TY - JOUR AU - Lorico, Aurelio AB - Cancer stem cells, CD133, Lipid droplets, Wnt pathway We read with great interest a recent publication entitled “Lipid Droplets: A New Player in Colorectal Cancer Stem Cells Unveiled by Spectroscopic Imaging” by Tirinato et al. released in Stem Cells (2014), which highlights by means of Raman microspectroscopy high levels of lipid droplets in colorectal-cancer stem cells (CR-CSCs) by comparison to the differentiated tumor cells and normal colon epithelial cells [1]. The authors propose that a cellular organelle (i.e., lipid droplets) might be considered, in addition to single molecular markers, as a new signature of CSCs. The relation between excess lipids as measured by label-free coherent anti-Stokes Raman scattering (CARS) and aggressive tumor behaviors is not restricted to colon cancers and earlier studies support the present hypothesis [2-4]. Indeed, intracellular lipid droplets as detected by CARS could serve as a biomarker for prostate circulating tumor cells [3, 4]. Along the same line, an aberrant accumulation of esterified cholesterol in lipid droplets of high-grade prostate cancer and metastases was recently reported [5]. Here, Tirinato et al. [1] also pointed out as “a remarkable correlation” the observation that the lipid droplet content in CR-CSCs (as measured by flow cytometry using hydrophobic dyes) is elevated in cells with higher expression of CD133 (prominin-1) and Wnt/β-catenin pathway activity. Unfortunately, it is not further substantiated and no link between CD133, Wnt/β-catenin signaling pathway, and lipid droplets is provided. It is now well accepted that CD133/1 and CD133/2 epitopes may be undetected despite the presence of CD133 protein or its mRNA, and that CD133 protein may be expressed beyond stem and CSCs [6, 7]. It would have been interesting to document the respective profiles of the cancer cell lines (HCT116 and RKO) used in this study as colon cancer cells (CCC) and how they correlate with their Wnt/β-catenin activity levels. Yet the observations made by Tirinato et al. [1] in colorectal cancers are in line with part of those reported earlier by our groups in melanoma. We have indeed demonstrated a link between CD133 and Wnt/β-catenin pathway and their incidence on the amount of lipid droplets in human melanoma cells as well as their impact on their metastatic capacity [8, 9]. We propose to develop here potential scenarios (Fig. 1), which are not mutually exclusive, and may help the readers of Stem Cells to further dissect the current observation. Open in new tabDownload slide Cell biology of CD133 and potential crosstalk of molecular pathways that could link its expression to the relative amount of lipid droplets. (A, B): Distinct molecular mechanisms regulate the expression of CD133 at the PM. Therein, CD133 is concentrated in membrane protrusions such as microvilli and its specific retention involves a cholesterol-based membrane microdomain (lipid raft, red). The surface expression of CD133 protein can be modulated by two distinct mechanisms that are not mutually exclusive. First, CD133 can be internalized and transported to the early endosomal compartment (A) and afterward delivered to late endosomal multivesicular bodies, which either fuse with the plasma membrane, and hence, release internal vesicles (exosomes), or lead to the proteolytic degradation of CD133 by heterotypic fusion with lysosomes (not depicted) [10]. Second, CD133 can be released into the extracellular compartment (e.g., urine, saliva, cerebrospinal, and seminal fluids) by budding of small membrane vesicles (microvesicles or ectosomes) from membrane protrusions (B) [11, 12]. Binding of specific antibodies to CD133 (potentially mimicking unidentified ligands) can also promote its internalization and retrograde transport to the Golgi complex (not depicted) [9]. Biochemically, the release of CD133-containing membrane vesicles might involve a specific membrane microdomain [13, 14]. In all scenarios, the intracellular and extracellular trafficking of CD133 as a cholesterol-binding protein may modulate the lipid composition and organization of the plasma membrane, which in turn may influence intracellular accumulation