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2.

Emily Cribas
Albert Einstein
July 7, 2015
College of Medicine,
NY
SSRP Journal Club
Harvard Medical

School
3. Ludwig Institute for
Cancer Research

Colon Cancer
Colon cancer
2nd leading cause
of cancer-related
death
Factors increase
risk
Diet

American Cancer Society

The colon
Absorbs vitamins
Stores and
eliminates waste
Breaks down
non-digestible
foods

Butyrate is Produced by Starch


Breakdown in the Colon

http://www.csiro.au/hungrymicrobiome/

Butyrate is Essential for Colon


Health
Main energy source of colon cells
Involved in cell differentiation and
proliferation
Useful in cancer differentiation
therapy
Done by histone deacetylase
inhibition

Differentiation Therapy Can Work as


a Cancer Treatment
Cancer cells stay in an immature state

http://www.csiro.au/hungrymicrobiome/

Butyrate Acts as a Histone


Deacetylase Inhibitor

ALPi is an Intestinal Differentiation


Marker
ALPi
Intestinal alkaline phosphatase
Has roles in:
Regulation of lipid absorption
Prevention of bacterial invasion
across the gut-mucus layer
Serves as a colon cell
differentiation marker
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Butyrate Induces ALPi Gene


Expression
This relationship:
Occurs at the level of transcription
Requires new protein synthesis
Depends on a KLF/Sp regulatory
element in the ALPi promoter
Mechanism remains unclear

To further elucidate the mechanism by


which butyrate induces ALPi
expression in colon cancer cells

Q1: Which colon cells dont induce ALPi


expression by butyrate and which do?
Aim: figure out why or why not

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Fig 1. Cell Lines Sensitive and


Resistant to Butyrate Induction of ALPi
were Identified

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Q2: If sensitive cells have increased


ALPi activity with butyrate, is ALPi
protein amount increasing?

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Fig 1C. ALPi Protein Amount


Confirms Sensitive and
Resistant Cell Identification

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Q3: Does this ALPi protein increase


occur at the transcriptional (mRNA)
level?

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Fig 1. Differential Induction of ALPi


Activity Correlates with ALPi mRNA
Expression

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Q4: Does this increase in ALPi activity


in sensitive cells continue over time? Is
this a trend?

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Fig 2. Induction of ALPi mRNA in a Sensitive


Cell Line Increased Over Time

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Q5: Is gene induction by butyrate


specific to just ALPi or other HDACi
target genes as well?

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Fig 2. Differential Induction of a


Gene by Butyrate is Specific to ALPi

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Q6: Butyrate acts as an HDACi, so


another HDACi should exhibit the same
trend on ALPi induction

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Fig 3. Results for Butyrate were


Similar to a Structurally Different
HDACi

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Q7: HDACis should target other HDACi


target genes along with ALPi, unlike
butyrate

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Fig 3. Results for Butyrate were


Similar to a Structurally Different
HDACi

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Q8: Past literature says KLF/Sp


regulatory site is important for ALPi
promoter activity

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Fig 4. Confirmed ALPi Promoter


Activity is Dependent on a
KLF/Sp Regulatory Element

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Fig 4. Confirmed ALPi Promoter


Activity is Dependent on a KLF/Sp
Regulatory Element

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Q9: Are the two types of cell lines


basally different in ALPi promoter
methylation?

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Fig 5. KLF/Sp Element is Selectively


Methylated in Resistant Colon
Cancer Cell Lines

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Fig 5. KLF/Sp Element is


Selectively Methylated in
Resistant Colon Cancer Cell Lines

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Q7: Is methylation the sole cause of


differences in ALPi promoter activity?

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Fig 6. ALPi Gene Induction by Butyrate


is Dependent on Transcription
Factors

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Q8: Which transcription factors affect


ALPi gene induction?

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Fig 7. KLF5 is Differentially


Expressed Between Both Cell
Lines in Response to Butyrate

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Fig 7. KLF5 is Differentially


Expressed Between Both Cell Lines
in Response to Butyrate Over Time

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Fig 7. KLF5 is Differentially Expressed


Between Both Cell Lines in Response
to Butyrate

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Fig 7. KLF5 is Basally Differentially


Expressed Between Both Cell Lines
Overall

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Q9: How important is this factor (KLF5)


in ALPi gene induction?

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Fig 8. KLF5 Overexpression Induces


ALPi Promoter Activity

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Fig 9. KLF5 Knockdown Attenuates


Basal and Butyrate Induction of ALPi
Expression

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Conclusions
KLF5 is a key regulator of butyrate
induction of ALPi in colon cancer cells

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Critique
Redundant
Methods were a little unclear
Couldve used newer methods

Some figures require more


explanation
Only tested one differentiation
marker

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Future Work
Explore other transcriptional factors
that might play a role in ALPi
expression
Test relationship between butyrate
and differentiation phenotype
Look genome-wide

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Fig 8. KLF5 Binds to The KLF/Sp


Site and Increases
Transcription of ALP

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