Expression and localization of sterile alpha motif domain containing 5 is associated with cell type and malignancy of biliary tree

Cholangiocarcinoma (CC) is a type of relatively rare neoplasm in adenocarcinoma. The characteristics of CCs as well as biliary epithelial cells are heterogeneous at the different portion of the biliary tree. There are two candidate stem/progenitor cells of the biliary tree, i.e., biliary tree stem/progenitor cell (BTSC) at the peribiliary gland (PBG) of large bile ducts and liver stem/progenitor cell (LPC) at the canals of Hering of peripheral small bile duct. Although previous reports suggest that intrahepatic CC (ICC) can arise from such stem/progenitor cells, the characteristic difference between BTSC and LPC in pathological process needs further investigation, and the etiology of CC remains poorly understood. Here we show that Sterile alpha motif domain containing 5 (SAMD5) is exclusively expressed in PBGs of large bile ducts in normal mice. Using a mouse model of cholestatic liver disease, we demonstrated that SAMD5 expression was upregulated in the large bile duct at the hepatic hilum, the extrahepatic bile duct and PBGs, but not in proliferating intrahepatic ductules, suggesting that SAMD5 is expressed in BTSC but not LPC. Intriguingly, human ICCs and extrahepatic CCs exhibited striking nuclear localization of SAMD5 while the normal hilar large bile duct displayed slight-to-moderate expression in cytoplasm. In vitro experiments using siRNA for SAMD5 revealed that SAMD5 expression was associated with the cell cycle regulation of CC cell lines. Conclusion: SAMD5 is a novel marker for PBG but not LPC in mice. In humans, the expression and location of SAMD5 could become a promising diagnostic marker for the cell type as well as malignancy of bile ducts and CCs.


Introduction
Bile ducts, which consist of biliary epithelial cells (BECs) or "cholangiocytes" functions to excrete bile from the hepatic parenchyma to the duodenum. While the intrahepatic bile ducts branch and connect with the bile canalicular system of hepatocytes in liver, the extrahepatic bile duct links the intrahepatic bile tract to the duodenum. It is known that the characteristics of BECs such as morphology, functions and gene expression patterns, are heterogeneous at the distinct anatomical location of the biliary tree [1,2]. For example, cuboidal BECs constitute the peripheral small bile duct or ductules in liver, while columnar BECs lining large bile duct at the hepatic hilum or extrahepatic bile duct produce mucin. In addition, the peripheral branches of intrahepatic bile duct expand in chronically injured liver, which is known as ductular reactions [3]. Adult liver stem/progenitor cells (LPCs) are assumed to reside in a compartment of such biliary ductules [4,5]. By contrast, the extrahepatic bile duct including common bile duct bears accessory glands, called "peribiliary glands (PBGs)" [6,7]. PBGs have been implicated in the development and diseases of the hepatobiliary and pancreatic systems [8][9][10]. Recently, it has been reported that PBGs contain multi-potent stem/progenitor cells, called "biliary tree stem/progenitor cells (BTSCs)", which give rise to hepatocytes, BECs and pancreatic islets [11]. Although much effort has been made to uncover the nature of LPCs and BTSCs respectively, the characteristic difference between intra-and extra-hepatic bile ducts in pathological process needs further investigation.
Biliary diseases such as primary sclerosing cholangitis and primary biliary cirrhosis are usually accompanied by severe cholestasis. Among mouse models, long-term feeding of 3,5-diethoxycarbonyl-1,4-dihydro-collidine (DDC) is one of the conventional methods to study cholestatic liver disease [12], and DDC-fed mice exhibit ductular reaction as well as chronic cholestasis [13,14]. We previously reported that Epithelial cell adhesion molecule (EpCAM) is expressed in mouse hepatoblasts, i.e. fetal LPCs as well as BECs during liver development [15], and that EpCAM+ cells sorted from normal and injured adult livers contain bipotent liver stem cell-like cells which differentiate into both hepatocytic and biliary cells in vitro [16]. Further microarray analyses comparing gene expression profiles of EpCAM + cells between normal and DDC-fed mouse livers have led to two findings that Nephronectin exacerbates liver injury in acute and chronic hepatitis [17] and that Semaphorin 3E regulates sinusoidal regeneration and liver fibrosis [18]. Although Sterile alpha motif domain containing 5 (SAMD5) was identified as one of such upregulated genes in EpCAM + cells of DDC-fed mouse liver, the role of SAMD5 in liver diseases remained uninvestigated.
SAMD5 is one of the SAM domain-containing proteins. The SAM domain spreads over around 70 residues and has diverse roles for cellular processes via polymerization [19][20][21]. Different SAM domains can self-associate [22], and bind to other SAM domains [23] as well as other non-SAM proteins [24], RNA, DNA [25,26] or even lipids [27]. Although the functions of SAMD5 are entirely unknown, previous study demonstrated that pituitary homeobox 2 (PITX2) knockdown downregulates SAMD5 expression in primary human trabecular meshwork cells [28]. Watanabe et al. revealed that SAMD5 expression is closely associated with therapeutic efficiency of chemo-radiotherapy for rectal cancer [29]. These studies suggest that SAMD5 expression is relevant to the pathological staging or diagnosis. However, the expression profile and role of SAMD5 in biliary diseases including cholangiocarcinoma (CC) remain totally unknown.
We herein demonstrate that SAMD5 is drastically upregulated in large bile tracts including perihilar and exptrahepatic bile ducts in DDC-fed mouse livers whereas neither intrahepatic cuboidal BECs nor LPCs express SAMD5. More interestingly, SAMD5 is expressed in PBGs in normal mice without injury. By contrast, human SAMD5 is highly expressed and localized in the nucleus of CCs, while it is moderately observed in the cytoplasm of normal cholangiocytes lining hilar large bile ducts. Functional studies further demonstrate that SAMD5 expression is associated with cell cycle regulation of CC cell line in vitro. Our data suggest that SAMD5 is a useful marker for identifying the origin of biliary cells derived from BTSCs or LPCs and that its intracellular localization and expression level in CCs may be a diagnostic indicator for their proliferative and pathological situation.

