IL-22 - Kyushu University Library
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IL-22 - Kyushu University Library
Interleukin-22-induced STAT3 signal transduction in oral squamous cell carcinoma 2010 LUTFUN NAHER, B.D.S Department of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, Fukuoka, Japan 1 Interleukin-22-induced STAT3 signal transduction in oral squamous cell carcinoma 2010 Submitted as a partial fulfillment of the requirements for the degree of Doctor of Philosophy (Ph.D) in Dental Science in Kyushu University by LUTFUN NAHER, B.D.S. Department of Oral Pathology and Medicine, Division of Maxillofacial Diagnostic and Surgical Sciences Faculty of Dental Science, Kyushu University Department of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science Kyushu University Supervisors : Professor Hidetaka Sakai Professor Seiji Nakamura Instructor: Assistant Professor Tamotsu Kiyoshima 2 List of Submitted Paper and Presentation <Submitted Paper> Lutfun Naher, Tamotsu Kiyoshima, Ieyoshi Kobayashi, Hiroaki Fujiwara, Yukiko Ookuma, Kengo Nagata, Seiji Nakamura, Satoru Ozeki, and Hidetaka Sakai. Interleukin-22-induced STAT3 signal transduction in oral squamous cell carcinoma Submitted to the American Journal of Pathology (2009). <Presentation> L. NAHER, T. KIYOSHIMA, H. FUJIHARA, I. KOBAYASHI, K. NAGATA, K. FUKIWAKE, Y. OOKUMA, S. NAKAMURA, and H. SAKAI. Kyushu University, Fukuoka, Japan STAT3 signal transduction in squamous cell carcinoma stimulated by IL-22 IADR 87th General Session and Exhibition, April 2009 (U.S.A) 3 List of Contents List of Submitted Paper and Presentation List of Contents …………………………………………3 ……………………………………………………………………4 LIST OF ABBREVIATION …………………………………………………………6 Abstract …………………………………………………………………………………7 Introduction ……………………………………………………………………………9 Materials and Methods ………………………………………………………………12 Reagents …………………………………………………………………………12 Cell Lines and Culture Conditions ………………………………………………12 Semiquantitative RT-PCR Analysis for IL-22 receptor mRNA Expression ……13 Real-time Quantitative PCR Analysis for mRNA Expression of the STAT3 downstream genes in Oral SCC cells after IL-22 stimulation …………………13 Immunoblotting and Inhibitor Treatment ………………………………………14 Immunocytochemistry for STAT3 ………………………………………………15 Cell proliferation assay …………………………………………………………16 Construction of NF-κ B-response Luciferase reporter Vector and Luciferase Assay ………………………………………………………………………………17 Real-time Quantitative PCR Analysis for mRNA Expression of the keratinocyte differentiation-related genes in Oral SCC cells after IL-22 stimulation ………17 Statistical Analysis ………………………………………………………………18 Table 1 …………………………………………………………………………19 Table 2 …………………………………………………………………………20 Table 3 …………………………………………………………………………21 Results ………………………………………………………………………………22 4 Human carcinoma cell lines express IL-22 receptor chains …………………22 MISK81-5, squamous cell carcinoma cells are responsive to IL-22 IL-22 Transiently Activates JAK1 and Tyk2 in MISK81-5 …………23 ……………………26 IL-22 induces translocation of pSTAT3 into the nucleus in MISK81-5 cells …28 IL-22 promotes to express anti-apoptotic and mitogenic genes in MISK81-5 …32 IL-22 Activates MAPK Pathways in MISK81-5 …………………………………34 IL-22 induces tumor cell proliferation in vitro …………………………………36 IL-22 subtly induces the cellular NF-κ B activation status ……………………37 IL-22-induced Phosphorylation of STAT3 and ERK1/2 is inhibited by preincubation with AG490 ………………………………………………………39 IL-22 reduces the expression of differentiation-related genes …………………40 IL-22-induced MMP-2 is inhibited by preincubation with AG490 ……………41 Discussion ……………………………………………………………………………44 ACKNOWLEDGEMENTS …………………………………………………………50 REFERENCES ……………………………………………………………………… 52 5 LIST OF ABBREVIATION α-MEM: alpha-minimal essential medium β-actin: beta–actin BSA: Bovine serum albumin DMEM: Dulbecco's Modified Eagle's medium ECL: Enhanced chemiluminescence EGF: Epidermal growth factor FBS: Fetal bovine serum HRP: Horseradish peroxidase IL-6: Interleukin 6 IL-10: Interleukin 10 IL-10R2: Interleukin 10 receptor 2 IL-22: Interleukin 22 IL-22R1: Interleukin 22 receptor 1 JAK1: Janus tyrosine kinase 1 MAPK: Mitogen-activated protein kinase OSCC: oral squamous cell carcinoma PBS: Phosphate buffered saline. PBST: Phosphate buffered saline Tween-20 pS :Serine phosphorylation pY: Tyrosine phosphorylation RPMI: Roswell Park Memorial Institute medium RT-PCR: Reverse transcription polymerase chain reaction SDS: Sodium dodecyl sulfate STAT3: Signal Transducers and Activator of Transcription 3 6 Abstract Cytokines or cytokine-related mediators influence the cellular behavior of malignant tumors. Interleukin-22 (IL-22) is a member of the IL-10 family. Its main targets are epithelial cells, but not immune cells. The objectives of this study were to examine IL-22 signal transduction in oral squamous cell carcinoma (OSCC) cells. RT-PCR showed that human OSCC cells, MISK81-5 and HSC-3 cells, expressed IL-22 receptor chains. Immunoblotting showed that IL-22 induced a transient tyrosine phosphorylation of STAT3 (pY705-STAT3) in MISK81-5 cells after IL-22 stimulation. The change in the serine phosphorylation of STAT3 was subtle during the examination periods. Meanwhile pY705-STAT3 activation in HSC-3 cells was undetectable after IL-22 stimulation. The immunocytochemistry demonstrated that IL-22 induced translocation of phosphorylated STAT3 into the nucleus of MISK81-5 cells. IL-22 temporarily up-regulated the expression of anti-apoptotic and mitogenic genes such as Bcl-xL, survivin and c-Myc as well as SOCS3. IL-22 transiently activated ERK1/2 and induced a delayed phosphorylation of p38 MAP kinase. ERK1/2 phosphorylation was decreased below the control level after 30 min. IL-22 negligibly involved activation of NF-κB as detected by using MISK81-5 cells stably transfected with pGL4.26[luc2/minP/Hygro] encompassed four tandem copies of the NF-κB consensus sequence. MISK81-5 cells treated with IL-22 showed mild cellular proliferation and down-regulation of the keratinocyte differentiation-related genes in comparison to unstimulated cells. IL-22 also increased MMP-2 protein in MISK81-5 cells, but not MMP-9. An unexpected 7 finding was that the phosphorylation of STAT3 was attenuated in MISK81-5 cells pretreated with AG490, a specific JAK2 inhibitor, even after IL-22stimulation. The mechanism remained unclear. These results indicated that IL-22 differentially activated the STAT3 signaling system depending on the type of OSCC. IL-22 may play roles in the tumor growth, cell differentiation and progression through the activation of the STAT3 pathway. The blockade of JAK/STAT signals may provide a novel therapeutic strategy for OSCC. 8 Introduction More than 90% of malignant epithelial tumors arising in the oral cavity are squamous cell carcinomas (1, 2). Over 250,000 cases of oral squamous cell carcinoma (OSCC) globally occurred in the year 2000. This represents 5% of all cancers for males and 2% for