Abstract. The upregulation of tribbles homolog 3 (TRB3), a pseudokinase in mammals, has been observed in several types of malignant cancer, including thyroid, ovarian, liver and colorectal cancer. However, the pathological role and the regulatory mechanism of TRB3 in cancer remain unknown. In the current study, we demonstrated that the expression of TRB3 was upregulated in non-small cell lung cancer (NSCLC), correlating with tumor metastasis, disease recurrence and poor survival in patients. Knocking down TRB3 in aggressive lung cancer cell lines was demonstrated to significantly inhibit their malignant behaviors, including in vitro invasion and cell proliferation, as well as in vivo metastasis and tumor growth. The correlation between TRB3 and Notch 1 expression revealed that Notch 1 was downregulated by the knockdown of TRB3 in the lung adenocarcinoma cell lines. These results have provided insights into the correlation between TRB3 expression and lung cancer progression, and thus may have potential for the prognosis and therapy of lung cancer.
IntroductionTribbles homolog 3 (TRB3), a pseudokinase, is essential for the catalytic activity that is performed by 10% of the kinase superfamily members (1). TRB3 was also demonstrated to be a key factor in complementary kinome small interfering-RNA (siRNA) function, as a regulator of mitogen-activated protein kinase (MAPK) signaling (2). Previous studies have demonstrated that this occurs through the control of the MAPK-extracellular signal-related kinase (MAPK-ERK) and transforming growth factor β (TGFβ) pathways.Furthermore, TRB3 regulates JAG1 expression and is required for the proliferation of breast cancer cells (3). In addition, TRB3 is required in normal tissues during conditions of hypoxic/endoplasmic reticulum stress or nutrient deprivation, as it is upregulated and counteracts the effects of stress (4,5). TRB3 is also upregulated in cancer as a response to hypoxia (4,6) and is associated with a poor outcome (7) as it promotes the activation of key cancer signaling pathways (such as MAPK-ERK, TGFβ and jagged 1 protein (JAG1)/Notch). TRB3 expression and molecular function has rarely been demonstrated in cancer cell lines, with the exception of breast cancer cell lines (2).The most understood function of the Notch family is cell fate regulation. This function has been regarded to be linked to the homeostasis of stem cell compartments (8-11) and thus, Notch signaling has been implicated in human cancer (10). Cell-autonomous oncogenic activation of Notch was identified in T-cell acute lymphoblastic leukemia/lymphoma (T-ALL). Notch 1 may be activated through chromosomal translocations and/or mutations (10,12). Downregulated expression of Notch-related factors, including Notch receptors, ligands and targets, has also been observed in solid tumors (10,13), including breast (13) and lung (14) cancer. To the best of our knowledge, no studies with regard to the correlation between cell-autonomous activation of Notch and TRB3 expression in lung cancer have been publishe...