Downregulation of transcription factor EB inhibits the growth and metastasis of colorectal carcinomas

Abstract

To determine the roles of transcription factor EB (TFEB) in colorectal cancer (CRC), we collected samples of tumor tissues and normal tissues from 40 patients with CRC. The expression of TFEB in these samples was analyzed by using quantitative real-time polymerase chain reaction (qRT-PCR) and Western blot. Furthermore, we explored the expression of TFEB mRNA in CCD-18Co normal cells and HT-29, HCT-8, C2BBe1 cancer cells. HT-29, HCT-8, and C2BBe1 cancer cells were transfected with a TFEB-specific small interference RNA (siRNA) and scrambled siRNA, then the TFEB expression was confirmed by Western blot. The migration and invasion abilities of cells transfected with TFEB-siRNA were examined by transwell method and wound-healing assay. The subsequent effect of TFEB silencing on the tumor growth was also detected in mice xenograft model in vivo. Our study found that TFEB expression was significantly increased (P < 0.05) in colorectal tumor tissues compared with normal tissues. Consistent with TFEB expression in tissues, compared with the normal CCD-18Co cells, TFEB mRNA expression was also significantly augmented in CRC cells. TFEB protein expression was markedly reduced in HT-29, HCT-8, and C2BBe1 cells after TFEB-siRNA transfection. In addition, inhibition of TFEB expression resulted in decrease of cells migration and invasion abilities. In vivo study, compared with the negative control group, the tumor weight, and volume were also reduced after inhibiting the TFEB expression. Our research suggested that TFEB expression is related to the occurrence and development of colorectal adenocarcinoma. The migration and invasion abilities of cancer cells, the weight and volume of tumor were all decreased when inhibiting TFEB expression. Thus, TFEB serves as an important factor in the development of CRC by modulating cancer cell migration and invasion, showing the potential therapeutic target of CRC in clinical.

Keywords

colorectal carcinoma metastasis TFEB xenograft tumor model

Introduction

Colorectal cancer (CRC) is one of the commonly diagnosed malignancies among both men and women in the world, especially in most Asian countries.^1,2 Most cases of CRCs are caused by aging and lifestyle factors including diet, obesity, and smoking, and only a small number of cases are due to genetic disorders. Despite advances in multimodal treatments, the precise molecular alterations of underlying CRC metastasis are still unknown. Furthermore, the characteristic of metastasis is the major reason for cancer recurrence. Therefore, a better understanding of the precise molecular alterations in CRC will aid to improve the CRC therapy. A new therapy or target should be found in the treatment of CRC.

Transcription factor EB (TFEB) is a member of the microphthalmia-transcription factor E (MiTF/TFE) family.³ Recent studies have shown that TFEB functions as a pivotal regulator of autophagy and lysosomal biogenesis by regulating the expression of the related genes.^4–6 More evidence indicated that TFEB involves in carcinogenesis and cancer progression in several types of cancer cells. TFEB expression and related lysosomal biogenesis are intense in some cancer cells, such as breast carcinomas,⁷ non-small-cell lung cancer,⁸ and pancreatic ductal adenocarcinoma (PDAC).⁹ TFEB nuclear translocation and activity are modulated by the tumor suppressor p53 in lung cancer cells.¹⁰ In renal cell carcinomas, TFEB displays an important role in cancer cell translocation.^11,12 Furthermore, the chemoresistance to doxorubicin and mitoxantrone of human cancer cells is induced by TFEB-mediated autophagy activation.^13,14 Although diverse roles have been studied for TFEB in different types of cancers, the function for TFEB in the invasion and migration of CRC is not well studied yet.

In this study, TFEB was overexpressed in CRC tissues compared with paired non-tumor samples. TFEB silencing using RNA interference lowered invasion and migration abilities of complete blood count (CBC) cell lines (HT-9, HCT-8, and C2BBe1, respectively). In addition, we found that suppression of TFEB in CRC cells reduce the growth of tumor in nude mice. Therefore, TFEB provides a potential therapy for inhibiting CRC progression.

Patients and methods

Patient and tissue specimens

Cancer tissues and paired non-cancerous tissues were obtained from 40 patients who were diagnosed with CRC at Yantaishan Hospital from 2015 to 2017. The 40 CRC cases were pathologically confirmed and histologically graded in accordance with the World Health Organization classification. Exclusion criteria were as follows: two or more different malignancies and patients who have received hormonal therapy, preoperative radiotherapy, or chemotherapy. The patients included were 18 males and 22 females and aged between 36–67 years with an average age of 52 years. All patients signed informed consent before the use of the samples. Fresh tissues were obtained during surgical resection without prior radiotherapy or chemotherapy. All samples were immediately frozen in liquid nitrogen and stored at −80°C until processed. The paired non-cancerous tissues were dissected away from the tumor tissues and confirmed lacking cancer cells by microscope. This study followed institutional ethical guidelines which were reviewed and approved by the Ethic Committee of Yuhuangding Hospital affiliated to Qingdao University.

