Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Article
  • Published:

Cellular and Molecular Biology

SBSN drives bladder cancer metastasis via EGFR/SRC/STAT3 signalling

Abstract

Background

Patients with metastatic bladder cancer have very poor prognosis and predictive biomarkers are urgently needed for early clinical detection and intervention. In this study, we evaluate the effect and mechanism of Suprabasin (SBSN) on bladder cancer metastasis.

Methods

A tissue array was used to detect SBSN expression by immunohistochemistry. A tumour-bearing mouse model was used for metastasis evaluation in vivo. Transwell and wound-healing assays were used for in vitro evaluation of migration and invasion. Comprehensive molecular screening was achieved by western blotting, immunofluorescence, luciferase reporter assay, and ELISA.

Results

SBSN was found markedly overexpressed in bladder cancer, and indicated poor prognosis of patients. SBSN promoted invasion and metastasis of bladder cancer cells both in vivo and in vitro. The secreted SBSN exhibited identical biological function and regulation in bladder cancer metastasis, and the interaction of secreted SBSN and EGFR could play an essential role in activating the signalling in which SBSN enhanced the phosphorylation of EGFR and SRC kinase, followed with phosphorylation and nuclear location of STAT3.

Conclusions

Our findings highlight that SBSN, and secreted SBSN, promote bladder cancer metastasis through activation of EGFR/SRC/STAT3 pathway and identify SBSN as a potential diagnostic and therapeutic target for bladder cancer.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

Fig. 1: SBSN is upregulated and associated with the progression of bladder cancer.
The alternative text for this image may have been generated using AI.
Fig. 2: SBSN enhanced bladder cancer aggressiveness.
The alternative text for this image may have been generated using AI.
Fig. 3: Secreted SBSN enhanced bladder cancer aggressiveness.
The alternative text for this image may have been generated using AI.
Fig. 4: SBSN activated EGFR/SRC/STAT3 signalling pathway.
The alternative text for this image may have been generated using AI.
Fig. 5: Secreted SBSN activated EGFR/SRC/STAT3 signalling pathway.
The alternative text for this image may have been generated using AI.
Fig. 6: SBSN activated EGFR/STAT3 signalling pathway in vivo.
The alternative text for this image may have been generated using AI.

Similar content being viewed by others

Data availability

The data that support the findings of this work are available from the corresponding author upon request.

References

  1. Lenis AT, Lec PM, Chamie K, Mshs MD. Bladder cancer: a review. JAMA. 2020;324:1980–91.

    Article  CAS  PubMed  Google Scholar 

  2. Richters A, Aben KKH, Kiemeney L. The global burden of urinary bladder cancer: an update. World J Urol. 2020;38:1895–904.

    Article  PubMed  Google Scholar 

  3. Ritch CR, Velasquez MC, Kwon D, Becerra MF, Soodana-Prakash N, Atluri VS, et al. Use and validation of the AUA/SUO risk grouping for nonmuscle invasive bladder cancer in a contemporary cohort. J Urol. 2020;203:505–11.

    Article  PubMed  Google Scholar 

  4. Shah BK, Mandal R. Survival trends in metastatic bladder cancer in the United States: a population based study. J Cancer Res Ther. 2015;11:124–8.

    Article  PubMed  Google Scholar 

  5. Wee P, Wang Z. Epidermal growth factor receptor cell proliferation signaling pathways. Cancers (Basel). 2017;9:52.

  6. Nastaly P, Stoupiec S, Popeda M, Smentoch J, Schlomm T, Morrissey C, et al. EGFR as a stable marker of prostate cancer dissemination to bones. Br J cancer. 2020;123:1767–74.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Kaushik G, Seshacharyulu P, Rauth S, Nallasamy P, Rachagani S, Nimmakayala RK, et al. Selective inhibition of stemness through EGFR/FOXA2/SOX9 axis reduces pancreatic cancer metastasis. Oncogene. 2021;40:848–62.

