Introduction
p66
Shc is an isoform of ShcA, which belongs to the Shc adaptor protein family. ShcA is expressed as three isoforms, p46
Shc, p52
Shc, and p66
Shc, with molecular masses of 46, 52, and 66 kDa, respectively. In humans, all ShcA isoforms are encoded by the same gene, but their expression is regulated by different promoters (
Pelicci et al., 1992;
Luzi et al., 2000;
Shen and Tsao, 2004). p66
Shc, p52
Shc, and p46
Shc share three functionally identical domains: an N-terminal phosphotyrosine binding domain (PTB), a collagen homology domain (CH1), and a C-terminal Src homology 2 domain (SH2)(
Migliaccio et al., 1997;
Luzi et al., 2000). p66
Shc is the longest ShcA isoform with an unique collagen homology domain (CH2) at the N terminus (Fig. 1). The CH2 domain is comprised of 110 amino acids, which is rich in glycine and proline residues. Two critical serine phosphorylation (S36 and S54) sites also reside in the CH2 domain (
Migliaccio et al., 1997). S36 is a critical regulatory site for the apoptotic activity and oxidative stress response of p66
Shc (
Foschi et al., 2001;
Faisal et al., 2002;
Pellegrini et al., 2005;
Veeramani et al., 2005a;
Galimov et al., 2014), and S54 is important for its stability (
Khanday et al., 2006). A cytochrome
c binding (CB) region is present between the CH2 and PTB domain in p66
Shc protein, which is primarily involved in the regulation of oxidative stress in the mitochondria (
Giorgio et al., 2005).
p66
Shc has been extensively studied, primarily for its role in the cellular response to oxidative stress and in regulating mammalian lifespan. In mesenchymal progenitor and osteoblastic cell models, H
2O
2 activates a protein kinase C (PKC)-β/p66
Shc/NF-kB signaling cascade, wherein p66
Shc functions as an essential mediator of apoptosis induced by H
2O
2 in the osteoblastic cells (
Almeida et al., 2010). Deletion of p66
Shc in mice (p66
Shc-/- ) decreases the incidence of aging-associated diseases (e.g., atherosclerosis) and prolongs lifespan (
Migliaccio et al., 1999;
Napoli et al., 2003;
Francia et al., 2004). p66
Shc is primarily expressed in epithelial cells; whereas, it is poorly expressed in peripheral blood lymphocytes, hematopoietic cell lines, and neurons. Its expression varies in different cancer cell lines (
Pelicci et al., 1992;
Xie and Hung, 1996;
Migliaccio et al., 1997;
Stevenson and Frackelton, 1998;
Jackson et al., 2000;
Veeramani et al., 2005a). Notably, the diverse expression of p66
Shc might be correlated with its differential functions in cells. Importantly, a growing number of studies have reported its involvement in cancer development, progression and metastasis (
Alam et al., 2009). Herein, we review the different functions of p66
Shc in solid tumors, which may provide potential insight into cancer therapies targeting p66
Shc.
Functions of p66Shc in solid tumors
p66
Shc has been shown to promote cancer as well as suppress cancer. The expression of p66
Shc varies in different types of cancer. The expression of p66
Shc is elevated in many cancers, including prostate cancer (PCa) (
Lee et al., 2004), esophageal cancer (
Chen and Yang, 2001), thyroid cancer (
Pelicci et al., 1995), ovarian cancer (OCa) (
Muniyan et al., 2015), and colon cancer (
Grossman et al., 2007). In contrast, the expression of p66
Shc is reduced in human lung cancers (
Du et al., 2013;
Zheng et al., 2013) and in malignant ovarian surface epithelial cells (
Abdollahi et al., 2003). Differences in the expression of p66
Shc in various cancers may reflect differences in its biological functions in solid tumors.
p66Shc promotes tumor progression
One of the strongest evidence that Shc is directly involved in cancer cell metastasis is provided by a study on transgenic mice strains expressing polyoma virus middle T antigen with a mutated Shc binding site (
Webster et al., 1998). Female transgenic mice developed focal mammary tumors, but surprisingly, in a number of metastatic tumors, the mutated Shc binding site had reverted to the wild-type sequence. This result suggests that the process of metastasis provides a strong selection pressure for a functional Shc binding site
in vivo. This study also implicated p66
Shc in specific steps of metastasis. The expression and activation of p66
Shc was elevated in a highly metastatic variant (F-11) of the human breast cancer cell line, MDA-MB-231, compared to the parental cell line (
Jackson et al., 2000). Moreover, in breast cancer tissues associated with lymph node metastasis, p66
Shc expression was elevated, which correlated with a greater number of positive nodes (
Jackson et al., 2000). These results suggest that cell motility and invasion are influenced by p66
Shc rather than by the MAPK pathway (
Jackson et al., 2000). Conversely, reduced ShcA levels or the expression of a dominant-negative ShcA mutant limited TGF-β-induced motility and the invasion of Neu/ErbB2-expressing breast cancer cells (
Northey et al., 2008). Together, these results suggest a critical role of p66
Shc in the migration and invasion of cancer cells.
