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Follistatin-like 1 mitigates intermittent hypoxia-induced melanoma lung metastasis in mice

  • Basic Science • Original Article
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Abstract

Purpose

Intermittent hypoxia (IH) mimicking obstructive sleep apnea (OSA) has been confirmed to induce tumor lung metastasis via oxidative stress and inflammation responses. Follistatin-like 1 (Fstl1), as a matricellular protein, plays critical roles in inflammatory diseases and cancer. This study aimed to investigate the effect and mechanism of Fstl1 on OSA-IH-induced tumor lung metastasis.

Methods

Fstl1+/+ or Fstl1+/ mice inoculated with B16F10 melanoma cells were exposed to OSA-IH. The number and area of mouse lung metastatic colonies were assessed. Markers for tumor metastasis, oxidative stress, and inflammation in lung melanoma tissue or B16F10 melanoma cells were quantified by western blotting, qRT-PCR, and immunohistochemistry. The migration of B16F10 cells was examined by wound healing assay.

Results

Fstl1 levels are decreased in lung tissues from OSA-IH injured mice inoculated with melanoma cells. Fstl1-deficient mice were highly susceptible to the OSA-IH model of melanoma lung metastasis, as assessed by increased number and area of lung metastatic colonies, and by the elevated levels of HIF-1α, Vegf, N-cadherin, and E-cadherin. Lung melanoma tissue in Fstl1+/ mice provided evidence of increased oxidative stress, as determined by increased levels of NRF2 and P22phox and decreased level of Sod2, as well as increased inflammatory response, as determined by elevated levels of NF-κB P65, Tnf-α and Il-6. Conversely, stable overexpression of Fstl1 in B16F10 cells under OSA-IH exposure attenuated the migration of B16F10 cells and levels of tumor-related markers, as well as decreased oxidative stress and inflammatory responses.

Conclusion

These results suggest that Fstl1 may protect against OSA-IH-induced tumor lung metastasis through oxidative stress and inflammatory responses. Fstl1 may serve as a promising target for OSA-related cancer.

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Data availability

The software and all relevant raw data are freely available to scientists.

Code availability

Not applicable.

References

  1. Lavie P, Herer P, Peled R, Berger I, Yoffe N, Zomer J, Rubin AH (1995) Mortality in sleep apnea patients: a multivariate analysis of risk factors. Sleep 183:149–157

    Article  Google Scholar 

  2. Collen J, Lettieri C, Wickwire E, Holley A (2020) Obstructive sleep apnea and cardiovascular disease, a story of confounders! Sleep Breath 244:1299–1313

    Article  Google Scholar 

  3. Gaines J, Vgontzas AN, Fernandez-Mendoza J, Bixler EO (2018) Obstructive sleep apnea and the metabolic syndrome: the road to clinically-meaningful phenotyping, improved prognosis, and personalized treatment. Sleep Med Rev 42:211–219

  4. Kemstach VV, Korostovtseva LS, Golovkova-Kucheriavaia MS, Bochkarev MV, Sviryaev YV, Alekhin AN (2020) Obstructive sleep apnea syndrome and cognitive impairment. Zh Nevrol Psikhiatr Im S S Korsakova 1201:90–95

    Article  Google Scholar 

  5. Nieto FJ, Peppard PE, Young T, Finn L, Hla KM, Farre R (2012) Sleep-disordered breathing and cancer mortality: results from the Wisconsin Sleep Cohort Study. Am J Respir Crit Care Med 1862:190–194

    Article  Google Scholar 

  6. Martinez-Garcia MA, Campos-Rodriguez F, Almendros I, Garcia-Rio F, Sanchez-de-la-Torre M, Farre R, Gozal D (2019) Cancer and sleep apnea: cutaneous melanoma as a case study. Am J Respir Crit Care Med 20011:1345–1353

    Article  Google Scholar 

  7. Almendros I, Montserrat JM, Torres M, Dalmases M, Cabanas ML, Campos-Rodriguez F, Navajas D, Farre R (2013) Intermittent hypoxia increases melanoma metastasis to the lung in a mouse model of sleep apnea. Respir Physiol Neurobiol 1863:303–307

