Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature

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Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature
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                  ARTICLE                   OPEN

                  Hepatic stellate cell mediates transcription of TNFSF14 in
                  hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling
                  pathway
                                  1,4                                                                                                                                         1✉
                  Yanan Ma              , Shanshan Wang1,2,4, Yongle Wu1, Bihan Liu1, Lei Li1, Wenjing Wang2, Honglei Weng3 and Huiguo Ding

                  © The Author(s) 2022

                     Hepatic stellate cells (HSC) and hydrogen sulfide (H2S) both play important roles in the development of hepatocellar carcinoma
                     (HCC). Whereas, in the microenvironment of HCC, whether HSC participate in regulating the biological process of HCC cells by
                     releasing H2S remains elusive. In vitro, Flow cytometry (FCM), CCK-8, RNA-sequencing, Western blotting, RT-qPCR,
                     immunofluorescence and ChIP assays were carried out in the HCC cells to investigate the effect of H2S on biological functions and
                     JNK/JunB-TNFSF14 signaling pathway. Specimens from HCC patients were analyzed by RT-qPCR and Western blotting assays for
                     evaluating the expression of TNFSF14 and CSE. Statistical analysis was used to analyze the correlation between TNFSF14 expression
                     and clinical data of HCC patients. Based on the FCM and CCK-8 results, we found the LX-2 cells were able to induce HCC cells
1234567890();,:

                     apoptosis through releasing H2S. RNA-sequencing, RT-qPCR, and Western blotting results showed that TNFSF14 gene was
                     upregulated in both LX-2 and NaHS group. NaHS treated in HCC cells led to JNK/JunB signaling pathway activating and greater
                     binding of p-JunB to its responsive elements on TNFSF14 promoter. Impairment of TNFSF14 induction alleviated LX-2 and NaHS
                     induced apoptosis of HepG2 and PLC/PRF/5 cells. Furthermore, TNFSF14 expression in HCC tissues was lower than the adjacent
                     tissue. HCC patients with low expression of TNFSF14 had higher malignant degree and poor prognosis. In summary, demonstration
                     of the involvement of HSC-derived H2S in JNK/JunB mediated expression of TNFSF14 gene strongly indicates H2S palys an
                     important role in the regulation of HCC apoptosis.

                     Cell Death and Disease (2022)13:238 ; https://doi.org/10.1038/s41419-022-04678-z

                  INTRODUCTION                                                                            and 3-mercapto-pyruvate sulfotransferase (MPST) [11]. Increasing
                  Nowadays hepatocellular carcinoma (HCC) is the second most lethal                       evidence shows that H2S affect HCC through the regulation of cell
                  cancer with persistently increasing mortality in the worldwide due to                   proliferation [12], migration and invasion [13], angiogenesis and
                  its highly complex and heterogeneous genetic aberrations [1, 2].                        immune responses [14]. Intriguingly, our previous study found that
                  More and more researches suggest that tumor microenvironment                            exogenous H2S inhibit HCC progression through the PI3K/Akt/mTOR
                  (TME) plays an important role in the processes of hepatocarcinogen-                     signaling pathway in vitro [15]. Our previous data found that
                  esis, epithelial-mesenchymal transition (EMT), invasion, and metas-                     activated HSC can produce H2S mainly regulated by CSE. Nowadays,
                  tasis [3]. TME comprises various cells, including hepatic stellate cells                the mechanisms involved in the capacity of HSC relased H2S to affect
                  (HSC), liver stromal endothelial cells (LSEC), immune cells and                         the HCC have not been worked out, all evidence up to this point
                  cytokines like extracellular matrix (ECM) [4].                                          suggests these mechanisms have great potential importance.
                     HSC are usually considered to foster the tumor microenvironment                         In this study, we investigate how activated HSC influence HCC
                  formation and contribute to a malignant tumor phenotype. Activated                      fate. We found that activated HSC released H2S to induce HCC cell
                  HSC contribute to hepatocarcinogenesis through the secretion of                         apoptosis. H2S induced cancer cell apoptosis through activating
                  growth factors, and producing ECM and matrix metalloproteinase                          JNK/JunB signaling, which upregulated tumor necrosis factor
                  (MMPs) [5–7]. But, there are more and more studies implicated that                      superfamily member 14 (TNFSF14) expression.
                  HSC could play an anti-tumor role in HCC progression [8, 9].
                  Hydrogen sulfide (H2S) is the most recently-discovered gas signal
                  molecular, participated in regulating cell proliferation, apoptosis,                    MATERIALS AND METHODS
                  oxidative stress, inflammation and angiogenesis [10]. H2S is mainly                      Patients
                  produced and cleared in the liver tissues by three enzymes:                             A total of 45 patients with HCC who received hepatectomy were
                  cystathionine-gamma-lyase (CSE), cystathionine-beta-synthase (CBS),                     enrolled from Beijing You’an Hospital, affiliated to Capital Medical