Materials and methods
Mice and cell line C57BL/6 mice were purchased from CLEA Japan Inc. (Tokyo, Japan) and used for all experiments. All animal experiments were performed in accordance with the guidelines approved by the Institutional Animal Care and Use Committee of the University of Tokyo. The CC and Hepatocellular carcinoma (HCC) cell lines were from RIKEN BRC. The RBE cell line was a kind gift from Dr. Munechika Enjoji.

Liver injury and partial hepatectomy
Chronic liver injury was induced by feeding 0.1% DDC-containing diet (CLEA Japan Inc., Tokyo, Japan) or intraperitoneal injection of carbon tetrachloride (CCl 4 ). CCl 4 (Wako Pure Chemical, Osaka, Japan) was diluted in corn oil (Wako Pure Chemical, Tokyo, Japan) to 20% and injected into mice at a dose of 1-ml CCl 4 /kg body weight. Livers were harvested after feeding of DDC-diet for 2 weeks or repeated injections of CCl 4 , twice per week for 4 weeks, followed by euthanasia with cervical dislocation. 70% Partial hepatectomy (PHx) was performed as described previously [30]. Anesthesia was induced by sevoflurane inhalation. Following euthanasia, livers were harvested after 2 days from the operation. To examine expression level of Samd5 by real-time RT-PCR, liver samples of normal livers (n = 3), 70% PHx livers (n = 4), and chronically injured livers by CCl 4 (n = 5) or DDC diet (n = 4) were analyzed. Normal livers of untreated 8 weeks old male mice were used as controls. We have observed no clinical symptoms nor signs of suffering during the experiment.