females. OSCC is one of the most common malignancies in humans. However, the overall survival rates have not substantially improved for decades (3). In addition, a significantly increased incidence of OSCC in young subjects has been reported in recent decades (4, 5). Increased understanding of the biology of OSCC carcinogenesis could lead to new designs of new perspectives and therapies for OSCCs. In general, varying degrees of inflammatory cells infiltration are observed around malignant tumors containing squamous cell carcinoma. In this situation, it is thought that inflammatory cells aggregate to attack, damage and remove the carcinoma cells. However, cytokines or cytokine-related mediators have direct proliferative and anti-proliferative effects on the tumor cells, and influence the cellular behavior of malignant tumors and the natural course of cancer (6, 7, 8). IL-22 is a new member of the IL-10 family, and is expressed mainly in activated T cells, mast cells and NK cells (9, 10). In addition, a subset of helper T cells abundantly produces IL-22 and may play important roles in skin homeostasis and pathology (11). The IL-22 receptor is a heterodimeric receptor of class II cytokine and consists of two chains, IL-22R1 and IL-10R2. IL-22R1 is expressed in a variety of non-immune tissues: skin, lung, small intestine, liver, colon, kidney, and pancreas (12), unlike IL-10R2 that 9 is ubiquitously expressed in various organs and cell types including immune cells. Since IL-22 does not act between immune cells but rather from the immune cells to the non-immune cell compartment, IL-22 therefore appears to be unique among cytokines. Although only a small number of studies have so far addressed the roles of IL-22 in malignant cell proliferation and apoptosis, there are inconsistencies in the findings. IL-22 induces the activation of the three major MAPK pathways in hepatoma cells: the ERK, JNK, and p38 kinase pathways (13) and the expression of many anti-apoptotic and mitogenic proteins following activation of STAT3 (14). The tumorigenicity of hepatoma cells is induced by constitutive overexpression of IL-22 (14). In human colon adenocarcinoma cells, IL-22 can accelerate the expression of inducible nitric-oxide synthase that is regarded as potential promoter of tumor growth in a variety of human neoplasia (15). IL-22 protects human lung non-small cell carcinoma cells against chemotherapy via the activation of anti-apoptotic proteins (16). In contrast, IL-22 treatment induces cell cycle arrest of murine breast adenocarcinoma EMT6 through inhibition of the ERK1/2 and AKT phosphorylation (17). While neither tumor growth nor metastasis was influenced by IL-22 expressed in murine colon carcinoma Colon 26 cells, the survival of the mice with IL-22 expressing Colon 26 cells was significantly prolonged in comparison to the control mice, suggesting that IL-22 might play a protective role in the hosts with tumors (18). Although IL-22 appears to exert variable functions in different carcinoma cells, it is conceivable that IL-22 might play roles during tumor genesis because IL-22 stimulates signaling pathways that are involved in the regulation of cell growth, cell proliferation, and cell cycle control. However, so far 10 there is little knowledge about the potential roles of IL-22 in the cell biology of oral squamous cell carcinoma cells. These findings raised our interest of how IL-22 induces STAT signal transduction in oral squamous cell carcinoma. The aim of this study was to analyze the signal transduction and genes induced in OSCC cells by IL-22, and to comprehensively evaluate the potential biologic activity of IL-22 in OSCC. In addition, this study examined the cell differentiation in IL-22-mediated OSCC cells. 11 Materials and Methods Reagents Recombinant human IL-6, IL-22 and TNF-α(Wako, Osaka, Japan), and mouse EGF (Sigma, St. Louis, MO, USA) were used. Antibodies reactive to total STAT3, phosphorylated STAT3 (pY705, pS727), JAK1, Tyk2, ERK1, phosphorylated ERK1/2 (pT202/pY204), p38α and phosphorylated p38 (pT180/pY182) were purchased from BD Biosciences (Franklin Lakes, NJ USA). Antibodies for phosphorylated JAK1 (pJAK1), phosphorylated Tyk2 (pTyk2), MMP-2 and MMP-9 were obtained from Santa Cruz Biotechnology, Inc (Calif., USA). Antibody for total STAT3 (Santa Cruz Biotechnology) was used in the immunocytochemistry. AG490 were obtained from Calbiochem (La Jolla, Calif., USA). Except where indicated, all other materials were obtained from either Wako or Sigma chemical (St. Louis, MO, USA) companies. Cell Lines and Culture Conditions Human oral SCC cell lines, MISK81-5, sMISK (19) and HSC-3 (supplied by the Japanese Cancer Research Resources Bank, JCRB), human gastric adenocarcinoma cell lines, MKN45 and MKN74 (supplied by the JCRB), and a human keratinocyte cell line, HaCaT, were used in this study. The oral SCC cell lines were grown in α-MEM (Invitrogen, Carlsbad, Calf., USA), supplemented with 10% fetal bovine serum (Filtron, Brooklyn, Australia), 100 IU/ml penicillin and 100 µg/ml streptomycin. Gastric adenocarcinoma cell lines were grown in RPMI 1640 medium (Invitrogen) with 10% 12 fetal bovine serum, 100 IU/ml penicillin and 100 µg/ml streptomycin (Invitrogen). HaCaT was maintained in D-MEM (Invitrogen) with 10% fetal bovine serum and 10 µg/ml gentamicin (Invitrogen). Semiquantitative RT-PCR Analysis for IL-22 receptor mRNA Expression The cells were seeded in a 60mm dish (BD Falcon, NJ, USA) at 5 x 105 cells/dish. After 24 h, the culture medium was changed a fresh medium with 10% serum or without. The next day, total RNAs from cell lines in the culture medium with 10% serum and without were isolated using the SV Total RNA Isolation System (Promega, Madison, Wisc., USA) according to the manufacturer’s protocol. cDNA was generated from isolated total RNA by reverse transcription (RT) with SuperScript VILO cDNA Synthesis Kit (Invitrogen). Semiquantitative PCR was amplified with Advantage 2 (Clontech, Mountain View, Calif., USA). Target genes were IL-22R1 and IL-10R2. β-actin was used as endogenous marker. The used specific primer sets are shown in Table 1. The PCR-reaction conditions were carefully chosen to stop the reaction condition during the exponential phase of the amplification of each gene. The PCR products were separated by electrophoresis on agarose gels and were then visualized with ethidium bromide. Real-time Quantitative PCR Analysis for mRNA Expression of the STAT3 downstream genes in Oral SCC cells after IL-22 stimulation MISK81-5 cells were seeded in a 60mm dish (BD Falcon) at 5 x 105 cells/dish. After 24 h, the culture medium was changed a fresh medium without serum. The next day, cells 13 were stimulated with new medium containing or not containing IL-22 (20 ng/ml). Total RNAs were isolated after various periods of time. Real-time quantitative PCR was performed using Thermal Cycler Dice® Real Time System (TaKaRa, Shiga, Japan) with