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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="brief-report">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Cell Dev. Biol.</journal-id>
<journal-title>Frontiers in Cell and Developmental Biology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Cell Dev. Biol.</abbrev-journal-title>
<issn pub-type="epub">2296-634X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fcell.2021.655889</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Cell and Developmental Biology</subject>
<subj-group>
<subject>Brief Research Report</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>MYC Enhances Cholesterol Biosynthesis and Supports Cell Proliferation Through SQLE</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>Yang</surname> <given-names>Fan</given-names></name>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1195448/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Kou</surname> <given-names>Junjie</given-names></name>
<xref ref-type="author-notes" rid="fn002"><sup>&#x2020;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1190333/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Liu</surname> <given-names>Zizhao</given-names></name>
<uri xlink:href="http://loop.frontiersin.org/people/1239647/overview"/>
</contrib>
<contrib contrib-type="author">
<name><surname>Li</surname> <given-names>Wei</given-names></name>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name><surname>Du</surname> <given-names>Wenjing</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
</contrib>
</contrib-group>
<aff><institution>State Key Laboratory of Medical Molecular Biology, Department of Cell Biology, Institute of Basic Medical Sciences Chinese Academy of Medical Sciences, School of Basic Medicine Peking Union Medical College</institution>, <addr-line>Beijing</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Binghui Li, Capital Medical University, China</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Changliang Shan, Nankai University, China; Yide Mei, University of Science and Technology of China, China</p></fn>
<corresp id="c001">&#x002A;Correspondence: Wenjing Du, <email>wenjingdu@ibms.pumc.edu.cn</email>; <email>wjdu123@hotmail.com</email></corresp>
<fn fn-type="other" id="fn002"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
<fn fn-type="other" id="fn004"><p>This article was submitted to Molecular Medicine, a section of the journal Frontiers in Cell and Developmental Biology</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>11</day>
<month>03</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="collection">
<year>2021</year>
</pub-date>
<volume>9</volume>
<elocation-id>655889</elocation-id>
<history>
<date date-type="received">
<day>19</day>
<month>01</month>
<year>2021</year>
</date>
<date date-type="accepted">
<day>19</day>
<month>02</month>
<year>2021</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2021 Yang, Kou, Liu, Li and Du.</copyright-statement>
<copyright-year>2021</copyright-year>
<copyright-holder>Yang, Kou, Liu, Li and Du</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<abstract>
<p>Oncogene c-<italic>Myc</italic> (referred in this report as <italic>MYC</italic>) promotes tumorigenesis in multiple human cancers. MYC regulates numerous cellular programs involved in cell growth and cell metabolism. Tumor cells exhibit obligatory dependence on cholesterol metabolism, which provides essential membrane components and metabolites to support cell growth. To date, how cholesterol biosynthesis is delicately regulated to promote tumorigenesis remains unclear. Here, we show that MYC enhances cholesterol biosynthesis and promotes cell proliferation. Through transcriptional upregulation of SQLE, a rate-limiting enzyme in cholesterol synthesis pathway, MYC increases cholesterol production and promotes tumor cell growth. SQLE overexpression restores the cellular cholesterol levels in <italic>MYC-</italic>knockdown cells. More importantly, in <italic>SQLE</italic>-depleted cells, enforced expression of MYC has no effect on cholesterol levels. Therefore, our findings reveal that SQLE is critical for MYC-mediated cholesterol synthesis, and further demonstrate that SQLE may be a potential therapeutic target in MYC-amplified cancers.</p>
</abstract>
<kwd-group>
<kwd>cholesterol synthesis</kwd>
<kwd>cell proliferation</kwd>
<kwd>cancer</kwd>
<kwd>SQLE</kwd>
<kwd>MYC</kwd>
</kwd-group>
<contract-sponsor id="cn001">National Natural Science Foundation of China<named-content content-type="fundref-id">10.13039/501100001809</named-content></contract-sponsor>
<counts>