of lipid contents. (C–F): Signaling pathways that could be influenced by CD133 and vice versa. The Src-mediated phosphorylation of CD133 could promote its interaction with the PI3K 85 kDa regulatory subunit resulting in the activation of PI3K/Akt pathway that would stimulate self-renewal and tumorigenicity of cancer stem cells. The activation of PI3K would lead to the conversion of PIP2 into PIP3, and Akt (green) would bind to PIP3 through its Pleckstrin Homology domain prior to its activation (C). Then, the nuclear localization of β-catenin could be modulated via Akt/GSK-3β cascade or its direct phosphorylation (P) by activated Akt [15, 16]. Thus, CD133 could indirectly be a facilitator of the canonical Wnt/β-catenin pathway (E, for more details about this pathway see [17]). Interestingly, cytoplasmic activated Akt (pink) can potentially regulate the lipid droplets by increasing the expression level of the lipid-storage protein LSD2/perilipin [18]. The latter protein may also play a role in the transport of lipid droplets along microtubules leading to their local accumulation in a polarized fashion [19]. The lipid droplets are reservoirs of COX-2 and sites of PGE2 synthesis in colon cancer cells. The overexpression of COX-2, and hence the production of PGE2, which can activate EP2 receptors that are coupled to heterotrimeric G proteins of the Gs family, could also modulate the PI3K/Akt and Wnt/β-catenin signaling pathways (D). For instance, upon GDP/GTP exchange, the α subunit of Gs could bind through axin to the β-catenin destruction complex (axin, CK1, APC, and GSK-3β), thereby promoting the release of GSK-3β and its subsequent phosphorylation by Akt, and hence, its inactivation. At the same time, free βγ subunits would stimulate the PI3K/Akt signaling route, which causes the phosphorylation of GSK-3β. Interaction of CD133 with HDAC6 also results in β-catenin stabilization leading to the activation of signaling targets. Conversely, reduced availability of CD133 would facilitate acetylation of β-catenin and its degradation, resulting in decreased cell proliferation. A possible interchange of β-catenin between the CD133-HDAC6 complex and E-cadherin during the loss of cellular polarity was proposed (F). (G): TCF-LEF-binding sites are present in the PROM1 and COX-2 gene promoters, but direct transcriptional activation of CD133 by Wnt/β catenin remains to be demonstrated. Part of these pathways is controversial or putative and therefore depicted with dashed lines. Their connection with CD133 requires further experimental demonstration. Abbreviations: APC, adenomatosis polyposis coli; CK1, casein kinase 1α; COX-2, cyclooxygenase-2; GSK-3β, glycogen synthase kinase-3β; LEF, lymphoid enhancing factor; PGE2, prostaglandin-E2; PM, plasma membrane; TCF, T-cell factor. Open in new tabDownload slide Cell biology of CD133 and potential crosstalk of molecular pathways that could link its expression to the relative amount of lipid droplets. (A, B): Distinct molecular mechanisms regulate the expression of CD133 at the PM. Therein, CD133 is concentrated in membrane protrusions such as microvilli and its specific retention involves a cholesterol-based membrane microdomain (lipid raft, red). The surface expression of CD133 protein can be modulated by two distinct mechanisms that are not mutually exclusive. First, CD133 can be internalized and transported to the early endosomal compartment (A) and afterward delivered to late endosomal multivesicular bodies, which either fuse with the plasma membrane, and hence, release internal vesicles (exosomes), or lead to the proteolytic degradation of CD133 by heterotypic fusion with lysosomes (not depicted) [10]. Second, CD133 can be released into the extracellular compartment (e.g., urine, saliva, cerebrospinal, and seminal fluids) by budding of small membrane vesicles (microvesicles or ectosomes) from membrane protrusions (B) [11, 12]. Binding of specific antibodies to CD133 (potentially mimicking unidentified ligands) can also promote its internalization and retrograde transport to the Golgi complex (not depicted) [9]. Biochemically, the release of CD133-containing membrane vesicles might involve a specific membrane