Protein Kinase D3 promotes the cell proliferation by activating the ERK1/c‐MYC axis in breast cancer

Abstract Breast cancer is the second leading death cause of cancer death for all women. Previous study suggested that Protein Kinase D3 (PRKD3) was involved in breast cancer progression. In addition, the protein level of PRKD3 in triple‐negative breast adenocarcinoma was higher than that in normal breast tissue. However, the oncogenic mechanisms of PRKD3 in breast cancer is not fully investigated. Multi‐omic data showed that ERK1/c‐MYC axis was identified as a major pivot in PRKD3‐mediated downstream pathways. Our study provided the evidence to support that the PRKD3/ERK1/c‐MYC pathway play an important role in breast cancer progression. We found that knocking out PRKD3 by performing CRISPR/Cas9 genome engineering technology suppressed phosphorylation of both ERK1 and c‐MYC but did not down‐regulate ERK1/2 expression or phosphorylation of ERK2. The inhibition of ERK1 and c‐MYC phosphorylation further led to the lower protein level of c‐MYC and then reduced the expression of the c‐MYC target genes in breast cancer cells. We also found that loss of PRKD3 reduced the rate of the cell proliferation in vitro and tumour growth in vivo, whereas ectopic (over)expression of PRKD3, ERK1 or c‐MYC in the PRKD3‐knockout breast cells reverse the suppression of the cell proliferation and tumour growth. Collectively, our data strongly suggested that PRKD3 likely promote the cell proliferation in the breast cancer cells by activating ERK1‐c‐MYC axis.


| INTRODUC TI ON
Breast cancer is one of the common diagnosed adenocarcinoma and the second leading cause of cancer death in women. 1 The expense associated with breast cancer treatment and the follow-up care system can be a financial burden for individuals, their families, or even health organization of their countries. Therefore, the pathological mechanism of the breast cancer should be further investigated for developing more efficient diagnosis and therapies.
Protein Kinase D3 has been implicated in a variety of functions in broad ranges of cancer types. [2][3][4][5][6][7] Additionally, PRKD3 has been suggested to be up-regulated and involved in mediating the survival, differentiation, migration and proliferation of the triple-negative breast cancer cells. [8][9][10] Diacylglycerol (DAG) has been found to bind to the cysteine-rich domain of PRKD3 and played important roles in PRKD3 activation via PKC signalling. 11 However, the downstream pathway of PRKD3 is not well-understood. The integrated phosphoproteomic and transcriptomic analysis in the previous studies showed that PRKD3 may play important roles in a variety of the cancer-related pathways. ERK1/ c-MYC axis was identified as a major pivot in PRKD3-regulated pathways in tumour cells. 2,12 However, the interaction mechanisms among PRKD3, ERK1 and c-MYC in cancer cells has not been well-investigated since only one prostate cancer study suggested PRKD3-activated ERK1/2 is involved in tumour growth. 13 The extracellular signal-regulated kinase 1/2 (ERK1/2) can be activated and/ or up-regulated by upstream kinases, transcription factors and/ or differentiation factor. 14-16 Activated ERK1/2 translocates to the cell nucleus and then phosphorylates a series of transcription factors, such as c-MYC, FOS, FRA1 and EGR1. [17][18][19][20][21][22][23] These ERK1/2-activated downstream factors further regulate many cellular functions, including proliferation, differentiation and transformation. [24][25][26] In mammals, the identity of ERK1 and ERK2 sequences is 84%, but ERK1 has two more amino acids (a.a.) at its C-terminus and 17 more a.a. at N-terminus than ERK2. 27 Most previous studies had indicated that the functions of ERK1 and ERK2 were redundant, and they usually worked together as a fundamental unit to regulate cellular functions in organisms. 28 Recently, more and more studies have been found to support that ERK1 and ERK2 can function independently. [29][30][31][32][33][34][35] It has been reported that c-MYC was a substrate of ERK, which phosphorylated the Ser62 of c-MYC and then stabilized c-MYC. 36,37 As a transcription factor, c-MYC has been reported to be involved in a wide variety of carcinogenesis process such as tumour growth and angiogenesis. [38][39][40][41][42] In addition, it also plays an important role in proliferation, metastasis and senescence in breast cancer cells. [43][44][45][46] However, it is unclear whether PRKD3 promote breast cancer progression via ERK1/c-MYC axis.
Our current data showed that knocking out PRKD3 led to the reduction of p-ERK1, p-c-MYC (Ser62), total c-MYC and the down-regulated expression of c-MYC target genes in breast cancer cells. On the contrary, p-ERK2 and total amount of ERK2 were not reduced in the PRKD3-knockout cells. In addition, the proliferation of the breast cancer cells and the tumour growth in xenograft mouse models were promoted by both the PRKD3 overexpression and the ERK1/c-MYC axis activation. In short, our study indicated that PRKD3 likely promoted the proliferation of breast cancer cells by activating ERK1/c-MYC axis, but not ERK2-mediated pathways.

