TRIM22 may boost inflammation-related signaling in brain tumors by speeding up the breakdown of a key inhibitor

All primary glioma tissue samples (n = 112) and matching clinical data were obtained from the Department of Neurosurgery at Qilu Hospital of Shandong University [29]. Nonneoplastic brain tissue samples (NBT; n = 10) were obtained from the Department of Pathology at Qilu Hospital of Shandong University. All experiments and the use of human tissues were approved by the Research Ethics Committee of Shandong University and the Ethics Committee of Qilu Hospital in accordance with the Declaration of Helsinki (for humans) and the U.S. Public Health Service Policy on Human Care and Use of Laboratory Animals (2015 reprint; for mice). Written informed consent was obtained from all adult patients.

Human GBM cell lines (U87MG, U118MG and LN229) and the human embryonic kidney cell line 293 (HEK293) were purchased from the American Type Culture Collection. All human cell lines were authenticated and submitted for short tandem repeat analysis (Cell Cook Biotech Co. LTD; Guangzhou, China). Primary GBM#P3 cells and BG5 glioma stem cells (GSC) were kind gifts provided by Prof. Rolf Bjerkvig (University of Bergen, Norway). Cells (U87MG, U118MG, LN229, and HEK293) were maintained in the Dulbecco’s modified Eagle’s medium (DMEM; Life Technologies/Thermo Fisher Scientific; Waltham, MA, USA) supplemented with 10% fetal bovine serum (Thermo Fisher Scientific). Cells (GBM#P3 and GSC BG5) were cultured in serum-free DMEM/F12 medium (Gibco/Thermo Fisher Scientific) supplemented with 2% B27 Neuro Mix (Thermo Fisher Scientific), epidermal growth factor (20 ng/mL; Thermo Fisher Scientific), and basic fibroblast growth factor (10 ng/mL; Thermo Fisher Scientific). Cells were maintained at 37 °C in a humidified chamber containing 5% CO₂.

Transient transfections for siRNAs and plasmids were performed with Lipofectamine 2000 or 3000 (Thermo Fisher Scientific) as we previously described [30]. The sequences of siRNAs used are listed in Supplementary Table S1, and plasmids used are listed in Supplementary Table S2.

The Puro-3×Flag-hCas9 and single-guide RNA (sgRNAs) lentiviruses were designed and constructed by OBiO Technology Company (Shanghai, China). Lentivirus containing Cas9 and sgRNAs (sg-scramble, sg-TRIM22-1 or sg-TRIM22-2) were introduced into U87MG, LN229, GBM#P3, and BG5 cells. The sequences of sgRNAs used are listed in Supplementary Table S1.

In addition, lentiviral constructs for ectopic expression of full-length TRIM22 (Flag-TRIM22-FL; OBiO Technology), a RING-finger domain deletion mutant of TRIM22 (Flag-TRIM22-ΔRING; OBiO Technology), a C15/18A mutant of TRIM22 (Flag-TRIM22-C15/18A; OBiO Technology), and an S32/S36A mutant of IκBα (srIκBα; OBiO Technology) were also used to infect cells.

After 48 h, infected cells were cultured in media containing puromycin (2 μg/mL; Thermo Fisher Scientific) for 2 weeks to select for stable expression.

Nuclear and cytoplasmic fractions from LN229 and U118MG were isolated using Nuclear and Cytoplasmic Extraction Reagents (Thermo Fisher Scientific), according to the manufacturer’s instructions. Subcellular distribution of proteins was determined using western blot analysis. GAPDH and Histone H3 served as loading controls for cytosolic and nuclear fractions, respectively.

Total RNA was extracted from cells using TRIzol Reagent (Thermo Fisher Scientific). RNA (2 µg) was reverse transcribed into cDNA using the ReverTra Ace qPCR RT Kit (Toyobo Life Science; Shanghai, China) according to the manufacturer’s protocols. Quantitative PCR was performed using the SYBR premix Ex Taq (Takara; Tokyo, Japan) on the Real-Time PCR Detection System (480II, Roche; Basel, Switzerland). GAPDH served as the internal control. Primers used for PCR are listed in Supplementary Table. S3

IHC, IF, and WB were performed as previously described [29]. The scoring system for TRIM22 IHC staining and all antibodies used are described in Supplementary Materials and Methods.

