ZHX2 promotes HIF1α oncogenic signaling in triple-negative breast cancer

  1. Wentong Fang
  2. Chengheng Liao  Is a corresponding author
  3. Rachel Shi
  4. Jeremy M Simon
  5. Travis S Ptacek
  6. Giada Zurlo
  7. Youqiong Ye
  8. Leng Han
  9. Cheng Fan
  10. Lei Bao
  11. Christopher Llynard Ortiz
  12. Hong-Rui Lin
  13. Ujjawal Manocha
  14. Weibo Luo
  15. Yan Peng
  16. William Y Kim
  17. Lee-Wei Yang
  18. Qing Zhang  Is a corresponding author
  1. Department of Pharmacy, The First Affiliated Hospital of Nanjing Medical University, China
  2. Lineberger Comprehensive Cancer Center, University of North Carolina School of Medicine, United States
  3. Department of Pathology, University of Texas Southwestern Medical Center, United States
  4. Department of Genetics, Neuroscience Center; University of North Carolina School of Medicine, United States
  5. UNC Neuroscience Center, Carolina Institute for Developmental Disabilities, University of North Carolina, United States
  6. Shanghai Institute of Immunology, Faculty of Basic Medicine, Shanghai Jiao Tong University School of Medicine, China
  7. Department of Biochemistry and Molecular Biology, The University of Texas Health Science Center at Houston McGovern Medical School, United States
  8. Institute of Bioinformatics and Structural Biology, National Tsing Hua University, Taiwan
  9. Chemical Biology and Molecular Biophysics Program, Taiwan International Graduate Program, Institute of Chemistry, Taiwan
  10. Department of Chemistry, National Tsing-Hua University, Taiwan
  11. Harold C. Simmons Comprehensive Cancer Center, University of Texas Southwestern Medical Center, United States
  12. Physics Division, National Center for Theoretical Sciences, Taiwan
6 figures, 3 videos, 1 table and 2 additional files

Figures

Figure 1 with 1 supplement
ZHX2 is amplified in triple-negative breast cancer (TNBC) and is potentially regulated by pVHL.

(A) The percentage of tumor samples with ZHX2 (top) or MYC (bottom) focal amplification across cancer types. (B) The percentage of samples with both ZHX2 and MYC (red), ZHX2 specific (magenta), and MYC specific (orange). Asterisk indicates statistical significance for overlap of ZHX2 and MYC focal amplification (Fisher’s exact test, p < 0.05). (C) The percentage of ZHX2 amplification of different breast cancer subtypes in several breast cancer datasets. (D) The relation of ZHX2 copy number gain and its expression in The Cancer Genome Atlas (TCGA) datasets and METABRIC datasets. (E) Immunoblots of lysates from different normal breast cell and breast cancer cell lines. (F) Immunoblots of lysates from paired TNBC patient-derived normal (N) and tumor (T) breast tissues. (G, H) Representative immunohistochemistry (IHC) staining images (G) and quantification (H) of ZHX2 protein level in paired TNBC patient-derived normal and tumor breast tissues. (I) Immunoprecipitations (IP) and immunoblot of MDA-MB-231 and 468 cell lysates with HA beads. (J) Immunoblot of cell lysates from MDA-MB-231 and 468 cells stably expressed control vector or HA-VHL. (K) Immunoblot of cell lysates from MDA-MB-231 infected with lentivirus encoding either VHL sgRNAs (1, 2, or 8) or control sgRNA (Ctrl). (L) Immunoblots of lysates from MDA-MB-231 cells treated with hypoxia or indicated inhibitors for 8 hr. (M, N) Representative IHC staining images (M) and quantification (N) of human TNBC specimens with four staining grades showing the expression correlation between ZHX2 and VHL protein. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. ****p < 0.0001.

Figure 1—figure supplement 1
ZHX2 overexpression leads worse patient survival and is potentially regulated by pVHL in breast cancer.

