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GSK3α Regulates Temporally Dynamic Changes in Ribosomal Proteins upon Amino Acid Starvation in Cancer Cells

Loxha, Lorent,Ibrahim, Nurul Khalida,Stasche, Anna Sophie,Cinar, Büsra,Dolgner, Tim,Niessen, Julia,Schreek, Sabine,Fehlhaber, Beate,Forster, Michael,Stanulla, Martin,Hinze, Laura

Abstract

Amino acid availability is crucial for cancer cells' survivability. Leukemia and colorectal cancer cells have been shown to resist asparagine depletion by utilizing GSK3-dependent proteasomal degradation, termed the Wnt-dependent stabilization of proteins (Wnt/STOP), to replenish their amino acid pool. The inhibition of GSK3α halts the sourcing of amino acids, which subsequently leads to cancer cell vulnerability toward asparaginase therapy. However, resistance toward GSK3α-mediated protein breakdown can occur, whose underlying mechanism is poorly understood. Here, we set out to define the mechanisms driving dependence toward this degradation machinery upon asparagine starvation in cancer cells. We show the independence of known stress response pathways including the integrated stress response mediated with GCN2. Additionally, we demonstrate the independence of changes in cell cycle progression and expression levels of the asparagine-synthesizing enzyme ASNS. Instead, RNA sequencing revealed that GSK3α inhibition and asparagine starvation leads to the temporally dynamic downregulation of distinct ribosomal proteins, which have been shown to display anti-proliferative functions. Using a CRISPR/Cas9 viability screen, we demonstrate that the downregulation of these specific ribosomal proteins can rescue cell death upon GSK3α inhibition and asparagine starvation. Thus, our findings suggest the vital role of the previously unrecognized regulation of ribosomal proteins in bridging GSK3α activity and tolerance of asparagine starvation.

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Ci a ion: Loxha, L.; Ib ahim, N.K.; S asche, A.S.; Cina , B.; Dolgne , T.; Niessen, J.; Sch eek, S.; Fehlhabe , B.; Fo s e , M.; S anulla, M.; e al. GSK3αRegula es Tempo ally Dynamic Changes in Ribosomal P o eins upon Amino Acid S a a ion in Cance Cells. In . J. Mol. Sci. 2023,24, 13260. h ps:// doi.o g/10.3390/ijms241713260 Academic Edi o : Al ed King-Yin Lam Recei ed: 29 June 2023 Re ised: 15 Augus 2023 Accep ed: 18 Augus 2023 Published: 26 Augus 2023 Copy igh : © 2023 by he au ho s. Licensee MDPI, Basel, Swi ze land. This a icle is an open access a icle dis ibu ed unde he e ms and condi ions o he C ea i e Commons A ibu ion (CC BY) license (h ps:// c ea i ecommons.o g/licenses/by/ 4.0/). In e na ional Jou nal o Molecula Sciences A icle GSK3αRegula es Tempo ally Dynamic Changes in Ribosomal P o eins upon Amino Acid S a a ion in Cance Cells Lo en Loxha 1,†, Nu ul Khalida Ib ahim 1,† , Anna Sophie S asche 1, Büs a Cina 1, Tim Dolgne 1, Julia Niessen 1, Sabine Sch eek 1, Bea e Fehlhabe 1, Michael Fo s e 2, Ma in S anulla 1and Lau a Hinze 1,* 1Depa men o Pedia ic Hema ology and Oncology, Hanno e Medical School, 30625 Hanno e , Ge many; loxha.lo en @mh-hanno e .de (L.L.); ib ahim.nu ul@mh-hanno e .de (N.K.I.); s asche.anna@mh-hanno e .de (A.S.S.); cina .bues a@mh-hanno e .de (B.C.); dolgne . im@mh-hanno e .de (T.D.); niessen.julia@mh-hanno e .de (J.N.); sch eek.sabine@mh-hanno e .de (S.S.); ehlhabe .bea e@mh-hanno e .de (B.F.); s anulla.ma in@mh-hanno e .de (M.S.) 2Ins i u e o Clinical Molecula Biology, Kiel Uni e si y, 24105 Kiel, Ge many; [email p o ec ed] *Co espondence: hinze.lau a@mh-hanno e .de †These au ho s con ibu ed equally o his wo k. Abs ac : Amino acid a ailabili y is c ucial o cance cells’ su i abili y. Leukemia and colo ec al cance cells ha e been shown o esis aspa agine deple ion by u ilizing GSK3-dependen p o ea- somal deg ada ion, e med he Wn -dependen s abiliza ion o p o eins (Wn /STOP), o eplenish hei amino acid pool. The inhibi ion o GSK3 α hal s he sou cing o amino acids, which subse- quen ly leads o cance cell ulne abili y owa d aspa aginase he apy. Howe e , esis ance owa d GSK3 α -media ed p o ein b eakdown can occu , whose unde lying mechanism is poo ly unde - s ood. He e, we se ou o de ine he mechanisms d i ing dependence owa d his deg ada ion machine y upon aspa agine s a a ion in cance cells. We show he independence o known s ess esponse pa hways including he in eg a ed s ess esponse media ed wi h GCN2. Addi ionally, we demons a e he independence o changes in cell cycle p og ession and exp ession le els o he aspa agine-syn hesizing enzyme ASNS. Ins ead, RNA sequencing e ealed ha GSK3 α inhibi ion and aspa agine s a a ion leads o he empo ally dynamic down egula ion o dis inc ibosomal p o eins, which ha e been shown o display an i-p oli e a i e unc ions. Using a CRISPR/Cas9 iabili y sc een, we demons a e ha he down egula ion o hese speci ic ibosomal p o eins can escue cell dea h upon GSK3 α inhibi ion and aspa agine s a a ion. Thus, ou indings sugges he i al ole o he p e iously un ecognized egula ion o ibosomal p o eins in b idging GSK3 α ac i i y and ole ance o aspa agine s a a ion. Keywo ds: GSK3 α ; Wn /STOP; aspa aginase; amino acid s a a ion; me abolism; cance ; acu e leukemia; colo ec al cance ; ibosomal p o eins; gene egula ion 1. In oduc ion Cance cells ine i ably encoun e s ess due o excessi e p oli e a ion a es, which aise he demand o nu ien a ailabili y and p o ein syn hesis. Some cance s, such as acu e lymphoblas ic leukemia (ALL), depend on aspa agine a ailabili y o main ain cell su i al, which is exploi ed clinically wi h he use o he bac e ially de i ed enzyme aspa aginase ha deple es aspa agine [1–4]. Howe e , ole ance o amino acid deple ion can cause cance cell esis ance and hus ep esen s a majo clinical obs acle. An in-dep h cha ac e iza ion o cellula signaling pa hways is essen ial o unde s and he egula o y mechanisms o cellula homeos asis in esponse o amino acid dep i a ion. In p e ious s udies, we could demons a e ha esis an leukemia cells, as well as colo ec al cance cells (CRC), ely on GSK3-dependen p o ein deg ada ion as an al e na i e In . J. Mol. Sci. 2023,24, 13260. h ps://doi.o g/10.3390/ijms241713260 h ps://www.mdpi.com/jou nal/ijms In . J. Mol. Sci. 2023,24, 13260 2 o 18 sou ce o amino acids o main ain cellula i ness upon amino acid deple ion. The inhibi ion o GSK3-dependen p o ein deg ada ion leads o he ac i a ion o a non-canonical b anch o Wn signaling, e med Wn -dependen s abiliza ion o p o eins (Wn /STOP) [ 5 ], ha media es cell dea h in he p esence o amino acid sca ci y [ 6 – 8 ]. Impo an ly, we ound ha aspa aginase sensi iza ion is solely dependen on he alpha iso o m o GSK3 [ 6 – 8 ]. Due o i s ole in di e en cance en i ies, GSK3 α hus has a pi o al ole in egula ing he cellula esponse o amino acid dep i a ion. Howe e , cance cells can de elop ole ance owa d GSK3 α inhibi ion and aspa agine deple ion, whose mechanis ic unde pinnings a e no su icien ly unde s ood. Thus, we se ou o de ine molecula ac o s ha d i e o inhibi cell dea h upon GSK3αinhibi ion and aspa agine s a a ion in cance cells. En i onmen al s esso s, such as amino acid sho age, a e well known o cause he accumula ion o mis olded o un olded p o eins, esul ing in endoplasmic e iculum (ER) s ess [ 9 , 10 ]. The un olded p o ein esponse (UPR) is a cellula adap i e esponse ha e ol ed o es o e p o ein- olding homeos asis by educing p o ein syn hesis and by in- c easing ER p o ein olding [ 11 ]. P o ein ubiqui ina ion and p o easomal deg ada ion a e impo an o he deg ada ion o un olded o damaged p o eins [ 12 ]. Howe e , despi e i s link o p o easomal deg ada ion, he ac i a ion o Wn /STOP and aspa aginase ea men has been shown o no a ec es ablished UPR ma ke s such as XBP1 mRNA splicing and PERK phospho yla ion [ 10 ], a guing agains ac i a ion o he UPR esponse as a media o o cell dea h [7]. One cen al signaling node ha con ols he cellula esponse o amino acid a ailabili y is he e olu iona ily conse ed kinase GCN2 [ 13 , 14 ]. The key cha ac e is ic o GCN2 wi hin he in eg a ed s ess esponse (ISR), a homeos a ic sys em by which euka yo ic cells sense and espond o s ess-inducing signals, is i s ole as a senso o amino acid deple ion [ 14 – 16 ]. S ess is hen amelio a ed by a ec ing changes in bo h global p o ein syn hesis and he exp ession o ce ain key genes o ei he es o e homeos asis o induce apop osis [ 11 , 17 ]. Depending on he leng h and se e i y o s ess, he esponse can be di ec ly p o-su i al, ac i a ing genes ha oppose he in inging s ess and p omo e a e u n o homeos asis, o ins ead can induce apop osis i su i al is no possible [ 17 – 20 ]. While he ac i a ion o GCN2 upon s a a ion has been shown o inhibi global p o ein ansla ion, some selec ed ansc ip s, such as he cellula ansc ip ional ac o ATF4, can display an inc ease in ansla ion [ 21 ]. Thus, in o de o espond o amino acid deple ion e ec i ely, amino-acid- syn hesizing enzymes, such as he aspa agine syn hesizing enzyme ASNS, and anspo e genes a e unde he con ol o he GCN2-ATF4 pa hway [ 22 , 23 ]. The GCN2-ATF4 pa hway is c i ical o umo cell su i al and p oli e a ion when challenged by acu e amino acid dep i a ion [ 18 , 24 ]. While he acu e esponse has been ex ensi ely s udied, he ac i a ion in he p esence o ch onic s ess is less de ined. Upon ch onic s a a ion, he ATF4 axis has been demons a ed o be p o-apop o ic h ough he up egula ion o CHOP [ 25 ]. Thus, we explo ed whe he cell dea h media ed by GSK3 α inhibi ion and aspa aginase ea men is dependen on he GCN2 axes. Howe e , we ound no up egula ion o ASNS no dependence on GCN2 o CHOP ac i i y, indica ing independence om he acu e and ch onic GCN2-ATF4 b anches. Ins ead, we show ha GSK3 α inhibi ion leads o he empo ally dynamic down egula- ion o ibosomal p o eins upon amino acid s a a ion. Ribosome biogenesis is a highly coo dina ed p ocess in ol ing he syn hesis and p ocessing o ibosomal RNA ( RNA), he syn hesis o ibosomal p o eins and hei impo in o he nucleus, he assembly o ibosome subuni s, and he anspo o he ma u e 40S (composed o RPS) and 60S (composed o RPL) subuni s in o he cy oplasm [ 26 – 28 ]. In addi ion o hei s uc u al and egula o y oles in he ansla ion machine y, RPs can pe o m o he “moonligh ing” ex a- ibosomal unc ions including he egula ion o cell g ow h, p oli e a ion, and di e en ia ion [ 29 ]. These unc ions a e de ined based on speci ic in e ac ions