Cell culture and transfection

All human colon cancer cell lines (HT-29, HCT-8, C2BBe1) and normal cell line CCD-18Co were purchased from ATCC, USA. Cell lines were cultured in RPMI 1640 medium (Solarbio, Beijing) complemented with 10% fetal bovine serum (FBS) and 100 U/mL penicillin and 100 μg/mL streptomycin, incubated in a humidified atmosphere containing 5% CO₂ at 37°C, and the culture medium was replaced with fresh medium every 2 days, and logarithmic growth cells were harvested for the following experiment.

Cells were digested by 1 mL trypsin, added 2 × 10⁵ cells in six-well plates and cultured in 0.5 mL of serum-contained, antibiotic-free growth medium. Each colon cancer cell line or normal cell line was divided into three groups: small interference RNA (siRNA) group, negative control (NC) group, and control group. The TFEB-siRNA (5’-CAGGCUGUCAUGCAUUACATT-3’) in the siRNA group and scrambled TFEB-siRNA-A (5’-ACGAGAUUAGGCAUCACAAUA-3’) in the NC group were obtained from GenePharma. To develop the TFEB-siRNA vectors, the sequence of TFEB-siRNA and TFEB-siRNA-A were inserted into pcDNA3.1/Myc-His(-) B vector, then 2 μg of vectors were diluted with 50 μL of serum-free RPMI 1640 medium, dissolved in Lipofectamine 2000 reagent (Invitrogen, USA) and added to the each well. The transfected cells were incubated at 37°C in a 5% CO₂ incubator (Thermo, USA) for 48 h.

Quantitative real-time polymerase chain reaction

Total RNAs from colon cancer cells or tissues were extracted with TRIzol kit (Invitrogen, USA). RNAs were subjected to reverse transcription reactions using SuperScript III Reverse Transcriptase (No.18080044, Thermo Fisher Scientific, USA). Quantitative real-time polymerase chain reaction (qRT-PCR) was carried out using the Master ep realplex2 (Eppendorf, Hamburg, Germany) under conditions: 94°C for 3 min, 94°C for 30 s, 60°C for 30 s, 35 cycles. The results were calculated by 2^−ΔΔCt(Livak and Schmittgen 2001), normalized to internal control β-actin mRNA. The primer sequences were as follows: TFEB sense 5’-CCAG-AAGCGAGAGCTCACAGAT-3’ and anti-sense 5’-TGTGATTGTCTTTCTTCTGCCG-3’; β-actin sense 5’-TCTACAATGAGCTGCGTGTG-3’ and anti-sense 5’-GGTGAGGATCTTCATGAGGT-3’.

Transwell assay

Precooled RPMI 1640 medium and Matrigel (Solarbio, Beijing, China) were mixed at the ratio of 1 and spread evenly on the bottom of the upper chamber (Thermo, Germany) with 100 μL per well and incubated at 37°C for 4 h. A total of 5 × 10⁴ cells in 200 μL medium without FBS from each group were seeded into the upper chamber. In the lower chamber, 500 μL of RPMI 1640 medium containing 10% FBS was added and incubated in a 37°C incubator. After 72 h, the chambers were washed twice by PBS, wiped with a cotton swab, then fixed in 5% methyl alcohol at room temperature, stained with 0.5% crystal violet solution (Solarbio, Beijing, China) for 30 min and washed twice with PBS. Five random visual fields were selected, and the cell numbers in each field were counted for each well using an inverted microscope (Olympus, Japan) to calculate the average value. Relative cell numbers were used for drawing bar graph.

Wound-healing assay

The stably-infected cells were plated in 24-well plates until full confluence. Cell layers were scratched using sterile 10 μL pipette tips and washed three times with serum-free RPMI 1640 medium to carefully remove the excised cell debris, then incubated in serum-free RPMI 1640 medium for 72 h. The cell-free wound area was photographed with an inverted microscope (Olympus, Japan). The results were analyzed by software ImageJ64. Eight horizontal lines were randomly drawn to measure the distance between cells, and the values were calculated for average. Thus, the relative migration rates were calculated as: (original scratch width–new scratch width)/original scratch width × 100%.

