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<article article-type="research-article" xml:lang="en" dtd-version="1.4"><?da-xref-anchor-style superscripted?><front><journal-meta><journal-id journal-id-type="nlm-ta">Sci Rep</journal-id><journal-id journal-id-type="iso-abbrev">Sci Rep</journal-id><journal-id journal-id-type="pmc-domain-id">1579</journal-id><journal-id journal-id-type="pmc-domain">scirep</journal-id><journal-id journal-id-type="nlm-id">101563288</journal-id><journal-title-group><journal-title>Scientific Reports</journal-title></journal-title-group><issn pub-type="epub">2045-2322</issn><?publisher_abbrev naturepg?><publisher><publisher-name>Nature Publishing Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmcid">PMC5601949</article-id><article-id pub-id-type="pmcid-ver">PMC5601949.1</article-id><article-id pub-id-type="pmcaid">5601949</article-id><article-id pub-id-type="pmcaiid">5601949</article-id><article-id pub-id-type="pmid">28916833</article-id><article-id pub-id-type="doi">10.1038/s41598-017-11688-x</article-id><article-id pub-id-type="publisher-id">11688</article-id><article-version article-version-type="pmc-version">1</article-version><article-categories><subj-group subj-group-type="heading"><subject>Article</subject></subj-group></article-categories><title-group><article-title>Inhibition of Wnt/<italic toggle="yes">β</italic>-Catenin pathway and Histone acetyltransferase activity by Rimonabant: a therapeutic target for colon cancer</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-7066-174X</contrib-id><name name-style="western"><surname>Proto</surname><given-names initials="MC">Maria Chiara</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Fiore</surname><given-names initials="D">Donatella</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Piscopo</surname><given-names initials="C">Chiara</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Franceschelli</surname><given-names initials="S">Silvia</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bizzarro</surname><given-names initials="V">Valentina</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Laezza</surname><given-names initials="C">Chiara</given-names></name><xref ref-type="aff" rid="Aff2">2</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Lauro</surname><given-names initials="G">Gianluigi</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Feoli</surname><given-names initials="A">Alessandra</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Tosco</surname><given-names initials="A">Alessandra</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bifulco</surname><given-names initials="G">Giuseppe</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-0748-1145</contrib-id><name name-style="western"><surname>Sbardella</surname><given-names initials="G">Gianluca</given-names></name><xref ref-type="aff" rid="Aff1">1</xref></contrib><contrib contrib-type="author"><name name-style="western"><surname>Bifulco</surname><given-names initials="M">Maurizio</given-names></name><xref ref-type="aff" rid="Aff3">3</xref></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-0576-2955</contrib-id><name name-style="western"><surname>Gazzerro</surname><given-names initials="P">Patrizia</given-names></name><address><email>pgazzerro@unisa.it</email></address><xref ref-type="aff" rid="Aff1">1</xref></contrib><aff id="Aff1"><label>1</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0335</institution-id><institution-id institution-id-type="GRID">grid.11780.3f</institution-id><institution>Department of Pharmacy, </institution><institution>University of Salerno, </institution></institution-wrap>Fisciano, 84084 Italy </aff><aff id="Aff2"><label>2</label><institution-wrap><institution-id institution-id-type="GRID">grid.429047.c</institution-id><institution>Institute of Endocrinology and Experimental Oncology, IEOS CNR, </institution></institution-wrap>Naples, 80131 Italy </aff><aff id="Aff3"><label>3</label><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1937 0335</institution-id><institution-id institution-id-type="GRID">grid.11780.3f</institution-id><institution>Department of Medicine, Surgery and Dentistry “Scuola Medica Salernitana”, </institution><institution>University of Salerno, </institution></institution-wrap>Baronissi, 84081 Italy </aff></contrib-group><pub-date pub-type="epub"><day>15</day><month>9</month><year>2017</year></pub-date><pub-date pub-type="collection"><year>2017</year></pub-date><volume>7</volume><issue-id pub-id-type="pmc-issue-id">282893</issue-id><elocation-id>11678</elocation-id><history><date date-type="received"><day>8</day><month>3</month><year>2017</year></date><date date-type="accepted"><day>9</day><month>8</month><year>2017</year></date></history><pub-history><event event-type="pmc-release"><date><day>15</day><month>09</month><year>2017</year></date></event><event event-type="pmc-live"><date><day>20</day><month>09</month><year>2017</year></date></event><event event-type="pmc-last-change"><date iso-8601-date="2017-09-21 00:08:25.843"><day>21</day><month>09</month><year>2017</year></date></event></pub-history><permissions><copyright-statement>© The Author(s) 2017</copyright-statement><license license-type="OpenAccess"><ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/" specific-use="textmining" content-type="ccbylicense">https://creativecommons.org/licenses/by/4.0/</ali:license_ref><license-p>
<bold>Open Access</bold> This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons license, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons license and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this license, visit <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</ext-link>.</license-p></license></permissions><self-uri xmlns:xlink="http://www.w3.org/1999/xlink" content-type="pmc-pdf" xlink:href="41598_2017_Article_11688.pdf"><?pdf-name 41598_2017_Article_11688.pdf?><?pdf-size 2791274?><?pdf-md5 5851eb654755f4f2d340d1a06307dc3e?><?pdf-image-server-status NEVER_LOAD?><?pdf-cloudpmc-urn urn:app:714a/5601949/5851eb654755/41598_2017_Article_11688.pdf?></self-uri><abstract id="Abs1"><p id="Par1">In a high percentage (≥85%) of both sporadic and familial adenomatous polyposis forms of colorectal cancer (CRC), the inactivation of the APC tumor suppressor gene initiates tumor formation and modulates the Wnt/<italic toggle="yes">β</italic>-Catenin transduction pathways involved in the control of cell proliferation, adhesion and metastasis. Increasing evidence showed that the endocannabinoids control tumor growth and progression, both <italic toggle="yes">in vitro</italic> and <italic toggle="yes">in vivo</italic>. We evaluated the effect of Rimonabant, a Cannabinoid Receptor 1 (CB1) inverse agonist, on the Wnt/<italic toggle="yes">β</italic>-Catenin pathway in HCT116 and SW48 cell lines carrying the genetic profile of metastatic CRC poorly responsive to chemotherapies. In these models, Rimonabant inhibited the Wnt/<italic toggle="yes">β</italic>-Catenin canonical pathway and increased <italic toggle="yes">β</italic>-Catenin phosphorylation; in HCT116 cells, but not in SW48, the compound also triggered the Wnt/<italic toggle="yes">β</italic>-Catenin non canonical pathway activation through induction of Wnt5A and activation of CaMKII. The Rimonabant-induced downregulation of Wnt/<italic toggle="yes">β</italic>-Catenin target genes was partially ascribable to a direct inhibition of p300/KAT3B histone acetyltransferase, a coactivator of <italic toggle="yes">β</italic>-Catenin dependent gene regulation. Finally, in HCT116 xenografts, Rimonabant significantly reduced tumor growth and destabilized the nuclear localization of <italic toggle="yes">β</italic>-Catenin. Obtained data heavily supported the rationale for the use of cannabinoids in combined therapies for metastatic CRC harbouring activating mutations of <italic toggle="yes">β</italic>-Catenin.</p></abstract><custom-meta-group><custom-meta><meta-name>pmc-status-qastatus</meta-name><meta-value>0</meta-value></custom-meta><custom-meta><meta-name>pmc-status-live</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-status-embargo</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-status-released</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-open-access</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-olf</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-manuscript</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-legally-suppressed</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-pdf</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-has-supplement</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-pdf-only</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-suppress-copyright</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-real-version</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-is-scanned-article</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-preprint</meta-name><meta-value>no</meta-value></custom-meta><custom-meta><meta-name>pmc-prop-in-epmc</meta-name><meta-value>yes</meta-value></custom-meta><custom-meta><meta-name>pmc-license-ref</meta-name><meta-value>CC BY</meta-value></custom-meta><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2017</meta-value></custom-meta></custom-meta-group></article-meta></front><body><sec id="Sec1" sec-type="introduction"><title>Introduction</title><p id="Par2">The majority of both sporadic and familial forms of adenomatous polyposis (FAP) in colorectal cancer (CRC) originates from inactivation of APC (Adenomatous Polyposis Coli) tumor suppressor gene. APC negatively regulates the levels of <italic toggle="yes">β</italic>-Catenin that transduces Wnt signals, mediates cell-cell adherent junctions through its interaction with E-cadherin, and stimulates cell proliferation. WNTs are able to modulate both the ‘canonical’ <italic toggle="yes">β</italic>-Catenin-dependent and the ‘non-canonical’ <italic toggle="yes">β</italic>-Catenin-independent Wnt signalling pathways<sup><xref ref-type="bibr" rid="CR1">1</xref></sup>. In the canonical pathway, in the absence of Wnt ligands, GSK3 (Glycogen Synthase Kinase 3), casein kinase 1 <italic toggle="yes">α</italic> (CK1 <italic toggle="yes">α</italic>), axin and APC promote the phosphorylation of <italic toggle="yes">β</italic>-Catenin, its ubiquitylation and degradation. Interaction of Wnt ligands, such as Wnt3a, with Frizzled (Fzd) receptors and the Wnt co-receptor low density Lipoprotein Receptor-related Protein 5 (LRP5) or LRP6 activates the Dishevelled (Dvl) cytoplasmic phospho proteins, which inhibit <italic toggle="yes">β</italic>-Catenin phosphorylation and block its degradation. Then <italic toggle="yes">β</italic>-Catenin accumulates in the nucleus, binds to Lymphoid Enhancer-binding Factor (LEF) and T Cell Factor (TCF) proteins and acts as a transcriptional co-activator to modulate the expression of target genes<sup><xref ref-type="bibr" rid="CR2">2</xref></sup>. Some WNTs, such as Wnt5A and Wnt11, fail to stabilize <italic toggle="yes">β</italic>-Catenin and can also induce a calcium flux and the activation of various pathways, such as PKC (Protein kinase C), CaMKII (Calcium/Calmodulin Dependent Protein Kinase II) and JNK (c-Jun N-terminal kinases)<sup><xref ref-type="bibr" rid="CR3">3</xref></sup>. Moreover, Wnt5A inhibits Wnt3A-induced canonical pathway in a dose-dependent manner<sup><xref ref-type="bibr" rid="CR4">4</xref></sup>. Wnt5A is frequently silenced in human CRC cell lines and in human primary tumors due to its promoter methylation, resulting thus as a potential epigenetic biomarker or therapeutic target for CRC<sup><xref ref-type="bibr" rid="CR5">5</xref></sup>. Wnt/<italic toggle="yes">β</italic>-Catenin signalling regulates different cellular processes in both embryonic and adult stages and increasing evidence suggests that Wnt target genes are mainly cell and context specific. The multifaceted role of Wnt/<italic toggle="yes">β</italic>-Catenin pathway is a topic still debated and the analysis of the Wnt targetome<sup><xref ref-type="bibr" rid="CR6">6</xref></sup> and of <italic toggle="yes">β</italic>-Catenin target genes<sup><xref ref-type="bibr" rid="CR7">7</xref></sup> identified new players associated with CRC. Intriguingly, anandamide (AEA), a cannabinoid receptor 1 (CB1) agonist, inhibits cholangiocarcinoma growth through activation of the non-canonical Wnt pathway mediated by Wnt5A<sup><xref ref-type="bibr" rid="CR8">8</xref></sup> and, in human breast cancer cells, methyl-F-AEA reduces <italic toggle="yes">β</italic>-Catenin levels, inhibits the transcriptional activation of TCF responsive elements and decreases the expression of mesenchymal markers<sup><xref ref-type="bibr" rid="CR9">9</xref></sup>. These data strongly suggest our hypothesis of a potential effect of cannabinoids on the Wnt/<italic toggle="yes">β</italic>-Catenin in CRC, but to date no data dissected these interactions. The endocannabinoid (EC) system possesses antitumor effects <italic toggle="yes">in vitro</italic> and <italic toggle="yes">in vivo</italic>
<sup><xref ref-type="bibr" rid="CR10">10</xref>–<xref ref-type="bibr" rid="CR12">12</xref></sup>. Δ9-tetrahydrocannabinol induces apoptosis in CRC by CB1-mediated inhibition of both RAS-MAPK/ERK and PI3K-Akt signalling and activation of BAD (BCL2 Associated Agonist of cell Death)<sup><xref ref-type="bibr" rid="CR10">10</xref></sup>. In DLD1 and HT29 CRC cell lines, both CB1 and CB2 (cannabinoid receptor 2) receptor agonists induce apoptosis<sup><xref ref-type="bibr" rid="CR13">13</xref></sup>. In the azoxymethane (AOM) induced aberrant crypt foci (ACF) model, the inhibition of EC hydrolysis decreases the development of precancerous lesions in the mouse colon<sup><xref ref-type="bibr" rid="CR14">14</xref></sup>. Moreover, cannabinoids significantly reduce the proliferation of CRC cell lines<sup><xref ref-type="bibr" rid="CR15">15</xref></sup> and raise the expression of CB1 and estrogen receptors (ER)<sup><xref ref-type="bibr" rid="CR15">15</xref></sup>, whose loss might promote and accelerate colorectal carcinogenesis in APC<sup>Min/+</sup> mice<sup><xref ref-type="bibr" rid="CR16">16</xref></sup>. Last but not least, cannabinoids improve the efficacy of chemotherapic drugs used in the clinical practice<sup><xref ref-type="bibr" rid="CR17">17</xref>, <xref ref-type="bibr" rid="CR18">18</xref></sup>. A priority in the treatment of human cancer is the finding of strategies able to reduce the occurrence of resistance to chemotherapies or, alternatively, to identify new pathways as targets of drugs enabling to bypass these events. In this issue the ECs could represent good therapeutic chances acting at several levels. We previously found that among other cannabinoid compounds, Rimonabant (SR141716), an inverse agonist at the CB1 receptor, shows a powerful antitumor effect both in precancerous lesions and in CRC cell lines<sup><xref ref-type="bibr" rid="CR11">11</xref>, <xref ref-type="bibr" rid="CR17">17</xref>, <xref ref-type="bibr" rid="CR18">18</xref></sup>. Here we dissected the role of Rimonabant in CRC analyzing, <italic toggle="yes">in vitro</italic> and <italic toggle="yes">in vivo</italic>, its effects on the Wnt/<italic toggle="yes">β</italic>-Catenin mediated signalling.</p></sec><sec id="Sec2" sec-type="results"><title>Results</title><sec id="Sec3"><title>SR141716 inhibits proliferation in human CRC cells <italic toggle="yes">in vitro</italic></title><p id="Par3">We previously found that in CRC cell lines, DLD1 and SW620, SR141716 induced G2/M and S-G2/M arrest, respectively, without induction of apoptosis or necrosis<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. Here we found that SR141716 inhibited HCT116 cell growth (Fig. <xref rid="Fig1" ref-type="fig">1a</xref>), induced a significant increase of Sub-G0/G1 cell phase, persistent until 48 hours (Fig. <xref rid="Fig1" ref-type="fig">1b</xref>) and raised the percentage of PI/Annexin V-FITC double stained cells (Fig. <xref rid="Fig1" ref-type="fig">1c</xref>). In both HCT116 and SW48 cell lines, the increase of Caspase 3- and PARP-cleaved protein levels starting from 24 hours (Fig. <xref rid="Fig1" ref-type="fig">1d</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S1a</xref>) strongly suggested induction of apoptosis. This was also confirmed by results from human apoptosis antibody array, performed in HCT116 cells, revealing also an upregulation of Cytochrome C and of death receptors (TRAILR-1, -2 and -3) and downregulation of Bcl-2 and X-linked Inhibitor of Apoptosis Protein (XIAP) (see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S1b</xref>).<fig id="Fig1" position="float" orientation="portrait"><label>Figure 1</label><caption><p>Effect of SR141716 on cell viability. Cell viability (<bold>a</bold>), cell cycle analysis using propidium iodide staining (<bold>b</bold>) and apoptosis analysis (<bold>c</bold>) using AnnexinV-FITC/PI of HCT116 cells treated with SR141716 or vehicle alone. (<bold>d</bold>) Representative western blot analysis of Caspase 3 and PARP (total and cleaved forms) expression in total protein lysates from HCT116 and SW48 cells untreated (−) or treated (+) with the compound (mean ± SD; unpaired two tailed Student’s t-test *p &lt; 0.05, **p &lt; 0.01 and ***p &lt; 0.005). Cropped blots from full-length gels are displayed in d.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e529" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig1_HTML.jpg"><?image-name 41598_2017_11688_Fig1_HTML.jpg?><?image-size 114162?><?image-md5 72375ce52c4c9de56529d4e3fcbed32b?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1198?><?image-original-width 1650?><?image-scaled-height 479?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/72375ce52c4c/41598_2017_11688_Fig1_HTML.jpg?><?thumb-name 41598_2017_11688_Fig1_HTML.gif?><?thumb-size 13022?><?thumb-md5 ae0dde2554febe4217188318154ac406?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 110?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/ae0dde2554fe/41598_2017_11688_Fig1_HTML.gif?></graphic></fig>
</p></sec><sec id="Sec4"><title>SR141716 inhibits canonical and activates non- canonical Wnt/<italic toggle="yes">β</italic>-Catenin pathway in CRC cell lines</title><p id="Par4">In the absence of secreted Wnt ligands, the degradation complex destabilizes <italic toggle="yes">β</italic>-Catenin by phosphorylating it at Ser45 and Thr41/Ser37/Ser33. Ser33/Ser37 double phosphorylation (p-<italic toggle="yes">β</italic>-Catenin in the figures) marks <italic toggle="yes">β</italic>-Catenin for ubiquitin-mediated proteolysis<sup><xref ref-type="bibr" rid="CR19">19</xref>, <xref ref-type="bibr" rid="CR20">20</xref></sup>. In HCT116 and SW48 cell lines, SR141716 increased p-<italic toggle="yes">β</italic>-Catenin starting from 8 hours of treatment (Fig. <xref rid="Fig2" ref-type="fig">2</xref>). To assess whether the observed effects represent a common mechanism in CRC, the expression of total and p-<italic toggle="yes">β</italic>-Catenin was also evaluated in DLD1 and SW620 cell lines where the compound induced a transient increase of the p-<italic toggle="yes">β</italic>-Catenin not persistent at 48 hours (Fig. <xref rid="Fig2" ref-type="fig">2</xref>). In HCT116 cell line, where the SR141716-mediated <italic toggle="yes">β</italic>-Catenin phosphorylation was more effective and persistent, the analysis of nuclear and cytoplasmic extracts from treated cells revealed a reduced amount of <italic toggle="yes">β</italic>-Catenin in the cytoplasm at 24 hours and a nuclear localization lower than control cells at both 24 and 48 hours (Fig. <xref rid="Fig3" ref-type="fig">3a and b</xref>). The immunofluorescence staining of SR141716-treated cells, substantially confirmed the <italic toggle="yes">β</italic>-Catenin localization and the reduction of its nuclear translocation (Fig. <xref rid="Fig3" ref-type="fig">3c</xref>). Wnt3 triggers the canonical <italic toggle="yes">β</italic>-Catenin signalling through the bound with Fzd7 and LRP5 or LRP6 in several cancers, including CRC<sup><xref ref-type="bibr" rid="CR1">1</xref>, <xref ref-type="bibr" rid="CR21">21</xref></sup>. In HCT116, SR141716 was able to reduce Wnt3 protein levels and both Fzd7 and LRP6 co-receptor at the same time points. Furthermore, Dvl3 protein expression was inhibited by the treatment, suggesting that signal transduction across the plasma membrane and activation of Dvl3 not occurred. Despite with less extent, similar expression profiles were noticeable also in SW48 cell line, at least for Fzd7 and LRP6 (Fig. <xref rid="Fig4" ref-type="fig">4a</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S2a</xref>). The <italic toggle="yes">β</italic>-Catenin phosphorylation- and degradation-complex also consists of GSK3 <italic toggle="yes">β</italic> whose activity can be inhibited by its Akt-mediated phosphorylation at Ser9<sup><xref ref-type="bibr" rid="CR22">22</xref></sup>. We observed that SR141716 induced a precocious phosphorylation of GSK3 <italic toggle="yes">β</italic> in both cell lines, persistent until 48 hours of treatment in SW48 but not in HCT116 (Fig. <xref rid="Fig4" ref-type="fig">4a</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S2b</xref>). Finally, a significant increase of APC levels was also observed in HCT116 cells (Fig. <xref rid="Fig4" ref-type="fig">4b</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S2c</xref>). Wnt5 downregulation has been associated with higher tumor grade and poor prognosis<sup><xref ref-type="bibr" rid="CR1">1</xref>, <xref ref-type="bibr" rid="CR5">5</xref>, <xref ref-type="bibr" rid="CR23">23</xref></sup>, its overexpression inhibits canonical pathway and triggers the <italic toggle="yes">β</italic>-Catenin degradation or the inhibition of TCF/Lef-mediated transcription<sup><xref ref-type="bibr" rid="CR4">4</xref>, <xref ref-type="bibr" rid="CR24">24</xref></sup>. Wnt5 interacts with ROR2 (Receptor Tyrosine Kinase Like Orphan Receptor 2) tyrosine kinase receptor activating actin-binding protein, filamin A, and the JNK signalling pathway<sup><xref ref-type="bibr" rid="CR25">25</xref>, <xref ref-type="bibr" rid="CR26">26</xref></sup>. However, the non-canonical pathway triggers intracellular calcium flux, associated with CaMKII activation and canonical signalling inhibition. In HCT116 cells SR141716 increased protein levels of both Wnt5A and ROR2 at 8 hours of treatment and induced activation of CaMKII (Fig. <xref rid="Fig4" ref-type="fig">4c</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S3</xref>). The results strongly support an SR141716-mediated inhibition of the canonical Wnt/<italic toggle="yes">β</italic>-Catenin signalling in both HCT116 and SW48 and a drug-induced activation of the non- canonical pathway triggered by Wnt5a in HCT116 cells.<fig id="Fig2" position="float" orientation="portrait"><label>Figure 2</label><caption><p>