| Western blotting
Western blotting was carried out by transfering whole cell protein from 10% SDS-PAGE onto the PVDF membranes (Millipore) and incubating the membranes with the primary and secondary antibodies. Primary antibodies against PRKD3, p-ERK1/2 (Thr202/Tyr204), ERK1/2, p-c-MYC (Ser62) and c-MYC were purchased from Cell Signalling Technology. β-actin primary antibody, Anti-rabbit and antimouse secondary antibody were purchased from Santa Cruz Biotechnology.

| Real-time RT-PCR
Total RNAs were extracted from breast cancer cells by using RNeasy kit (Qiagen), and synthesized cDNA was performed by using PrimeScript RT reagent kit (TaKaRa). The primers are listed in Table S1.

| Immunofluorescence staining
Breast cancer cells were cultured on glass slides in 24-well plates.
The breast cancer cells were washed with PBS in whole procedure. The cells were fixed with 4% paraformaldehyde (PFA) for more than 30 minutes at room temperature (RT) and then permeabilized/ blocked with PBS containing 0.1% Triton X-100 /1% BSA for about 1 hour at RT. The primary antibodies (α-PRKD3, α-c-MYC antibodies), and the secondary antibodies (Alexa Fluor 555-conjugated and 488-conjugated secondary antibody) were used to define the specific protein location. DAPI (Solarbio) was used to locate the nuclei.

| Cell proliferation assay
CCK-8 kit (Dojindo Laboratories) was used to measure breast cancer proliferation according to the protocol recommended by manufacturer. The Breast cancer cell lines were plated out at the same confluence in 96-well dishes and grown at 37°C for 3 days. CCK-8 solution was added into each well for 3 hours, then absorbance at 450 nm was measured.

| Xenografted tumour formation assay
Breast cancer cells (5 × 10 6 ) were injected into the mammary fat pad of female athymeic nude mice. The width and length of breast cancers were measured weekly by using Vernier caliper, and the breast tumour volume was calculated using the formula: 1/2 × (l) × (w) 2 [l:length; w:width].

| Human breast tissue process
Human breast cancer tissue specimens were obtained from the first affiliated hospital of Soochow university. After excision, all the human breast tumours were off-handedly frozen at −80ºC.
The RNA in these tissues were extracted, reversely transcripted and quantified by using the kits mentioned in section 2.4. All the F I G U R E 1 A CRISPR/CAS9 knockout strategy for ablation of the PRKD3 expression. A, The human PRKD3 gene structure and the five pre-mRNA transcripts encoded the PRKD3 isoforms were shown. The arrow indicated the sgRNA-targeted exon. B, The two sequences of the PRKD3 sgRNAs. C, The luciferase-based SSA assay was used to detect the two sgRNA-guided Cas9 activity. Data represent the mean ± SEM from three biological replicates (n = 3). ***P < .001 by t test patients involved in this study have been informed about their tissue usage in this study and signed the consent letter. This research was performed with the approval of Suzhou Institute of Biomedical Engineering and Technology's medical ethics committee. Information of breast cancer samples are listed in Table S2.

| Generation of PRKD3 gene knockout breast cancer cell lines
Our previous studies have suggested that PRKD3 was overexpressed in triple-negative breast cancer cell lines (MDA-MB-468, MDA-MB-231). 2,12 In order to study PRKD3 signalling pathway in breast cancer, CRISPR/Cas9 technology was applied for knocking out PRKD3 in the cells. It has been reported that five protein isoforms were encoded for the human PRKD3 gene; however, only three of the isoforms contained the kinase domains ( Figure 1A). Therefore, we designed the two single-guide RNAs (sgRNAs) to knock out the three 'active' isoforms of PRKD3 by targeting the specific PRKD3 exons ( Figure 1B). Luciferase SSA recombination assay showed that the luciferase activity of the lysates extracted from the cell transfected with either one of the two CAS9/gRNAs was at least 10-fold higher than the one of the control lysate ( Figure 1C). Since the luciferase activity of the lysate extracted from the PRKD3-sgRNA-1-edited cells was higher than the one from the PRKD3-sgRNA-2-edited cells, we decided to use PRKD3-sgRNA-1 to knockout PRKD3 gene in the two breast cancer cell lines.

| Loss of PRKD3 suppresses phosphorylation of ERK1 and c-MYC
In order to confirm that PRKD3 activated ERK1/c-MYC axis in the breast cancer cells, we analysed the amounts of the phosphoryl-  Figure 2C).

