Background <p>We investigated the impact of SMAD2 linker phosphorylation (pSMAD2L) on overall and disease-free survival, signal transduction, as well as cancer-related processes in non-small cell lung cancer (NSCLC).</p> Methods <p>We generated A549 cells constitutively lacking pSMAD2L (A549L<sup>sub</sup>) to gain mechanistic insights and stimulated NSCLC cell lines with inhibitors against cell cycle-associated kinases or TGFβ1. In addition, we analysed SMAD2 and pSMAD2L in alveolar epithelial cells type 2 from tumour-free lung tissue as well as in benign and malignant T cells by Western blotting. Furthermore, pSMAD2L-positive tumours and immune cells were analysed in an NSCLC patient cohort (<i>n</i> = 316) using multiplex immunofluorescence.</p> Results <p>In NSCLC cell lines and benign T cells, pSMAD2L was expressed in a mitosis-dependent manner. Loss of pSMAD2L (A549L<sup>sub</sup>) had an anti-proliferative effect, slowed migration, and increased alternatively spliced short SMAD2 (SMAD2<sup>ΔE3</sup>). The gene signature in A549L<sup>sub</sup> was associated with developmental and morphogenetic processes and redirected canonical TGFβ1-dependent signalling. By contrast, SMAD2<sup>ΔE3</sup> was absent in benign T cells but present in malignant T lymphoblasts. NSCLC patients with low pSMAD2L<sup>+</sup> tumour cell density had a poorer prognosis, whereas low pSMAD2L<sup>+</sup> immune cell density favoured overall and disease-free survival.</p> Conclusions <p>pSMAD2L antagonises anti-proliferative canonical TGFβ-signalling in NSCLC and redirects TGFβ1-dependent gene expression, whereas loss of pSMAD2L enhances SMAD2<sup>ΔE3</sup> and affects pluripotency-associated proteins in vitro. In NSCLC patients, pSMAD2L cell density influences disease-free and overall survival in a spatially distinct manner.</p> <p></p>

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SMAD2 linker phosphorylation impacts overall survival, proliferation, TGFβ1-dependent gene expression and pluripotency-related proteins in NSCLC

  • Dörte Nitschkowski,
  • Tim Vierbuchen,
  • Holger Heine,
  • Jochen Behrends,
  • Norbert Reiling,
  • Martin Reck,
  • Klaus F. Rabe,
  • Christian Kugler,
  • Ole Ammerpohl,
  • Daniel Drömann,
  • Thomas Muley,
  • Mark Kriegsmann,
  • Georgious T. Stathopoulos,
  • Kristina A. M. Arendt,
  • Torsten Goldmann,
  • Sebastian Marwitz

摘要

Background

We investigated the impact of SMAD2 linker phosphorylation (pSMAD2L) on overall and disease-free survival, signal transduction, as well as cancer-related processes in non-small cell lung cancer (NSCLC).

Methods

We generated A549 cells constitutively lacking pSMAD2L (A549Lsub) to gain mechanistic insights and stimulated NSCLC cell lines with inhibitors against cell cycle-associated kinases or TGFβ1. In addition, we analysed SMAD2 and pSMAD2L in alveolar epithelial cells type 2 from tumour-free lung tissue as well as in benign and malignant T cells by Western blotting. Furthermore, pSMAD2L-positive tumours and immune cells were analysed in an NSCLC patient cohort (n = 316) using multiplex immunofluorescence.

Results

In NSCLC cell lines and benign T cells, pSMAD2L was expressed in a mitosis-dependent manner. Loss of pSMAD2L (A549Lsub) had an anti-proliferative effect, slowed migration, and increased alternatively spliced short SMAD2 (SMAD2ΔE3). The gene signature in A549Lsub was associated with developmental and morphogenetic processes and redirected canonical TGFβ1-dependent signalling. By contrast, SMAD2ΔE3 was absent in benign T cells but present in malignant T lymphoblasts. NSCLC patients with low pSMAD2L+ tumour cell density had a poorer prognosis, whereas low pSMAD2L+ immune cell density favoured overall and disease-free survival.

Conclusions

pSMAD2L antagonises anti-proliferative canonical TGFβ-signalling in NSCLC and redirects TGFβ1-dependent gene expression, whereas loss of pSMAD2L enhances SMAD2ΔE3 and affects pluripotency-associated proteins in vitro. In NSCLC patients, pSMAD2L cell density influences disease-free and overall survival in a spatially distinct manner.