Human tumor necrosis factor (TNF)-alpha-induced protein 8-like 2 suppresses hepatocellular carcinoma metastasis through inhibiting Rac1

Background Tumor invasion and metastasis are the major reasons for leading death of patients with hepatocellular carcinoma (HCC). Therefore, to identify molecules that can suppress invasion and metastasis of tumor will provide novel targets for HCC therapies. Tumor necrosis factor (TNF)-alpha-induced protein 8-like 2, TIPE2, is a novel immune negative molecule and an inhibitor of the oncogenic Ras in mice but its function in human is unclear. Our previous research has shown that TIPE2 is downregulated in human primary HCC compared with the paired adjacent non-tumor tissues. Results In present study, we provide evidence that TIPE2 inhibits effectively human hepatocellular carcinoma metastasis. The forced expression of TIPE2 in HCC-derived cell lines markedly inhibits tumor cell growth, migration and invasion in vitro and suppresses growth and metastasis of HCC in vivo. Clinical information from a cohort of 112 patients reveals that loss or reduced expression of TIPE2 in primary HCC tissues is significantly associated with tumor metastasis. Mechanically, TIPE2 inhibits the migration and invasion through targeting Rac1 and then reduces F-actin polymerization and expression of matrix metallopeptidase 9 (MMP9) and urokinase plasminogen activator (uPA). Conclusion Our results indicate that human TIPE2 is endogenous inhibitor of Rac1 in HCC by which it attenuates invasion and metastasis of HCC. The data suggest that TIPE2 will be a new target for HCC therapy.


Background
Primary hepatocellular carcinoma (HCC) is one of the most common cancers and the third leading cause of death from cancer worldwide [1]. High vascular invasion and metastasis potential, and recurrence even after surgical resection contribute to the poor prognosis of patients with HCC [2]. Therefore, to identify molecules that can suppress invasion and metastasis will provide novel targets for HCC therapies.
TIPE2, tumor necrosis factor-alpha-induced protein 8 (TNFAIP8)-like 2 (TNFAIP8L2), is a newly described immune negative regulator and belongs to the TNFAIP8 family [3]. It maintains immune homeostasis via regulating negatively both the innate and adaptive immunity in mice [3]. Its deficiency in mice leads to multi-organ inflammation [3] and increases the cerebral volume of infarction and neurological dysfunction in experimental stroke [4]. TIPE2 is downregulated in patients with chronic inflammatory diseases such as systemic lupus erythematosus and hepatitis, and its expression inversely correlates with disease progression [5,6]. The high-resolution crystal structure reveals that TIPE2 contains a large, hydrophobic central cavity, which appears to be a mirror image of the death effector domain (DED) [7]. Murine TIPE2 is associated with caspase-8 and inhibits activating protein (AP)-1 and nuclear factor (NF)-κB activation while it promotes Fas-induced apoptosis [3]. MurineTIPE2 also binds directly and block Rac1GTPases to dictate the strengths of phagocytosis and oxidative burst in innate immune [8] and to controls innate immunity to RNA in mice [9]. In addition, TIPE2 binds to Ras-interacting domain of the RalGDS family of proteins to prevent Ras from forming an active complex. Consequently, TIPE2 overexpression induces cell death and significantly inhibits Ras-induced tumorigenesis in mice [10]. The results from mice suggest that TIPE2 is not only involved in inflammation but also in cancer.
Although murine TIPE2 has been partly characterized, human TIPE2 is largely unknown. Unlike murine TIPE2 that preferentially expresses in hematopoietic cells [3,11], human TIPE2 also does in a wide variety of nonhematopoietic cell types, including hepatocytes [12]. Recently, our previous research has shown that TIPE2 expression is completely lost or significantly downregulated in human primary HCC but is high in all the paired adjacent non-tumor tissues [10]. However, the role and underlining mechanisms of human TIPE2 in development and progression of HCC remain to be investigated.
In present study, we analyze the relation of loss or reduced expression of TIPE2 in primary HCC tissues with clinicopathological characteristics, investigate the role of TIPE2 in tumor growth, migration and invasion of HCC in vitro and in vivo and further explore its underlining mechanisms. Our results indicate that human TIPE2 is endogenous inhibitor of Rac1 in liver by which it attenuates invasion and metastasis of HCC.