                  1
                   Department of Gastroenterology and Hepatology, Beijing You’an Hospital affiliated with Capital Medical University, Beijing 100069, China. 2Beijing Institute of Hepatology,
                  Beijing You’ An Hospital, Capital Medical University, Beijing 100069, China. 3Department of Medicine II, University Medical Center Mannheim, Medical Faculty Mannheim,
                  Heidelberg University, Mannheim 68167, Germany. 4These authors contributed equally: Yanan Ma, Shanshan Wang. ✉email: dinghuiguo@ccmu.edu.cn
                  Edited by Professor Boris Zhivotovsky

                  Received: 13 October 2021 Revised: 14 February 2022 Accepted: 18 February 2022

                  Official journal of CDDpress
Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature
Y. Ma et al.
2
     Table 1. Sequences of oligonucleotides used for RT-qPCR, ChIP-qPCR,            Table 2. Correlation between TNFSF14 expression with
     and RNA interference assays.                                                   clinicopathological characteristics of HCC.
    Primers for RT-qPCR            Sequences of oligonucleotides                   Feature        Low expression of           High expression of          P-value
    TNFSF14                        F: 5′-CGTGAGACCTTCGCTCTTGTAT-3′                                TNFSF14 (n = 22)            TNFSF14 (n = 23)
                                   R: 5′-CCCTCAGTGTTTGTGGTGGAT-3′                  Gender
    CSE                            F: 5′-AAGACGCCTCCTCACAAGGT-3′                   Male           20                          18                          0.4140
                                   R: 5′-ATATTCAAAACCCGAGTGCTGG-3′                 Female         2                           5
    GAPDH                          F: 5′-TGAAGGTCGGAGTCAACGGA-3′                   Age (years)
                                   R: 5′-CCTGGAAGATGGTGATGGGAT-3′                  ≤50            14                          10                          0.2362
    Primers for ChIP-qPCR                                                          >50            8                           13
       TNFSF14                     F: 5′-TTGTTCATTGCTGCATCCCC-3′                   HBsAg
                                   R: 5′-CTCCTCTTCTTCCGGTACCC-3′                   Positive       20                          18                          0.4140
    RNA interference assay                                                         Negative       2                           5
       TNFSF14-siRNA426            F: 5′-GACAGACCGACAUCCCAUUCATT-3′                Tumor size (cm)
                                   R: 5′-UGAAUGGGAUGUCGGUCUGUCTT-3′                ≤3             7                           10                          0.5420
       Scrambled siRNA             F: 5′-UUCUCCGAACGUGUCACGUTT-3′                  >3             15                          13
                                   R: 5′-ACGUGACACGUUCGGAGAATT-3′                  Tumor number
                                                                                   Single         17                          20                          0.4591
    University from July 2010 to January 2013. HCC was diagnosed and               Multiple       5                           3
    graded according to the criteria of the American Association for the           Portal invasion
    Study of Liver Diseases [36]. Liver samples were collected from
    cancerous and adjacent non-cancerous liver tissues and stored in liquid        No             10                          20                          0.0045
    nitrogen for further experimental use. Clinic pathologic characteristics       Yes            12                          3
    of these patients are shown in Table S1. The study protocol was                Serum AFP (ug/L)
    approved by the Ethics Committee of Beijing You’an Hospital affiliated
    to Capital Medical University. The informed consent was obtained from          ≤20            10                          11                          >0.9999
    all enrolled patients.                                                         >20            12                          12
                                                                                   BCLC HCC stage
    Cells                                                                          A              3                           11                          0.0011a
    PLC/PRF/5 (ATCC® Cat. No. CRL-8024TM), HepG2 (ATCC® Cat. No. HB-
    8065TM) and LX-2 cells were cultured in DMEM medium supplemented               B              5                           9                           0.0119a
    with 10% FBS in a 37 °C incubator with 5% CO2. The Transwell insert            C              14                          3
    system was used for co-culture experiments to analyze the effect of LX-2        a
                                                                                     Compared with BCLC stage C. AFP α-fetoprotein, HBsAg Hepatitis B surface
    cells on HCC cells as previously described [37].
                                                                                    antigen, BCLC Barcelona Clinic Liver Cancer, HCC Hepatocellular carcinoma.