<fig-count count="4"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="34"/>
<page-count count="10"/>
<word-count count="0"/>
</counts>
</article-meta>
</front>
<body>
<sec id="S1">
<title>Introduction</title>
<p><italic>MYC</italic> is one of the most broadly deregulated oncogenes in human cancers (<xref ref-type="bibr" rid="B8">Dang, 2012</xref>). It is frequently translocated in multiple myelomas and is commonly found amplified among different human cancers (<xref ref-type="bibr" rid="B28">Shou et al., 2000</xref>; <xref ref-type="bibr" rid="B33">Zack et al., 2013</xref>; <xref ref-type="bibr" rid="B2">Annibali et al., 2014</xref>). MYC protein mediates its effects mainly through inappropriate regulation of transcriptional programs involved in a variety of biological processes, contributing to almost every aspect of tumorigenesis (<xref ref-type="bibr" rid="B23">Meyer and Penn, 2008</xref>). Indeed, <italic>MYC</italic> deletion inhibits cell growth such as T-cell leukemia (<xref ref-type="bibr" rid="B27">Sharma et al., 2006</xref>) and gastric cancer (<xref ref-type="bibr" rid="B10">Dong et al., 2019</xref>). MYC as a general transcription factor binds around 10&#x2013;15% of all promoter regions (<xref ref-type="bibr" rid="B18">Li et al., 2003</xref>). Tumor cells require rapid biomass accumulation and high-fidelity DNA replication to sustain uncontrolled proliferation. MYC has been shown to activate metabolic genes involved in glucose and glutamine metabolism, as well as lipid and nucleotide biosynthesis, contributing to metabolic reprogramming (<xref ref-type="bibr" rid="B1">Ahuja et al., 2010</xref>; <xref ref-type="bibr" rid="B24">Morrish et al., 2010</xref>; <xref ref-type="bibr" rid="B9">Dang, 2013</xref>).</p>
<p>Cholesterol is vital for the survival and growth of tumor cells. It is produced via cholesterol biosynthesis pathway which involves two rate-limiting enzymes, 3-hydroxy-3-methylglutarylcoenzyme A reductase (HMGCR) and squalene monooxygenase (SQLE) (<xref ref-type="bibr" rid="B22">Luo et al., 2020</xref>). Cholesterol is an essential component of cell membrane to maintain its fluidity and impact intracellular signal transduction. In addition, cholesterol also serves as a precursor for steroid hormone, bile acids, and specific vitamins (<xref ref-type="bibr" rid="B26">Riscal et al., 2019</xref>). Due to its importance, intracellular cholesterol homeostasis is delicately controlled. Indeed, imbalanced cholesterol levels have strong associations with the risk of cardiovascular diseases (<xref ref-type="bibr" rid="B21">Luo et al., 2019</xref>; <xref ref-type="bibr" rid="B31">Wong et al., 2019</xref>). Cancer cells require high levels of cholesterol for membrane biogenesis and other functional needs (<xref ref-type="bibr" rid="B15">Huang et al., 2020</xref>). Based on TCGA database, increased activity of the cholesterol synthesis pathway is correlated with poor patient survival in sarcoma, acute myeloid leukemia, and melanoma (<xref ref-type="bibr" rid="B16">Kuzu et al., 2016</xref>). Besides, at least one gene expression in the cholesterol synthesis was increased among approximately 60% melanomas (<xref ref-type="bibr" rid="B16">Kuzu et al., 2016</xref>). Conversely, inhibition of cholesterol metabolism hinders tumor growth and invasion in a variety of cancers (<xref ref-type="bibr" rid="B17">Li et al., 2017</xref>; <xref ref-type="bibr" rid="B7">Costa et al., 2018</xref>).</p>
<p>SQLE is recognized as one of the rate-limiting enzymes in cholesterol biosynthesis pathway, which catalyzes squalene oxidization (<xref ref-type="bibr" rid="B13">Gill et al., 2011</xref>). It is reported that SQLE promotes tumor development (<xref ref-type="bibr" rid="B6">Cirmena et al., 2018</xref>; <xref ref-type="bibr" rid="B19">Liu et al., 2018</xref>; <xref ref-type="bibr" rid="B32">Xu et al., 2020</xref>). Several drugs against SQLE have been evaluated in anti-tumor trials (<xref ref-type="bibr" rid="B6">Cirmena et al., 2018</xref>; <xref ref-type="bibr" rid="B19">Liu et al., 2018</xref>). Recent study has reported that SQLE can be regulated at transcriptional, translational, and post-translational levels (<xref ref-type="bibr" rid="B5">Chua et al., 2020</xref>). Here we report that MYC binds to and activates SQLE promoter. Through transcriptional upregulation of SQLE, MYC increases cellular cholesterol levels and promotes cell proliferation. We also provide evidence that SQLE is critical for MYC-regulated cholesterol biosynthesis. Thus, our findings suggest that SQLE may be a potential therapeutic target in MYC-driven cancers.</p>
</sec>
<sec id="S2" sec-type="materials|methods">
<title>Materials and Methods</title>
<sec id="S2.SS1">