be ween RPs wi h non- ibosomal cellula componen s independen o he ibosome [ 30 – 34 ]. In he con ex o ex a- ibosomal unc ions, p e ious s udies could demons a e an in iguing pa e n o RP exp ession in cance s. While se e al RP genes displayed p o-oncogenic e ec s and esul ed in inc eased In . J. Mol. Sci. 2023,24, 13260 3 o 18 p oli e a ion, o he RP genes consis en ly exhibi ed nega i e dys egula ion ac oss cance s, which he eby ac ed di ec ly o indi ec ly as umo supp esso s. In line, we ound ha inhibi ion o dis inc ibosomal p o eins o he small and la ge subuni s, which a e known o display an an i-p oli e a i e e ec , could escue GSK3- inhibi ed cells om aspa aginase-induced cy o oxici y. Thus, we can demons a e a p e iously un ecognized link be ween ibosomal p o eins and GSK3αac i i y in egula ing he cellula esponse o amino acid s a a ion. 2. Resul s 2.1. Loss o GSK3αInduces Aspa aginase Cy o oxici y Independen om ASNS Exp ession in Resis an Cance Cells To de ine ac o s ha d i e dependence owa d he GSK3 α -dependen p o easomal deg ada ion machine y, we s a ed by inducing a knockdown o GSK3 α in Ju ka T-ALL cells as well as in he colo ec al cance (CRC) cell line HCT15. The knockdown o GSK3 α us- ing wo independen shRNAs in Ju ka (Figu e S1A), as well as in HCT15 cells ( Figu e S1B ), esul ed in a s iking aspa aginase sensi iza ion (Figu e 1A,B), which could be escued by exp essing he GSK3 α wild- ype (WT) sequence (Figu e S1C,D), indica ing an on- a ge e ec [ 7 ]. The e ec o he knockdown was also e iden wi h he dec ease in K48-linked ubiqui in le els (Figu es 1C and S1E), which is one o he well-es ablished hallma ks o an ac i a ed Wn /STOP pa hway [ 5 – 7 , 35 ]. In bo h cell lines, he inhibi ion o GSK3 α and aspa aginase ea men displayed a obus inc ease in mi ochond ial apop osis, as assessed wi h Caspase 3/7 ac i i y (Figu e 1D) o BH3 p o iling (Figu es 1E and S1F). In . J. Mol. Sci. 2023, 24, x FOR PEER REVIEW 4 o 19 Figu e 1. Loss o GSK3α induces aspa aginase cy o oxici y independen om ASNS exp ession in esis an cance cells. (A,B) Cells we e ansduced wi h indica ed cons uc s and ea ed wi h ehicle o 100 U/L o aspa aginase in biological iplica es. Rela i e iabili y was assessed a e 8 days o ea men by coun ing iable cells. No e ha an ea lie ime poin was chosen as in [6] o allow o di ec compa ison be ween he wo cell lines o diffe en cance en i ies. S a is ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. (C) Ju ka cells we e ansduced wi h indica ed shRNAs. Upon knockdown alida ion, p o ein le els o K48- linked ubiqui in and GAPDH we e assessed using Wes e n blo analysis. (D) Indica ed cells we e ansduced wi h indica ed shRNAs, ea ed wi h ehicle o 100 U/L o aspa aginase o 48 h, and Caspase 3/7 ac i i y was assessed in biological iplica es. S a is ical signi icance was assessed using a wo-sided S uden ’s - es wi h Welch adjus men . (E) Cells we e ansduced wi h indica ed shRNAs and ea ed wi h 100 U/L o aspa aginase o 48 h, and cy och ome C elease was assessed in biological iplica es. S a is ical signi icance was assessed using a wo-sided S uden ’s - es wi h Welch adjus men . (F) Ju ka cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological iplica es. Rela i e iabili y was assessed a indica ed ime poin s by coun ing iable cells. All cell coun s we e no malized o shLuc- ansduced, ehicle- ea ed cells. (G–J) Cell lines we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase a each indica ed ime poin . Rela i e ASNS exp ession was assessed wi h qRT-PCR analysis in biological duplica es and no malized o each ehicle condi ion. S a is ical signi icance was assessed using a wo-sided S uden ’s - es wi h Welch adjus men . **** p ≤ 0.0001, *** p ≤ 0.001, ** p ≤ 0.01, * p < 0.05, and n.s. p ≥ 0.05. 2.2. GSK3α-Media ed Response o Ch onic Amino Acid Dep i a ion Is Independen o he GCN2-CHOP Axis Nex , we asked whe he GSK3α inhibi ion media es cance cell dea h in esponse o aspa agine deple ion h ough di ec p o-apop o ic signaling. P e ious s udies could demons a e ha uncha ged RNAs, which accumula e in acellula ly du ing amino acid limi a ion, ac i a e he p o ein kinase GCN2, a well-known egula o o ansla ion in amino-acid-s a ed cells ha phospho yla es he euka yo ic ini ia ion ac o 2α (eIF2α) [14,40]. eIF2α phospho yla ion can inhibi global p o ein ansla ion and induce he ans- la ion o speci ic ansc ip s such as ATF4 [21]. ATF4 can hen unc ion o s imula e he exp ession o a ge genes [22,23] o inc ease amino acid syn hesis and p o ein olding. In he con ex o acu e ac i a ion, GCN2 se es as a p o-su i al signal [18,40,41], whils he effec o a ch onic GCN2 ac i a ion emains ill-de ined. Howe e , in ou con ex , he ch onic axis is a pe inen aspec o be add essed as he induc ion o cell dea h upon GSK3α inhibi ion in cance cells in ol es pe sis en Figu e 1. Loss o GSK3 α induces aspa aginase cy o oxici y independen om ASNS exp ession in esis an cance cells. ( A , B ) Cells we e ansduced wi h indica ed cons uc s and ea ed wi h ehicle o 100 U/L o aspa aginase in biological iplica es. Rela i e iabili y was assessed a e 8 days o ea men by coun ing iable cells. No e ha an ea lie ime poin was chosen as in [ 6 ] o allow o di ec compa