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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Oncol.</journal-id>
<journal-title>Frontiers in Oncology</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Oncol.</abbrev-journal-title>
<issn pub-type="epub">2234-943X</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fonc.2022.981927</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Oncology</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>LRP-1-dependent control of calpain expression and activity: A new mechanism regulating thyroid carcinoma cell adhesion</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Langlois</surname>
<given-names>Benoit</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<xref ref-type="author-notes" rid="fn001">
<sup>*</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/927562"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martin</surname>
<given-names>Julie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1891877"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Schneider</surname>
<given-names>Christophe</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/212829"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Hachet</surname>
<given-names>Cathy</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1452072"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Terryn</surname>
<given-names>Christine</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/607908"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Rioult</surname>
<given-names>Damien</given-names>
</name>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/997514"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Martiny</surname>
<given-names>Laurent</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/212822"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Th&#xe9;ret</surname>
<given-names>Louis</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Salesse</surname>
<given-names>St&#xe9;phanie</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/323063"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dedieu</surname>
<given-names>St&#xe9;phane</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
<uri xlink:href="https://loop.frontiersin.org/people/193041"/>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>UFR Sciences Exactes et Naturelles, Universit&#xe9; de Reims Champagne-Ardenne</institution>, <addr-line>Reims</addr-line>, <country>France</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Matrice Extracellulaire et Dynamique Cellulaire, MEDyC, UMR 7369 CNRS</institution>, <addr-line>Reims</addr-line>, <country>France</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Plate-Forme Imagerie Cellulaire et Tissulaire (PICT), Universit&#xe9; de Reims Champagne-Ardenne, UFR M&#xe9;decine</institution>, <addr-line>Reims</addr-line>, <country>France</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>Plateau Technique Mobile de Cytom&#xe9;trie Environnementale MOBICYTE, Universit&#xe9; de Reims Champagne-Ardenne/INERIS</institution>, <addr-line>Reims</addr-line>, <country>France</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>Edited by: M. Cecilia Caino, University of Colorado Anschutz Medical Campus, United States</p>
</fn>
<fn fn-type="edited-by">
<p>Reviewed by: Yao Tong, The Scripps Research Institute, United States; Malgorzata Wygrecka, University of Giessen, Germany</p>
</fn>
<fn fn-type="corresp" id="fn001">
<p>*Correspondence: Benoit Langlois, <email xlink:href="mailto:benoit.langlois@univ-reims.fr">benoit.langlois@univ-reims.fr</email>
</p>
</fn>
<fn fn-type="other" id="fn002">
<p>This article was submitted to Molecular and Cellular Oncology, a section of the journal Frontiers in Oncology</p>
</fn>
</author-notes>
<pub-date pub-type="epub">
<day>16</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>12</volume>
<elocation-id>981927</elocation-id>
<history>
<date date-type="received">
<day>29</day>
<month>06</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>07</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Langlois, Martin, Schneider, Hachet, Terryn, Rioult, Martiny, Th&#xe9;ret, Salesse and Dedieu</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Langlois, Martin, Schneider, Hachet, Terryn, Rioult, Martiny, Th&#xe9;ret, Salesse and Dedieu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<p>The low-density lipoprotein receptor-related protein 1 (LRP1) is a multifunctional endocytic receptor mediating the clearance of various molecules from the extracellular matrix. LRP1 also regulates cell surface expression of matrix receptors by modulating both extracellular and intracellular signals, though current knowledge of the underlying mechanisms remains partial in the frame of cancer cells interaction with matricellular substrates. In this study we identified that LRP1 downregulates calpain activity and calpain 2 transcriptional expression in an invasive thyroid carcinoma cell model. LRP1-dependent alleviation of calpain activity limits cell-matrix attachment strength and contributes to FTC133 cells invasive abilities in a modified Boyden chamber assays. In addition, using enzymatic assays and co-immunoprecipitation experiments, we demonstrated that LRP1 exerts post-translational inhibition of calpain activity through PKA-dependent phosphorylation of calpain-2. This LRP-1 dual mode of control of calpain activity fine-tunes carcinoma cell spreading. We showed that LRP1-mediated calpain inhibition participates in talin-positive focal adhesions dissolution and limits &#x3b2;1-integrin expression at carcinoma cell surface. In conclusion, we identified an additional and innovative intracellular mechanism which demonstrates LRP-1 pro-motile action in thyroid cancer cells. LRP-1 ability to specifically control calpain-2 expression and activity highlights a novel facet of its de-adhesion receptor status.</p>
</abstract>
<kwd-group>
<kwd>LRP-1</kwd>
<kwd>cancer</kwd>
<kwd>adhesion receptors</kwd>
<kwd>cell-matrix interactions</kwd>
<kwd>invasive potential</kwd>
</kwd-group>
<counts>
<fig-count count="8"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="67"/>
<page-count count="18"/>
<word-count count="8477"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1" sec-type="intro">
<title>Introduction</title>
<p>The Low-density lipoprotein (LDL) receptor-related protein-1 (LRP-1) is a large ubiquitously expressed multifunctional receptor, member of the LDL-receptor family (<xref ref-type="bibr" rid="B1">1</xref>). Being first identified as an endocytic receptor for &#x3b1;-2 macroglobulin (<xref ref-type="bibr" rid="B2">2</xref>, <xref ref-type="bibr" rid="B3">3</xref>), LRP-1 demarks from the smaller isoforms of this ancient gene family by its ability to mediate the specific internalization and lysosomal targeting of over 30 distinct extracellular ligands. This includes proteases, protease-inhibitor complexes, matricellular proteins and growth factors (<xref ref-type="bibr" rid="B4">4</xref>). Initially synthesized as a 600 kDa precursor, LRP-1 is processed in the trans-Golgi by a furin-convertase to be addressed at cell surface in the mature two-chain form. It is composed of a 515 kDa extracellular &#x3b1;-chain, involved in the specific recognition of cell surface and soluble proteins, and a 85 kDa &#x3b2;-chain encompassing the transmembrane domain and a short cytoplasmic tail providing dual function to LRP-1 in the recruitment of adaptors of the endocytic machinery or signaling scaffolds (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B5">5</xref>).</p>
<p>The diversity of cell surface interactions engaged by LRP-1 has attracted research interest in several pathological contexts including atherosclerosis, neurodegenerative and fibrotic disorders (<xref ref-type="bibr" rid="B6">6</xref>&#x2013;<xref ref-type="bibr" rid="B8">8</xref>). Additionally, LRP-1 well documented function in the endocytic clearance of matrix proteases-containing complexes, including matrix metalloproteases (MMPs) (<xref ref-type="bibr" rid="B4">4</xref>), and plasminogen activators uPA and tPA (<xref ref-type="bibr" rid="B9">9</xref>&#x2013;<xref ref-type="bibr" rid="B11">11</xref>), widely involved in invasive behavior of cancer cells, early pointed its crucial role in matrix remodeling events and designated its putative status of tumor suppressor (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B12">12</xref>). Consistently, a weak expression of the receptor was observed in high grade cancer cells and tissues of various origins (<xref ref-type="bibr" rid="B11">11</xref>, <xref ref-type="bibr" rid="B13">13</xref>, <xref ref-type="bibr" rid="B14">14</xref>). However, this attractive model was counterbalanced by studies reporting LRP-1 positive contribution towards tumorigenesis and metastatic dissemination (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B16">16</xref>). Moreover, the LRP-1 endocytic control of matrix proteolysis may be antagonized by its ability to control expression of matrix components (<xref ref-type="bibr" rid="B17">17</xref>) and proteases (<xref ref-type="bibr" rid="B18">18</xref>, <xref ref-type="bibr" rid="B19">19</xref>) at the transcription level.</p>