    CCK-8
    Cells proliferation was examined by a Cell Count KIT-8 assay (CCK8,            Beijing, China). All the raw data were uploaded on the Gene Expression
    AbMole, Houston, TX, America) according to the protocol. 2 × 103 cells with    Omnibus (GSE193660).
    different treatments were pipetted into 96-well microplates for measure-
    ments. The absorbance values were measured under a wavelength of
    450 nm on a Universal Microplate Reader (ELx800; Bio-Tek Instruments Inc,      Quantitative real-time reverse transcription PCR (RT-qPCR)
    Winooski, VT, USA). The percentage of cell viability was calculated as: Cell   Total RNA was isolated by TRIzol reagent and subsequently subjected to
    proliferation % = [(A450sample-background)/ (A450control-backgroud)] ×         reverse transcription (4368814, High-Capacity cDNA Reverse Transcrip-
    100%.                                                                          tion Kits, Thermo Fisher Scientific, Waltham, MA, USA). RT-qPCR was
                                                                                   performed using the TB Green (RR420A, Takara) on an ABI ViiA7 (GX-XVI
                                                                                   R2, Applied Biosystems Life Tech, USA). The relative mRNA expression
    Flow cytometry                                                                 levels were calculated with 2−ΔΔCt method and presented as mean fold-
    Cell apoptosis was measured by FCM analysis using Annexin V-FITC/PI            change of samples to control. The primers used in the study were listed
    Apoptosis Detection Kit (40302ES20, Yeasen, Shanghai, China). Briefly, cells    in the Table 1.
    were collected and incubated with 5 µL Annexin V-FITC and 10 µL PI for
    15 min at room temperature. Adjusted the volume to 500 µL with binding
    buffer. The apoptosis of HCC cells was analyzed with a FACScan-420 flow         Western blotting
    cytometer (BD Biosciences, Franklin Lakes, NJ, USA).                           Cells or tissues were lysed in ice-cold lysis buffer. Total protein from cells or
                                                                                   tissues was extracted using RIPA lysis buffer (R0010, Solarbio, Beijing,
                                                                                   China). Nuclear and cytoplasmic fractions from cells were obtained by a
    ELISA                                                                          Nuclear Protein Extraction Kit (R0050, Solarbio, Beijing, China). Forty μg of
    The concentrations of H2S were examined by a Hydrogen sulfide Assay Kit         each protein were utilized for Western blotting. Membranes were blocked
    (JEB-11780, Jin Yibai Biological Technology, Nanjing, China) according to      by TBST with 5% nonfat milk (w/v) for 1 h at room temperature. Incubated
    the instruction.                                                               the membranes with primary antibodies at 4 °C for overnight. Next day, the
                                                                                   membranes were incubated with horseradish peroxidase-conjugated
                                                                                   secondary antibodies for 1 h following washing with TBST. The immuno-
    RNA sequencing
                                                                                   complexes were incubated with the enhanced chemiluminescent system
    RNA sequencing analysis was conducted by Novogene (Beijing, China). In
                                                                                   (34580 Thermo Scientific, Waltham, MA, USA) and were subsequently
    brief, total RNA was isolated by TRIzol reagent (15596026, Thermo Fisher
                                                                                   exposed by a Biorad Chemidoc XRS + imaging system (USA). Primary
    Scientific, Waltham, MA, USA). The RNA quantification and qualification
                                                                                   antibodies against JNK(#9252), phospho-JNK (#4668), JunB (#3753),
    were assessed using the RNA Nano 6000 Assay Kit of the Bioanalyzer
                                                                                   phospho-JunB (#8053), GAPDH (#2118), β-actin (#4967), and HDAC1
    2100 system (Agilent Technologies, CA, USA). Sequencing of the libraries
                                                                                   (#34589) were purchased from Cell Signaling Technology (CST, USA).
    was carried out using the Illumina NovaSeq 6000 platform (Novogene,

