
and tumor growth by localization on ribosomes and phosphorylation of eukaryotic initiation
factor 4E (eIF4E), preferential translation of cyclin D1, Myc, survivin and Bcl-2
[97]. PC3 cells stimulated with IGF-1 or phorbol esthers, show PTOV1 and RACK1 colocalized
at membrane ruffles [33]. RACK1 interacted with full-length PTOV1 and with the B domain,
but not with the A domain, suggesting un-equivalent functions between the two PTOV1
domains. The PTOV1-RACK interaction was localized on 40S ribosomes by polysome profiling
experiments in PC3 cells. Significantly, PTOV1 failed to co-sediment with the 40S
ribosomal subunit in RACK1 knockdown cells, indicating that RACK1 is necessary for
the association of PTOV1 with ribosomes [33]. In addition, PTOV1 co-immunoprecipitated
and colocalized with the ribosomal protein S6 (RPS6) corroborating its interaction
with ribosomes. Of notice, PTOV1 was not detected in gradient fractions corresponding
to polysomes, suggesting that its action is directed to translation initiation rather
than elongation. In addition, the overexpression of PTOV1 caused a significant stimulation
of bulk protein synthesis, including of c-Jun. In turn, increased levels of PTOV1
and c-Jun induced SNAI1 transcription, promoted an epithelial-mesenchymal-transition
(EMT) and a significant increase of cell invasiveness in vitro and tumor growth and
metastasis in vivo [33]. These findings indicate that the increased expression of
PTOV1 in cancer and its ability to bind to RACK1 on ribosomes and to increase protein
synthesis is one efficient way for this protein to promote cancer progression.
The identification of the N-terminal (e)AT-hook motif in PTOV1 and the observed direct
interaction of this motif with RNA chains [18], the structural resemblance of PTOV
domains with SPOC domains often present in proteins containing RNA binding motifs
[16], and the ability of the protein to bind to 40S ribosomes and regulate the rate
of mRNA translation, point to a role for PTOV1 both in the nucleus, regulating gene
transcription and in the cytoplasm, conceivably as part of ribonucleoprotein (RNP)
complexes that may be critical in regulating translation initiation of at least a
set of mRNAs, such as c-Jun (Figure 4).
Figure 4
A mechanistic model for PTOV1 actions in cancer progression
PTOV1 can shuttle from the cytoplasm to the nucleus during the progression of the
cell cycle. In the cytoplasm, PTOV1 is found at perinuclear and submembranes regions
associated to Flotillin-1 and also RACK1 and ribosomes. The latter, likely occur in
RNA-protein complexes (RNP) that modulate mRNA translation, including the synthesis
of the oncogene c-Jun. In the nucleus, PTOV1 can regulate the expression of a number
of genes related to cell proliferation, survival, EMT, and chemoresistance, by direct
or indirect (genes shown in parenthesis) association to specific promoters to activate
or repress transcription. In turn, c-Jun/AP1 may be directly or indirectly contributing
to the action of PTOV1 as a transcription factor. PTOV1 is a repressor for the regulation
of HES1, HEY1 and DKK1. These effects result in the negative regulation of Notch signaling
in PC and the activation of Wnt/β-catenin signaling in breast cancer. In both tumors,
these effects culminate with increased tumor growth, invasion, metastasis, and chemoresistance.
PTOV1 as a transcriptional repressor requires the presence of HDACs, suggesting that
it is an epigenetic regulator. An additional mechanism for transcriptional repression
was suggested for the RAR promoter, where PTOV1 sequesters the activator CBP from
MED25, and results in suppression of transcription of RAR targets. The action of PTOV1
of sequestering activators from MED25 might be associated to inhibition of other MED25
targets. The recent identification of the nucleic acid-binding motif (e)AT-hook, at
the N-terminal region of PTOV1 gives support to its role in regulation of gene expression
by direct DNA or RNA binding.
BUZ/Znf-Ubp domains of the histone deacetylase HDAC6
The BUZ (binder of ubiquitin zinc finger) domain, also known as the Znf-UBP (zinc
finger-ubiquitin-specific processing protease domain), is present in a subfamily of
ubiquitin-specific processing proteases (USPs), the E3 ubiquitin ligase BRCA1-associated
protein 2 (BRAP2) and in the histone deacetylase 6 (HDAC6) [98, 99]. The BUZ domain
is a sequence-specific protein-binding module that recognizes the free C-termini of
proteins. Through its C-terminal sequence (RGMGG), PTOV1 interacts with the BUZ domain
of HDAC6 with a low KD value that required the Gly-Gly motif present at the C-terminal
of HDAC6 [100]. HDAC6 although it has been detected in the nucleus, it is mostly a
cytoplasmic deacetylase that catalyzes the cleavage of the acetyl group of ε-amino
groups of lysines and can regulate growth factor-induced chemotaxis by association
with the cytoskeleton [101].
The role of HDAC6 in tumor progression is controversial. Some evidences suggest an
oncogenic role: its overexpression is associated to mutated K-ras, and correlated
with more aggressive tumors and lower survival rate in several tumor types [102–106].