p66
Shc may also play a critical role in steroid-stimulated cancer cell proliferation. Steroid hormone-related cancers include cancers of the prostate, testes, breast, ovary, uterine endometrium, and thyroid (
Henderson and Feigelson, 2000). In PCa, overexpression of p66
Shc increases basal cell proliferation. Conversely, p66
Shc knockdown with small interfering RNAs reduced dihydrotestosterone (DHT)-induced cell proliferation. A novel role for the p66
Shc-ROS (reactive oxygen species) pathway in androgen-induced cell proliferation has also been reported (
Veeramani et al., 2008). Androgens induce the production of ROS in PCa cells through the increased expression of p66
Shc, resulting in the inactivation of tyrosine phosphatase activity required for the activation of an interacting tyrosine kinase and increased cell proliferation and tumorigenicity (
Veeramani et al., 2012). Similarly, the regulation of OCa cell proliferation by p66
Shc has also been investigated. Among the cells lines tested, the slowest growing, OVCAR-3, expressed the lowest endogenous levels of p66
Shc, and overexpression of p66
Shc resulted in increased growth and proliferation (
Muniyan et al., 2015). Treatment of OCa cells with steroids resulted in an upregulation of p66
Shc levels and increased cell proliferation; conversely, treatment with steroid receptor antagonists resulted in a downregulation of p66
Shc levels (
Alam et al., 2009). In CaOV-3 cells treated with estrogen (E2), p66
Shc protein levels were elevated, which correlated with increased ROS production, ErbB2 and extracellular signal-regulated kinase (ERK)/MAPK activation, and cell proliferation (
Muniyan et al., 2015). p66
Shc forms a trimeric complex with alpha-1-syntrophin and Grb2, which can trigger cell proliferation and migration in MCF-7 and HBL-100 breast cancer cell lines; knockdown of p66
Shc using siRNAs decreased cell proliferation. Together, these results (
Bhat et al., 2014) clearly establish a causal relationship between p66
Shc protein and cell proliferation.
p66Shc acts as a tumor suppressor
Despite considerable evidence demonstrating that p66
Shc promotes tumor progression, p66
Shc can also function as an important tumor suppressor by inhibiting cancer cell survival and metastasis. Recent studies have shown that p66
Shc regulates cancer cell apoptosis or anoikis (detachment-induced cell death). For example, phenethyl isothiocyanate (PEITC) treatment of PC-3 and LNCaP PCa cells resulted in the induction of p66
Shc expression, phosphorylation of S36, and selective inhibition of the growth of PCa cells by inducing apoptosis. Furthermore, PEITC treatment increased the binding of p66
Shc with peptidyl-prolyl isomerase (Pin1), and induced the translocation of p66
Shc to the mitochondria (
Xiao and Singh, 2010). In addition, p66
Shc is a stronger mediator of pro-death signaling in PC-3 cancer cells than in the PNT1A cells (noncancerous human prostate epithelial cells) after diallyl trisulfide (DATS) treatment (
Borkowska et al., 2013). Moreover, p66
Shc deficiency increases apoptosis resistance by nutrient deprivation in human lung adenocarcinoma A549 cells (
Zheng et al., 2013). p66
Shc also functions as a focal adhesion protein, and mediates anoikis in epithelial cells through RhoA-dependent anchorage sensing (
Ma et al., 2010). p66
Shc is downregulated in mouse Lewis lung carcinoma (LLC) and two cell lines of human small cell lung cancer (SCLC; H69 and H209). These cells exhibit aggressive metastatic behavior, presumably by bypassing anoikis through the constitutive activation of Ras. Interestingly, re-expression of p66
Shc in these cells restores anoikis (
Ma et al., 2010). These results suggest that p66
Shc may act as an important tumor suppressor. In clinical human lung cancer samples and cancer cell lines, the promoter of p66
Shc is hypermethylated at specific CpG sites in the early post-transcriptional region of p66
Shc. Hypermethylation silences its expression and may contribute to the invasion and metastasis cascade (
Du et al., 2013). Thus, the epigenetic repression of p66
Shc in cancer cells might be the key to the upregulation of Nrf2, and enhanced cell survival and tumor progression. The epithelial-to-mesenchymal transition (EMT) program is crucial for epithelial cancer cell progression. We have found that p66
Shc, which regulates ZEB1 within a negative feedback loop, suppresses fibrotic EMT responses (
Li et al., 2015). ZEB1, a well characterized EMT transcription factor and an activator of EMT, promotes tumorigenicity and metastasis. The expression of p66
Shc represses ZEB1. The p66
Shc promoter is also inhibited by ZEB1, which can induce fibrotic EMT responses and increase cell invasion and migration in lung cancer cells. Aiolos, a hematopoietic transcription factor, can promote cancer cell survival in an unanchored state by altering the chromatin structure surrounding the
SHC1 gene, leading to an isoform-specific silencing of p66
Shc (
Li et al., 2014). Our studies reveal in depth mechanisms by which p66
Shc prevents metastatic behavior.