RT-PCR and quantitative RT-PCR
Total RNA was isolated from mouse livers or hepatic cells using TRIzol reagent (Invitrogen, Carlsbad, CA). Reverse-transcription to cDNA templates was performed using random primers and a High-capacity cDNA Reverse-Transcription Kit (Applied Biosystems, Foster City, CA). Real-time RT-PCR experiments were conducted with a LightCycler 480 system and Universal Probe Library (Roche Diagnostics, Indianapolis, IN). The ACTB or GAPDH gene assay in Probe Library was used as the normalizing control. The sequence information for the primer pairs and probes used is listed in S1 Table.

Isolation of EpCAM + cells from livers and FACS analysis
EpCAM + cells were isolated from murine livers as described previously [16]. Aliquots of nonparenchymal cells were blocked with anti-FcR antibody and incubated with biotin-conjugated anti-EpCAM monoclonal antibody on ice. Then, cell suspension was washed and incubated with allophycocyanin-conjugated streptavidin (BD Biosciences, San Diego, CA). EpCAM + cells were roughly sorted by autoMACS pro (Miltenyi Biotec, Bergisch Gladbach, Germany) with anti-APC microbeads and purified by fluorescence-activated cell sorting (FACS) using Moflo XDP (Beckman-Coulter, Fullerton, CA). Dead cells were excluded by propidium iodide staining.

Generation of anti-SAMD5 polyclonal antibody
Rabbit anti-SAMD5 polyclonal antibody was raised as previously described [31]. In brief, cDNA encoding mouse SAMD5 was cloned from total RNA of DDC-fed mice liver by RT-PCR using the following primers (sense, 5'-GGA TCC CGA GTC TCA GCC ATG TGC-3', and antisense, 5'-GTC GAC CAA AAA TGA TAT CTA GTG G-3'). The cDNA was subcloned into pET-32a vector (Merck Millipore, Billerica, MA) or pGEX-4T-3 vector (GE Healthcare Life Sciences, Piscataway, NJ). The expression vectors for tagged fusion proteins, His-SAMD5 and GST-SAMD5 were over-expressed in the BL21 Escherichia coli strain. His-SAMD5 was affinity-purified by HisTrap HP (GE Healthcare Life Sciences) and used for immunization using rabbits. Anti-SAMD5 antibody was affinity-purified from the rabbit serum by using HiTrap NHS-activated HP columns (GE Healthcare Life Sciences) coupled with GST-SAMD5. The cross-reactivity of anti-SAMD5 antibody to mouse and human SAMD5 was confirmed by Western blot analysis using the cell lysate of Cos-7 transfected with mouse or human SAMD5 cDNA expression vector (S1 Fig).

Immunohistochemistry and Periodic Acid-Schiff (PAS) staining
Eight-micrometer liver cryosections were mounted on glass slides and fixed with Zamboni's fixative solution for 10 min for immunohistochemistry (IHC) staining. The fixed sections were incubated with 5% skim milk (w/v) in PBS and then incubated with primary antibodies, followed by secondary antibodies. The antibodies used in this study are described in Table 1. Images were captured using Observer Z1 with an AxioCam HRc (Zeiss, Oberkochen, Germany). Periodic acid-Schiff (PAS) staining was performed for serial section of IHC-stained section. The fixed sections were exposed to orthoperiodic acid (Wako Pure Chemical, Tokyo, Japan) and then stained with Schiff's Reagent (Muto Pure Chemicals, Tokyo, Japan). Sulfite Solution (Muto Pure Chemicals, Tokyo, Japan) was used for wash.

Knockdown of SAMD5 and cell cycle analysis
Stealth RNAi siRNA for human SAMD5 was purchased from Life Technologies (Carlsbad, CA), and negative Universal Control was used as a control for all knockdown experiments. The siRNAs were introduced into the cell by Lipofectamine RNAiMAX Transfection Reagent (Life Technologies, Carlsbad, CA). Cell cycle analysis was performed as previously described [30].

Forced expression of SAMD5
Human SAMD5 expression vector was constructed by using primer pairs listed in S1 Table as "Human SAMD5 for expression vector". Amplified SAMD5-coding sequence was assembled to pCMV-FLAG vector. The vector was introduced into the cells by lipofection using polyethylenimine. Analysis of cell proliferation WST-1 assay was performed for quantifying the status of cell proliferation. Cells were cultured in 96-well culture dish and WST-1 reagent (Dojindo, Kumamoto, Japan) was applied for the culture medium. After 4 hours of incubation, the difference between absorbance at 440 nm and 600 nm of the medium was measured.

