TRAP1 binds to and regulates the activity of respiratory complex III
It has been previously shown that TRAP1 directly binds complex II of the mitochondrial respiratory chain [8, 9], modulating its stability/activity, and indirectly regulates complex IV [7]. A previously unpublished mass spectrometry analysis, which yielded several already validated TRAP1 partners [5, 14, 15], suggested that TRAP1 also binds UQCRC2, a component of complex III. Recently published proteomic analyses also supported the TRAP1-UQCRC2 partnership [16]. We have validated this interaction by both GFP-trap in inducible TRAP1-GFP HeLa cells and by immunoprecipitation of endogenous UQCRC2 from isolated HeLa mitochondria (Fig. 1A), and immunoprecipitation of a flag-UQCRC2 transfected in HeLa cells (Additional file 1: Fig. S1A). We further supported these data by proximity ligation assay (PLA) in both HCT116 colorectal carcinoma cells (Fig. 1B) and HeLa cells (Additional file 1: Fig. S1B). Notably, proximity ligation between TRAP1 and another complex III component, the catalytic subunit UQCRFS1/Rieske protein, yielded negative results, supporting the specificity of the binding between TRAP1 and UQCRC2 (Additional file 1: Fig. S1B). These findings suggest that TRAP1 regulation of the respiratory chain activity could also rely on the modulation of complex III activity.
The effects of TRAP1 on mitochondrial respiration are still controversial: TRAP1 silencing increases oxygen consumption in SAOS-2 osteosarcoma cells, PEA1 ovarian cancer cells, HCT116 colorectal carcinoma cells and mouse fibroblasts [7, 8, 17, 18]; however, TRAP1 silencing or treatment with the mitochondria-directed HSP90 inhibitor Gamitrinibs reduces oxygen consumption and ATP production in PC3 prostate cancer cells and in LN229 glioblastoma cells, although in the specific metabolic context of low glucose availability [9]. To shed light on this complex scenario, as a preliminary approach we first analyzed the response of TRAP1 knock-down cells to a decreased glucose availability through the monitoring of AMPK activation over time and identified a significant AMPK phosphorylation after 4 h of glucose withdrawal (referred to as "low glucose” hereafter), specifically in TRAP1-expressing cells (Additional file 1: Fig. S1C). Therefore, the activity of the complex III upon TRAP1 silencing was compared in standard cell culture conditions (4.5 g/L glucose) and after culturing cells in low glucose (1 g/L) medium for 4 h. Our results showed that shRNA-mediated TRAP1 silencing in HeLa cells induces a slight increase of complex III activity, as measured by an in vitro assay performed on isolated functional mitochondria (Fig. 1C). However, upon glucose withdrawal, only TRAP1 expressing cells preserve the complex III activity, whereas shTRAP1 cells dramatically lose this ability (Fig. 1C). This finding extends to complex III the direct contribution of TRAP1 to mitochondrial metabolism, which so far involved complex II, through direct interaction, besides the indirect regulation of complex IV [4]. In order to support these data in living cells, we performed a metabolic analysis using the Seahorse technology on both shRNA-mediated TRAP1 silenced HeLa cells and on TRAP1-GFP overexpressing HeLa cells. As a result, we found that TRAP1 silencing increases oxygen consumption (Fig. 1D), while TRAP1 overexpression reduces it (Fig. 1E), consistent with previous findings obtained in many other cells lines [7, 8, 13, 17, 18], and with the results obtained on complex III basal activity (Fig. 1C). Of note, glucose deprivation decreased respiration rate only in TRAP1 knock-down (shTRAP1) cells, whereas all TRAP1-expressing cells sustain respiration in these conditions (Fig. 1D, E). This finding also recalls the results of complex III activity, and strongly suggests that TRAP1, although reducing complex III basal activity, is important for its function under metabolic stress conditions. Consequently, to assess the contribution of other complexes to the changes in the respiratory profiles obtained by modulating TRAP1 expression, we measured complex I and complex IV activity both upon shRNA-mediated TRAP1 silencing and TRAP1-GFP overexpression in HeLa cells. As a result, the only significant change in activity was observed in complex I, which was decreased upon TRAP1 silencing (Fig. 1F), whereas an increase was observed in complex III activity, thus supporting the key role played by complex III regulation in determining TRAP1-dependent modulation of respiration. Therefore, we measured the viability of HeLa cells following treatment with various concentrations of the complex III inhibitor Antimycin A and the complex I inhibitor Rotenone. Strikingly, we found that shRNA-mediated TRAP1 silencing leads to increased sensitivity to complex III inhibition, and, oppositely, to reduced sensitivity to complex I inhibition (Fig. 1G). These findings strongly support the specificity of TRAP1 role in preserving complex III activity, and its opposite effects on complex I.
