Depletion of SAG/RBX2 E3 ubiquitin ligase suppresses prostate tumorigenesis via inactivation of the PI3K/AKT/mTOR axis

Background SAG (Sensitive to Apoptosis Gene), also known as RBX2, ROC2 or RNF7, is a RING component of CRL (Cullin-RING ligase), required for its activity. Our recent study showed that SAG/RBX2 co-operated with Kras to promote lung tumorigenesis, but antagonized Kras to inhibit skin tumorigenesis, suggesting a tissue/context dependent function of Sag. However, it is totally unknown whether and how Sag would play in prostate tumorigenesis, triggered by Pten loss. Methods Sag and Pten double conditional knockout mice were generated and prostate specific deletion of Sag and Pten was achieved by PB4-Cre, and their effect on prostate tumorigenesis was evaluated by H&E staining. The methods of immunohistochemistry (IHC) staining and Western blotting were utilized to examine expression of various proteins in prostate cancer tissues or cell lines. The effect of SAG knockdown in proliferation, survival and migration was evaluated in two prostate cancer cell lines. The poly-ubiquitylation of PHLPP1 and DEPTOR was evaluated by both in vivo and in vitro ubiquitylation assays. Results SAG is overexpressed progressively from early-to-late stage of human prostate cancer with the highest expression seen in metastatic lesion. Sag deletion inhibits prostate tumorigenesis triggered by Pten loss in a mouse model as a result of suppressed proliferation. SAG knockdown in human prostate cancer cells inhibits a) proliferation in monolayer and soft agar, b) clonogenic survival, and c) migration. SAG is an E3 ligase that promotes ubiquitylation and degradation of PHLPP1 and DEPTOR, leading to activation of the PI3K/AKT/mTOR axis, whereas SAG knockdown caused their accumulation. Importantly, growth suppression triggered by SAG knockdown was partially rescued by simultaneous knockdown of PHLPP1 or DEPTOR, suggesting their causal role. Accumulation of Phlpp1 and Deptor with corresponding inactivation of Akt/mTOR was also detected in Sag-null prostate cancer tissues. Conclusions Sag is an oncogenic cooperator of Pten-loss for prostate tumorigenesis. Targeting SAG E3 ligase may, therefore, have therapeutic value for the treatment of prostate cancer associated with Pten loss. Electronic supplementary material The online version of this article (doi:10.1186/s12943-016-0567-6) contains supplementary material, which is available to authorized users.