ison be ween he wo cell lines o di e en cance en i ies. S a is ical signi i- cance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. ( C ) Ju ka cells we e ansduced wi h indica ed shRNAs. Upon knockdown alida ion, p o ein le els o K48-linked ubiqui in and GAPDH we e assessed using Wes e n blo analysis. ( D ) Indica ed cells we e ansduced wi h indica ed shRNAs, ea ed wi h ehicle o 100 U/L o aspa aginase o 48 h, In . J. Mol. Sci. 2023,24, 13260 4 o 18 and Caspase 3/7 ac i i y was assessed in biological iplica es. S a is ical signi icance was assessed using a wo-sided S uden ’s - es wi h Welch adjus men . (E) Cells we e ansduced wi h indica ed shRNAs and ea ed wi h 100 U/L o aspa aginase o 48 h, and cy och ome C elease was assessed in biological iplica es. S a is ical signi icance was assessed using a wo-sided S uden ’s - es wi h Welch adjus men . ( F ) Ju ka cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological iplica es. Rela i e iabili y was assessed a indica ed ime poin s by coun ing iable cells. All cell coun s we e no malized o shLuc- ansduced, ehicle- ea ed cells. ( G – J ) Cell lines we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase a each indica ed ime poin . Rela i e ASNS exp ession was assessed wi h qRT-PCR analysis in biological duplica es and no malized o each ehicle condi ion. S a is ical signi icance was assessed using a wo-sided S uden ’s - es wi h Welch adjus men . **** p ≤ 0.0001, *** p ≤ 0.001, ** p≤0.01, * p< 0.05, and n.s. p≥0.05. Exp ession le els o he aspa agine-syn hesizing enzyme, ASNS, ha e long been a - ibu ed o sensi i i y and esis ance o aspa aginase. Howe e , s udies could demons a e ha ASNS exp ession and aspa aginase esponse a e poo ly co ela ed in human leukemia cells [ 36 – 39 ]. In e es ingly, ASNS exp ession has been shown o apidly inc ease h ough ac i a ion o he ansc ip ion ac o ATF4 as an acu e and immedia e cellula esponse o amino acid dep i a ion [ 22 , 23 ]. We hus asked whe he cell dea h in he con ex o aspa agine sca ci y and loss o GSK3αin ol es changes in he exp ession le els o ASNS. To add ess his ques ion, we ea ed Ju ka , as well as HCT15 cells, wi h aspa aginase in he p esence o absence o GSK3 α inhibi ion and subsequen ly assessed ASNS mRNA exp ession le els. Gi en he ac ha amino acid dep i a ion has o be p esen o se e al days o obse e he abo e-desc ibed sensi iza ion pheno ype, we assessed ASNS exp ession le els no only a an ea ly ime poin bu also a e 56 h, a which we we e able o obse e a leas 50% cell dea h (Figu e 1F and Figu e S1G). Howe e , we ailed o obse e any signi ican di e ences in GSK3 α -inhibi ed cells upon aspa agine deple ion (Figu e 1G–J). Thus, hese indings collec i ely a gue agains he ole o ASNS exp ession in media ing GSK3α-dependen aspa aginase cy o oxici y. 2.2. GSK3α-Media ed Response o Ch onic Amino Acid Dep i a ion Is Independen o he GCN2-CHOP Axis Nex , we asked whe he GSK3 α inhibi ion media es cance cell dea h in esponse o aspa agine deple ion h ough di ec p o-apop o ic signaling. P e ious s udies could demons a e ha uncha ged RNAs, which accumula e in acellula ly du ing amino acid limi a ion, ac i a e he p o ein kinase GCN2, a well-known egula o o ansla ion in amino- acid-s a ed cells ha phospho yla es he euka yo ic ini ia ion ac o 2 α (eIF2 α ) [ 14 , 40 ]. eIF2 α phospho yla ion can inhibi global p o ein ansla ion and induce he ansla ion o speci ic ansc ip s such as ATF4 [ 21 ]. ATF4 can hen unc ion o s imula e he exp ession o a ge genes [ 22 , 23 ] o inc ease amino acid syn hesis and p o ein olding. In he con ex o acu e ac i a ion, GCN2 se es as a p o-su i al signal [ 18 , 40 , 41 ], whils he e ec o a ch onic GCN2 ac i a ion emains ill-de ined. Howe e , in ou con ex , he ch onic axis is a pe inen aspec o be add essed as he induc ion o cell dea h upon GSK3 α inhibi ion in cance cells in ol es pe sis en aspa agine deple ion. P olonged s a a ion has been shown o induce apop osis h ough he ac i a ion o ATF4 (Figu e 2A) [ 11 , 20 ]. This leads o subsequen up egula ion o he p o-apop o ic ansc ip ion ac o CHOP wi h a esul ing o ma ion o ATF4-CHOP he e odime s ha can (i) ac i a e u he downs eam p o-apop o ic a ge s and (ii) d i e p o ein ansla ion leading o ATP deple ion and cell dea h [ 11 , 25 , 42 ]. Fo ins ance, glu amine s a a ion in MYC-media ed neu oblas oma has been shown o induce apop osis h ough he GCN2- ATF4 b anch [43]. In . J. Mol. Sci. 2023,24, 13260 5 o 18 In . J. Mol. Sci. 2023, 24, x FOR PEER REVIEW 6 o 19 Figu e 2. GSK3α-media ed esponse o ch onic amino acid dep i a ion is independen o he GCN2- CHOP axis. (A) Schema ic depic ion o he GCN2-CHOP axis in he con ex o ch onic amino acid dep i a ion. (B) Ju ka cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological iplica es. Rela i e iabili y was assessed a e 6 days o ea - men by coun ing iable cells. All cell coun s we e no malized o ehicle- ea ed cells. T ea men was concluded a an ea lie ime poin due o he oxici y o GCN2 and CHOP knockdown a a la e ime poin . (C) Ju ka cells we e ansduced wi h indica ed cons uc s and ea ed wi h ehicle o 100 U/L o aspa aginase. Rela i e iabili y was assessed a e 8 days o ea men by coun ing iable cells. All cell coun s we e no malized o shLuc- ansduced, ehicle- ea ed cells. (D) Ju ka cells we e ansduced wi h indica ed cons uc s and ea ed wi h indica ed ea men s in biological ip- lica es. Rela i e iabili y was assessed a e 6 days o ea men by coun ing iable cells. Coun s we e no malized o ehicle- ea ed cells. (E) HCT15 cells we e ea ed as in (B). (F) HCT15 cells we e ea ed as in (C). (G) HCT15 cells we e ea ed as in (D). S a is ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. **** p ≤ 0.0001, *** p ≤ 0.001, ** p ≤ 0.01, * p < 0.05, and n.s. p ≥ 0.05. 