                                                                                                           Cell Death and Disease (2022)13:238
Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature
Y. Ma et al.
                                                                                                                                                                3

Fig. 1 Activated hepatic stellate cells influence HCC cells biological functions. A HepG2 and PLC/PRF/5 cells were collected after co-
cultured with LX-2 for 24 h, 48 h, 72 h, and 96 h respectively. CCK-8 assay was used to determine the viability of HepG2 and C PLC/PRF/5 cells.
B Flow cytometry was carried out to analyze the apoptotic rates of HepG2 and D PLC/PRF/5 cells. All Bars, ± SD; n = 3; *P < 0.05 compared with
control.

Fig. 2 LX-2 cells induce apoptosis of HCC cells through releasing H2S. The amount of H2S released by cultured LX-2 cells (A) and 10–3 M
NaHS (B) were measured by ELISA. C, D Flow cytometry was used to analyze the effects of exogenous H2S (NaHS) and endogenous H2S (LX-2
cells co-cultured or/and added PPG treated) on HCC cells apoptosis. All Bars, ± SD; n = 3; *P < 0.05 compared with D1 group in LX-2 cells,
#
 P < 0.05 compared with D1 group in HepG2 cells.

TNFSF14 antibody (#AF0329) was purchased from Affinity Biosciences               targeting the human TNFSF14 promoter containing JunB binding sites.
(USA). Horseradish peroxidase-conjugated goat anti-mouse (#7076) and            The primers used for ChIP-PCR are listed in Table 1.
anti-rabbit (#7074) IgG secondary antibodies were purchased from CST.
Full and uncropped western blots were uploaded as ‘Supplemental
Material’.                                                                      Immunofluorescence staining
                                                                                Cells were fixed in ice-cold 4% paraformaldehyde solution. Then incubated
                                                                                the cells with primary antibody (p-JunB) for overnight at 4 °C in the wet
Chromatin immunoprecipitation assay                                             box. Next day, the cells were washed and subsequently incubated with the
The Chromatin immunoprecipitations (ChIP) assay was carried out                 secondary antibody conjugated with Alexa Fluor 488 for 1 h at room
according to a ChIP assay kit (#56383 CST). Cells were lysed with TNE           temperature. Cell nuclei were counterstained with DAPI. Cells were viewed
buffer. Lysates were collected by centrifugation (15,000 g × 10 min) at 4 °C.   and captured with a fluorescence microscope (Nikon Eclipse 80i; Nikon,
Aliquots were incubated with Protein G–Sepharose beads (GE Healthcare)          Tokyo, Japan).
for 1 h. After centrifugation (1000 g × 5 min), the supernatants were
incubated with phospho-JunB (#8053 CST) and IgG(#2729 CST) antibodies           Transient transfection
overnight at 4 °C. Next day, added Protein G–Sepharose beads for 8 h            The small interfering RNAs (siRNAs) technique and TNFSF14-expressing
incubation. Then eluted the precipitate with the sample buffer. Finally, the    plasmid were used to evaluate the effect of TNFSF14 on H2S-induced HCC cell
immunoprecipitated chromatin was analyzed by PCR using primers                  apoptosis. The siRNAs sequences were listed in the Table 1. Briefly, HCC cells