    Article  Google Scholar 

  8. Almendros I, Montserrat JM, Ramirez J, Torres M, Duran-Cantolla J, Navajas D, Farre R (2012) Intermittent hypoxia enhances cancer progression in a mouse model of sleep apnoea. Eur Respir J 391:215–217

    Article  Google Scholar 

  9. Li L, Ren F, Qi C, Xu L, Fang Y, Liang M, Feng J, Chen B, Ning W, Cao J (2018) Intermittent hypoxia promotes melanoma lung metastasis via oxidative stress and inflammation responses in a mouse model of obstructive sleep apnea. Respir Res 191:28

    Article  Google Scholar 

  10. Hao S, Zhu X, Liu Z, Wu X, Li S, Jiang P, Jiang L (2021) Chronic intermittent hypoxia promoted lung cancer stem cell-like properties via enhancing Bach1 expression. Respir Res 221:58

    Article  Google Scholar 

  11. Marrone O, Bonsignore MR (2020) Obstructive sleep apnea and cancer: a complex relationship. Curr Opin Pulm Med 266:657–667

    Article  Google Scholar 

  12. Shibanuma M, Mashimo J, Mita A, Kuroki T, Nose K (1993) Cloning from a mouse osteoblastic cell line of a set of transforming-growth-factor-beta 1-regulated genes, one of which seems to encode a follistatin-related polypeptide. Eur J Biochem 2171:13–19

    Article  Google Scholar 

  13. Dong Y, Geng Y, Li L, Li X, Yan X, Fang Y, Li X, Dong S, Liu X, Li X, Yang X, Zheng X, Xie T, Liang J, Dai H, Liu X, Yin Z, Noble PW, Jiang D, Ning W (2015) Blocking follistatin-like 1 attenuates bleomycin-induced pulmonary fibrosis in mice. J Exp Med 2122:235–252

    Article  Google Scholar 

  14. Rao J, Wang H, Ni M, Wang Z, Wang Z, Wei S, Liu M, Wang P, Qiu J, Zhang L, Wu C, Shen H, Wang X, Cheng F, Lu L (2022) FSTL1 promotes liver fibrosis by reprogramming macrophage function through modulating the intracellular function of PKM2. Gut 0:1–12

  15. Maruyama S, Nakamura K, Papanicolaou KN, Sano S, Shimizu I, Asaumi Y, van den Hoff MJ, Ouchi N, Recchia FA, Walsh K (2016) Follistatin-like 1 promotes cardiac fibroblast activation and protects the heart from rupture. EMBO Mol Med 88:949–966

    Article  Google Scholar 

  16. Wilson DC, Marinov AD, Blair HC, Bushnell DS, Thompson SD, Chaly Y, Hirsch R (2010) Follistatin-like Protein 1 Is a Mesenchyme-derived inflammatory protein and may represent a biomarker for systemic-onset juvenile rheumatoid arthritis. Arthritis Rheum 628:2510–2516

    Article  Google Scholar 

  17. Chiou J, Chang YC, Tsai HF, Lin YF, Huang MS, Yang CJ, Hsiao M (2019) Follistatin-like protein 1 inhibits lung cancer metastasis by preventing proteolytic activation of osteopontin. Cancer Res 7924:6113–6125

    Article  Google Scholar 

  18. Liu Y, Tan X, Liu W, Chen X, Hou X, Shen D, Ding Y, Yin J, Wang L, Zhang H (2018) Follistatin-like protein 1 plays a tumor suppressor role in clear-cell renal cell carcinoma. Chin J Cancer 371:2

    Article  Google Scholar 

  19. Hayakawa S, Ohashi K, Shibata R, Takahashi R, Otaka N, Ogawa H, Ito M, Kanemura N, Hiramatsu-Ito M, Ikeda N, Murohara T, Ouchi N (2016) Association of Circulating Follistatin-Like 1 Levels with inflammatory and oxidative stress markers in healthy men. Plos One 115:e0153619