Liver tissue specimens and immunohistochemistry
Surgically resected liver specimens including cholangiocarcinoma (CC) in intrahepatic or extrahepatic biliary tree were used in this study. After fixation 10% neutral-buffered formalin, 4μm-thick sections were prepared. The deparaffinized and rehydrated sections were heattreated in 10mM citrate buffer (pH 6.0) for 20 min at 95˚C for the pretreatment of tissue prior to staining. Following endogenous peroxidase blocking and incubation in normal goat serum (dilute 1:10; Vector Lab, Burlingame, CA) for 20 minutes, these sections were incubated at 4˚C overnight with rabbit polyclonal SAMD5 antibody (1μg/mL), and then at room temperature for 1 hour with goat anti-rabbit immunoglobulins conjugated to peroxidase labeled-dextran polymer (Envision+TM, Dako Japan). After benzidine reaction, sections were counterstained with hematoxylin. As a negative control, normal rabbit IgG (1μg/mL) was used for the primary antibody. This procedure consistently resulted in no staining.

Study approval
All mouse studies were conducted in accordance with institutional procedures and approved by the Animal Care and Use committee of the Institute of Molecular and Cellular Biosciences, The University of Tokyo (approval numbers 2501, 2501-1, 2609 and 2706) and for the National Center for Global Health and Medicine Research Institute (approval number 16029). The study using human samples was approved by the Kanazawa University Ethics Committee (approval number 305-4), and all of the analyzed samples are derived from patients who provided informed written consent for the use of their tissue samples in research.

Statistical analysis
Statistical analysis was performed using the unpaired two-tailed Student's t-test. A value of P <0.05 was taken to indicate statistical significance.

EpCAM + cells express SAMD5 in chronically injured mouse livers
We have reported previously that potential LPCs reside in EpCAM + cells in DDC-fed mouse livers [16]. The cDNA microarray analysis of EpCAM + cells from normal and DDC-treated livers revealed that many genes including Samd5 were upregulated in DDC-treated EpCAM + cells compared to normal EpCAM + cells (Table 2). Quantitative RT-PCR analysis demonstrated that SAMD5 expression of DDC-treated EpCAM + cells is more than 200 times higher than that of normal EpCAM + cells ( Fig 1A). Furthermore, the expression levels of SAMD5 in various liver injury models were determined by quantitative RT-PCR. SAMD5 was slightly but significantly upregulated in chronically injured livers by repeated injections of carbon tetrachloride (CCl 4 ), but not in regenerating livers after partial hepatectomy (PHx) (Fig 1B). By contrast, Samd5 mRNA was markedly upregulated in DDC-fed livers, suggesting that its expression was induced in severely cholestatic livers.

Expression of SAMD5 is observed in BECs consisting of dilated large bile duct and PBG
To investigate the location of SAMD5-expressing cells in vivo, we generated anti-SAMD5 poly-  another marker for BECs and LPCs, was performed for normal mouse livers. While intrahepatic bile ductules were not stained by the anti-SAMD5 antibody, faint signal of SAMD5 was detected in CK19+ cells adjacent to the large bile duct at the hepatic hilum, suggesting that SAMD5 is expressed in intramural accessory glands of perihilar large bile ducts (S2C and S2D Fig). By contrast, IHC analysis of DDC-fed livers revealed that SAMD5 was predominantly expressed in the intrahepatic large bile duct at the hepatic hilum, while proliferating atypical ductular cells including LPCs seemed to show no staining of SAMD5 (Fig 1C). Interestingly, Expression and localization of SAMD5 in biliary tree intense signals of SAMD5 were detected in the acini of PBG of hilar large bile ducts. These results suggested that SAMD5 was upregulated in the epithelial cells of intrahepatic large bile ducts and PBG at the hepatic hilum after DDC-induced injury, but neither BECs lining intrahepatic small tubules nor proliferating LPCs expressed SAMD5.