Background
Prostate cancer is one of the most common malignancies and the second leading cause of cancer death in males [1]. It develops through successive stages including intraepithelial neoplasia (PIN), carcinoma in situ, invasive adenocarcinoma, and metastatic diseases [2]. The disease is complex in its development and response to therapy, and it cannot be predicted when or whether an indolent prostate tumor will be become clinically aggressive. Furthermore, the limitations in current treatment methods warrant an intense focus on this type of cancer. Finally, the development of effective targeted therapies will require a better understanding of the signaling cascades responsible for the initiation and progression of prostate cancer.
SCF (SKP1, Cullin1 and F-box protein) E3 ligase, also known as CRL1 (Cullin RING ligase), the founding member of CRLs, promotes the ubiquitylation and degradation of various key regulatory proteins, thus controlling several important biological processes including cell cycle progression, signal transduction, transcription, DNA replication, tumorigenesis and angiogenesis [3][4][5][6][7]. The SCF consists of four components: an adaptor protein Skp1, a scaffold protein cullin, an F-box protein, and a RING protein [3,4]. Whereas the human genome encodes 69 F-box proteins [8,9] that confers substrate specificity, there are only two RING family members of RING proteins in human or mouse, RBX1/ROC1, and SAG/RBX2/ ROC2/RNF7 [6,[10][11][12]. It is established that RBX1/ROC1 prefers to bind to cullin family members, CUL 1-3 and Cul4A/B, and SAG/RBX2 prefers to bind to CUL5, as well as CUL1 [13][14][15][16][17]. While biochemically, RBX1 and SAG are interchangeable for E3 ligase activity [18,19]; our KO study revealed that biologically, they are NOT functionally redundant during mouse embryonic development. Rbx1 KO in a wt Sag background causes embryonic death at E7.5 with p27 accumulation [20]; where Sag KO in a wt Rbx1 background also causes embryonic death, but at E10.5-11.5 with NF1 accumulation [17], suggesting that the two proteins have unique sets of substrates for degradation in vivo. Sag endothelial deletion also causes embryonic lethality at a later stage around E15.5 with defective vasculogenesis and endothelial cells proliferation [7]. In human tissues, SAG overexpression was detected in carcinomas of lung, colon, stomach, cervix and liver, with poor survival of lung cancer patients [21][22][23][24][25]. Furthermore, Sag transgenic expression regulated skin tumorigenesis induced by DMBA-TPA [26], and UVB-radiation [27], whereas Sag deletion in mouse embryonic fibroblasts suppressed Kras G12D -induced immortalization and transformation [28]. More interestingly, Sag played a tissueand context-dependent oncogenic or tumor suppressive role in Kras G12D -driven mouse tumorigenesis. While Sag deletion in the lung significantly reduced lung tumorigenesis [25], it accelerated skin tumorigenesis when deleted in the skin [29]. However, it is unknown whether Sag plays a role in prostate tumorigenesis, and, if so, what is the underlying mechanism.
The Pten, a non-redundant gene encoding a phosphatase, is frequently deleted or mutated in human cancer [30]. Loss of PTEN in human cancer cell lines and mouse models results in constitutive activation of the PI3K/AKT pathway, leading to enhanced cell growth and survival [31]. Pten homozygous deletion in mice causes early embryonic death, and Pten heterozygous mice exhibit hyperplastic-dysplastic changes in multiple organs, including PIN in mouse prostate without progression to adenocarcinoma [32]. Conditional homozygous deletion of Pten in mouse prostate significantly shortens the latency of PINs and promotes their progression to metastatic cancer characteristic of human prostate cancer [33].
DEPTOR was identified as a naturally occurring inhibitor of both mTORC1 and mTORC2 [36]. In cell culture settings, DEPTOR mainly acts as a tumor suppressor, since its loss activates mTORC1 and mTORC2 to promote growth and survival of cancer cells [36]. Recently, we, along with other two groups, found that DEPTOR is yet another substrate of SCF β-TrCP E3 ligase [37][38][39].
In this study, we used the Sag conditional KO mouse model in combination with the Pten loss in prostate to determine the in vivo role of Sag in prostate tumorigenesis. We found that the Sag deletion suppressed the progression of prostate cancer induced by Pten-loss with mechanism involving accumulation of Phlpp1 and Deptor to inhibit PI3K/AKT/mTOR signaling pathway. Consistently, SAG knockdown suppressed the growth and survival of human prostate cancer cells due to accumulation of PHLPP1 and DEPTOR, two new substrates of SAG E3 ligase, which can be partially rescued by simultaneous knockdown of PHLPP1 or DEPTOR. Thus, Sag appears to act as an oncogenic gene cooperating with Pten-loss to promote prostate tumorigenesis by activating the PI3K/AKT/mTOR signaling pathway.

Cell cultures
Human prostatic carcinoma cell lines, Du145 and PC3 were purchased from the American Type Culture Collection (ATCC, Manassas, VA) and cultured in standard RPMI 1640 medium containing 10% fetal bovine serum (Invitrogen, Carlsbad, CA), at 37°C under a humidified atmosphere of 95% air and 5% CO 2 .

Mouse studies
The Sag fl/fl conditional KO mouse model was generated with exon 1 flanked with loxP sites [28]. Pb4-Cre and Pten fl/fl (strain B6.129S4-Pten tm1Hwu /J) mice were purchased from Jackson laboratories. All procedures were approved by the University of Michigan Committee on Use and Care of Animals. Animal care was provided in accordance with the principles and procedures outlined in the National Research Council Guide for the Care and Use of Laboratory Animals.

Immunoblotting analysis
Human prostate cancer cells or mouse prostate tissues were harvested, lysed in a Triton X-100 lysis buffer (20 mM Tris/HCl pH 8.0, 150 mM NaCl, 1% Triton X-100, 5 mM EDTA and 5 mM EGTA) supplemented with protease inhibitor cocktail (Roche). Lysates were incubated on ice for 30 min, centrifuged (13,000 r.p.m, 15 min, 4°C) and supernatants were subjected to SDS-PAGE. Gels were transferred to nitrocellulose membranes. Membranes were blocked with 5% milk in TBST (50 mM Tris/HCl, pH 7.4, 150 mM NaCl, 0.1% Tween 20) and incubated with primary antibodies of interest in 5% milk in TBST overnight at 4°C, and then with horseradish peroxidaseconjugated secondary antibodies for 1 h at RT. Samples were visualized with enhanced chemiluminescence and X-ray film. SAG monoclonal antibody was raised against the RING domain (AA44-113) [23].