Functional mechanism of p66Shc
p66Shc regulates anchorage dependence and mediates anoikis
Integrin-dependent attachment of parenchymal cells to solid structures is required for their survival. As a consequence of anchorage dependence, most tissue cells initiate apoptotic death within hours of being suspended in a fluid environment, a process termed anoikis (
Frisch and Francis, 1994). Physiological anoikis maintains homeostasis in developing and adult tissues (
Mailleux et al., 2007); whereas, pathological anoikis resistance is implicated in malignant cell metastasis (
Ma et al., 2010).
Presently, anoikis is thought to be regulated by the withdrawal of integrin-related outside-in survival signals. This is supported by the observation that the enforced activation of various signaling components downstream of integrin signaling pathways are sufficient to confer anoikis resistance (
Frisch and Francis, 1994;
Frisch et al., 1996;
Gilmore, 2005;
Martin et al., 2006). The binding of extracellular matrix components alone is not sufficient to prevent anoikis, since in the absence of structural matrix rigidity, RGD (Arg-Gly-Asp)-mediated integrin binding does not prevent anoikis (
Re et al., 1994;
Chen et al., 1997). Thus, until recently, the molecular basis for attachment sensing during anoikis has been poorly understood. However, we recently discovered that p66
Shc permits activation of RhoA, resulting in tension-dependent death of suspended cells (
Ma et al., 2007). Anoikis sensitivity correlates with the upregulation of p66
Shc, induced by either external or endogenous mechanisms, in endothelial, epithelial, and mesenchymal cells. Lack of p66
Shc bypasses anoikis, whereas re-expression of p66
Shc restores anoikis. p66
Shc localizes to focal adhesions in attached cells and results in the focal activation of RhoA GTPase at regions of integrin anchorage. Because RhoA increases tension at integrin attachment sites (
Nobes and Hall, 1995), in detached cells, the tension would be applied among unanchored sites, allowing a mechanical readout for detachment. Upon ECM detachment, this p66
Shc-dependent tension test detects a load failure, leading to RhoA-dependent anoikis (
Ma et al., 2007). Nevertheless, the mechanism by which unopposed tension causes cell death is unclear. In metastatic cancer cells, p66
Shc mediates attachment sensing and anoikis. Knockdown of p66
Shc in lung tumor cells leads to unrestrained Ras activation, resulting in the downstream suppression of RhoA and prevention of anoikis (
Ma et al., 2010). The small-cell lung cancer and LLC cell lines, which lack p66
Shc, exhibit constitutive K-Ras activation, which can be suppressed by the ectopic expression of p66
Shc. Our data further suggest that p66
Shc restrains the hyperactivation of Rac1 and deactivation of RhoA downstream of Ras. Downstream Ras-dependent survival signals (e.g., Akt and ERK) may also contribute to anoikis resistance (
Ma et al., 2010).