SAMD5 expression is correlated with mucus producing BECs
Because the previous report demonstrated that columnar BECs consisting the intrahepatic large bile duct, hilar bile duct and extrahepatic bile duct produce mucus in human livers [33]. we examined the correlation between SAMD5 expression and mucus production in DDC-fed mice. Serial sections of DDC-fed mouse livers were subjected to IHC staining using anti-SAMD5 antibody and Periodic Acid-Schiff (PAS) staining, a method to detect polysaccharides including mucus, respectively (Fig 2). It was revealed that several hilar columnar BECs and acini producing mucus in DDC-fed livers expressed SAMD5 at the apical region of cytoplasm, while mucin-negative cuboidal LPCs did not. These results suggested that SAMD5 expression might be associated with mucus production or define the cell lineage of columnar cholangiocytes in DDC-fed cholestatic livers.

SAMD5 is exclusively expressed in PBG of normal extrahepatic bile ducts
Because PBGs are located around the extrahepatic bile duct as well as the hilar large bile duct, we investigated the expression profile of SAMD5 in extrahepatic bile ducts. Intriguingly, IHC analysis of the vertical section of common bile ducts revealed that SAMD5 was exclusively expressed in PBGs of normal extrahepatic bile ducts (Fig 3A). To investigate whether SAMD5 is induced in extrahepatic cholangiocytes like perihilar large bile ducts by cholestatic injury, we performed IHC analysis of extrahepatic bile ducts after DDC treatment. Double staining of vertical and horizontal sections of common bile ducts with anti-SAMD5 and anti-EpCAM antibodies revealed that SAMD5 was highly expressed in not only PBG, but also in the apical region of the columnar cholangiocytes lining dilated common bile ducts (Fig 3B and 3C). These results suggested that SAMD5 is expressed in PBGs under normal condition, but induced in columnar cholangiocytes lining large bile ducts after cholestatic injury.

SAMD5 is expressed in human columnar BECs and CCs
In humans, it has been suggested that intrahepatic CC (ICC) could arise from intrahepatic PBG [34]. In addition, a recent work reported that mucin-producing ICCs had a clinicopathological, immunohistochemical, and molecular profile similar to that of hilar CCs (from mucin-producing cholangiocytes) [33]. Therefore, we next investigated the expression of SAMD5 in human CC specimens by immunostaining. Intriguingly, SAMD5 was observed at a slight-to-moderate level in the cytoplasm of normal columnar BECs lining large bile ducts at the hepatic hilum (Fig 4A). By contrast, surprisingly, the nuclear staining of SAMD5 in ICCs was observed in five out of six examined hilar CC specimens. SAMD5 Expression and localization of SAMD5 in biliary tree was localized in the nucleus of poorly-differentiated ICCs (Fig 4B). In addition, the nuclear localization of SAMD5 was also observed in both well-differentiated and poorly-differentiated ICCs at the hepatic hilum ( Fig 4C). Interestingly, the cancerous cells invading the hilar large bile duct exhibited apparent nuclear staining of SAMD5 (Fig 4D). In addition, the papillary and moderately-differentiated tubular adenocarcinoma in the common bile duct of extrahepatic CC also showed nuclear staining of SAMD5 (Fig 4E). These results suggested that the localization of SAMD5 is quite distinct between normal BECs and CCs, which may be involved in the promotion of carcinogenesis.

Expression of SAMD5 in CC cell lines
To further investigate the role of SAMD5 in CC cells, the expression level of SAMD5 gene in four CC cell lines (HuH28, TFK1, RBE and TKKK) and one HCC cell line (HuH7) relative to normal BEC was examined. Quantitative RT-PCR revealed that SAMD5 mRNA was increased in all CC cell lines compared to BEC, but not expressed in HuH7 (Fig 5A). The IHC staining of SAMD5 demonstrated that intense signals of SAMD5 were detected in the nuclei of TKKK, RBE and TFK1 (Fig 5B and S3 Fig). These results indicated that SAMD5 is localized in the nuclei of CC cell lines as well as CC specimens.