Co-IPs were performed as previously described [29]. Briefly, cells were lysed in IP lysis buffer (Thermo Fisher Scientific) containing a protease inhibitor cocktail (1%, Sigma-Aldrich; St Louis, MO, USA). Total lysates (200 µg; 1 µg/µL) were incubated with primary antibodies (4 µL) or IgG (4 µL) overnight at 4 °C with gentle shaking followed by Protein A/G magnetic beads (Thermo Fisher Scientific) for 2 h at room temperature. The immunoprecipitated complexes were immunoblotted. The antibodies used are listed in Supplementary Materials and Methods.

LN229 and U87MG cells were infected with lentivirus containing Cas9 and sgRNAs targeting TRIM22 (OBiO Technology). LN229 and U118MG cells were infected with lentivirus for ectopic expression of Flag-TRIM22-FL, Flag-TRIM22-C15/18A, or Flag-TRIM22-ΔRING (OBiO Technology). After selection, CHX (25 μg/mL; Apexbio; Houston, TX, USA) was introduced to the culture medium to inhibit translation, and cell lysates were prepared at the indicated times. Protein (20 μg) was examined using western blot analysis.

Cells with target gene knockout or ectopic overexpression (1 × 10⁵/well) were seeded into six-well plates. Cells were collected through trypsinization and counted every 24 h. Cells were counted in three wells to obtain an average count, and each experiment was performed in three independent biological replicates.

The NF-κB firefly-luciferase and renilla reporter constructs (100 ng each, Promega; Madison, WI, USA) were co-transfected into modified U87MG, U118MG, and LN229 cells using Lipofectamine 3000 (Thermo Fisher Scientific). After 24 h, luciferase activities were examined using the Dual-Luciferase Reporter Assay Kit (Promega). Renilla activity was used to normalize luciferase reporter activity. The promoterless firefly-luciferase vector pGL4.15 served as the negative control (NC). Assays were performed on cells in three wells for each experiment to obtain an average count, and in three independent biological replicates.

To assess in vivo ubiquitination, modified cells were treated with 20 μM MG132 (Apexbio; Houston, TX, USA) for 6 h before lysis, followed by co-IP and western blot analysis. For in vitro ubiquitination assays, HA-IκBα proteins purified from HEK293 cells were incubated with UBE1 (100 ng), UbcH5a (150 ng), human recombinant Ub (5 μg, Boston Biochem; Cambridge, MA, USA) in the absence or presence of Flag-TRIM22-FL or Flag-TRIM22-ΔRING purified proteins with ubiquitination reaction buffer (Boston Biochem) at 30 °C for 90 min. Co-IPs were performed on the incubation mixture using an anti-HA antibody followed by western blot analysis using an anti-K48-linkage specific polyubiquitin antibody.

Athymic nude mice (male, 4-week old; GemPharmatech Co., Ltd; Nanjing, China) were randomly divided into five animals per group. Luciferase-expressing human glioma cell lines (3 × 10⁵ cells suspended in 10 μL PBS) were implanted into the frontal lobes of nude mice using a stereotactic apparatus (KDS310, KD Scientific; Holliston, MA, USA). Tumor growth was examined at 6, 12, and 24 days after implantation using bioluminescence imaging (IVIS spectrum in vivo imaging system, PerkinElmer; Hopkinton, MA, USA). Animals were euthanized by cervical dislocation when they displayed any symptoms of continuous discomfort, such as severe hunchback posture, decreased activity, apathy, dragging legs, or more than 20% weight loss. Mouse brains were harvested and examined through hematoxylin and eosin and IHC/IF staining.

Oncomine (https://www.oncomine.org/↗) was used to compare mRNA expression levels between GBM and nonneoplastic tissue samples for TRIM5, TRIM21, TRIM22, and TRIM38 in TCGA Brain datasets and TRIM56 in the Sun Brain dataset.

All experiments were performed in at least three independent biological replicates and reported as the mean ± the standard error of the mean. The statistical significance was calculated utilizing an unpaired two-tailed Student’s t test for direct comparisons and ANOVA for multigroup comparisons. Survival curves were estimated using the Kaplan–Meier method and compared using the log-rank test. Correlation between TRIM22 expression levels and clinicopathological factors was determined using the two-tailed χ² test or the Fisher’s exact test. Statistical analysis was conducted using GraphPad Prism version 7.00 software for Windows (GraphPad; La Jolla, CA, USA). Differences were considered as statistically significant when P values were < 0.05.