microdomain [13, 14]. In all scenarios, the intracellular and extracellular trafficking of CD133 as a cholesterol-binding protein may modulate the lipid composition and organization of the plasma membrane, which in turn may influence intracellular accumulation of lipid contents. (C–F): Signaling pathways that could be influenced by CD133 and vice versa. The Src-mediated phosphorylation of CD133 could promote its interaction with the PI3K 85 kDa regulatory subunit resulting in the activation of PI3K/Akt pathway that would stimulate self-renewal and tumorigenicity of cancer stem cells. The activation of PI3K would lead to the conversion of PIP2 into PIP3, and Akt (green) would bind to PIP3 through its Pleckstrin Homology domain prior to its activation (C). Then, the nuclear localization of β-catenin could be modulated via Akt/GSK-3β cascade or its direct phosphorylation (P) by activated Akt [15, 16]. Thus, CD133 could indirectly be a facilitator of the canonical Wnt/β-catenin pathway (E, for more details about this pathway see [17]). Interestingly, cytoplasmic activated Akt (pink) can potentially regulate the lipid droplets by increasing the expression level of the lipid-storage protein LSD2/perilipin [18]. The latter protein may also play a role in the transport of lipid droplets along microtubules leading to their local accumulation in a polarized fashion [19]. The lipid droplets are reservoirs of COX-2 and sites of PGE2 synthesis in colon cancer cells. The overexpression of COX-2, and hence the production of PGE2, which can activate EP2 receptors that are coupled to heterotrimeric G proteins of the Gs family, could also modulate the PI3K/Akt and Wnt/β-catenin signaling pathways (D). For instance, upon GDP/GTP exchange, the α subunit of Gs could bind through axin to the β-catenin destruction complex (axin, CK1, APC, and GSK-3β), thereby promoting the release of GSK-3β and its subsequent phosphorylation by Akt, and hence, its inactivation. At the same time, free βγ subunits would stimulate the PI3K/Akt signaling route, which causes the phosphorylation of GSK-3β. Interaction of CD133 with HDAC6 also results in β-catenin stabilization leading to the activation of signaling targets. Conversely, reduced availability of CD133 would facilitate acetylation of β-catenin and its degradation, resulting in decreased cell proliferation. A possible interchange of β-catenin between the CD133-HDAC6 complex and E-cadherin during the loss of cellular polarity was proposed (F). (G): TCF-LEF-binding sites are present in the PROM1 and COX-2 gene promoters, but direct transcriptional activation of CD133 by Wnt/β catenin remains to be demonstrated. Part of these pathways is controversial or putative and therefore depicted with dashed lines. Their connection with CD133 requires further experimental demonstration. Abbreviations: APC, adenomatosis polyposis coli; CK1, casein kinase 1α; COX-2, cyclooxygenase-2; GSK-3β, glycogen synthase kinase-3β; LEF, lymphoid enhancing factor; PGE2, prostaglandin-E2; PM, plasma membrane; TCF, T-cell factor. In a first series of experiments published in Stem Cells (2008), we demonstrated that downregulation of CD133 using short hairpin (sh) RNAs resulted in vitro a in slower cell growth, reduced motility, and decreased capacity of melanoma cells to produce spheroids under stem cell-like growth conditions [8]. In vivo, the lack of CD133 severely reduced the capacity of the cells to metastasize. Microarray analysis of CD133-downregulated cells identified a change in expression levels for 143 annotated genes among which 10 of the 76 upregulated ones coded for established or putative Wnt inhibitors (e.g., DKK1 and DACT1) indicating a link between CD133 and the canonical Wnt pathway [8]. In a second series of experiments published in Experimental Cell Research (2013), we were able to demonstrate that the suppression of CD133 prevents the nuclear localization of β-catenin and reduces Wnt pathway signaling through T-cell factor/lymphoid enhancing factor (TCF/LEF) transcription factors. Nuclear localization of β-catenin was nevertheless restored upon addition of Wnt3a to CD133-knockdown cells, indicating that the Wnt/β-catenin pathway can still be activated