Star-related lipid transfer protein 10 (STARD10): a novel key player in alcohol-induced breast cancer progression
Ethanol abuse promotes breast cancer development, metastasis and recurrence stimulating mammary tumorigenesis by mechanisms that remain unclear. Normally, 35% of breast cancer is Erb-B2 Receptor Tyrosine Kinase 2 (ERBB2)-positive that predisposes to poor prognosis and relapse, while ethanol drinking leads to invasion of their ERBB2 positive cells triggering the phosphorylation status of mitogen-activated protein kinase. StAR-related lipid transfer protein 10 (STARD10) is a lipid transporter of phosphatidylcholine (PC) and phosphatidylethanolamine (PE); changes on membrane composition of PC and PE occur before the morphological tumorigenic events. Interestingly, STARD10 has been described to be highly expressed in 35–40% of ERBB2-positive breast cancers. In this study, we demonstrate that ethanol administration promotes STARD10 and ERBB2 expression that is significantly associated with increased cell malignancy and aggressiveness.
Material and methods
We investigated the effect of ethanol on STARD10-ERBB2 cross-talk in breast cancer cells, MMTV-neu transgenic mice and in clinical ERBB2-positive breast cancer specimens with Western Blotting and Real-time PCR. We also examined the effects of their knockdown and overexpression on transient transfected breast cancer cells using promoter activity, MTT, cell migration, calcium and membrane fluidity assays in vitro.
Ethanol administration induces STARD10 and ERBB2 expression in vitro and in vivo. ERBB2 overexpression causes an increase in STARD10 expression, while overexpression of ERBB2’s downstream targets, p65, c-MYC, c-FOS or c-JUN induces STARD10 promoter activity, correlative of enhanced ERBB2 function. Ethanol and STARD10-mediated cellular membrane fluidity and intracellular calcium concentration impact ERBB2 signaling pathway as evaluated by enhanced p65 nuclear translocation and binding to both ERBB2 and STARD10 promoters.
Our finding proved that STARD10 and ERBB2 positively regulate each other’s expression and function. Taken together, our data demonstrate that ethanol can modulate ERBB2’s function in breast cancer via a novel interplay with STARD10.
KeywordsBreast cancer Alcohol abuse STARD10 ERBB2
AK strain transforming
Casein Kinase II
Receptor tyrosine-protein kinase
Extracellular signal-regulated kinase
c-Jun NH2 terminal protein kinase
Signaling members mitogen-activated protein kinases
Mouse mammary tumor virus
- p38 MAPK
p38 mitogen-activated protein kinase
Phosphatidyl inositol 3 kinase
StAR-related lipid transfer protein 10
Breast cancer is the most common invasive cancer in females worldwide. It accounts for 16% of all female cancers, 22.9% of invasive cancers in women and 18.2% of all cancer deaths worldwide . The predictive biomarkers in breast cancer are the estrogen (ER), progesterone (PR) receptors and human epidermal growth factor receptor HER2 (erbB2/neu)  whose overexpression is associated with a lower probability of response to tamoxifen and trastuzumab . Currently, the endogenous and environmental factors that contribute to breast cancer etiology remain elusive, where tobacco use, unregulated diet and alcohol consumption are the three-major human cancer risk factors . Epidemiological evidence and experimental studies support a positive association between alcohol consumption and breast cancer risk in a concentration- and duration-dependent manner, showing that alcohol drinking increases breast cancer risk by 10–20% for each glass of wine and or beer (10 g of alcohol) consumed daily by adult women [5, 6]. Research consistently shows that ethanol is a tumor promoter and stimulates migration/invasion as well as proliferation of breast tumor cells and enhances epithelial-mesenchymal transition , also enhances the cell growth of existing breast tumor and its capability to invade and metastasize . Oxidation of ethanol to acetaldehyde or formation of free radicals could be involved in ethanol-mediated breast cancer promotion, through inhibition of carcinogen-induced DNA damage repair [9, 10]. Cytochrome P450 2E1 (CYP2E1) is the principal P-450 responsible for the metabolism of ethanol and it has been shown to contribute to reactive oxygen species (ROS) generation in breast cancer cells . However, the molecular mechanism underlying ethanol action remain to be determined. The ErbB protein family is a receptors kinase group that includes four closely related members: epidermal growth factor receptor (EGFR/ERBB1), ERBB2/neu, ERBB3 and ERBB4. ERBB2 plays a critical role in the pathogenesis of breast