To further explore the impact of TRAP1 on complex III, we analyzed expression levels of complex III components by western blot in HeLa cells. We found that TRAP1 silencing leads to increased protein expression of the early assembly factor UQCC1, whose levels are decreased upon TRAP1 overexpression (Fig. 1H). Conversely, expression levels of the catalytic subunit UQCRFS1 (Rieske protein), and the core subunit and TRAP1 partner UQCRC2 were unaffected. As a control, we also looked at the expression of the complex I component NDUFS1, which was also unaffected upon modulation of TRAP1 expression (Fig. 1H). These data suggest that TRAP1 exerts regulation on complex III by direct binding and modulation of activity/assembly, rather than controlling expression/stability of its components.
TRAP1 binding to UQCRC2 and whole complex III is regulated in different metabolic conditions
To analyze whether TRAP1 role in the regulation of complex III activity under different metabolic conditions was due to its binding to the complex III core component UQCRC2, we further characterized this interaction in both HeLa control cells and in TRAP1-GFP inducible HeLa cells, in high and low glucose. Using FLIM experiments, we found that TRAP1 and UQCRC2 directly bind to each other; however, this binding is dramatically reduced after culturing cells in low glucose for 4 h, (Fig. 2A, B). Similarly, the replacement of glucose in the medium with an equal amount of galactose, which is known to stimulate respiration [19], dramatically reduced the number of proximity ligation foci between TRAP1 and UQCRC2 (Fig. 2C, D). This result led us to hypothesize that TRAP1 is important for both stability and availability of complex III components, but that functional assembly/activation of the complex requires the removal of TRAP1 from its core. Notably, when we used the TRAP1-GFP overexpression system, the binding between the overexpressed TRAP1-GFP fusion protein and UQCRC2, although reduced to less than a half, was still significant following glucose withdrawal (FRET efficiency: 13%; Fig. 2B); in contrast, such binding is hardly detectable in control cells when glucose is low (Fig. 2A). To test our hypothesis, we performed immunoprecipitation of whole complex III from intact mitochondria isolated from HeLa cells following shRNA-mediated TRAP1 silencing or TRAP1-GFP overexpression in standard and low glucose culture conditions (a representative image of the purity of the mitochondrial preparation is shown in Additional file 1: Fig. S2). Measurements of levels of the catalytic component Rieske, which is added to the pre-complex as the last [20], was evaluated as an indicator of activation. Results showed that, indeed, shTRAP1 cells have slightly higher levels of complex III, detected by both the core component UQCRC2 and the catalytic subunit UQCRFS1 (Rieske protein) (Fig. 2E). However, while the levels of Rieske protein in complex III are decreased in TRAP1 knock-down (shTRAP1) cells following glucose deprivation, these are unchanged in control (shGFP) cells (Fig. 2E), in line with the activity assays. Accordingly, TRAP1-GFP cells have lower levels of complex III, since both UQCRC2 and Rieske are less abundant in the whole complex III IP, but a slight reduction of complex III components following glucose deprivation is present only in control (GFP) cells (Fig. 2F). Surprisingly, we found that, although the direct binding to UQCRC2 decreases upon glucose deprivation (Fig. 2A, B), TRAP1 can still be detected associated to complex III following glucose withdrawal (Fig. 2E, F), suggesting that TRAP1 needs to be moved away from UQCRC2 in order to activate new complex III, but TRAP1 remains bound to the active complex. The ratio between the core subunit UQCRC2 and the catalytic subunit Rieske, as a measure of the proportion between the total complexes and the active ones, well mimics the results obtained by the complex III activity assay (Fig. 2E, F, lower panels). To support these conclusions, we performed PLA between UQCRC2 and Rieske in shGFP/shTRAP1 HeLa cells in the same conditions used for the complex III immunocapture (Fig. 2G). Quantification of PLA foci produced by UQCRC2/Rieske (Fig. 2G, right panel) also well mimics the activity assay, further suggesting a scenario in which TRAP1 already binds UQCRC2 in a pre-complex state, stabilizing and preserving it in the inactive state, to be then displaced upon metabolic demand (such as glucose deprivation) to promote the full assembly of the complex, to the final binding of the catalytic subunit UQCRFS1/Rieske and complex activation.