<title>Antibodies</title>
<p>Antibodies against &#x03B2;-Actin (#66009-1, dilution: 1/3000) and antibodies against SQLE (#12544-1-AP, dilution: 1/500) were purchased from Proteintech (United States). Antibodies against MYC (#ab32072, dilution: 1/1000) were purchased from Abcam (United States, dilution: 1/500).</p>
</sec>
<sec id="S2.SS2">
<title>Cell Culture and Transfection</title>
<p>Human osteosarcoma cell line U2OS, human hepatocellular carcinoma cell line HepG2, human lung cancer cell line H1299, human colorectal cancer cell line SW480, human clear cell carcinoma cell line Caki-1, and human renal epithelial cell line HEK293T were obtained from the American Type Culture Collection (ATCC, United States). U2OS, HepG2, SW480, Caki-1, and HEK293T cell lines were maintained in Dulbecco&#x2019;s modified Eagle&#x2019;s medium (DMEM), and H1299 cell line was cultured in RPMI 1640 medium. All mediums were supplemented with 10% fetal bovine serum (FBS) plus 1% penicillin and streptomycin (P/S). All cells were cultured at 37&#x00B0;C in a humidified incubator with 5%CO<sub>2</sub>. All the growth mediums, FBS, and supplemental reagents were obtained from CELL technologies (United States).</p>
<p>The following siRNAs were purchased from GenPharma (China). siRNA sequences are listed below:</p>
<p>Control siRNA: 5&#x2032;-UUCUCCGAACGUGUCACGUTT-3&#x2032;;</p>
<p><italic>hMYC</italic> siRNA#1: 5&#x2032;-GCUCAUUUCUGAAGAGGACTT-3&#x2032;;</p>
<p><italic>hMYC</italic> siRNA#2: 5&#x2032;-GGCGAACACACAACGUCUUTT-3&#x2032;;</p>
<p><italic>hSQLE</italic> siRNA#1: 5&#x2032;-GCCUCUAAAUCUUUAGGUUTT-3&#x2032;;</p>
<p><italic>hSQLE</italic> siRNA#2: 5&#x2032;-GCCCAGGUUGUAAAUGGUUTT-3&#x2032;.</p>
<p>siRNAs were transfected into cells using Lipofectamine RNAiMAX transfection reagent (Invitrogen, United States) following the manufacturer&#x2019;s instruction.</p>
</sec>
<sec id="S2.SS3">
<title>Plasmids and Lentiviral Transduction</title>
<p>Two overexpression plasmids for MYC and SQLE were generated by cloning the ORF into the pRK5-Flag and pRK5-HA vectors separately. A lentiviral overexpression plasmid for MYC was generated by cloning the ORF into the pLV vector. Lentiviral particles were generated in HEK293T cells with cotransfection of the packaging vectors. Then, virus-containing supernatants were harvested and applied to infect the target cells with 8 &#x03BC;g/ml Polybrene (Santa Cruz Biotechnology, United States). Two days after the infection, the infected cells were cultured in the presence of 2 &#x03BC;g/ml puromycin (Sigma&#x2013;Aldrich, United States) for 3 days. Finally, puromycin-resistant cells were pooled.</p>
</sec>
<sec id="S2.SS4">
<title>Semi-Quantitative PCR With Reverse Transcription and Quantitative Real-Time PCR</title>
<p>Total RNA was isolated from cells by Trizol reagent (TIANGEN, China), and 1 &#x03BC;g RNA of each sample was reversed to cDNA by the First-Strand cDNA Synthesis System (TIANGEN, China). cDNA (0.025 &#x03BC;g) of each sample was used as a template to perform PCR. The primer pairs for human genes were:</p>
<p>MYC-F: 5&#x2032;-GGCTCCTGGCAAAAGGTCA-3&#x2032;</p>
<p>MYC-R: 5&#x2032;-CTGCGTAGTTGTGCTGATGT-3&#x2032;;</p>
<p>SQLE-F: 5&#x2032;-TGACAATTCTCATCTGAGGTCCA-3&#x2032;</p>
<p>SQLE-R: 5&#x2032;-CAGGGATACCCTTTAGCAGTTTT-3&#x2032;;</p>
<p>&#x03B2;-Actin-F: 5&#x2032;-GACCTGACTGACTACCTCATGAAGAT-3&#x2032;</p>
<p>&#x03B2;-Actin-R:5&#x2032;-GTCACACTTCATGATGGAGTTGAAGGT-3&#x2032;.</p>
</sec>
<sec id="S2.SS5">
<title>Chromatin Immunoprecipitation and Reporter Assays</title>
<p>For chromatin immunoprecipitation assays, HEK293T cells were crosslinked with 1% formaldehyde for 15 min at room temperature and crosslinking was stopped by the addition of 125 nM glycine (final concentration). Cell lysates were sonicated for 3 cycles to generate DNA fragments with an average size between 150 and 900 bp, and immunoprecipitated with IgG and MYC antibodies. Bound DNA fragments were eluted and amplified by PCR. Primer pairs were:</p>
<p>RE1-F: 5&#x2032;-GCTATGCCGCGTTTGGCCAATC-3&#x2032; (&#x2212;1079/&#x2212;1058)</p>
<p>RE1-R: 5&#x2032;-CCTGAGCCCCGCCCCCGGTCCC-3&#x2032; (&#x2212;950/&#x2212;929);</p>
<p>RE2-F: 5&#x2032;-GGATCACTTAAGGTCAGGAGTT-3&#x2032; (+1271/+1292)</p>
<p>RE2-R: 5&#x2032;-GAATGGAAGCAGGGCTATCAGGC-3&#x2032; (+1414/+1436);</p>
<p>&#x03B2;-Actin-F: 5&#x2032;-GGGTCTGCGCTGTAAGAGTT-3&#x2032;</p>
<p>&#x03B2;-Actin-R: 5&#x2032;-GAACTCAGCCAAGGGGACTC-3&#x2032;.</p>