cancer and results amplified and/or overexpressed in 20–30% of human breast cancers correlating with poor prognosis . In human breast cancer and mammary epithelial cells with high expression of ERBB2, ethanol induces ERBB2 expression and its autophosphorylation that activates the mitogen-activated protein kinases (MAPKs) signaling members, extracellular signal-regulated kinase (ERK), c-Jun NH2 terminal protein kinase (JNK1/2), p38 mitogen-activated protein kinase (p38 MAPK), PI3-kinase (Phosphatidyl inositol 3 kinase) and Akt (AK strain transforming), well-known to be downstream targets of ERBB2 . The steroidogenic acute regulatory protein (StAR)-related lipid transfer (STARD) domain is a protein module of 210 residues that binds lipids . STARD10 is a member of the StarD protein family and lipid transfer protein with selective binding site to phosphatidylcholine (PC) and phosphatidylethanolamine (PE), two potential precursors for lipid metabolism and a major constituent of cell membranes (REF). STARD10 is highly expressed in liver where it delivers phospholipids in the canalicular membrane for secretion into bile . However, in the mammary gland, STARD10 expression is developmentally regulated for the lipids needed in milk enrichment . Cellular growth and apoptosis may also be influenced by the PC to PE ratio as a reduction in this ratio can result in a loss of membrane integrity that could predispose to cellular transformation. Since PC is involved in membrane trafficking processes and cellular signaling, it can induce direct activation of the MEK-ERK 1/2 pathway protein, increase cell viability and induce proliferation . The biological effects correlated with PC concentration changes in biological membranes are due to an altered cellular localization of membrane enzymatic proteins and its activation status . The role of STARD10 as key player in subcellular lipid transfer and cellular signaling regulation has not been clarified yetPhosphorylation is a common modification that regulates the activity of proteins, increasing their local negative charge to promote conformational changes or influencing interaction with protein partners. STARD10 protein is well-known to be negatively regulated by phosphorylation via Casein Kinase II (CKII) at Serine 284 . STARD10 is highly expressed at protein level in mouse mammary tumor, in 35% of primary breast carcinoma and in 64% of human breast cancer cell lines. This data supports the role of STARD10 as lipid binding protein in deregulated cell growth and tumorigenesis. Intriguingly, STARD10 was found to be co-expressed with ERBB2 in several breast carcinoma cell lines, suggesting a selective growth advantage and cellular transformation for tumor expressing both proteins . Although STARD10 expression alone was not sufficient to transform cells, it potentiated cellular transformation when co-expressed with ERBB1, another member of ERBB family, by an unknown mechanism [16, 19, 20]. The aim of this study was to investigate the role of STARD10 and ERBB2 cross-talk in breast cancer as consequence of ethanol administration and elucidate the molecular mechanisms.
Materials and methods
Cell culture and treatments
All cell lines were purchased and authenticated after 30 passages from American Type Culture Collection and authentication service (ATCC, Rockville, MD), respectively. Specifically, both human breast cancer cell lines, MCF-7 (ERBB2 negative) and SKBR-3 cells (ERBB2 positive), were grown according to instructions provided by ATCC, while MCF12-A (human breast epithelial cells) were maintained in DMEM/F12 medium (Corning) containing epidermal growth factor (EGF) (20 ng/mL) (Thermo Fisher, Waltham, MA), hydrocortisone (0.5 mg/mL), cholera toxin (100 ng/mL), insulin (10 μg/mL) (Sigma, Saint Louis, MO) and supplemented with 5% horse serum (Thermo Fisher, Waltham, MA), penicillin (100 U/ml)/streptomycin (100 U/ml) at 37 °C with 5% CO2. In this study, cells were exposed to ethanol (Sigma Aldrich, St. Louis, MO) at pharmacologically relevant concentration of 100 mM for 48 h .
Human breast tissue specimens
Five normal breast tissues and thirteen breast cancer tissues from surgical reductive mastoplasty and surgical resection for primary breast cancer, respectively, were used (Additional file 1: Table S1). All tissues were immediately frozen in liquid nitrogen for subsequent RNA and protein extraction. Written informed consent was obtained from each patient. The study protocol conformed to the ethical guidelines of the 1975 Declaration of Helsinki as reflected in a prior approval by Cedars Sinai Medical Center’s human research review committee.
