Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer

The tight junction (TJ) protein claudin-4 (CLDN4) is overexpressed in bladder urothelial carcinoma (BUC) and correlates with cancer progression. However, the mechanism of CLDN4 upregulation and promotion of malignant phenotype is not clear. Here, we analyzed 157 cases of BUC and investigated the hyp...

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Main Authors: Fumisato Maesaka, Masaomi Kuwada, Shohei Horii, Shingo Kishi, Rina Fujiwara-Tani, Shiori Mori, Kiyomu Fujii, Takuya Mori, Hitoshi Ohmori, Takuya Owari, Makito Miyake, Yasushi Nakai, Nobumichi Tanaka, Ujjal Kumar Bhawal, Yi Luo, Masuo Kondoh, Kiyohide Fujimoto, Hiroki Kuniyasu
Format: Article
Language:English
Published: MDPI AG 2022-06-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/23/12/6516
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author Fumisato Maesaka
Masaomi Kuwada
Shohei Horii
Shingo Kishi
Rina Fujiwara-Tani
Shiori Mori
Kiyomu Fujii
Takuya Mori
Hitoshi Ohmori
Takuya Owari
Makito Miyake
Yasushi Nakai
Nobumichi Tanaka
Ujjal Kumar Bhawal
Yi Luo
Masuo Kondoh
Kiyohide Fujimoto
Hiroki Kuniyasu
author_facet Fumisato Maesaka
Masaomi Kuwada
Shohei Horii
Shingo Kishi
Rina Fujiwara-Tani
Shiori Mori
Kiyomu Fujii
Takuya Mori
Hitoshi Ohmori
Takuya Owari
Makito Miyake
Yasushi Nakai
Nobumichi Tanaka
Ujjal Kumar Bhawal
Yi Luo
Masuo Kondoh
Kiyohide Fujimoto
Hiroki Kuniyasu
author_sort Fumisato Maesaka
collection DOAJ
description The tight junction (TJ) protein claudin-4 (CLDN4) is overexpressed in bladder urothelial carcinoma (BUC) and correlates with cancer progression. However, the mechanism of CLDN4 upregulation and promotion of malignant phenotype is not clear. Here, we analyzed 157 cases of BUC and investigated the hypomethylation of CpG island in the <i>CLDN4</i> promoter DNA and its correlation with cancer progression. In hypomethylated cases, CLDN4 expression, cell proliferation, stemness, and epithelial-mesenchymal transition were increased. Treatment of three human BUC cell lines with the demethylating agent aza-2′-deoxycytidine (AZA) led to excessive CLDN4 expression, and, specifically, to an increase in CLDN4 monomer that is not integrated into the TJ. The TJ-unintegrated CLDN4 was found to bind integrin β1 and increase stemness, drug resistance, and metastatic ability of the cells as well as show an anti-apoptosis effect likely via FAK phosphorylation, which reduces upon knockdown of CLDN4. Thus, CLDN4 is overexpressed in BUC by an epigenetic mechanism and the high expression enhances the malignant phenotype of BUC via increased levels of TJ-unintegrated CLDN4. <i>CLDN4</i> promoter DNA methylation is expected to be a novel indicator of BUC malignant phenotype and a new therapeutic target.
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spelling doaj.art-c8f4f1fd4d964795a7da00a51cfa6db32023-11-23T17:02:05ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672022-06-012312651610.3390/ijms23126516Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder CancerFumisato Maesaka0Masaomi Kuwada1Shohei Horii2Shingo Kishi3Rina Fujiwara-Tani4Shiori Mori5Kiyomu Fujii6Takuya Mori7Hitoshi Ohmori8Takuya Owari9Makito Miyake10Yasushi Nakai11Nobumichi Tanaka12Ujjal Kumar Bhawal13Yi Luo14Masuo Kondoh15Kiyohide Fujimoto16Hiroki Kuniyasu17Department of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8522, Nara, JapanDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8522, Nara, JapanDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8522, Nara, JapanDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8522, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanJiangsu Province Key Laboratory of Neuroregeneration, Nantong University, 19 Qixiu Road, Nantong 226001, ChinaDrug Innovation Center, Graduate School of Pharmaceutical Sciences, Osaka University, 6-1 Yamadaoka, Suita 565-0871, Osaka, JapanDepartment of Urology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8522, Nara, JapanDepartment of Molecular Pathology, Nara Medical University, 840 Shijo-cho, Kashihara 634-8521, Nara, JapanThe tight junction (TJ) protein claudin-4 (CLDN4) is overexpressed in bladder urothelial carcinoma (BUC) and correlates with cancer progression. However, the mechanism of CLDN4 upregulation and promotion of malignant phenotype is not clear. Here, we analyzed 157 cases of BUC and investigated the hypomethylation of CpG island in the <i>CLDN4</i> promoter DNA and its correlation with cancer progression. In hypomethylated cases, CLDN4 expression, cell proliferation, stemness, and epithelial-mesenchymal transition were increased. Treatment of three human BUC cell lines with the demethylating agent aza-2′-deoxycytidine (AZA) led to excessive CLDN4 expression, and, specifically, to an increase in CLDN4 monomer that is not integrated into the TJ. The TJ-unintegrated CLDN4 was found to bind integrin β1 and increase stemness, drug resistance, and metastatic ability of the cells as well as show an anti-apoptosis effect likely via FAK phosphorylation, which reduces upon knockdown of CLDN4. Thus, CLDN4 is overexpressed in BUC by an epigenetic mechanism and the high expression enhances the malignant phenotype of BUC via increased levels of TJ-unintegrated CLDN4. <i>CLDN4</i> promoter DNA methylation is expected to be a novel indicator of BUC malignant phenotype and a new therapeutic target.https://www.mdpi.com/1422-0067/23/12/6516claudin-4promoter methylationbladder cancerstemnessnon-tight junction claudin
spellingShingle Fumisato Maesaka
Masaomi Kuwada
Shohei Horii
Shingo Kishi
Rina Fujiwara-Tani
Shiori Mori
Kiyomu Fujii
Takuya Mori
Hitoshi Ohmori
Takuya Owari
Makito Miyake
Yasushi Nakai
Nobumichi Tanaka
Ujjal Kumar Bhawal
Yi Luo
Masuo Kondoh
Kiyohide Fujimoto
Hiroki Kuniyasu
Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer
International Journal of Molecular Sciences
claudin-4
promoter methylation
bladder cancer
stemness
non-tight junction claudin
title Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer
title_full Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer
title_fullStr Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer
title_full_unstemmed Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer
title_short Hypomethylation of <i>CLDN4</i> Gene Promoter Is Associated with Malignant Phenotype in Urinary Bladder Cancer
title_sort hypomethylation of i cldn4 i gene promoter is associated with malignant phenotype in urinary bladder cancer
topic claudin-4
promoter methylation
bladder cancer
stemness
non-tight junction claudin
url https://www.mdpi.com/1422-0067/23/12/6516
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