TRAP1 regulates metabolic switch depending on nutrient availability
The data shown above could in part explain some long-standing questions about the still not fully unveiled role of TRAP1 in mitochondrial respiration: in fact, our results show that, depending on glucose availability, TRAP1 expression can correlate with reduced respiration (standard conditions), or with increased respiration (low glucose). Interestingly, the respiratory profiles obtained upon a modulation of TRAP1 expression were accompanied by similar extracellular acidification rate (ECAR) profiles, used as a measure of glycolytic activity (Fig. 3A, B). Glycolytic capacity inversely correlated to TRAP1 expression, with a stronger decrease in shTRAP1 cells in low glucose. Therefore, we analyzed the capacity of TRAP1 overexpressing cells to survive glucose deprivation. As shown in Fig. 3C, the viability of TRAP1-GFP overexpressing cells is significantly reduced after 48 h without glucose. This was anyhow expected, considering the predominant glycolytic profile of these cells and, possibly, that TRAP1 overexpression prevents full displacement of TRAP1-UQCRC2 complex upon glucose withdrawal (Fig. 2B). The observed reduced viability is actually due to the apoptotic cell death, as demonstrated by caspase activity assays (Additional file 1: Fig. S3). In contrast, TRAP1 knock-down cells are more sensitive to deprivation of glutamine, the main energetic source alternative to glucose in cancer cells [21]. Indeed, when cultured for 48 h in the absence of glutamine, the proliferation rate of shTRAP1 cells significantly reduces, compared to shGFP controls (Fig. 3D). In line with these observations, an energy map obtained by plotting OCR versus ECAR upon modulation of TRAP1 levels clearly shows that TRAP1 silencing leads to a more energetic metabolism in standard culture conditions, but also to a more dramatic effect upon glucose deprivation. In contrast, HeLa cells expressing endogenous TRAP1 keep the metabolism unaltered upon glucose withdrawal (Fig. 3E, F). TRAP1 overexpression leads to glucose dependence, possibly because of the persistence of TRAP1-UQCRC2 binding and the subsequent impaired control on the metabolic switch required by reduced glucose availability.
Complex III protein expression inversely correlates with survival in ovarian cancer
We have previously shown that TRAP1 inversely correlates with stage and grade and positively correlates with survival in HGSOC [17], and its expression is decreased in metastatic compared to primary tumors [22]. In HGSOC cell models, downmodulation of TRAP1 expression leads to increased respiration rate and induces an OXPHOS-mediated cisplatin resistance, a result that is confirmed by increased BioEnergetic Cellular (BEC) index (i.e. increased oxidative metabolism) of advanced tumors [17]. Conversely, TRAP1 has been well-characterized to facilitate disease progression and induce drug resistance in colorectal cancer [23], where it enhances glycolysis [18]. Based on these data, we decided to explore the TRAP1-complex III axis in these tumors. By using TNM plot [24], we found that expression of several complex III components (data were available for CYCS, CYC1, UQCRB, UQCRC1, UQCRC2, UQCRFS1, UQCRQ, UQCR10, UQCR11) and assembly factors (BCS1L, UQCC1, TTC19) is decreased in colon tumor tissues compared to the normal tissue, and is further decreased in metastatic tumors compared to the primary ones (Fig. 4A–C). On the contrary, ovarian tumors show overall increased expression of complex III components and assembly factors, whereas not significant alteration of their expression is observed in metastatic tissues compared to the primary tumors (Fig. 4B–D). A similar scenario is also observed when complex I, II and IV components and assembly factors are analyzed (Additional file 1: Fig. S4). These data support the idea that OC tend to rely more on oxidative phosphorylation compared to other tumors with a classical Warburg phenotype—among those, colorectal cancer [25]—and that TRAP1 is accordingly co-regulated, being reduced in oxidative tumors (as expected, given its inhibitory role on basal respiration) and upregulated in the glycolytic ones. We then analyzed the expression of some complex III components and assembly factors by western blot in a set of tissue samples obtained from HGSOC biopsies at various stages, that had been previously characterized for their metabolic profile [17]. We found that stage 3 tumors display higher (though not statistically significant) expression of UQCC1, and significantly higher expression of UQCRC2 compared to stage 1–2 tumors, whereas Rieske expression levels were comparable between the two groups (Fig. 4E, F).