MMTV-neu transgenic mice model
Mice mammary adenocarcinoma tissues was provided by Dr. Jia Lou (University of Kentucky College of Medicine, Lexington, KT). FVB MMTV-neu transgenic mice were purchased from Jackson Laboratory (Bar Harbor, MA). Twelve weeks old mice were divided into two groups, the (treat group) were fed with ethanol liquid diet at concentration 6.6% v/v, while the other (control group) were put on an alcohol-free liquid diet. Both groups were monitored weekly to observe growth and development of tumor. The mice with the tumor that increased its size and go beyond 20 mm were euthanized and the tumor mass was analyzed .
Transient cell transfection
MCF-7 and SKBR-3 cells were transfected with the following overexpression vectors: StarD10 (Myc-DDK-tagged), ErbB2-EGFP, pCMV4-p65, CMV6-c-Myc-DDK, pMIEG3-c-Jun, pLX304-Fos-V5. All plasmids and the corresponding negative control empty vectors were purchased from Origene (Rockville, MD) and Addgene (Cambridge, MA). MCF-7 and SKBR-3 cells were cultured in 6-well plates (0.5 × 106 cells/well) and transfected using 5 μl of JetPRIME from Polyplus (New York, NY) with 2 μg of target plasmid per well. After 4 h, the transfection medium was changed with regular culture medium to avoid toxicity and the cells were cultured for additional 44 h (total 48 h of transfection). Ethanol (100 mM) was administrated every 4 h to compensate its evaporation rate without replacing the culture media and mRNA and protein expression analysis were performed as indicated.
STARD10 and ERBB2 promoter reporter assays
The STARD10 and ERBB2 promoter-luciferase reporter plasmids (GeneCopoeia, Rockville, MD), p65, c-Jun, c-Fos and c-Myc were co-transfected as indicated into MCF-7 and SKBR-3 cells (0.5 × 106 cells/well, 6-well plates) as described above for 24 h and ethanol (100 mM) was added as indicated for 48 h. Gaussia luciferase (GLuc) and secreted Alkaline Phosphatase (SEAP) activities were measured following the manufacturing’s instruction (GeneCopoeia, Rockville, MD).
ChIP assays were performed using Imprint Chromatin Immunoprecipitation kit (Sigma, St. Louis, MO). Sonicated chromatin was immunoprecipitated with 2 μg of antibody against p65 (Proteintech, Rosemont, IL) reverse cross-linked and PCR amplified for 35 cycles with the following murine STARD10 promoter primer sequences: part 1. chr11:72791657–72,796,391) Forward: 5’-TCCTAATATCCAGAGGAGCAC-3′; Reverse: 5′- TCTGGAAGTTAACTGACAGCC-3′; part 2. (chr11:72791657–72,792,196) Forward: 5’-GGCTCTCAGTTAACTTCCAGA-3′; Reverse: 5’-GCACAACTAACTCAGCAGCAA-3′, and murine ERBB2 promoter primer sequences: part 1. (chr11:98411386–98,411,757) Forward: 5’-GAAAGTAGATTAAGAGAGGGCC-3′; Reverse: 5’-GTTCTGACTTTACCCAGTTCTC-3′ (Ambion, Austin, TX). Human STARD10 promoter primer sequences are: Forward 5’-CTTGAGCTCCTGAGAAATGTAGT-3′; Reverse 5’-GAGGGTCATTCCTTGTAATCAT-3′, while human ERBB2 promoter primer sequences are: Forward 5’-CACAAGGTAAACACAACACATCC-3′; Reverse 5’-GTAAAGGGCCCCGTGGGAA-3′.