Results
Loss or reduction of TIPE2 expression in tumor tissues of HCC was significantly associated with metastasis Our previous researches have showed that human TIPE2 was downregulated in tumor tissues of HCC compared with the paired adjacent non-tumorous tissues [10], suggesting it may be associated with HCC. Here we firstly analyzed the correlation of TIPE2 expression to clinical pathological features of HCC. As shown in Table 1, there was no significant correlation of TIPE2 expression to age, gender, cirrhosis, hepatitis B, serum AFP and pathological grade (p > 0.05). However, the TIPE2 had a significant relation to TNM stage. Rate of TIPE2 loss or low expression was higher in tumors from patients with TNM stage III-IV than that with TNM stage I-II (p = 0.044). Since TNM stage III-IV means that tumor is accompanied with vascular invasion or distant metastasis, the data suggests that the loss or low expression of TIPE2 may be associated with metastasis of HCC.

TIPE2 suppressed markedly migration and invasion of HCC cells in vitro
To explore the role of TIPE2 in HCC, we further detected the effect of TIPE2 on growth, colony formation, migration and invasion of HCC cells in vitro. As shown in Additional file 1: Figure S1, cells untransfected (Control) or transfected with empty plasmid (Mock) showed undetectable TIPE2 expression both on mRNA level by RT-PCR and protein level by western blot while cells transfected with TIPE2 recombinant plasmid (TIPE2) revealed high level of TIPE2 mRNA and protein. Further, overexpression of TIPE2 suppressed significantly cell viability from 48 hours and colony formation compared with Mock cell in both BEL-7402 and HepG2 (Additional file 1: Figure S1B and C). Overexpression of TIPE2 reduced markedly migration and invasion of BEL-7402 and HepG2 compared with that of Mock ( Figure 1). This suppressive effect of TIPE2 was also detected in HCCLM3 with high metastasis ability (Additional file 2: Figure S2).The results indicate that TIPE2 can effectively suppress malignant phenotypes of HCC cells, especially the migration and invasion capacity in vitro.

TIPE2 inhibited obviously metastasis of HCC cells in vivo
To provide in vivo evidence that TIPE2 suppresses HCC tumor growth and metastasis, we established two xenograft tumor models in nude mice, subcutaneous xenograft tumor model and liver orthotopic transplanted tumor model using HCCLM3 cells. In subcutaneous xenograft tumor model, we found that treatment with TIPE2 plasmid attenuated remarkably the subcutaneous tumor growth (Figure 2A). The overall mean tumor volume of TIPE2 group was much smaller than that of Mock group ( Figure 2B-D). Consistent with the results, the mean tumor weight and concentration of serum AFP in TIPE2 group were also significantly lower than those of Mock group ( Figure 2E and F). Moreover, the results from IHC and H&E staining showed that tumor in TIPE2 treatment group had obvious TIPE2 expression and revealed higher differentiation compared with those in the Mock group (Additional file 3: Figure S3). These results indicate that re-expression of TIPE2 in the HCC cells attenuates the tumor growth in vivo. Furthermore, we analyzed the effect of TIPE2 on the metastasis of HCC in the liver orthotopic implantation tumor model. As shown in Figure 3, 35 days after inoculation of xenograft tumor, tumor volume, weight and serum AFP in TIPE2 group obviously reduced compared with those in Mock group ( Figure 3A-D). More importantly, 100% (5/5) of Mock group mice were detected spontaneous lung metastasis while only 60% (3/5) of TIPE2 group mice did. In addition, tumors had invaded into the pancreas, diaphragm and abdominal wall in Mock group but not in TIPE2 group ( Figure 3E and Table 2). These results demonstrate that TIPE2 markedly suppresses growth and metastasis of HCC cells in vivo.