<p>For reporter assay, the <italic>SQLE</italic> genomic fragments (C6849&#x2013;C7006) containing either the wild-type RE1 (5&#x2032;-GGGCAGCACGCGGGGCG-3&#x2032;) or mutant [(5&#x2032;-GGG<underline>A</underline>AGC<underline>A</underline>A<underline>AT</underline>C<underline>T</underline>GGGCG-3&#x2032;), with mutated nucleotides underlined] and the <italic>SQLE</italic> genomic fragments (C9190&#x2013;C9364) containing the wild-type RE2 (5&#x2032;-CCACGGCGCCTGGCCTG-3&#x2032;) binding region were cloned into pGL3-basic vector. Luciferase reporter assays were performed as described. Briefly, the reporter plasmids were transfected into HEK293T cells together with a Renilla luciferase plasmid and a plasmid expressing MYC protein. Twenty-four hours after transfection, the luciferase activity was determined using a Dual Luciferase Assay System (Promega, United States). Transfection efficiency was normalized on the basis of the Renilla luciferase activity.</p>
</sec>
<sec id="S2.SS6">
<title>Cell Viability and Proliferation Assay</title>
<p>For cell viability assays, cells were transfected with siRNAs or plasmids for 48 h and seeded in 96-well cell culture dishes in triplicate at a density of 1000 cells per well. Two days later, CCK8 (Pplygen, China) was added into culture dishes for 3 h. OD<sub>450 <italic>nm</italic></sub> was measured to test cell viability by using microplate reader Flexstation 3 (Molecular Devices, United States). Relative OD<sub>450 <italic>nm</italic></sub> was calculated using the corrected sample reading.</p>
<p>Cell proliferation assays were performed as described. Briefly, cells were transfected with siRNAs or plasmids for48 h and seeded in six-well cell culture dishes in triplicate at a density of 40,000 cells per well. The medium was changed every day. Cell number at the indicated time points was counted using a Cell Counter (Countstar, China).</p>
</sec>
<sec id="S2.SS7">
<title>Western Blotting</title>
<p>Whole-cell lysates were made in modified RIPA lysis buffer(10 mM Tris&#x2013;HCl at pH 7.5, 5 mM EDTA, 150 mM NaCl, 1% NP-40, 1% sodium deoxycholate, 0.025% SDS, and 5 mM protease inhibitors) for 30 min on ice, and boiled in 2&#x00D7; loading buffer. Protein samples were resolved by SDS&#x2013;PAGE and transferred onto PVDF membrane, which was blocked in 5% BSA and probed with the indicated antibodies.</p>
</sec>
<sec id="S2.SS8">
<title>Statistical Analysis</title>
<p>Statistical significance was analyzed by two-tailed unpaired <italic>t</italic>-test and expressed as a <italic>p</italic>-value.</p>
</sec>
</sec>
<sec id="S3">
<title>Results</title>
<sec id="S3.SS1">
<title>Myc Enhances Intracellular Cholesterol Levels and Promotes Cell Proliferation</title>
<p>Previous studies have revealed that MYC is required for the upregulation of mevalonate pathway in certain cancer cells (<xref ref-type="bibr" rid="B29">Wang et al., 2017</xref>). To further investigate the role of MYC in cholesterol biosynthesis, we knocked down <italic>MYC</italic> in human osteosarcoma U2OS cells and human hepatoma HepG2 cells. <italic>MYC</italic> depletion decreased intracellular cholesterol levels (<xref ref-type="fig" rid="F1">Figures 1A,B</xref>). Conversely, MYC overexpression in U2OS and HepG2 cells led to a noticeable increase in cholesterol levels (<xref ref-type="fig" rid="F1">Figures 1C,D</xref>). These results indicate that MYC enhances intracellular cholesterol levels. Furthermore, silencing of <italic>MYC</italic> inhibited cell viability and cell proliferation (<xref ref-type="fig" rid="F1">Figures 1E,F</xref>), whereas overexpression of MYC promoted cell viability and proliferation in both U2OS and HepG2 cells (<xref ref-type="fig" rid="F1">Figures 1G,H</xref>). We next knocked down MYC in U2OS and HepG2 cells and cultured cells in lipid-free medium in the presence or absence of cholesterol (<xref ref-type="fig" rid="F1">Figures 1I,J</xref>). Cholesterol addition rescued the decreased cell viability and cell proliferation caused by MYC knockdown. These data indicated that MYC supports tumor cell growth through cholesterol. Taken together, these data indicate that MYC promotes cholesterol synthesis and cell proliferation.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption><p>MYC increases intracellular cholesterol levels and promotes cell proliferation. <bold>(A,B)</bold> U2OS and HepG2 cells were transfected with control or two different sets of <italic>MYC</italic> siRNAs. Cells were cultured in the lipoprotein-depleted fetal bovine serum (LPDS) medium. Intracellular cholesterol levels (top) and corresponding protein expression (bottom) were shown. <bold>(C,D)</bold> U2OS cells and HepG2 cells cultured in LPDS medium were transfected with plasmid expressing the MYC protein. Intracellular cholesterol levels (top) and corresponding protein expression (bottom) were shown. <bold>(E,F)</bold> Relative cell