Hsuan-Shun Huang

MiR-488 inhibits proliferation and cisplatin sensibility in non-small-cell lung cancer (NSCLC) cells by activating the eIF3a-mediated NER signaling pathway

Our previous studied indicated that eukaryotic translation initiation factor 3a (eIF3a) increases the sensitive of platinum-based chemotherapy in lung cancer. MiRNAs play an important role in lung carcinogenesis and drug response. In this study, we aimed to identify potential endogenous miRNAs that inhibit eIF3a expression and determine their influence of this inhibition on cisplatin resistance. Using bioinformatics analysis prediction and confirmation with dual-luciferase reporter assays, we found that miRNA-488 inhibited eIF3a expression by directly binding to the 3’UTR of eIF3a. In addition, the overexpression of miRNA-488 inhibited cell migration and invasion in A549 cells, and also inhibited cell proliferation, cell cycle progression by elevated P27 expression. Compared to the parental cell line, A549/cisplatin (DDP) resistant cells exhibited a higher level of miRNA-488. Moreover, we found that miRNA-488 was associated with cisplatin resistance in three NSCLC cells (A549, H1299 and SK-MES-1). The mechanism of miRNA-488 induced cisplatin resistance was that miRNA-488 activated nucleotide excision repair (NER) by increasing the expression of Replication Protein A (RPA) 14 and Xeroderma pigmentosum group C (XPC). In conclusion, our results demonstrated that miRNA-488 is a tumor suppressor miRNA that acts by targeting eIF3a. Moreover, miRNA-488 also participates in eIF3a mediated cisplatin resistance in NSCLC cells.

Mutagenic, surviving and tumorigenic effects of follicular fluid in the context of p53 loss: initiation of fimbria carcinogenesis.

Ovulation is the strongest risk factor for ovarian high-grade serous carcinoma (HGSC) that largely originates from the fallopian tube fimbriae and always carries loss-of-function mutations of TP53 in both early and late lesions. Mature ovarian follicle contains high level of reactive oxygen species (ROS). When released from ovulation, follicular fluid (FF) bathes the fimbriae and may lead to DNA double-strand break (DSB) and neoplastic transformation. In this study, we examined the mutagenic and tumorigenic activities of human pre-ovulatory FFs. A subset (6/11) of FFs was found with high levels of ROS whereas the antioxidant capacities were indifferent. These ROS(high) FFs induced intracellular ROS and DSBs in the secretory cell population of fimbriae epithelium. When p53 and Rb were turned down, the FF-exposed secretory cells overcame apoptosis and expanded the population carrying ROS and DSB. The cancer initiation and promotion effects of FF were further recapitulated in Trp53 (-/-) mice. When introduced into the mammary fat pad, ROS(high) but not ROS(low) FFs induced early-onset B-cell lymphoma. Cotreatment with physiological concentration of melatonin, a potent antioxidant, ameliorated the mutagenic and tumorigenic effect of ROS(high) FF in vitro and in vivo. The study revealed ROS and mitogens in mature ovarian follicles could initiate the transformation of fimbria epithelium in the context of p53 loss and melatonin is a potent preventive agent.

Haemoglobin in pelvic fluid rescues fallopian tube epithelial cells from ROS stress and apoptosis

Fallopian tube fimbrial epithelium is considered to be the major site of origin of ovarian high‐grade serous carcinoma, with p53 loss being the earliest and universal change. We previously reported that reactive oxygen species (ROS) in the ovulatory follicular fluids (FFs) are mutagenic and cytotoxic to fimbrial epithelial cells, which are bathed in the peritoneal fluid mixed with FFs. Here, we observed that ferryl haemoglobin (Hb), which was abundantly present in ovulatory FFs and pelvic peritoneal fluids, could rescue p53‐deficient immortalized fimbrial epithelial (FE25) cells and oviduct epithelial cells from Trp53‐null mice from lethal ovulatory ROS stress. Ferryl Hb and FF containing high Hb levels protected FE25 cells from apoptosis, mainly by consuming extracellular ROS and reducing NADPH oxidase‐mediated cell death. The remaining extracellular ROS could still induce DNA double‐strand breaks in the fimbrial epithelial cells. Our study revealed that ferryl Hb in peritoneal fluid rescued ROS‐stressed, DNA‐damaged fimbrial epithelial cells from death, and suggested that peritoneal blood from various sources may contribute to the ovulation‐induced transformation of Fallopian tube epithelium. Copyright

Haemoglobin in pelvic fluid rescues Fallopian tube epithelial cells from reactive oxygen species stress and apoptosis