<p>LRP-1 overall function in carcinogenesis therefore appears to be much more complex than initially assumed. Beyond endocytosis, LRP-1 was indeed reported to control activation of several intracellular signaling pathways by recruiting various scaffolding proteins on the two NPxY motifs of its intracellular domain (<xref ref-type="bibr" rid="B20">20</xref>, <xref ref-type="bibr" rid="B21">21</xref>). In this way and in response to extracellular stimuli, LRP-1 may assemble specific signaling platforms to regulate cell proliferation, survival, differentiation and migration (<xref ref-type="bibr" rid="B22">22</xref>&#x2013;<xref ref-type="bibr" rid="B25">25</xref>). Accordingly, LRP-1 dependent activation of the JAK/Stat pathway was involved in the pro-motile effect of the plasminogen activator inhibitor PAI-1 (<xref ref-type="bibr" rid="B26">26</xref>). In fibrosarcoma cells, LRP-1 deficiency appeared to limit invasive process by down-regulating the extracellular signal-regulated kinase (ERK) pathway (<xref ref-type="bibr" rid="B27">27</xref>, <xref ref-type="bibr" rid="B28">28</xref>). In contrast, LRP-1 was shown to activate promigratory signals in various cell types (<xref ref-type="bibr" rid="B25">25</xref>, <xref ref-type="bibr" rid="B29">29</xref>&#x2013;<xref ref-type="bibr" rid="B31">31</xref>), including tumor cells (<xref ref-type="bibr" rid="B15">15</xref>, <xref ref-type="bibr" rid="B19">19</xref>, <xref ref-type="bibr" rid="B32">32</xref>&#x2013;<xref ref-type="bibr" rid="B34">34</xref>). For instance, in breast (<xref ref-type="bibr" rid="B33">33</xref>) and pancreatic (<xref ref-type="bibr" rid="B34">34</xref>) cancer models, the secretion of HSP90&#x3b1; in the tumor microenvironment and its specific binding to LRP-1 at the tumor cell surface was recently linked to the induction of common, but also distinct features, of an epithelial-to-mesenchymal transition in favor of metastatic dissemination and correlated to poor prognosis of cancer patients. Noticeably, we recently described that LRP-1 contributes to thyroid carcinoma cell invasion by subtly controlling the composition and turn-over of adhesive complex (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B28">28</xref>).</p>
<p>Accumulating evidence now shows that LRP-1 may exert a pivotal function in the dynamic of cell-matrix interactions (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). Consistently, the receptor was demonstrated to influence several aspects of integrin functions critically engaged during aggressive cancer cells epithelial-to-mesenchymal transition, such as activation (<xref ref-type="bibr" rid="B8">8</xref>), clustering (<xref ref-type="bibr" rid="B37">37</xref>) and endocytosis that leads to either cell surface recycling or catabolism (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B38">38</xref>&#x2013;<xref ref-type="bibr" rid="B40">40</xref>). Tumor cells migration through extracellular matrix network is a complex multistep process relying on spatially and temporally regulated assembly of adhesion sites at the leading edge, cell contraction, and focal adhesion turn-over at the rear. Although LRP-1 now emerges as a putative regulator of each process (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B35">35</xref>), the intracellular events it may solicit to control both adhesion complex formation and disassembly remain partially unraveled and controversial. The intracellular cysteine proteases calpains are well known regulators of cell migration for controlling focal adhesion stability through limited proteolysis of cytoskeletal components (<xref ref-type="bibr" rid="B41">41</xref>). The two best characterized members of the family, calpain-1 and calpain-2, are ubiquitously expressed and can be regulated by their endogenous inhibitor calpastatin or by various post-translational modifications, including autoproteolysis, calcium or phosphoinositide binding (<xref ref-type="bibr" rid="B41">41</xref>&#x2013;<xref ref-type="bibr" rid="B43">43</xref>). In this study we pursued our investigation on LRP-1-dependent intracellular signals sustaining cell-matrix interactions dynamics by testing its contribution to calpain activity control in the context of thyroid carcinoma.</p>
</sec>
<sec id="s2" sec-type="materials|methods">
<title>Materials and methods</title>
<sec id="s2_1">
<title>Antibodies and chemicals</title>
<p>Anti-LRP-1 &#x3b1;-chain (8G1), anti-LRP-1 &#x3b2;-chain (5A6), anti-human IgGs used as negative control for immunoprecipitation experiments (HP6030), specific inhibitors for calpain (Calpeptin) and PKA (KT5720), and fluorigenic Calpain Substrate II were obtained from Calbiochem (distributed by VWR International, Strasbourg, France). Anti-calpain-2 (H240) used for immunoprecipitation experiments, anti-&#x3b2;1 (M-106), anti-calpastatin (C-20) and anti-&#x3b2;-actin (sc-1616) antibodies were purchased from Santa-Cruz Biotechnology (distributed by Tebu-Bio, Le Perray en Yvelines, France). Anti-phosphothreonine (9381) and HRP-conjugated anti-rabbit antibodies were from Cell Signaling (distributed by Ozyme, Saint Quentin Yvelines, France). Anti-calpain-2 (ab39165) and anti-talin (8D4) were from Abcam (Cambridge, UK). Anti-talin antibody used for immunocytochemistry (MAB1676) and anti-calpain-1 (MAB3104) were from Chemicon (distributed by Millipore, Molsheim, France). HRP-conjugated anti-mouse antibody (NA931V) was from Amersham Biosciences (Buckinghamshire, UK). Anti-pan &#x3b2;1 integrin (clone Mab13) and anti-active &#x3b2;1 integrin (9EG7) antibodies were from BD Transduction Laboratories (Mississauga, Canada). 7-amino-4-chloromethylcoumarin, t-BOC-L-leucyl-L-methionine amide (CMAC, t-BOC-Leu-Met), anti-mouse AlexaFluor 488 (A11001), AlexaFluor 568-phalloidin (A12380) and Prolong Gold antifade reagent with DAPI (P36935) were from Molecular Probes (Cergy Pontoise, France). Anti-phosphoserine (PSR-45), HRP-conjugated anti-goat secondary antibodies, leupeptin and other chemicals were purchased from Sigma-Aldrich (Steinheim, Germany).</p>
</sec>
<sec id="s2_2">
<title>Cell culture and transfection</title>
<p>The FTC133 human follicular thyroid carcinoma cell line was grown in Dulbecco&#x2019;s Modified Eagle Medium-Ham&#x2019;s F12 (Invitrogen, Cergy Pontoise, France) with 10% FBS, as previously described (<xref ref-type="bibr" rid="B44">44</xref>). SiRNA mediated silencing of LRP-1 was described elsewhere (<xref ref-type="bibr" rid="B9">9</xref>). Specific LRP-1 targeting sequences were designed by Dharmacon (distributed by Perbio Science, Brebiere, France) as follows: GACUUGCAGCCCCAAGCAGUU (sense), CUGCUUGGGGUGCAAGUCUU (antisense). Control transfection experiments were achieved by using SiGENOME Non-targeting siRNA #1 (D00121001-20) from Dharmacon. For transient transfection assays, siRNA were transfected for four hours by using Lipofectamine 2000 (Invitrogen) according to manufacturer instructions.</p>
</sec>
<sec id="s2_3">
<title>Reverse transcription and quantitative real-time PCR</title>
<p>Total RNAs isolated using the RNeasy Mini kit (Qiagen, Courtaboeuf, France) were reverse transcribed to cDNA with the ABsolute Blue verso 2-step kit and subjected to quantitative real-time PCR by using the Absolute SYBR Green mix (Thermo Fisher Scientific, Epsom, Surrey, UK) and a Chromo4 Real-Time PCR Detector system from Bio-Rad. Primers for LRP-1 were previously described (<xref ref-type="bibr" rid="B9">9</xref>). Primers for calpain 1, calpain 2 and &#x3b2;-actin were designed by Eurogentec (Seraing, Belgium) as follows: calpain 1: forward, CCTTGAGGATGATCTGGTAGA; reverse, AGCTAGTGTTCGTGCACTCTG; calpain 2: forward: CTGGAGATCTGTAACCTGACC; reverse: GGTACTGAGGGTTCATCCAGA; &#x3b2;-actin: forward: GTGTGACGTGGACATCCGC; reverse: CTGCATCCTGTCGGCAATG. The relative levels of expression were quantified by using Opticon Monitor software (Bio-Rad). For each specific gene, the amount of target RNA (2<sup>-&#x394;&#x394;Ct</sup>) was normalized to the internal actin reference (&#x394;Ct) and related to the amount of target RNA in control sample, set to 1. All experiments were performed at least in triplicate with internal duplicate for each sample.</p>
</sec>
<sec id="s2_4">
<title>Western blot analysis</title>
<p>Whole-cell extracts were prepared by scrapping cells in ice-cold lysis buffer (25 mM Tris-HCl, pH 7.7, 150 mM NaCl, 0.5% glycerol, 1% Triton X-114, 5 mM EDTA, 0.5 mM EGTA, 1 mM phenylmethylsulfonyl fluoride, 1 mM orthovanadate supplemented with proteinase inhibitor cocktail). After 30&#xa0;min incubation on ice, extracts were centrifugated (10,000 X <italic>g</italic> for 10&#xa0;min at 4&#xb0;C) and pellets were discarded. The protein concentration in supernatants was quantified by the Bradford method (BioRad Laboratories). Proteins were separated by electrophoresis in a 10% sodium dodecyl sulfate-polyacrylamide gel, transferred onto a nitrocellulose membrane (Whatman GmbH, Dassel, Germany), and incubated overnight at 4&#xb0;C with primary antibodies. Immunoreactive bands were revealed using an ECL plus chemiluminescence kit from Amersham Biosciences by using a ChemiDoc-XRS imaging station from Bio-Rad. Immunoblots presented are representative of at least three separate experiments. The specific signal of &#x3b2;-actin was used to ensure equal loading.</p>