viability (left) and cell proliferation (right) in control and <italic>MYC</italic> knockdown U2OS cells and HepG2 cells. Relative cell viability was measured with CCK8. <bold>(G,H)</bold> Relative cell viability (left) and cell proliferation (right) in control and MYC overexpressing U2OS cells and HepG2 cells. Relative cell viability was measured with CCK8. <bold>(I,J)</bold> Relative cell viability (left) and cell proliferation (right) of U2OS and HepG2 <italic>MYC</italic>-knockdown cells cultured in LPDS medium with or without 20 &#x03BC;g/ml cholesterol. Relative cell viability was measured with CCK8. In <bold>(A&#x2013;H)</bold>, <italic>n</italic> = 3 independent experiments. Data are means &#x00B1; SD. Statistical significance was determined by two-tailed unpaired <italic>t</italic>-test. &#x002A;<italic>P</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>P</italic> &#x003C; 0.01, and &#x002A;&#x002A;&#x002A;<italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic xlink:href="fcell-09-655889-g001.tif"/>
</fig>
</sec>
<sec id="S3.SS2">
<title>MYC Transcriptionally Upregulates SQLE Expression</title>
<p>To investigate the mechanism by which MYC regulates the cholesterol biosynthesis, we analyzed the mRNA levels of several enzymes involved in cholesterol metabolism. <italic>MYC-</italic>knockdown decreased expression of genes in cholesterol synthesis, while SQLE expression was mostly reduced in <italic>MYC</italic>-depleted cells (<xref ref-type="fig" rid="F2">Figures 2A,B</xref>). SQLE is a rate-limiting enzyme in cholesterol biosynthesis. We next examined how MYC regulates SQLE expression. We knocked down expression of MYC using two different sets of siRNAs in both U2OS and HepG2 cells. As shown in <xref ref-type="fig" rid="F2">Figures 2C,D</xref>, both protein and mRNA levels of SQLE decreased in <italic>MYC</italic> knocking down cells compared to control cells (<xref ref-type="fig" rid="F2">Figures 2C,D</xref>). Similar results were observed in the other three cell lines including H1299, SW480, and Caki-1 cells (<xref ref-type="supplementary-material" rid="FS1">Supplementary Figures S1A&#x2013;C</xref>). Conversely, enforced expression of MYC promoted SQLE expression in both mRNA and protein levels (<xref ref-type="fig" rid="F2">Figures 2E,F</xref> and <xref ref-type="supplementary-material" rid="FS1">Supplementary Figures S1D&#x2013;F</xref>). These data suggest that MYC upregulates SQLE expression.</p>
<fig id="F2" position="float">
<label>FIGURE 2</label>
<caption><p>MYC transcriptionally upregulates the expression of SQLE. <bold>(A,B)</bold> U2OS cells and HepG2 cells were transfected with control or <italic>MYC</italic> siRNA. The mRNA levels of seven metabolic enzymes in cholesterol synthesis pathway were detected by qPCR. <bold>(C,D)</bold> SQLE mRNA (top) and protein (bottom) expression in control and <italic>MYC</italic> knockdown U2OS and HepG2 cells. <bold>(E,F)</bold> <italic>SQLE</italic> mRNA (top) and protein (bottom) expression in U2OS and HepG2 cells expressing ectopic MYC or control protein. <bold>(G)</bold> Schematic representation of human SQLE genomic structure. Shown are the putative MYC response elements (RE1/RE2), and the mutant response element (RE1-mut, with mutated nucleotides underlined). Arrows mark the positions of the primers used for qPCR in the ChIP assay. UTR, untranslated region. <bold>(H)</bold> HEK293T cells were analyzed by ChIP assay using an anti-MYC antibody or rabbit IgG control. <bold>(I)</bold> Luciferase assays performed using reporter constructs containing the wild-type or mutant MYC response element were transfected into HEK293T cells, together with or without ectopically expressed MYC. Renilla vector was used as a transfection internal control. Relative levels of luciferase are shown (left). MYC expression in HEK293T cells was detected (right). In <bold>(A&#x2013;F,H,I)</bold> <italic>n</italic> = 3 independent experiments. Data are means &#x00B1; SD. Statistical significance was determined by two-tailed unpaired <italic>t</italic>-test. &#x002A;<italic>P</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>P</italic> &#x003C; 0.01, and &#x002A;&#x002A;&#x002A;<italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic xlink:href="fcell-09-655889-g002.tif"/>
</fig>