Starting from this preliminary observation, we investigated the impact of complex III components on the outcome of stage 3 HGSOC. By using Kaplan Meier plotter [26], we found that high expression of CYCS, UQCR10 and TTC19 significantly correlates with a worse progression-free survival (Fig. 5A), high expression of UQCC1, UQCRC2, TTC19 and UQCC2 significantly correlates with worse overall survival (Fig. 5B), and high expression of UQCC1, UQCC2 and TTC19 correlates with worse post-progression survival (Fig. 5C). Notably, the assembly factor TTC19 inversely correlates with all the three survival parameters.
TRAP1 and complex III have opposite effects on platinum sensitivity in HGSOC
These analyses prompted us to evaluate the relevance of complex III in HGSOC cells. To this aim, we took advantage of two different couples of matched pair of cisplatin sensitive/resistant isogenic cell lines obtained from the same patient before and after chemotherapy (PEA1/PEA2, PEO1/PEO4), that well recapitulate the characteristics of clinically-acquired platinum resistance [27]. We firstly characterized the expression of complex III components and assembly factors by western blot in the matched cell lines, showing that Rieske expression is increased in the both the resistant PEA2 and PEO4 compared to their sensitive counterparts PEA1 and PEO1, and that UQCRC2 is increased in PEO4 compared to PEO1, while UQCC1 expression is unchanged (Fig. 6A). In order to verify that this finding correlates with a higher activity of the complex and higher dependence of chemoresistant cells on complex III and, more broadly, on respiration, we treated the cell lines with Antimycin A or Rotenone, well-known complex III and complex I inhibitors, respectively, and found that cisplatin-resistant PEA2 cells, that have been previously characterized for their increased oxidative metabolism-induced/dependent chemoresistance [17], and show several links between altered metabolism and chemoresistance [28, 29], are actually more sensitive to both compounds, in terms of cell viability (Fig. 6B). Of note, we confirmed that, similarly to the PEA1/PEA2 couple, PEO4 cells display higher oxidative metabolism than PEO1 since the BEC index is significantly higher in the chemoresistant cells (Fig. 6C) [29]. Considering that we have previously demonstrated that TRAP1 plays an important role in the acquisition of OC chemoresistance through the regulation of oxidative phosphorylation [17], and it is negatively selected by cisplatin treatment, we confirmed TRAP1-UQCRC2 selective binding in this cell system by PLA. In keeping with the results obtained in HeLa cells, TRAP1-UQCRC2 indeed produced strong PLA signals, whereas TRAP1-Rieske PLA was not different from the negative control (Fig. 6D).
Supported by these in vitro observations, we searched for the correlation between gene expression and response to therapy using transcriptome-level data on ROC plotter [30]. These analyses allowed us to observe that complex III core component UQCRC2, the catalytic subunit CYC1, and the assembly factor TTC19 are expressed at a significantly higher level (FC = 1.2, FC = 1.2, FC = 1.1, respectively) in patients who do not respond to platinum-based therapy (non-responders), where TRAP1 is expressed at a significantly lower level (FC = 1.8) (Fig. 7A), in keeping with our previous findings [17, 22]. Accordingly, qPCR analysis of the same genes in our matched cell lines confirmed significantly higher mRNA levels of UQCRC2 and TTC19 in PEA2, while CYC1 is higher in PEO4 than in PEO1 (Fig. 7B).