</sec>
<sec id="s2_5">
<title>Biotinylation of cell surface proteins and detection of cell surface integrins</title>
<p>Separation of cell surface proteins was conducted by immunoprecipitation of biotinylated proteins. Briefly, after culture on gelatin-coated surfaces, cells were rinsed with ice cold PBS and incubated for 30&#xa0;min at 4&#xb0;C under slow agitation with 0,5 mg/mL EZ-Link Sulfo-NHS-LC-Biotin (Pierce). All further steps until cell lysis were made at 4&#xb0;C to avoid cell surface protein endocytosis. After 3 PBS washes, reaction was quenched by 100 mM Glycine for 30&#xa0;min under gentle agitation and cells were scrapped in lysis buffer (10 mM Tris-HCl, pH 7.4, 150 mM NaCl, 0,1% Triton X-100, 5 mM EDTA, 1 mM phenylmethylsulfonyl fluoride, 1mM orthovanadate supplemented with proteinase inhibitor cocktail). 500 &#xb5;g of clarified cell extracts were then incubated for 1 hour with 40 &#xb5;L of avidin beads (Pierce) under agitation. After three washes in lysis buffer, immunoprecipitated proteins were reduced and analyzed by immunoblotting. Supernatants were used to control selective fractionation of cell surface proteins. When indicated, cell surface specific integrin-containing complexes were subjected to a second immunoprecipitation step after competing biotin-avidin complexes overnight with 10 mM D-Biotin (Pierce). Procedure for immunoprecipitation is described in the following section.</p>
</sec>
<sec id="s2_6">
<title>Immunoprecipitation</title>
<p>The procedure was adapted from one previously described (<xref ref-type="bibr" rid="B9">9</xref>). Briefly, for the immunoprecipitation of cell surface integrin containing complexes, Biotinylated protein fraction was subjected to a second immunoprecipitation step in the same lysis buffer, as described above. Cell extracts for immunoprecipitation of calpain were prepared in a distinct lysis buffer (10 mM Tris-HCl, pH 7.4, 0.75% Brij, 75 mM NaCl, 5 mM EDTA, 1 mM phenylmethylsulfonyl fluoride, 1 mM orthovanadate supplemented with proteinase inhibitor cocktail). After centrifugation (10,000 X <italic>g</italic>, 10&#xa0;min at 4&#xb0;C) and Bradford titration, 500 &#xb5;g of total proteins were incubated for 4 hours at 4&#xb0;C on an orbital agitator in presence of anti-calpain antibodies. Nonspecific IgGs were used for negative controls. Immunoprecipitation was performed with 40 &#xb5;L protein G-Sepharose (Amersham Biosciences) for 2 hours at 4&#xb0;C under agitation. The samples were washed three times in the corresponding lysis buffer and protein complexes bound to beads were solubilized under reducing conditions and analyzed by immunoblotting as described above.</p>
</sec>
<sec id="s2_7">
<title>PKA activity assay</title>
<p>PKA activity was assessed by using ProFluor PKA assay from Promega with minor modifications to quantify specific PKA activity in raw cell extracts. Briefly, cells were detached and cultivated on gelatin-coated for 3 hours. Cells were then scrapped 48 hours post transfection on ice in PKA buffer (25 mM Tris-HCl, pH 7.4, 0,5 mM EDTA, 0,5 mM EGTA), sonicated, clarified (10,000 X <italic>g</italic> for 10&#xa0;min at 4&#xb0;C) and protein concentration was determined by Bradford method. Equal amounts of proteins were then assessed for PKA activity following standard procedure, based on phosphorylation-dependent quenching of a fluorescent PKA substrate. Results were obtained from three separate experiments with internal quadruplicate, and related to control sample, set to 1. Specificity of reaction was ensured by subtracting residual PKA activity in the presence of 10 &#xb5;M of specific inhibitors H-89 and KT5720.</p>
</sec>
<sec id="s2_8">
<title>Calpain activity assays</title>
<p>Cells were scrapped on ice in lysis buffer (50 mM Hepes, pH 7.4, 150 mM NaCl, 1% Triton X-100, 0,5 mM DTT, 10 mM &#x3b2;-mercapto-ethanol, 20 &#xb5;M leupeptin, 1 mM PMSF, 1 mM Na<sub>3</sub>VO<sub>4</sub>) and clarified (10,000 X <italic>g</italic> for 10&#xa0;min at 4&#xb0;C). <italic>In vitro</italic> calpain activity was then quantified through two different procedures. First, calpain activity was measured with Innozyme Calpain 1/2 Activity Assay Kit (Calbiochem) following manufacturer instructions. A second procedure was adapted from Goette <italic>et al.</italic> (<xref ref-type="bibr" rid="B45">45</xref>). Briefly, 100 &#xb5;g of proteins were diluted in activation buffer (20 mM Tris-HCl pH 7.4, 5 mM CaCl<sub>2</sub>) containing 2 &#xb5;M calpain substrate II (Suc-Leu-Tyr-AMC). Background fluorescence was determined by negative control carried out for each sample in the presence of 10 mM EDTA, 10 mM EGTA and 50 &#xb5;M of the specific calpain-1/2 inhibitor calpeptin. Reaction was developed in 96-wells plate at 37&#xb0;C for 1 hour and fluorescence resulting from calpain-mediated release of AMC was measured at 380 nm (excitation)/430 nm (emission) wavelengths using a Perkin-Elmer LS50B spectrometer. Results were expressed as percentage of control after background subtraction. Each experiment was made at least four times with internal quadruplicate. Calpain activity was visualized in intact cells by using a previously described method (<xref ref-type="bibr" rid="B46">46</xref>). Cells were cultivated on gelatin-coated coverslips and incubated for 10&#xa0;min in the presence of 50 &#xb5;M BOC-LM-CMAC (<italic>t</italic> butoxycarbonyl-Leu-Met-chromomethylaminocoumarin), a cell permeant thiol-reactive substrate selective for calpains. Cells were then replaced in fresh medium for 1 hour, fixed on ice in 4% paraformaldehyde and mounted in aqueous antifading medium (Immunotech). Fluorescence resulting from Calpain-mediated CMAC release was observed under UV light with an optical microscope (BH2; Olympus). Specificity of the reaction was controlled in the presence of 50 &#xb5;M calpeptin. Quantification of calpain activity was achieved by counting 300 cells from 3 distinct experiments. The number of positive cells exhibiting a clear fluorescence signal was normalized to a total cell number for each treatment and expressed as a percentage of control condition.</p>
</sec>
<sec id="s2_9">
<title>Boyden chamber assay</title>
<p>Matrigel invasion assay was performed using modified Boyden chambers in 24-well dishes with filter inserts provided with 8-&#xb5;m pores (Transwell, Costar, Brumath, France), as described elsewhere (<xref ref-type="bibr" rid="B44">44</xref>). Matrigel-coated filters were used for invasion assays and uncoated filters were used for migration assays. Invasiveness was determined by counting cells in eight random microscopic fields per well, each seeded in triplicate.</p>
</sec>
<sec id="s2_10">
<title>Adhesion and trypsinization assays</title>
<p>Measurement of cancer cell adhesion to gelatin-coated surfaces and trypsinization assays were carried out according to a previously described method (<xref ref-type="bibr" rid="B9">9</xref>).</p>
</sec>
<sec id="s2_11">
<title>Immunofluorescence microscopy</title>
<p>FTC133 cells were seeded onto gelatin-coated coverslips for 2 hours at 37&#xb0;C, fixed with 4% paraformaldehyde for 5&#xa0;min on ice and then permeabilized in ice-cold 0,1% Triton X-100 for 10&#xa0;min. After three washes with PBS, cells were incubated for 30&#xa0;min with PBS containing 2% bovine serum albumin to saturate nonspecific antigens. Coverslips were then incubated for 30&#xa0;min with AlexaFluor 568-phalloidin or 60&#xa0;min with anti-talin antibodies followed by three washes with PBS (Phosphate Buffered Saline). Talin staining was revealed after 30&#xa0;min incubation with secondary antibodies conjugated to AlexaFluor 488. Coverslips were then mounted in Prolong Gold antifade medium with DAPI to obtain nuclei counterstaining. All acquisitions were made with an Olympus BH2-RFCA epifluorescence microscope (Olympus, Japan), equipped with a 100W mercury lamp (OSRAM, GmbH), using a SPlan achromat x 40 objective (Olympus) and fluorescein, rhodamin, DAPI filters for talin, actin and nuclei staining, respectively. Antibodies used for immunostainings of integrins were incubated overnight and revealed after 1 hour incubation with Alexafluor 568-coupled secondary antibodies. Images were acquired with Zen software on a Zeiss LSM 880 Airyscan confocal microscope (Oberkochen, Germany) using a x63 Plan Apochromat objective (oil immersion, 1.40 NA). Representative images from three separate sets of cultures were treated and merged with ImageJ software. The percentage of cells positive for focal adhesions was determined as previously reported (<xref ref-type="bibr" rid="B9">9</xref>), by examining 300 cells from three different experiments for each condition.</p>
</sec>
<sec id="s2_12">
<title>Densitometric analysis and statistical evaluation</title>