<italic toggle="yes">β</italic>-Catenin modulation in CRC cell lines. Representative western blot analysis of <italic toggle="yes">β</italic>-Catenin (total and phosphorylated form) expression in CRC cells treated with SR141716 (SR, 10 <italic toggle="yes">μ</italic>M). The histograms represent the densitometric analyses of phospho-<italic toggle="yes">β</italic>-Catenin expressed as fold change of the total <italic toggle="yes">β</italic>-Catenin amount and normalized versus GAPDH (mean ± SD; unpaired two tailed Student’s t-test *p &lt; 0.05, **p &lt; 0.01 and ***p &lt; 0.005). Cropped blots from full-length gels are displayed in left panel.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e690" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig2_HTML.jpg"><?image-name 41598_2017_11688_Fig2_HTML.jpg?><?image-size 130325?><?image-md5 ab9dbca670979707934e763ee77e1967?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1443?><?image-original-width 1650?><?image-scaled-height 577?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/ab9dbca67097/41598_2017_11688_Fig2_HTML.jpg?><?thumb-name 41598_2017_11688_Fig2_HTML.gif?><?thumb-size 13374?><?thumb-md5 54d12e3902f60ab32f014a0c6ddbba8a?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 87?><?thumb-scaled-width 100?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/54d12e3902f6/41598_2017_11688_Fig2_HTML.gif?></graphic></fig>
<fig id="Fig3" position="float" orientation="portrait"><label>Figure 3</label><caption><p>Subcellular localization of <italic toggle="yes">β</italic>-Catenin. (<bold>a</bold>) Western blot analysis of <italic toggle="yes">β</italic>-Catenin in nuclear and cytoplasmic fractionated extracts from HCT116 cells treated with SR141716 (SR). The histograms depict the densitometric analysis of cytoplasmic and nuclear amounts of <italic toggle="yes">β</italic>-Catenin normalized versus GAPDH and Lamin A/C respectively and expressed as percentage of control. (<bold>b</bold>) RT-PCR analysis of <italic toggle="yes">β</italic>-Catenin in HCT116 cells untreated (−) or treated (+) with SR141716 (SR). In the lower panel the densitometric analysis of <italic toggle="yes">β</italic>-Catenin mRNA normalized for actin is shown. Data are shown as mean ± SD (unpaired two tailed Student’s t-test *p &lt; 0.05, **p &lt; 0.01). (<bold>c</bold>) HCT116 cells treated with SR141716 (10 <italic toggle="yes">μ</italic>M) or vehicle (CTRL) were stained with anti <italic toggle="yes">β</italic>-Catenin antibody (green fluorescence) and anti Lamin A/C antibody (red fluorescence). In right panels orthogonal view of 0.5 <italic toggle="yes">μ</italic>m thickness in the z plane was reported. Cropped images from full-length gels are displayed in a and b.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e734" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig3_HTML.jpg"><?image-name 41598_2017_11688_Fig3_HTML.jpg?><?image-size 230606?><?image-md5 c15623bc07314164e22f386ff1870ba4?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1207?><?image-original-width 1650?><?image-scaled-height 483?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/c15623bc0731/41598_2017_11688_Fig3_HTML.jpg?><?thumb-name 41598_2017_11688_Fig3_HTML.gif?><?thumb-size 16132?><?thumb-md5 68f05a07eebdfcd0b86109c7093cd93d?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 109?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/68f05a07eebd/41598_2017_11688_Fig3_HTML.gif?></graphic></fig>
<fig id="Fig4" position="float" orientation="portrait"><label>Figure 4</label><caption><p>SR141716 inhibits canonical and activates non-canonical Wnt pathways in CRC cell lines. Western blot analysis for transducers of the canonical Wnt pathway (<bold>a</bold>) and for APC (<bold>b</bold>) in whole cell extracts from HCT116 and SW48 cultured for the indicated time in the presence (+) of SR141716 (SR) or vehicle alone (−). (<bold>c</bold>) Western blot analysis for CaMKII (total and phosphorylated), Wnt5, and ROR2 in whole cell extracts from HCT116 and SW48 cultured for 8 hours with SR141716 (+) or vehicle (−). GAPDH was used as protein loading control. Cropped blots from full-length gels are displayed in a, b and c.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e754" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig4_HTML.jpg"><?image-name 41598_2017_11688_Fig4_HTML.jpg?><?image-size 119879?><?image-md5 2ec5c8b1b08e8477111407aeb8c6c661?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1261?><?image-original-width 1650?><?image-scaled-height 504?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/2ec5c8b1b08e/41598_2017_11688_Fig4_HTML.jpg?><?thumb-name 41598_2017_11688_Fig4_HTML.gif?><?thumb-size 12413?><?thumb-md5 aeb3142928e8bfa9752d1ea0dabd60e7?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 79?><?thumb-scaled-width 104?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/aeb3142928e8/41598_2017_11688_Fig4_HTML.gif?></graphic></fig>
</p></sec><sec id="Sec5"><title>SR141716 downregulates Wnt/<italic toggle="yes">β</italic>-Catenin target gene expression</title><p id="Par5">Aimed to confirm that SR141716 makes <italic toggle="yes">β</italic>-Catenin unable, or at least feeble, to activate the transcription of Wnt target genes, we performed luciferase assays in HCT116 cell line. In our model, the efficiency of the transient transfection was higher than 70% (see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S4a</xref>). In HCT116 cells, transiently transfected with the reporter containing tandem repeats of a specific Transcriptional Response Element (TRE) for TCF/Lef and treated with SR141716, the luciferase activity was significantly lowered of approximately 50% compared to untreated cells (Fig. <xref rid="Fig5" ref-type="fig">5a</xref>). Moreover, SR141716 was able to significantly reduce protein levels of some well known Wnt/<italic toggle="yes">β</italic>-Catenin target genes, such as Cyclin D1, c-Myc (Avian myelocytomatosis virus oncogene cellular homolog) and COX-2 (Cyclooxygenase-2), involved in CRC progression (Fig. <xref rid="Fig5" ref-type="fig">5b and c</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S5</xref>).<fig id="Fig5" position="float" orientation="portrait"><label>Figure 5</label><caption><p>SR141716 downregulates Wnt/<italic toggle="yes">β</italic>-Catenin target gene expression. (<bold>a</bold>) SR141716-mediated effects on luciferase activity controlled by TRE for TCF/Lef-binding element in HCT116 cell line. Histograms represent luciferase activity measured at 18 hours from transfection in whole cell extracts from HCT116 cells transfected with reporter construct containing the TRE for TCF/Lef and treated with SR141716 (SR, 10 <italic toggle="yes">μ</italic>M) or vehicle. Firefly luciferase was normalised to Renilla luciferase reading and the data were plotted as fold change (mean ± SD; unpaired two tailed Student’s t-test ***p &lt; 0.005) compared to control (vehicle treated) cells. Western blot analysis of Wnt/<italic toggle="yes">β</italic>-Catenin targets in HCT116 (<bold>b</bold>) and in CRC (<bold>c</bold>) cell lines untreated (−) or treated (+) with SR141716. Cropped blots from full-length gels are displayed in b and c.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e810" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig5_HTML.jpg"><?image-name 41598_2017_11688_Fig5_HTML.jpg?><?image-size 84094?><?image-md5 108234254b458736fda33244d54bb528?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1005?><?image-original-width 1650?><?image-scaled-height 402?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/108234254b45/41598_2017_11688_Fig5_HTML.jpg?><?thumb-name 41598_2017_11688_Fig5_HTML.gif?><?thumb-size 9960?><?thumb-md5 3dac60e9bdf1cf4eb0e578c441a8a374?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 131?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/3dac60e9bdf1/41598_2017_11688_Fig5_HTML.gif?></graphic></fig>
</p></sec><sec id="Sec6"><title>SR141716 induces regression of CRC <italic toggle="yes">in vivo</italic></title><p id="Par6">We tested SR141716 efficacy <italic toggle="yes">in vivo</italic> in a subcutaneous (s.c.) HCT116 xenograft model. Tumor cell suspension was injected s.c. into 20 female SCID mice and when the tumor reached approximately the size of 50–70 mm<sup>3</sup>, 10 mice in the treated group received the peri-tumoral injection of SR141716, while 10 mice in the control group received vehicle alone, three times a week for 6 weeks. The tumor sizes have been recorded on the first day of SR141716 treatment (day 0) and bi- or three-weekly at the indicated time points. Mice in the control group developed tumors beyond 2,0 cm<sup>3</sup> on average by day 42. In contrast, the mice in SR141716 group developed much smaller tumors (Fig. <xref rid="Fig6" ref-type="fig">6a</xref>). In particular, starting from the thirtieth day of treatment, ANOVA analysis indicates a significant smaller tumor size in treated group compared with animals in the control group (p &lt; 0.001) (Fig. <xref rid="Fig6" ref-type="fig">6b</xref>). Excised tumor sections were analyzed for <italic toggle="yes">β</italic>-Catenin localization in cellular compartments through immunofluorescence staining with specific antibodies for <italic toggle="yes">β</italic>-Catenin and for Lamin A/C (green and red fluorescence, respectively in Fig. <xref rid="Fig6" ref-type="fig">6c</xref>). The confocal microscopy demonstrated that in tissue sections from treated mice <italic toggle="yes">β</italic>-Catenin localized mainly in the cytoplasm whereas nuclear staining was almost devoid of specific <italic toggle="yes">β</italic>-Catenin signal (Fig. <xref rid="Fig6" ref-type="fig">6c</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S6a</xref>). Finally, western blot analysis of total extracts from tissue specimens demonstrated that, despite the awaited tumor samples heterogeneity, the amount of p-<italic toggle="yes">β</italic>-Catenin, clearly detectable in the treated xenografts, was lost in control tumors. In contrast, the immunoreactivity for both Cyclin D1 and c-Myc, distinguishable in control samples, were just barely apparent in whole extracts from treated tumors (Fig. <xref rid="Fig6" ref-type="fig">6d</xref>). Quantification of western blot analysis, performed in samples from six tumors per condition, seems to sustain this feature even if it not reach statistical significance at least in our xenograft groups (see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S6b</xref>).<fig id="Fig6" position="float" orientation="portrait"><label>Figure 6</label><caption><p>SR141716 reduces <italic toggle="yes">in vivo</italic> tumorigenicity of HCT116 through inhibition of Wnt/<italic toggle="yes">β</italic>