by physiological ligands in the absence of CD133 [9]. Moreover, and readily pertinent to the observation of Tirinato et al. [1] this effect was confirmed in the human Caco-2 colon carcinoma cell-line [9]. As TCF-LEF-binding sites are found in the PROM1 promoter [20], it could in turn be a direct target of the Wnt pathway. The relation between CD133 and the Wnt/β-catenin pathway is further strengthened by several reports. It has been proposed that the interaction of CD133 with histone deacetylase 6 (HDAC6) could favor the stabilization of β-catenin leading to the activation of signaling targets [21]. Interchange of β-catenin between CD133-HDAC6 complex and E-cadherin is not excluded (Fig. 1) [22]. Besides the connection of CD133 and Wnt/β-catenin pathway, we uncovered for the first time using CARS imaging and oil red O staining that the relative amount of lipid droplets in metastatic melanoma cells is directly correlated to the expression of CD133, and hence the Wnt/β-catenin pathway activity, as their amount decreased upon downregulation of CD133 using shRNAs [9]. As discussed by Tirinato et al. [1], the role of lipid droplets other than lipid storage starts to be unveiled, particularly their impact on inflammatory responses in cancer through the synthesis of inflammatory mediators (eicosanoids) [23]. Chronic inflammation could promote carcinogenesis at many stages. Similarly, CD133 expression, like Wnt/β-catenin pathway activity, has been linked to inflammatory processes. For instance, its expression is enhanced in cells located in intercalated ducts within inflammatory regions of salivary glands, exocrine pancreas, and prostate cancers [24-26]. Moreover, treatment of colon cancer or neuroblastoma cells with the nonsteroidal anti-inflammatory drug celecoxib or indomethacin—two cyclooxygenase-2 (COX-2) inhibitors—was shown to decrease the amount of CD133+ tumor cells [27, 28], and an increased amount of eicosanoid-forming enzyme COX-2 was detected in medulloblastoma and glioblastoma-derived CD133+ cells by comparison to negative ones [29]. Whether the dual expression of CD133/Wnt pathway and lipid droplets is causal in these contexts or merely an indicator of inflammation and carcinogenesis is still an open question. At first glance, no direct link between CD133 and lipid droplets can be drawn. CD133 is a pentaspan membrane glycoprotein selectively associated with plasma membrane protrusions (microvillus and primary cilium), while lipid droplets are cytoplasmic organelles originating from endoplasmic reticulum (Fig. 1). Whether CD133 regulates the proper lipid composition of lipid droplets through its intracellular trafficking [9, 10] as reported for the cholesterol and fatty acid-binding caveolins or, inversely, requires a certain balance of lipid droplets to support its activity remains to be determined. CD133 might act in concert with surrounding lipids and proteins as an organizer and regulator of the dynamics of plasma membrane, as illustrated by its involvement in endocytosis in Caco-2 cells [30], its release into the extracellular milieu in association with membrane vesicles derived from metastatic melanoma cells [9], or the altered photoreceptor cell architecture in CD133-null mouse line [31]. Comparative lipidome determination in a given cell type derived from CD133-null versus wild-type mice might be very informative in this context. The ligand and the physiological function of this glycoprotein are nevertheless still unknown. The direct binding of CD133 to membrane cholesterol [32], its incorporation in cholesterol-based lipid rafts, and its interaction with phosphatidylinositol-4,5-bisphosphate 3-kinase (PI3K), whose activity leads to the conversion of docking phospholipids such as phosphatidylinositol(4,5)-bisphosphate (PIP2) into phosphatidylinositol(3,4,5)-triphosphate (PIP3) [33], could directly regulate the level and/or fluidity of certain lipids in the plasma membrane of cancer cells, which in turn may influence the cytoplasmic lipid content (Fig. 1A–1C) [34]. The activation of various signal transduction pathways (e.g., PI3K-activated protein kinase B [Akt]) through Src-mediated phosphorylation of CD133 or CD133+ lipid rafts