2.3. Cell Dea h upon Inhibi ion o GSK3α Is No Media ed by Changes in Cell Cycle The Wn /STOP pa hway is bes known o egula e cell size and g ow h owing o i s ole in s abilizing p o eins du ing mi osis. A p e ious s udy has shown ha p o eins we e pe iodically s abilized a he G2/M cell cycle phase when Wn /STOP was ac i e [5]. This is essen ial o op imal cell cycle p og ession as cells equi e a sufficien amoun o p o- eins in p epa a ion o cell di ision. Figu e 2. GSK3 α -media ed esponse o ch onic amino acid dep i a ion is independen o he GCN2- CHOP axis. ( A ) Schema ic depic ion o he GCN2-CHOP axis in he con ex o ch onic amino acid dep i a ion. ( B ) Ju ka cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological iplica es. Rela i e iabili y was assessed a e 6 days o ea men by coun ing iable cells. All cell coun s we e no malized o ehicle- ea ed cells. T ea men was concluded a an ea lie ime poin due o he oxici y o GCN2 and CHOP knockdown a a la e ime poin . ( C ) Ju ka cells we e ansduced wi h indica ed cons uc s and ea ed wi h ehicle o 100 U/L o aspa aginase. Rela i e iabili y was assessed a e 8 days o ea men by coun ing iable cells. All cell coun s we e no malized o shLuc- ansduced, ehicle- ea ed cells. ( D ) Ju ka cells we e ansduced wi h indica ed cons uc s and ea ed wi h indica ed ea men s in biological iplica es. Rela i e iabili y was assessed a e 6 days o ea men by coun ing iable cells. Coun s we e no malized o ehicle- ea ed cells. ( E ) HCT15 cells we e ea ed as in ( B ). ( F ) HCT15 cells we e ea ed as in ( C ). ( G ) HCT15 cells we e ea ed as in ( D ). S a is ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. **** p ≤ 0.0001, *** p ≤ 0.001, ** p≤0.01, * p< 0.05, and n.s. p≥0.05. Thus, we i s wonde ed whe he cell dea h in esponse o he loss o GSK3 α and amino acid sca ci y is media ed h ough a GCN2-CHOP-dependen axis. To es his ex- pe imen ally, we s a ed by inducing a knockdown o wo downs eam e ec o s o he axis, GCN2 and CHOP, in Ju ka T-ALL cells (Figu e S1H). CHOP se es as he majo p o-apop o ic e ec o o ATF4 ac i a ion in he ER s ess esponse [ 44 , 45 ]. We hus ea- soned ha i cell dea h is media ed h ough his axis, a knockdown o he key e ec o s should block aspa aginase sensi iza ion induced by he inhibi ion o GSK3 α . Howe e , he In . J. Mol. Sci. 2023,24, 13260 6 o 18 knockdown o CHOP o GCN2 ailed o escue shGSK3 α cells om aspa aginase-induced cell dea h (Figu e 2B). By con as , exp ession o he hype ac i e p o easomal subuni ∆ N-PSMA4, which di ec ly s imula es p o easomal deg ada ion o a ange o p o easomal subs a es [ 46 ], se ed as a posi i e con ol [ 6 , 7 ] and was able o escue shGSK3 α cells om aspa aginase cy o oxici y (Figu e 2C). Impo an ly, all desc ibed indings could be independen ly alida ed in he colo ec al cance cell line HCT15 (Figu es 2E,F and S1I). Second, o u he s eng hen he a gumen ha GSK3 α -media ed aspa aginase e- sponse is independen o he ATF4-CHOP b anch, we asked whe he inhibi ion o p o ein syn hesis can p o ec cells om he oxici y o GSK3 α inhibi ion and aspa agine deple ion. This is due o he ac ha ATF4-CHOP he e odime s can d i e p o ein ansla ion leading o ATP deple ion and cell dea h [ 25 ]. Howe e , ea men wi h he elonga ion inhibi o homoha ing onine ailed o escue cells om GSK3 α -media ed cell dea h upon aspa agine deple ion in Ju ka T-ALL cells (Figu e 2D) as well as in colo ec al cance cells (Figu e 2G). Collec i ely, hese da a indica e ha GSK3 α inhibi ion media es aspa aginase sensi iza ion independen o he GCN2-CHOP axis. 2.3. Cell Dea h upon Inhibi ion o GSK3αIs No Media ed by Changes in Cell Cycle The Wn /STOP pa hway is bes known o egula e cell size and g ow h owing o i s ole in s abilizing p o eins du ing mi osis. A p e ious s udy has shown ha p o eins we e pe iodically s abilized a he G2/M cell cycle phase when Wn /STOP was ac i e [ 5 ]. This is essen ial o op imal cell cycle p og ession as cells equi e a su icien amoun o p o eins in p epa a ion o cell di ision. Thus, we asked whe he dis inc changes in he cell cycle could p omp he p og essi e di ec ion o cell dea h. To es his, we de e mined cell cycle s ages in Ju ka and HCT15 cells ansduced wi h GSK3 α shRNA. Howe e , we did no ind any signi ican e ec s in ei he he p esence o absence o aspa agine s a a ion (Figu e 3A–D). This indica es ha cell cycle changes do no in luence he cou se owa d cell dea h. In . J. Mol. Sci. 2023, 24, x FOR PEER REVIEW 7 o 19 Thus, we asked whe he dis inc changes in he cell cycle could p omp he p og es- si e di ec ion o cell dea h. To es his, we de e mined cell cycle s ages in Ju ka and HCT15 cells ansduced wi h GSK3α shRNA. Howe e , we did no ind any signi ican effec s in ei he he p esence o absence o aspa agine s a a ion (Figu e 3A–D). This in- dica es ha cell cycle changes do no in luence he cou se owa d cell dea h. Figu e 3. GSK3α inhibi ion and aspa agine deple ion do no cause changes in he cell cycle. (A) Ju ka cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa a- ginase. Cell cycle analysis was conduc ed a e 48 h o ea men using low cy ome y in biological duplica es. (B) S a is ical analysis o he cell cycle analysis om (A) o each cell cycle phase. S a is- ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. (C) HCT15 cells we e ea ed and assessed as in (A). (D) S a is ical analysis o he cell cycle analysis om (C) o each cell cycle phase assessed as in (B). n.s. p ≥ 0.05. 