TIPE2 suppressed migration and invasion of HCC cell via inhibiting Rac1 pathway
The results above suggest that TIPE2 is able to inhibit metastasis and invasion of HCC in vitro and in vivo. Next, we want to know how TIPE2 impact them. Our previous report has demonstrated that murine TIPE2 is able to inhibit F-actin polymerization and cell migration by targeting RGL, one of Ras signaling pathway effectors [10]. However, we found that expression of RGL was very low in all HCC cell lines detected (Additional file 4: Figure S4A), suggesting RGL may be not a major target of TIPE2 in HCC. More recent research showed that TIPE2 regulated negatively murine innate immunity by binding and blocking Rac1GTPases [8]. So we hypothesized that TIPE2 may suppress the migration and invasion via targeting Rac1 in HCC. To test this hypothesis, we undertook approaches as follows. First, we detected expression of Rac1 and its action in migration and invasion of HCC. Consistent with previous researches, high level of Rac1 expression were detected in multiple cell lines and its expression was positively related with metastasis capacity (Additional file 4: Figure S4A). To determine whether TIPE2 regulates migration and invasion through Rac1, we manipulated the Rac1 activity using chemical blocker NSC23766. The Rac1 antagonist NSC23766 attenuated cell migration and invasion markedly, and effectively reduced the difference between mock and TIPE2 group at 50 μM both in BEL-7402 and HepG2 (Additional file 4: Figure S4C). Consistent with this, silence of Rac1 expression by specific siRNA abolished the inhibition effect of TIPE2 on migration and invasion of tumor cells ( Figure 4A). Furthermore, coimmunoprecipitation (co-IP) revealed that human wild type TIPE2 could bind to Rac1 while mutant TIPE2 lost the ability in HCC cell ( Figure 4B). Additionally endogenous human TIPE2 was also able to bind to Rac1 in human monocyte cell line Thp-1 (Additional file 4: Figure S4B). Using a GST pull-down assay, we found that transfection of wild type TIPE2 decreased the Rac1GTPase activity while mutation of TIPE2 reversed its inhibition effect, indicating that human TIPE2 can also bind and block Rac1 activity in HCC ( Figure 4C). Third, mutation of TIPE2 reversed inhibiting effect of wild type TIPE2 on migration and invasion both in BEL-7402 and HepG2 ( Figure 4D). All the results indicate that TIPE2 suppresses migration and invasion of HCC cells via inhibiting Rac1 pathway.
TIPE2 suppressed F-actin polymerization and MMP9, uPA expression via inhibiting Rac1 pathway It has been known that microfilaments play a key role in cytoskeleton reorganization and in cell motility and tumor metastasis potential [13]. Therefore, we examined the organization of microfilaments in cells transfected with Mock, wild type TIPE2 or mutant TIPE2 plasmid by immunofluorescence method. Compared with Mock group, there was an obvious microfilament depolymerization in TIPE2 group ( Figure 5A) but this action was reversed by TIPE2 mutation. In addition, the MMP9 and uPA are responsible for the degradation of extracellular matrix components and play important roles in the process of cancer invasion and metastasis [14,15]. Therefore, we further examined the effect of TIPE2 on expression of MMP9 and uPA expression. As shown in Figure 5B and C, wild type TIPE2 obviously attenuated MMP9 and uPA expression on mRNA and protein level but TIPE2 mutation lost this ability. Additionally, we found that expression of MMP9 and uPA also decreased after silence of Rac1 (Additional file 4: Figure S4 D, E). (D) The mean tumor volume in TIPE2 group (n =5) was lower than that of Mock group (n =5); (E) The mean tumor weight in TIPE2 group (n =5) was lower than that of Mock group (n =5); (F) The mean serum AFP in TIPE2 group (n =5) was lower than that of Mock group (n =5). *P < 0.05; **P < 0.01.
All the results indicate that TIPE2 decreases F-actin polymerization and expression of MMP9 and uPA via inhibiting Rac1 pathway.