To perform the RNAi experiments, five different predesigned small interfering RNAs (siRNAs) targeting human STARD10 (#1 sense sequence: 5’-GGCCAUGAAGAAGAUGUACtt-3′, antisense: 3’-GUACAUCUUCUUCAUGGCCtt-5′), (#2 sense sequence 5’-GGCCAUGAAGAAGAUGUACtt-3′ and antisense: 3’-GUACAUCUUCUUCAUGGCCtt-5′), (Ambion, Austin, TX),and human RELA (#1 sense sequence: 5’-GCCCUAUCCUUUACGUCAtt-3′, antisense: 3’-UGACGUAAAGGGAUAGGGCtg-5′), (#2 sense sequence: 5’-GGAGUACCCUGAGGCUAUAtt-3′, antisense: 3’-UAUAGCCUCAGGGUACUCCat-5′) and negative control siRNA were purchased from Ambion (Austin, TX), while two human ERBB2 siRNAs were obtained from Qiagen (Hilden, Germany) (#1 catalog no. SI02223571; #2 catalog no.SI00300195). MCF-7 and SKBR-3 cells were cultured in 6-well-plate (0.5 × 106 cells/well) and transfected using RNAiMax (5 μl/well) (Invitrogen, Carlsbad, CA) with STARD10 siRNA (10 nM), ERBB2 siRNA (10 nM), RELA siRNA (10 nM) or negative control siRNA for 48 h for mRNA or protein expression analysis. For combined overexpression and silencing, overexpression was performed in the last 24 h of STARD10, RELA or ERBB2 silencing.
Real-time PCR analysis
Total RNA was isolated using Quick-RNA Kits (Zymo Research, Irvine, CA), according to the manufacturer’s protocol, subjected to reverse transcription (RT) by M-MLV Reverse transcriptase (Invitrogen, CarlsBad, CA). Two μl of RT product was subjected to real-time PCR analysis. TaqMan probes for human STARD10, ERBB2, RELA, c-Myc, c-Fos and c-Jun and the Universal PCR Master Mix were purchased from ABI (Foster City, CA). Hypoxanthine phosphoribosyl-transferase 1 (Hprt1) was used as housekeeping gene. The delta Ct (ΔCt) obtained was used to find the relative expression of genes according to the formula: relative expression = 2-ΔΔCt, where ΔΔCt = ΔCt of respective genes in experimental groups – ΔCt of the same genes in control group.
Proteins from MCF-7, SKBR-3 cells and animal breast tissues were prepared using RIPA buffer containing protease inhibitor cocktail (Sigma, St. Louis, MO) and resolved on 10% SDS- polyacrylamide gels following standard protocols (Amersham BioSciences, Piscataway, NJ). Membrane were blotted with STARD10, ERBB2, ERK, phospho-ERK, c-MYC, p65, c-JUN, c-FOS (Proteintech, Rosemont, IL), control β-actin and Histone 3 (Sigma, St. Louis, MO) antibodies. Membranes were developed by chemiluminescence ECL detection system (Amersham BioSciences, Pittsburgh, PA) and blots were quantified using the Quantity OneTM densitometry program (Bio-Rad laboratories, Hercules, CA).
Immobilized metal affinity
Cells were plated in 75cm2 Flask (Corning, NY) (~ 60–80% confluency) and treated with ethanol (100 mM) for 48 h. Thus, cells were detached from the culture plate using 0.25% Trypsin-EDTA (Fisher Scientific, Hampton, NH) and collected by centrifugation at 1000 RPM × 2 min. The total proteins were extracted as described above and subjected to immobilized metal affinity chromatography using the PhosphoCruz Protein Purification Columns (Santa Cruz Biotechology, Dallas, TX) according to the manufacturer’s protocols. The phosphoenriched lysates were subjected to immunoblotting using STARD10 monoclonal antibody.
Cell proliferation and viability
The MTT assay was performed to determine the number of viable cells in culture using the Cell Counting Kit-8 (Bimake.com, Houston, TX). MCF-7 and SKBR-3 cells were plated into 96-well-plates (4x103cells/well). 1/10 volume of MTT labeling reagent was added to each well and incubated at 37 °C for 4 h until the color turned orange. Plate reader was used to measure absorbance of formazan product at 570 nm, with a reference wavelength of 750 nm.
Cell migration assays
Cell migration assay was performed using IBIDI Culture-Inserts (2-well) (Ibidi, Munich, Germany). MCF-7 and SKBR-3 were plated at a concentration of 5 × 104 cells per 70 μL culture media, and after 24 h of incubation, culture inserts were removed. Photographs of the movement of cells into the scratch area were taken every 24 h until the scratch area had closed using EVOS XL Imaging System (Life Technologies, Carlsbad, CA). Wound healing was then analyzed using ImageJ software (https://imagej.nih.gov/ij/). Each assay was repeated in triplicate.