Histology and Immunohistochemistry staining
Prostate tissues were fixed in 10% formalin and embedded in paraffin. Five-μm-thick sections were cut for H&E staining and examined under a microscope. Prostate hyperplasia is characterized by proliferation of luminal cells without cytological atypia, but containing small foci with two or three layers of cells. The PIN lesions were graded using the nomenclature and criteria developed by Park JH, et al [40]. In brief, high-grade PIN is characterized by an intraglandular proliferation of crowding cells with atypia, and cribriform formation or the development of multi-layered solid glandular structures. Invasive adenocarcinoma is characterized by proliferation of atypical cells that break the basal membrane and invade through the prostatic stroma. Immunohistochemistry was performed using the ABC Vectastain kit (Vector Laboratories, Burlingame, CA) with antibodies against SAG monoclonal antibody, Ki67 (1:1000), BrdU (1:1000), AR (1:500), DEPTOR (1:500), cleaved caspase3 (1:200), pAkt (1:500), Pten (1:500), p4EBP1(1:1000) and pS6 (1:500) and PHLPP1 (1:500). The sections were developed with DAB and counterstained with haematoxylin.

Migration assay
Human prostate tumor cells infected with Lt-Con or Lt-SAG were subjected to Boyden chamber migration assay (BD Biosciences, Gibbstown, NJ) according to manufacturer's instruction.

ATPlite-based cell proliferation assay
Cells were seeded in 96-well plates in triplicates and cell proliferation was measured with an ATPlite kit (Perkin Elmer, Boston, MA) [41].

Clonogenic and soft agar assays
Cells after lenti-virus-based shRNA silencing or siRNA oligonucleotide transfection were seeded in 60 mm dishes in triplicate followed by incubation at 37°C for 9 to 14 days. The colonies formed were stained and counted under microscope. Soft agar assay was performed as described [42].

TUNEL assay
Prostate tissues were fixed in 10% formalin and embedded in paraffin. Five-μm-thick sections were cut for assessing for apoptosis by TUNEL assay using the In Situ Cell Death Detection Kit (Roche, Indianapolis, IN), according to the manufacturer's recommendations.

The In vitro ubiquitination assay
Cullin1-SAG E3 complex was precipitated from 293 cells overexpressing both proteins with FLAG tags. HA-tagged PHLPP1 or HA-tagged PHLPP1(4A) was pulled down by HA-conjugated beads after transfection into 293 cells and eluted with 1× HA peptide (Roche, Indianapolis, IN). FLAG-tagged DEPTOR or FLAG-Tagged DEPTOR(3A) also was pulled down by FLAG beads and eluted with 3× FLAG peptide (Sigma, St. Louis, MO), followed by incubation with Cullin-SAG E3 complex in the presence of E1 and E2 in a ubiquitin reaction buffer. Polyubiquitylated PHLPP1 or DEPTOR was resolved by SDS-PAGE and detected using antibody against PHLPP1 or DEPTOR, respectively.

The in vivo ubiquitylation assay
The 293 cells were cotransfected with HA-PHLPP1, Cullin, SAG and His-Ub or FLAG-DEPTOR, Cullins, SAG and His-Ub. Thirty-six hours post transfection, cells were lysed in 6 M guanidinium denaturing solution, as described previously [43]. Poly-ubiquitylated proteins was purified by Ni-bead pull-down and detected by IB using PHLPP1 or DEPTOR antibody, respectively.

Statistical analysis
Statistical analysis was performed using two-tailed student's t-test. All statistical analyses were carried out using the GraphPad Prism software version 5.01 (GraphPad, San Diego, CA). Data were expressed as mean ± standard error of the mean (SEM) of at least 3 independent experiments. A P value < 0.05 was considered statistically significant.

