NGAL Mediates Anaplastic Thyroid Carcinoma Cells Survival Through FAS/CD95 Inhibition

Endocrinology. 2023 Dec 23;165(2):bqad190. doi: 10.1210/endocr/bqad190.

Abstract

Neutrophil gelatinase-associated lipocalin (NGAL), a siderophore-mediated iron binding protein, is highly expressed in human anaplastic thyroid carcinomas (ATCs) where it plays pleiotropic protumorigenic roles including that of a prosurvival protein. Here we show that NGAL inhibits FAS/CD95 death receptor to control ATC cell survival. FAS/CD95 expression in human specimens from patients with ATC and in ATC-derived cell lines negatively correlate with NGAL expression. Silencing of NGAL in ATC cells leads to FAS/CD95 upregulation, whereas NGAL overexpression determines the opposite effect. As a result, an agonist anti-FAS/CD95 antibody induces cell death in NGAL-silenced cells while it is ineffective on NGAL-overexpressing cells. Interestingly, the inhibitory activity of NGAL on FAS/CD95 is due to its iron carrier property given that perturbing iron homeostasis of NGAL-proficient and -deficient ATC cells directly influences FAS/CD95 expression. Accordingly, conditioned media containing a mutant form of NGAL unable to bind siderophores cannot rescue cells from FAS/CD95-dependent death, whereas NGAL wild type-containing conditioned media abolish the effects of the agonist antibody. We also find that downregulation of FAS/CD95 expression is mediated by iron-dependent NGAL suppression of p53 transcriptional activity. Our results indicate that NGAL contributes to ATC cell survival by iron-mediated inhibition of p53-dependent FAS/CD95 expression and suggest that restoring FAS/CD95 by NGAL suppression could be a helpful strategy to kill ATC cells.

Keywords: FAS/CD95; NGAL; cancer; iron; thyroid.

MeSH terms

  • Apoptosis
  • Cell Survival
  • Culture Media, Conditioned
  • Humans
  • Iron
  • Lipocalin-2 / genetics
  • Proto-Oncogene Proteins / metabolism
  • Thyroid Carcinoma, Anaplastic*
  • Thyroid Neoplasms* / genetics
  • Thyroid Neoplasms* / pathology
  • Tumor Suppressor Protein p53
  • fas Receptor / genetics
  • fas Receptor / metabolism

Substances

  • Lipocalin-2
  • Proto-Oncogene Proteins
  • Tumor Suppressor Protein p53
  • Culture Media, Conditioned
  • Iron
  • fas Receptor