<bold>-</bold>Catenin canonical pathway. (<bold>a</bold>) Representative growth of HCT116 xenografts in control (upper panel) and in treated groups (lower panel) at day 42. (<bold>b</bold>) Tumor volume growth curve after peri-tumoral injection of SR141716. Growth retardation by the compound was statistically significant for all time points labelled with * (one-way ANOVA p &lt; 0.05) or with # (one-way ANOVA p &lt; 0.001). (<bold>c</bold>) Immunofluorescence staining of HCT116 xenograft tumor sections (10 <italic toggle="yes">μ</italic>m; 42 days from treatment beginning) performed for Lamin A/C (red fluorescence) and <italic toggle="yes">β</italic>-Catenin (green fluorescence) localization. The image shown represents 3D front view; data are representative of at least three sections from each control and treated tissue sample. (<bold>d</bold>) Western blot analysis of total and phosphorylated <italic toggle="yes">β</italic>-Catenin, Cyclin D1 and c-Myc in whole lysate from resected tumor tissues. Cropped blots from full-length gels are displayed in d.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e905" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig6_HTML.jpg"><?image-name 41598_2017_11688_Fig6_HTML.jpg?><?image-size 204678?><?image-md5 0a334f0d0809e3172d71a74f5aff2e1e?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1183?><?image-original-width 1650?><?image-scaled-height 473?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/0a334f0d0809/41598_2017_11688_Fig6_HTML.jpg?><?thumb-name 41598_2017_11688_Fig6_HTML.gif?><?thumb-size 14266?><?thumb-md5 27a6bfb5dd42d5953a65ce21d299baa5?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 111?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/27a6bfb5dd42/41598_2017_11688_Fig6_HTML.gif?></graphic></fig>
</p></sec><sec id="Sec7"><title>SR141716 inhibits p300/KAT3B activity and modulates histone acetylation in CRC cell lines</title><p id="Par7">Obtained data substantially supported a drug-mediated inhibition of the canonical Wnt/<italic toggle="yes">β</italic>-Catenin signalling in CRC cell lines carrying stabilizing mutation of <italic toggle="yes">β</italic>-Catenin, such as HCT116 and SW48. Moreover, even though we found a direct inhibition of the TCF/Lef-mediated transcriptional activation in HCT116 but not in DLD1 and SW620 cell lines, in several models of human CRC the compound was able to decrease the expression of well known <italic toggle="yes">β</italic>-Catenin target genes (Fig. <xref rid="Fig5" ref-type="fig">5c</xref> and see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S5</xref>). We hypothesized that a member of the <italic toggle="yes">β</italic>-Catenin-TCF/Lef complex, other than <italic toggle="yes">β</italic>-Catenin, could be involved in the observed antitumor effects. Aimed to identify factors potentially able to interact with SR141716, we performed an <italic toggle="yes">in silico</italic> Inverse Virtual Screening testing the case-study compound on a panel of 306 proteins involved in cancer and inflammation events (see Supplementary Table <xref rid="MOESM1" ref-type="media">S1</xref>). Briefly, this computational tool allows the analysis of different binding hypotheses between a single ligand and a high number of targets through molecular docking experiments, determining the selection of the most promising ligand-receptor favourite complexes after a normalization of the predicted binding affinities, and successfully directing the subsequent biological assays<sup><xref ref-type="bibr" rid="CR27">27</xref>–<xref ref-type="bibr" rid="CR31">31</xref></sup>. Concerning the first two identified targets (A<sub>2A</sub> 1<sup>st</sup> position, and ErbB4, 2<sup>nd</sup> position in the ranking) (see Supplementary Table <xref rid="MOESM1" ref-type="media">S2</xref>) we first of all considered their expression in our panel of CRC cell lines. A<sub>2A</sub> (Adenosine A2a Receptor, ADORA2A) is a component of the Adenosine receptor family comprising four G-protein coupled receptors (A<sub>1</sub>, A<sub>2A</sub>, A<sub>2B</sub> and A<sub>3</sub>) linked to Ca<sup>2+</sup> mobilization and Cyclic AMP increase. Low amount of A<sub>1</sub>, A<sub>2A</sub>, and A<sub>2B</sub> receptors have been detected in colon cancer cell lines cultured in normoxic condition, as in our experimental procedures<sup><xref ref-type="bibr" rid="CR32">32</xref>, <xref ref-type="bibr" rid="CR33">33</xref></sup>, whereas both HCT116 and DLD1 cells expressed high levels of the A<sub>3</sub> receptor subtype<sup><xref ref-type="bibr" rid="CR32">32</xref>–<xref ref-type="bibr" rid="CR34">34</xref></sup>. ErbB4/Her4 (Erb-B2 Receptor Tyrosine Kinase 4) is a member of the ErbB protein tyrosine kinase family, which also includes EGFR/ErbB1/Her1. Despite recently an over-expression of ErbB4 was found in human CRC tissues, in cultured colon cancer cell lines ErbB4 protein expression is difficult to detect and mainly unmistakable in poorly differentiated CRC cells such as HCT116 in our panel<sup><xref ref-type="bibr" rid="CR35">35</xref>, <xref ref-type="bibr" rid="CR36">36</xref></sup>. Therefore, among the obtained results, we were intrigued by p300/KAT3B target at the 3<sup>rd</sup> position in the final ranking of predicted most affine proteins of SR141716<sup><xref ref-type="bibr" rid="CR37">37</xref></sup>. Specifically, the careful analysis of the sampled docking poses enforced this result, showing a good accommodation of SR141716 in the p300/KAT3B binding site and supporting the potential inhibition of the histone acetyltransferase (HAT) activity exerted by the investigated compound. We found two interesting binding modes in which SR141716 is placed in p300/KAT3B occupying the ligand binding site (LBD) and exerting both polar and hydrophobic interactions. The analysis of the first pose, associated to the best docking score (ΔG<sub>bind</sub> = −11.2 kcal/mol), disclosed the arrangement of SR141716 in the deep part of the LBD supported by an edge-to-face <italic toggle="yes">π</italic>-<italic toggle="yes">π</italic> interaction between the pyrazole core and the indole moiety in the side chain of Trp1466, and an H-bond with the carbonyl oxygen in the backbone of Leu1398 (Fig. <xref rid="Fig7" ref-type="fig">7a</xref>). Further polar interactions were established with Ser1396, Asp1399, Ser1400, Arg1410, Gln1455, Lys1456, and hydrophobic contacts with Tyr1414, Leu1463, Trp1466, Tyr1467 (Fig. <xref rid="Fig7" ref-type="fig">7a and c</xref>). Another interesting binding mode (ΔG<sub>bind</sub> = −10.8 kcal/mol) showed the placement of the molecule in a more external part of the binding site, supported by halogen bonds between the dichloro-phenyl part of SR141716 and Arg1410 (Fig. <xref rid="Fig7" ref-type="fig">7b</xref>), while the edge-to-face <italic toggle="yes">π</italic>-<italic toggle="yes">π</italic> interaction between the pyrazole core and Trp1466 was again detected (Fig. <xref rid="Fig7" ref-type="fig">7b and d</xref>). The direct binding of SR141716 to the HAT catalytic domain (aa 1284–1673) of human recombinant p300/KAT3B was corroborated by the results of a surface plasmon resonance (SPR) assay, performed according to a well-established protocol<sup><xref ref-type="bibr" rid="CR38">38</xref>, <xref ref-type="bibr" rid="CR39">39</xref></sup>. In fact, Fig. <xref rid="Fig7" ref-type="fig">7e</xref> clearly shows a direct interaction between SR141716 and p300/KAT3B, displaying a concentration dependent SPR signal not observed with the negative control (see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S7</xref>). Fluorometric <italic toggle="yes">in vitro</italic> assay suggested a dose-dependent inhibition of p300/KAT3B HAT activity by SR141716 (5 <italic toggle="yes">μ</italic>M–60 <italic toggle="yes">μ</italic>M) (Fig. <xref rid="Fig8" ref-type="fig">8a</xref>). Moreover, the compound decreased the amount of acetyl-Histone H3 and acetyl-Histone H4 in both purified histones and total lysates from SR141716-treated HCT116 cells (Fig. <xref rid="Fig8" ref-type="fig">8b</xref>). The decreased acetylation seems a reproducible effect triggered by Rimonabant in CRC cell lines irrespective of the mutational profile and Wnt/<italic toggle="yes">β</italic>-Catenin signalling and thus can be highlighted also in DLD1 and SW48 cell lines (Fig. <xref rid="Fig8" ref-type="fig">8c and d</xref>).<fig id="Fig7" position="float" orientation="portrait"><label>Figure 7</label><caption><p>SR141716 interacts with p300/KAT3B. (<bold>a</bold>) 3D docking models of SR141716 (colored by atom types: C green, O red, N blue, polar H light gray, Cl dark green) in the binding site of p300/KAT3B (secondary structure depicted in orange ribbons) and (<bold>c</bold>) associated 2D interaction panel; (<bold>b</bold>) alternative 3D docking models of SR141716 and (<bold>d</bold>) associated 2D interaction panel. Residues in the active site are represented in sticks (colored by atom types: C grey, N blue, O red, S yellow, H light gray). H-bonds ligand/protein interactions are represented in green dotted lines, while <italic toggle="yes">π</italic>-<italic toggle="yes">π</italic> interactions are depicted with cyan dotted lines and halogen bonds are reported with violet dotted lines. (<bold>e</bold>) Sensorgrams obtained from different injections (0.62, 1.25, 2.5, 4 and 5 <italic toggle="yes">μ</italic>M) of SR141716 to immobilized hKAT3B/p300 (catalytic domain, aa 1284–1673).</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e1121" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig7_HTML.jpg"><?image-name 41598_2017_11688_Fig7_HTML.jpg?><?image-size 132968?><?image-md5 1c780eb5b6685b763efc9e1acb4c8523?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 690?><?image-original-width 1650?><?image-scaled-height 276?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/1c780eb5b668/41598_2017_11688_Fig7_HTML.jpg?><?thumb-name 41598_2017_11688_Fig7_HTML.gif?><?thumb-size 14403?><?thumb-md5 07e05350f5777fac9d8091b9c5afa642?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 80?><?thumb-scaled-width 191?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/07e05350f577/41598_2017_11688_Fig7_HTML.gif?></graphic></fig>