F I G U R E 4
Real-time RT-PCR was used to detect the mRNA levels of the PRKD3, ERK1, c-MYC and the target genes (VEGF, MTA1, PEG10 and hTERT) of c-MYC. A, The mRNA levels of the genes in the PRKD3-knockout cells. The mRNA levels of the c-MYC target genes in the PRKD3-knockout cell were increased with the ectopic-(over)expression of (B) PRKD3, (C) ERK1 or (D) c-MYC. Data represent the mean ± SEM from three biological replicates (n = 3). **P < .01, and ***P < .001 by t test

| PRKD3/ERK1/c-MYC pathway promotes breast cancer proliferation
The abovementioned data suggested that PRKD3 mediated the phosphorylation of ERK1 to be activated p-ERK1, and then the  Figure 5C,D). Additionally, the Western blotting data showed that the amounts of p-ERK1 (Thr202/Tyr204), p-c-MYC (Ser62), c-MYC in the PRKD3-knockout xenograft tumours were lower than these in the parental xenograft tumours. The amounts of p-ERK2 (Thr202/Tyr204) and ERK1/2 were not reduced in the PRKD3-knockout xenograft tumours ( Figure S1A,B). Furthermore, the mRNA levels of VEGF, MTA1, PEG10 and hTERT in the PRKD3knockout xenograft tumours were lower than that in the parental tumours( Figure S1C,D). Therefore, these results indicated that the PRKD3/ERK1/c-MYC pathway promoted breast tumour growth in vitro and in vivo.
Taken together, our studies suggested that PRKD3 regulated phosphorylation of ERK1, not ERK2, and then ERK1 stabilized c-MYC by phosphorylation, leading to promote the proliferation of the breast cancer cells.

| D ISCUSS I ON
In this study, we reported that PRKD3 activated ERK1-c-MYC axis to promote the breast tumour growth. The phosphorylation of ERK1 was triggered by an upstream kinase pathway that was mediated by PRKD3 and the stabilized the c-MYC by the phosphorylation.
Previous studies has reported that the misregulated activation of ERK1/2 and c-MYC promoted the abnormal cell proliferation in various types of cancers, including breast cancer. 47,48 This study showed that the loss of PRKD3 restrained the specific phosphorylation of ERK1(thr202/tyr204), but not ERK2 (Figure 2A and Figure 3A,B). Furthermore, epitopic (over)expression of PRKD3 in the PRKD3-knockout breast cells rescued the phosphorylation of ERK1 ( Figure 2B). Our data indicated that the physilogical functions of ERK1 and ERK2 were not totally overlapping in the breast cancer cells. It was reported that activation of p-ERK (Thr202/Tyr204) enhanced the Ser62 phosphorylation of c-MYC to stabilize c-MYC. 19 Our study showed that the PRKD3-knockout cells contained the less amount of p-ERK1 (Thr202/Tyr204) and total c-MYC than the parental ones (Figure 2A and Figure 3A Several previous studies have showed that the protein levels of PRKD3 were higher in breast cancer tissues than in the paracancerous tissues and played an important role in breast cancer promoting processes, suggesting that PRKD3 could be a noval target for developing new therapeutic strategies in breast cancer. Although several pan-inhibitors have been found to suppress PRKD family activity, such as 2,6-naphthyridine and bipyridyl inhibitors and their analogs, 49 3,5-diarylazoles, 50 CID755673 and its analogs, 51,52 CRT5 53 and CRT0066101, 10 and none of them could specifically suppress PRKD3 activity. These inhibitors likely cause many adverse effects in breast cancer patients. Therefore, PRKD3-specific inhibitors should be developed for the cancer patients.
In short, we suggested that PRKD3 functions as an upstream regulator of ERK1/c-MYC axis and promotes the proliferation of the breast cancer cells.

CO N FLI C T O F I NTE R E S T
All the authors declare that there is no conflict of interest in this manuscript.

DATA AVA I L A B I L I T Y S TAT E M E N T
The data that support the findings of this study are available from the corresponding author upon reasonable request.