SYBR® Premix Ex TaqTM II (TAKARA) according to the manufacturer’s instructions. The specific primer sets used for Bcl-xL (BCL2L1), survivin (BRIC5), c-Myc (MYC), cyclin D1 (CCND1) and suppressor of cytokine signaling 3 (SOCS3), are shown in Table 2. The specificity of products generated for each set of primers was determined using a melting curve and/or gel electrophoresis. The referable gene was determined through the examination of expression stability of house keeping genes; transferring receptor (TFRC), β-actin (ACTB), glyceraldehyde-3-phosphate dehydrogenase (GAPDH) and β-2-microglobulin (B2M). The specific primer sets are shown in Table 2. The relative expression levels of each targeted gene were normalized using the ∆∆CT comparative method, based on the referable gene threshold cycle (CT) values (20). The reference gene was selected using the geNorm system (http://medgen.ugent.be/~jvdesomp/genorm/). Immunoblotting and Inhibitor Treatment MISK81-5, HSC-3 and MKN74 cells were seeded in a 60mm dish (BD Falcon) at 5 x 105 cells/dish. After 24 h, the culture medium was changed to a fresh medium without serum. The next day, cells were stimulated with new medium containing or not containing IL-6 (20 ng/ml) or IL-22 (20 ng/ml). When indicated, MISK81-5 cells were preincubated for 12 h with 100 µM AG490. After incubation for 5, 15, 30, 60 or 120 14 min, proteins were extracted from cells lysed in ice-cold RIPA buffer (Sigma), containing 50 mM Tris-HCl, pH8.0, 150 mM NaCl, 1.0% Igepal CA-630, 0.5% sodium deoxycholate and 0.1% sodium dodecyl sulfate (SDS) with protease inhibitors; 2% protease inhibitor cocktail (Sigma), 20 µM lactacystin, 25 mM β-glycerophosphate, 1 mM phenylmethylsulfonyl fluoride (PMSF) and 1 mM Na4VO3. The proteins were separated by 12% SDS-polyacrylamide gel electrophoresis (SDS-PAGE), and then transferred to an Immun-Blot® PVDF Membrane (Bio-Rad, Hercules, CA, USA). The membranes were blocked with 10% non-fat skim milk in Tris-buffered saline with Tween 20 (TBST) (10 mM Tris–HCl, pH 7.6; 150 mM NaCl; 0.5% Tween 20), then incubated with the indicated antibodies. Bound antibodies were visualized with HRP-conjugated secondary antibodies with the use of enhanced chemiluminescence (ECL) plus detection system (Amersham, Piscataway, N.J., USA). The amounts of loaded proteins were estimated using a Micro BCA Protein Assay Kit (Pierce, Rockford, IL., USA). All the membranes were also probed with antibody for β-actin (Sigma) to normalize the relative activities. Immunocytochemistry for STAT3 MISK81-5 and HSC-3 cells were plated at a density of 3 x 103 cells/well in an 8-well culture slide coated with poly-D-lysine (BD Biosciences, San Jose, Calif., USA). After 24 h, the culture medium was changed to a new medium without serum. The cells were fixed at the described time after stimulation of EGF, IL-6 or IL-22. The fixative was either 4% paraformaldehyde in phosphate-buffered saline (PBS) or acetone-ethanol for 15 10 min. They were permeabilized by incubation in 0.1% Tween-20 in PBS for 10 min. Non-specific binding of the antibodies was blocked with normal goat or rabbit serum (Nichirei, Tokyo, Japan) for 15 min. The cells were incubated with primary antibody for 1 h at room temperature. After washing three times in PBS, the cells were incubated in Alexa Fluor® 568 goat anti-rabbit IgG or Alexa Fluor® 594 rabbit anti-mouse IgG (Invitrogen) for 30 min. The nuclei were counterstained with 4’, 6-diamidino-2-phenylindole dihydrochloride (DAPI; Dojindo, Kumamoto, Japan) at 37 O C. The cells were washed in PBS in the intervals between the steps. All of these procedures were performed at room temperature if not mentioned otherwise. The stained cells were then observed and photographed under fluorescent microscopy (Olympas, Tokyo, Japan). Cell proliferation assay IL-22-treated cell proliferation was quantified using a homogeneous assay based on quantification of the ATP present level with CellTiter-Glo® Luminescent Cell Viability Assay (Promega). The culture medium was changed to a new medium without serum at 24 h after cell seeding (3 x 103 cells/well) in 96-well plate (BD Falcon). After performing the non-serum culture for 6 h, the cells were stimulated with 20 ng/ml of IL-22 every 24 h twice in the culture period for 48 h. Luminescence was measured in a Microplate Luminometer (Turner Biosystem, Sunnyvale CA, USA). Each ratio represents the mean ± SD (bars) of three values from one representative experiment. 16 Construction of NF-κ B-response Luciferase reporter Vector and Luciferase Assay Four tandem copies of the NF-κB consensus sequence were encompassed upstream of the minimal promoter (minP) in pGL4.26[luc2/minP/Hygro] to reduce the background reporter. This vector was transfected in MISK81-5 cells. After clonal selection of stably transfected cells with hygromycin, the MISK-pGL4-NF-κB cells were generated. The cells were seeded (1 x 104 cells/well) in 96-well plate (BD Falcon), and the culture medium was changed to a new medium without serum after 24 h. The cells were stimulated with IL-6, IL-22 or TNF-α, or unstimulated after the non-serum culture for 6 h. Luminescence was measured the following day using the One-Glo luciferase system (Promega) in the Microplate Luminometer (Turner Biosystem). The activity is indicated as the relative fold to the unstimulated samples. Each ratio represents the mean ± SD (bars) of three values from one representative experiment. Real-time Quantitative PCR Analysis for mRNA Expression of the keratinocyte differentiation-related genes in Oral SCC cells after IL-22 stimulation MISK81-5 cells were seeded (5 x 105 cells/well) in a 60mm dish (BD Falcon) and the medium was changed to a new medium without serum after 24 h. After 6 h, the cells were stimulated with 20 ng/ml of IL-22. Total RNAs were isolated the next day. A real-time quantitative PCR and analysis were performed as described. The targets in keratinocyte differentiation-related genes were; loricrin (LOR), involucrin (IVL), keratin 1 (KRT1), keratin 5 (KRT5), keratin 10 (KRT10) and keratin 14 (KRT14). These specific primer sets are shown in Table 3. 17 Statistical Analysis All the experiments were independently repeated at least three times. A statistical analysis was performed by Student’s t-test. A p value of less than 0.05 or 0.01 was considered to be statistically significant. 