Fallopian tube fimbrial epithelium is considered to be the major site of origin of ovarian high‐grade serous carcinoma, with p53 loss being the earliest and universal change. We previously reported that reactive oxygen species (ROS) in the ovulatory follicular fluids (FFs) are mutagenic and cytotoxic to fimbrial epithelial cells, which are bathed in the peritoneal fluid mixed with FFs. Here, we observed that ferryl haemoglobin (Hb), which was abundantly present in ovulatory FFs and pelvic peritoneal fluids, could rescue p53‐deficient immortalized fimbrial epithelial (FE25) cells and oviduct epithelial cells from Trp53‐null mice from lethal ovulatory ROS stress. Ferryl Hb and FF containing high Hb levels protected FE25 cells from apoptosis, mainly by consuming extracellular ROS and reducing NADPH oxidase‐mediated cell death. The remaining extracellular ROS could still induce DNA double‐strand breaks in the fimbrial epithelial cells. Our study revealed that ferryl Hb in peritoneal fluid rescued ROS‐stressed, DNA‐damaged fimbrial epithelial cells from death, and suggested that peritoneal blood from various sources may contribute to the ovulation‐induced transformation of Fallopian tube epithelium. Copyright

Progesterone Prevents High-Grade Serous Ovarian Cancer by Inducing Necroptosis of p53-Defective Fallopian Tube Epithelial Cells

High-grade serous ovarian carcinoma (HGSOC) originates mainly from the fallopian tube (FT) epithelium and always carries early TP53 mutations. We previously reported that tumors initiate in the FT fimbria epithelium because of apoptotic failure and the expansion of cells with DNA double-strand breaks (DSB) caused by bathing of the FT epithelial cells in reactive oxygen species (ROSs) and hemoglobin-rich follicular fluid (FF) after ovulation. Because ovulation is frequent and HGSOC is rare, we hypothesized that luteal-phase progesterone (P4) could eliminate p53-defective FT cells. Here we show that P4, via P4 receptors (PRs), induces necroptosis in Trp53-/- mouse oviduct epithelium and in immortalized human p53-defective fimbrial epithelium through the TNF-α/RIPK1/RIPK3/MLKL pathway. Necroptosis occurs specifically at diestrus, recovers at the proestrus phase of the estrus cycle, and can be augmented with P4 supplementation. These results reveal the mechanism of the well-known ability of progesterone to prevent ovarian cancer.

Abstract B02: Oxidized hemoglobin promotes survival of ROS-stressed and DNA damaged fallopian tube epithelial cells with p53 loss, resulting in a copy number variation phenotype of HGSC.

Purpose: Ovulation is a strong risk factor for high grade serous carcinoma (HGSC) of ovary known to largely originate from the fallopian tube fimbriae. Previously, we have showed ROS in the mature follicular fluid (FF) is mutagenic and cytotoxic to fimbria epithelial cells, and induces DNA double strand breaks (DSB) in the context of p53 loss. We hypothesized that hemoglobin (Hb) in FF accumulated in cul-de-sac (CDS) after ovulatory bleeding may protect the bathed fimbria from cell death and enhance cancer initiation. Results: Peritoneal fluids collected from the CDS after ovulation contained high level of oxidized Hb and ROS, so did ovarian FFs retrieved from IVF patients. When treating E6/E7-immortalized fimbria secretory cells (FE25) with FFs with various ROS levels ranging from 100-1200 μM of H2O2 equivalence, a positive correlation of Hb levels (ranging from 100-1100 μg/ml) in FF and cell viability was observed. This was further confirmed in treating FE25 cells with H2O2 where Hb dose-dependently rescued cell death. As a consequence, FE25 cells treated with either Hb-high FF or with H2O2 plus Hb accumulated high level of DSB and showed an extensive DNA copy number variation compatible with the copy number variation (CNV) phenotype of HGSC. The resulted DNA aneuploidy rates were 50±5% and 65±7% in FE25 treated with 500 μM H2O2 supplemented with 100 μg/ml Hb or 3% Hb-hgih FF, respectively; as compared to 15±2% at baseline and 31±8% with H2O2 only. In the case of primary fimbria epithelial cells the figures were 2±0.3% and 1.3±0.2%, respectively. Finally, the p53 deficiency dependent rescuing effect of Hb on ROS-stressed tubal epithelial cells, and the consequent CNV phenotype were confirmed ex vivo with oviducts of wild type and Trp53-null mice. Conclusion: While ROS in FF induces DNA damage and cytotoxicity of p53-deficient fimbria epithelial cells, oxidized Hb in peritoneal fluid rescues cells from death and results in a CNV phenotype, a major characteristic of HGSC. Citation Format: Hsuan-Shun Huang, Che-Fang Hsu, Tang-Yuan Chu. Oxidized hemoglobin promotes survival of ROS-stressed and DNA damaged fallopian tube epithelial cells with p53 loss, resulting in a copy number variation phenotype of HGSC. [abstract]. In: Proceedings of the AACR Special Conference on Advances in Ovarian Cancer Research: Exploiting Vulnerabilities; Oct 17-20, 2015; Orlando, FL. Philadelphia (PA): AACR; Clin Cancer Res 2016;22(2 Suppl):Abstract nr B02.

Abstract B01: Mutagenic and tumorigenic effects of follicular fluid in the context of p53 loss: Initiation of fimbria carcinogenesis.