<p>Next, to determine whether SQLE is a transcriptional target of MYC, we analyzed the human <italic>SQLE</italic> gene sequence for potential MYC protein response elements in JASPAR database. We identified two putative MYC response elements (RE1 and RE2) (<xref ref-type="fig" rid="F2">Figure 2G</xref>). To investigate the binding of MYC to these two response elements, we performed ChIP-quantitative PCR (ChIP-qPCR) experiments. As shown in <xref ref-type="fig" rid="F2">Figure 2H</xref>, MYC bound to the genomic region RE1 of <italic>SQLE</italic> gene, but not RE2 (<xref ref-type="fig" rid="F2">Figure 2H</xref>). To evaluate whether the response element within <italic>SQLE</italic> confers MYC-dependent transcriptional activation, we cloned DNA fragments containing the wild-type response element (RE1) or a mutant response element (RE1-mut) into luciferase reporter plasmid. MYC was able to induce luciferase expression from the RE1 plasmid, but not from the RE1-mut plasmid (<xref ref-type="fig" rid="F2">Figure 2I</xref>). These data suggest that SQLE is a transcriptional target of MYC and MYC activates SQLE expression in a transcriptional manner.</p>
</sec>
<sec id="S3.SS3">
<title>MYC Regulates Cellular Cholesterol Levels Through SQLE</title>
<p>We next determine the role of SQLE in MYC-mediated cholesterol synthesis. Inhibition of SQLE expression using two sets of siRNAs led to a decreased cholesterol level in both U2OS and HepG2 cells (<xref ref-type="fig" rid="F3">Figures 3A,B</xref>). Conversely, SQLE overexpression increased cholesterol levels (<xref ref-type="fig" rid="F3">Figures 3C,D</xref>). Furthermore, we enforced expression of SQLE in <italic>MYC</italic>-knocking down cells. <italic>MYC</italic> depletion reduced cellular cholesterol levels, while SQLE overexpression reversed it in both U2OS and HepG2 cells (<xref ref-type="fig" rid="F3">Figures 3E,F</xref>). Surprisingly, MYC overexpression failed to restore the cholesterol levels in <italic>SQLE</italic> deficient cells (<xref ref-type="fig" rid="F3">Figures 3G,H</xref>). Together, these results suggest that MYC stimulates cholesterol biosynthesis through SQLE.</p>
<fig id="F3" position="float">
<label>FIGURE 3</label>
<caption><p>MYC increases intracellular cholesterol levels through SQLE. <bold>(A,B)</bold> U2OS and HepG2 cells were transfected with control or different sets of <italic>SQLE</italic> siRNAs. Cells were cultured in the LPDS medium. Intracellular cholesterol levels (top) and corresponding protein expression (bottom) were detected. <bold>(C,D)</bold> U2OS cells and HepG2 cells cultured in LPDS medium were ectopically expressed the SQLE protein. Intracellular cholesterol levels (top) and corresponding protein expression (bottom) were shown. <bold>(E,F)</bold> Intracellular cholesterol levels (top) and protein expression (bottom) in U2OS and HepG2 cells transfected with control or <italic>MYC</italic> siRNA, with or without Flag-SQLE as indicated. <bold>(G,H)</bold> U2OS cells and HepG2 cells were transfected with control or <italic>SQLE</italic> siRNA, and then enforced expression of MYC into <italic>SQLE</italic> knockdown cells. Intracellular cholesterol levels (top) and protein expression (bottom) were examined, respectively. For cholesterol content detection, cells were cultured in the medium with LPDS. In <bold>(A&#x2013;H)</bold> 2 &#x03BC;g plasmids and 1 &#x03BC;g siRNAs were used in all experiments. <italic>n</italic> = 3 independent experiments. Data are means &#x00B1; SD. Western blots represent three independent experiments. Statistical significance was determined by two-tailed unpaired <italic>t</italic>-test. &#x002A;<italic>P</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>P</italic> &#x003C; 0.01, and &#x002A;&#x002A;&#x002A;<italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic xlink:href="fcell-09-655889-g003.tif"/>
</fig>
</sec>
<sec id="S3.SS4">
<title>MYC Promotes Tumor Cell Growth Through SQLE</title>
<p>Cholesterol metabolism provides essential membrane components as well as metabolites with a variety of biological functions (<xref ref-type="bibr" rid="B15">Huang et al., 2020</xref>). To verify whether SQLE is involved in MYC-mediated cell growth, we depleted <italic>SQLE</italic> using two sets of siRNAs. Depletion of <italic>SQLE</italic> repressed cell proliferation and cell viability (<xref ref-type="fig" rid="F4">Figures 4A,B</xref>). Conversely, ectopically expressing SQLE promoted cell growth (<xref ref-type="fig" rid="F4">Figures 4C,D</xref>). More importantly, ectopically expressing SQLE almost completely rescued the decreased cell viability and cell proliferation caused by <italic>MYC</italic> knockdown (<xref ref-type="fig" rid="F4">Figures 4E,F</xref>). On the contrary, overexpression of MYC partially increased cell viability and proliferation in <italic>SQLE</italic>-knockdown cells (<xref ref-type="fig" rid="F4">Figures 4G,H</xref>). These data indicate that MYC promotes cell growth at least partially through SQLE. Then we analyzed TCGA cohort to identify the correlation between MYC and SQLE expression (<xref ref-type="supplementary-material" rid="FS2">Supplementary Figure 2</xref>). MYC was positively correlated with SQLE in several cancers such as cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC), colon adenocarcinoma (COAD), head and neck squamous cell carcinoma (HNSC), and Sarcoma (SARC). Collectively, these data indicate that SQLE is critical for MYC-mediated tumor cell proliferation.</p>