(A, B) The overall survival of breast cancer patients with high or low ZHX2 expression in different breast cancer subtypes. The K–M plots were generated from https://kmplot.com using two Affymetrix probe, ZHX2: 236169_at (A) and 203556_at (B). (C) Immunoblots of lysates from normal breast epithelial cell and triple-negative breast cancer (TNBC) cell lines. (D) Immunoblot of cell lysates from MDA-MB-468 cells infected with lentivirus encoding either VHL sgRNAs (1, 2, or 8) or control sgRNA (Ctrl). (E) Immunoblots of lysates from MDA-MB-468 cells treated with hypoxia or indicated inhibitors for 8 hr. (F) Immunoblots of lysates from paired TNBC patient-derived normal (N) and tumor (T) breast tissues. (G) Images of immunohistochemistry (IHC) staining of ZHX2 and pVHL in TNBC tissue microarray (TMA).

Figure 2 with 1 supplement
ZHX2 is essential for triple-negative breast cancer (TNBC) cell proliferation and invasion.

(A–H) Immunoblot of cell lysates (A), Real-time quantitative PCR (qRT-PCR) (B), cell proliferation assays (C), 2D colony formation assays (D), representative images of 3D soft agar growth (E) and quantification of oft agar colonies (F), invasion assay (G), and quantification of invasion assay (H) of MDA-MB-231/468 cells infected with lentivirus encoding two individual ZHX2 shRNAs (43 and 45) or control shRNA (Ctrl). (I–N) Immunoblot of cell lysates (I), cell proliferation (J), 2D colony formation assay (K), representative images of 3D soft agar growth (upper), and invasion assays (down) (L) as well as their quantifications (M, N) of MDA-MB-231 cells infected with lentivirus encoding sh45-resistant ZHX2 (ZHX2res) or control vector (EV), then followed by ZHX2 sh45 or Ctrl lentivirus infection. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. **p < 0.01; ***p < 0.001.

Figure 2—figure supplement 1
The phenotype of ZHX2 shRNA on cell proliferation and invasion is due to its on-target effect.

(A–E) Immunoblot of cell lysates (A), cell proliferation assays (B), representative 2D colony formation (C), representative soft agar colony (D), quantification of soft agar colony (E), invasion assays (F), and quantification of invasion assays (G) of MDA-MB-468 cells transfected with ZHX2 sh45-resistant (ZHX2res) or empty vector (EV), followed by ZHX2 sh45 or control (Ctrl) shRNA infection. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. *p < 0.05; **p < 0.01; ***p < 0.001.

Figure 3 with 1 supplement
ZHX2 is important for triple-negative breast cancer (TNBC) cell proliferation and tumorigenesis in vivo.

(A, B) Immunoblot of cell lysates (A) and tumor growth (B) of MDA-MB-231-luc cells expressing doxycycline (Dox)-inducible control or ZHX2 shRNAs (Teton Ctrl, sh43, 45). Cells were orthotopically injected at the mammary fat pad of NoD SCID Gamma (NSG) mice. Treatment of Dox food started as indicated. (C, D) Tumor weight (C) and image (D) from MDA-MB-231 xenografts mice after dissection. (E) Immunoblot of lysates from the MDA-MB-231 xenograft tumors. (F, G) Lung ex vivo bioluminescence imaging (F) and quantification of lung ex vivo imaging (G) of the MDA-MB-231-luc xenograft mice. (H, I) Immunoblot of cell lysates (H) and tumor growth (I) of HCC70-luc cells expressing Dox-inducible control or ZHX2 shRNAs (Teton Ctrl, sh43, 45). Cells were orthotopically injected at the mammary fat pad of NSG mice. Treatment of Dox food started as indicated. (J, K) Representative bioluminescence images at the indicated weeks (J) and quantification of the bioluminescence imaging (K) of the HCC70-luc xenograft tumors. (L, M) Representative immunohistochemistry (IHC) staining images (L) and quantification (M) of hematoxylin–eosin (H&E), ZHX2, Ki-67, cleaved caspase 3, and Endomucin in tumors (n = 4) from the MDA-MB-231 xenograft tumors. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. *p < 0.05; **p < 0.01; ***p < 0.001; ****p < 0.0001.