<p>Bands from immunoblots or agarose gels were quantified by using Quantity One image-analyzer software (Bio-Rad Laboratories). All culture assays were normalized on the basis of cell viability by using the CellTiter-Glo assay from Promega. Each experiment was performed at least in triplicate and data were expressed as mean &#xb1; SEM. Comparisons between two or four samples were performed using Student&#x2019;s t-test or one way analysis of variance (<xref ref-type="bibr" rid="B47">47</xref>) with <italic>post hoc</italic> Tukey&#x2019;s test (Prism software, GraphPad Inc, San Diego, CA).</p>
</sec>
</sec>
<sec id="s3" sec-type="results">
<title>Results</title>
<sec id="s3_1">
<title>LRP-1 expression contributes to repress calpain activity in invasive thyroid carcinoma cells</title>
<p>We previously reported that LRP-1 is involved in the regulation of cell-matrix interactions turnover by exerting an intimate control on the focal adhesion composition and dynamics (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B40">40</xref>). We demonstrated that LRP-1 functions as a molecular relay and provides an intracellular docking platform to regulate the incorporation and activation of MAPK into focal complexes. This work established a direct link between intracellular signaling pathways modulated by LRP-1 and dynamics of matrix attachment of migrating tumor cells. However, a complete overview of the intracellular connections of the receptor in that context is still lacking. We further investigated the still incomplete knowledge of intracellular functions of the receptor involved in the control of adhesion complexes stability. To achieve this goal, we used a validated method of invalidation of LRP-1 in FTC-133 thyroid carcinoma cells by siRNA (<xref ref-type="bibr" rid="B36">36</xref>) leading to a 70% decrease of its gene expression as evaluated by RT-qPCR <bold>(</bold>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1A</bold>
</xref>
<bold>)</bold>, and to a 66% decrease of its protein expression measured by western blot <bold>(</bold>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1B</bold>
</xref>
<bold>)</bold>. Calpains constitute a family of intracellular calcium-dependent cysteine-proteases which exert crucial actions on focal adhesion dynamics, and are able to cleave cytoskeleton components to mediate turnover and disassembly of focal complexes as well as the activation and clustering of extracellular matrix receptors (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B49">49</xref>). We tested the consequences of LRP-1 invalidation on calpain activity in FTC133 cells during the phase of attachment by performing a biochemical assay based on calpain substrate II cleavage <bold>(</bold>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1C</bold>
</xref>
<bold>)</bold>. We evidenced an increase of 34,5% of the capacity of LRP-1-silenced cells to degrade calpain substrate II <italic>in vitro</italic>, as compared to control tumor cells. A distinct fluorigenic assay was conducted to confirm this result using the quenching of DABCYL substrate. By using this complementary approach, we observed a 2.2 fold increase of calpain activity in LRP-1-depleted cells, as compared to control <bold>(</bold>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref>
<bold>)</bold>. Of note, we were able to efficiently inhibit calpain activity by adding 50&#xb5;M of their specific inhibitor calpeptin. A 26% inhibition was detected in control cells whereas the amplitude of this inhibition in LRP-1-silenced cells was 60%, reinforcing the idea that the baseline activity of this class of proteases is significantly higher in the absence of the receptor. Finally, we incubated thyroid carcinoma cells with the cell permeant substrate of calpains BOC-LM-CMAC in order to visualize their activities in living cells <bold>(</bold>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1E</bold>
</xref>
<bold>)</bold> (<xref ref-type="bibr" rid="B46">46</xref>). We evaluated the proportion of cells exhibiting high calpain-dependent release of fluorescent CMAC probe <bold>(</bold>
<xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1F</bold>
</xref>
<bold>)</bold>. In LRP-1 expressing control cells, 18,6% of the total cells were fluorescent when 43% of LRP-1 depleted cells had developed the calpain-dependent reaction. In conclusion, we showed by three independent biochemical assessments that LRP-1 silencing leads to a significant induction of intracellular calpain activity in thyroid carcinoma cells.</p>
<fig id="f1" position="float">
<label>Figure&#xa0;1</label>
<caption>
<p>LRP-1 controls calpain activity in carcinoma cells. FTC133 cells were transfected with siRNA against LRP-1 expression (siLRP-1) or non-targeting control sequences (siCtrl) and total RNA were extracted after 48 hours. The transcriptional level of LRP-1 expression was assessed by RT-qPCR, using &#x3b2;-actin as a normalization control <bold>(A)</bold>. The LRP-1 protein expression was assessed by western blot, using &#x3b2;-actin as a normalization control. A representative picture of immunoblots is presented <bold>(B)</bold>. Whole extracts FTC133 cells transfected with siRNA sequences were used to test their ability to degrade the calpain substrate II, measured by spectrofluorimetry. Results are expressed as percentage of control after background fluorescence subtraction <bold>(C)</bold>. Same extracts were used to measure calpain activity by using Innozyme Calpain 1/2 Activity Assay Kit in the presence or absence of 50&#xb5;M of calpeptine to ensure the specificity of the reaction <bold>(D)</bold>. Intracellular activity of calpains was visualized by fluorescence microscopy in intact cells treated with cell permeant calpain substrate BOC-LM-CMAC <bold>(E)</bold>. The percent of cells harboring strong intracellular accumulation of fluorescent CMAC, above fluorescent developed in presence of 50&#xb5;M of calpeptin, was quantified <bold>(F)</bold>. Each value is mean &#xb1; sem for at least four independent experiments, each performed in triplicate. *, <italic>P</italic> &lt; 0,05; **, <italic>P</italic> &lt; 0,01; ****, <italic>P</italic> &lt; 0,0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g001.tif"/>
</fig>
</sec>
<sec id="s3_2">
<title>LRP-1-dependent attenuation of calpain activity contributes to migratory capacities of carcinoma cells by regulating cell-matrix attachment processes</title>
<p>We reported that LRP-1 functionalities in invasive cancer cells are not restricted to the endocytic control of extracellular matrix degrading enzymes (<xref ref-type="bibr" rid="B9">9</xref>). We showed that this endocytic receptor can directly feed pro-motile signals by coordinating the stability and distribution of cell surface matrix receptors through its control of downstream intracellular signaling events (<xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B36">36</xref>, <xref ref-type="bibr" rid="B39">39</xref>). In order to measure the consequences of the LRP-1-mediated control of calpain activity, we performed Boyden chamber assays with FTC133 cells LRP-1-silenced or not, in the presence or absence of the specific calpains inhibitor calpeptin <bold>(</bold>
<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2A</bold>
</xref>
<bold>)</bold>. As expected, we observed that LRP-1 silencing reduced carcinoma cell migration by 29% as compared to migrated control cells. Interestingly, addition of 50&#xb5;M calpeptin completely restored the migration of LRP-1-silenced cells to the level of control cells. The same treatment did not exert any significant effect on LRP-1 expressing cells, suggesting that calpain activity is low. We conducted complementary modified Boyden chamber assays to analyze the invasive behavior of thyroid carcinoma cells using Matrigel as matrix barrier <bold>(</bold>
<xref ref-type="fig" rid="f2">
<bold>Figure&#xa0;2B</bold>
</xref>
<bold>)</bold>. In that context, the consequences of LRP-1 depletion were more drastic since the proportion of invading cells was decreased by 51% in LRP-1 deficient-cells. Inhibition of calpain activity in LRP-1-depleted cells restored invasive potential that recovered 71% of the level observed in control cells. In contrast, the calpain inhibitor failed to modulate the invasive ability of LRP-1 expressing cells. We therefore demonstrated that LRP-1 maintains a low level of calpain activity that contributes to the migratory and invasive capacities of carcinoma cells. We then conducted adhesion assays to test the likely involvement of LRP-1-dependent calpain regulation in the control of carcinoma cell attachment to matrix compounds <bold>(</bold>
<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3A</bold>
</xref>
<bold>)</bold> (<xref ref-type="bibr" rid="B28">28</xref>). We evidenced an increase of the adhesion rate of cells lacking LRP-1, as 64% more cells spread compared to control cells. Inhibition of calpain activity reduced the adhesion rate of LRP-1-silenced cells to the level of control situation. By contrast, the adhesion of LRP-1 expressing cells adhesion was not affected by calpeptin treatment. In a complementary experimental set-up, we performed detachment assays of fully spread carcinoma cells in response to the enzymatic action of trypsin, using the proportion of cells remained adherent as a readout for cell-matrix interactions strength (<xref ref-type="bibr" rid="B36">36</xref>). The proportion of detached cells after LRP-1 knock-down was decreased by 51% as compared to control cells <bold>(</bold>