Cell Death and Disease (2022)13:238
Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature
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    Fig. 3 H2S upregulates pro-apoptotic factor TNFSF14 expression in HCC cells. A The heatmap. B Venn diagram of gene predictions based
    on the control group and HepG2 cells treated with NaHS and co-cultured with LX-2 cells. C The expression levels of TNFSF14 mRNA changed
    in HepG2 cells treated with NaHS and co-cultured with LX-2 cells. D RT-qPCR and (E) Western blotting were performed to examine the effects
    of various concentrations of NaHS on expression of TNFSF14 gene in HepG2 and PLC/PRF/5 cells. F RT-qPCR and (G) Western blotting analysis
    of the expression of TNFSF14 under 10−3 M NaHS treatment with different time in HepG2 and PLC/PRF/5 cells. H RT-qPCR and (I) Western
    blotting were used to detect the effects of PPG treated on TNFSF14 expression in HCC cells. All Bars, ± SD; n = 3; *P < 0.05 compared with
    control in HepG2 cells, #P < 0.05 compared with control in PLC/PRF/5 cells, &P < 0.05 compared with the co-culture group in HCC cells.

    were seeded into the 6-well plates and cultured to the 80% confluence.             information in the platform, the probes were converted into the gene symbols.
    SiRNAs and the plasmids were transfected to HCC cells according the               We divided the examined HCC patients into TNFSF14 high and low groups
    instruction of LipofectamineTM 3000 transfection reagent (L3000-015, Thermo       based on the median of the gene expression.
    Fisher Scientific, Waltham, MA, USA). After 24 h of transfection, the expression
    of TNFSF14 was evaluated by RT-qPCR and Western blotting.
                                                                                      Statistical analysis
                                                                                      Each experiment was repeated at least three times independently. All data
    Data analysis of public databases                                                 were presented as mean ± S.D. performed using the SPSS software (version
    The GSE14520 gene expression dataset was downloaded from the GEO                  23.0). Differences between unpaired groups were compared by the
    database (http://www.ncbi.nlm.nih.gov/geo). According the annotation              Student’s t-test or Mann–Whitney U test. For paired groups, the Wilcoxon

                                                                                                             Cell Death and Disease (2022)13:238
Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature
Y. Ma et al.
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Fig. 4 TNFSF14 is indispensable for H2S-induced HCC cell apoptosis. TNFSF14 mRNA and protein expressions levels were evaluated by
(A, D) RT-qPCR and (B, E) Western blotting assays in HepG2 and PLC/PRF/5 cells under different treatments. Flow cytometry was carried out to
analyze the effects of different TNFSF14 expression levels on HepG2 (C) and PLC/PRF/5 (F) cells apoptosis. All Bars, ± SD; n = 3; *P < 0.05
compared with NC group, #P < 0.05 compared with NC + NaHS group, &P < 0.05 compared with NC + LX-2 group.

signed-rank test was used. Parametric or nonparametric multiple                  cells. Flow cytometry analyses showed that NaHS resulted in HCC
comparisons were performed using ANOVA-test or Kruskal–Wallis test.              cell apoptosis (Fig. 2C, D). LX-2-dependent cancer cell apoptosis
Pearson’s χ2 test or Fisher’s exact test was used to analyze categorical data.   was significantly reduced by the administration of PPG (Fig. 2C, D).
Correlations were assessed by the Spearman correlation. Survival analyses        PPG alone did not affect HCC apoptosis (Fig. 2C, D). These results
were performed by the Kaplan–Meier and the log rank test. P < 0.05 was           suggest that activated HSC result in HCC cell apoptosis through
considered significant.
                                                                                 releasing H2S.

