MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer

Colorectal cancer (CRC) is one of the leading causes of cancer-related deaths worldwide. The high mortality is directly associated with metastatic disease, which is thought to be initiated by colon cancer stem cells, according to the cancer stem cell (CSC) model. Consequently, early identification o...

Full description

Bibliographic Details
Main Authors: Müge Erdem, Kyung Hwan Lee, Markus Hardt, Joseph L. Regan, Dennis Kobelt, Wolfgang Walther, Margarita Mokrizkij, Christian Regenbrecht, Ulrike Stein
Format: Article
Language:English
Published: MDPI AG 2024-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/16/3/604
_version_ 1797318967883202560
author Müge Erdem
Kyung Hwan Lee
Markus Hardt
Joseph L. Regan
Dennis Kobelt
Wolfgang Walther
Margarita Mokrizkij
Christian Regenbrecht
Ulrike Stein
author_facet Müge Erdem
Kyung Hwan Lee
Markus Hardt
Joseph L. Regan
Dennis Kobelt
Wolfgang Walther
Margarita Mokrizkij
Christian Regenbrecht
Ulrike Stein
author_sort Müge Erdem
collection DOAJ
description Colorectal cancer (CRC) is one of the leading causes of cancer-related deaths worldwide. The high mortality is directly associated with metastatic disease, which is thought to be initiated by colon cancer stem cells, according to the cancer stem cell (CSC) model. Consequently, early identification of those patients who are at high risk for metastasis is crucial for improved treatment and patient outcomes. Metastasis-associated in colon cancer 1 (MACC1) is a novel prognostic biomarker for tumor progression and metastasis formation independent of tumor stage. We previously showed an involvement of MACC1 in cancer stemness in the mouse intestine of our MACC1 transgenic mouse models. However, the expression of MACC1 in human CSCs and possible implications remain elusive. Here, we explored the molecular mechanisms by which MACC1 regulates stemness and the CSC-associated invasive phenotype based on patient-derived tumor organoids (PDOs), patient-derived xenografts (PDXs) and human CRC cell lines. We showed that CD44-enriched CSCs from PDO models express significantly higher levels of MACC1 and LGR5 and display higher tumorigenicity in immunocompromised mice. Similarly, RNA sequencing performed on PDO and PDX models demonstrated significantly increased MACC1 expression in ALDH1(+) CSCs, highlighting its involvement in cancer stemness. We further showed the correlation of MACC1 with the CSC markers CD44, NANOG and LGR5 in PDO models as well as established cell lines. Additionally, MACC1 increased stem cell gene expression, clonogenicity and sphere formation. Strikingly, we showed that MACC1 binds as a transcription factor to the LGR5 gene promoter, uncovering the long-known CSC marker LGR5 as a novel essential signaling mediator employed by MACC1 to induce CSC-like properties in human CRC patients. Our in vitro findings were further substantiated by a significant positive correlation of MACC1 with LGR5 in CRC cell lines as well as CRC patient tumors. Taken together, this study indicates that the metastasis inducer MACC1 acts as a cancer stem cell-associated marker. Interventional approaches targeting MACC1 would potentially improve further targeted therapies for colorectal cancer patients to eradicate CSCs and prevent cancer recurrence and distant metastasis formation.
first_indexed 2024-03-08T04:00:02Z
format Article
id doaj.art-d570f3c3729044b6b88d973dc01264cd
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-08T04:00:02Z
publishDate 2024-01-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-d570f3c3729044b6b88d973dc01264cd2024-02-09T15:09:16ZengMDPI AGCancers2072-66942024-01-0116360410.3390/cancers16030604MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal CancerMüge Erdem0Kyung Hwan Lee1Markus Hardt2Joseph L. Regan3Dennis Kobelt4Wolfgang Walther5Margarita Mokrizkij6Christian Regenbrecht7Ulrike Stein8Experimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyExperimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyExperimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyBayer AG, Research and Development, Pharmaceuticals, 13342 Berlin, GermanyExperimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyExperimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyExperimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyCELLphenomics GmbH, 13125 Berlin, GermanyExperimental and Clinical Research Center, Charité—Universitätsmedizin Berlin and Max-Delbrück-Center for Molecular Medicine, Translational Oncology of Solid Tumors Research Group, 13125 Berlin, GermanyColorectal cancer (CRC) is one of the leading causes of cancer-related deaths worldwide. The high mortality is directly associated with metastatic disease, which is thought to be initiated by colon cancer stem cells, according to the cancer stem cell (CSC) model. Consequently, early identification of those patients who are at high risk for metastasis is crucial for improved treatment and patient outcomes. Metastasis-associated in colon cancer 1 (MACC1) is a novel prognostic biomarker for tumor progression and metastasis formation independent of tumor stage. We previously showed an involvement of MACC1 in cancer stemness in the mouse intestine of our MACC1 transgenic mouse models. However, the expression of MACC1 in human CSCs and possible implications remain elusive. Here, we explored the molecular mechanisms by which MACC1 regulates stemness and the CSC-associated invasive phenotype based on patient-derived tumor organoids (PDOs), patient-derived xenografts (PDXs) and human CRC cell lines. We showed that CD44-enriched CSCs from PDO models express significantly higher levels of MACC1 and LGR5 and display higher tumorigenicity in immunocompromised mice. Similarly, RNA sequencing performed on PDO and PDX models demonstrated significantly increased MACC1 expression in ALDH1(+) CSCs, highlighting its involvement in cancer stemness. We further showed the correlation of MACC1 with the CSC markers CD44, NANOG and LGR5 in PDO models as well as established cell lines. Additionally, MACC1 increased stem cell gene expression, clonogenicity and sphere formation. Strikingly, we showed that MACC1 binds as a transcription factor to the LGR5 gene promoter, uncovering the long-known CSC marker LGR5 as a novel essential signaling mediator employed by MACC1 to induce CSC-like properties in human CRC patients. Our in vitro findings were further substantiated by a significant positive correlation of MACC1 with LGR5 in CRC cell lines as well as CRC patient tumors. Taken together, this study indicates that the metastasis inducer MACC1 acts as a cancer stem cell-associated marker. Interventional approaches targeting MACC1 would potentially improve further targeted therapies for colorectal cancer patients to eradicate CSCs and prevent cancer recurrence and distant metastasis formation.https://www.mdpi.com/2072-6694/16/3/604MACC1LGR5transcriptional regulationstemness
spellingShingle Müge Erdem
Kyung Hwan Lee
Markus Hardt
Joseph L. Regan
Dennis Kobelt
Wolfgang Walther
Margarita Mokrizkij
Christian Regenbrecht
Ulrike Stein
MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer
Cancers
MACC1
LGR5
transcriptional regulation
stemness
title MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer
title_full MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer
title_fullStr MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer
title_full_unstemmed MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer
title_short MACC1 Regulates LGR5 to Promote Cancer Stem Cell Properties in Colorectal Cancer
title_sort macc1 regulates lgr5 to promote cancer stem cell properties in colorectal cancer
topic MACC1
LGR5
transcriptional regulation
stemness
url https://www.mdpi.com/2072-6694/16/3/604
work_keys_str_mv AT mugeerdem macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT kyunghwanlee macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT markushardt macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT josephlregan macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT denniskobelt macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT wolfgangwalther macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT margaritamokrizkij macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT christianregenbrecht macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer
AT ulrikestein macc1regulateslgr5topromotecancerstemcellpropertiesincolorectalcancer