Measurement of intracellular calcium
Intracellular calcium levels were determined with a colorimetric calcium detection kit from Abcam (Cambridge, MA). Briefly, cells grown on 10 mm dishes and breast tissues from animal model were lysate and centrifuged at 15,000 RPM for 15 min at 4 °C. The supernatant was collected and reacted with chromogenic reagent. The absorbance of formed chromophore was measured at 575 nm using the SPECTROstar Omega reader (BMG Labtech, Ortenberg, Germany).
Membrane fluidity assay
The membrane fluidity kit from Marker Gene Technologies (Eugene, OR) was used to measure the relative membrane fluidity in MCF-7 and SKBR-3 cells according to the manufacturer’s protocol. Approximately 5 × 105 cells were seeded into 4-well Chamber slides (Thermo Fisher, Waltham, MA), treated with ethanol (100 mM for 48 h) and transfected with STARD10 plasmid as described above. The slides were treated with 200 μl of perfusion buffer with 20 μM fluorescent lipid reagent (pyrene decanoic acid) and 0.08% of pluronic F127. After 1-h incubation the cells were washed twice with PBS and we recorded fluorescence emissions between 392 and 450 nm in 2 nm steps after excitation at 360 nm with the FLUOstar Omega (BMG Labtech, Ortenberg, Germany). With increased membrane fluidity, the lipophilic pyrene probe forms excimers upon interaction. The ratio of excimer (peak around 450 nm) to monomer (peak around 394–398 nm) IE/IM was calculated as a quantitative measure of membrane fluidity.
Casein kinase II activity assay
Casein Kinase II activity was measured in MCF-7, SKBR-3 breast cancer cells (1 × 106 cells/well) and 10 mg of mice breast tissues lysate using the CycLex CK2 Kinase assay kit (Woburn, MA) according to the manufacturer’s recommended protocol.
Data are expressed as mean ± SEM. Statistical analysis was performed using ANOVA and Fisher’s test. For mRNA and protein levels, ratios of genes and proteins to respective housekeeping densitometric values were compared. Significance was defined by p < 0.05.
STARD10 expression in normal human breast and cancer tissues
STARD10 and ERBB2 expression in human breast cell lines
All cell lines that overexpressed ERBB2 mRNA were found to have high STARD10 levels. STARD10 expression, however, was also detected in cell lines that did not overexpress ERBB2 . Here, we confirmed that STARD10 was highly expressed independently of ERBB2 level (Fig. 1c). Specifically, both MCF-7 and SKBR-3 cells exhibited a gain of STARD10 protein level even though its mRNA level appeared to be upregulated only in MCF-7 cells, compared to normal MCF-12A cells (Fig. 1c). This finding confirmed the immunohistochemical analysis that show STARD10 expression was negligible in normal breast tissue . Alterations in hormone homeostasis during breast cancer transformation may be responsible for the induction in STARD10 expression even though no evidence is presented so far.
Alcohol administration enhances STARD10 protein level in MMTV-neu transgenic mice and in breast cancer cell lines
STARD10-ERBB2 crosstalk upon ethanol treatment in vitro and in vivo
Ethanol-induced p65 expression promotes STARD10 and ERBB2 expression in vivo and in vitro
The stress-responsive transcription factor NF-κB is activated by a variety of cytotoxic conditions and it is considered to be the major downstream event of ERBB2 overexpression . In order to investigate whether p65 was involved in ethanol-induced STARD10 and ERBB2 expression, PROMO™ software  was used to predict the transcriptional factors (TFs) that could potentially bind and regulate both STARD10 and ERBB2 promoters. We provided evidence that in human STARD10 promoter, p65, c-MYC, c-FOS and c-JUN are the predominant TFs that co-occupy this region (chr11:72791657–72,795,657) (Additional file 4: Figure S2A). All the above overexpressed TFs positively regulated STARD10 expression (Additional file 4: Figure S2B and S2C) in MCF-7 cell except c-JUN even though several binding sites were found in STARD10 promoter sequence (Additional file 4: Figure S2A). One of the more interesting finding was that p65 had the stronger induction at protein level of STARD10 compared to the other TFs (Additional file 4: Figure S2D). Alcohol consumption is associated with higher expression of NF-kB p65 that stimulates tumor growth and aggressiveness . Indeed, p65 overexpression had similar effect as ethanol treatment on STARD10 and ERBB2 promoter activities that were induced by 4- and 3-fold in both MCF-7 and SKBR-3 cell lines, respectively, compared to empty vector. This was associated with a corresponding increase in STARD10 and ERBB2 expression levels (Fig. 3c-d-e and Additional file 3: Figure S1C-D). This finding was also confirmed analyzing the p65 protein level in the FVB MMTV Neu transgenic mice, where it was strongly induced by 2.7-fold in ethanol-fed mouse tumor compared to control tumor and the p65 nuclear translocation inhibitor, IkappaB-alpha (IkBα)  was reduced by 80% compared to control (Fig. 3e).