Aiolos suppresses p66Shc
Aiolos is frequently expressed in lung cancers and is correlated with markedly reduced patient survival. In lung cancer tissues and isolated single cells, the expression of p66
Shc is inversely correlated with that of Aiolos, which confers anoikis resistance and promotes lung cancer metastasis (
Li et al., 2014). Aiolos, a member of the Ikaros zinc finger family, is a lymphocyte lineage-restricted transcription factor. Its expression is generally restricted to lymphoid cells (
Morgan et al., 1997). Aiolos is involved in hematopoietic cell development. Aiolos is detected at low levels in pro-B and double negative (CD4
− CD8
−) thymocyte precursors but is upregulated in cells as they progress to pre-B and double positive (CD4
+ CD8
+) stages of differentiation. Aiolos expression peaks in mature peripheral B cells (
Wang et al., 1998;
Thompson et al., 2007). Notably, bioinformatic analysis of the transcriptome of some human breast cancers shows that Aiolos expression is upregulated (
Kilpinen et al., 2008). However, the function of Aiolos in carcinomas has not been well characterized. Our microarray analysis shows that multiple genes correlated with cellular adhesion are downregulated in A549 cells re-expressing Aiolos (
Li et al., 2014). Transient expression of Aiolos also selectively decreased p66
Shc protein levels in A549, HepG2, and MDA-MB-231 cells, confirming Aiolos inhibits p66
Shc expression. Furthermore, p66
Shc transcription requires a long-range physical interaction between the primary enhancer, E2, and the p66
Shc promoter in lung cancer cells. Aiolos associates with E2 and nearby surrounding regions, resulting in the alteration of higher order chromatin structures, disruption of enhancer-promoter interactions, and silencing of p66
Shc transcription. Thus, Aiolos contributes to anoikis resistance
in vitro and
in vivo.
p66
Shc modulates ROS production (
Nemoto and Finkel, 2002;
Giorgio et al., 2005;
Khanday et al., 2006), which is mainly produced by mitochondrial respiration (
Veeramani et al., 2012;
Galimov et al., 2014). ROS induces oxidative damage, which may result in tissue dysfunction (
Trinei et al., 2013). In the mitochondrial intermembrane space, p66
Shc binds to cytochrome
c, acting as an oxidoreductase and generating ROS (
Nemoto and Finkel, 2002;
Giorgio et al., 2005). In addition, p66
Shc also mediates the production of ROS from the nucleus and plasma membrane (
Nemoto and Finkel, 2002;
Khanday et al., 2006). In turn, elevated ROS level induces the phosphorylation of p66
Shc protein at S36, further promoting ROS generation (
Nemoto and Finkel, 2002;
Orsini et al., 2004). ROS generated by p66
Shc has multiple functions in carcinogenesis. First, ROS may contribute to tumor cell proliferation. Stimulation of PCa cells with androgens induced the production of ROS through the elevation of p66
Shc protein levels, resulting in increased cell proliferation and enhanced tumorigenicity (
Veeramani et al., 2012). ROS produced by p66
Shc inactivates cellular prostatic acid phosphatase (cPAcP), which is a biomarker of PCa (
Sakai et al., 1992;
Varma et al., 2004) and which inhibits PCa growth as a protein tyrosine phosphatase (PTPase) (
Lin and Meng, 1996;
Lin et al., 2001;
Veeramani et al., 2005a;
Veeramani et al., 2005b). Inhibition of cPAcP then activates ErbB2 and ERK/MAPK, which promote cell growth, survival and tumorigenicity (
Veeramani et al., 2005a). Increased p66
Shc levels and ROS production contribute to cell growth in 5α-dihydrotestosterone (DHT)-treated PCa cells as well (
Veeramani et al., 2008). Second, the pro-apoptotic effects of ROS are well known. ROS accumulation is secondary to the progress of the apoptotic process. Accumulated ROS can activate the apoptotic pathway, which includes the collapse of the mitochondrial transmembrane potential (
Malhotra et al., 2009) and release of proapoptotic factors, such as cytochrome
c (
Giorgio et al., 2005). PEITC selectively inhibits the growth of human PCa cells by inducing ROS production and apoptosis, for which p66
Shc is indispensable (
Xiao and Singh, 2010). PEITC treatment enhances PKC
β-mediated S36 phosphorylation of p66
Shc, which increases its association with Pin1 and promotes its translocation to the mitochondria. p66
Shc protein, localized to the mitochondria, is released from HSP70 and stimulates ROS production, leading to caspase-3 activation and apoptotic cell death (
Xiao and Singh, 2010). Therefore, the production of ROS by p66
Shc plays a controversial but critical role in cancer cell survival and death.