<xref ref-type="fig" rid="f3">
<bold>Figure&#xa0;3B</bold>
</xref>
<bold>)</bold>. Adding calpeptin during the previous phase of attachment reduced the resistance of LRP-1-silenced cells to trypsin to recover the detachment rate detected in control cells. Although a similar trend could be observed in LRP-1 expressing control tumor cells, it was not significant. Together, those data illustrated that the pro-invasive action of LRP-1 in thyroid carcinoma cells relies in part on the maintenance of a low level of calpain activity leading to a moderate cell-matrix interactions strength.</p>
<fig id="f2" position="float">
<label>Figure&#xa0;2</label>
<caption>
<p>LRP-1-mediated control of calpain activity contributes to carcinoma cells migratory and invasive properties. Cell migration and invasion assays were carried out with FTC133 cells transfected with siRNA sequences, treated with 50 &#xb5;M calpeptin or vehicle. Three-dimensional cell migration was assessed by using uncoated Transwell filters <bold>(A)</bold>. Tumor cell invasion was measured on Matrigel-coated Transwell membranes <bold>(B)</bold>. Representative images are shown. Migration and invasion were determined by counting cells in eight random microscopic fields per well. Results are expressed as mean &#xb1; sem after normalization by comparison with siCtrl transfected cells set to 100%, from at least four distinct experiments each performed in triplicate. ns, not significant; ****, <italic>P</italic> &lt; 0,0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g002.tif"/>
</fig>
<fig id="f3" position="float">
<label>Figure&#xa0;3</label>
<caption>
<p>Calpain activity modulates carcinoma cells adhesion strength. FTC133 cells transfected with siCtrl or siLRP-1 RNA were seeded onto gelatin-coated plates in presence or absence of 50&#xb5;M calpeptin, and the non-adherent cells were discarded after 60 minutes <bold>(A)</bold>. Transfected tumor cells were grown in gelatin-coated dishes for 24 hours and subjected to trypsinization assay by incubating cells with 0,025% (wt/vol) trypsin for 10 minutes <bold>(B)</bold>. For each cell condition, results are expressed as mean percentages of attached or detached cells &#xb1; sem, relative to control set to 1. ns, not significant; *, <italic>P</italic> &lt; 0,05; ****, <italic>P</italic> &lt; 0,0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g003.tif"/>
</fig>
</sec>
<sec id="s3_3">
<title>LRP-1 limits transcriptional expression of calpain-2 and inhibits calpain activity through a PKA-dependent mechanism</title>
<p>Having identified calpains as new intracellular targets regulated by LRP-1 in carcinoma cells, we next set up an experimental design to decipher the mechanistic nature of the process controlling their activities. First we evaluated the differential expression of members of the ubiquitous calpain family by western blot <bold>(</bold>
<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4A, B</bold>
</xref>
<bold>)</bold>. Although we did not observe any difference of expression neither of calpain-1 (&#xb5;-calpain) nor of calpastatin, the endogenous inhibitor of activated calpains, we evidenced a significant 5-fold increase of calpain-2 (m-calpain) protein expression in LRP-1-silenced FTC133 cells. We then analyzed the level of the transcriptional expression of the two main proteases, namely calpain 1 and calpain-2, by RT-qPCR <bold>(</bold>
<xref ref-type="fig" rid="f4">
<bold>Figures&#xa0;4C, D</bold>
</xref>
<bold>)</bold>. Consistently, calpain-1 transcriptional level was not affected by LRP-1 modulation, whereas calpain-2 gene expression was 4,4-fold increased under LRP-1 silencing. Since the expression level of calpastatin was not altered according to the expression of LRP-1, we then focused our attention on the regulation of the calpain activity by phosphorylation. In our screen for potential LRP-1 downstream signaling events, we measured PKA activity in cellular extracts from both LRP-1-silenced and control FTC133 cells. We evidenced that LRP-1 inhibition led to a 1.6-fold decrease of PKA activity <bold>(</bold>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5A</bold>
</xref>
<bold>)</bold>. Interestingly, PKA-dependent phosphorylation of calpain-2 had already been reported to inhibit the proteolytic activity of ubiquitous calpains (<xref ref-type="bibr" rid="B46">46</xref>). Accordingly, the treatment of FTC133 cells with H-89, a specific inhibitor of PKA, induced a 2-fold increase of calpain activity as measured by the cleavage of calpain substrate II <bold>(</bold>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5B</bold>
</xref>
<bold>)</bold>. H-89 treatment did not significantly affect this activity when LRP-1 was silenced. To support these data, we then used two distinct inhibitors of PKA activities, H89 and KT5720, and evaluated the impact on calpain activity using the fluorogenic calpain activity assay described in <xref ref-type="fig" rid="f1">
<bold>Figure&#xa0;1D</bold>
</xref> <bold>(</bold>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5C</bold>
</xref>
<bold>)</bold>. We evidenced that H-89 or KT5720 treatment respectively resulted in about a 2-fold and 1.7-fold increase of basal calpain activity in LRP-1 expressing carcinoma cells. Inhibition of PKA by H-89 was also efficient to increase the proportion of FTC133 cells positive for calpain activity <bold>(</bold>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5D</bold>
</xref>
<bold>)</bold>. Importantly, this effect was specific for controlling cells in which PKA activity was mainly detected. We then conducted pull-down experiments to study the phosphorylation status of calpain-2 <bold>(</bold>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5E</bold>
</xref>
<bold>)</bold>. We were able to immuno-precipitate the protein and we evidenced by western blot that its level of phosphorylation on serine residues was higher in control than in LRP-1 depleted cells. This signal was decreased in the presence of H-89, indicating that PKA-dependent mechanism was in part responsible for serine phosphorylation of calpain-2 in FTC133 cells. Adhesion assays were also conducted to demonstrate that PKA activity was functionally associated to the control of carcinoma cell attachment and spreading by LRP-1-mediated regulation of calpains <bold>(</bold>
<xref ref-type="fig" rid="f5">
<bold>Figure&#xa0;5F</bold>
</xref>
<bold>)</bold>. Indeed, we specifically showed that inhibition of PKA by H-89 treatment in LRP-1 expressing cells enhanced their adhesion rate to gelatin to a similar level to that observed after LRP-1 inhibition. Our data indicated that PKA helped to limit calpain activity in a LRP-1-dependent manner in the frame of cell-matrix interactions established by thyroid carcinoma cells.</p>
<fig id="f4" position="float">
<label>Figure&#xa0;4</label>
<caption>
<p>LRP-1 maintains low level of CAPN2 in carcinoma cells. Whole extracts from FTC133 cells transfected with siRNA sequences were analyzed by SDS-PAGE and western blot using specific antibodies against calpain-2, calpain-1, calpastatin and &#x3b2;-actin that was used as loading control. Pictures are representative of 3 independent experiments <bold>(A)</bold>. Densitometric analysis of calpain-2 specific bands normalized to actin signal and expressed as percentage of siCtrl transfected cells <bold>(B)</bold>. The transcriptional levels of calpain-1 <bold>(C)</bold> and calpain-2 <bold>(D)</bold> expressions were assessed by RT-qPCR, using &#x3b2;-actin as a normalization control. Results shown are expressed as mean &#xb1; sem percentage of the expression measured in control cells from 6 independent experiments. ns, not significant; **, <italic>P</italic> &lt; 0,01; ****, <italic>P</italic> &lt; 0,0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g004.tif"/>
</fig>
<fig id="f5" position="float">
<label>Figure&#xa0;5</label>
<caption>