                                                                                 H2S upregulates pro-apoptotic factor TNFSF14 expression in
RESULTS                                                                          HepG2 cells
Activated hepatic stellate cells induce apoptosis of cancer                      To clarify how H2S results in HCC cell apoptosis, we performed
cells                                                                            RNA-seq in HepG2 cells, which were co-cultured with LX-2 cells or
To examine how hepatic stellate cells (HSC) impact HCC cell                      treated with NaHS. A heat-map shows different transcriptome
behavior, we performed co-culture with activated HSC cell line LX-               cluster in cells with different administrations (Fig. 3A). LX-2 co-
2 cells and HCC cell lines, HepG2 or PLC/PRF/5 cells. CCK-8 assays               culture and NaHS treatment respectively led to 1047 and 1183
showed that cell viability of HCC cells was significantly reduced                 gene upregulation as well 997 and 1144 gene downregulation in
over time when the cells were co-cultured with LX-2 cells (Fig. 1A,              HepG2 cells. Among these altered genes, 659 up-regulated genes
C). Flow cytometry analyses further demonstrated that co-culture                 and 342 down-regulated genes were presented in HepG2 cells
with LX-2 cells induced apoptosis of HepG2 and PLC/PRF/5 cells.                  treated with either LX-2 co-culutre or NaHS (Fig. 3B). Based on the
The maximal apoptosis of these cancer cells was observed at 72 h                 fold change, 30 genes with maximal fold changes were selected
following co-culture (Fig. 1B, D). These results suggest that                    to further analyze (Fig. S2). Among these 30 genes, we identified a
activated HSC not only inhibit HCC cell proliferation, but also                  pro-apoptotic gene TNFSF14 (Fig. 3C). We examined TNFSF14
induce apoptosis of cancer cells.                                                mRNA and protein in HepG2 and PLC/PRF/5 cells treated with
                                                                                 different concentrations of NaHS. NaHS dose-dependently
LX-2 cells induce apoptosis of HCC cells through releasing H2S                   increased expression of TNFSF14 and reached a maximum at
How do activated HSC induce apoptosis of HCC cells? We                           10–3 M treated 24 h in both HCC cells (Fig. 3D–G). Furthermore,
hypothesized that H2S is a crucial mediator in the process given                 we observed that TNFSF14 expression was up-regulated when
that activated HSC release H2S [16] and H2S is capable of inducing               HCC cells were co-cultured with LX-2 cells (Fig. 3H, I). The effect
cancer cell apoptosis [15]. ELISA assay confirmed that LX-2 cells                 was inhibited by PPG administration (Fig. 3H, I). These results
increased H2S release over time (Fig. 2A). LX-2 cells released the               imply that TNFSF14 might be the key factor mediating
same amount of H2S at 72 h as 10–3 M NaHS did at 24 h (Fig. 2B).                 H2S-induced HCC apoptosis.
Subsequently, we observed the effects of NaHS, a donor of H2S,
and DL-Propargylglycine (PPG), a CSE inhibitor, on LX-2 cell-                    TNFSF14 is indispensable for H2S-induced HCC cell apoptosis
dependent HCC cell apoptosis. As shown in Fig. S1, NaHS                          To confirm the role of TNFSF14 in H2S-induced HCC cell apoptosis,
increased H2S release, whereas PPG dose-dependently inhibited                    we knocked down TNFSF14 expression in both HepG2 and PLC/
mRNA and protein expression of CSE as well as H2S release in LX-2                PRF/5. RT-qPCR and Western blotting analyses confirmed that

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Hepatic stellate cell mediates transcription of TNFSF14 in hepatocellular carcinoma cells via H2S/CSE-JNK/JunB signaling pathway - Nature
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    NaHS and LX-2 co-culture-induced TNFSF14 mRNA and protein             expression was knocked down (Fig. 4C, F). On the other hand, the
    expression was inhibited by siRNA-TNFSF14 in both HepG2               effect of TNFSF14 was also confirmed through transfection of the
    (Fig. 4A, B) and PLC/PRF/5 cells (Fig. 4D, E). Flow cytometric        tnfsf14 gene into HCC cells, which showed that transfection with
    analyses further showed that NaHS and LX-2 co-culture-induced         pcDNA3.1-tnfsf14 results in apparent increase of apoptosis in
    apoptosis of cancer cells was significantly inhibited when TNFSF14     HepG2 and PLC/PRF/5 cells with different treatments (Fig. S3).