Discussion
Although murine TIPE2 has been partly characterized, the information about human TIPE2 is limited. In present study, we provide novel evidences for first time that human TIPE2 is able to suppress effectively the migration and invasion of HCC in vitro and in vivo and further indicate that human TIPE2 is endogenous inhibitor of Rac1 in HCC by which it reduces F-actin polymerization and expression of MMP9 and uPA. The TIPE (TNFAIP8) family is a recently identified group of proteins including four members, TNFAIP8, TIPE1 (TNFAIP8L1), TIPE2 (TNFAIP8L2), and TIPE3 (TNFAIP8L3) [3]. Increasing experimental evidences support that TNFAIP8 is an oncogene in human cancers, such as breast cancer and lung cancer [16,17]. TIPE1 is supposed that it may play role in carcinogenesis for a high level of TIPE1 mRNA is detected in most human carcinoma cell lines [18]. However, here we demonstrate that human TIPE2 plays an inhibitory role in HCC. We find that : (1) The forced expression of TIPE2 in HCC-derived cell lines (such as BEL-7402, HepG2) markedly inhibits tumor growth, colony formation, migration and invasion   [10].
In present research, after last TIPE2 plasmid injection, high level of TIPE2 expression was detected in subcutaneous tumor (Additional file 3: Figure S3A). And after the tumor was transplanted into liver for 35 days, TIPE2 expression was still slightly detectable in some of tumor tissues (Additional file 5: Figure S5). These results suggest that forced expression of human TIPE2 provides a possibility for treatment of HCC in future. Rac1, which has been shown to be involved in cancer cell metastasis, is highly expressed in aggressive HCC cell lines and its activity correlated with cell motility and cytoskeleton polymerization [13,19]. Furthermore, Rac1 regulates various downstream effective molecules related with metastasis, such as MMP9 [20] and uPA [21]. Rac1 can be activated by a variety of stimuli, including growth factors (such as EGF and PDGF) [22,23] and virus infection (HBV) [24]. Researches about endogenously negative regulation of Rac1 are advancing. Overexpression of miR-142-3p decreases Rac1 mRNA and protein levels, implying miR-142-3p negatively regulates Rac1 via inhibiting its translation [25]. Plexin-B1 binds to active Rac1 and functions as a negative regulator of the RacGTPases in mouse macrophages [26]. Here, we found that overexpression of TIPE2 markedly attenuated the activity of Rac1. The mutation of TIPE2 in α0 domain reduced its ability to bind Rac1 and subsequently inhibited Rac1 activity. Coordinately, the restoration of Rac1 activity after TIPE2 mutation reversed the suppression of wild type TIPE2 to HCC cell migration and invasion. Meanwhile, downstream effective molecules of Rac1, F-actin polymerization and expression of MMP9 and uPA are reversed by TIPE2 mutation. These results indicate that human TIPE2 is endogenous inhibitor of Rac1 in liver cells by which it controls the activity of Rac1 under physiological condition. This is also supported by the direct binding of murine TIPE2 to Rac1 and inhibition of its activity in innate immune cell [8].

Conclusion
Collectively, human TIPE2 is an endogenous inhibitor of Rac1 by which it functions as a tumor suppressor to control cell proliferation, migration and invasion. Loss or decreased TIPE2 expression results in upregulation of Rac1 activity which promotes the migration and invasion of HCC. The forced expression of human TIPE2 is a new strategy for treatment of HCC.

Patients
One hundred and twelve primary hepatocellular carcinoma specimens were used for detection of TIPE2 expression. Of them, 77 specimens were from HCC tissue chip (OUTDO BIOTECH, Shanghai, China). Other 35 specimens were obtained from patients who underwent operations at Qilu Hospital of Shandong University. These human procedures were preapproved by the Institutional Review Board of the Shandong University and were approved by the Institutional Review Board of the Shandong University.

Plasmid construction, siRNA and transfection
Full-length human TIPE2 was generated from the cDNA clone by PCR and cloned in frame with a C-terminal Flag into vector PRK5.The mutant TIPE2 in which the TIPE2 N-terminal lysine or arginine residues, Lys-15, Lys-16, and Arg-24 were replaced with glutamine or alanine was generated by PCR-based site-directed mutagenesis as previously described [8]. Specific siRNA for Rac1 and nonspecific negative control were purchased from Sigma-Aldrich (Louis, USA). Transfection of tumor cells with plasmid or siRNA was performed using Lipofectamine 2000 according to the manufacturer's protocols (Invitrogen, Carlsbad, CA, USA).

