FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis

Abstract Background There is no consensus about the effective dosages of melatonin in cancer management, thus, it is imperative to fully understand the dose-dependent responsiveness of cancer cells to melatonin and the underlying mechanisms. Methods Head and neck squamous cell carcinoma (HNSCC) cell...

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Main Authors: Liwei Lang, Yuanping Xiong, Nestor Prieto-Dominguez, Reid Loveless, Caleb Jensen, Chloe Shay, Yong Teng
Format: Article
Language:English
Published: BMC 2021-03-01
Series:Journal of Experimental & Clinical Cancer Research
Subjects:
Online Access:https://doi.org/10.1186/s13046-021-01888-9
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author Liwei Lang
Yuanping Xiong
Nestor Prieto-Dominguez
Reid Loveless
Caleb Jensen
Chloe Shay
Yong Teng
author_facet Liwei Lang
Yuanping Xiong
Nestor Prieto-Dominguez
Reid Loveless
Caleb Jensen
Chloe Shay
Yong Teng
author_sort Liwei Lang
collection DOAJ
description Abstract Background There is no consensus about the effective dosages of melatonin in cancer management, thus, it is imperative to fully understand the dose-dependent responsiveness of cancer cells to melatonin and the underlying mechanisms. Methods Head and neck squamous cell carcinoma (HNSCC) cells with or without melatonin treatment were used as a research platform. Gene depletion was achieved by short hairpin RNA, small interfering RNA, and CRISPR/Cas9. Molecular changes and regulations were assessed by Western blotting, quantitative RT-PCR (qRT-PCR), immunohistochemistry, and chromatin Immunoprecipitation coupled with qPCR (ChIP-qPCR). The therapeutic efficacy of FGF19/FGFR4 inhibition in melatonin-mediated tumor growth and metastasis was evaluated in orthotopic tongue tumor mice. Results The effect of melatonin on controlling cell motility and metastasis varies in HNSCC cells, which is dose-dependent. Mechanistically, high-dose melatonin facilitates the upregulation of FGF19 expression through activating endoplasmic stress (ER)-associated protein kinase RNA-like endoplasmic reticulum kinase (PERK)-Eukaryotic initiation factor 2 alpha (eIF2α)-activating transcription factor 4 (ATF4) pathway, which in turn promotes FGFR4-Vimentin invasive signaling and attenuates the role of melatonin in repressing metastasis. Intriguingly, following long-term exposure to high-dose melatonin, epithelial HNSCC cells revert the process towards mesenchymal transition and turn more aggressive, which is enabled by FGF19/FGFR4 upregulation and alleviated by genetic depletion of the FGF19 and FGFR4 genes or the treatment of FGFR4 inhibitor H3B-6527. Conclusions Our study gains novel mechanistic insights into melatonin-mediated modulation of FGF19/FGFR4 signaling in HNSCC, demonstrating that activating this molecular node confines the role of melatonin in suppressing metastasis and even triggers the switch of its function from anti-metastasis to metastasis promotion. The blockade of FGF19/FGFR4 signaling would have great potential in improving the efficacy of melatonin supplements in cancer treatment.
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spelling doaj.art-6e0668c9c3b948c5ad78f147362b727d2022-12-21T21:55:41ZengBMCJournal of Experimental & Clinical Cancer Research1756-99662021-03-0140111410.1186/s13046-021-01888-9FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasisLiwei Lang0Yuanping Xiong1Nestor Prieto-Dominguez2Reid Loveless3Caleb Jensen4Chloe Shay5Yong Teng6Department of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta UniversityDepartment of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta UniversityDepartment of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta UniversityDepartment of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta UniversityDepartment of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta UniversityDepartment of Pediatrics, Emory Children’s Center, Emory UniversityDepartment of Oral Biology and Diagnostic Sciences, Dental College of Georgia, Augusta UniversityAbstract Background There is no consensus about the effective dosages of melatonin in cancer management, thus, it is imperative to fully understand the dose-dependent responsiveness of cancer cells to melatonin and the underlying mechanisms. Methods Head and neck squamous cell carcinoma (HNSCC) cells with or without melatonin treatment were used as a research platform. Gene depletion was achieved by short hairpin RNA, small interfering RNA, and CRISPR/Cas9. Molecular changes and regulations were assessed by Western blotting, quantitative RT-PCR (qRT-PCR), immunohistochemistry, and chromatin Immunoprecipitation coupled with qPCR (ChIP-qPCR). The therapeutic efficacy of FGF19/FGFR4 inhibition in melatonin-mediated tumor growth and metastasis was evaluated in orthotopic tongue tumor mice. Results The effect of melatonin on controlling cell motility and metastasis varies in HNSCC cells, which is dose-dependent. Mechanistically, high-dose melatonin facilitates the upregulation of FGF19 expression through activating endoplasmic stress (ER)-associated protein kinase RNA-like endoplasmic reticulum kinase (PERK)-Eukaryotic initiation factor 2 alpha (eIF2α)-activating transcription factor 4 (ATF4) pathway, which in turn promotes FGFR4-Vimentin invasive signaling and attenuates the role of melatonin in repressing metastasis. Intriguingly, following long-term exposure to high-dose melatonin, epithelial HNSCC cells revert the process towards mesenchymal transition and turn more aggressive, which is enabled by FGF19/FGFR4 upregulation and alleviated by genetic depletion of the FGF19 and FGFR4 genes or the treatment of FGFR4 inhibitor H3B-6527. Conclusions Our study gains novel mechanistic insights into melatonin-mediated modulation of FGF19/FGFR4 signaling in HNSCC, demonstrating that activating this molecular node confines the role of melatonin in suppressing metastasis and even triggers the switch of its function from anti-metastasis to metastasis promotion. The blockade of FGF19/FGFR4 signaling would have great potential in improving the efficacy of melatonin supplements in cancer treatment.https://doi.org/10.1186/s13046-021-01888-9FGF19/FGFR4 axisMelatoninER stressMetastasesH3B-6527HNSCC
spellingShingle Liwei Lang
Yuanping Xiong
Nestor Prieto-Dominguez
Reid Loveless
Caleb Jensen
Chloe Shay
Yong Teng
FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
Journal of Experimental & Clinical Cancer Research
FGF19/FGFR4 axis
Melatonin
ER stress
Metastases
H3B-6527
HNSCC
title FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
title_full FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
title_fullStr FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
title_full_unstemmed FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
title_short FGF19/FGFR4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
title_sort fgf19 fgfr4 signaling axis confines and switches the role of melatonin in head and neck cancer metastasis
topic FGF19/FGFR4 axis
Melatonin
ER stress
Metastases
H3B-6527
HNSCC
url https://doi.org/10.1186/s13046-021-01888-9
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