SAG is overexpressed in human prostate cancer tissues, whereas Sag prostate knockout inhibits tumorigenesis induced by Pten loss due to reduced proliferation
Our recent study showed that both RBX1 and SAG/RBX2 are overexpressed in human non-small cell lung carcinomas [23,44]. While overexpression of SAG, but not of RBX1, is associated with poor survival of lung cancer patients, SAG expression is required to lung tumorigenesis triggered by Kras mutation [25]. To determine potential role of Sag in other human cancers, we measured SAG levels in prostate tissue microarray consisting of normal (n = 24) versus tumor samples (n = 58) and found that SAG expression was progressively increased from normal to benign, then to malignant lesions with the highest expression seen in metastatic tumors ( Fig. 1a & b).
To determine whether SAG overexpression is causally related to, or merely the consequence of prostate tumorigenesis, we crossed Sag fl/fl mice with Pb4-Cre;Pten fl/fl mice, a well-established prostate cancer model in which Pten fl/fl is deleted specifically in prostate epithelial cells by Pb4 driven Cre-recombinase to induce epithelial hyperplasia, adenomas and adenocarcinomas [33]. Two rounds of crossing gave rise to the compound mice with the following two genotypes: 1) Pb4-Cre;Pten fl/fl ;Sag +/+ (Pten PC-/-;Sag +/+ ) and 2) Pb4-Cre;Pten fl/fl ;Sag fl/fl (Pten PC-/-; Sag PC-/-). We first measured the expression of Sag and Pten in prostate tissues from paired mice at age of 6 months by immuno-histochemical staining (Fig. 1c & d) and western blotting (Fig. 1e), and confirmed a significant reduction of both Pten and Sag levels in Pten PC-/-;Sag PC-/prostates. We then euthanized paired mice at age of 3, 6, and 9 months, followed by examination for prostate lesions. At age of 6 month, both Pten PC-/-;Sag +/+ and Pten PC-/-;Sag PC-/mice developed various lesions, ranging from hyperplasia, low grade intraepithelial neoplasia (LGPIN), high grade intraepithelial neoplasia (HGPIN), as well as adenocarcinoma. Quantitative analysis of prostate tissues, however, revealed that Sag deletion significantly reduced prostate tumor burden, as evidenced by significant reduction of incidence of HGPIN and adenocarcinoma, with a majority of cases being hyperplasia and LGPIN (Fig. 1f&g). Consistently, the weight ratio of prostate vs. whole body was significantly lower in Pten PC-/-;Sag PC-/than in Pten PC-/-; Sag +/+ mice for all three groups of mice at ages of 3 (0.58% vs. 1.18%), 6 (0.89% vs. 2.19%) and 9 (1.62% vs. 3.82%) months (Fig. 1h). It is worth noting that Sag deletion alone has no effect on normal development of prostate tissues, since no prostate lesions were observed at all groups of mice at ages of 3, 6, and 9 months (data not shown). Collectively, these results strongly suggest that Sag inactivation may not affect tumor initiation, but could remarkably inhibit the disease progression from hyperplasia to adenocarcinomas. Thus, Sag appears required for the progression of prostate tumorigenesis, triggered by Pten loss.
To define the nature by which Sag deficiency suppressed the development of prostate cancer, we determined the effect of Sag on proliferation and apoptosis by immuno-staining the prostate tissues from 6 monthold mice with genotypes of Pten PC-/-;Sag PC-/vs. Pten PC-/-; Sag +/+ with proliferation markers Ki67 and BrdU, and apoptosis markers caspase-3 and TUNEL. Remarkably, Sag deletion significantly reduced the overall proliferation, as stained by Ki67 (Fig. 1i&j) as well as the rate of proliferation, as evidenced by reduced BrdU labelling (Additional file 1: Figure S1A&B), but had no effect on apoptosis (Additional file 1: Figure S1C-F). Reduced proliferation was also observed in the prostate tissues in Pten PC-/-;Sag PC-/mice at age of 3 or 9 months (data not shown). Thus, Sag inactivation likely suppressed prostate tumorigenesis by inhibiting cell proliferation. LGPIN, low-grade PIN. The quantitative results of tumor progression are from two randomly selected slides of each mouse in a total 10 pairs of the entire animal cohort. (h) Mice with indicated genotypes were sacrificed at ages of 3, 6, and 9 months, respectively. The weight of prostate vs. whole body were weighed, the % weight was calculated and plotted (n = 6). * p < 0.05. (i & j) Prostate tissues with indicated genotypes were stained for Ki67 with representative images shown (i). Positive cells were counted from at least 3 randomly selected microscopic fields with % positivity calculated (j). * p < 0.05. Scale bar: 100 μm SAG knockdown inhibits the growth, survival and migration of human prostate cancer cells via inducing accumulation of PHLPP1 and DEPTOR to inactivate PI3K/AKT/mTOR pathway Having established that Sag is required for prostate tumorigenesis in Pten loss mouse model in vivo, we next used in vitro cell culture models to further investigate the role of SAG in the growth and survival of human prostate cancer cells. We used two human prostate cancer cell lines DU145 and PC3. Indeed, SAG knockdown via lentivirus-based siRNA silencing caused significant reduction in A) monolayer growth; B) clonogenic survival; and C) anchorage-independent growth in soft-agar ( Fig. 2a-c, and Additional file 1: Figure S2A-C). Furthermore, SAG knockdown also significantly inhibited migration of human prostate cancer cells (Fig. 2D and Additional file 1: Figure S2D). Therefore, Sag is required for the growth and survival of prostate cancer cells as well as for the maintenance of the tumor cell phenotype.
To explore the potential mechanisms by which SAG knockdown suppresses the growth of prostate cancer cells. We determined potential accumulation of naturally occurring inhibitors of the PI3K/AKT/mTOR axis, known to be the substrates of SCF E3 ligase [6]. SAG knockdown caused accumulation of PHLPP1 ( Fig. 2e and Additional file 1: Figure S2E), a protein phosphatase which directly dephosphorylates and inactivates AKT [45], also a known physiological substrate of SCF β-TrCP [35]. We also found that SAG knockdown caused accumulation of DEPTOR, an mTOR inhibitor [36] and a physiological substrate of SCF βTrCP [37][38][39] as well, with consequent inactivation of mTOR signals, as reflected by reduced phosphorylation of S6 and 4EBP1 (Fig. 2e and Additional file 1: Figure S2E). Interestingly, the accumulation of CRL substrates induced by SAG knockdown was rather selective, since other two SCF/CRL1 substrates p21 and p27 ( Fig. 2e and Additional file 1: Figure S2E), two CRL5 substrates FLNA and DAB1, and one CRL3 substrate NRF2 (Additional file 1: Figure S3) were not accumulated in these two lines of prostate cancer cells upon SAG depletion. Collectively, our results suggested that SAG knockdown triggers accumulation of PHLPP1 and DEPTOR to inactivate the AKT/mTOR axis, leading to observed suppression of growth and survival in prostate cancer cells.