p66Shc induces autophagy
Autophagy is an evolutionarily conserved lysosome-dependent process, wherein cytosolic components are enzymatically degraded and recycled in response to a wide variety of stressful conditions including ionic dysfunction, protein aggregation, proteasome failure, and energetic oxygen and nutrient deprivation (
Levine, 2007;
Deffieu et al., 2009). The role of autophagy in cancer is complex and controversial. Autophagy contributes to the survival and growth of cancer cells under stressful conditions. For instance, serum starvation induces autophagy and inhibits apoptosis in SHSY5Y cells through the upregulation of NF-κB and Bcl-2 and downregulation of Bax and caspase-3 (
Mohan et al., 2011). Under environmental metabolic stress, lysosomal associated transmembrane protein, LAPTM4B, is elevated, which increases autophagic flux and promotes breast tumor growth
in vivo (
Li et al., 2011). However, autophagy can also limit the survival and growth of cancer cells. In several tumor types, autophagy deficiency may positively correlate with the tumorigenesis when Atgs are mutated (
Wirawan et al., 2012). The cytoprotective enzyme, Heme oxygenase-1 (HO-1), can reduce autophagy and promote the survival of tumor cells against chemotherapy (
Banerjee et al., 2012).
p66
Shc may be involved in the process of autophagy induced by nutrient deprivation (
Zheng et al., 2013). Non-small lung cancer A549 cells express high basal levels of phosphorylated ERK1/2 (Thr202/Tyr204) and phosphorylated Akt1(Ser473), which decrease with nutrient deprivation. ERK1/2 are conserved serine/threonine kinases that regulate many cellular programs, including autophagy (
Pattingre et al., 2003). High constitutive ERK activity is implicated in suppressing autophagy in some cancers. Aberrant sustained activation of ERK by the carcinogen, Lindane, disrupts the maturation of autophagosomes into functional autolysosomes (
Yang et al., 2013). The oncogene, Akt, negatively regulates autophagy by positively regulating the activity of the mTORC1 complex (
Levine, 2006;
Guertin and Sabatini, 2007). p66
Shc deficiency mitigates but does not completely inhibit low-nutrient-induced autophagy in lung cancer A549 cells (
Zheng et al., 2013). This requires prolonged activation of ERK1/2 (Thr202/Tyr204) but not of phosphorylated Akt1 (Ser473) (
Zheng et al., 2013). p66
Shc is necessary to promote autophagosome formation rather than reducing the autophagosome-lysosome fusion (
Zheng et al., 2013). Oncogenic Ras negatively regulates autophagy (
Levine, 2006). Ras signaling can also exert proneoplastic effects through the downregulation of Beclin1, thus suppressing autophagy (
Yoo et al., 2010). The loss of p66
Shc in lung tumor cells leads to unrestrained Ras activation (
Ma et al., 2010;
Zheng et al., 2013). Therefore, K-Ras may be involved in p66
Shc-dependent autophagy in nutrient-poor conditions. In nutrient-deprived A549 cells, knockdown of p66
Shc decreases LC3B-I to-II conversion, the number of autophagic vacuoles, and p62/sequestosome 1 protein degradation (
Zheng et al., 2013). In addition, p66
Shc depletion mitigates the process of autophagy induced by ECM detachment; however, the exact mechanism has not been characterized. In addition to its functions in tumor cells, p66
Shc can function as a discrete but essential mediator of metabolic tone and autophagosome formation in neurons. p66
Shc-mediated autophagy acts as an adaptive mechanism to promote the removal of injured neuronal organelles following low level oxygen and glucose deprivation (
Brown et al., 2010).
Future directions and perspectives
The expression of p66Shc varies in different types of solid tumors. In steroid-induced epithelial cancer cells, p66Shc protein levels are elevated; whereas, p66Shc protein levels are decreased in human lung cancers. This difference may result from the different functions of p66Shc in tumor cells. Although the mechanisms that underlie p66Shc involvement in tumor progression, anoikis and autophagy in tumor cell have been investigated (Fig. 2), the exact mechanisms and upstream regulators and downstream effectors of p66Shc functional pathways warrant further investigation.
Nevertheless, these paradoxical properties of p66Shc make it a novel prognostic and therapeutic target for preventing tumor progression and metastasis. For example, cPAcP, which is a biomarker of PCa and which inhibits tumor cell growth, is inactivated by ROS produced by p66Shc. Thus, reducing p66Shc protein by upregulating its ubiquitination is a potential therapeutic approach to inhibit PCa cell proliferation. Conversely, Aiolos, a transcription factor, alters the chromatin structure surrounding the SHC1 gene and silences the expression of p66Shc, which functions as a metastasis suppressor. Thus, in this case, reactivation of p66Shc by regulating Aiolos-p66Shc interactions may be a candidate therapeutic approach for metastatic lung cancer.
Compliance with ethics guidelines
Yanan Sun, Jie Yang and Zhenyi Ma declare that they have no conflicts of interest.
This manuscript is a review article and therefore does not require the approval of the relevant institute review board or ethics committee.
Higher Education Press and Springer-Verlag Berlin Heidelberg