                                                                                             Cell Death and Disease (2022)13:238
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Fig. 5 H2S regulates TNFSF14 transcription through JNK/JunB signal. A Schematic overview of the predicted transcription factors of
TNFSF14 gene by PROMO dataset (upper) and JunB binding sites on TNFSF14 promoter predicted with JASPAR website (lower). B ChIP assays
for JunB binding onto TNFSF14 promoter were carried out in HepG2 (upper) and PLC/PRF/5 (lower) cells. The right panel showed the statistical
analysis for the ChIP assay. C NaHS was used to treat HepG2 (left) and PLC/PRF/5 (right) cells for 0, 1, 2, 8, and 24 h. Expression of p-JunB in
nuclear of HCC cells was detecting using immunofluorescence staining, and Nuclei and p-JunB were stained with DAPI (blue) and FITC (green),
respectively. The image is representative of three independent experiments. D The effects of different time of NaHS treatment on the
expression of p-JunB in the nuclear and cytoplasm were analyzed with Western blotting in the HepG2 cells and PLC/PRF/5 cells. E The
expression levels of p-JunB protein were detected by Western blotting in the HCC cells under exogenous and endogenous H2S treatment. F
Western blotting for the effects of PPG (CSE inhibitor) and SP600125 (p-JNK inhibitor) in the expressions of JNK/p-JNK, JunB/p-JunB, and
TNFSF14 proteins in HepG2 and PLC/PRF/5 cells. All Bars, ± SD; n = 3; *P < 0.05 compared with control group in HepG2 cells, #P < 0.05
compared with control group in PLC/PRF/5 cells.