<p>LRP-1-dependent PKA signaling limits CAPN2 activity. PKA activity was measured in whole extracts of FTC133 cells transfected with siRNA sequences and cultivated 3 hours on gelatin-coated dishes by using the fluorigenic ProFluor PKA enzymatic assay (Promega), adapted to measure specifically PKA activity in raw cellular extracts <bold>(A)</bold>. Extracts from FTC133 cells, treated with 10&#xb5;M H-89 (PKA inhibitor) or vehicle, were used to measure the calpain specific degradation of the fluorigenic calpain substrate II <bold>(B)</bold>. Same extracts were used to test the impact of PKA on calpain activity measured by the Calpain &#xbd; Activity Assay Kit in presence or absence of 50&#xb5;M of calpeptin, 10&#xb5;M of H-89 or 5&#xb5;M of KT5720 <bold>(C)</bold>. Calpains-specific release of CMAC from calpains substrate BOC-LM-CMAC was analyzed in intact cells after treatment with calpeptin of H-89 <bold>(D)</bold>. Whole-cell extracts were isolated from FTC133 cells treated with 10&#xb5;M H-89. Co-immunoprecipitation of calpain-2 were performed and phosphorylation status of the protease was analyzed by SDS-PAGE and immunoblotting using an antibody reacting with phosphorylated serine residue <bold>(E)</bold>. FTC133 cells transfected with siCtrl or siLRP-1 RNA were seeded onto gelatin coated plates in presence or absence of calpeptin or H-89 and the non-adherent cells were washed out after 60 minutes <bold>(F)</bold>. Results are representative of at least 3 independent experiments and are expressed as mean percentage from a minimum of 4 internal replicates standardized to control value. ns, not significant; *<italic>P</italic> &lt; 0,05, ****, <italic>P</italic> &lt; 0,0001.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g005.tif"/>
</fig>
</sec>
<sec id="s3_4">
<title>Regulation of calpain activity by LRP-1 plays a part in adhesion complexes lability and limits cell surface &#x3b2;1-integrin distribution</title>
<p>Considering the deep consequences of LRP-1-dependent regulation of calpain activity on the invasive potential and adhesion/deadhesion processes of tumor cells, we then analyzed the distribution and the morphology of cytoskeleton constituents. The fibrillar actin network of thyroid carcinoma cells after two hours of attachment was characteristic of spread and polarized cells such as mesenchymal cells <bold>(</bold>
<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6A</bold>
</xref>
<bold>)</bold>. Most of the fibrillar structures positively stained by phalloidin were concentrated at the cell periphery and protrusion sites. This specific pattern was not modified by calpains inhibition in control cells. In accordance with previous reports (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B28">28</xref>), LRP-1 silencing induced drastic changes of carcinoma cells morphology and actin fibers distribution. Cells were overspread as compared to control cells and exhibited prominent radial and transverse fibers, widely distributed, both at tumor cell center and periphery. Under LRP-1 inhibition the calpain inhibitor induced a clear transition of cells toward the mesenchymal and elongated aspect observed in the control condition. We performed talin immuno-fluorescent staining to evaluate the consequences of calpains inhibition. In accordance with the morphological transitions described above, calpeptin did not affect the proportion of talin-positive structures in control cells, whereas LRP-1 inhibition reinforced the proportion of cells exhibiting obvious and stabilized talin-positive structures <bold>(</bold>
<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>
<bold>)</bold>. The occurrence of these complexes was specifically decreased in LRP-1-depleted cells under calpeptin treatment <bold>(</bold>
<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6C</bold>
</xref>
<bold>)</bold>. Our data illustrated that during the attachment of FTC133 cells to gelatin, calpains inhibition by LRP-1 sustained the polarization of thyroid carcinoma cells and constituted a limiting mechanism in focal adhesion maturation. We then measured the protein expression of talin by western blot using the 8D4 antibody, allowing the detection of the full length protein and its calpain-dependent cleavage fragment <bold>(</bold>
<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7A</bold>
</xref>
<bold>)</bold>. In accordance with the altered distribution of talin observed by immunocytochemistry <bold>(</bold>
<xref ref-type="fig" rid="f6">
<bold>Figure&#xa0;6B</bold>
</xref>
<bold>)</bold>, we detected an accumulation of both native and cleaved forms of talin in LRP-1-silenced tumor cells. Interestingly, calpeptin treatment appeared to limit the accumulation of the cleaved form of talin. In order to assess the level of adhesion receptors expressed at cell surface, we performed biotin labelling of tumor cells spread on gelatin and treated with calpain inhibitor or vehicle. Precipitated protein membrane fractions were analyzed by immunoblotting <bold>(</bold>
<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7B</bold>
</xref>
<bold>)</bold>. Interestingly, we observed an increase of &#x3b2;1 integrin subunit at cell surface upon LRP-1 repression. This accumulation seemed partially decreased under calpeptin treatment. We then conducted immunostainings to qualify the distribution of &#x3b2;1 integrins in non-permeabilized carcinoma cells cultivated in the same conditions <bold>(</bold>
<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7C</bold>
</xref>
<bold>)</bold>. &#x3b2;1 integrins were detected in FTC133 cells and were mostly present at the periphery and at the front of spread and elongated cells. The presence of &#x3b2;1 integrins was accentuated in LRP-1 repressed cells and highly accumulated along the whole cell periphery. In the presence of calpeptin the polarized morphology of control cells did not show any clear critical transition, in opposition to LRP-1-silenced tumor cells which were more frequently polarized and spindle shaped and exhibited a discontinuous &#x3b2;1 integrin-positive margin that appeared more concentrated on distal sites of cell projections. We then conducted immunostainings by using an antibody specific for active forms of &#x3b2;1 integrins <bold>(</bold>
<xref ref-type="fig" rid="f7">
<bold>Figure&#xa0;7D</bold>
</xref>
<bold>)</bold>. The localization of these forms of the receptors in non-permeabilized cells was more punctuated with some positive clusters at the leading edge of elongated control cells. These clusters were evenly observed across the ECM-attached area from overspread LRP-1-silenced cells. After inhibition of LRP-1 expression, both the number and size of theses clusters were diminished upon calpeptin treatment when LRP-1 was down-regulated. Altogether, these data showed that LRP-1-mediated control of calpain activity determined cell surface distribution of &#x3b2;1 integrins in thyroid carcinoma cells.</p>
<fig id="f6" position="float">
<label>Figure&#xa0;6</label>
<caption>
<p>LRP-1-mediated control of calpain activity fine-tunes spreading and focal adhesion maturation in carcinoma cells. FTC133 cells transfected with siRNA sequences were cultivated two hours on gelatin-coated coverslips in the presence or absence of 50&#xb5;M of calpeptin, fixed, and labelled with phalloidin to analyze their morphology and fibrillar actin network (red) by fluorescence microscopy. Nuclei were counterstained with DAPI (blue) <bold>(A)</bold>. Alternatively, cells were immunostained with an antibody against talin (green) to analyze the formation of focal adhesion <bold>(B)</bold>. The percentage of cells positive for focal adhesions was quantified following the inhibition of calpain activity by calpeptin or control treatment <bold>(C)</bold>. For each condition, at least one hundred of cells from three separate experiments were evaluated. ns, not significant; *, <italic>P</italic> &lt; 0,05.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g006.tif"/>
</fig>
<fig id="f7" position="float">
<label>Figure&#xa0;7</label>
<caption>
<p>&#x3b2;1 integrin membrane expression is controlled by LRP-1-dependent calpains regulation. Whole extracts from FTC133 cells transfected with siRNA sequences, seeded onto gelatin and cultivated in the presence or absence of calpeptin for 3 hours were analyzed by SDS-PAGE and western blot using specific 8D4 antibodies against talin, allowing the detection of native full length and calpain-released cleaved product of talin. &#x3b2;-actin that was used as loading control. Picture is representative of 3 independent experiments <bold>(A)</bold>. FTC-133 cells were cultivated in the same conditions and biotinylated at 4&#xb0;C to label cell-surface proteins. Membrane fraction was purified by precipitation of surface proteins by using avidin-sepharose beads. Surface expression of &#x3b2;1-integrins was analyzed by SDS-PAGE and immunoblotting. Corresponding cytosolic fractions that were not immobilized by avidin beads were loaded as a control of cell membrane purity <bold>(B)</bold>. Tumor cells transfected with siCtrl or siLRP-1 RNA were seeded onto gelatin coated coverslips for 2 hours in the presence of calpeptin and immune-stained with antibodies directed against either total &#x3b2;1-integrins pool <bold>(C)</bold> or active forms of the receptor <bold>(D)</bold>. Confocal microscope captures in Z series were acquired and projected by using maximum intensity, stacking the 10 optical slices attached to the coating. Pictures are representative of 3 separate experiments.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g007.tif"/>
</fig>
</sec>
</sec>
