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Wang et al.                                                                                                                                                                          Genotoxic NF-kB activation in cancer

           region of NEMO and target the same residues. When   chains also contribute to NF-kB activation by DNA
                                                                      [76]
           overexpressed,  cIAP1 inhibits NEMO SUMOylation.   damage.  Linear ubiquitin chains are connected by a
           Although the function of NEMO monoubiquitination   head-to-tail peptide bond between C-terminal Gly76 of
           is not fully elucidated, various studies suggested that   one ubiquitin and N-terminal α-amino group on Met1
           ubiquitination also regulates subcellular localization of   of another ubiquitin  molecule.  The LUBAC  protein
                                                                                         [77]
           NEMO. In contrast to SUMOylation, monoubiquitination   complex comprised of hemeoxidized  IRP2 ubiquitin
           appears to promote nuclear export of NEMO so as to   ligase-1 (HOIL1), HOIL1-interacting protein (HOIP) and
           transduce a nuclear signaling into cytoplasm and relay   shank-associated  RH  domain  interactor  (SHARPIN),
           to downstream signaling events.                    was  identified  as  the  only  E3  ligase  specifically  to
                                                              promote linear ubiquitin  chain formation. [78-81]  Upon
           The nuclear export of NEMO is essential to convey   TNFα  stimulation, LUBAC was found in a  TNFR-
           the signal from nucleus to cytoplasm and the       supercomplex where it facilitates linear ubiquitination
           underlying  mechanisms  have  been  only  partially   of RIP1 and NEMO. [82,83]  The UBAN domain of NEMO
           elucidated. Huang et al. [58,68]  demonstrated that NEMO   has high affinity for interaction with the linear ubiquitin
           monoubiquitination is required for its Ca - and Ran-  chain, [84,85]  suggesting the linear ubiquitin  chains
                                                2+
           GTP-dependent nuclear export.  ATM and NEMO        attached on NEMO or RIP1 may be stabilizing  the
           are found to be exported together. Another study   NEMO/IKK complex  within  the  TNFR-supercomplex,

           showed that NEMO may be monoubiquitinated in the   leading to effective activation of IKK. Similarly, NEMO
           cytoplasm after the export of SUMOylated NEMO      could  be  modified  by  linear  ubiquitin  chains  in  the
           from the nucleus.   ATM may be also exported       cytoplasm of cells exposed to DNA damage. LUBAC
                            [70]
           in a Ca -dependent but PARP-1/NEMO/PIASy-          is required for DNA damage-induced  NEMO linear
                    2+
           independent manner. Nevertheless, the presence     ubiquitination. [76]
           of monoubiquitinated NEMO in cytoplasm delivers
           the nuclear DNA damage signal to cytoplasmic       The linear chain-conjugated lysine residues in NEMO
           compartment and leads to a cytoplasmic NEMO:       have been  identified  as Lys285 and Lys309. Lys309
           ATM:  IKK  complex,  which  further  promotes  NF-kB   could be modified by monoubiquitination and Lys285
           activation. [21]                                   was shown to  be conjugated  with a single ubiquitin
                                                              moiety upon  DNA damage in another  study.
                                                                                                            [70]
           Cytoplasmic  steps:  ATM mediates  TAK1-IKK        Therefore, it is likely the mono-ubiquitin  attached
           activation                                         on Lys285 and 309 may serve as a cornerstone for
           In  the  cytoplasm,  ATM  still plays important roles to   further  extension of  linear ubiquitin chains.  The  K63
           activate the IKK complex. NEMO and ATM were found   chains attached on ELKS and TRAF6, along with linear
           to form a complex with the IKK-associated protein ELKS   chains anchored on NEMO, may form an intertwined
           (a protein rich in glutamate, leucine, lysine and serine,   network which provides an optimal binding platform for
           also called ERC1).  ELKS has been shown to play    recruiting and stabilizing  association of  TAK1/TAB1/
                            [68]
           a role in synaptic plasticity, intracellular transport, and   TAB2 and IKK complexes. The clustering of TAK1 and
           exocytosis by regulating release of neurotransmitters   IKK complexes leads to effective auto-phosphorylation
           at presynaptic active zones. [71-73]  ELKS has been found   and activation of  TAK1 and subsequent  TAK1-
           as a putative IKK complex component regulating IKK-  dependent  IKK activation upon DNA damage.  After
           dependent  IkBα phosphorylation in  TNFα-induced   IKK activation, the downstream signaling  events are
           NF-kB activation.  ELKS also forms a complex with   similar to that in the classical NF-kB signaling cascade,
                           [74]
           NEMO, ATM and IKK, which is required for activation   which  involves  IKK-dependent  IkBα phosphorylation
           of IKK-upstream kinase TGF-beta activated kinase 1   and degradation, free NF-kB nuclear translocation and
           (TAK1). [68,75]  Further investigation revealed that ELKS is   target gene transcription alteration.
           conjugated with K63-linked polyubiquitin chains which
           depends on ATM and ubiquitin ligase XIAP. Moreover,   In addition to the well-described mechanistic
           ATM may also directly bind and promote the ubiquitin   connection  linking  DNA  damage  signals  to  the
           ligase  activity of  TNF receptor-associated  factor 6   canonical IKK-NF-kB pathway, DNA damage may
           (TRAF6),  leading to  TRAF6  auto-ubiquitination  with   also lead to activation of alternative NF-kB pathways.
           K63-chains.   The K63-linked polyubiquitin  chains   RelB was found to be enriched in the nuclei following
                      [70]
           conjugated on ELKS and TRAF6 could then serve as   ionizing radiation in prostate cancer cells, which
           a docking platform of TAK1/TAB1/TAB2 complex and   correlated with poor prognosis in prostate cancer
           lead to its activation.                            patients. [86-88]   In  osteosarcoma  cell  lines,  p100
                                                              phosphorylation and subsequent processing to p52
           Besides K63-linked polyubiquitination, linear ubiquitin   observed  following  multiple  forms  of  DNA  damage.
            50                                                                    Journal of Cancer Metastasis and Treatment ¦ Volume 3 ¦ March 27, 2017
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