18 Table 1 Primer sets used for semiquantitative RT-PCR in the present study Target IL-22R1 IL-10R2 β-actin Sequence (sense) 5’-CTC CAC AGC GGC ATA GCC T-3’ (antisense) 5’-ACA TGC AGC TTC CAG CTG G-3’ (sense) 5’-GGC TGA ATT TGC AGA TGA GCA-3’ (antisense) 5’-GAA GAC CGA GGC CAT GAG G-3’ (sense) 5’-ATC TGG CAC CAC ACC TTC TAC AAT GAG CTG CG-3’ (antisense) 5’-CGT CAT ACT CCT GCT TGC TGA TCC ACA TCT GC-3’ 19 Table 2 Primer sets used for quantitative RT-PCR in the present study Target Bcl-xL Survivin c-Myc cyclin D1 SOCS3 TFRC β-actin GAPDH B2M Sequence (sense) 5’-TAG GGT GGC CCT TGC AGT TC-3’ (antisense) 5’-GTG AGG CAG CTG AGG CCA TAA-3’ (sense) 5’-TTC TCA AGG ACC ACC GCA TC-3’ (antisense) 5’-GCC AAG TCT GGC TCG TTC TC-3’ (sense) 5’-CGG ATT CTC TGC TCT CCT CGA C-3’ (antisense) 5’-CCT CCA GCA GAA GGT GAT CCA-3’ (sense) 5’-GTG CAT CTA CAC CGA CAA CTC CA-3’ (antisense) 5’-TGA GCT TGT TCA CCA GGA GCA-3’ (sense) 5’-CCC AAG GAC GGA GAC TTC GAT-3’ (antisense) 5’-GAA ACT TGC TGT GGG TGA CCA T-3’ (sense) 5’-GCG AGC ACT GAC CAG ATA AGA ATG-3’ (antisense) 5’-TCC CGA TAA TGT GTT AGG ATT GTG A-3’ (sense) 5’-TGG CAC CCA GCA CAA TGA A-3’ (antisense) 5’-CTA AGT CAT AGT CCG CCT AGA AGC A-3’ (sense) 5’-GCA CCG TCA AGG CTG AGA AC-3’ (antisense) 5’-TGG TGA AGA CGC CAG TGG A-3’ (sense) 5’-CGG GCA TTC CTG AAG CTG A-3’ (antisense) 5’-GGA TGG ATG AAA CCC AGA CAC ATA G-3’ 20 Table 3 Primer sets used for quantitative RT-PCR in the present study Target loricrin involucrin keratin 1 keratin 5 keratin 10 keratin 14 Sequence (sense) 5’-TCA TGA TGC TAC CCG AGG TTT G-3’ (antisense) 5’-TGC AAA TTT ATT GAC TGA GGC ACT G-3’ (sense) 5’-TAA CCA CCC GCA GTG TCC AG-3’ (antisense) 5’-ACA GAT GAG ACG GGC CAC CTA-3’ (sense) 5’-AGA TCA CTG CTG GCA GAC ATG G-3’ (antisense) 5’-TGA TGG ACT GCT GCA AGT TGG-3’ (sense) 5’-GAT AGC ATC ATC GCT GAG GTC AAG-3’ (antisense) 5’-AGC CTC TGG ATC ATC CGG TTC-3’ (sense) 5’-AGG CTG GCA GCT GAT GAC TTC-3’ (antisense) 5’-CAG GGT CAG CTC ATC CAG CA-3’ (sense) 5’-ACT TCA AGA CCA TTG AGG ACC TGA G-3’ (antisense) 5’-CAG GGT CAG TTC GTC CAG CA-3’ 21 Results Human carcinoma cell lines express IL-22 receptor chains— Since IL-22 is a ligand, it is necessary to know whether the used cell lines express a receptor for IL-22. The receptor for IL-22 consists of a heterodimer of IL-22R1 and IL-10R2, and therefore the mRNA expression of IL-22R1 and IL-10R2 was investigated with semiquantitative RT-PCR analysis to demonstrate that squamous cell carcinoma cell lines have the capability to respond to IL-22. mRNA expression was also examined in these cells under non-serum condition in order to analyze IL-22 biological activity in the squamous cell carcinoma cell lines. IL-22R1 and IL-10R2 were detectable in all tested carcinoma cell lines in the medium with serum (Figure 1, left panel) and without (Figure 1, right panel), even though the expression intensity varied among them. HaCaT keratinocytes served as positive control for expression of both IL-22 receptor chains (21). Figure 1. MISK81-5 cells express IL-22 receptor chain mRNA similar to other human carcinoma lines tested. IL-10R2 and IL-22R1 mRNA expression were examined by semi-quantitative RT-PCR. The expression was detectable in all these cell lines, but the expression intensity varied 22 among them. β-actin was used as internal control. MISK81-5, squamous cell carcinoma cells are responsive to IL-22— The kinetics of STAT3 phosphorylation in MISK81-5 and HSC-3 cells stimulated with IL-22 for various periods of time was examined because studies have reported the activation of STAT3 signaling in other cell lines by IL-22 (13, 17, 22). Two important phosphorylation sites in STAT3, pY705 and pS727, were examined by immunoblotting and compared with IL-6 stimulation. Although IL-6 is structurally different from IL-22, which is a member of IL-10 family, IL-6 leads to the phosphorylation of STAT3 through JAK1 activation (23). Moreover, IL-6 also induces the activation of the MAPK pathways (24). IL-22 induced tyrosine-phosphorylation of STAT3 (pY705-STAT3) in MISK81-5 cells, within 15 min, peaking at 30 min (Figure 2A). This phosphorylation was transient, and was decreased toward the baseline and to barely detectable levels for STAT3 after 120 min. The change in the serine-phosphorylation of STAT3 (pS727-STAT3) in MISK81-5 treated with IL-22 was subtle within the tested periods. Meanwhile, pY705-STAT3 increased within 5 min and still remained detectable in MISK81-5 cells at least 1 h after IL-6 stimulation. IL-6 showed a subtle change in pS727-STAT3 within the tested periods as well as IL-22. On the other hand, IL-6 similarly activated pY705-STAT3 in HSC-3, but the activation of pY705-STAT3 by IL-22 was not detectable during the tested periods (Figure 2B). As shown in Figure 2C, 23 pY705-STAT3 was not detectable in MKN74 cells even after the treatment of IL-22 and IL-6. The protein level of total STAT3 remained unchanged during the tested periods in both cells treated with IL-22 or IL-6. 24 Figure 2. IL-22 induces transient STAT3 phosphorylation in MISK81-5, squamous cell carcinoma cells. (A and B) MISK81-5 (A), HSC3 (B) and MKN74 (C) cells were incubated with IL-22 (20 ng/ml) or IL-6 (20 ng/ml) for varying times up to 120 min. The blots of the cellular content protein were stained using antibody for phospho-STAT3 (pY705, pS727) or total STAT3. A, IL-22 and IL-6 induced tyrosine phosphorylation of STAT3 25 (pY705-STAT3) in MISK 81-5 cells within 15 and 5 min, respectively. IL-22 induced transient tyrosine phosphorylation of STAT3 in MISK81-5 cells with similar time kinetics to IL-6. IL-6 and IL-22 induced subtle change in pS727-STAT3 within the tested periods. B, in HSC-3 cells, pY705-STAT3 was undetectable after IL-22 stimulation, although transient pY705-STAT3 was induced after IL-6 stimulation. IL-22 and IL-6 induced transient pS727-STAT3. C, in MKN74 cells, pY705-STAT3 was undetectable even after IL-22 and IL-6 stimulations. Meanwhile, pS727-STAT3 was not changed after the stimulation. All findings represent the results of three independently performed experiments. IL-22 Transiently Activates JAK1 and Tyk2 in MISK81-5— Janus kinase (JAK) family is known to be related to the phosphorylation of STAT proteins in response to extracellular signals and oncogenes. There are four members of JAK family such as JAK1, JAK2, JAK3 and tyrosine kinase 2 (Tyk2). Out of them, JAK1 is associated with IL-22R1, and Tyk2 is associated with IL-10R2 (25). Therefore, the activation of JAK1 and Tyk2 by IL-22 was examined because the JAK-STAT pathway is responsible for cytokine signals. MISK81-5 and HSC-3 cells were either stimulated with IL-22 for various periods, or were unstimulated. An immunoblot analysis with these lysates was performed using specific antibodies for phosphorylated JAK1 (pJAK1) and Tyk2 (pTyk2). As shown in Figure 3A, IL-22 stimulation of MISK81-5 cells induced the transient and slight phosphorylation of Tyk2 26 and JAK1. After 15 min, however, both pJAK1 and pTyk2 were decreased. At 120 min, the total and phosphorylated proteins were barely detectable. Meanwhile the cells treated with IL-6 showed a slight increase of pJAK1 and pTyk2 at 60 and 15 min, respectively (Figure 3A). Meanwhile, phosphorylation of JAK1 and Tyk2 in HSC-3 cells was similar to that in MISK81-5 (Figure 3B). Figure 3. IL-22 induces transient phosphorylation of JAK1 and Tyk2. 