    Article  CAS  PubMed  Google Scholar 

  8. Hashmi AA, Hussain ZF, Irfan M, Khan EY, Faridi N, Naqvi H, et al. Prognostic significance of epidermal growth factor receptor (EGFR) over expression in urothelial carcinoma of urinary bladder. BMC Urol. 2018;18:59.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  9. Neal DE, Sharples L, Smith K, Fennelly J, Hall RR, Harris AL. The epidermal growth factor receptor and the prognosis of bladder cancer. Cancer. 1990;65:1619–25.

    Article  CAS  PubMed  Google Scholar 

  10. Nguyen PL, Swanson PE, Jaszcz W, Aeppli DM, Zhang G, Singleton TP, et al. Expression of epidermal growth factor receptor in invasive transitional cell carcinoma of the urinary bladder. A multivariate survival analysis. Am J Clin Pathol. 1994;101:166–76.

    Article  CAS  PubMed  Google Scholar 

  11. Kim WT, Kim J, Yan C, Jeong P, Choi SY, Lee OJ, et al. S100A9 and EGFR gene signatures predict disease progression in muscle invasive bladder cancer patients after chemotherapy. Ann Oncol: Off J Eur Soc Med Oncol. 2014;25:974–9.

    Article  CAS  Google Scholar 

  12. Wang A, Jiang A, Gan X, Wang Z, Huang J, Dong K, et al. EGFR-AS1 promotes bladder cancer progression by upregulating EGFR. BioMed Res Int. 2020;2020:6665974.

    PubMed  PubMed Central  Google Scholar 

  13. McConkey DJ, Choi W, Ochoa A, Siefker-Radtke A, Czerniak B, Dinney CP. Therapeutic opportunities in the intrinsic subtypes of muscle-invasive bladder cancer. Hematol Oncol Clin North Am. 2015;29:377–94.

    Article  PubMed  Google Scholar 

  14. Bowman T, Garcia R, Turkson J, Jove R. STATs in oncogenesis. Oncogene. 2000;19:2474–88.

    Article  CAS  PubMed  Google Scholar 

  15. van Kessel KE, Zuiverloon TC, Alberts AR, Boormans JL, Zwarthoff EC. Targeted therapies in bladder cancer: an overview of in vivo research. Nat Rev Urol. 2015;12:681–94.

    Article  PubMed  CAS  Google Scholar 

  16. Sen M, Joyce S, Panahandeh M, Li C, Thomas SM, Maxwell J, et al. Targeting Stat3 abrogates EGFR inhibitor resistance in cancer. Clin Cancer Res. 2012;18:4986–96.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  17. Park GT, Lim SE, Jang SI, Morasso MI. Suprabasin, a novel epidermal differentiation marker and potential cornified envelope precursor. J Biol Chem. 2002;277:45195–202.

    Article  CAS  PubMed  Google Scholar 

  18. Shao C, Tan M, Bishop JA, Liu J, Bai W, Gaykalova DA, et al. Suprabasin is hypomethylated and associated with metastasis in salivary adenoid cystic carcinoma. PLoS ONE. 2012;7:e48582.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  19. Formolo CA, Williams R, Gordish-Dressman H, MacDonald TJ, Lee NH, Hathout Y. Secretome signature of invasive glioblastoma multiforme. J proteome Res. 2011;10:3149–59.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Glazer CA, Smith IM, Ochs MF, Begum S, Westra W, Chang SS, et al. Integrative discovery of epigenetically derepressed cancer testis antigens in NSCLC. PLoS One. 2009;4:e8189.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  21. Zhu J, Wu G, Li Q, Gong H, Song J, Cao L, et al. Overexpression of suprabasin is associated with proliferation and tumorigenicity of esophageal squamous cell carcinoma. Sci Rep. 2016;6:21549.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  22. Soltanian S, Dehghani H. BORIS: a key regulator of cancer stemness. Cancer Cell Int. 2018;18:154.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  23. Pribyl M, Hodny Z, Kubikova I. Suprabasin-a review. Genes (Basel). 2021;12:108.

