Department of Endocrinology and Metabolism, College of Medicine, Chungnam National University, Daejeon, South Korea.
Research Center for Endocrine and Metabolic Diseases, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Republic of Korea.
Thyroid. 2021 May;31(5):772-786. doi: 10.1089/thy.2020.0034. Epub 2021 Jan 7.
Mitochondrial stress is known to activate the mitochondrial unfolded protein response (UPR). The UPR results in the secretion of mitochondrial cytokines (mitokines), which can promote a hormetic response cell nonautonomously, and has been reported to be protumorigenic. Growth differentiation factor 15 (GDF15) is a well-characterized mitokine, which is reported to have a mitohormetic effect. Thus, we investigated whether GDF15 induction could prime a subpopulation of thyroid cancer cells to provide invasive advantages. The UPR, including mitokine expression, was assessed in the context of thyroid cancer and . GDF15 expression in 266 patients with papillary thyroid carcinoma (PTC) was determined by immunohistochemistry. The serum levels of GDF15 were measured in healthy subjects and PTC patients. In addition, our own and The Cancer Genome Atlas data were analyzed to determine the expression level of in thyroid cancers. The role of GDF15 in tumor aggressiveness was investigated by observing the effects of GDF15 knockdown in BCPAP, TPC-1, 8505C, and FRO cells. Pharmacological inhibition of mitochondrial oxidative phosphorylation function in thyroid cancer cells robustly increased GDF15 expression. The expression of GDF15 was associated with activation of the mitochondrial integrated stress response pathway in PTC patients. Circulating GDF15 levels were significantly higher in PTC patients than in the controls, and tumor expression of GDF15 was related to tumor aggressiveness. and knockdown of GDF15 in a thyroid cancer model showed decreased viability, migration, and invasion compared with the control cells via regulation of STAT3. In this study, we demonstrated that GDF15 is a mitokine induced in thyroid cancer cells upon mitochondrial stress. GDF15-induced STAT3 activation determined tumor progression in thyroid cancer. The GDF15-STAT3 signaling axis may be a target in aggressiveness of thyroid cancer.
线粒体应激已知会激活线粒体未折叠蛋白反应 (UPR)。UPR 导致线粒体细胞因子 (mitokines) 的分泌,这些细胞因子可以非自主地促进应激反应,并已被报道具有致癌作用。生长分化因子 15 (GDF15) 是一种特征明确的 mitokine,据报道具有 mitohormetic 作用。因此,我们研究了 GDF15 诱导是否可以使甲状腺癌细胞的亚群获得侵袭优势。在甲状腺癌的背景下评估了 UPR,包括 mitokine 的表达。通过免疫组织化学法测定 266 例甲状腺乳头状癌 (PTC) 患者的 GDF15 表达。测量健康受试者和 PTC 患者的 GDF15 血清水平。此外,我们自己和癌症基因组图谱的数据进行了分析,以确定甲状腺癌中 的表达水平。通过观察 GDF15 在 BCPAP、TPC-1、8505C 和 FRO 细胞中的敲低作用,研究了 GDF15 在肿瘤侵袭性中的作用。甲状腺癌细胞中线粒体氧化磷酸化功能的药理学抑制可显著增加 GDF15 的表达。在 PTC 患者中,GDF15 的表达与线粒体综合应激反应途径的激活相关。与对照组相比,PTC 患者的循环 GDF15 水平显著升高,GDF15 的肿瘤表达与肿瘤侵袭性相关。和 在甲状腺癌模型中敲低 GDF15 可通过调节 STAT3 降低与对照细胞相比,细胞活力、迁移和侵袭减少。在这项研究中,我们证明 GDF15 是甲状腺癌细胞中线粒体应激诱导的 mitokine。GDF15 诱导的 STAT3 激活决定了甲状腺癌的肿瘤进展。GDF15-STAT3 信号轴可能是甲状腺癌侵袭性的靶点。