<fig id="F4" position="float">
<label>FIGURE 4</label>
<caption><p>MYC activates SQLE expression to support tumor growth. <bold>(A,B)</bold> Relative cell viability (left) and cell proliferation (right) in control and <italic>SQLE</italic> knockdown U2OS cells and HepG2 cells. Relative cell viability was measured with CCK8. <bold>(C,D)</bold> Relative cell viability (left) and cell proliferation (right) in control and SQLE overexpressing U2OS cells and HepG2 cells. Relative cell viability was measured with CCK8. <bold>(E,F)</bold> U2OS and HepG2 cells were transfected with control or <italic>MYC</italic> siRNA in the presence or absence of exogenous SQLE. Cell viability (left) and cell proliferation (right) were detected, respectively. Relative cell viability was measured with CCK8. <bold>(G,H)</bold> U2OS and HepG2 cells were transfected with control or <italic>SQLE</italic> siRNA in the presence or absence of exogenous MYC. Cell viability (left) and cell proliferation (right) were detected, respectively. Relative cell viability was measured with CCK8. In <bold>(A&#x2013;H)</bold>, 2 &#x03BC;g plasmids and 1 &#x03BC;g siRNAs were used in all experiments. <italic>n</italic> = 3 independent experiments. Data are means &#x00B1; SD. Statistical significance was determined by two-tailed unpaired <italic>t</italic>-test. &#x002A;<italic>P</italic> &#x003C; 0.05, &#x002A;&#x002A;<italic>P</italic> &#x003C; 0.01, and &#x002A;&#x002A;&#x002A;<italic>P</italic> &#x003C; 0.001.</p></caption>
<graphic xlink:href="fcell-09-655889-g004.tif"/>
</fig>
</sec>
</sec>
<sec id="S4">
<title>Discussion</title>
<p>MYC promotes metabolic reprogramming in cancer and is involved in lipogenesis by pronouncedly activating acetyl-CoA carboxylase (ACACA), fatty acid synthetase (FASN), and stearoyl-CoA desaturase (SCD) (<xref ref-type="bibr" rid="B34">Zeller et al., 2003</xref>; <xref ref-type="bibr" rid="B20">Loven et al., 2012</xref>). In patient-derived brain-tumor-initiating cells, MYC is required for upregulation of the mevalonate pathway. And this upregulation further elevates miR-33b to increase MYC expression and thus establishes a positive feedback loop (<xref ref-type="bibr" rid="B29">Wang et al., 2017</xref>). In this study, we report that MYC stimulates cholesterol production and promotes tumor cell proliferation via transcriptionally upregulating SQLE.</p>
<p>SQLE is one of the rate-limiting enzymes in cholesterol biosynthesis, and is one of the most significantly upregulated genes in numerous tumors (<xref ref-type="bibr" rid="B32">Xu et al., 2020</xref>). A pan-cancer genomic and transcriptomic analysis also highlights SQLE as a key player in maintaining cell survival under hypoxia (<xref ref-type="bibr" rid="B3">Bai et al., 1992</xref>). Additionally, in hepatocellular carcinoma (<xref ref-type="bibr" rid="B19">Liu et al., 2018</xref>) and breast cancer (<xref ref-type="bibr" rid="B6">Cirmena et al., 2018</xref>), SQLE expression is correlated with cancer stage and identified as a prognostic marker. Here we explore the possible correlation between MYC and SQLE. Interestingly, enforced expression of SQLE in <italic>MYC</italic>-depleted cells completely rescues intracellular cholesterol contents, while overexpression of MYC fails to affect the cholesterol levels in <italic>SQLE</italic>-deficient cells. This means that SQLE is indispensable for MYC-regulated cholesterol levels. Of note, we cannot rule out the possibility that MYC may also simultaneously activate the upstream enzymes in the mevalonate pathway.</p>
<p>Recent studies show that SQLE and MYC are co-localized to the same amplicons (<xref ref-type="bibr" rid="B4">Brown et al., 2016</xref>; <xref ref-type="bibr" rid="B30">Wolpaw and Dang, 2018</xref>). And amplification of SQLE is thought to be associated with amplification of the oncogene MYC (<xref ref-type="bibr" rid="B25">Parris et al., 2014</xref>). Our work finds that MYC transcriptionally upregulates SQLE expression. Although a study shows that SQLE expression is independent of MYC in breast and ovarian cancers (<xref ref-type="bibr" rid="B4">Brown et al., 2016</xref>), indicating cell heterogeneity in different contexts.</p>
