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Title: Asbestos induces mesothelial cell transformation via HMGB1-driven autophagy.

Authors: Xue, Jiaming; Patergnani, Simone; Giorgi, Carlotta; Suarez, Joelle; Goto, Keisuke; Bononi, Angela; Tanji, Mika; Novelli, Flavia; Pastorino, Sandra; Xu, Ronghui; Caroccia, Natascia; Dogan, A Umran; Pass, Harvey I; Tognon, Mauro; Pinton, Paolo; Gaudino, Giovanni; Mak, Tak W; Carbone, Michele; Yang, Haining

Published In Proc Natl Acad Sci U S A, (2020 10 13)

Abstract: Asbestos causes malignant transformation of primary human mesothelial cells (HM), leading to mesothelioma. The mechanisms of asbestos carcinogenesis remain enigmatic, as exposure to asbestos induces HM death. However, some asbestos-exposed HM escape cell death, accumulate DNA damage, and may become transformed. We previously demonstrated that, upon asbestos exposure, HM and reactive macrophages releases the high mobility group box 1 (HMGB1) protein that becomes detectable in the tissues near asbestos deposits where HMGB1 triggers chronic inflammation. HMGB1 is also detectable in the sera of asbestos-exposed individuals and mice. Searching for additional biomarkers, we found higher levels of the autophagy marker ATG5 in sera from asbestos-exposed individuals compared to unexposed controls. As we investigated the mechanisms underlying this finding, we discovered that the release of HMGB1 upon asbestos exposure promoted autophagy, allowing a higher fraction of HM to survive asbestos exposure. HMGB1 silencing inhibited autophagy and increased asbestos-induced HM death, thereby decreasing asbestos-induced HM transformation. We demonstrate that autophagy was induced by the cytoplasmic and extracellular fractions of HMGB1 via the engagement of the RAGE receptor and Beclin 1 pathway, while nuclear HMGB1 did not participate in this process. We validated our findings in a novel unique mesothelial conditional HMGB1-knockout (HMGB1-cKO) mouse model. Compared to HMGB1 wild-type mice, mesothelial cells from HMGB1-cKO mice showed significantly reduced autophagy and increased cell death. Autophagy inhibitors chloroquine and desmethylclomipramine increased cell death and reduced asbestos-driven foci formation. In summary, HMGB1 released upon asbestos exposure induces autophagy, promoting HM survival and malignant transformation.

PubMed ID: 32999071 Exiting the NIEHS site

MeSH Terms: Adult; Aged; Animals; Asbestos/adverse effects*; Autophagy/drug effects*; Cell Transformation, Neoplastic/chemically induced*; Cells, Cultured; Epithelial Cells/cytology; Epithelial Cells/metabolism; HMGB1 Protein/metabolism*; Humans; Male; Mesothelioma/metabolism*; Mice; Mice, Knockout; Middle Aged; Occupational Exposure

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