<sec id="s4" sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we identified for the first time the regulation of calpain activity as a new mechanism by which LRP-1 controls the spreading and migratory capacities of thyroid carcinoma cells. Indeed, we have shown that LRP-1 restrains calpain activity, both through a transcriptional mechanism targeting capn2 gene expression, but also <italic>via</italic> PKA activation and Ser-phosphorylation on calpain-2. Such a regulation contributes to the achievement of an intermediate and optimal attachment state and promigratory phenotype <bold>(</bold>
<xref ref-type="fig" rid="f8">
<bold>Figure&#xa0;8</bold>
</xref>
<bold>)</bold>.</p>
<fig id="f8" position="float">
<label>Figure&#xa0;8</label>
<caption>
<p>Regulation of calpain activity by LRP-1 and its consequences for thyroid carcinoma cell adhesion. In the presence of LRP-1, low transcriptional expression and PKA-mediated phosphorylation of calpain-2 controls talin-rich focal adhesion complexes dynamics and surface expression of inactive (blue) and active (red) forms of &#x3b2;1 integrins <bold>(A)</bold>. The resulting intermediate adhesive state contribute to the invasive potential of polarized tumor cells <bold>(B)</bold>. Under LRP-1 silencing, gene induction of calpain-2 and decrease of its PKA-dependent phosphorylation result in strong calpain activity. Subsequently, tumor cells exhibit an overspread phenotype explained by surface accumulation of &#x3b2;1 integrin and focal adhesion (FA) stabilization leading to impaired invasive capacities <bold>(C)</bold>.</p>
</caption>
<graphic mimetype="image" mime-subtype="tiff" xlink:href="fonc-12-981927-g008.tif"/>
</fig>
<p>Our comprehension of LRP-1 contribution to cell-matrix interactions dynamics has significantly evolved in the past decade. Several studies revealed that this endocytic receptor controls cell surface stability and internalization of multiple cell surface complexes engaged during movements of migrating cells within their microenvironment, including matricellular proteins, integrins and proteoglycans (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B28">28</xref>, <xref ref-type="bibr" rid="B35">35</xref>, <xref ref-type="bibr" rid="B36">36</xref>). This revised model of LRP-1 functionality could have been drawn earlier from studies showing that even proteolytic ligands of the receptor such as tissue plasminogen activator (tPA), bound to its inhibitor PAI-1, could trigger a full adhesion/deadhesion cascade of events when specifically complexed to LRP-1, fibronectin and LFA-1 (&#x3b1;L&#x3b2;2) integrin (<xref ref-type="bibr" rid="B10">10</xref>). Proteomic and coimmunoprecipitation approaches then illustrated that LRP-1 acts as a <italic>bona fide</italic> adhesion receptor by itself, notably by recruiting to the intracellular tail of its &#x3b2;-chain focal adhesion and cytoskeleton components such as talin, paxillin or &#x3b1;-actinin (<xref ref-type="bibr" rid="B21">21</xref>, <xref ref-type="bibr" rid="B28">28</xref>). These data support the idea that LRP-1 integrates extracellular and intracellular events and acts as a mechanosensing hub driving the fate, lifespan and turnover of nascent adhesion in a given cellular context. This concept was especially well documented for integrin-based adhesion to the extracellular matrix. After ligand binding, LRP-1 was involved in the reinforcement of cell surface expression of &#x3b2;1 integrins, and in their activation and signaling through integrin-linked kinase (<xref ref-type="bibr" rid="B8">8</xref>). LRP-1 was also identified as controlling tissue transglutaminase endocytosis, complexed with &#x3b2;1 integrin and fibronectin (<xref ref-type="bibr" rid="B38">38</xref>). We recently evidenced that the association of &#x3b2;1 integrin with domain II and IV of LRP-1 extracellular &#x3b1;-chain in thyroid carcinoma cells exerted a crucial function in routing it in a Rab11 endocytic recycling traffic (<xref ref-type="bibr" rid="B39">39</xref>). A parallel study showed that LRP-1 was engaged in the association with the intracellular domain of &#x3b2;1 integrin through kindlin-2 (<xref ref-type="bibr" rid="B40">40</xref>), a family of adhesion scaffolds that also constitute cleavage substrates for calpains (<xref ref-type="bibr" rid="B50">50</xref>). Most of the published litterature illustrated the de-adhesive consequences of the complexe interactions of LRP-1 with integrins (<xref ref-type="bibr" rid="B10">10</xref>, <xref ref-type="bibr" rid="B38">38</xref>, <xref ref-type="bibr" rid="B39">39</xref>). The control of cell surface expression and activation of &#x3b2;1 integrin that we documented in FTC133 cells cultivated on gelatin could therefore play similar functions in other extracellular matrix environments depending on the integrin dimers specifically present at tumor cell surface. The molecular link between LRP-1, calpain activity and &#x3b2;1 integrin stability at cell surface of migrating thyroid carcinoma cells that we established in this study shed new light on the inner control of integrin activity by LRP-1. It also confirms that calpain activity may exert a strong influence on inside-out activation of integrins by controlling the net balance of pro and anti-adhesive signals that determines the adoption of an efficient migrating strategy for invading tumor cells.</p>
<p>An abundant literature described a pro-motile action of calpains linked to the release of tensions exerted at cell-matrix adhesion sites through partial proteolysis of focal contacts and cytoskeleton components (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B51">51</xref>). Though, a growing number of evidence conversely showed that calpains substrates cleavage can produce or unmask pro-adhesive motifs and stabilize peripheral focal adhesions. Accordingly, calpain-dependent proteolysis of paxillin negatively regulated focal adhesion dynamics and impaired cell migration (<xref ref-type="bibr" rid="B52">52</xref>). The binding of talin amino-terminal head domain to the intracellular tail of integrin constitutes a paradigm of inside-out activation of multiple classes of integrins that reinforces their affinity for extracellular ligands (<xref ref-type="bibr" rid="B53">53</xref>, <xref ref-type="bibr" rid="B54">54</xref>). Although calpains can reduce the rate of talin stability in adhesion complexes, the local release of its head domain was associated to integrin activation and focal complexes stabilization (<xref ref-type="bibr" rid="B55">55</xref>, <xref ref-type="bibr" rid="B56">56</xref>). Ultra-resolutive studies of talin orientation in adhesion sites revealed that its amino-terminal part was in close association with the core focal adhesion area, containing intracellular domains of integrins, whereas its rod carboxy-terminal part was more distal and oriented towards the zone of junction with actin stress fibers (<xref ref-type="bibr" rid="B57">57</xref>). We observed that the cell-surface accumulation of &#x3b2;1 integrin upon LRP-1 silencing was partially reversed by calpain inhibition and that the occurrence of the cleaved form of talin appeared to follow the presence of this integrin at the membrane of thyroid carcinoma cells. We previously showed that LRP-1 inhibition resulted in a depletion of talin-enriched complexes from FAK, which could function as a platform for calpain-2 targeting and activation (<xref ref-type="bibr" rid="B9">9</xref>, <xref ref-type="bibr" rid="B58">58</xref>). Unlike calpain-2, which was accumulated in LRP-1-silenced cells, calpain-1 expression was surprisingly unaffected. We thus postulate that the increase in calpain activity documented here mainly involves calpain-2 isoform and that LRP-1 is controlling this dominant calpain signal to limit the adhesive strength of FTC133 cells. Capn1 and capn2 genes being located on different chromosomes, and regulated by distinct promoter regions, LRP-1-dependent signals likely mobilize a set of transcription regulators leading to the specific downregulation of calpain-2 transcriptional expression. Of note, most of the reports illustrating pro-adhesive functions of calpains were focused on calpain-2, which is in accordance with our data (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B48">48</xref>, <xref ref-type="bibr" rid="B59">59</xref>). Following LRP-1 repression, we showed that increased calpain activity coincided with an overspread morphology of tumor cells that accumulated more peripheral talin-positive complexes. This strongly argues for a major role of calpain-2 in favor of focal adhesion maturation and stabilization of integrin-based adhesions. In that context, the maintenance of baseline calpain activity by LRP-1 is therefore permissive to efficient tumor cell motility.</p>