5 x 105 MISK81-5 cells were stimulated with IL-22 for 5, 15, 30, 60, and 120 min or unstimulated as a control. The membrane was immunoblotted with each antibody and reprobed repeatedly. IL-22 treatment resulted in transient and slight phosphorylation of JAK1 and Tyk2 at 5 min, and decreased to barely detectable levels after 15 and 60 min, 27 respectively. Meanwhile, JAK1 and Tyk2 activation in MISK81-5 cells was slightly increased at 60, 15 min after IL-6 stimulation, respectively. IL-22 induces translocation of pSTAT3 into the nucleus in MISK81-5 cells— IL-22 stimulation induced STAT3 phosphorylation in MISK81-5 cells, but not in HSC-3 cells. Therefore the intracellular localization of STAT3 and its phosphorylated forms in SCC cell lines after IL-6 or IL-22 stimulation were examined using immunocytochemistry. STAT3 was noted in both nucleus and cytoplasm of MISK81-5 before IL-6 stimulation. Most of the STAT3 was observed in the nucleus of MISK81-5 cells within 5 min after IL-6 stimulation. STAT3 was also detectable in the cytoplasm after 30 min, suggesting the relocation of STAT3 from the nucleus into the cytoplasm (Figure 4A). The nuclear translocation of pSTAT3 in MISK81-5 was observed at 30 min after IL-22 treatment as well as IL-6 (Figure 4B), whereas no increased signal of pSTAT3 in the nucleus was detected in HSC-3 treated with IL-22 (Figure 4C). IL-22 treatment resulted in transient STAT tyrosine phosphorylation and nuclear translocation from the cytoplasm in MISK81-5 cells (Figures 2A and 4B), thus suggesting that the STAT3-mediated pathways are able to promote the transcriptional activity in MISK81-5 cells in response to IL-22. 28 29 30 Figure 4. IL-22 translocates pSTAT3 into the nucleus in MISK81-5 cells. A, MISK81-5 cells were either untreated as a control (left) or treated with IL-6 for 5, 15, and 30 min. The cells were immunostained for total STAT3 protein after fixation with 4% paraformaldehyde. IL-6 quickly translocated most of STAT3 into the nucleus of MISK81-5 cells within 5 min after IL-6 stimulation. After 30 min, STAT3 was also noted in the cytoplasm. B and C, MISK81-5 (B) or HSC-3 (C) cells were either untreated as a control (left) or treated with IL-22 or IL-6 for 30 min. These cells were immunostained for pSTAT3 (pS727) protein after acetone-ethanol fixation for 10 min. B, translocation of pSTAT3 into the nucleus was noted in MISK81-5 cells treated with IL-22 as well as with IL-6 or EGF. C, in HSC-3 cells, the translocation of pSTAT3 into the nucleus was not clear after IL-22 stimulation, but the findings were induced by IL-6. 31 Alexa Fluor® 568 goat anti-rabbit IgG (A) or Alexa Fluor® 594 rabbit anti-mouse IgG (B and C) was used as the secondary antibody (red); Nuclei were counter-stained with DAPI (blue); EGF was used as control stimulation for the activation of STAT3. IL-22 promotes to express anti-apoptotic and mitogenic genes in MISK81-5— The expression of STAT3-downstream genes was examined with real-time PCR to further explore the mechanism underlying IL-22-STAT3 signaling. GAPDH, β-actin, β2M and TFRC, which are used as housekeeping genes in many studies, were assessed in order to evaluate the expression of STAT3-associated genes after IL-22 stimulation more accurately since cytokine stimulation can induce instability in the housekeeping gene expression (26, 27, 28). β2M was selected as the internal control among them using geNorm system (http://medgen.ugent.be/~jvdesomp/genorm/)(data not shown). As shown in Figure 5, the expression of anti-apoptotic proteins, Bcl-xL (BCL2L1) and survivin (BRIC5), mitogenic proteins, c-Myc (MYC) and cyclin D1 (CCND1) and the suppressor for STAT3, SOCS3, genes were examined in MISK81-5 treated with IL-22. The expression of Bcl-xL and c-Myc genes exhibited a 2.4-fold increase as peak at 30, 60 min after IL-22 stimulation, respectively (Figures 5A and C). However, the expression of c-Myc gene was dramatically decreased to 40% at 120 min. SOCS3 expression was markedly induced at 30 min after IL-22 stimulation, exhibited a 37-fold increase at 60 min and decreased at 120 min (Figure 5E). IL-22 significantly increased 32 the gene expression of survivin at 60 and 120 minutes. Meanwhile, the gene expression of cyclin D1 was significantly decreased at 30 and 120 minutes (Figures 5B and D). (D) cyclin D1 (A) Bcl-xL 100 10 10 * ** 1 ** 1 0.1 0.1 0 5 15 30 60 120 (min) (B) survivin 0 5 15 30 60 120 (min) (E) SOCS3 10 100 * 1 * * ** 10 ** 1 0.1 0.1 0 5 15 30 60 120 (min) 0 5 15 30 60 120 (min) 0 5 15 30 60 120 (min) (F) B2M (C) c-Myc 10 10 * * 1 1 ** 0.1 0.1 0 5 15 30 60 120 (min) Figure 5. IL-22 transiently induces the expression of anti-apoptotic and mitogenic genes in MISK81-5. MISK81-5 cells were treated with IL-22 (20 ng/ml) for various times as indicated. RNAs were then prepared and analyzed by real-time RT-PCR. Bcl-xL (A), survivin (B), c-Myc (C), cyclin D1 (D) and SOCS3 (E) were targeted in the STAT3-downstream genes. Bcl-xL, c-Myc and SOCS3 exhibited a peak expression at 30, 60 and 60 min 33 after IL-22 stimulation, respectively. However, c-Myc gene expression was significantly decreased at 120 minutes. IL-22 significantly increased the gene expression of survivin at 60 and 120 minutes and decreased cyclin D1 at 30 and 120 minutes. Significant differences between the stimulated and unstimulated samples are indicated with single or double-asterisks (p<0.05; *, p<0.01; **). Β2M (F) was used as a reference gene. IL-22 Activates MAPK Pathways in MISK81-5— As shown in Figure 6A, IL-22 induced phosphorylation of ERK1/2 in MISK81-5 cells within 5 min, but slightly decreased at 15 min. This phosphorylation was decreased under the control level after 30 min. IL-22 also induced a delayed phosphorylation of p38 MAP kinases after 60 min. Although the peak of pERK1/2 was noted at 15 min, similar results obtained in MISK81-5 treated with IL-6. On the other hand, the activation of ERK1/2 and p38 MAP kinases was undetectable in HSC-3 cells after IL-22 treatment (Figure 6B). IL-6 showed similar activation of ERK1/2 and p38 MAP kinases to that in MISK81-5 treated with IL-22 or IL-6. The protein levels of unphosphorylated ERK and p38 MAP kinases remained unchanged in the tested periods in both cells treated with IL-22 or IL-6. 