SAG forms a complex with PHLPP1 or DEPTOR, shortens their protein half-life by promoting their ubiquitylation
Although it is previously demonstrated that both PHLPP1 and DEPTOR are substrates of SCF βTrCP E3 [35,[37][38][39], DU145 human prostate cancer cells were infected with Lenti-SAG (Lt-SAG), along with Lenti-GFP (Lt-Con) as a control for 72 hrs. Cell proliferation was measured by ATP-lite assay (a), clonogenic survival (b), soft agar assay (c), and Boyden chamber migration assay (d), as well as western blotting assay using indicated Abs (e). Shown are mean ± SEM from three independent experiments (a-d). * p ; ** p < 0.01. Scale bar represents 50 μm direct involvement of SAG, which is one of two RING components of SCF [6], has not been previously shown. We, therefore, determined whether SAG forms a complex with either PHLPP1 or DEPTOR. Co-transfection of epitope-tagged SAG with PHLPP1 or DEPTOR, respectively, followed by immunoprecipitation (IP) and western blotting revealed that SAG forms a complex with PHLPP1 ( Fig. 3a) and DEPTOR (Fig. 3b) under overexpressed condition. We further determined whether SAG forms a complex with PHLPP1 or DEPTOR under physiological unstressed condition. Indeed, we found that endogenous SAG forms a complex with both PHLPP1 and DEPTOR, along with βTrCP, Cul1 and Cul5 (Fig. 3c). Consistently, in a reciprocal IP experiment, endogenous PHLPP1 or DEPTOR also pulled down endogenous SAG (Fig. 3d and  e), indicating that SAG is a component of SCF E3 ligase for targeted degradation of either PHLPP1 or DEPTOR. We next determined whether SAG shortened the protein half-life of PHLPP1 or DEPTOR. As shown in Figure 3f, the protein half-life of ectopically expressed PHLPP1 is greater than 8 hrs (lane 1-4), which was shortened to~3 hr upon SAG co-transfection (lane [5][6][7][8]. Likewise, the protein half-life of ectopically expressed DEPTOR also was shortened by SAG cotransfection (Fig. 3g). On the other hand, siRNA knockdown of SAG extended protein half-life of endogenous PHLPP1 (Fig 3h) or DEPTOR (Fig. 3i) in DU145 cells as well as in PC3 cells (Additional file 1: Figure S4A). Furthermore, we found that MLN4924, a small molecule inhibitor of NEDD8 activating enzyme, which indirectly inhibits CRL E3 ubiquitin ligase by blocking cullin neddylation [15,46], effectively extended the protein half-life of PHLPP1 and DEPTOR in DU145 (Additional file 1: Figure S4B) and PC3 cells (Additional file 1: Figure S4C).
Finally, we determined whether manipulation of SAG levels would alter the polyubiquitylation of PHLPP1 or DEPTOR. Indeed, our in vivo ubiquitylation assay showed that overexpression of SAG/CUL1 or SAG/CUL5 promoted poly-ubiquitylation of exogenously expressed PHLPP1 (Fig. 4a) or DEPTOR (Fig. 4c). This effect is rather specificity, since SAG-CUL7 failed to promote such poly-ubiquitylation (Fig. 4a&c). Consistently, in an in vitro ubiquitylation assay, addition of purified PHLPP1 or DEPTOR into a reaction mixture containing E1, E2, and SAG-CUL1 E3, co-purified by beads-conjugated immunoprecipitation, induced polyubiquitylation of PHLPP1 (Fig. 4b) or DEPTOR (Fig. 4d), In contrast, SAG-CUL1-induced polyubiquitylation was significantly reduced when the β-TrCP binding motif on PHLPP1 or DEPTOR was mutated (Fig. 4b&d). Taken together, our results demonstrated that PHLPP1 and DEPTOR are indeed substrates of SAG-SCF β-TrCP E3 ubiquitin ligase and SAG inactivation leads to accumulation of PHLPP1 and DEPTOR, as a result of reduced ubiquitylation and degradation.

