Department of Urology, Urological Research Laboratory, Translational UroOncology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Germany.
Department of Oncological Science, Icahn School of Medicine at Mount Sinai, Hess Center for Science and Medicine, New York, NY, USA.
Mol Oncol. 2022 Feb;16(4):982-1008. doi: 10.1002/1878-0261.13066. Epub 2021 Aug 2.
Testicular germ cell tumors (GCTs) are stratified into seminomas and nonseminomas. Seminomas share many histological and molecular features with primordial germ cells, whereas the nonseminoma stem cell population-embryonal carcinoma (EC)-is pluripotent and thus able to differentiate into cells of all three germ layers (teratomas). Furthermore, ECs are capable of differentiating into extra-embryonic lineages (yolk sac tumors, choriocarcinomas). In this study, we deciphered the molecular and (epi)genetic mechanisms regulating expression of CD24, a highly glycosylated signaling molecule upregulated in many cancers. CD24 is overexpressed in ECs compared with other GCT entities and can be associated with an undifferentiated pluripotent cell fate. We demonstrate that CD24 can be transactivated by the pluripotency factor SOX2, which binds in proximity to the CD24 promoter. In GCTs, CD24 expression is controlled by epigenetic mechanisms, that is, histone acetylation, since CD24 can be induced by the application histone deacetylase inhibitors. Vice versa, CD24 expression is downregulated upon inhibition of histone methyltransferases, E3 ubiquitin ligases, or bromodomain (BRD) proteins. Additionally, three-dimensional (3D) co-cultivation of EC cells with microenvironmental cells, such as fibroblasts, and endothelial or immune cells, reduced CD24 expression, suggesting that crosstalk with the somatic microenvironment influences CD24 expression. In a CRISPR/Cas9 deficiency model, we demonstrate that CD24 fulfills a bivalent role in differentiation via regulation of homeobox, and phospho- and glycoproteins; that is, it is involved in suppressing the germ cell/spermatogenesis program and mesodermal/endodermal differentiation, while poising the cells for ectodermal differentiation. Finally, blocking CD24 by a monoclonal antibody enhanced sensitivity toward cisplatin in EC cells, including cisplatin-resistant subclones, highlighting CD24 as a putative target in combination with cisplatin.
睾丸生殖细胞肿瘤 (GCT) 分为精原细胞瘤和非精原细胞瘤。精原细胞瘤与原始生殖细胞在组织学和分子特征上有许多共同之处,而非精原细胞瘤的干细胞群体——胚胎癌 (EC) 是多能的,因此能够分化为所有三个胚层的细胞(畸胎瘤)。此外,EC 能够分化为胚外谱系(卵黄囊肿瘤、绒毛膜癌)。在这项研究中,我们破译了调控 CD24 表达的分子和(表观遗传)机制,CD24 是一种高度糖基化的信号分子,在许多癌症中上调。与其他 GCT 实体相比,CD24 在 EC 中过度表达,并且可以与未分化的多能细胞命运相关。我们证明 CD24 可以被多能因子 SOX2 反式激活,SOX2 与 CD24 启动子附近结合。在 GCT 中,CD24 的表达受表观遗传机制调控,即组蛋白乙酰化,因为 CD24 可以被组蛋白去乙酰化酶抑制剂诱导。反之,当抑制组蛋白甲基转移酶、E3 泛素连接酶或溴结构域 (BRD) 蛋白时,CD24 的表达会下调。此外,将 EC 细胞与微环境细胞(如成纤维细胞、内皮细胞或免疫细胞)进行三维共培养可降低 CD24 的表达,这表明与体细胞微环境的相互作用会影响 CD24 的表达。在 CRISPR/Cas9 缺陷模型中,我们证明 CD24 通过调节同源盒、磷酸化和糖蛋白在分化中具有双重作用;也就是说,它参与抑制生殖细胞/精子发生程序和中胚层/内胚层分化,同时为外胚层分化做好准备。最后,通过单克隆抗体阻断 CD24 可增强 EC 细胞对顺铂的敏感性,包括顺铂耐药亚克隆,这表明 CD24 是联合顺铂治疗的潜在靶点。
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