  20. Geng Y, Dong Y, Yu M, Zhang L, Yan X, Sun J, Qiao L, Geng H, Nakajima M, Furuichi T, Ikegawa S, Gao X, Chen YG, Jiang D, Ning W (2011) Follistatin-like 1 (Fstl1) is a bone morphogenetic protein (BMP) 4 signaling antagonist in controlling mouse lung development. Proc Natl Acad Sci U S A 10817:7058–7063

    Article  Google Scholar 

  21. Bellezza I, Giambanco I, Minelli A, Donato R (2018) Nrf2-Keap1 signaling in oxidative and reductive stress. Biochim Biophys Acta Mol Cell Res 18655:721–733

    Article  Google Scholar 

  22. Kasai S, Shimizu S, Tatara Y, Mimura J, Itoh K (2020) Regulation of Nrf2 by mitochondrial reactive oxygen species in physiology and pathology. Biomolecules 102:320–341

  23. Benjafield AV, Ayas NT, Eastwood PR, Heinzer R, Ip MSM, Morrell MJ, Nunez CM, Patel SR, Penzel T, Pepin JL, Peppard PE, Sinha S, Tufik S, Valentine K, Malhotra A (2019) Estimation of the global prevalence and burden of obstructive sleep apnoea: a literature-based analysis. Lancet Respir Med 78:687–698

    Article  Google Scholar 

  24. Tan NKW, Yap DWT, Tan BKJ, Teo YH, Tan EKH, Chan JY, Lee HY, See A, Toh ST (2021) The association of obstructive sleep apnea with melanoma incidence and mortality: a meta-analysis of 5,276,451 patients. Sleep Med 88:213–220

  25. Li T, Mao C, Wang X, Shi Y, Tao Y (2020) Epigenetic crosstalk between hypoxia and tumor driven by HIF regulation. J Exp Clin Cancer Res 391:224

    Article  Google Scholar 

  26. Ahluwalia A, Jones MK, Matysiak-Budnik T, Tarnawski AS (2014) VEGF and colon cancer growth beyond angiogenesis: does VEGF directly mediate colon cancer growth via a non-angiogenic mechanism? Curr Pharm Des 207:1041–1044

    Article  Google Scholar 

  27. Mittal V (2018) Epithelial mesenchymal transition in tumor metastasis. Annu Rev Pathol 13:395–412

  28. Seki M, Powers JC, Maruyama S, Zuriaga MA, Wu CL, Kurishima C, Kim L, Johnson J, Poidomani A, Wang T, Munoz E, Rajan S, Park JY, Walsh K, Recchia FA (2018) Acute and chronic increases of circulating FSTL1 normalize energy substrate metabolism in pacing-induced heart failure. Circ Heart Fail 111:e004486

    Article  Google Scholar 

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Funding

This work was supported by the grants from the National Natural Science Foundation of China (Nos. 82070077, 81500070, 81970084, 82030001).

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Authors and Affiliations

Authors

Contributions

L.L. and W.N. conceived and designed research; C.Q. and X.-Z.L. performed experiments and analyzed the data; J.C., M.-L.L., and Q.-Q.C. analyzed the data; C.Q. and L.L. drafted manuscript; L.L., W.N., B.-Y.C. J.F, and Z.-J.C. edited and revised manuscript; C.Q., J.C., X.-Z.L., Q.-Q.C., M.-L.L., Z.-J.C., J.F, B.-Y.C., W.N., and L.L. approved final version of manuscript.

Corresponding authors

Correspondence to Wen Ning or Lian Li.

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Ethics approval

All animal experimental protocols were approved by the Animal Care and Use Committee at Nankai University (Approval Number: 20140008) and were performed in accordance with the guidelines outlined by the committee.

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The authors declare no competing interests.

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Qi, C., Cao, J., Liu, X. et al. Follistatin-like 1 mitigates intermittent hypoxia-induced melanoma lung metastasis in mice. Sleep Breath 27, 1165–1173 (2023). https://doi.org/10.1007/s11325-022-02680-5

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  • DOI: https://doi.org/10.1007/s11325-022-02680-5

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