Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR

Abstract Background Vitamin K‐dependent γ‐glutamic acid carboxylation (Gla) proteins are calcium‐binding and membrane‐associated, participating in coagulation, bone turnover, and cancer biology. The molecular function of transmembrane proline‐rich Gla proteins (PRRGs) remains unexplored. Methods Ana...

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Main Authors: Zheng Wu, Qing Ye, Shan Zhang, Li‐Peng Hu, Xiao‐Qi Wang, Lin‐Li Yao, Lei Zhu, Shu‐Yu Xiao, Zong‐Hao Duan, Xue‐Li Zhang, Shu‐Heng Jiang, Zhi‐Gang Zhang, De‐Jun Liu, Dong‐Xue Li, Xiao‐Mei Yang
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Language:English
Published: Wiley 2025-01-01
Series:Clinical and Translational Medicine
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Online Access:https://doi.org/10.1002/ctm2.70191
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author Zheng Wu
Qing Ye
Shan Zhang
Li‐Peng Hu
Xiao‐Qi Wang
Lin‐Li Yao
Lei Zhu
Shu‐Yu Xiao
Zong‐Hao Duan
Xue‐Li Zhang
Shu‐Heng Jiang
Zhi‐Gang Zhang
De‐Jun Liu
Dong‐Xue Li
Xiao‐Mei Yang
author_facet Zheng Wu
Qing Ye
Shan Zhang
Li‐Peng Hu
Xiao‐Qi Wang
Lin‐Li Yao
Lei Zhu
Shu‐Yu Xiao
Zong‐Hao Duan
Xue‐Li Zhang
Shu‐Heng Jiang
Zhi‐Gang Zhang
De‐Jun Liu
Dong‐Xue Li
Xiao‐Mei Yang
author_sort Zheng Wu
collection DOAJ
description Abstract Background Vitamin K‐dependent γ‐glutamic acid carboxylation (Gla) proteins are calcium‐binding and membrane‐associated, participating in coagulation, bone turnover, and cancer biology. The molecular function of transmembrane proline‐rich Gla proteins (PRRGs) remains unexplored. Methods Analysis of pancreatic ductal adenocarcinoma (PDAC) datasets, including transcription profiles, clinical data, and tissue microarrays, was conducted to evaluate PRRG1 expression and its clinical relevance. PDAC cell lines with overexpressed, knockdown, and mutated PRRG1 were developed to study biological functions and pathways using RNA‐seq, co‐immunoprecipitation with mass spectrometry, Western blotting, and immunofluorescence. In vivo xenograft and orthotopic models assessed PRRG1's impact on PDAC progression, with and without warfarin treatment. Results PRRG1 was significantly upregulated in PDAC compared to normal pancreas, correlating with poorer patient survival. PRRG1 knockdown reduced PDAC cell proliferation, anchorage‐independent growth in vitro, and tumor growth in vivo. PRRG1 localized at the plasma membrane, interacted with the HECT E3 ligase NEDD4 via the C‐terminal PPXY motif, and promoted NEDD4 self‐ubiquitination, reducing its protein levels. PRRG1 knockdown elevated NEDD4, destabilizing the oncoprotein KRAS and receptor EGFR, and attenuating downstream signaling and macropinocytosis under nutrient deprivation. The vitamin K‐dependent Gla modification of PRRG1 was crucial for its membrane localization and pro‐tumorigenic effects, and was inhibited by low‐dose warfarin, a clinical vitamin K antagonist. Conclusions This study identifies PRRG1 as a key regulator of pro‐tumorigenic signaling in PDAC, suggesting the potential of repurposing the anticoagulant warfarin as a therapeutic strategy. Key points PRRG1 is identified as the transmembrane Gla protein mediating PDAC malignancy. PRRG1 recruits and induces self‐ubiquitination of membrane‐anchoring E3 ligase NEDD4. PRRG1 exerts a protective role toward KRAS and EGFR by inhibiting NEDD4. The anticoagulant warfarin can be utilized to inhibit PRRG1 and PDAC advancement.