may then indirectly control the general cellular metabolism and/or the content of lipid droplets (Fig. 1C–1F) [30, 33, 35]. One cannot exclude that some interplay between PI3K/Akt activation and Wnt/β-catenin pathway may occur, and specifically the Akt-mediated phosphorylation and inactivation of glycogen synthase kinase-3β, an essential component of β-catenin destruction complex [36]. Moreover, Akt could directly phosphorylate β-catenin leading to enhanced transcriptional activity and promotion of tumor development and invasiveness [15, 37, 38]. Interestingly, cytoplasmic phosphorylated Akt was proposed to regulate the accumulation of large lipid droplets via a mechanism that, in part, involves LSD2/perilipin, a protein regulator of lipid storage in drosophila nurse cells [18]. The expression of perilipins was shown to correlate with lipid droplets accumulation in different human carcinomas [39]. In addition to its implication in lipid-storage, LSD2/perilipin could also regulate the transport of lipid droplets, and consequently their subcellular localization [19]. It remains to be determined whether perilipins are involved in the polarized distribution of the lipid droplets observed in cancer cells, notably in M109 lung carcinoma cell line and melanoma cells [2, 9]. Yet irrespectively of the mechanism regulating their motion such concentration of lipid droplets could alter the membrane composition of surrounding cellular compartments (e.g., plasma membrane and endosomes) by sequestering and/or rerouting their components, or interfering with the membrane fusion machinery [40, 41], therefore indirectly influencing the membrane fluidity, which is an important characteristic during the migration and invasion of cancer cells (reviewed in [42]). It would thus be interesting to perform dual evaluation of CD133 expression (or Wnt/β-catenin pathway activity) and perilipins and/or PI3K/Akt-dependent transcriptional factors that regulated lipogenic enzymes in CSCs versus differentiated tumor cells and normal counterpart. With regard to COX-2, its bioactive product, prostaglandin-E2 (PGE2), could activate components of the canonical Wnt system [43, 44], which in turn can regulate COX-2 transcription (Fig. 1G) [45, 46]. It may be more than a coincidence that COX-2 and PGE2 synthesis was shown to colocalize with lipid droplets in colon cancer cells (Fig. 1) [47]. In conclusion, the data presented by Tirinato et al. [1] nicely extend part of our initial observations made in metastatic melanoma cells to the colon-derived CSCs, and support our hypothesis that intracellular lipid level could potentially serve as a marker of prominin-1 (CD133) expression level, changes of membrane fluidity, and metastatic potential of cancer cells [9]. Besides further dissecting this surprising relationship between lipid droplets and expression of CD133 and activation of the Wnt/β-catenin signaling pathway, it would be of interest to investigate whether it could be extrapolated to CD133+ stem/progenitor cells under normal physiological condition and/or regeneration. Acknowledgments This work was supported by U.S. NIH R01CA133797 (G.R.), Deutsche Forschungsgemeinschaft through SFB655 and TRR83 (D.C.) and Sächsisches Staatsministerium für Wissenschaft und Kunst (D.C. and C.A.F). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute or the National Institutes of Health. Author Contributions G.R., C.A.F., and T.T.L.: conception and design and manuscript writing; D.C. and A.L.: conception and design, manuscript writing, and final approval of manuscript. 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The copyright line for this article was changed on 30 June after original online publication. © 2015 AlphaMed Press This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model) TI - Letter to the Editor: An Intriguing Relationship Between Lipid Droplets, Cholesterol-Binding Protein CD133 and Wnt/β-Catenin Signaling Pathway in Carcinogenesis JF - Stem Cells DO - 10.1002/stem.1953 DA - 2015-04-01 UR - https://www.deepdyve.com/lp/oxford-university-press/letter-to-the-editor-an-intriguing-relationship-between-lipid-droplets-slU3emGyIX SP - 1366 EP - 1370 VL - 33 IS - 4 DP - DeepDyve ER -