34 Figure 6. IL-22 induces the phosphorylation of several members of the MAPK pathways. A and B, MISK81-5 (A) and HSC-3 (B) cells (5 x 105 cells/well) were seeded in a 60 mm dish. At 24 h after cell seeding, the medium was changed to fresh one without serum. The next day, the cells were treated with recombinant IL-22 (20 ng/ml) or IL-6 (20 ng/ml) for 5, 15, 30, 60 or 120 min or unstimulated. Total lysates were analyzed by immunoblotting with an anti-phospho-ERK1/2 antibody. The membranes were repeatedly reprobed and immunoblotted with anti-p-p38, anti-ERK and anti-p38 antibodies in order. A, IL-22 induced a transient activation of ERK1/2 in MISK81-5 cells. IL-22 also induced a delayed phosphorylation of p38 MAP kinase as well as IL-6. B, the activation was undetectable in HSC-3 cells after IL-22 treatment, whereas the cells stimulated by IL-6 showed similar activation of ERK1/2 and p38 MAP kinases to that in MISK81-5 treated with IL-6 or IL-22. However, 35 IL-22 induces tumor cell proliferation in vitro— IL-22 induced phosphorylation of ERK1/2, which is one of important mediators for cell proliferation, thus the effect of IL-22 on the cell proliferation of squamous cell carcinoma cell lines was examined in vitro. The effect of IL-22 on proliferation of MISK81-5 and HSC-3 cells in vitro was determined using the CellTiter-Glo® Luminescent Cell Viability Assay (Promega). MISK81-5 cells treated with IL-22 showed a 1.3-fold increase in the cell viability in comparison to control samples. A significant difference was demonstrated between the IL-22-treated cells and controls (p<0.05; Figure 7). Meanwhile, there was no significant difference in the cell viability in HSC-3 cells between the IL-22-treated cells and controls (Figure 7). This result indicated that IL-22 shows a cell proliferative effect on MISK81-5 cells, thus suggesting that STAT3 tyrosine phosphorylation plays an important role in the induction of tumor cell proliferation. viability 㻍㻃 (fold) 1.0 㻓㻑㻓㻃 IL-22 - - + HSC-3 + MISK81-5 36 Figure 7. IL-22 shows a proliferative effect on MISK81-5 cells in vitro. 3 x 103 MISK81-5 and HSC-3 cells per well were seeded into a 96-well plate. These cells were incubated with or without IL-22 (20 ng/ml) for 48 h. Cell viability of MISK81-5 cells treated with IL-22 was increased to 1.3-fold in comparison to the control cells. Significant difference was noted between the stimulated and control samples (p<0.05). Meanwhile, IL-22 did not significantly affect cell proliferation of HSC-3 cells. IL-22 subtly induces the cellular NF-κ B activation status— The activation of p38 leads to the activation of multiple transcription factors that induce expression of many different genes. Luciferase assays with MISK-pGL4-NF-κB cells were examined to confirm that IL-22-induced NF-κB activation correlated with transcriptional activation. The construct transfected in MISK81-5 cells is regulated by four tandem copies of the NF-κB consensus sequence. MISK-pGL4-NF-κB cells were stimulated with TNF-α as a positive control for NF-κB activation. As shown in Figure 8, the cells stimulated with 50 and 100 ng/ml TNF-α demonstrated 3.6-fold and 3.8-fold increases in luciferase activity, respectively, in comparison to the unstimulated MISK-pGL4-NF-κB cells. Significant differences were observed between the stimulated and control samples (p<0.01). However, the effects of IL-22 and IL-6 were only subtle or negligible. No significant difference was noted between the IL-22- or IL-6-stimulated and control samples (Figure 8). 37 fold induction 㻍㻍㻃 4.0 㻍㻍㻃 3.0 2.0 1.0 㻓㻑㻓㻃 0 control 50 100 20 TNF-α 50 IL-22 20 50 (ng/ml) IL-6 Figure 8. IL-22 is negligibly associated with up-regulation of the cellular NF-κB activation. The stably transfected cells, MISK-pGL4-NF-κB cells, were seeded in 21 wells of a 96-well plate. The next day, the cells were incubated in medium without serum. The cells were stimulated with TNF-α (50 or 100 ng/ml), IL-6 (20 or 50 ng/ml) or IL-22 (20 or 50 ng/ml) or with control medium at 6 h after the medium was changed. A luciferase assay was performed after 24 h. Each ratio is indicated as relative fold to the unstimulated control samples, and indicates the mean ± SD (bars) of three values from one representative experiment. Significant differences in the transcription activity are indicated with double-asterisks (p<0.01; **). 38 IL-22-induced Phosphorylation of STAT3 and ERK1/2 is inhibited by preincubation with AG490— IL-22-exposed MISK81-5 cells were pre-incubated with AG490, a JAK2-specific inhibitor. The phosphorylation levels of STAT3 and ERK1/2 were determined by immunoblotting. MISK81-5 cells were pre-treated with AG490 following the treatment with IL-22 for 15 min since STAT3 and ERK1/2 were phosphorylated in response to treatment with IL-22 for 15 min (Figures 2A and 6A). In spite of no detectable change in the STAT3 level in MISK81-5 cells with AG490-pre-treatement or without, pY705-STAT3 was unexpectedly attenuated pre-treatment of cells with AG490 (Figure 9, lanes 3 and 4). Similar results were observed in the ERK1/2 phosphorylation. No detectable changes in the pY705-STAT3 and pERK1/2 were observed in IL-22-unstimulated MISK81-5 cells pre-treated with or without AG490 (Figure 9, lanes 1 and 2). 39 Figure 9. IL-22-induced phosphorylation of STAT3 and ERK1/2 is attenuated by AG490. 5 x 105 MISK81-5 cells were seeded in a 60 mm dish one day before stimulation with IL-22 (20 ng/ml) for 15 min (lanes 3 and 4) or without stimulation (lanes 1 and 2). Some cells were pre-incubated for 12 h with 100 µM AG490 (lanes 2 and 4). Total lysates were analyzed by immunoblotting with an antibody against the tyrosine-phosphorylated STAT3 (pY705-STAT3). The membrane was repeatedly reprobed and immunoblotted with an anti-pERK1/2 antibody, with anti-total STAT3 antibody, with an anti-ERK antibody and then with an anti-β-actin antibody. IL-22 reduces the expression of differentiation-related genes— The expression of keratinocyte differentiation-associated genes was examined in MISK81-5 cells after IL-22 stimulation to further approach the biological effect of IL-22 on the differentiation of squamous cell carcinoma cells. The targeted genes were; loricrin (LOR), involucrin (IVL), keratin 1 (KRT1), keratin 5 (KRT5), keratin 10 (KRT10) and keratin 14 (KRT14). The quantitative real-time PCR analysis demonstrated that the expression of IVL, and KRT1 genes was significantly down-regulated to ~20% and ~5% by IL-22 treatment, respectively (p<0.01). Although the expression of LOR, KRT5 and KRT14 genes was also decreased to ~80%, ~80%, and ~85% in the IL-22-treated samples, respectively, there was no significant difference 40 between the stimulated and control samples. The expression of KRT10 gene remained unchanged in MISK81-5 treated with or without IL-22 (Figure 10). 1 0 1 ** ** 0. 1 0.0 1 IL-22 - + B2M Figure 10. - + LOR IL-22 - IVL treatment - + + KRT1 reduces the - + KRT10 - + KRT5 expression of - + KRT14 keratinocyte differentiation-related genes. 5 x 105 MISK81-5 cells were seeded in a 60 mm dish one day before stimulation. The expression of loricrin (LOR), involucrin (IVL), keratin 1 (KRT1), keratin 10 (KRT10), keratin 5 (KRT5) and keratin 14 (KRT14) was compared between MISK81-5 cells with IL-22 stimulation for 24 h and unstimulated cells. Significant differences in the gene expression are indicated with single or double-asterisks (p<0.05; *, p<0.01; **). IL-22-induced MMP-2 is inhibited by preincubation with AG490— Whether IL-22 induces MMP-2 and MMP-9 protein expression in MISK81-5 cells was 41 examined because the matrix metalloproteinases (MMPs) are involved in metastatic and invasive potentials of malignant cells. Then, the effect of AG490 on protein expression of MMP-2 and MMP-9 was also examined in MISK81-5 cells after IL-22 stimulation, since AG-490 inhibited STAT3 activation as well as ERK1/2 activation, as shown in Figure 9. IL-22-stimulated samples showed higher intensity in comparison to unstimulated samples, as shown in Figure 11. Then the samples preincubated with AG490 showed lower intensity after IL-22 stimulation. MMP-2 protein induced by IL-22 was attenuated by pre-treatment with AG490 (Figure 11, lane 6). Similar result was seen in MISK81-5 cells after IL-6 stimulation (Figure 11, lanes 3 and 4). No detectable change in the MMP-2 protein level in MISK81-5 cells with or without AG490-pre-treatement (Figure 11, lanes 1 and 2). Meanwhile, the levels of MMP-9 protein remained undetectable in all samples examined in this study. Figure 11. MMP-2 protein expression induced by IL-22 is attenuated by preincubation with AG490. 