Western blot
Equal amount of protein was separated by SDS-PAGE and transferred onto PVDF membranes (Millipore, Billerica, MA, USA). Membranes were probed overnight at 4°C with the following primary antibodies: rabbit polyclonal antibody against human TIPE2 (1:300; BOSTER, Wuhan, China), rabbit monoclonal antibody against the matrix metalloproteinase 9 (MMP-9) and urokinase-PA (u-PA)

Colony formation assay
Cells were seeded in six-well plates at a density of 1500 cells per well for 1-2 weeks and then fixed with 20% methanol and stained with 1% crystal violet. Colonies that is consisted of more than 50 cells were counted and calculated as a percentage of that of the control group. The experiment was independently performed for three times.

Cell viability assay
Cells were seeded in 96-well plates at 5000 cells/well and cultured for indicated time points. Cell viability was evaluated using CCK8 (Beyotime, Haimen, China) according to manufacturer's instructions. The absorbance was determined at 450 nm wave length. Each time point was repeated in three wells and the experiment was independently performed for three times.

Transwell assay for cell migration and invasion
Tumor cell migration and invasion were analyzed in 24well Boyden chambers with 8-μm pore size polycarbonate membranes (Costar, Acton, USA). For invasion assay, the membranes were precoated with 50 μg Matrigel (BD Biosciences, San Diego, USA) to form matrix barriers. Cells (1 × 10 5 ) were resuspended in 100 μl serum-free medium and placed in the upper chamber, and the lower compartments were filled with 600 μl medium with 10% FBS. After incubation, the cells remaining on the upper surface of the membrane were removed. The cells on the lower surface of the membrane were fixed and stained with crystal violet and counted under a light microscope at ×200 magnification. In some experiments, Rac1 inhibitor, NSC23766 (Calbiochem, San Diego, USA) was used to inhibit Rac1 activity.

Establishment of orthotopic transplanted nude mice model of human HCC matastasis
Male athymic BALB/c nu/nu mice (4-6 week old) were purchased from Chinese Academy of Sciences (Shanghai, China) and maintained in laminar-flow cabinets under specific pathogen-free conditions. For evaluation of the tumor growth in vivo, 1 × 10 7 HCCLM3 cells in 100 μl of PBS were injected subcutaneously into flank of nude mice (n = 10). When tumors reached approximately 1 mm 3 in size 10 day later, these mice were randomly divided into two groups, Mock group (n = 5) was treated with 20 μg of empty plasmid and TIPE2 group (n = 5) with TIPE2 plasmid by intra-tumor injection every 3 days, respectively. The tumor size was measured and the tumor volume was calculated as follows: length × width × width × 0.4. After another 25 days, the implanted tumors were dissected and cut into pieces of around 1 × 1 × 1 mm 3 and transplanted into liver parcel of other nude mice (n = 5 for each group). The mice were sacrificed 35 days after innoculation. All possible metastasizing visceral organs or tissures including lungs, pancreas, diaphragm and abdominal wall were removed and processed for standard histopathological study.
Serial sections were made for every tissure. Any slide with metastasis was assumed as positive. The serum AFP was detected on electro-chemiluminescence immunoassay systerm (Roche, Cobas E601, Germany).

Co-Immunoprecipitation (co-IP)
Cell lysate was prepared as previously described [8]. One μl mouse monoclonal antibody against Flag (HuaAn, Hangzhou, China), Rac1 or isotype IgG was added to 1 ml of cell lysate and incubated for 1 h at 4°C and 20μl of resuspended Protein A/G Plus-Agrose (Santa Cruz) was added to the above mixture and incubated for 4 h at 4°C with rotation. The pellet was washed four times with PBS and boiled in 2× Laemmli buffer. The proteins were detected by western blot.

PBD pull-down assay
Cell lysate was prepared as previously described [8]. The lysate was incubated with 20 μg of p21-activated kinase (PAK)-GST protein beads (Cytoskeleton) for 30 min at 4°C. After washing, proteins on beads and in total cell lysates were subjected to western blot to determine the level of active Rac1.

Statistical analysis
Statistical analysis was performed with SPSS 13.0 (SPSS Inc., Chicago, USA). The wilcoxon test was employed to compare qualitative variables while the Student t test for quantitative variables. All statistical tests were two-sided and P value < 0.05 was considered statistically significant for all tests.