  24. Percie du Sert N, Hurst V, Ahluwalia A, Alam S, Avey MT, Baker M, et al. The ARRIVE guidelines 2.0: updated guidelines for reporting animal research. PLoS Biol. 2020;18:e3000410.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  25. Subramanian A, Tamayo P, Mootha VK, Mukherjee S, Ebert BL, Gillette MA, et al. Gene set enrichment analysis: a knowledge-based approach for interpreting genome-wide expression profiles. Proc Natl Acad Sci USA. 2005;102:15545–50.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Nagy A, Munkacsy G, Gyorffy B. Pancancer survival analysis of cancer hallmark genes. Sci Rep. 2021;11:6047.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Taguchi T, Kodera Y, Oba K, Saito T, Nakagawa Y, Kawashima Y, et al. Suprabasin-derived bioactive peptides identified by plasma peptidomics. Sci Rep. 2021;11:1047.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Azare J, Leslie K, Al-Ahmadie H, Gerald W, Weinreb PH, Violette SM, et al. Constitutively activated Stat3 induces tumorigenesis and enhances cell motility of prostate epithelial cells through integrin beta 6. Mol Cell Biol. 2007;27:4444–53.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  29. Bild AH, Yao G, Chang JT, Wang Q, Potti A, Chasse D, et al. Oncogenic pathway signatures in human cancers as a guide to targeted therapies. Nature. 2006;439:353–7.

    Article  CAS  PubMed  Google Scholar 

  30. Garcia R, Bowman TL, Niu G, Yu H, Minton S, Muro-Cacho CA, et al. Constitutive activation of Stat3 by the Src and JAK tyrosine kinases participates in growth regulation of human breast carcinoma cells. Oncogene. 2001;20:2499–513.

    Article  CAS  PubMed  Google Scholar 

  31. Girotti MR, Pedersen M, Sanchez-Laorden B, Viros A, Turajlic S, Niculescu-Duvaz D, et al. Inhibiting EGF receptor or SRC family kinase signaling overcomes BRAF inhibitor resistance in melanoma. Cancer Discov. 2013;3:158–67.

    Article  CAS  PubMed  Google Scholar 

  32. Wang Z, Que H, Suo C, Han Z, Tao J, Huang Z, et al. Evaluation of the NMP22 BladderChek test for detecting bladder cancer: a systematic review and meta-analysis. Oncotarget. 2017;8:100648–56.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Guo A, Wang X, Gao L, Shi J, Sun C, Wan Z. Bladder tumour antigen (BTA stat) test compared to the urine cytology in the diagnosis of bladder cancer: A meta-analysis. Can Urol Assoc J. 2014;8:E347–352.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Tan WS, Tan WP, Tan MY, Khetrapal P, Dong L, deWinter P, et al. Novel urinary biomarkers for the detection of bladder cancer: a systematic review. Cancer Treat Rev. 2018;69:39–52.

    Article  CAS  PubMed  Google Scholar 

  35. Tomas A, Futter CE, Eden ER. EGF receptor trafficking: consequences for signaling and cancer. Trends Cell Biol. 2014;24:26–34.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  36. da Cunha Santos G, Shepherd FA, Tsao MS. EGFR mutations and lung cancer. Annu Rev Pathol. 2011;6:49–69.

    Article  PubMed  CAS  Google Scholar 

  37. Tebbutt N, Pedersen MW, Johns TG. Targeting the ERBB family in cancer: couples therapy. Nat Rev Cancer. 2013;13:663–73.

    Article  CAS  PubMed  Google Scholar 

  38. Hosomi Y, Morita S, Sugawara S, Kato T, Fukuhara T, Gemma A, et al. Gefitinib alone versus gefitinib plus chemotherapy for non-small-cell lung cancer with mutated epidermal growth factor receptor: NEJ009 Study. J Clin Oncol. 2020;38:115–23.