<fig id="Fig8" position="float" orientation="portrait"><label>Figure 8</label><caption><p>SR141716 inhibits HAT p300/KAT3B activity and decreases acetyl-histone amount in CRC cell lines. (<bold>a</bold>) Fluorometric assay of HAT p300/KAT3B activity performed with increasing doses of SR141716. Results were expressed as means ± SD of 3 independent experiments performed in duplicate and reported as percentage vs the enzyme control (one-way ANOVA, **p &lt; 0.01 vs control). (<bold>b</bold>–<bold>d</bold>) Quantification of total acetyl-Histone H3 and H4 Histone extracts from CRC cell lines treated with SR141716 (10 <italic toggle="yes">μ</italic>M, SR in the figure) or with the vehicle alone (CTRL) performed with ELISA assay (histograms). Values are shown as means ± SD (n = 3) and represent the percentage of total acetylation vs control (unpaired two tailed Student’s t-test, *p &lt; 0.05 and **p &lt; 0.01 vs control). Lower panels: western blot analysis of purified histones (<bold>b</bold> on the right) and total lysates from CRC cell lines (<bold>b</bold> on the left, <bold>c</bold> and <bold>d</bold>) performed with anti-H4 acetylated (AcSer1, AcLys5-8-12) or anti-H3 acetylated (N-terminus) antibodies. GAPDH and histone H3 were used as loading controls. Panels are representative of 3 independent experiments. Cropped blots from full-length gels are displayed in b, c and d.</p></caption><graphic xmlns:xlink="http://www.w3.org/1999/xlink" id="d29e1156" position="float" orientation="portrait" xlink:href="41598_2017_11688_Fig8_HTML.jpg"><?image-name 41598_2017_11688_Fig8_HTML.jpg?><?image-size 114479?><?image-md5 d42751d7e2a9843505bf543356a4b461?><?image-image-server-status LOAD_COMPLETED?><?image-original-height 1235?><?image-original-width 1650?><?image-scaled-height 494?><?image-scaled-width 660?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/d42751d7e2a9/41598_2017_11688_Fig8_HTML.jpg?><?thumb-name 41598_2017_11688_Fig8_HTML.gif?><?thumb-size 11179?><?thumb-md5 03e2de6104ba76e8745d9cb1ab7431e4?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 79?><?thumb-scaled-width 106?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/03e2de6104ba/41598_2017_11688_Fig8_HTML.gif?></graphic></fig>
</p></sec></sec><sec id="Sec8" sec-type="discussion"><title>Discussion</title><p id="Par8">The heterogeneous molecular profiles of CRC and the need to identify patients which could effectively take clinical advantage from combined chemotherapies, triggered the dissection of the mechanisms responsible for sensitivity and resistance to treatments. The majority of sporadic forms of CRC are characterized by deregulation of Wnt/<italic toggle="yes">β</italic>-Catenin signalling resulting in increased transcriptional activity of the <italic toggle="yes">β</italic>-Catenin. Despite the difficulties in to dissect the engagement of Wnt/<italic toggle="yes">β</italic>-Catenin pathway in the onset and progression of CRC, the study of these mechanisms is now emerging as a promising ground to identify potential targets of intervention for CRC treatment. The porcupine inhibitor LGK974, which blocks the palmitoylation and secretion of Wnt ligands<sup><xref ref-type="bibr" rid="CR40">40</xref></sup>, has been recently inserted in a Phase II multi-centric clinical trial to assess the safety and antitumor efficacy of the triple combination of LGK974, LGX818 (a highly selective BRAF<sup>V600</sup> inhibitor) and Cetuximab in BRAF<sup>V600</sup>-mutant metastatic CRC (clinical trial # <ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="pmc:clinical-trial" xlink:href="NCT02278133">NCT02278133</ext-link>).</p><p id="Par9">Rimonabant, an inverse agonist at CB1 receptor, produced mitotic catastrophe and modulated the expression of Cyclin B1, PARP-1, Aurora B and phosphorylated p38/MAPK and Chk1, in CRC cell line<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. The cannabinoid compounds are able to reduce the progression of CRC <italic toggle="yes">in vivo</italic> in the AOM-induced ACF model in mice<sup><xref ref-type="bibr" rid="CR11">11</xref>, <xref ref-type="bibr" rid="CR14">14</xref></sup> and improve the efficacy of chemotherapic drugs<sup><xref ref-type="bibr" rid="CR17">17</xref>, <xref ref-type="bibr" rid="CR18">18</xref></sup>.</p><p id="Par10">In this study, we hypothesized that cannabinoids could directly interact with the Wnt/<italic toggle="yes">β</italic>-Catenin pathway. We tested the antitumor efficacy of Rimonabant in HCT116 and SW48 CRC cell lines, expressing APC and BRAF wild type and harbouring <italic toggle="yes">β</italic>-Catenin mutation (loss of phosphorylation site S45 and S33Y, respectively) and PIK3CA activating mutations. Despite this genetic profile represents a small percentage of the human primary CRCs, the constitutive and simultaneous activation of KRAS and PIK3CA pathways, associated with <italic toggle="yes">β</italic>-Catenin stabilization, confers maximal resistance to Cetuximab<sup><xref ref-type="bibr" rid="CR41">41</xref></sup> and the mesenchymal phenotype reduces the sensitivity to Erlotinib<sup><xref ref-type="bibr" rid="CR42">42</xref></sup>, features accounting for a significant number of metastatic cancers unresponsive to therapies.</p><p id="Par11">In DLD1 and SW620 cells, carrying mutated form of tumor protein p53 (TP53), Rimonabant exerted cytotoxic effects without induction of apoptosis and through activation of mitotic catastrophe<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. Unlike our previous results, here we found that Rimonabant also inhibits proliferation in TP53 wild-type highly invasive HCT116 and SW48 cell lines through induction of apoptosis clearly highlighted by an increase of Caspase 3 and PARP cleaved forms in treated cells.</p><p id="Par12">Beside TP53 mutations, CRC cell lines used in this study have heterogeneous genetic features partially representatives of the broad diversity observed in CRC patients. All cells in the study, except SW48, express mutated KRAS. Allelic loss of APC has been found in SW620 and DLD1 (1338 and 1427 codon truncation, respectively) but not in APC wild-type HCT116 and SW48 cell lines which express stabilizing mutations of <italic toggle="yes">β</italic>-Catenin<sup><xref ref-type="bibr" rid="CR43">43</xref></sup>. Finally, alterations in several tyrosine kinase genes dramatically establish the sensitivity of CRC cells and primary tumors to therapies<sup><xref ref-type="bibr" rid="CR43">43</xref></sup>. These molecular profiles could explain the different Rimonabant-mediated effects observed in to Wnt/<italic toggle="yes">β</italic>-Catenin pathway.</p><p id="Par13">In HCT116 and SW48 cells, Rimonabant induced a significant and stable increase of <italic toggle="yes">β</italic>-Catenin phosphorylation whereas this evidence seems provisional in other cell lines. These results strongly suggest the engagement of mechanisms able to antagonize <italic toggle="yes">β</italic>-Catenin phosphorylation and to induce its dephosphorylation.</p><p id="Par14">The <italic toggle="yes">β</italic>-Catenin degradation complex includes protein phosphatase 2A (PP2A) and heat shock protein 105 (HSP105), two components recently identified as fine regulators of the balance between degradation and stabilization of <italic toggle="yes">β</italic>-Catenin. Although HSP105 does not possess intrinsic phosphatase activity, this protein seems essential to anchor PP2A into the degradation complex and to induce PP2A-mediated <italic toggle="yes">β</italic>-Catenin dephosphorylation<sup><xref ref-type="bibr" rid="CR44">44</xref></sup>. In primary CRCs increased expression of HSP105 correlates with nuclear localization of <italic toggle="yes">β</italic>-Catenin and poor prognosis. Moreover, in SW480 CRC cells, characterized by stable accumulation of <italic toggle="yes">β</italic>-Catenin and truncated APC, the depletion of HSP105 decreased <italic toggle="yes">β</italic>-Catenin levels, reduced Wnt target genes expression and impaired cell proliferation through cleavage of PARP and Caspase 3, then substantially triggering apoptosis<sup><xref ref-type="bibr" rid="CR44">44</xref></sup>. In our study we did not evaluate the HSP105 expression but we speculate that in SW620, a metastatic CRC cell line derived from the same patient originating SW480 cells, and presumably in DLD1, the transient phosphorylation of <italic toggle="yes">β</italic>-Catenin induced by Rimonabant could be ascribable to a prevailing phosphatase activity in the degradation complex.</p><p id="Par15">In HCT116 and SW48, the antitumor effect of the compound was mediated by inhibition of the canonical Wnt/<italic toggle="yes">β</italic>-Catenin pathway thanks to which the stabilization of the phosphorylated form of <italic toggle="yes">β</italic>-Catenin localized the protein in the cytoplasm and inhibited its transcriptional effects. As expected, in DLD1 and, mainly, in SW620 cell lines, the Rimonabant-induced increase of p-<italic toggle="yes">β</italic>-Catenin did not seem associated to a stable inhibition of the canonical Wnt/<italic toggle="yes">β</italic>-Catenin signal, evaluated by luciferase reporter gene assay. These results originate from the different genetic profile of the used CRC cell lines and it is in agreement with the finding that APC truncations, in the SW620 and DLD1 cell lines, did not prevent <italic toggle="yes">β</italic>-Catenin phosphorylation but inhibited <italic toggle="yes">β</italic>-Catenin ubiquitination and degradation<sup><xref ref-type="bibr" rid="CR45">45</xref></sup>. Moreover, despite all cell lines analyzed in this study expressed ROR2 receptor, LRP5 typically associated with prevalent function of the canonical Wnt/<italic toggle="yes">β</italic>-Catenin signal, was detectable in DLD1 and SW620 but not in HCT116 cells (see Supplementary Fig. <xref rid="MOESM1" ref-type="media">S4b</xref>).</p><p id="Par16">In HCT116 cell line, Rimonabant increased the activity of the non-canonical Wnt/<italic toggle="yes">β</italic>-Catenin pathway through up-regulation of Wnt5A and ROR2 receptor and activation of CaMKII. Intriguingly, the compound also raised the APC expression.