2.4. Inhibi ion o GSK3α Leads o Tempo ally Dynamic Down egula ion o Dis inc Ribosomal P o eins in he P esence o Aspa agine Dep i a ion Nex , we aimed o iden i y genes and biological p ocesses egula ed upon inhibi ion o GSK3α. In an explo a o y app oach, we i s induced a obus GSK3α knockdown in Ju ka T-ALL cells and subsequen ly ea ed hese cells wi h ehicle o aspa aginase. To iden i y ea ly, in e media e, and la e esponses o GSK3α inhibi ion in he p esence o absence o aspa agine deple ion, we ha es ed cells a 8, 16, 32, and 56 h o ea men (Figu e 4A) and pe o med gene exp ession analysis wi h RNA-sequencing. We chose hese ime poin s due o he g adual dec ease in cell iabili y (Figu es 1F and S1G). This allowed he de ec ion o ea ly changes due o induc ion o cell dea h as well as changes a la e ime poin s wi h a small subse o emaining su i ing cells. Analysis o he RNA-sequencing esul s e ealed ha he exp ession o 2046 an- sc ip s changed as ea ly as 8 h a e he s a o aspa aginase ea men . A e 56 h o ea - men , 1161 and 880 ansc ip s we e diffe en ially up egula ed o down egula ed, espec- i ely ( old change > 1.5). In e es ingly, he absolu e numbe o diffe en ially exp essed ansc ip s did no g ow signi ican ly o e ime, while he cons ella ion o ansc ip s ha we e diffe en ially exp essed changed be ween ime poin s (Figu e S2A). Figu e 3. GSK3 α inhibi ion and aspa agine deple ion do no cause changes in he cell cycle. ( A ) Ju ka cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase. Cell cycle analysis was conduc ed a e 48 h o ea men using low cy ome y in biological duplica es. In . J. Mol. Sci. 2023,24, 13260 7 o 18 ( B ) S a is ical analysis o he cell cycle analysis om ( A ) o each cell cycle phase. S a is ical signi i- cance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. ( C ) HCT15 cells we e ea ed and assessed as in ( A ). ( D ) S a is ical analysis o he cell cycle analysis om (C) o each cell cycle phase assessed as in (B). n.s. p≥0.05. 2.4. Inhibi ion o GSK3αLeads o Tempo ally Dynamic Down egula ion o Dis inc Ribosomal P o eins in he P esence o Aspa agine Dep i a ion Nex , we aimed o iden i y genes and biological p ocesses egula ed upon inhibi ion o GSK3 α . In an explo a o y app oach, we i s induced a obus GSK3 α knockdown in Ju ka T-ALL cells and subsequen ly ea ed hese cells wi h ehicle o aspa aginase. To iden i y ea ly, in e media e, and la e esponses o GSK3 α inhibi ion in he p esence o absence o aspa agine deple ion, we ha es ed cells a 8, 16, 32, and 56 h o ea men (Figu e 4A) and pe o med gene exp ession analysis wi h RNA-sequencing. We chose hese ime poin s due o he g adual dec ease in cell iabili y (Figu es 1F and S1G). This allowed he de ec ion o ea ly changes due o induc ion o cell dea h as well as changes a la e ime poin s wi h a small subse o emaining su i ing cells. In . J. Mol. Sci. 2023, 24, x FOR PEER REVIEW 9 o 19 Figu e 4. Inhibi ion o GSK3α leads o empo ally dynamic down egula ion o dis inc ibosomal p o eins in he p esence o aspa agine dep i a ion. (A) Schema ic depic ion o he wo k low o ob- ain samples o RNA sequencing in Ju ka T-ALL cells. Cells ansduced wi h indica ed shRNAs we e ea ed wi h ehicle o 100 U/L o aspa aginase and sampled a each ime poin indica ed. (B) Sca e plo showing he log2FC o compa isons be ween he un ea ed 0 h ime poin and ea men o all ime poin s. A log2FC cu -off o 1.5 was used o iden i y diffe en ially exp essed ansc ip s, indica ed wi h dashed lines. Red do s show RP ansc ip s ha a e diffe en ially down egula ed in shGSK3α cells while no being down egula ed in shLuc cells. Blue do s indica e RP ansc ip s ha we e s udied u he . (C) Rspo3; K as; and T p53 mouse in es inal o ganoids we e ea ed con inu- ously wi h ehicle o aspa aginase o 14 days. Upon ou g ow h o o ganoids in he aspa aginase- ea ed condi ions, o ganoids we e ha es ed and analyzed wi h RNA sequencing. (D) Sca e plo showing diffe en ially down egula ed ansc ip s in o ganoids om (C). Red do s indica e RP an- sc ip s. Blue do s indica e RP ansc ip s ha we e independen ly alida ed in he CRISPR/Cas9 sc een (Figu e 5). 