    Article  CAS  PubMed  Google Scholar 

  39. Tsai JS, Su PL, Yang SC, Chang CC, Lin CY, Yen YT, et al. EGFR-TKI plus bevacizumab versus EGFR-TKI monotherapy for patients with EGFR mutation-positive advanced non-small cell lung cancer-A propensity score matching analysis. J Formos Med Assoc. 2021;1729–39.

  40. de Martino M, Zhuang D, Klatte T, Rieken M, Roupret M, Xylinas E, et al. Impact of ERBB2 mutations on in vitro sensitivity of bladder cancer to lapatinib. Cancer Biol Ther. 2014;15:1239–47.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  41. Bonner JA, Harari PM, Giralt J, Cohen RB, Jones CU, Sur RK, et al. Radiotherapy plus cetuximab for locoregionally advanced head and neck cancer: 5-year survival data from a phase 3 randomised trial, and relation between cetuximab-induced rash and survival. Lancet Oncol. 2010;11:21–8.

    Article  CAS  PubMed  Google Scholar 

  42. Ciardiello F, Tortora G. EGFR antagonists in cancer treatment. N. Engl J Med. 2008;358:1160–74.

    Article  CAS  PubMed  Google Scholar 

  43. Rose M, Maurer A, Wirtz J, Bleilevens A, Waldmann T, Wenz M, et al. EGFR activity addiction facilitates anti-ERBB based combination treatment of squamous bladder cancer. Oncogene. 2020;39:6856–70.

  44. Rebouissou S, Bernard-Pierrot I, de Reynies A, Lepage ML, Krucker C, Chapeaublanc E, et al. EGFR as a potential therapeutic target for a subset of muscle-invasive bladder cancers presenting a basal-like phenotype. Sci Transl Med. 2014;6:244ra291.

    Article  CAS  Google Scholar 

  45. Wezel F, Erben P, Gaiser T, Budjan J, von Hardenberg J, Michel MS, et al. Complete and durable remission of human epidermal growth factor receptor 2-positive metastatic urothelial carcinoma following third-line treatment with trastuzumab and gemcitabine. Urol Int. 2018;100:122–5.

    Article  CAS  PubMed  Google Scholar 

  46. Li J, Wang F, Gao H, Huang S, Cai F, Sun J. ALDOLASE A regulates invasion of bladder cancer cells via E-cadherin-EGFR signaling. J Cell Biochem. 2019;120:13694–705.

    Article  CAS  PubMed  Google Scholar 

  47. Gargalionis AN, Karamouzis MV, Papavassiliou AG. The molecular rationale of Src inhibition in colorectal carcinomas. Int J Cancer. 2014;134:2019–29.

    Article  CAS  PubMed  Google Scholar 

  48. Guarino M. Src signaling in cancer invasion. J Cell Physiol. 2010;223:14–26.

    CAS  PubMed  Google Scholar 

  49. Liu H, Bi J, Dong W, Yang M, Shi J, Jiang N, et al. Invasion-related circular RNA circFNDC3B inhibits bladder cancer progression through the miR-1178-3p/G3BP2/SRC/FAK axis. Mol Cancer. 2018;17:161.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  50. Chen F, Wu J, Teng J, Li W, Zheng J, Bai J. HCRP-1 regulates cell migration, invasion and angiogenesis via Src/ FAK signaling in human prostate cancer. Int J Biol Sci. 2020;16:342–52.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  51. Caner A, Asik E, Ozpolat B. SRC signaling in cancer and tumor microenvironment. Adv Exp Med Biol. 2021;1270:57–71.