These results suggest that TNFSF14 expression is required for             hepatocyte growth factor (HGF), platelet-derived growth factor
H2S-induced HCC cell apoptosis.                                           (PDGF) and connective tissue growth factor (CTGF), altering
                                                                          components of the ECM, regulating angiogenesis and immune
H2S regulates TNFSF14 transcription through JNK/JunB signal               surveillance [17–21]. In stark contrast, HSC are a source of
To clarify how H2S regulates the expression of TNFSF14, we                transforming growth factor beta (TGF-β), which exert tumor-
analyzed PROMO dataset and adopted JASPAR software to predict             suppressing activity by inducing cytostasis and apoptosis of
potential transcript factors binding to the TNFSF14 promoter. JunB        hepatocytes in early tumor phases [8]. Recently, HSC were
got the highest scored among all the analyzed factors (Fig. 5A            reported to be negative regulators of HCC progression through
upper panel) and possessed multiple binding sites on the TNFSF14          upregulating endosialin which is capable of inhibiting tumor-
promoter (Fig.5A lower panel). ChIP assays confirmed the binding           promoting cytokines, including IGF2, RBP4, DKK1, and CCL5 [9].
of p-JunB to the TNFSF14 promoter in both HepG2 and PLC/PRF/5             The findings of our study shed further insight into the increasing
cells (Fig. 5B). The binding was increased by NaHS treatment (Fig.        appreciation that HSC do not just act as pro-tumorigenic role, but
5B). Immunofluorescence staining and Western blotting showed               may inhibit tumor progression. In our study, we found that HSC
that administration of NaHS remarkably induced p-JunB expres-             cells co-cultured with HepG2 and PLC/PRF/5 cells could promote
sion and nuclear translocation in both HCC cell lines (Fig. 5C–D).        cell apoptosis which was time-dependently manner. Further
Besides NaHS, LX-2 cell co-culture also increased p-JunB expres-          research found that HSC cells through releasing H2S induced
sion and nuclear translocation (Fig. 5E). JunB phosphorylation and        HCC cells apoptosis, which was relieved by adding PPG (CSE
nuclear translocation required upstream p-JNK. Administration of          inhibitor) to reduce the amount of H2S.
SP600125, a p-JNK inhibitor, completely inhibited NaHS- or LX-2              As a gas signaling molecule, the role of H2S in HCC is still
cell co-culture-induced p-JunB expression and nuclear transloca-          unclear. The previous reports shown that in the HepG2 and PLC/
tion in both cancer cells (Fig. 5F). The effects of NaHS- or LX-2 cell    PRF/5 cells, endogenous H2S/CSE pathway regulated cell growth
co-culture-induced p-JunB expression and nuclear translocation            mainly through EGFR pathway [12]. Another similar study found
was also inhibited by PPG (Fig. 5F). These results suggest that JNK/      that in the HepG2 cells, H2S/CSE pathway was activated after
JunB signaling mediates H2S to regulate TNFSF14 transcription.            irradiated, which led to the long-term cell invasion and tumor
                                                                          metastasis [22]. The function of exogenous H2S has also been
TNFSF14 expression is associated with the clinical outcome of             studied in HCC cells. In the PLC/PRF/5 cells, 500 μM NaHS could
HCC                                                                       induce cell proliferation, migration, and anti-apoptotic via activat-
Subsequently, we observed the association between TNFSF14                 ing NF-κB pathway [13]. Other researchers found that exogenous
expression and clinical outcome of 45 HCC patients. TNFSF14 and           H2S effectively restricted the tumor development in H22 HCC-
CSE mRNA expression were significantly downregulated in tumor              bearing mice and HCC cell lines proliferation by blocking STAT3
tissues compared with surrounding non-tumor tissues (Fig. 6A).            and NF-κB pathways [14, 23]. Similar with our pervious study,
Western blotting analyses performed in 6 patients confirmed the            10−3 M NaHS treated HepG2 and HLE cells could inhibit cells
results (Fig. 6B). CSE mRNA expressions in tumor tissues were             proliferation, migration and pro-apoptotic via mTOR signaling
positively correlated with that of TNFSF14 (r = 0.438, P < 0.05, Fig.     pathway [15]. In this study, our results showed that both
6C). We further investigated the association between TFNSF14              endogenous and exogenous H2S promoted HCC cells apoptosis,
expression and tumor characteristics. Patients with high TNFSF14          and the apoptosis was reduced when endogenous H2S was
expression in HCC showed less portal invasion, lower Barcelona            inhibited by adding PPG.
Clinic Liver Cancer (BCLC) HCC stages and longer survival and                How do H2S regulate HCC cells apoptosis? Based on the RNA-
disease-free time than those with low TNFSF14 expression (Table 2         sequencing results, we found that both endogenous and
and Fig. 6D, E). These results were similar as the data in GSE 14520:     exogenous H2S could up-regulate TNFSF14 in HepG2 cell.
TNFSF14 and CSE gene expression were decreased in tumor                   TNFSF14, mainly expressed on activated T cells, is activated in
tissues compared with non-tumor tissues (Fig. S4). CSE gene               Natural Killer (NK) cells, and immature dendritic cells (DC) [24].
expressions in HCC tissues were positively associated with                Previous studies reported that TNFSF14 act as an immunomodu-
TNFSF14 expression (r = 0.168, P
Y. Ma et al.
8

    Fig. 6 TNFSF14 expression is associated with the clinical outcome of HCC. A TNFSF14 mRNA and CSE mRNA expression levels in tumorous
    tissues (HCC; N = 45) and nontumorous tissues (NT; N = 45). B Western blotting analysis for the expression of CSE and TNFSF14 in the
    tumorous and nontumorous tissues in 6 patients with HCC. C Correlation between CSE mRNA expression levels and TNFSF14 mRNA
    expression levels in tumorous tissues (N = 45). D, E Overall survival and disease-free survival curves showed that patients with high expression
    levels of TNFSF14 have better prognosis. All Bars, ± SD; *P < 0.05, **P < 0.01, ***P < 0.001, ****P < 0.0001.

    regulatory region of TNFSF14 gene was analyzed on the JASPAR              DATA AVAILABILITY
    website. We found transcription factor JunB binds to the TNFSF14          The datasets generated and/or analyzed during the current study are available from
    gene. The transcriptional activity of JunB is enhanced through            the corresponding author on reasonable request.
    phosphorylation-JNK [32]. In HCC cells, JNK/JunB exerts anti-tumor
    effects by promoting tumor cell apoptosis and inhibiting cell
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