The OSCC represents a heterogeneous classification of cancers arising from the mucosal lining of the oral cavity. The major risk factors include excessive alcohol consumption, smoking and betel quid chewing[13]. Even with decades of efforts in the prevention, early screening, diagnosis and treatments of OSCC, the disorder has brought many obstacles to clinical treatment due to the controversial molecular mechanisms[14]. Previously, using High-throughput sequencing on OSCC patients tissues, our work demonstrated that Tiam1 was a primary specific expressed DEG for OSCC. Tiam1 was first discovered by Habets and his colleagues based on a proviral tagging in combination with in vitro selection for invasiveness[15]. Cell clones with Tiam1 transfection could successively generate experimental metastases in nude mice, and transfection of truncated Tiam-1 cDNAs into noninvasive cells provided the ability of cells invasive, which supported the invasion functions of the gene. As every coin has two sides, Tiam1 has been shown to function as both an oncogene and a tumor repressor based on the types of tumor. However, researchers have reached a agreement that Tiam1 is closer to a potential oncogene. At this moment, Tiam1 at least was reported to be closely associated with numerous cancers, including esophageal[16], renal carcinoma[17], thyroid[18] and nasopharyngeal[19]. However, based on our search, the connection between Tiam1 and OSCC has not been fully addressed yet.
Previous, our colleagues suggested that inhibition of Fibulin-3 had significant functional effects in non-small-cell lung cancer (NSCLC) patients[9], which suppressed the growth and invasion of NSCLC cells. The Fibulin-3 acts as an inhibitor for MMP-7 expression through aberrant activation of Wnt/β-catenin signaling. Actually, the high levels of nuclear β-catenin as well as MMP-7 promote the activity of TCF-4 and cyclin D1 to enhance lung cancer cell proliferation[20, 21]. Examined the differentially expressed gene profile for OSCC, we also found the Fibulin-3 and MMP-7 as two DEGs. Moreover, further investigations could confirmed the inverse correlation between Tiam1 and Fibulin-3 in the OSCC progression (Fig. 1). With in-depth exploration, our data suggested that Tiam1 and Fibulin-3 competed with each other, collectively they manipulated β-catenin nuclear translocation and sequentially maintained the expression level of MMP-7 in the OSCC cells. This initiated a potential underling molecular mechanism for OSCC development and formation as well as allowed us to hypothesize a signaling model (Fig. 5). Based on this model, without stimulation, the Fibulin-3 forms a complex with Tiam1 and inhibits the function of Tiam1 (shown as a in the model). On the other hand, the destruction of the complex allows the Tiam1 to promote β-catenin nuclear translocation which inversely binds to the promoter region of MMP-7 for activation. The alleviated MMP-7 could elevated the level of EMT in OSCC (shown as b in the model).
Previously, Ding etc. examined the expression level of Tiam1 in PDAC pancreatic cancer[11]. In the work, they approved that Tiam1 was upregulated significantly in pancreatic cancer tissues compared with that in non-cancerous tissues. At the same time, increased level of Tiam1 was positively correlated with lymph node metastasis and pathological status in pancreatic cancer patients. Similar to the findings here, they also claimed that Tiam1 overexpression promoted EMT by decreasing the expression of the mesenchymal markers Vimentin and Snail and by elevating the expression of the epithelial marker E-cadherin (Fig. 4).
EMT plays a critical role in several tumor progression and there are multiple steps involved in the process, which results in a phenomenon as epithelial cells to behave more like mesenchymal cells. During this transition, cells could undergo a switch from a polarized epithelial phenotype to a highly mobile mesenchymal phenotype, with losing of epithelial markers such as E-cadherin, claudin, and zona occludens 1 (ZO-1) and gaining of expression of mesenchymal markers such as vimentin and N-cadherin[22]. Almost every tumor type is unexceptional correlated with EMT[23, 24]. Meanwhile, MMP-7, as a key cellular structural protein, is involved in several aspects of this complicated mechanism. For instance, using MMP-7 knocking-out mice, it could be demonstrated that MMP-7 stimulated prostate carcinogenesis through induction of EMT via regulating of IL-17[25].
Collectively, in this integrate work, we systematically elaborated a potential signaling model for OSCC development and progression. Our results supported Tiam1 as an oncogene for OSCC, antagonizing with Fibulin-3 for β-catenin nuclear translocation. Finally, the innovative signaling cassette manipulated OSCC EMT transition via targeting MMP-7. All the work here provided new insights for developing biological or pharmacological agents to target OSCC.