    Article  CAS  PubMed  Google Scholar 

  52. Johnson DE, O’Keefe RA, Grandis JR. Targeting the IL-6/JAK/STAT3 signalling axis in cancer. Nat Rev Clin Oncol. 2018;15:234–48.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  53. Wang WJ, Li CF, Chu YY, Wang YH, Hour TC, Yen CJ, et al. Inhibition of the EGFR/STAT3/CEBPD axis reverses cisplatin cross-resistance with paclitaxel in the urothelial carcinoma of the urinary bladder. Clin Cancer Res. 2017;23:503–13.

    Article  CAS  PubMed  Google Scholar 

  54. Tan WS, Feber A, Sarpong R, Khetrapal P, Rodney S, Jalil R, et al. Who should be investigated for haematuria? results of a contemporary prospective observational study of 3556 patients. Eur Urol. 2018;74:10–14.

    Article  PubMed  Google Scholar 

  55. Oeyen E, Hoekx L, De Wachter S, Baldewijns M, Ameye F, Mertens I. Bladder cancer diagnosis and follow-up: the current status and possible role of extracellular vesicles. Int J Mol Sci. 2019;20:821.

  56. DeGeorge KC, Holt HR, Hodges SC. Bladder cancer: diagnosis and treatment. Am Fam Physician. 2017;96:507–14.

    PubMed  Google Scholar 

  57. Biardeau X, Lam O, Ba V, Campeau L, Corcos J. Prospective evaluation of anxiety, pain, and embarrassment associated with cystoscopy and urodynamic testing in clinical practice. Can Urol Assoc J. 2017;11:104–10.

    Article  PubMed  PubMed Central  Google Scholar 

  58. Takahashi K, Asano N, Imatani A, Kondo Y, Saito M, Takeuchi A, et al. Sox2 induces tumorigenesis and angiogenesis of early-stage esophageal squamous cell carcinoma through secretion of Suprabasin. Carcinogenesis. 2020;41:1543–52.

    Article  CAS  PubMed  Google Scholar 

Download references

Funding

The Natural Science Foundation of Guangdong Province (2021A1515012477), the Natural Science Foundation of China (81972619, 81672874), the Basic and Applied Research Projects of Guangzhou Science and Technology Bureau (202002030067), the Natural Science Foundation research team of Guangdong Province (2018B030312001), the open research funds from the Sixth Affiliated Hospital of Guangzhou Medical University, Qingyuan People’s Hospital (202011–202), the Innovative Academic Team of Guangzhou Education System (1201610014), the Key Discipline of Guangzhou Education Bureau (Basic Medicine) (201851839), the Guangzhou key medical discipline construction project fun.

Author information

Authors and Affiliations

Authors

Contributions

LJ and JY developed the original idea, designed the study, analysed data, and wrote the manuscript. ZZ, ZZ and HC contributed to the development of the protocol and performed most of the experiments and data analysis. WB, XK, PZ, ZG, XX, CY and JP contributed to the in vitro biological experiments and data analysis., ZZ, ZZ, HC, DL and XC performed the in vivo experiments and data analysis. RT, ZF, and LZ contributed to clinical data collection and statistical analysis. LW provided the bioinformatics analysis.

Corresponding authors

Correspondence to Jianan Yang or Lili Jiang.

Ethics declarations

Competing interests

The authors declare no competing interests.

Ethics approval and consent to participate

Investigation has been conducted in accordance with the ethical standards according to the Declaration of Helsinki and national and international guidelines and has been approved by the authors’ Institutional Review Board.

Consent for publication

All informed consents were obtained. This report does not contain any individual person’s information.

Additional information

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Supplementary information

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zhou, Z., Zhang, Z., Chen, H. et al. SBSN drives bladder cancer metastasis via EGFR/SRC/STAT3 signalling. Br J Cancer 127, 211–222 (2022). https://doi.org/10.1038/s41416-022-01794-7

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Version of record:

  • Issue date:

  • DOI: https://doi.org/10.1038/s41416-022-01794-7

This article is cited by

Search

Quick links