Exogenously expressed SAMD5 localizes to the nucleus of CC and HCC cell lines
Given that the localization of SAMD5 in the nucleus is relevant to some characteristics of carcinoma, exogenously expressed SAMD5 in HCC and/or CC cell lines could translocate to the nucleus. Therefore, we constructed the expression vector for human SAMD5 with FLAG-tag, and transduced it to HuH7 and HuH28 by lipofection, respectively. After 48 hours from lipofection, cell extracts were subjected to Western blot analysis by anti-SAMD5 antibody to confirm that SAMD5 protein was efficiently expressed (S4 Fig). Immunocytochemical staining of FLAG-tag and SAMD5 revealed that FLAG-tagged SAMD5 was translocated to the nucleus in both HuH7 and HuH28 (Fig 5C and 5D). These data suggested that SAMD5 was actively transported to the nucleus by itself or binding to other nuclear proteins in cancer cells.

SAMD5 expression in cell cycle regulation and proliferation of CC
It has been reported previously that the SAM domain of SAMD4B regulates transcriptional activity of cell cycle-related genes such as AP-1, p53 and p21 [35]. Considering that SAMD5 was also localized in the nucleus of CCs, we hypothesized that SAMD5 might be involved in the cell cycle regulation of CCs. To address the hypothesis, we knocked down SAMD5 mRNA in RBE cell line using siRNAs. We tested three distinct siRNA sequences for SAMD5 and evaluated their knockdown efficiency by quantitative RT-PCR analysis 48 hours after lipofection. Among them, siRNA #1 worked most efficiently (S5A Fig) and decreased SAMD5 mRNA by 94% even 96 hours after lipofection (Fig 6A). To investigate the role of SAMD5 in the growth of RBE cell line, we performed WST-1 and FACS analysis 96 hours after knockdown of SAMD5. The WST-1 assay revealed that knockdown of SAMD5 accelerated the proliferation of RBE (Fig 6B and S5B Fig). Consistently, FACS analysis demonstrated that knockdown of SAMD5 significantly increased the cell population at S and G2/M phase compared to control siRNA ( Fig 6C). We next investigated the effect of SAMD5 overexpression on the growth of CC cell line. Because HuH28 exhibited relatively low expression of SAMD5 among four examined CC lines (Fig 5A), we introduced the expression vector for SAMD5 in HuH28 cell and evaluated cell growth after 96 hours of overexpression. WST-1 assay revealed that SAMD5 overexpression suppressed cell growth of HuH28 significantly compared to control (empty vector) (Fig 6D  and 6E). These results suggested that SAMD5 played a role in the cell cycle regulation of CCs.