<p>Cholesterol metabolism is essential for tumor growth. Normal mammalian cells meet their need for cholesterol through uptake or <italic>de novo</italic> synthesis (<xref ref-type="bibr" rid="B14">Goldstein and Brown, 1990</xref>). Many cancer cell lines depend on exogenous cholesterol for their growth. For example, when incubated in lipoprotein-depleted serum, U-937 cells die after 4 days unless supplemented with cholesterol (<xref ref-type="bibr" rid="B12">Garcia-Bermudez et al., 2019</xref>). ALK<sup>+</sup> anaplastic large cell lymphoma (ALCL) cell lines and primary tumors which are less of SQLE expression are highly dependent on cholesterol uptake (<xref ref-type="bibr" rid="B12">Garcia-Bermudez et al., 2019</xref>). However, under lipid-free culture conditions, many cells still can proliferate suggesting that these cells may obtain sufficient cholesterol through <italic>de novo</italic> synthesis (<xref ref-type="bibr" rid="B12">Garcia-Bermudez et al., 2019</xref>). In addition, lower levels of LDLR but higher levels of SQLE are expressed in advanced-stage prostate cancer, revealing a greater dependence on cholesterol synthesis than uptake (<xref ref-type="bibr" rid="B11">Freudiger et al., 2008</xref>). As above, many tumor cells rely on cholesterol biosynthesis to support their growth. Because of its ubiquitous role in human tumors, MYC is an attractive therapeutic target. Cells with deregulated MYC expression often lose negative control and thus depend on a continual supply of nutrients, causing them to be nutrient addicted (<xref ref-type="bibr" rid="B8">Dang, 2012</xref>). Therefore, therapies targeting SQLE may be a promising strategy in the treatment of certain MYC-driven cancer.</p>
</sec>
<sec id="S5">
<title>Data Availability Statement</title>
<p>The original contributions presented in the study are included in the article/<xref ref-type="supplementary-material" rid="FS1">Supplementary Material</xref>. Further inquiries can be directed to the corresponding author/s.</p>
</sec>
<sec id="S6">
<title>Author Contributions</title>
<p>WD and FY designed the experiments and interpreted results. FY performed all experiments. ZL and WL provided technical assistance. WD supervised the research. WD and JK wrote the manuscript with the help of FY. All authors discussed the results and commented on the manuscript.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
</body>
<back>
<fn-group>
<fn fn-type="financial-disclosure">
<p><bold>Funding.</bold> This work was supported by the National Natural Science Foundation of China (81672766 to WD) and CAMS Innovation Fund for Medical Sciences (2016-I2M-4-002 to WD).</p>
</fn>
</fn-group>
<sec id="S8" sec-type="supplementary material"><title>Supplementary Material</title>
<p>The Supplementary Material for this article can be found online at: <ext-link ext-link-type="uri" xlink:href="https://www.frontiersin.org/articles/10.3389/fcell.2021.655889/full#supplementary-material">https://www.frontiersin.org/articles/10.3389/fcell.2021.655889/full#supplementary-material</ext-link></p>
<supplementary-material xlink:href="Image_1.TIF" id="FS1" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 1</label>
<caption><p>MYC promotes the expression of SQLE. <bold>(A&#x2013;C)</bold> SQLE mRNA (Top) and protein (Bottom) expression in control and <italic>MYC</italic> knockdown H1299 cells, SW480 cells, and Caki-1 cells. <bold>(D&#x2013;F)</bold> SQLE mRNA (Top) and protein (Bottom) expression in H1299 cells, SW480 cells, and Caki-1 cells expressing ectopic MYC or control protein. In <bold>(A&#x2013;F)</bold>, 2 &#x03BC;g plasmids and 1 &#x03BC;g siRNAs were used in all experiments. <italic>n</italic> = 3 independent experiments. Data are means &#x00B1; SD. Statistical significance was determined by two-tailed unpaired <italic>t</italic>-test. <sup>&#x2217;</sup><italic>P</italic> &#x003C; 0.05, <sup>&#x2217;&#x2217;</sup><italic>P</italic> &#x003C; 0.01, and <sup>&#x2217;&#x2217;&#x2217;</sup><italic>P</italic> &#x003C; 0.001.</p></caption>
</supplementary-material>
<supplementary-material xlink:href="Image_2.TIF" id="FS2" mimetype="image/tiff" xmlns:xlink="http://www.w3.org/1999/xlink">
<label>Supplementary Figure 2</label>
<caption><p>TCGA cohort identified a correlation between MYC and SQLE expression. <bold>(A&#x2013;D)</bold> The correlation between MYC and SQLE expression in cervical squamous cell carcinoma and endocervical adenocarcinoma (CESC), colon adenocarcinoma (COAD), head and neck squamous cell carcinoma (HNSC), and Sarcoma (SARC) by analyzing TCGA cohort.</p></caption>
</supplementary-material>
</sec>
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