Ethanol promotes p65 nuclear translocation and its binding to STARD10 and ERBB2 promoter sequences
Since NF-κB is also an important redox-sensitive TF and ethanol increased intracellular ROS level [29, 30], we postulated that ethanol activates NF-κB signaling. NF-κB activation is associated with nuclear translocation of the p65 component of the complex and IκBα phosphorylation and degradation . As show in Fig. 4c and in Additional file 5: Figure S3C, ethanol induced both nuclear and cytoplasmic p65 NF-κB protein levels by 2.9- and 1.5-fold in MCF-7 and by 1.6- and 1.3-fold in SKBR-3, respectively, indicating that ethanol stimulated also total p65 in addition of nuclear translocation of p65 NF-κB. Ethanol also enhanced IκB-α decreased the levels of IκB-α. This finding was also confirmed in vivo ethanol treated MMTV-neu mice (Fig. 4e). Furthermore, we demonstrated that ethanol treatment strongly induces p65 binding to both STARD10 and ERBB2 promoter sequences in MCF-7 cells by 2.4- and 2.2-fold, and in MMTV-neu mice by 2.5- and 1.9-fold, respectively (Fig. 4d and f). These results indicated that ethanol exposure activated NF-κB signaling on both STARD10 and ERBB2 promoters in breast cancer cells in vitro and in vivo.
Ethanol lowers CKII activity in breast cancer
Forced expression of STARD10 and ethanol administration increase membrane fluidity in MCF-7 and SKBR-3 cell lines
Ethanol and STARD10 mediate calcium transport that increases cytoplasmic calcium concentration
Previous reports have established the fact that increases in cell membrane fluidity cause an increase in calcium ion permeability . For the first time, we confirmed that ethanol administration increases cytoplasmic calcium concentration by 2.2- and 1.2-fold in MCF-7 and SKBR-3 cell lines, respectively (Fig. 6b). Also, we provide evidence that STARD10 overexpression enhanced membrane permeability, leading to increased calcium ion uptake by 2.5- and 1.3-fold in MCF-7 and SKBR-3 cell lines, respectively (Fig. 6b). These results were confirmed in MMTV-neu transgenic mice, that showed a 1.6-fold increase in calcium concentration in the ethanol group compared to control group (Fig. 6b right panel).
Mechanism of action of ethanol, ERBB2 and STARD10 in breast cancer cell growth and migration
Alcohol abuse has been reported to promote mammary tumorigenesis enhancing cell growth in vitro and in vivo [34, 22]. In addition to its carcinogenic effect, alcohol abuse is associated with progression and aggressiveness of existing mammary tumors . Mammary tissues and breast cancer cells normally metabolize alcohol by CYP2E1, ADH, xanthine oxidoreductase (XOR), and NOX which produces ROS, causing oxidative stress [11, 36, 37]. Specifically, CYP2E1 is one of the most active ROS-generating CYP450 isoforms and it is considered the link between oxidative stress and tumor growth. In addition, CYP2E1 expression in breast cancer cells plays a role in the migratory capacity, autophagy, ER stress and metastasis .