Ovulation is the strongest risk factor for ovarian high-grade serous carcinoma (HGSC) that largely originates from the fallopian tube fimbriae and always carries loss-of-function mutations of TP53 in both early and late lesions. Mature ovarian follicle contains high level of reactive oxygen species (ROS). When released from ovulation, follicular fluid (FF) bathes the fimbriae and may lead to DNA double strand break (DSB) and neoplastic transformation. In this study, we examined the mutagenic and tumorigenic activities of human pre-ovulatory FFs. A subset (6/11) of FFs was found with high levels of ROS whereas the antioxidant capacities were indifferent. These ROS-high FFs induced intracellular ROS and DSBs in the secretory cell population of fimbriae epithelium. In the context of p53 and Rb deficiency in an E6/E7 immortalized fimbria secretory cell line, FF-exposed secretory cells overcame apoptosis and maintained the population carrying ROS and DSB. The cancer initiation effects of FF were further recapitulated in Trp53-/- mice. When introduced into the mammary fat pad, ROS-high but not ROS-low FFs induced early-onset B-cell lymphoma. Cotreatment with physiological concentration of melatonin, a potent antioxidant, ameliorated the mutagenic and tumorigenic effect of ROS-high FF in vitro and in vivo. The study revealed ROS and mitogens in mature ovarian follicles could initiate the transformation of fimbria epithelium in the context of p53 loss and melatonin is a potent preventive agent. Citation Format: Tang-Yuan Chu, Hsuan-Shun Huang, Che-Fang Hsu. Mutagenic and tumorigenic effects of follicular fluid in the context of p53 loss: Initiation of fimbria carcinogenesis. [abstract]. In: Proceedings of the AACR Special Conference on Advances in Ovarian Cancer Research: Exploiting Vulnerabilities; Oct 17-20, 2015; Orlando, FL. Philadelphia (PA): AACR; Clin Cancer Res 2016;22(2 Suppl):Abstract nr B01.

Abstract PR03: Oxidants and antioxidants in the follicular fluid in initiation of fimbriae carcinogenesis

High grade serous carcinoma (HGSC) of the ovary constitutes the majority of incidence and death of ovarian cancer, mainly because of the elusive etiology and cell of origin. Ovulation has been regarded as a strong risk factor and use of oral contraceptives (OC) as a protective factor for ovarian cancer with obvious dose (the span of ovulation life and duration of OC use) effect, but the mechanism is unknown. Meanwhile, more and more evidences have indicated the fallopian tube fimbriae to be the tissue of origin of HGSC. We hypothesize that high level of reactive oxygen species (ROS), which is indispensible for ovulation, as well as abundant mitogens in the mature follicular fluid is responsible for the initiation (DNA double strand breaks, DSB) and promotion (proliferation) of carcinogenesis to the fallopian tube secretory cells. We first tested the scrapped cells of the human fallopian tube epithelium for the extending of DSB. By flow cytometry with gating for the secretory cell marker PAX8 and DSB marker γH2AX, we found the secretory cells in the fimbriae harbored significantly more DSB than the those in the proximal tube. In an immortalized cell line of the human fimbriae secretory cell (we named FE25), we tested the mutagenic and mitogenic effects of the ROS and antioxidant in human follicular fluids at ovulation (FF). We found a balanced activity of of ROS and antioxidants in the undiluted follicular fluid with the antioxidants to be limited, such that, upon serial dilution, the intracellular ROS level raised proportionally. This dilution-raised effect of ROS was able to induce γH2Ax accumulation in the FE25 cells. Upon treating with sub-nM level of melatonin, the most potent and major antioxidant in FF, the level of intracellular ROS and γH2Ax readily decreased. Temporally, we found a two-stage effect of FF on the survival and proliferation of FE25, with an early phase of cell death, which occurred within 12 hours after FF treatment, followed by a cell expansion phase occurring at day 2. We interpret this two-stage effect to be an immediate ROS-induced DSB and cell apoptosis followed by a mitogen-induced proliferation of the survived cells. These survived cells carried the DSB and may be clonally expanded and move on to the carcinogenic road. We conclude that an imbalance favoring the ROS activity in the FF, likely from a significant dilution of FF by an unknown pathological status (such as fimbriae inflammation or ascites), may induce an oxidative stress and DSB in the fallopian tube fimbriae. Cells that survive this stress with some carrying DSB are expanded by the rich mitogens in the same FF. When enough mutations of critical genes were accumulated in a stem cell in this secretory population, cancer lesion such as STIC can thus arise. This abstract is also presented as Poster B5. Citation Format: Hsuan-Shun Huang, Che-Fang Hsu, Taolan Zhang, Tang-Yuan Chu. Oxidants and antioxidants in the follicular fluid in initiation of fimbriae carcinogenesis. [abstract]. In: Proceedings of the AACR Special Conference on Advances in Ovarian Cancer Research: From Concept to Clinic; Sep 18-21, 2013; Miami, FL. Philadelphia (PA): AACR; Clin Cancer Res 2013;19(19 Suppl):Abstract nr PR03.