Growth suppression by SAG knockdown is partially rescued by knockdown of PHLPP1 or DEPTOR
We next determined the functional significance of accumulation of PHLPP1 or DEPTOR in mediating growth suppression phenotype induced by SAG knockdown. Indeed, simultaneous knockdown of PHLPP1 or DEPTOR with SAG in DU145 cells (Fig. 5a) partially reversed the growth suppression in monolayer proliferation (Fig. 5b), clonogenic survival (Fig. 5c) anchorage independent growth in soft agar (Fig. 5d), and cell migration (Fig. 5e). Thus, accumulation of PHLPP1 or DEPTOR upon SAG knockdown plays at least in part a causal role in suppression of tumor cell growth and reverse of tumor cell phenotypes.
Sag deletion attenuates the PI3K/AKT/mTOR signaling in mouse prostate tissues Finally, we returned to our mouse prostate cancer model and determined whether Sag deletion will indeed block the activation of the PI3K/AKT/mTOR signal triggered by Pten loss. By immunohistochemical (IHC) staining and western blotting of prostate tissues from 6 month old mice, we first confirmed that Sag deletion indeed caused accumulation of both Phlpp1 and Deptor (Fig. 6a&c). Consequently, we found a significant reduction of pAkt, pS6 and p4Ebp1 in the prostate tissues from the Pten PC-/-; Sag PC-/mice as compared to that from control Pten PC-/-; Sag +/+ mice (Fig. 6b&c). As a negative control, no change in AR staining was observed between two groups (Additional file 1: Figure S5). Thus, suppression of prostate tumorigenesis triggered by Pten loss could be attributable to the accumulation of Phlpp1 and Deptor, as a result of Sag deletion.