Figure 3—figure supplement 1
ZHX2 is important for maintaining triple-negative breast cancer (TNBC) tumorigenesis in vivo.

(A–D) Cell proliferation (A), 2D colony formation assay (B), representative images of 3D soft agar growth (C), and quantification of soft agar growth (D) of MDA-MB-231-luc cells infected with lentivirus encoding either ZHX2 Teton shRNAs (43 and 45) or Teton Ctrl, and treated with Dimethylsulfoxide (DMSO) or doxycycline (Dox; 2 μg/ml) for 72 hr. (E–H) Tumor growth (E), tumor weight (F), image (G), and immunoblot of lysates from tumors (H) of ZHX2-inducible sh45 expressing MDA-MB-231 cells orthotopically injected in NoD SCID Gamma (NSG) mice. Treatment of control or Dox food started as indicated. (I–K) Representative 2D colony (I), soft agar colony (J), and quantification of soft agar colony (K) of HCC70-luc cell lines infected with lentivirus encoding either Teton-ZHX2 shRNA (43 and 45) or Teton-Ctrl. (L, M) Tumor weight (L) and image (M) from HCC70 xenografts mice after dissection. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. *p < 0.05; **p < 0.01; ***p < 0.001; ****p < 0.0001.

Figure 4 with 2 supplements
ZHX2 regulates hypoxia-inducible factor (HIF) signaling in triple-negative breast cancer (TNBC).

(A, B) Venn diagrams showing the overlap in downregulated (A) or upregulated (B) differentially expressed genes (DEGs) between ZHX2 shRNA 43 and 45. (C) Pathway analysis of the significantly decreased pathways in ZHX2 depleted MDA-MB-231 cells. (D, E) Venn diagrams showing overlap in DEGs (D) and downregulated DEGs (E) between ZHX2 depletion and HIF double knockout (DKO) (GSE108833). (F, G) Immunoprecipitations (IP) and immunoblots with indicated antibodies of MDA-MB-231 cells overexpress either HA-ZHX2 (F) or HA-HIF1α (G). IP was performed with HA beads. (H) IPs of MDA-MB-231 cells treated with DMOG for 8 hr. (I, J) Immunoblots of cell lysates from MDA-MB-231 cells (I) and MDA-MB-468 cells (J) infected with lentivirus encoding ZHX2 shRNAs or Ctrl, followed by treating with normoxia or hypoxia (1% O2). (K–M) Immunoblots (K) and IPs (L) of cell lysates, qRT-PCR of mRNA (M) from MDA-MB-231 cells infected with lentivirus encoding control vector (EV) or ZHX2. (N) Immunoblots of cell lysates from MDA-MB-231 cells infected with lentivirus encoding ZHX2 shRNAs or Ctrl treated with MG132 overnight under hypoxia (1% O2). (O) IPs of cell lysates from MDA-MB-231 cells infected with lentivirus encoding control vector (EV) or HA-ZHX2. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. n.s., not significant.

Figure 4—figure supplement 1
ZHX2 does not affect p65 translocation in triple-negative breast cancer (TNBC).

(A, B) Immunoprecipitations and immunoblots of MDA-MB-231 and 468 cell lysates by ZHX2 antibody (A) or p65 antibody (B). (C) Immunoblot of cell lysates from inducible ZHX2 knockdown MDA-MB-231 cells treated with or without doxycycline (Dox). (D–E) Immunoblot of cell fractions from MDA-MB-231 (D) or MDA-MB-468 (E) infected with ZHX2 shRNA (Ctrl, sh43, or sh45).

Figure 4—figure supplement 2
ZHX2 regulates hypoxia-inducible factor (HIF)1 signaling in triple-negative breast cancer (TNBC).

