Sarah A. Best, Amy N. Nwaobasi, Chrysalyne D. Schmults, Matthew R

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CCAR2 Is Required for Proliferation and Tumor Maintenance in Human Squamous Cell Carcinoma  Sarah A. Best, Amy N. Nwaobasi, Chrysalyne D. Schmults, Matthew R. Ramsey  Journal of Investigative Dermatology  Volume 137, Issue 2, Pages 506-512 (February 2017) DOI: 10.1016/j.jid.2016.09.027 Copyright © 2016 The Authors Terms and Conditions

Figure 1 CCAR2 and SIRT1 proteins are stabilized in squamous cell carcinoma. (a) Histologic (H&E) and immunofluorescence analysis of CCAR2 (green) and keratin 14 (K14, red) protein expression in normal human skin and SCC frozen sections. DAPI (blue) stains the nucleus. Scale bar = 50 μm. (b) Western blot analysis of CCAR2 and SIRT1 protein in primary keratinocytes (OKF6, P1-Ep, and N) and SCC (SCC-13, SCC-25, JHU-029, and HO1N1) cell lines. GAPDH provides the loading control. (c) Quantitative real-time PCR of CCAR2 (left) and SIRT1 (right) mRNA expression in keratinocytes and SCC cell lines. P > 0.05, not significant. (d) Western blot of CCAR2 and SIRT1 protein expression in primary keratinocytes (N, P1-Ep) and SCC (HO1N1 and JHU-029) cell lines treated with cyclohexamide (100 μg/ml) for 0, 2, 4, 6, or 8 hours. GAPDH provides the loading control. CHX, cyclohexamide; H&E, hematoxylin and eosin; K14, keratin 14; N.S., not significant; SCC, squamous cell carcinoma. Journal of Investigative Dermatology 2017 137, 506-512DOI: (10.1016/j.jid.2016.09.027) Copyright © 2016 The Authors Terms and Conditions

Figure 2 CCAR2 is essential for proliferation and tumor maintenance. (a) Flow cytometry analysis of the cell cycle (G1, S, or G2/M) in control (Empty) or CCAR2-knockdown (shCCAR2) SCC cell lines. N = 3 replicates. Error bars indicate ± standard deviation. Representative from two independent repeats. (b) Colony assay in control or CCAR2 knockdown SCC cell lines. Colony number is relative to the control of each cell line. Error bars indicate ± standard deviation. N = 4 replicates per cell line. (c) Growth of xenograft tumors derived from JHU-029 cells with doxycycline-inducible shRNA, injected subcutaneously in nude mice. Doxycycline was added to drinking water on day 4. Tumor volume is normalized to average day 6 tumor volume for each group. Error bars ± standard error of the mean. (d) Western blot analysis of CCAR2 protein in JHU-029 xenograft tumors with indicated treatment as in c. (e) Analysis of proliferative index of tumors from c at day 18 as assessed by Ki67 staining. *P < 0.05, **P < 0.01, ***P < 0.001 for all experiments. DOX, doxycycline; SCC, squamous cell carcinoma. Journal of Investigative Dermatology 2017 137, 506-512DOI: (10.1016/j.jid.2016.09.027) Copyright © 2016 The Authors Terms and Conditions

Figure 3 CCAR2 regulates genes involved in cell division. (a) Heat map depicting gene expression changes from microarray in CCAR2 knockdown (shCCAR2) compared with control cells (Empty) in SCC cell lines (SCC-13, HO1N1, SCC-15). (b) Quantitative real-time PCR validation of genes identified by the microarray in SCC-13 (top panel) and HO1N1 cells (bottom panel) with either control (Empty) or CCAR2 knockdown (shCCAR2). ∗∗P < 0.01, ∗∗∗P < 0.001. Journal of Investigative Dermatology 2017 137, 506-512DOI: (10.1016/j.jid.2016.09.027) Copyright © 2016 The Authors Terms and Conditions

Figure 4 CCAR2 regulates stability of acetylated transcription factors in SCC. (a) Western blot analysis of CCAR2, RFX1, and CREB protein in SCC cell lines with CCAR2 knockdown (shCCAR2) or control (Empty). GAPDH provides the loading control. (b) Western blot analysis of RFX1 and CREB protein in keratinocytes and SCC cells. GAPDH provides the loading control. (c) Immunoprecipitation of acetylated RFX1 protein from whole-cell extracts of SCC-13 cells. IgG serves as a loading control for IP. (d) Co-immunoprecipitation of RFX1 and SIRT1 proteins from whole-cell extracts of SCC-13. IgG serves as a loading control for IP. (e) Co-immunoprecipitation of RFX1 and CCAR2 proteins from whole-cell extracts of SCC-13. IgG serves as a loading control for IP. IP, immunoprecipication; SCC, squamous cell carcinoma. Journal of Investigative Dermatology 2017 137, 506-512DOI: (10.1016/j.jid.2016.09.027) Copyright © 2016 The Authors Terms and Conditions

Figure 5 RFX1 and CREB are required for proliferation in SCC. (a) Flow cytometry analysis of the cell cycle (G1, S or G2/M) in control (Empty), RFX1 knockdown (shRFX1), in JHU-029 cells (n = 3). (b) Flow cytometry analysis of the cell cycle in control (Empty) or CREB knockdown (shCREB) in JHU-029 cells (n = 3). Error bars indicate ± standard deviation. (c) Colony assay in control (Empty), RFX1 knockdown (shRFX1) in JHU-029 cells. Colony number is relative to the control of each cell line. Error bars indicate ± standard deviation. N = 4 replicates per cell line. Representative from two independent repeats. (d) Colony assay in control (Empty) CREB knockdown (shCREB) in JHU-029 cells. SCC, squamous cell carcinoma. *P < 0.05, **P < 0.01, ***P < 0.001. Journal of Investigative Dermatology 2017 137, 506-512DOI: (10.1016/j.jid.2016.09.027) Copyright © 2016 The Authors Terms and Conditions