42 5 x 105 MISK81-5 cells were seeded in a 60 mm dish one day before stimulation with IL-22 (20 ng/ml; lanes 5 and 6) or IL-6 (20 ng/ml; lanes 3 and 4) for 30 min or without stimulation (lanes 1 and 2). Half of samples were pre-incubated for 12 h with 100 µM AG490 (lanes 2, 4 and 6). Extracted proteins were subjected to immunoblotting for MMP-2 protein. The membrane was repeatedly reprobed and immunoblotted for MMP-9 protein, and then for β-actin as an internal control. 43 Discussion This study analyzed the signal transduction activated by IL-22 in human OSCC cells. IL-22 induced the transient phosphorylation of STAT3 (pY705 and pS727) and the phosphorylation of JAK1 and Tyk2. The phosphorylated STAT3 was translocated into the nucleus by IL-22 as well as by IL-6. IL-22 induced the activation of the ERK and p38 MAPK pathways, but negligibly activates NF-kB. IL-22 affected on the proliferation of OSCC cells with mild stimulation. IL-22 down-regulated the gene expression of proteins that regulate the terminal differentiation of keratinocytes. These results suggested IL-22 plays important roles in the cell biology of OSCC cells. IL-22 induces activation of STAT3 in carcinoma cells with functional IL-22 receptors. No study has addressed the relationship between IL-22 and OSCC cells. The current study therefore examined how OSCC cells respond to IL-22 stimulation, and how IL-22 induces the phosphorylation of STAT3 in OSCC cells. Y705 and S727 of STAT3 were targeted as important phosphorylation sites, since only a few studies have examined phosphorylation sites by IL-22. The expression of two IL-22 receptor chains was confirmed in MISK81-5 and HSC-3 cells of OSCC by RT-PCR. However, IL-22 stimulation induced STAT3 phosphorylation in MISK81-5 cells, but not in HSC-3 cells. This result indicated that IL-22 receptors were functional in MISK81-5 cells, and that IL-22 did not activate STAT3 signaling in HSC-3 cell lines. MISK81-5 cells showed transient phosphorylation of STAT3 at Y705 by IL-22 stimulation. Similar results were previously reported for IL-22 stimulation (13, 29). 44 This result coincided with the translocation of pS727-STAT3 protein in immunocytochemistry. Although the immunoreactivity of pS727-STAT3 was subtly changed after IL-22 stimulation, a transient translocation of pS727-STAT3 into the nucleus was observed in MISK81-5 cells. Meanwhile, the translocation of pS727-STAT3 was not noted in HSC-3 treated with IL-22 (Figures 4 B and C). When pY705-STAT3 was decreased, STAT3 was detected in the cytoplasm as shown in the unstimulated cells (Figures 2A and 4A). Together with up-regulation of the STAT3 downstream genes after IL-22 stimulation as shown in Figure 5, the results suggested that pY705 mediated translocation of pSTAT3. This finding was supported by the study of Zhong et al. (30), in which the phosphorylation of STAT3 at Y705 involves the translocation of STAT3 into the nucleus, thereby activating multiple target gene transcription. On the other hand, the change in pS727-STAT3 was subtle in this study. IL-22 signaling did not seem to involve the phosphorylation of STAT3 at S727 in OSCC cells. This tendency was also noted in the immunocytochemistry for pS727-STAT3 in MISK81-5 cells (Figure 4B). The phosphorylation of STAT3 at S727 in OSCC cells was different from that in the study of Lejeune et al. (13) who also showed transient increased pS727-STAT3 in hepatoma cells by IL-22. pS727 plays a regulatory role in STAT3 activation for its maximal transcriptional activity (31). Although erythropoietin-induced pS727-STAT3 is regulated by ERK signaling cascades (32), the function and mechanism of pS727 remained unclear in this study. 45 The activity of MAP kinases such as ERK and p38 after IL-22 stimulation in this study (Figure 6) are partly reminiscent of those on hepatoma cells (13, 14). IL-22 can activate kinases such as ERK1/2 and p38, activation of which are key events leading to cell proliferation (33). While IL-22 transiently activated ERK1/2 and induced a delayed phosphorylation of p38 MAP kinase, ERK1/2 phosphorylation was decreased under the control level after 30 min. A similar result was seen in the IL-22 treatment of murine breast adenocarcinoma EMT6, in which ERK1/2 phosphorylation was inhibited by IL-22, thus leading to cell cycle arrest (17). Indeed, IL-22 mildly stimulated the cell proliferation of MISK81-5 cells in this study. This stimulation may be due to a complicated synergistic effect between the transiently increased activity of ERK1/2 and the expression of c-Myc gene, and/or the inhibition of ERK1/2 phosphorylation. The transient activation of STAT3 also involved the transient up-regulation of SOCS3 expression in MISK81-5 cells (Figure 5E). The transient up-regulation of SOCS3 expression may affect the transient activation of STAT3 and STAT3-associated factors in MISK81-5 cells, because SOCS3 plays a role as suppressor against STAT signaling, while SOCS3 is one of the downstream genes of STAT3. In other words, transient STAT3 phosphorylation would be down-regulated by up-expressed SOCS3, which in turn may be decreased after down-regulation of STAT3 in the feedback system. It is possible that this cascade is repeated in MISK81-5 cells after IL-22 stimulation. In addition, IL-22 may constitutively contribute to the activation of STAT3 and expression of anti-apoptotic and mitogenic genes and be implicated in the tumorigenesis of squamous cell carcinoma with the SOCS3 methylation since the methylation of the 46 SOCS3 promoter was found in both head and neck SCCs and various SCC cell lines (23, 34). Surprisingly pretreatment with AG490, a specific JAK2 inhibitor attenuated the phosphorylation of STAT3 and ERK1/2 in MISK81-5 cells stimulated by IL-22, although IL-22R1 and IL-10R2 are thought to associate with selective activators of JAK1 and Tyk2, respectively (25). Similar finding was found in other studies. AG490 inhibits not only JAK2 but also JAK1 phosphorylation in human colorectal cancer (35). Neilson et al. (36) recently reported that AG490 inhibited prolactin (PRL) activation of JAK2 and also inhibited PRL activation of JAK1, although