</p><p id="Par17">In CRCs, the loss of function of APC is mainly ascribable to truncated mutations rather than hypermethylation of the APC gene promoter<sup><xref ref-type="bibr" rid="CR46">46</xref></sup>. On the other hand, Wnt5A is silenced in both CRC cell lines and in primary tumors due to its promoter methylation<sup><xref ref-type="bibr" rid="CR5">5</xref></sup>. We previously demonstrated that in CRC cell lines, increased availability of cannabinoids, of both exogenous and endogenous sources, induced up-regulation of CB1-receptor expression by co-localization of PPAR <italic toggle="yes">γ</italic> and RXR <italic toggle="yes">α</italic> at the promoting region and increased the expression of <italic toggle="yes">β</italic>-ER<sup><xref ref-type="bibr" rid="CR15">15</xref></sup>. These data allow us to hypothesize that the efficacy of the observed antitumor effects could be ascribable, at least in part, to a direct or indirect activity of Rimonabant as epigenetic modulator.</p><p id="Par18">In this study, the inhibitory effects of Rimonabant were been also confirmed by decrease of the TCF/Lef transcriptional activity, in HCT116, and by a strong and persistent down-regulation of Wnt/<italic toggle="yes">β</italic>-Catenin target genes involved in the onset and progression of CRC. Surprisingly, the reduced expression of these targets seems a reproducible compound-mediated effect, but free-standing and not necessary linked to a direct inhibition of Wnt/<italic toggle="yes">β</italic>-Catenin signalling and genetic profiles of CRCs.</p><p id="Par19">Despite its properties as inverse agonist at CB1 receptor, increasing evidence revealed that Rimonabant exerts CB1-independent pharmacological actions<sup><xref ref-type="bibr" rid="CR47">47</xref>–<xref ref-type="bibr" rid="CR49">49</xref></sup>. Aimed to identify new potential targets of the compound, we performed an <italic toggle="yes">in silico</italic> Inverse Virtual Screening on a panel of more than 300 proteins involved in cancer and inflammation and obtained results suggested at least three intriguing interactions.</p><p id="Par20">Adenosine is a well known component of the tumor microenvironment and exerts pleiotropic effects in the control of tumor growth and in several phases of tumor progression such as neoangiogenesis, metastatic spreading and anti-tumor immunity<sup><xref ref-type="bibr" rid="CR50">50</xref></sup>. The potential interaction of Rimonabant with A<sub>2A</sub> receptor, suggested by results from the Inverse Virtual Screening, is a not completely surprising data, at least in the central nervous system. In striatal neurons, CB1 and A<sub>2A</sub> receptors form heterodimers and functionally interact each-other in the control of pharmacological response to specific agonists<sup><xref ref-type="bibr" rid="CR51">51</xref></sup>. Recently, in rodent model of Parkinson disease, neuroprotective effects of both Rimonabant and A<sub>2A</sub> antagonist MSX3, were showed<sup><xref ref-type="bibr" rid="CR52">52</xref></sup>. In tumors, hypoxic growth increases both adenosine and A<sub>2A</sub> receptor expression<sup><xref ref-type="bibr" rid="CR50">50</xref></sup> and the higher tone of adenosine, released in the tumor microenvironment, induces a local immunosuppressive milieu through activation of A<sub>2A</sub> receptors in substantially all effectors of the immune response, such as NK, dendritic, T<sub>Reg</sub> and T cells<sup><xref ref-type="bibr" rid="CR53">53</xref></sup>.</p><p id="Par21">In the present study, CRC cell lines used for <italic toggle="yes">in vitro</italic> experiments, cultured and treated in normoxic conditions, did not express A<sub>2A</sub> receptor but it is reasonable to speculate that in HCT116 xenografts Rimonabant counteracted, at least in part, the immunosuppressive stroma of the tumors and increased the anti-tumor response of immune cells, probably acting as antagonist at the A<sub>2A</sub> receptor. Even though we previously demonstrated that Rimonabant is able to increase the NK cell antitumor activity in glioma<sup><xref ref-type="bibr" rid="CR54">54</xref></sup>, a direct interaction compound-A<sub>2A</sub> receptor needs to be carefully tested in immune cells and in aggressive cancer models.</p><p id="Par22">ErbB4/Her4 (identified as the 2<sup>nd</sup> target in the Inverse Virtual Screening ranking) and members, other than EGFR/ErbB1/Her1, belonging to the ErbB/Her family of protein-tyrosine kinases, have recently received renewed interest from the scientific community<sup><xref ref-type="bibr" rid="CR35">35</xref>, <xref ref-type="bibr" rid="CR36">36</xref>, <xref ref-type="bibr" rid="CR55">55</xref>, <xref ref-type="bibr" rid="CR56">56</xref></sup>. Cetuximab, a chimeric monoclonal antibody approved for the treatment of metastatic CRCs expressing EGFR (Epidermal Growth Factor Receptor) and wild type KRAS, inhibits several transcription pathways downstream EGFR. Despite Cetuximab, used as single agent or in combination with chemotherapies, significantly improved prognosis and median survival, several patients are resistant to the compound and accumulating evidence suggests that EGFR expression, routinely tested in tumor samples with immunohistochemical assays, failed to predict the responsiveness to EGFR-targeting treatment. In a recent paper Mitsui and co-workers<sup><xref ref-type="bibr" rid="CR36">36</xref></sup> showed that the expression of phosphorilated ErbB family members, but not of their total forms, correlated with worse overall survival in CRC patients. Although ErbB4 protein expression is solely detectable in more aggressive CRC cell lines<sup><xref ref-type="bibr" rid="CR35">35</xref>, <xref ref-type="bibr" rid="CR36">36</xref></sup>, high levels of ErbB4 were found in about 43% of primary CRC tissue microarrays<sup><xref ref-type="bibr" rid="CR35">35</xref></sup>, and the nuclear staining of its 80kDa cleaved fragment, able to participate in transcriptional events, correlated with poor prognosis<sup><xref ref-type="bibr" rid="CR35">35</xref>, <xref ref-type="bibr" rid="CR36">36</xref></sup>. In a recent work, tumor tissue specimens from patients with metastatic CRC unresponsive to cetuximab coexpressed ErbB4 and kal1 C-terminal interacting tetrasponin (KITENIN)<sup><xref ref-type="bibr" rid="CR55">55</xref></sup>. The Authors suggested an interesting EGFR-independent interaction KITENIN/ErbB4 able to stabilize c-jun and the transcription triggered by a c-jun-TCF4-<italic toggle="yes">β</italic>-Catenin complex<sup><xref ref-type="bibr" rid="CR55">55</xref></sup>. According to previous reports, in our study only HCT116 express both ErbB4 and KITENIN but the inhibition of Wnt/<italic toggle="yes">β</italic>-Catenin mediated transcription seems a common event in Rimonabant-treated cells probably acting downstream ErbB4 containing complex. Of course, now we are unable to exclude, at least in HCT116, a potential interaction between Rimonabant and ErbB4, but we are testing this hypothesis in <italic toggle="yes">in vivo</italic> models.</p><p id="Par23">Moreover, among a large set of tested proteins, Inverse Virtual Screening <italic toggle="yes">in silico</italic> approach suggested for the first time a direct interaction of SR141716 with p300/KAT3B, that was corroborated by results from SPR-assay highlighting a direct binding of the compound to the p300-HAT catalytic domain and the significant modulation of acetyl-Histone H3 and acetyl-Histone H4 found in CRC cell lines. p300/KAT3B and CREB binding protein (CBP/KAT3A) are transcriptional coactivators that influence Wnt/<italic toggle="yes">β</italic>-Catenin signalling through specific interaction with <italic toggle="yes">β</italic>-Catenin. Despite their high homology, extensive genome-wide surveys demonstrated that the two coactivators CBP/KAT3A and p300/KAT3B exert different functions in <italic toggle="yes">β</italic>-Catenin dependent gene regulation<sup><xref ref-type="bibr" rid="CR57">57</xref>, <xref ref-type="bibr" rid="CR58">58</xref></sup>. Moreover, the small molecule windorphen, a selective inhibitor of p300-HAT, showed a robust anti-tumor effect in cancer cells harbouring stable WNT signalling activation<sup><xref ref-type="bibr" rid="CR59">59</xref></sup>.</p><p id="Par24">In our study, although further experiments are needed to clarify the specific mechanisms involved and to dissect selective HAT-inhibiting properties, the observed downregulation of Cyclin-D1, COX-2 and c-Myc seems very promising data.</p><p id="Par25">An impressive amount of works analyzed the role of COX-2 in the onset and progression of CRC [reviewed in ref. <xref ref-type="bibr" rid="CR60">60</xref>]. COX-2 is the inducible form of cyclooxygenase enzymes and guilty of the production of prostaglandins, mainly PGE<sub>2</sub>, involved in inflammation and tumor framework. Transcription of COX-2 gene is controlled by several consensus sequences in the promoter region, and a TCF-binding elements have been identified as functional Wnt/<italic toggle="yes">β</italic>-Catenin responsive elements within the human COX-2 promoter in both colorectal and gastric cancer cell lines<sup><xref ref-type="bibr" rid="CR61">61</xref>, <xref ref-type="bibr" rid="CR62">62</xref></sup>. On the other hand, COX-2/PGE<sub>2</sub> pathway can inactivate the GSK3 <italic toggle="yes">β</italic>-mediated phosphorilation of <italic toggle="yes">β</italic>-Catenin and then trigger the activation of Wnt/<italic toggle="yes">β</italic>-Catenin signalling<sup><xref ref-type="bibr" rid="CR63">63</xref></sup>. COX-2 is frequently overexpressed in CRCs, controlled by the hypoxia-inducible factor (HIF)-1 binding to an HIF-responsive element on its promoter, and triggers the expression of proangiogenic factors such as vascular endothelial growth factor (VEGF). Moreover, COX-2-selective inhibitors exert significant antitumor effects both <italic toggle="yes">in vitro</italic> and <italic toggle="yes">in vivo</italic>