(A) Gene set enrichment analysis (GSEA) of the significantly decreased pathways in ZHX2 depleted MDA-MB-231 cells. (B, C) Plot (B) and related heatmap (C) from GSEA analysis suggest hypoxia pathway is significantly downregulated in ZHX2 depleted MDA-MB-231 cells. (D) qRT-PCR quantification of relative mRNA expression of hypoxia target genes from MDA-MB-231 cells infected with ZHX2 shRNA 43, 45, or Ctrl under normoxia or hypoxia conditions. (E) Hypoxia response element (HRE) double luciferase gene assay of MDA-MB-231 cells infected with ZHX2 sh45, sh45-resistant (ZHX2res), or Ctrl under normoxia or hypoxia condition. (F) HRE double luciferase gene assay of HEK293T cells infected with different amount of HA-ZHX2 (100, 200, and 400 ng), HRE-Luci, and pCMV-Renilla. (G) Immunoprecipitations and immunoblots with indicated antibodies of MDA-MB-231 cells overexpressing HA-ZHX2 and HA-HIF1α. (H) Immunoblot of MDA-MB-231 cells infected with lentivirus encoding either HIF1A shRNA 3809, 3810, or Ctrl. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. *p < 0.05; **p < 0.01; ***p < 0.001.

Representative ZHX2 and HIF downstream targets and analysis of their chromatin-binding motifs.

(A) Integrated analyses of ChIP-seqs (including ZHX2, HIF1α, H3K4me3, and H3K27ac), signals expressed as relative to input control when available. Log2 fold change (LFC) for ZHX2 knockdown RNA-seq and HIF double knockout (HIF DKO) RNA-seq; critical target genes were marked on the right. (B–D) qRT-PCR quantification of ZHX2 target genes from MDA-MB-231 cells infected with indicated lentivirus encoding ZHX2 shRNAs (43 and 45) (B), control vector (EV) or ZHX2 (C), or HIF DKO under normoxia (21% O2) or hypoxia (1% O2) (D). (E) Representative immunoblots of cell lysates from MDA-MB-231 cells infected with lentivirus encoding EV or AP2B1, COX20, KDM3A, OXSR1, PTGES3L, and WSB1, and followed by depletion of ZHX2 by sh45. (F) 2D colony formation growth of stable selected cells from (E). Batach1 and 2 indicate two biological experiments. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. *p < 0.05; **p < 0.01; ***p < 0.001; ****p < 0.0001.

Figure 6 with 1 supplement
Identification of important sites on ZHX2 that may affect its function in triple-negative breast cancer (TNBC).

(A–F) Immunoblot of cell lysates (A), cell proliferation (B), representative images of 2D colony formation (top), 3D soft agar (middle), and invasion assay (bottom) (C) as well as the corresponding quantifications (D–F) of MDA-MB-231 cell lines infected with lentivirus encoding either sh45-resistant ZHX2 wild type (WT) or mutations, followed by sh45 ZHX2 depletion. (G–I) Immunoprecipitations (G), immunoblot (H), and qRT-PCR (I) of MDA-MB-231 cells infected with lentivirus encoding either ZHX2 WT or mutation. (J) Schematic model of the major findings from the current study. Error bars represent mean ± standard error of the mean (SEM), unpaired t-test. *p < 0.05; **p < 0.01; ***p < 0.001.

Figure 6—figure supplement 1
Residue-based DNA contact analysis derived from ensembles of DNA-bound HD proteins.

Videos

Video 1
The 350-ns molecular dynamics (MD) simulation trajectory of 1NK2-based HB2–dsDNA complex.

The HB2–dsDNA complex is in secondary structure cartoon representation. The top C-terminal helix residue that most contacts the DNA, which is ARG491, and the DNA atoms within 4 Å distance from it are in licorice representation.

Video 2
The 350-ns molecular dynamics (MD) simulation trajectory of 1MNM-based HB3–dsDNA complex.