2.5. Inhibi ion o Speci ic Ribosomal P o eins P omo es Cellula Fi ness upon GSK3α Inhibi ion and Aspa agine S a a ion To in es iga e he ole o RPS/RPL in media ing cellula i ness in he con ex o GSK3α inhibi ion and aspa aginase ea men , we gene a ed GSK3α knockou (KO) as well as AAVS1 sa e ha bo con ol single-cell clones in Ju ka T-ALL cells (Figu e S2B,C). O no e, we picked GSK3α KO single-cell clones wi h an in e media e aspa aginase sensi- iza ion o allow sc eening o bo h sgRNA en ichmen ( esis ance) and sgRNA d opou (exace ba ed sensi iza ion). Upon iden i ica ion o sui able single-cell clones, we ans- duced hese cells wi h a genome-wide sgRNA lib a y (B unello loss o unc ion lib a y), ollowed by ea men wi h ehicle o aspa aginase (Figu e S2D). Analysis o sgRNA ep- esen a ion e ealed a signi ican en ichmen o sgRNAs a ge ing ibosomal p o eins when compa ing GSK3α KO cells o AAVS1 cells in he p esence o aspa aginase ea - men (p = 3.64 × 10−7, Fishe ’s exac es ) (Figu e 5A,B, Tables S3 and S4). Figu e 4. Inhibi ion o GSK3 α leads o empo ally dynamic down egula ion o dis inc ibosomal p o eins in he p esence o aspa agine dep i a ion. ( A ) Schema ic depic ion o he wo k low o ob ain samples o RNA sequencing in Ju ka T-ALL cells. Cells ansduced wi h indica ed shRNAs we e ea ed wi h ehicle o 100 U/L o aspa aginase and sampled a each ime poin indica ed. ( B ) Sca e plo showing he log2FC o compa isons be ween he un ea ed 0 h ime poin and ea men o all ime poin s. A log2FC cu -o o 1.5 was used o iden i y di e en ially exp essed ansc ip s, indica ed wi h dashed lines. Red do s show RP ansc ip s ha a e di e en ially down egula ed in shGSK3αcells while no being down egula ed in shLuc cells. Blue do s indica e RP ansc ip s ha In . J. Mol. Sci. 2023,24, 13260 8 o 18 we e s udied u he . ( C ) Rspo3; K as; and T p53 mouse in es inal o ganoids we e ea ed con inu- ously wi h ehicle o aspa aginase o 14 days. Upon ou g ow h o o ganoids in he aspa aginase- ea ed condi ions, o ganoids we e ha es ed and analyzed wi h RNA sequencing. ( D ) Sca e plo showing di e en ially down egula ed ansc ip s in o ganoids om ( C ). Red do s indica e RP an- sc ip s. Blue do s indica e RP ansc ip s ha we e independen ly alida ed in he CRISPR/Cas9 sc een (Figu e 5). In . J. Mol. Sci. 2023, 24, x FOR PEER REVIEW 10 o 19 Fo alida ion o selec i e RPS and RPL om bo h he ansc ip omic app oaches and he CRISPR/Cas9 sc een, we ocused on he op hi s RPS27, RPL6, and RPL36, which ha e been shown o display an i-p oli e a i e pheno ypes, pa ially h ough a p53-dependen mechanism [47,49,50]. To alida e ha loss o RPL/RPS con e s a su i al ad an age in GSK3α-inhibi ed cells, we len i i ally ansduced sgRNAs a ge ing RPS27 and RPL6 in AAVS1 as well as wo independen GSK3α KO single-cell clones (Figu e S2B–D). Efficien gene silencing was con i med wi h a qRT-PCR (Figu e S2E). Indeed, he inhibi ion o RPL/RPS wi h sgR- NAs was able o block GSK3α-inhibi ion media ed aspa aginase sensi iza ion (Figu e 5C). In line, he knockdown o RPL36 in T-ALL as well as in CRC cells could block aspa agi- nase cy o oxici y upon GSK3α inhibi ion and aspa agine s a a ion (Figu es 5D,E and S2F). These esul s unde line ha loss o dis inc RPS/RPL can con e a su i al ad an age in he con ex o GSK3α inhibi ion and aspa agine s a a ion. O no e, ou desc ibed ind- ings a e in line wi h p e iously published da a showing ha posi i ely selec ed sgRNAs a ge p e e en ially RPS/RPL ha a e known o be down egula ed in cance cells due o hei an i-p oli e a i e effec [47,48]. Taken oge he , ou indings sugges he i al ole o he p e iously un ecognized egula ion o ibosomal p o eins in b idging GSK3α ac i i y and ole ance o aspa agine s a a ion. Figu e 5. Inhibi ion o speci ic ibosomal p o eins p omo es cellula i ness upon GSK3α inhibi ion and aspa agine s a a ion. (A) Schema ic wo k low o he CRISPR/Cas9 sc een. (B) Top 15 genes ha a e diffe en ially affec ed in amino-acid-dep i ed condi ions be ween he wo indica ed cell lines om he expe imen shown in (A). Ribosomal p o eins a e highligh ed in blue. (C) GSK3α-KO single-cell clones we e ansduced wi h indica ed sgRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological duplica es. Rela i e iabili y was assessed a e 6 days o ea men by coun ing iable cells. All cell coun s we e no malized o ehicle- ea ed cells. No e ha aspa aginase sensi iza ion was no as s iking because clones we e chosen based on an in e media e esponse o he genome-wide CRISPR/Cas9 sc een. S a is ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. (D,E) Cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological duplica es. Figu e 5. Inhibi ion o speci ic ibosomal p o eins p omo es cellula i ness upon GSK3 α inhibi ion and aspa agine s a a ion. ( A ) Schema ic wo k low o he CRISPR/Cas9 sc een. ( B ) Top 15 genes ha a e di e en ially a ec ed in amino-acid-dep i ed condi ions be ween he wo indica ed cell lines om he expe imen shown in ( A ). Ribosomal p o eins a e highligh ed in blue. ( C ) GSK3 α -KO single-cell clones we e ansduced wi h indica ed sgRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological duplica es. Rela i e iabili y was assessed a e 6 days o ea men by coun ing iable cells. All cell coun s we e no malized o ehicle- ea ed cells. No e ha aspa aginase sensi iza ion was no as s iking because clones we e chosen based on an in e media e esponse o he genome-wide CRISPR/Cas9 sc een. S a is ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. ( D , E ) Cells we e ansduced wi h indica ed shRNAs and ea ed