To identify novel NF-κB signaling modulators, we screened the activity of a panel of TRIM proteins using an NF-κB-dependent transcriptional reporter containing five copies of an NF-κB response element (NRE) located upstream of luciferase. We chose to analyze five TRIM proteins, TRIM5, TRIM21, TRIM22, TRIM38, and TRIM56, in our luciferase assay based on two criteria. First, the expression levels of the genes, based on molecular data in public datasets in Oncomine, were significantly elevated in GBM relative to NBT samples (Supplementary Fig. S1A). Second, these five TRIM genes have not yet been reported to have a role in the development of human gliomas. We transfected siRNAs targeting each of these genes with the luciferase reporter construct into U87MG and LN229 cells and measured luciferase activity. TRIM22 siRNA decreased reporter activity the most among the five TRIM genes in both U87MG and LN229 cells compared with the NC group (Fig. 1a). Using CRISPR/Cas9 technology, we knocked out TRIM22 in both cell lines and found luciferase activity to be significantly reduced (Supplementary Fig. S2A).

To elucidate the mechanism underlying reduced NF-κB activity in TRIM22 knockout cells, we used western blot analysis to examine total protein and phosphorylated levels of core kinases involved in canonical NF-κB signaling. Phosphorylated levels of the proteins that examined IKKα/β (Ser176/180), IκBα (Ser32/36), and P65 (Ser536) were uniformly decreased in TRIM22 knockout cell lines. However, total protein levels remained unchanged, except in the case of IκBα, where they increased in response to TRIM22 knockout (Fig. 1b and Supplementary Fig. S3A).

To understand how loss of TRIM22 might contribute to increased levels of IκBα protein, we first examined IκBα mRNA levels. IκBα mRNA levels did not change significantly with TRIM22 knockout in U87MG and LN229 cells (Fig. 1c). This result indicated that IκBα protein might be stabilized in TRIM22 knockout cells. Therefore, we determined the half-life of IκBα by treating modified U87MG and LN229 cells with CHX. The half-life of IκBα was prolonged by ~8 h in U87MG-sg-TRIM22 and LN229-sg-TRIM22 cells compared to the sg-scramble groups (Fig. 1d, e). Finally, K48-linked ubiquitination of IκBα in control and modified U87MG and LN229 cells paralleled TRIM22 expression; endogenous K48-linked ubiquitination of IκBα was decreased with knockout of TRIM22 (Fig. 1f). Taken together, these data suggested that deletion of TRIM22 enhanced IκBα protein stability through loss of proteasomal-mediated protein degradation.

NF-κB signaling is considered to be a pivotal factor in inducing genes that promote cell survival and proliferation [5]. Our previous work also demonstrated a growth-promoting role for NF-κB in GBMs [29]. To test whether TRIM22 is involved in regulating GBM cell proliferation, growth curves were generated for TRIM22 knockout U87MG and LN229 cells and compared to controls in vitro. Growth curves generated over 72 h revealed that TRIM22 knockout significantly attenuated proliferation of U87MG and LN229 cells relative to control cell lines (Fig. 2a). Reduced Ki-67 IF staining in knockdown cells further demonstrated that TRIM22 promoted GBM cell proliferation in vitro (~50%; Fig. 2b).

We also examined tumor growth in vivo. Luciferase-expressing modified and control cell lines were orthotopically implanted in mice, and tumor growth was monitored/quantified using bioluminescence. Tumors derived from U87MG- and LN229-sg-TRIM22-1 or -2 cells were slower growing than the sg-scramble control counterparts (Fig. 2c, d). Survival time of U87MG- and LN229-sg-TRIM22-1 or -2 tumor-bearing animals was also prolonged relative to controls (U87MG: 44 or 47 days vs. 29 days, sg-TRIM22-1 or -2 vs. sg-scramble, respectively, P < 0.01; LN229: 52 or 52 days vs. 34 days, sg-TRIM22-1 or -2 vs. sg-scramble, respectively, P < 0.01; Fig. 2e). IHC staining performed on sections from xenografts showed that IκBα expression levels increased in the absence of TRIM22, while Ki-67-IF staining was decreased (Fig. 2f and Supplementary Fig. S4A, B). Collectively, these data indicated that TRIM22 promoted growth of GBM tumors in vivo.