The HB3–dsDNA complex is in secondary structure cartoon representation (violet color: HB3’s helix; gray color: dsDNA). The top C-terminal helix residue that most contacts the DNA, which is ARG581, and the DNA atoms within 4 Å distance from it are in licorice representation.

Video 3
The 350-ns molecular dynamics (MD) simulation trajectory of 1HF0-based HB4–dsDNA complex.

The HB4–dsDNA complex is in secondary structure cartoon representation (violet color: HB4’s helix; gray color: dsDNA). The top C-terminal helix residue that most contacts the DNA, which is ARG674, and the DNA atoms within 4 Å distance from it are in licorice representation.

Tables

Key resources table
Reagent type (species) or resourceDesignationSource or referenceIdentifiersAdditional information
Gene (Homo sapiens)ZHX2GenBankGene ID: 22,882
Cell line (Homo sapiens)MDA-MB-231ATCCCatalog # ATCC HTB-26RRID:CVCL_0062
Cell line (Homo sapiens)MDA-MB-468ATCCCatalog # ATCC HTB-132RRID:CVCL_0419
AntibodyRabbit anti ZHX2 antibody(Rabbit Polyclonal)GenetexCatalog # 112,232RRID:AB_10727176WB (1:1000)Co-IP (1:100)IHC (1:500)
AntibodyRabbit anti HIF1α(Rabbit Monoclonal)Cell SignalingCatalog # 36,169RRID:AB_2861751WB (1:1000)
AntibodyRabbit anti VHL(Rabbit Polyclonal)Cell SignalingCatalog # 68,547WB (1:1000)IHC (1:200)
Recombinant DNA reagentpLKO.1AddgeneCatalog # 10,878RRID:Addgene_10878TRC cloning vector
Recombinant DNA reagentlentiCRISPR v2AddgeneCatalog # 52,961RRID:Addgene_52961
Recombinant DNA reagentpcDNA3.1AddgeneCatalog # 52,535RRID:Addgene_52535
Chemical compound, drugMG132Peptide InternationalCatalog # IZL-3175-v
Chemical compound, drugDoxycycline hydrochlorideSigma-AldrichCatalog # D3447
Chemical compound, drugAgaroseLife TechnologiesCatalog # BP165-25Soft agar assay
Commercial assay or kitMTS Assay Kit (Colorimetric)AbcamCatalog # ab197010Cell proliferation assay
Commercial assay or kitBD BioCoat Matrigel Invasion ChamberCorningCatalog # ab354480Invasion assay

Additional files

Transparent reporting form
https://cdn.elifesciences.org/articles/70412/elife-70412-transrepform1-v3.docx
Supplementary file 1

Supplementary files.

(a) Amplification status of ZHX2 in different breast cancer subtype. (b) The clinical information of the TNBC patient samples. (c) Top DNA-contacting residues in HD2/3/4 along with their evolutionary conservation. (d) MM/PBSA Calculations of the Free Energy (ΔH-TΔS) for Homeobox 2-4 dsDNA complexes. (e) Top C-terminal helix residues in the Homeobox 2-4 contributing the most DNA binding enthalpy. (f) Real-time PCR primers used in this study.

https://cdn.elifesciences.org/articles/70412/elife-70412-supp1-v3.docx

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  1. Wentong Fang
  2. Chengheng Liao
  3. Rachel Shi
  4. Jeremy M Simon
  5. Travis S Ptacek
  6. Giada Zurlo
  7. Youqiong Ye
  8. Leng Han
  9. Cheng Fan
  10. Lei Bao
  11. Christopher Llynard Ortiz
  12. Hong-Rui Lin
  13. Ujjawal Manocha
  14. Weibo Luo
  15. Yan Peng
  16. William Y Kim
  17. Lee-Wei Yang
  18. Qing Zhang
(2021)
ZHX2 promotes HIF1α oncogenic signaling in triple-negative breast cancer
eLife 10:e70412.
https://doi.org/10.7554/eLife.70412