wi h ehicle o 100 U/L o aspa aginase in biological duplica es. Rela i e iabili y was assessed a e 6 days o ea men by coun ing iable cells. All cell coun s we e no malized o ehicle- ea ed cells. No e ha aspa aginase sensi iza ion was no as s iking because clones we e chosen based on an in e media e esponse o he genome-wide CRISPR/Cas9 sc een. S a is ical signi icance was assessed using a one-way ANOVA wi h Dunne ’s adjus men o mul iple compa isons. **** p≤0.0001, *** p≤0.001, ** p≤0.01, * p< 0.05, and n.s. p≥0.05. Analysis o he RNA-sequencing esul s e ealed ha he exp ession o 2046 ansc ip s changed as ea ly as 8 h a e he s a o aspa aginase ea men . A e 56 h o ea men , 1161 and 880 ansc ip s we e di e en ially up egula ed o down egula ed, espec i ely ( old change > 1.5). In e es ingly, he absolu e numbe o di e en ially exp essed ansc ip s did no g ow signi ican ly o e ime, while he cons ella ion o ansc ip s ha we e di e en ially exp essed changed be ween ime poin s (Figu e S2A). In . J. Mol. Sci. 2023,24, 13260 9 o 18 Upon u he analysis o di e en ially exp essed ansc ip s, we obse ed ha ibo- somal p o eins o he small (RPS) and la ge (RPL) subuni s we e signi ican ly en iched ( ishe p7.44 × 10 −10 a 56 h aspa aginase ea men ) in down egula ed ansc ip s in he p esence o an aspa agine deple ion in shGSK3 α cells when compa ed o shLuc cells ( old change < −1.5 in shGSK3αwhile old change > −1.5 in shLuc) (Figu e 4B, Table S1). In iguingly, besides hei ole in he assembly o ibosomal componen s, ibosomal p o eins can also pe o m o he ex a- ibosomal unc ions, including he egula ion o cell p oli e a ion [ 29 – 34 ]. These unc ions a e de ined based on speci ic in e ac ions be ween RPs wi h non- ibosomal cellula componen s independen o he ibosome [ 30 – 34 ]. As desc ibed abo e, we obse ed a GCN2-CHOP independen pheno ype and no e ec wi h he elonga ion inhibi o homoha ing onine, indica ing ha d i ing p o ein ansla ion wi h subsequen ATP deple ion is unlikely o cause cell dea h in GSK3 α -inhibi ed cells. Thus, he ex a- ibosomal unc ions o RPs appea ed o be an in e es ing axis o u he in es iga ion. In he con ex o ex a- ibosomal unc ions, p e ious s udies could demons a e an in iguing pa e n o RP exp ession in cance s. While some RP genes display p o-oncogenic e ec s, o he RP genes can ac di ec ly o indi ec ly as umo supp esso s [ 47 ]. Fo ins ance, some RP gene knockou s ha e been posi i ely selec ed in a CRISPR-based iabili y sc een ca ied ou in a melanoma cance cell line [ 48 ], indica ing ha RP gene loss is no always de imen al o cellula i ness. Thus, he loss o indi idual ibosomal p o eins co ela es wi h, and in some cases induces, speci ic e ec s on cellula p oli e a ion. Thus, we wonde ed whe he he down egula ion o RPS/RPL ansc ip s e lec s a mechanism in cells ha can su i e amino-acid-dep i ed condi ions in GSK3 α -inhibi ed cells. To add ess his ques ion, we u ned o he P p k–Rspo3 usion o CRC o ganoids, which po en ia e Wn ligand-induced inhibi ion o GSK3. These cells a e known o be highly aspa aginase sensi i e a baseline bu can de elop esis ance upon con inuous and p olonged ea men p essu e wi h aspa aginase. Le e aging ou g own P p k–Rspo3 o ganoids upon aspa aginase ea men o RNA sequencing (Figu e 4C), we could eca- pi ula e ou indings wi h a end owa ds en ichmen o RPL/RPS in down egula ed ansc ip s (p= 0.1, Fishe ’s exac es ) when compa ed o ehicle- ea ed o ganoids (Figu e 4D, Table S2). 2.5. Inhibi ion o Speci ic Ribosomal P o eins P omo es Cellula Fi ness upon GSK3αInhibi ion and Aspa agine S a a ion To in es iga e he ole o RPS/RPL in media ing cellula i ness in he con ex o GSK3 α inhibi ion and aspa aginase ea men , we gene a ed GSK3 α knockou (KO) as well as AAVS1 sa e ha bo con ol single-cell clones in Ju ka T-ALL cells (Figu e S2B,C). O no e, we picked GSK3 α KO single-cell clones wi h an in e media e aspa aginase sensi iza ion o allow sc eening o bo h sgRNA en ichmen ( esis ance) and sgRNA d opou (exace ba ed sensi iza ion). Upon iden i ica ion o sui able single-cell clones, we ansduced hese cells wi h a genome-wide sgRNA lib a y (B unello loss o unc ion lib a y), ollowed by ea men wi h ehicle o aspa aginase (Figu e S2D). Analysis o sgRNA ep esen a ion e ealed a signi ican en ichmen o sgRNAs a ge ing ibosomal p o eins when compa ing GSK3 α KO cells o AAVS1 cells in he p esence o aspa aginase ea men (p= 3.64 × 10 −7 , Fishe ’s exac es ) (Figu e 5A,B, Tables S3 and S4). Fo alida ion o selec i e RPS and RPL om bo h he ansc ip omic app oaches and he CRISPR/Cas9 sc een, we ocused on he op hi s RPS27, RPL6, and RPL36, which ha e been shown o display an i-p oli e a i e pheno ypes, pa ially h ough a p53-dependen mechanism [47,49,50]. To alida e ha loss o RPL/RPS con e s a su i al ad an age in GSK3 α -inhibi ed cells, we len i i ally ansduced sgRNAs a ge ing RPS27 and RPL6 in AAVS1 as well as wo independen GSK3 α KO single-cell clones (Figu e S2B–D). E icien gene silencing was con i med wi h a qRT-PCR (Figu e S2E). Indeed, he inhibi ion o RPL/RPS wi h sgRNAs was able o block GSK3 α -inhibi ion media ed aspa aginase sensi iza ion (Figu e 5C). In In . J. Mol. 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