FBXL family members are the core component of SCF complexes responsible for specific substrate recognition. Previously, several FBXLs have been reported to function as tumor suppressors or oncoproteins in various cancers, basically depending on their targeting substrates involved signaling pathways. For example, SKP2 (S-phase kinase-associated protein 2), a key cell cycle regulator, is capable of inhibiting apoptosis and promoting tumor growth [21, 22]. In contrast, FBXL2 induced mitotic arrest and suppressed tumor formation through its ability to ubiquitinate cyclin D3 and promote its degradation [23]. Unlike many other FBXLs, FBXL18 is an orphan F-box protein and has been poorly characterized. It was also reported that FBXL18 reduced mitotic arrest by targeting FBXL7 for polyubiquitination and degradation [24]. Zhang et al. revealed FBXL18 was upregulated in glioma and promoted AKT1-K63 linked-ubiquitination [25]. In addition, FBXL18 attenuates cell toxicity by selectively targeting phosphorylated LRRK2 for ubiquitination and proteasomal degradation [26]. Although previous studies indicated FBXL18 participated in cell growth, its role in lung cancer still remains unclear. Here, we conclude that FBXL18 may act as an oncogenic protein in NSCLC. The expression of FBXL18 was significantly upregulated in human NSCLC samples in both mRNA and protein levels, and was positively correlated with PI3K/AKT signaling activation. Mechanistically, FBXL18 inhibits PTEN activity by K63-linked ubiquitination, and this inhibition in turn activates PI3K/AKT signaling pathway in NSCLC cells (Fig. 5E).
PTEN/PI3K/AKT signaling pathway is one of the best characterized cancer related key pathways in human cancer progression. Pathway enrichment analysis revealed that FBXL18 was significantly correlated with PI3K-AKT signaling pathway in NSCLC (Fig. 2). FBXL18 substrate prediction assay showed that PTEN is the most significant interactor among PI3K/AKT signaling pathway associated proteins (Fig. 2C), indicating FBXL18 may regulate PI3K-AKT pathway through PTEN. In this study, we found that FBXL18 activated AKT phosphorylation by interacting with and ubiquitinating PTEN. FBXL18 interacts with C-terminal domain of PTEN, which comprises C-tail domain and PDZ-binding domain (PDZ-BD) (Fig. 3). The C-tail domain is important for PTEN regulation and stability. In addition, PTEN binds to PDZ-domain containing proteins through PDZ-BD to regulate its subcellular localization and enhance the ability of PTEN to suppress AKT activation. Therefore, the interaction between FBXL18 and PTEN may disrupt the binding ability of PTEN to associate its partner proteins and result in an inactive conformation.
Recently, it has been reported that the expression of PTEN can be controlled by genomic variations and various post-translational modifications such as acetylation, ubiquitination and SUMOylation [27]. In our current study, we found FBXL18 could function as an E3 ligase that promotes PTEN ubiquitination (Fig. 4A). However, our results showed that PTEN ubiquitination mediated by FBXL18 was K63-linked, rather than K48 (Fig. 4C). Commonly, K48-linked ubiquitination are proteolytic through proteasome in nature, whereas K63-linked type is associated with localization, activity and protein-protein interaction. In line with these findings, ectopic expression of FBXL18 failed to decrease the expression of PTEN in the half-life experiment (Fig. 4B). These results may explain that even FBXL18 could not alter PTEN expression but still could activate PI3K-AKT signaling pathway. This is an exciting result as it uncovers a new mechanism that has never been reported before for activating PI3K-AKT signaling pathway by FBXL18 through PTEN K63-linked ubiquitination.
In summary, our findings demonstrate that FBXL18 is upregulated in NSCLC tissues compared with adjacent non-cancer tissues and high expression of FBXL18 is associated with poor LUAD prognosis. And also, our study reveals that FBXL18, a critical upstream factor of PI3K/AKT signaling pathway, positively regulates ATK activity by promoting PTEN K63-linked ubiquitination in NSCLC. Consequently, inhibition of PI3K/AKT pathway in FBXL18-upregulated NSCLC patients, might improve clinical outcomes in lung cancer treatment.