Discussion
Abnormal activation of the PTEN/AKT/mTOR pathway is the most frequent event in prostate cancer [47] and it is, therefore, important to identify the cofactors modulating prostate cancer progression in the context of altered PTEN/AKT/mTOR signaling. In this study, we demonstrated that selective depletion of Sag E3 ligase from the mouse prostate epithelial cells is sufficient to delay the progression of prostate tumorigenesis triggered by Pten loss. This is achieved through accumulation of PHLPP1 to inactivate AKT and of DEPTOR to inhibit mTOR activity, resulting from reduced ubiquitylation and degradation upon Sag depletion.
Overexpression of a given gene in human cancers does not predict whether its overexpression is causally related to or just the consequence of tumorigenesis. In case of SAG, which is overexpressed progressively in prostate cancer from the early-to-later stages, there has never been mechanistically pursued as to whether SAG is required for prostate cancer initiation and progression, or for the maintenance of prostate cancer cell phenotypes or simply as the consequence of prostate tumorigenesis. Here, we addressed this important issue using a mouse prostate tumorigenesis model, triggered by Pten loss, which recapitulates the entire process of human prostate tumorigenesis with sequential formation of lesions such as hyperplasia/LGPIN, HGPIN and eventually adenocarcinoma in a manner dependent on the length of Pten inactivation [33]. By the use of a compound mouse model with Pten and Sag conditional knockout alleles (Pten fl/fl ; Sag fl/fl ) in which Pten and Sag deletion occur concomitantly upon Cre expression driven by specific Pb4 promoter in prostate epithelial cells, we showed that Sag inactivation remarkably inhibits prostate tumorigenesis, induced by Pten loss, as evidenced by delayed disease progression (Fig. 1f & g), and reduced proliferation of cancer cells (Figs. 1i & j and Additional file 1: Figure S1A&B).
The suppressive effect of Sag deletion is most likely attributable to inactivation of PI3K/AKT/mTOR pathway via accumulation of PHLPP1, a Ser/Thr protein phosphate, that directly dephosphorylates pAkt, and of Deptor, that directly inhibits the mTOR activity (Fig. 6).  DEPTOR (c). b & d The in vitro ubiquitylation assay: SAG-CUL1 E3 was prepared by FLAG-conjugated beads IP using 293 cells transfected with SAG, along with CUL1. PHLPP1 or PHLPP1(4A) was prepared by transfecting HA-PHLPP1 or HA-PHLPP1(4A) into 293 cells, followed by HA-conjugated beads IP and 1× HA peptide elution (b) or DEPTOR or DEPTOR(3A) was transfected into 293 cells, followed by FLAG-conjugated beads and 3× FLAG peptide elution (d). SCF E3 and substrates (PHLPP1 or DEPTOR) or their mutants were added, respectively, into a reaction mixture containing ATP, ubiquitin, E1 and E2, followed by constant mixing for 60 min. The reaction mixture was boiled with loading buffer and then loaded onto SDS-PAGE gel for IB using PHLPP1 (b) or DEPTOR (d) Ab To gain mechanistic insight into SAG action, we used the loss-of-function approach in two human prostate cancer cell lines and found that SiRNA-based SAG knockdown caused in general accumulation of PHLPP1 and DEPTOR with consequential inactivation of pAKT and mTORC1 activity (Figs. 2e and Additional file 1: Figure S2E). The effect on PHLPP1 and DEPTOR is rather specific, since no changes were found upon SAG knockdown in the levels of p21 and p27, two other SAG/CRL1 substrates [25,27]; NRF2, a CRL1/SCF β-TrCP substrate [48,49], as well as a CRL3 substrate [50]; and two CRL5 substrates, DAB1 [51] and FLNA [52]. Thus, it appears that SAG inactivation selectively accumulates its substrates to suppress prostate tumorigenesis. This notion was further supported by our rescued experiment in which simultaneous knockdown of either PHLPP1 or DEPTOR largely abrogated the growth suppression triggered by SAG knockdown in DU145 prostate cancer cells (Fig. 5).
We further provide direct evidence that PHLPP1 and DEPTOR are indeed the substrates of SAG E3 ubiquitin Fig. 5 Knockdown of PHLPP1 or DEPTOR partially rescues growth suppression triggered by SAG deletion. DU145 cells were first infected with Lt-SAG to knockdown SAG along with the control (Lt-Con), followed by transfection with PHLPP1 or DEPTOR siRNA oligonucleotides. A portion of cells were harvested for immunoblotting a; the other portions for monolayer growth for 4 days, followed by ATP-lite proliferation assay b; clonogenic assay for survival c; soft agar assay for anchorage-independent growth d, or Boyden chamber migration assay e. Shown are mean ± SEM from three independent experiments b-e. * P < 0.05; ** P < 0.01 ligase, as evidenced by (a) formation of SAG-PHLPP1 or SAG-DEPTOR complex under physiological conditions, likely mediated by β-TrCP-Cullin1/5, since SAG directly binds to Cul1/5 (Fig. 3c) [39], and β-TrCP binds to PHLPP1 [35] or DEPTOR [39]; (b) SAG overexpression shortens protein half-lives of PHLPP1 or DEPTOR, whereas SAG knockdown extends them (Fig. 3f-i); (c) SAG promotes polyubiquitination of PHLPP1 or DEPTOR as shown by both in vivo or in vitro ubiquitylation assays, and (d) pharmaceutical inactivation of SAG E3 by MLN4924 extends the protein half-lives of PHLPP1 and DEPTOR (Additional file 1: Figure S4B&C). Thus, Fig. 6 Sag-SCF βTrCP modulates the PI3K/AKT/mTOR axis during mouse prostate tumorigenesis driven by Pten loss. a-c Accumulation of Phlpp1 and Deptor, and reduction of pAkt, pS6 and p4Ebp1: (a & b) Prostate tissues from mice at age of 6 month with indicated genotypes were stained with indicated Abs. Shown are representative areas of stained tissues (left panel), and the staining was analyzed using 3D Histech software and plotted (right panel). All values represent means ± SD; n ≥ 5 for each group. *p ≤ 0.05; **p ≤ 0.01. Scale bars: 100 μm. c Cell lysates from prostate tissues with indicated genotypes (4 independent samples from two genotypes, respectively) were analyzed by Western blotting with indicated Abs. d Working Model: Sag deletion blocks prostate tumorigenesis triggered by Pten loss. The PI-3 K/AKT/mTOR axis was activated upon Pten loss to trigger prostate tumorigenesis, whereas Sag deletion caused accumulation of Phlpp1 to inactivate Akt, and of Deptor to inactivate mTOR, leading the suppression of prostate tumorigenesis PHLPP1 and DEPTOR are added to a growing list of SAG substrates.
It is worth noting that SAG is the RING ligase core of CRLs, and not directly involved in substrate recruitment. Substrate recognition will solely rely on F-box proteins in CRL1 and SOCS-box containing proteins in CRL5 [14,15,53]. In the case of SAG-CUL1, ubiquitylation of PHLPP1 or DEPTOR appears to be mediated by β-TrCP, since mutation at the β-TrCP binding motif abrogated their poly-ubiquitylation (Fig. 4b&d). However, it is not clear which SOCS protein is involved in the case of SAG-CUL5. Involvement of SAG-CUL5 is evidently, given that the fact that SAG binds to endogenous CUL5 (Fig. 3c) and SAG-CUL5 could promote polyubiquitylation of both PHLPP1 and DEPTOR (Fig. 4a&c). Future study is directed to identify and characterize the involving SOCScontaining protein in SAG-CUL5-mediated polyubiquitylation of PHLPP1 and DEPTOR. It is also worth noting that the effect of SAG knockdown (Fig. 5) appears not to be compensated by RBX1 in prostate cancer cells. Our previous gene knockout studies have shown that the effect of SAG and RBX1 is functionally non-redundant during mouse embryogenesis, since total KO of either Sag [17] or Rbx1 [20] caused embryonic lethality. Our most recent study [54] revealed that SAG and RBX1 form catalytic complex with different E2 enzymes to promote polyubiquitylation of respective substrates via K11 or K48linkage, respectively, which further supports their functional non-redundancy.