PRL receptors had been considered selective activators of JAK2 but not JAK1, JAK3, or Tyk2, thus suggesting that the tyrosine phosphorylation of JAK1 was induced in the JAK2-dependent mechanism after binding of PRL to its receptor. Together, these results suggested that JAK2 phosphorylation might be associated with IL-22-STAT3 signaling in MISK81-5 cells. However, the nonspecific inhibition of Jak1 may have occurred in the cells pretreated with AG490. In addition, Dumoutier et al. (37) revealed that the IL-22 receptor recruits the coiled-coil domain of STAT3 in a tyrosine-independent manner. Therefore, further studies are also needed to elucidate the detailed mechanism and roles of the IL-22 receptor. Keratinocytes are thought to show changes in the expression and synthesis of cytoskeletal proteins after exposure to proliferative or inflammatory cytokines (38). IVL, LOR, KRT1 and KRT10 are the characteristic markers of normal suprabasal keratinocytes (39). IL-22 reduced the expression of IVL, LOR, KRT1 and KRT10 genes 47 in MISK81-5 cells. The result indicated IL-22 could regulate the terminal differentiation of OSCC cells as well as keratinocytes. Because these factors play important roles during the terminal differentiation of keratinocytes associated with apoptotic processes (40, 41, 42, 43), the control of the IL-22 function in OSCCs may therefore make it possible to induce apoptosis in OSCC cells via differentiation. The MMPs are a family of closely related proteolytic enzymes that are involved in the degradation of various components of the basement membranes and extracellular matrix. Each MMP plays a specific and important role in tumor invasion, spread and metastasis through proteolytic potentials (44, 45, 46). MMP-2 and MMP-9 are known as Gelatinase A and Geratibase B, respectively. They specifically cleave type IV collagen that is one of the major structural components of the basement membrane. In this study, IL-22 induced protein expression of MMP-2 in MISK81-5 cells, whereas protein level of MMP-9 remained undetectable after IL-22 stimulation. In addition, AG490 pretreatment reduced MMP-2 protein expression in MISK81-5 cells after IL-22 stimulation, probably through blocking of the STAT3 signaling pathway. Similar result was seen in MISK81-5 cells after IL-6 stimulation. Recently, studies reported that STAT3 signaling directly regulates MMP-2 expression, tumor invasion, and metastasis in metastatic melanoma cells. MMP-2 is included in the target genes of STAT3 (47, 48). The metastatic potential of tumor cells is thought to correlate with the activity of this enzyme. Then, this result suggested that IL-22 may regulate migration and invasion of OSCC cells via MMP-2 increased by STAT3 activation as well as IL-6. However, further studies are required to clarify the MMP regulation in detail in the OSCC cells 48 affected by IL-22 and/or IL-6 because MMP-2 is also regulated differently from other MMPs. IL-22 also plays important roles in skin inflammatory process and wound healing. Of note, it has partly become interesting to investigate the relationship between S100A7 and IL-22 in dermatoses (29). S100A7 is a member of the S100 Ca2+-binding protein family consisting of at least 25 low molecular weight proteins (9–13 kDa). Genechip microarray and proteomic analysis have demonstrated an aberrant S100A7 expression in OSCCs (49, 50, 51). The S100A7 is a positive marker for oral carcinogenesis and early tumor progression (52). The S100A7 gene is up-regulated in OSCC cells. Transcription assay using chimera vectors suggested the putative SCC-specific regulatory regions in the upstream of the S100A7 gene in our previous study (53). However, the actual mechanism by which function of S100A7 and IL-22 promotes tumorigenesis in the squamous cell carcinoma remains to be determined. Further studies on the relationship between these factors in OSCC cells are required in the near future. In summary, the current study showed that IL-22 affected a few important functions of OSCC cells via the STAT3 pathways. In addition, these results suggested that IL-22 may play roles in carcinoma cell differentiation. Further studies are required to understand the mechanisms by which IL-22 is involved in the biology of OSCC carcinogenesis. Modifying the function of IL-22 and/or blockade of JAK/STAT signals will lead to new perspectives and therapies with relatively few side effects in order to improve the patient management in OSCC. 49 ACKNOWLEDGEMENTS This research work was carried out under the supervision of Professor Hidetaka Sakai, Department of Oral Pathology and Medicine, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University. I am indebted to my supervisor for his unwavering support, encouragement, sincere guidance and invaluable advice in accomplishing this research work. My sincere thanks and gratitude also extend to Dr. Tamotsu Kiyoshima for instructing me in all aspects about this research with unlimited patience, for his guidance, valuable suggestions and fruitful discussions about this research project. I also greatly appreciate the help of Dr. Ieyoshi Kobayashi, as well as to Dr. Kengo Nagata for their kindness, guidance and support during my research work. I wish to thank to all members of the laboratory of oral Pathology and medicine especially Dr. Hiroaki Fujihara, Dr. Yukiko Ookuma for their support and encouragement. I would also like to extend my sincere homage and deepest gratitude to Professor Seiji Nakamura, Department of Oral and Maxillofacial Oncology, Division of Maxillofacial Diagnostic and Surgical Sciences, Faculty of Dental Science, Kyushu University, for giving me the opportunity to conduct research at Kyushu University. Without his kind support and guidance, it would have been impossible to finish this work. I am also ever grateful to Emeritus Professor Masamichi Ohishi, Department of 50 Oral and Maxillofacial Surgery, Kyushu University, for his continued support and guidance since beginning of my arrival at Kyushu University. My sincere gratitude also extend to the rest of the member of Oral and Maxillofacial Oncology department especially to Dr. Eiji Mitate for his kindness and unlimited guidance in all aspects of my life in Japan. I should also thank the international students in the faculty of Dental Science, Kyushu University for their friendships and encouragements. In the home front, heartiest appreciation and gratefulness for my father Mr. Moqbul Ahmed and mother Mrs. Jahanara Begum chowdhurani as well as to my brothers for their fountains of love, encouragement and support all along my life. Lastly, how could I forget the name Dr. Md. Shoaib chowdhury, who is the uplifter of my life. Finally, I must thank my husband Dr. Rafiqul Islam and my dearest son Nahian Ibrahim for taking care and supporting me greatly for completing my study. 51 References 1. Chidzonga MM, Mahomva L. 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