<sup><xref ref-type="bibr" rid="CR60">60</xref></sup>.</p><p id="Par26">The disregulation of the APC/<italic toggle="yes">β</italic>-Catenin axis is a frequent and early occurrence in aberrant crypt foci (ACF) induced in carcinogen treated rodent colons and in human with increased risk for developing CRC such as FAP patients. We previously found that in the mouse model of azoxymethane-induced colon carcinogenesis, Rimonabant significantly decreased the ACF formation<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. An interesting model depicted the interplay between COX-2/PGE<sub>2</sub> and <italic toggle="yes">β</italic>-Catenin during CRC induction and progression<sup><xref ref-type="bibr" rid="CR60">60</xref></sup>. Briefly, in normoxic conditions COX-2/PGE<sub>2</sub> axis promotes the stimulation of <italic toggle="yes">β</italic>-Catenin/TCF-4 activity whereas during hypoxia, a common status occurring in the advanced stage of cancer, <italic toggle="yes">β</italic>-Catenin, displaced from TCF-4, interacts with HIF-1, improves its transcriptional activity and substantially increases the expression of HIF-1 targets such as VEGF<sup><xref ref-type="bibr" rid="CR60">60</xref></sup>. In this scenario, Rimonabant would represent a very promising compound able to counteract CRC through a direct inhibition of Wnt/<italic toggle="yes">β</italic>-Catenin pathway and COX-2/PGE<sub>2</sub> axis and indirectly through the modulation of the angiogenesis according to our previous data<sup><xref ref-type="bibr" rid="CR12">12</xref></sup>. Concerning this last process, we speculate that all together the data do not make it possible to rule out the hypothesis of a Rimonabant-mediated inhibition of coactivators directly interacting with HIF-1 such as p300/KAT3B.</p><p id="Par27">Finally, our results demonstrated, for the first time, the <italic toggle="yes">in vivo</italic> efficacy of SR141716 in reducing the HCT116 xenograft growth. In tissue specimens from xenografts, the increased expression of p-<italic toggle="yes">β</italic>-Catenin and down-regulation of c-Myc and Cyclin D1 represent an encouraging validation of the Rimonabant efficacy <italic toggle="yes">in vivo</italic> in tumors harboring <italic toggle="yes">β</italic>-Catenin mutation and provide enough direct evidence for the inhibition of the canonical Wnt/<italic toggle="yes">β</italic>-Catenin pathway and of <italic toggle="yes">β</italic>-Catenin target genes by cannabinoid compounds in human CRC.</p><p id="Par28">Although further experiments are needed to completely dissect the interaction of cannabinoids with Wnt/<italic toggle="yes">β</italic>-Catenin pathway, we believe that to obtain relevant clinical results in the treatment of CRCs harbouring stabilizing mutation of <italic toggle="yes">β</italic>-Catenin, Rimonabant could represent a good chance to increase the efficacy of therapies.</p></sec><sec id="Sec9" sec-type="materials|methods"><title>Methods</title><sec id="Sec10"><title>Materials</title><p id="Par29">SR141716 (Rimonabant) and AVE1625 were kindly donated by Sanofi-Aventis (Montpellier, France). It was dissolved in DMSO and added to cells cultures at the indicated concentrations. Anti-<italic toggle="yes">β</italic>-Catenin, anti-Dvl3, anti-Fzd7, anti-APC, anti-Wnt5A, anti-ROR2, anti-phospho-CaMKII anti LRP5 and anti-Histone H3 were from Abcam. Anti-Cyclin D1 and anti-Lamin A/C were purchased from Becton Dickinson and Sigma-Aldrich, respectively. Anti-acetyl-Histone H4 and anti-acetyl-Histone H3 were from Santa Cruz Biotechnology and Merck Millipore, respectively. Anti-Annexin V FITC conjugated was purchased from Miltenyi Biotec. Primary antibodies not previously reported, secondary HRP-linked goat anti-mouse or goat anti-rabbit IgG, were all from Cell Signalling Technology. All the cell culture reagents were from Sigma–Aldrich, Inc.</p></sec><sec id="Sec11"><title>Cell cultures, treatments and viability assay</title><p id="Par30">Human CRC cells DLD1, SW620, HCT116 and SW48 were obtained from the Interlab Cell Line Collection (IST, Genoa, Italy). Cells were routinely grown in RPMI-1640, in Dulbecco’s modified Eagle medium (DMEM), in McCoy’s 5 A or in DMEM/F12 medium, respectively, at 37 °C in a 5% CO<sub>2</sub> atmosphere as described previously<sup><xref ref-type="bibr" rid="CR15">15</xref>, <xref ref-type="bibr" rid="CR18">18</xref></sup>. Cells were exposed to various concentrations of SR141716 for the times showed in the figures and to evaluate cell viability the MTT assay was used as described previously<sup><xref ref-type="bibr" rid="CR18">18</xref></sup>.</p></sec><sec id="Sec12"><title>Cell cycle and apoptosis analysis</title><p id="Par31">Cells were plated in 100 mm dishes, serum starved for 18 hours to synchronize at the G<sub>1</sub>/S interface and treated with SR141716 (10 <italic toggle="yes">μ</italic>M) for the indicated time. Flow cytometry and FACS analysis were performed as described previously<sup><xref ref-type="bibr" rid="CR11">11</xref></sup>. The cell cycle analysis was performed with ModFit LT v3.2 (Verity Software House, Inc.); 10000 events, corrected for debris and aggregate populations, were collected. To evaluate the apoptosis, at least 20000 events were collected, and the data were analyzed with FlowJo<sup>®</sup> software (BDIS).</p></sec><sec id="Sec13"><title>Western blot analysis</title><p id="Par32">Whole-cell lysates were prepared as described previously<sup><xref ref-type="bibr" rid="CR15">15</xref></sup>. Subcellular fractionation was obtained by using NE-PER<sup>®</sup> Nuclear and Cytoplasmic Extraction Reagents (Thermo scientific, Pierce biotechnology). Frozen tumor pieces from xenografts were disrupted by gentle homogenization (Potter-Elvehjem Pestle) in cold RIPA buffer. 10–30 <italic toggle="yes">μ</italic>g of proteins were loaded on SDS–polyacrylamide gels under reducing conditions and western blot analyses were performed as described previously<sup><xref ref-type="bibr" rid="CR15">15</xref></sup>. Immunoreactive bands were quantified with Quantity One 1-D analysis software (Bio-Rad).</p></sec><sec id="Sec14"><title>Reporter gene assays</title><p id="Par33">Cells were transiently cotransfected with the TCF/Lef firefly luciferase construct (100 ng) and the <italic toggle="yes">Renilla</italic> luciferase vector (10 ng) (Cignal<sup>TM</sup> TCF/LEF Reporter (GFP) assay; QIAGEN). Luciferase activity was measured using a Dual-luciferase assay system (Promega) and an EnSpire-2300 luminometer (Perkin Elmer). Relative firefly luciferase activity was obtained by normalizing it to that of <italic toggle="yes">Renilla</italic> luciferase activity.</p></sec><sec id="Sec15"><title>Immunofluorescence staining</title><p id="Par34">Cells were grown on slides in 12 well plates (3 × 10<sup>4</sup> cells/well). After treatment, cells were fixed in parafolmadehyde (PFA, 3,7% v/v in PBS), permeabilized in Triton X-100 (0,1% v/v in PBS), blocked with 4% Bovine Serum Albumin (BSA) and incubated with anti-<italic toggle="yes">β</italic>-Catenin (Abcam) and anti-lamin A/C (Sigma-Aldrich) primary antibodies, at 4 °C overnight. Immunofluorescence staining was performed with Alexa Fluor<sup>®</sup> 488 donkey anti-rabbit and Alexa Fluor<sup>®</sup> 594 goat anti-mouse IgG (Molecular Probes<sup>®</sup>) secondary antibodies. Samples were vertically scanned from the bottom of the coverslip with a total depth of 5 <italic toggle="yes">μ</italic>m and a Plan-Apochromat oil-immersion objective (magnification 63X<sup>*</sup>1.7; 1.40 NA). A total of 10 z-line scans with a step distance of 0.5 <italic toggle="yes">μ</italic>m were collected and single planes or maximum-intensity z-projection of stacks and an orthogonal projection (=xy, xz, yz planes for z-stacks series) were generated.</p><p id="Par35">Fixed tumor pieces from xenografts were OCT-embedded, sectioned (10 <italic toggle="yes">μ</italic>m), stained with primary and secondary antibodies (diluted in PBS/1% BSA/0,05% Triton-X-100).</p><p id="Par36">A Zeiss LSM510 Laser Scanning Microscope (Carl Zeiss MicroImaging GmbH) for data acquisition was used.</p></sec><sec id="Sec16"><title>Semiquantitative RT-PCR</title><p id="Par37">Total RNA extraction, cDNA synthesis and reverse-transcription PCR were performed as described<sup><xref ref-type="bibr" rid="CR15">15</xref></sup>. Primer pairs specific to human <italic toggle="yes">β</italic>-Catenin (5′-GTCCGCATGGAAGAAATAGTTGA-3′ forward and 5′-AGCTGGTCAGCTCAACTGAAAG-3′ reverse) or to human actin (5′-ACTGGGACGACATGGAGAA-3′ forward and 5′-ATCTTCATGAGGTAGTCAGTCA-3′ reverse) were used. All reactions were performed at least in triplicate; the PCR products were quantified with Quantity One 1-D analysis software (Bio-Rad) and results were normalized to those obtained from actin B.</p></sec><sec id="Sec17"><title>Inverse virtual Screening</title><p id="Par38">The chemical structures of investigated compounds (SR141716, plus 30 “blank” compounds) were built with Maestro (version 10.2) Build Panel (Maestro, version 10.2, Schr<italic toggle="yes">ö</italic>dinger, LLC, New York, NY, 2015). Prior to perform molecular docking calculations, optimizations (Conjugate Gradient, 0.05 Å convergence threshold) of the structures were applied to identify possible three-dimensional models. Then, all the structures were converted in the pdbqt format using OpenBabel software (version 2.3.2)<sup><xref ref-type="bibr" rid="CR64">64</xref></sup>, adding Gasteiger charges.</p><p id="Par39">306 protein 3D structures were prepared downloading the pdb files from the Protein Data Bank database (<ext-link xmlns:xlink="http://www.w3.org/1999/xlink" ext-link-type="uri" xlink:href="http://www.rcsb.orgwww.rcsb.org">www.rcsb.org</ext-link>, see Supplementary Table <xref rid="MOESM1" ref-type="media">S1</xref>). For each structure, “non-structural” water molecules were removed, and the processed file was then converted in.pdbqt format, merging non polar hydrogens and adding Gasteiger charges. Information about the panel of proteins are reported in Table <xref rid="MOESM1" ref-type="media">S1</xref>.</p><p id="Par40">Molecular docking calculations were performed using the Autodock-Vina software<sup><xref ref-type="bibr" rid="CR65">65</xref></sup>. In the configuration files linked to 3D structures of the protein, coordinates and dimensions along x,y,z axes of the grid related to the site of presumable pharmacological interest, with spacing of 1.0 Å between the grid points. The exhaustiveness value was set to 64, saving 10 conformations as maximum number of binding modes. For all the investigated compounds, all open-chain bonds were treated as active torsional bonds.</p><p id="Par41">A first set of promising interacting proteins of SR141716 was selected setting a predicted binding affinity cutoff = −7.5 kcal/mol. The identified proteins (166 items) were then also screened against “blank” molecules, the latter needed for the normalization<sup><xref ref-type="bibr" rid="CR27">27</xref>–<xref ref-type="bibr" rid="CR31">31</xref></sup> of the binding affinities of SR141716, as reported in equation <xref rid="Equ1" ref-type="">1</xref>:<disp-formula id="Equ1"><label>1</label><alternatives><tex-math id="M1"><?equation-image-name M1.gif?><?equation-image-status READY?><?equation-image-md5 f267fd7dc44e4c6669fb6f76a50a7c76?><?equation-image-cloudpmc-urn urn:cdn:blobs/714a/5601949/f267fd7dc44e/M1.gif?>\documentclass[12pt]{minimal}