<p>The regulation of calpain activity is complex dynamic and still lacking in mechanistic insights, especially in the field of cancer (<xref ref-type="bibr" rid="B41">41</xref>, <xref ref-type="bibr" rid="B49">49</xref>, <xref ref-type="bibr" rid="B60">60</xref>, <xref ref-type="bibr" rid="B61">61</xref>). In this study, we evidenced that calpain activity are dampened by LRP-1 in thyroid carcinoma cells. An in-depth mechanical investigation revealed that this attenuation was in part linked to a specific control of calpain-2 transcription. We tested the potential contribution of two LRP-1-dependent intracellular signals, namely ERK and JNK kinases (<xref ref-type="bibr" rid="B28">28</xref>), but we did not evidence any variation of capn2 transcription level in the presence of specific MAPK inhibitors (data not shown). Further studies should thus address the specific LRP-1-dependent signals involved in capn2 gene expression control. In our experiments, the expression level of calpastatin was not affected by LRP-1 expression. MAPK can also influence calpains at post-translational level. Indeed, JNK kinases can phosphorylate some focal adhesion components and calpains substrates with various consequences on cell motility, but also potentially on calpains targeting to adhesion sites (<xref ref-type="bibr" rid="B62">62</xref>, <xref ref-type="bibr" rid="B63">63</xref>). Phosphorylation by ERK1/2 MAPK had been directly involved in the activation of calpain 2 (<xref ref-type="bibr" rid="B43">43</xref>). We had previously shown that LRP-1 controls both the activation and the incorporation of JNK and ERK kinases to talin-rich focal adhesions (<xref ref-type="bibr" rid="B28">28</xref>). We therefore tested a putative cross-reaction of MAPK with calpains by measuring their activities in the presence of specific inhibitors but we could not detect any significant contribution of MAPK to LRP-1-dependent calpains regulation (data not shown). The phosphorylation of S369 residue of calpain-2 by protein kinase A (PKA) was involved in the inhibition of the protease, that subsequently became frozen in an inactive conformation (<xref ref-type="bibr" rid="B46">46</xref>). Ligand binding to LRP-1 had previously been involved in the activation of PKA (<xref ref-type="bibr" rid="B25">25</xref>). We demonstrated that PKA activity was decreased upon LRP-1 repression in thyroid carcinoma cells. Moreover, specific inhibitors of PKA significantly impaired calpain activity developed upon LRP-1 silencing and we could show by coimmunoprecipitation that the level of serine phosphorylation of calpain-2 was decreased by the PKA inhibitor H-89, specifically in LRP-1 expressing carcinoma cells. These data strongly argue that PKA activation by LRP-1 contributes to the limitation of calpain activity and establish a new functional link between LRP-1, extracellular matrix attachment and invasive properties of carcinoma cells. Among other putative mechanisms that might be at play to control the activity of calpains, are the expression, activity and distribution of calcium channels, which have not tested to date. Although, TRPM4 and PIEZO1 for instance emerge as mechanosensitive regulators of spatio-temporal confinement of calpain activity in various physio-pathological contexts (<xref ref-type="bibr" rid="B61">61</xref>, <xref ref-type="bibr" rid="B64">64</xref>, <xref ref-type="bibr" rid="B65">65</xref>). These targets provide an appealing outlook for investigating and completing our view of the multifaceted contributions of LRP-1 to extracellular stimuli and mechanical tensions integration in both nascent and mature integrin-based attachment to various extracellular matrix environments.</p>
<p>Considering the complexity and the multiplicity of the proteolytic targets of calpains, disentangling its control mode of tumor cell migration could be puzzling, even limiting the analysis to integrins adhesome. The level of maturation and clustering of adhesion complexes affects the spatial control of calpain activity and their targets ratio, making the net balance of their proteolytic action difficult to predict. It is interesting to note that similarly to LRP-1 (<xref ref-type="bibr" rid="B4">4</xref>, <xref ref-type="bibr" rid="B9">9</xref>), the mobilization of calpains to adhesion sites can be coupled to membrane focalized matrix proteases, such as MT1-MMP, directed in an endocytic/recycling pathway to support persistent migration of tumor cells (<xref ref-type="bibr" rid="B47">47</xref>). It is tempting to propose a model where LRP-1 could organize both extracellular and intracellular proteolytic events to control tensional stress accumulating in cell-matrix adhesion sites. Moreover, common intracellular scaffolds shared between LRP-1 and some integrins could result in synergistic or competitive titrations depending on the availability and access of calpains to their substrates. Accordingly, the deregulation of some specific targets of calpains can trigger cancer cell motility and promote their aggressive behavior by displacing calpain activity from anti- to pro-metastatic substrates (<xref ref-type="bibr" rid="B66">66</xref>). Our work and concomitant studies from other teams demonstrated the critical role played by LRP-1 in cell polarization based on rear/front partition of focal contacts components, such as FAK or paxillin (<xref ref-type="bibr" rid="B9">9</xref>), or actin cytoskeleton regulators Rho and Rac small GTPases (<xref ref-type="bibr" rid="B30">30</xref>). Here we showed that calpain inhibition in LRP-1-silenced cells restored the mesenchymal morphology of spread FTC133 cells, suggesting that baseline calpain activity maintained through LRP-1-mediated signals contributed to polarize tumor cells. Ezrin, a cytoskeleton protein incorporated in focal complexes, was involved in the recruitment and the distribution of calpain at membrane protrusion or retraction sites (<xref ref-type="bibr" rid="B60">60</xref>). Moreover, the spatial restriction of active calpains can stabilize the formation of nascent filopodiae (<xref ref-type="bibr" rid="B67">67</xref>) as well as the maturation of dual adhesive and invasive structures such as invadopodiae (<xref ref-type="bibr" rid="B59">59</xref>), which could predispose cancer cells to aggressive behavior <italic>in vivo</italic>. A recent <italic>in vivo</italic> study described that calpains constitute crucial determinants of tumor cell dissemination strategies. Indeed, under hypoxic conditions, induction of calpain-2 switched the collective mode of migration of breast and head and neck cancer cells to an amoeboid metastatic behavior. This transition relied on talin cleavage and decreased strength of &#x3b2;1 integrin-mediated attachments, and was reverted by pharmacological challenge of calpain activity (<xref ref-type="bibr" rid="B49">49</xref>).</p>
<p>Like most drug targetable molecules that are deregulated during cancer progression, a major clinical challenge in practice could rely on the highly specific and contextual cleavage products of calpains and their associated metabolic consequences on cancer cells as well as the reactive and adaptive tumor bed. However, the novel LRP-1-mediated pathway that we identified enrich the panel of versatile functions exerted by the receptor, once again detected at the crossroad between extracellular cues and membrane dynamics, and further illustrates its crucial role in cell-matrix adhesions adaptation to the microenvironment of cancer cells.</p>
</sec>
<sec id="s5" sec-type="data-availability">
<title>Data availability statement</title>
<p>The raw data supporting the conclusions of this article will be made available by the authors, without undue reservation.</p>
</sec>
<sec id="s6" sec-type="author-contributions">
<title>Author contributions</title>
<p>BL and SD designed the study. BL, JM, CS, CH, CT, DR, LM, LT, SS and SD collected, interpreted, and analyzed the data. BL wrote the manuscript. All the authors revised the manuscript critically for important intellectual content and read and approved the final manuscript.</p>
</sec>
<sec id="s7" sec-type="funding-information">
<title>Funding</title>
<p>The project leading to this publication has received funding from Universit&#xe9; de Reims Champagne-Ardenne, CNRS and Ligue contre le Cancer.</p>
</sec>
<sec id="s8" sec-type="acknowledgement">
<title>Acknowledgments</title>
<p>We thank Mrs Arlette Thomachot for her valuable editing assistance.</p>
</sec>
<sec id="s9" sec-type="COI-statement">
<title>Conflict of interest</title>
<p>SD is co-founder of Apmonia-Therapeutics and acts as the chair of the Scientific and Clinical Advisory Board.</p>
<p>The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s10" sec-type="disclaimer">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
</body>
<back>
<sec id="s11">
<title>Abbreviations</title>
<p>LRP-1, low-density lipoprotein receptor-related protein-1; PKA, protein kinase A; MMP, matrix metalloprotease; uPA, urokinase-type plasminogen activator; tPA, tissue-type plasminogen activator; JAK/Stat, janus kinase/signal transducer and activator of transcription; PAI-1, plasminogen activator inhibitor 1; ERK, extracellular signal-regulated kinase; HSP, heat shock protein; FTC, follicular thyroid carcinoma; ECM, extracellular matrix; LFA-1, lymphocyte function-associated antigen-1; FAK, focal adhesion kinase; JNK, c-Jun N-terminal kinase; MAPK, mitogen-activated protein kinase; TRPM4, transient receptor potential cation channel subfamily M; PIEZO1, piezo-type mechanosensitive ion channel component 1; MT1-MMP, membrane type 1 matrix metalloprotease; CAPN2, calpain-2; FA, focal adhesion.</p>
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