Conclusions
Our study supports the following model. During prostate tumorigenesis, SAG is induced in response to various stresses, such as hypoxia [55], ROS [11], and oncogene activation [25,43]. Increased SAG facilitates prostate tumorigenesis by promoting ubiquitylation and degradation of Phlpp1 to increase p-Akt, or of Deptor to activate mTor activity, further enhancing the PI3k/Akt/mTor signaling, activated by Pten loss. On the other hand, Sag deletion antagonizes the PI3k/Akt/mTor signaling by causing accumulation of Phlpp1 and Deptor, leading to inhibition of prostate tumorigenesis (Fig. 6d). Our study, therefore, provides experimental evidence from both in vivo animal and in vitro cell culture models, suggesting that SAG E3 ligase is an attractive target against prostate cancer derived from Pten loss.
Finally, given that Sag is pro-oncogenic in the lung [25] and tumor-suppressive in the skin [29] during Kras G12Dinduced tumorigenesis, and pro-oncogenic in the prostate during tumorigenesis induced by Pten loss (this study), Sag appears to be a conditional pro-oncogenic or tumor suppressive co-operating gene in tissue-and contextdependent manner.

Additional file
Additional file 1: Figure S1. Sag deletion reduced prostate epithelium cell proliferation without affecting apoptosis: (A&B) Prostate tissues with indicated genotypes were labeled by BrdU and representative images were shown. Positive cells were counted from at least 3 randomly selected microscopic fields. * P<0.05. Scale bar: 100 μm. (C-F) Prostate lesions were stained for cleaved caspase3 (C) and TUNEL (E) with representative images shown. Cells with positive staining of cleaved caspase3 (D) and TUNEL (F) were counted from at least 3 randomly selective microscopic fields. Figure S2. SAG Knockdown suppresses growth, survival and migration of human prostate cancer cells via inactivation of the PI3K/AKT/mTOR axis. PC3 cells were infected with Lenti-SAG or Lenti-GFP for 72 hrs. Cell proliferation was measured by ATP-lite assay (n=3) (A), clonogenic survival (n=3) (B), soft agar assay (n=3) (C), and Boyden chamber migration assay (n=3) (D), as well as western blotting assay using indicated Abs (E). Figure S3. SAG Knockdown has no effect on the levels of FLNA, DAB1 and NRF2. Du145 and PC3 cells were infected with Lenti-SAG or Lenti-GFP for 72 hrs. Cells were subjected to IB with indicated antibodies. Figure S4. SAG knockdown or MLN4924 treatment extended the protein half-lives of PHLPP1 and DEP-TOR. PC3 cells were infected with Lt-SAG, along with Lt-Cont for 72 hrs. Cells were then treated with CHX for indicated time periods and subjected to IB analysis (A). DU145 (B) or PC3 (C) cells were treated with CHX for indicated time periods in the absence or presence of MLN4924. Cells were subjected to IB. Densitometry quantification was performed (right panels for A and bottom panels for B&C). Figure S5. Sag deletion has no effect on AR expression. Prostate tissues were stained with anti-AR Ab. Ethic approval and consent to participate For animal study, all procedures were approved by the University of Michigan Committee on Use and Care of Animals. Animal care was provided in accordance with the principles and procedures outlined in the National Research Council Guide for the Care and Use of Laboratory Animals. For human tissues, written informed consent for the use of the tissues was obtained from all patients before surgery, and the study was approved by the Institute Research Ethics Committee of University of Michigan.