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				\begin{document}$$V={V}_{0}/{V}_{{\rm{R}}}$$\end{document}</tex-math><mml:math xmlns:mml="http://www.w3.org/1998/Math/MathML" id="M2" display="block" overflow="scroll"><mml:mi>V</mml:mi><mml:mo>=</mml:mo><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mn>0</mml:mn></mml:mrow></mml:msub><mml:mo>/</mml:mo><mml:msub><mml:mrow><mml:mi>V</mml:mi></mml:mrow><mml:mrow><mml:mi mathvariant="normal">R</mml:mi></mml:mrow></mml:msub></mml:math><graphic xmlns:xlink="http://www.w3.org/1999/xlink" position="anchor" orientation="portrait" xlink:href="41598_2017_11688_Article_Equ1.gif"><?image-name 41598_2017_11688_Article_Equ1.gif?><?image-size 1978?><?image-md5 d3604dc5e38cd67a15c7b35ae37de834?><?image-image-server-status NEVER_LOAD?><?image-scaled-height 73?><?image-scaled-width 200?><?image-cloudpmc-urn urn:cdn:blobs/714a/5601949/d3604dc5e38c/41598_2017_11688_Article_Equ1.gif?><?thumb-name 41598_2017_11688_Article_Equ1.gif?><?thumb-size 1978?><?thumb-md5 d3604dc5e38cd67a15c7b35ae37de834?><?thumb-image-server-status NEVER_LOAD?><?thumb-scaled-height 73?><?thumb-scaled-width 200?><?thumb-cloudpmc-urn urn:cdn:blobs/714a/5601949/d3604dc5e38c/41598_2017_11688_Article_Equ1.gif?></graphic></alternatives></disp-formula>where, for each target investigated, V represents the normalized value of SR141716, V<sub>0</sub> is its predicted binding affinity from docking calculations (kcal/mol), V<sub>R</sub> is the average value of binding energy calculated on all the “blanks” (kcal/mol). It is important to note that V is a dimensionless number, and then it can be used to predict the interacting targets of a case-study compound, rather than to have precise indications about the related binding affinities. After the normalization process a final ranking was obtained, from the most to the less promising target. Normalized values and predicted binding energies for SR141716 are collected in Table <xref rid="MOESM1" ref-type="media">S2</xref> (see Supplementary Table <xref rid="MOESM1" ref-type="media">S2</xref>), respectively. The ligand/protein complexes were visually inspected with Maestro (version 10.2). Illustrations of the 3D models were generated using Maestro (version 10.2).</p></sec><sec id="Sec18"><title>Surface Plasmon Resonance</title><p id="Par42">SPR analyses were performed on a Biacore 3000 optical biosensor equipped with research-grade CM5 sensor chips (Biacore AB). Recombinant p300/KAT3B (Enzo Life Sciences, catalogue number <italic toggle="yes">BML</italic> − <italic toggle="yes">SE</italic>451; GenBank accession number <italic toggle="yes">NM</italic>_001429) HAT domain was immobilized (30 <italic toggle="yes">μ</italic>g/mL in 10 mM sodium acetate, pH 4.5) at a flow rate of 10 <italic toggle="yes">μ</italic>L/min by using standard amine-coupling protocols to obtain a density of 15 kRU. Myoglobin was used as negative control, and one flow cell was left empty for background subtractions. Rimonabant, dissolved in DMSO (100%), was diluted in HBS-P (50 mM HEPES pH 7.4, 150 mM NaCl, 0.005% Tween 20) and injected at 0.62, 1.25, 2.5, 4 and 5 <italic toggle="yes">μ</italic>M always maintaining a final 0.5% DMSO concentration. Binding experiments were performed at 25 °C by using a flow rate of 30 <italic toggle="yes">μ</italic>L/min, with 120 s monitoring of association and 200 s monitoring of dissociation. Regeneration of the surfaces was performed, when necessary, by a 10 s injection of 1 mM NaOH. The simple 1:1 Langmuir binding fit model of the BIAevaluation software was used for determining equilibrium dissociation constant (K<sub>D</sub>) from kinetic dissociation (k<sub>d</sub>) and association (k<sub>a</sub>) constants.</p></sec><sec id="Sec19"><title>Histone purification, p300/KAT3B activity assay and quantification of total Histone H3 and H4 acetylation</title><p id="Par43">Total histones were extracted from cell lines (3 × 10<sup>6</sup>) treated with SR141716 (10 <italic toggle="yes">μ</italic>M) or vehicle alone using Histone extraction kit (Abcam) following the manufacturer’s protocol and stored at −80 °C until use. The protein concentration of the eluted histones was estimated using a Bradford protein detection kit (Bio-Rad, Hercules, CA) as previously described<sup><xref ref-type="bibr" rid="CR15">15</xref></sup>. The p300/KAT3B enzymatic activity was performed using a KAT3B/p300 Inhibitor fluorometric assay kit (Abcam) according to the manufacturer’s protocol. Briefly, assay was performed with recombinant p300/KAT3B in the presence of SR141716, AVE1625, anacardic acid (used as inhibitor control) or vehicle alone. Histone H3 peptide and Acetyl CoA were used as acetylation substrates. The amount of fluorescence in the solution, amplified by a thiol detecting probe, was measured at Ex/Em = 392/482 nm with an EnSpire 2300 (Perkin Elmer) multimode plate reader. The results were expressed as percentage of inhibition compared to the enzyme control. Quantification of total acetyl-Histone H3 and H4 was performed in histone extracts, purified as earlier described, through a colorimetric ELISA assay, and in total nuclear extracts, using western blot assay. In both analysis, extracts from cell lines treated with SR141716 (10 <italic toggle="yes">μ</italic>M) or with the vehicle alone, for the times shown in the figures, were evaluated in at last three independent experiments.</p></sec><sec id="Sec20"><title><italic toggle="yes">In vivo</italic> studies</title><sec id="Sec21"><title>Animals</title><p id="Par44">20 female SCID mice (SHO, 6–8 weeks old) were obtained from Charles River, maintained under clean room conditions in sterile filter top cages with Alpha-Dri bedding and housed on high-efficiency particulate air (HEPA)-filtered ventilated racks. Animals received sterile rodent chow and water <italic toggle="yes">ad libitum</italic>. All experimental procedures were conducted in accordance with the Institute for Laboratory Animal Research Guide for the Care and Use of Laboratory Animals. The experimental protocols received the approval of the Ethical Committee of the Italian Board of Health (prot. n. 0031993 and n. 0031994, June, 6, 2013).</p></sec><sec id="Sec22"><title>Subcutaneous xenograft models in athymic mice</title><p id="Par45">HCT116 cells (1 × 10<sup>6</sup>, suspended in 150 <italic toggle="yes">μ</italic>l of PBS) were implanted subcutaneously into the right flank region of each mouse and allowed to grow to the size of approximately 50–70 mm<sup>3</sup>. SR141716 (0,7 mg/kg/dose in 150 <italic toggle="yes">μ</italic>l of PBS/20% Glycerol) was administered three time a week by peri-tumoral injection for 6 weeks. Animals in the corresponding control group received PBS/20% Glycerol (150 <italic toggle="yes">μ</italic>l) injected on the same schedule as SR141716. Mice were daily monitored for clinical signs and mortality. The dose of SR141716 was selected on the basis of previous studies where the compound showed to exert effects <italic toggle="yes">in vivo</italic> on tumor xenografts without reduction of spontaneous activity, impaired locomotion, signs of wasting or toxicity<sup><xref ref-type="bibr" rid="CR66">66</xref></sup>. Progress of tumors was determined by two dimensional caliper measurements, and tumor volumes were calculated using a standard hemi ellipsoid formula: [length (mm) × width (mm)<sup>2</sup>]/2. Tumor volumes were analyzed using one-way ANOVA. At the end of the study, mice were humanely euthanized and tumors were resected and frozen immediately or fixed in 10% formalin for further analysis.</p></sec></sec><sec id="Sec23"><title>Statistical analysis</title><p id="Par46">Data obtained from multiple experiments were calculated as means ± SD, if not otherwise specified, and analyzed for statistical significance by using the two tailed Student t-test, 1- or 2-way ANOVA for independent groups, with the Tukey or Bonferroni correction for multiple comparisons. All data shown are representative of at least three independent experiments performed in triplicate. Values of p &lt; 0.05 were considered statistically significant.</p></sec><sec id="Sec24"><title>Data availability statement</title><p id="Par47">All data generated or analysed during this study are included in this published article (and its Supplementary Information files).</p></sec></sec><sec sec-type="supplementary-material"><title>Electronic supplementary material</title><sec id="Sec25"><p>
<supplementary-material content-type="local-data" id="MOESM1" position="float" orientation="portrait"><media xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="41598_2017_11688_MOESM1_ESM.pdf" position="float" orientation="portrait"><?suppdata-name 41598_2017_11688_MOESM1_ESM.pdf?><?suppdata-size 16080337?><?suppdata-md5 b7b53c4f4fe4d6dcb9d91dae7d38214d?><?suppdata-image-server-status NEVER_LOAD?><?suppdata-mime-type application?><?suppdata-mime-sub-type pdf?><?suppdata-cloudpmc-urn urn:app:714a/5601949/b7b53c4f4fe4/41598_2017_11688_MOESM1_ESM.pdf?><caption><p>Supplementary Information</p></caption></media></supplementary-material>
</p></sec></sec></body><back><fn-group><fn><p><bold>Electronic supplementary material</bold></p><p>
<bold>Supplementary information</bold> accompanies this paper at doi:10.1038/s41598-017-11688-x
</p></fn><fn><p>
<bold>Publisher's note:</bold> Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.</p></fn></fn-group><ack><title>Acknowledgements</title><p>M.C.P. was supported by a research fellowship from FIRC (Fondazione Italiana Ricerca sul Cancro). The study was supported by Associazione Italiana Ricerca sul Cancro (Grant IG13312 and IG18999 to M.B.).</p></ack><notes notes-type="author-contribution"><title>Author Contributions</title><p>Conception and design: M.C.P. and P.G. Development of methodology: M.C.P., D.F., C.P., S.F., V.B., G.L. and A.F. Acquisition of data: M.C.P., D.F., C.P., S.F., V.B., C.L., G.L., A.F., A.T. and P.G. Acquisition of data (inverse virtual screening): G.L. and G.B. Acquisition of data (<italic toggle="yes">in vivo</italic> studies): M.C.P and P.G. Acquisition of data (Surface Plasmon Resonance): A.F. and A.T. Analysis and interpretation of data: M.C.P., D.F., C.P., S.F., V.B., G.L., A.F., A.T., G.B., G.S. and P.G. Writing, review, and/or revision of the manuscript: M.C.P., D.F., C.P., S.F., V.B., C.L., G.L., A.F., A.T., G.B., G.S., M.B. and P.G. Study supervision: P.G, G.B., G.S. and M.B.</p></notes><notes notes-type="COI-statement"><sec id="FPar1"><title>Competing Interests</title><p id="Par48">The authors declare that they have no competing interests.</p></sec></notes><ref-list id="Bib1"><title>References</title><ref id="CR1"><label>1.</label><element-citation publication-type="journal"><person-group person-group-type="author"><name name-style="western"><surname>Anastas</surname><given-names>JM</given-names></name><name name-style="western"><surname>Moon</surname><given-names>RT</given-names></name></person-group><article-title>Wnt signalling pathways as therapeutic targets in cancer</article-title><source>Nat. Rev. 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