TRIM22 is a RING domain E3 Ub ligase mediating protein ubiquitination [31]. We therefore constructed two E3 ligase defective TRIM22 mutants, one with a RING domain deletion (TRIM22-ΔRING) and the other with the amino acid changes at conserved cysteines C15 and C18 to alanines (TRIM22-C15/18A) [32–34], to determine whether the growth-promoting activity of TRIM22 is associated with its E3 Ub ligase activity. Flag-tagged TRIM22-ΔRING, TRIM22-C15/18A, TRIM22-full length (TRIM22-FL), and empty vector (EV) were transfected into LN229 and U118MG. Phosphorylated IKKα/β (Ser176/180), IκBα (Ser32/36) and P65 (Ser536) were elevated, while total IκBα was decreased, in cells overexpressing TRIM22 (TRIM22-FL) compared with EV groups (Fig. 3a and Supplementary Fig. S5A). However, each of these proteins remained unchanged in TRIM22-ΔRING/-C15/18A groups compared with EV groups (Fig. 3a and Supplementary Fig. S5A). TRIM22-FL also significantly increased cell proliferation (Fig. 3b, c and Supplementary Fig. S5B). In contrast, the RING domain deletion and C15/18A mutants did not enhance cell proliferation over controls (Fig. 3b, c and Supplementary Fig. S5B).

These data were confirmed in orthotopic xenograft models (Fig. 3d, e and Supplementary Fig. S5C, D). Survival time of tumor-bearing mice was shorter in LN229- and U118MG-TRIM22-FL groups (LN229: 26 vs. 39 days, TRIM22-FL vs. EV, respectively, P < 0.05; U118MG: 27 vs. 34 days, TRIM22-FL vs. EV, respectively, P < 0.05; Fig. 3f), but remained stable in LN229- and U118MG-TRIM22-ΔRING (LN229: 39 vs. 39 days, TRIM22-ΔRING vs. EV, respectively, P = n.s.; U118MG: 35 vs. 34 days, TRIM22-ΔRING vs. EV, respectively, P = n.s.; Fig. 3f) relative to EV groups. Taken together, these data suggested that the TRIM22 plays an important role in driving tumor growth possibly through its E3 Ub ligase activity.

To explore whether the E3 ligase activity is critical for TRIM22-mediated activation of NF-κB signaling, we tested TRIM22-ΔRING and TRIM22-C15/18A in NF-κB luciferase reporter assays compared with TRIM22-FL and EV groups. NF-κB signaling activity increased significantly in LN229 and U118MG cells transfected with TRIM22-FL, but remained unchanged in cells expressing TRIM22-ΔRING/-C15/18A (Fig. 4a and Supplementary Fig. S5E). Elevated nuclear accumulation of P65 in LN229- and U118MG-TRIM22-FL groups was the further demonstration of an enhanced activation of NF-κB signaling, but remained unchanged in cells expressing TRIM22-ΔRING/-C15/18A (Fig. 4b and Supplementary Fig. S5F). In CHX studies, the half-life of IκBα was decreased by ~4 h in LN229-TRIM22-FL cells and ~8 h in LN229-TRIM22-FL cells compared to EV groups, while changes in LN229- and U118MG-TRIM22-ΔRING/-C15/18A were not significant (Fig. 4c, d and Supplementary Fig. S5G, H). Furthermore, both in vitro and in vivo, TRIM22-FL overexpression induced endogenous K48-linked ubiquitination of IκBα, while the RING domain deletion and C15/18A mutants had no effect (Fig. 4e, f and Supplementary Fig. S5I).

To test whether TRIM22 directly binds to IκBα, we performed co-IPs using lysates prepared from HEK293 transiently transfected with Flag-tagged TRIM22 and HA-tagged IκBα expression vectors. Immunoprecipitation with anti-FLAG or anti-HA antibodies brought down both Flag-tagged TRIM22 and HA-tagged IκBα indicating that the two tagged proteins were associated with each other in HEK293 cells (Fig. 4g). An endogenous physical interaction between the two proteins was confirmed in co-IPs using U87MG, LN229, and U118MG cell lysates (Fig. 4h). To investigate the functional domains responsible for their interaction, a series of deletion mutant constructs for TRIM22 and IκBα were expressed in cells, and co-IPs were performed. AR4 and AR5 domains in IκBα, or amino acids 182–317, brought down TRIM22. In TRIM22, amino acids 89–131 (B-Box domain), 133–223 (coiled-coil domain), and 352–498 (SPRY domain) were necessary to bring down IκBα (Fig. 4i, j). Interestingly, although the TRIM22 ring domain mutant was less efficient at binding IκBα, the domain was not essential for the two proteins to interact. Thus, TRIM22 might promote the development of human glioma by facilitating proteasomal-mediated degradation of IκBα, a negative regulator of NF-κB signaling.