Discussion
CC is a type of relatively rare neoplasm in adenocarcinoma and the etiology remains poorly understood. CC is an incurable malignancy unless the primary tumor can be fully resected. The lack of early prognostic marker for CC makes it difficult to diagnose CC at an early stage. In addition, ICCs are composed of heterogeneous carcinomas arising from different sites of biliary tree. Although ICCs have been basically subdivided into two types: the perihilar large duct type and the peripheral small duct type [36], further clinicopathological study using specific markers is required to define the cell type of origin. Because BTSC and LPC are assumed to exist at the PBGs of large bile ducts and at the canals of Hering of peripheral small bile  ducts, ICCs could be derived from these cells [37,38]. It has been suggested that LPC is involved in the pathogenesis of cholangiocellular carcinoma with mixed features, while BTSC could be a origin of mucin-producing CCs.
In this study, we demonstrated that SAMD5 was expressed in PBGs of normal mice and upregulated in both mucin-producing PBGs and BECs lining intrahepatic large bile duct at the hepatic hilum, extrahepatic bile ducts of cholestatic mice. SAMD5 was identified by microarray analysis as an upregulated gene in EpCAM+ epithelial cells of DDC-fed mouse livers compared to those of normal livers. Because these EpCAM+ cells include cholangiocytes and LPCs, SAMD5 was initially expected to be a marker for LPC. However, neither intrahepatic cuboidal cholangiocytes nor LPCs expressed SAMD5 irrespective of liver injury. Because we removed extrahepatic bile ducts from livers to prepare EpCAM+ cells for microarray analysis, it is likely that the drastic upregulation of SAMD5 in sorted EpCAM+ cells is caused by the contamination of hilar columnar cholangiocytes lining large bile ducts and intramural PGBs of cholestatic livers (Fig 1C). These results suggested that SAMD5 expression might be a characteristic of the epithelial cell lineage constituting large bile ducts including perihilar and extrahepatic bile ducts, but not peripheral intrahepatic bile ducts. More interestingly, we found that mouse SAMD5 expression was restricted in PBG of intra-and extrahepatic large bile ducts in the absence of hepatic injury, and associated with mucus production. Considering that BTSCs are associated with mucin-producing cells [39], our findings suggested that SAMD5 could be a novel marker for mouse BTSC located in the PGBs. Recent emerging evidence from many pathological reports have suggested that the epithelial cells residing in PBG is involved in the stem cell compartment of biliary tree [11] or cholangiocellular carcinogenesis in human [9,10,34]. Considering that neither peripheral cuboidal BECs nor LPCs expressed SAMD5, our findings supported the notion that mucin-producing CC arise from BTSCs in the PBGs, but not from peripheral intrahepatic bile ducts or LPCs. In addition, we assumed that human ICCs derived from PBG may express SAMD5. Actually, four examined CC cell lines, but not HCC line showed increased expression of SAMD5 mRNA compared to normal BEC. Furthermore, striking nuclear staining of SAMD5 in ICC was demonstrated in five out of six human hilar CC specimens and one extrahepatic CC while indistinct cytoplasmic staining was observed in normal perihilar bile duct. These results strongly suggested that not only the upregulation of SAMD5 gene but also its translocation from cytoplasm to nucleus might be implicated in the malignancy of bile ducts. The potential nuclear localization signals (NLS) estimated by cNLS Mapper [40] locate at the C terminus of SAMD5. We demonstrated that exogenously overexpressed SAMD5 localized to the nucleus of CC and HCC cell lines. Because the NLS score is not very high (maximum score is 4.3), SAMD5 may be carried into the nucleus through binding to the other nuclear localization factors via SAM domain.
Although the functional role of SAMD5 remains largely unknown, Sa et al. reported very recently that an in frame fusion of SAMD5 with SASH1 was identified in 4 individual cases of skull base chordoma, implying the significance of SAMD5 in tumorigenesis [41]. On the other hand, Matsuo et al. have reported that the knockdown of SAMD5 in small cell lung cancer (SCLC) cell lines by siRNA suppressed cell proliferation [42]. In contrast to the previous paper, we showed that knockdown and overexpression of SAMD5 in CC cell lines resulted in enhancement and suppression of cell growth, respectively. Therefore, SAMD5 may have different functions depending on the context of cell type or its cellular location, although the localization of SAMD5 in SCLC is unclear. Considering the cytosolic staining of SAMD5 in normal BECs, SAMD5 may originally serve as a tumor suppressor in the cytoplasm. If cytosolic SAMD5 plays a role in cell cycle arrest, it is possible that knockdown of SAMD5 will enhance cell growth, and that cytosolic SAMD5 overflowed from nuclear translocation due to overexpression will suppress cell growth. However, precise mechanisms underlying the cell cycle regulation of CC by SAMD5 need further investigation. The detailed analysis of SAMD5 localization in other tumor cells or overexpression of SAMD5 mutant lacking in nuclear import ability will be useful in dissecting the molecular mechanisms.
Taken together, this is the first report concerning the expression profile and function of SAMD5 in mouse PGB and human CC cells. Our data suggest that the expression and location of SAMD5 could be a potential diagnostic marker for identifying cell types as well as malignancy of bile ducts and CCs under pathological condition. Further investigation of SAMD5 function may lead to the development of prognostic prediction method of CC.