Human breast cancer cells or mammary epithelial cells with a high expression of receptor tyrosine-protein kinase ERBB2 exhibited an enhanced response to ethanol-stimulated cell invasion in vitro , therefore ethanol stimulates ROS production in mammary epithelial cells in an ERBB2-dependent manner . ERBB2 belongs to the epidermal growth factor receptor (EGFR) family and plays an important role in cell proliferation and transformation through formation of heterodimers with EGFR and HER3 . No known ligand has been identified for ERBB2, ethanol induces its phosphorylation that activates the mitogen-activated protein kinase MAPK signaling members, extracellular signal-regulated kinase ERK and other several important signaling cascades well-known to be downstream target of ERBB2 that play a key role in the carcinogenesis and aggressiveness of breast cancer . STARD10 is a specific lipid carrier for PC and PE, is well-known to be overexpressed in Neu/ErbB2-induced mammary tumors in transgenic mice, in several human breast carcinoma cell lines, and in 35% of primary human breast cancers . It was found to be co-expressed with ERBB2 in Neu tumors and human breast carcinoma cell lines and was demonstrated to cooperate with ErbB pathway in cellular transformation . In this paper we tried to elucidate the mechanism by which ERBB2/STARD10 crosstalk promotes ethanol induced cell growth and migration in breast cancer cells. We also provide evidence that the common transcription factor p65 is involved in mediating co-expression of STARD10 and ERBB2. Our results indicate a mutual induction of STARD10 and ERBB2 that positively regulates ethanol-induced malignancy/aggressiveness phenotype. This is supported by the finding that MCF-7 and SKBR-3 cell lines are more susceptible to cell growth and migration when treated with ethanol, which induces both STARD10 and ERBB2 and also overexpressing these key players. In resting cells, NF-kB is cytoplasmic sequestered as a latent complex bound to one or more members of the IkB protein family (IkBa, IkBb, IkBe, IkBg). Ethanol stimuli through ERBB2 phosphorylation activates the mitogen activated protein kinase (MAPK) signaling members than induce phosphorylation via activation of the IkB kinase complex, IKK) and subsequent proteasomal degradation of IkB inhibitory proteins, activating NF-kB for nuclear translocation. In the nucleus the p65/p50 heterodimer binds ERBB2 promoter-specific consensus DNA elements  and for the first time we provide evidence that p65 also binds to STARD10 promoter positively regulating its transcription. STARD10 transfers PC and PE between membranes, replenishing membranes with lipids metabolized by phospholipases. Lipids are delivered via monomeric exchange between the cytosolic membrane surfaces of different organelles. Monomeric exchange requires desorption of the lipid from the donor membrane, passage through the aqueous phase, and subsequent insertion into the acceptor membrane . This is the first report demonstrating that the increased STARD10 protein amount can change the membrane fluidity with a consequent increase in membrane permeability to calcium ions (Ca2+). It is well known that elevated intracellular Ca2+ triggers numerous signaling pathways including protein kinases such as the calmodulin-dependent kinases (CaMKs) and the extra-cellular signal-regulated kinases (ERKs) . These results support a novel hypothesis that a key mechanism for ethanol-induced STARD10 to promote ERBB2 is via its function as a lipid transporter.
In summary, the data presented in this study clearly showed that the ability of STARD10 to influence ERBB2 expression and activity may be involve both dependent and independent lipid binding function. This is the first report demonstrating that ethanol can modulate in dynamic manner the ERBB2 role through STARD10 involvement in breast cancer.
National Institute on Alcohol Abuse and Alcoholism (NIAAA), Award Number: K01AA022372, Recipient: Maria Lauda Tomasi, PhD.
Availability of data and materials
The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.
AF performed much of the experiments, analyzed the data and he wrote the manuscript. MLT obtained the funding for the study and contributed to generating and analyzing the data presented in all Figures; KR and JZ generated the data in Fig. 4 and Fig. 5. MB, SO, SP, AO, PC, AB collected the human samples and performed the experiments that generated Fig. 1. JL and JF developed and provided the chronic ethanol mouse model. All authors read and approved the final manuscript.
Ethics approval and consent to participate
For the use of clinical tissues for research purposes, the prior consent of the patients and approval from the Institutional Research Ethics Committee of the Tor Vergata University (Rome, Italy) and Casa di Cura Polispecialistica Sant’Elena (Cagliari, Italy) were obtained. All animal experiments were approved by and conducted in accordance with the guidelines of the Institutional Animal Care and Use Committee of the University of Kentucky College of Medicine.
Consent for publication
All authors approved of the manuscript and consented to its publication.
The authors declare that they have no competing interests.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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