Loss of TRIM22 also led to decreased phosphorylation of IKKα/β (Ser176/180), IκBα (Ser32/36), and P65, indicating that it may have some role in the phosphorylation and thus activation of these proteins, which are mediators of so-called canonical NF-κB signaling (Fig. 1b). We therefore performed co-IP assays with anti-TRIM22 antibodies to determine whether any of these proteins were associated with TRIM22 in GBM cell lines. We found that IKKγ, rather than IKKα/β, was associated with TRIM22 in GBM cells (Fig. 5a). We furthermore found that K63 ubiquitination levels of IKKγ paralleled TRIM22 protein levels (Fig. 5b). In summary, these data suggested that TRIM22 might regulate NF-κB activation through activation of the IKK complex.

To determine whether TRIM22 activates NF-κB signaling through IκBα, we introduced a construct expressing an IκBα phosphorylation mutant (S32/36A; srIκBα) into LN229 and U118MG cells. The substitution of S32 and S36 with alanine leads to a constitutively unphosphorylated state in srIκBα, which prevents its degradation and subsequent NF-κB activation [35]. Thus, we first tested whether TRIM22 induced NF-κB activity in the presence of srIκBα in glioma cells, using the NF-κB luciferase reporter construct. In LN229- and U118MG-TRIM22-FL cells, NF-κB transcriptional activity was increased relative to controls (~2×; Fig. 6a). However, NF-κB activity did not increase in TRIM22 overexpressing cells in the presence of srIκBα (Fig. 6a).

In cell number counting assays, srIκBα blocked the increase in cell proliferation mediated by overexpression of TRIM22 in LN229 and U118MG cells relative to controls (Fig. 6b). The growth-promoting properties of TRIM22 were also shown to be mediated by IκBα in an orthotopic tumor model. LN229- and U118MG-TRIM22-FL tumors were greater in size compared with EV groups, but this effect was abolished by srIκBα overexpression (Fig. 6c, d). Overall survival was also correspondingly reduced in mice bearing LN229- and U118MG-TRIM22-FL tumors relative to control mice (LN229: 27 vs. 35 days, TRIM22-FL vs. EV, respectively, P < 0.05; U118MG: 29 vs. 39 days, TRIM22-FL vs EV, respectively, P < 0.05; Fig. 6e). However, srIκBα overexpression in the context of TRIM22 overexpression brought overall survival back to nearly control group levels (LN229: 35 vs. 39 days, TRIM22-FL + srIκBα vs. EV, respectively, P = n.s.; U118MG: 35 vs. 35 days, TRIM22-FL + srIκBα vs. EV, respectively, P = n.s.; Fig. 6e). These results indicated that IκBα is a key effector in TRIM22-promoted growth of GBM cell populations in vitro and in vivo.

To characterize its role in the progression of human gliomas, we evaluated TRIM22 protein levels in a cohort of primary gliomas on a tissue microarray and NBT samples using IHC. The histology and distribution of the samples was as follows: WHO grade II (n = 30), WHO grade III (n = 31), WHO grade IV (n = 51, GBMs), and nonneoplastic brain (NBT, n = 10). TRIM22 was preferentially expressed in high grade gliomas (n = 82; HGG, WHO grade III-IV) compared with low grade gliomas (n = 30; LGG, WHO grade II; P < 0.001; Fig. 7a, b and Supplementary Table S4). Expression in NBT samples was nearly absent (Fig. 7a, b and Supplementary Fig. S6A). WB of lysates prepared from primary tumors (n = 12; WHO grades II–IV) and NBT samples (n = 3) confirmed the overexpression of TRIM22 in human gliomas (Fig. 7c). Finally, increased expression of TRIM22 correlated with other features of more aggressive gliomas, including wild-type IDH1 (P < 0.001) and wild-type ATRX (P = 0.0054).

We also performed experiments with GBM#P3 and GSC#BG5 cells, which more faithfully retain the genetic features of the matching primary GBM [36]. Knockout of TRIM22 in GBM#P3 cells led to decreased tumor growth in vivo (Fig. 7d, e) and prolonged the survival time of tumor-bearing mice (GBM#P3: 44 or 47 days vs. 34 days, sg-TRIM22-1 or -2 vs. sg-scramble, respectively, P < 0.05; BG5: 55 or 52 days vs. 35 days, sg-TRIM22-1 or -2 vs. sg-scramble, respectively, P < 0.05; Fig. 7f). These data are in agreement with a growth-promoting role for TRIM22 in the development of human gliomas.

The authors declare that they have no conflict of interest.