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spelling doaj-art-dffe638ee2234c9197e5ae51fcf31ead2025-01-25T04:00:38ZengWileyClinical and Translational Medicine2001-13262025-01-01151n/an/a10.1002/ctm2.70191Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFRZheng Wu0Qing Ye1Shan Zhang2Li‐Peng Hu3Xiao‐Qi Wang4Lin‐Li Yao5Lei Zhu6Shu‐Yu Xiao7Zong‐Hao Duan8Xue‐Li Zhang9Shu‐Heng Jiang10Zhi‐Gang Zhang11De‐Jun Liu12Dong‐Xue Li13Xiao‐Mei Yang14State Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaDepartment of Biliary‐Pancreatic Surgery Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaDepartment of Biliary‐Pancreatic Surgery Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaState Key Laboratory of Systems Medicine for Cancer Shanghai Cancer Institute Ren Ji Hospital School of Medicine Shanghai Jiao Tong University Shanghai P.R. ChinaAbstract Background Vitamin K‐dependent γ‐glutamic acid carboxylation (Gla) proteins are calcium‐binding and membrane‐associated, participating in coagulation, bone turnover, and cancer biology. The molecular function of transmembrane proline‐rich Gla proteins (PRRGs) remains unexplored. Methods Analysis of pancreatic ductal adenocarcinoma (PDAC) datasets, including transcription profiles, clinical data, and tissue microarrays, was conducted to evaluate PRRG1 expression and its clinical relevance. PDAC cell lines with overexpressed, knockdown, and mutated PRRG1 were developed to study biological functions and pathways using RNA‐seq, co‐immunoprecipitation with mass spectrometry, Western blotting, and immunofluorescence. In vivo xenograft and orthotopic models assessed PRRG1's impact on PDAC progression, with and without warfarin treatment. Results PRRG1 was significantly upregulated in PDAC compared to normal pancreas, correlating with poorer patient survival. PRRG1 knockdown reduced PDAC cell proliferation, anchorage‐independent growth in vitro, and tumor growth in vivo. PRRG1 localized at the plasma membrane, interacted with the HECT E3 ligase NEDD4 via the C‐terminal PPXY motif, and promoted NEDD4 self‐ubiquitination, reducing its protein levels. PRRG1 knockdown elevated NEDD4, destabilizing the oncoprotein KRAS and receptor EGFR, and attenuating downstream signaling and macropinocytosis under nutrient deprivation. The vitamin K‐dependent Gla modification of PRRG1 was crucial for its membrane localization and pro‐tumorigenic effects, and was inhibited by low‐dose warfarin, a clinical vitamin K antagonist. Conclusions This study identifies PRRG1 as a key regulator of pro‐tumorigenic signaling in PDAC, suggesting the potential of repurposing the anticoagulant warfarin as a therapeutic strategy. Key points PRRG1 is identified as the transmembrane Gla protein mediating PDAC malignancy. PRRG1 recruits and induces self‐ubiquitination of membrane‐anchoring E3 ligase NEDD4. PRRG1 exerts a protective role toward KRAS and EGFR by inhibiting NEDD4. The anticoagulant warfarin can be utilized to inhibit PRRG1 and PDAC advancement.https://doi.org/10.1002/ctm2.70191KRASNEDD4 E3 ligasespancreatic cancerPRRG1vitamin K‐dependent carboxylation
spellingShingle Zheng Wu
Qing Ye
Shan Zhang
Li‐Peng Hu
Xiao‐Qi Wang
Lin‐Li Yao
Lei Zhu
Shu‐Yu Xiao
Zong‐Hao Duan
Xue‐Li Zhang
Shu‐Heng Jiang
Zhi‐Gang Zhang
De‐Jun Liu
Dong‐Xue Li
Xiao‐Mei Yang
Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR
Clinical and Translational Medicine
KRAS
NEDD4 E3 ligases
pancreatic cancer
PRRG1
vitamin K‐dependent carboxylation
title Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR
title_full Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR
title_fullStr Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR
title_full_unstemmed Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR
title_short Vitamin K‐dependent gamma‐carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein KRAS and tyrosine kinase receptor EGFR
title_sort vitamin k dependent gamma carboxyglutamic acid protein 1 promotes pancreatic ductal adenocarcinoma progression through stabilizing oncoprotein kras and tyrosine kinase receptor egfr
topic KRAS
NEDD4 E3 ligases
pancreatic cancer
PRRG1
vitamin K‐dependent carboxylation
url https://doi.org/10.1002/ctm2.70191
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