In contrast, several reports suggest a tumor-suppressor-like function, where its reduced
nuclear localization was associated with distant metastasis, worse overall survival,
and poor prognosis [107, 108]. Because PTOV1 is a promoter of motility and invasion,
the above observations would be in line with a role for the PTOV1-HDAC6 interaction
in the cytoplasm in promoting the pro-oncogenic role of PTOV1. We speculate that,
by interacting with HDAC6, PTOV1 might have a more direct access to the cytoskeleton
and act in promoting cell motility. Further investigation would be required to ascertain
the contribution of HDAC6 to the oncogenic capacities of PTOV1.
Flotillin-1
PTOV1 was shown to interact with the lipid-raft-associated protein Flotillin-1 [22]
a protein that belongs to the Reggie/Flotillin family. Lipid rafts play a central
role in membrane trafficking and signaling [109]. Flotillin-1, localized to non-caveolar
lipid-rafts [110], has been involved in neuronal regeneration [111], and in insulin
signaling in adipocytes, where it generates a signal crucial in the regulation of
glucose uptake in adipocytes [112].
In PC cells, Flotillin-1 interacts with the B domain of PTOV1, as expected the two
proteins colocalized in lipid rafts and, surprisingly, in the nucleus [22]. After
a mitogenic stimulus, Flotillin-1 entered the nucleus concomitantly with PTOV1 shortly
before the beginning of the S phase. The overexpression of Flotillin-1 caused a significant
increase in cell proliferation, and both PTOV1 and Flotillin-1 are required for PC
proliferation. However, while the presence of PTOV1 and an intact carboxy terminus
of Flotillin-1 are required for its nuclear entry, the depletion of Flotillin-1 did
not affect the nuclear localization of PTOV1 [22]. In additional work, we have shown
that Flotillin-1 is required for the stability and function of the Aurora B kinase
in mitosis [113]. These data suggest that PTOV1 may drive PC progression in part through
the regulation of expression and nuclear localization of Flotillin-1 necessary to
support Aurora B kinase mitotic function.
Additional recent reports confirmed the pro-oncogenic effects of increased Flotillin-1
levels in tumors [114–116] and its action in promoting invasion and metastasis through
EMT, activation of NF-kB, Wnt/β-catenin and TGF-β pathways [114, 115]. Flotillin-1
is an important regulator of H-ras activation and invasion in triple-negative breast
cancer and its expression inversely correlates with patient disease-free survival
rates [116]. In gastric cancer, Flotillin-1 overexpression was shown to be the result
of miR-485-5p downregulation that correlated with poor prognosis [117]. These findings
suggest that the interaction of PTOV1 with Flotillin-1 might amplify their action
in tumor progression.
DISCUSSION: A MODEL FOR PTOV1 ACTIONS
The hitherto little known oncogenic PTOV1 protein has gained recent attention as a
regulator of multiple cellular functions and pathways that tend to enhance cell growth
and self-renewal in multiple cell types. Here, we propose a mechanistic model that
collects the most recently described actions of PTOV1 (Figure 4). PTOV1 shows dual
functions in the regulation of gene expression at transcriptional and translational
levels. For the role as transcription factor, PTOV1 is found associated with the regulatory
regions of at least three genes where it recruits deacetylases and other DNA modifying
enzymes to modulate transcription. The association with transcriptional repressor
complexes, including several HDACs and NCoR, has been reported for the repression
of a few genes (HES1, HEY1, and DKK1). Transcriptional repression by PTOV1 might also
occur through association with activators, such as CBP in the RARβ2 gene. In this
case, the complex PTOV1-CBP is not bound to chromatin, but the protein competes with
MED25 for binding and sequestering the activator away from the Polymerase II complex.
Conceivably, the association CBP-PTOV1 could also act promoting transcription in different
genes.
Additionally, PTOV1 was discovered to regulate protein synthesis by direct association
with RACK1 and 40S ribosomes in translation pre-initiation complexes. In PTOV1 overexpressing
cells significantly more c-Jun mRNA levels were loaded on polysomes compared to actin,
but PTOV1 is not found in polysomal fractions, suggesting that its action is directed
to translation initiation, possibly mediating the recruitment of specific mRNA-protein
complexes to ribosomes.
Significant for these dual functions described for PTOV1 is the very recent identification
of the N-terminal (e)AT-hook motif that, allowing the protein to bind directly to
nucleic acids, gives support to the roles in gene expression regulation by direct
DNA or RNA binding. Nucleic acids binding through the (e)AT-hook would feasibly allow
simultaneous interactions of PTOV1 with different factors binding the A and B domains.
For example, protein complexes associated to promoters, or ribonucleoprotein complexes
charged with specific mRNAs to be translated. Interestingly, the subcellular localization
of the specific interactions mediated by the A domain with HDAC1 and RBP-jκ, are coupled
to actions in the regulation of transcription [32]. In contrast, the interactions
with cytoplasmic RACK1 and Flotillin-1 exclusively engaging the B domain are linked
to activities more closely related to protein synthesis. All together these evidences
suggest that PTOV1 might be a new moonlighting protein able to perform different activities
in the cell [118], and may utilize separate protein surfaces for its multiple actions
[119]. The overexpression of a single protein with multiple actions that converge
in activation of proliferation, survival and drug-resistance is energetically convenient
for a tumor cell, and might contribute to the acquisition of stemness features. Many
questions remain to be solved to understand what is the biological role of PTOV1 in
normal tissues, or how does the protein promote tumor progression. The evidences so
far suggest that the potential therapeutic effects of its specific targeting in aggressive
cancer cells is worthy of being studied.