Western blot

Cellular proteins from cells and tissues were extracted using RIPA lysis buffer (No. R0020, Beijing Solarbio Science & Technology Co, Ltd, China). The concentration of protein was measured by BCA kit (No. PC0020, Beijing Solarbio Science & Technology Co., Ltd, China). A protein sample (4 μL) was mixed with 5× sample loading buffer, and the mixture was loaded on a 10% sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE) gel. After the samples were separated by molecular weight, they were transferred to a polyvinylidene difluoride (PVDF) membrane (Merck, Darmstadt, Germany). The membranes were washed and blocked with 5% skimmed milk for 2 h. Primary antibodies rabbit anti-TFEB antibody (1: 2000, ab96834, Abcam, UK) and rabbit anti-β-actin antibody (1: 1000, ab8226, Abcam, UK) were added and incubated overnight at 4°C. After 24 h, the membranes were washed and incubated with goat anti-rabbit IgG-HRP (1: 1000, MBS435036, MyBioSource, USA) for 1 h after rewarming. The results were observed and recorded with a Roche Elecsys-2010 (Roche, Switzerland). Protein expression levels were normalized to β-actin and quantified by Image J (National Institutes of Health (NIH)) software.

Xenograft model in nude mice

A total of 60 Balb/c nude mice (6–8 weeks, 20 ± 2 g) were purchased from Jinan Pengyue Experimental Animal Breeding Co, Ltd (Animal Production License No.: SCXK 20140007). After acclimatization, 40 healthy mice were selected and randomly divided into two groups (the ratio of male/female is 1, n = 20/group).

HT-29 cells transfected with TFEB-siRNA (si-TFEB group), TFEB-siRNA-A (NC group) were harvested and resuspended in PBS. Later, 100 μL, 1 × 10⁶ cells in PBS mixture were injected subcutaneously into the back shoulder swollen of each mouse. Tumor size was measured once a week using the following equation: volume (mm³) = (length × width²)/2. All mice were anesthetized by intraperitoneal injection of 1% pentobarbital sodium at a dose of 40 mg/kg and sacrificed using cervical dislocation method.

In the end of sixth week after the initiation of experiment, the tumor cells were excised and weighed immediately.

Statistical analysis

SPSS, version 19.0, statistical software was used to analyze the monitoring data. The data analysis results were presented as the mean values ± SD. The t-test was used to analyze the data between the two groups. One-way analysis of variance (ANOVA) was used for multi-group comparisons followed with least significant difference (LSD) test. P < 0.05 was considered statistically significant.

Results

Up-regulation of TFEB expression in colorectal carcinomas tissues

To determine expression of human TFEB in colorectal carcinomas, we performed qRT-PCR and Western blot analyses in patient tissues, respectively. Compared with normal colon tissues, TFEB mRNA level was significantly increased in colorectal carcinomas. Furthermore, we compared the TFEB protein levels in cancer and non-cancerous tissues, confirming that the expression of TFEB protein in colorectal carcinomas tissue was also significantly increased in comparison with normal tissues in two representative cases (Figure 1(b), P < 0.05).

Figure 1.

The expressions of TFEB mRNA and protein were upregulated in colorectal cancer tissues: (a) The relative TFEB expression was determined using quantitative real-time PCR. β-actin was used as an internal control. (b) Protein expression was detected by Western blot. β-actin was used as an internal control. Data were represented as the mean ± SD. *P < 0.05, compared with normal tissue.

High expression of TFEB in colon cancer cells

To examine mRNA expression of human TFEB in CRC cell lines, we also conducted qRT-PCR for HT-29, HCT-8, and C2BBe1 cells. Our results showed that the mRNA expression of TFEB was significantly increased (P < 0.05) in the three types of CRC cell lines when comparing with normal cell line CCD-18Co (Figure 2). The mRNA expression was increased by 89% in HT-29 cells, 102% in HCT-8 cells, and 86% in C2BBe1 cells, respectively. In addition, there was no significant difference between HT-29, HCT-8, and C2BBe1 cells.

Figure 2.

Higher level of TFEB mRNAs in human colon cancer cell lines (HT-29, HCT-8, and C2BBe1 cells) measured by quantitative RT-PCR. β-actin was used as an internal control. Data were represented as the mean ± SD. #P < 0.05, compared with normal cell line.

TFEB silencing downregulated expression of TFEB protein in CRC cells

We transfected TFEB-siRNA into HT-29, HCT-8, and C2BBe1 colon cancer cells to detect the potential roles of TFEB. The expression of TFEB protein in these cells was confirmed by Western blot (Figure 3). Our results showed that the expression of TFEB protein was significantly decreased (P < 0.05) after siRNA transfection. We also transfected TFEB-siRNA-A into carcinomas cell lines as NC group. In contrast, siRNA-A had no effect in TFEB protein compared with control group.

Figure 3.

TFEB-siRNA transfection reduced expression of TFEB. (a) Expression of TFEB proteins in colorectal cancer cells measured by western blot. The protein levels were normalized to β-actin. Control group, no siRNA transfected; NC group, TFEB-siRNA-A transfected as negative control; siRNA group, TFEB-specific siRNA transfected. (b) The bar graph of relative western blots expressions of TFEB protein in three cancer cell lines. Data were represented as the mean ± SD. Compared with control group, #P < 0.05; compared with NC group, &P < 0.05.

TFEB silencing hindered CRC cells migration and invasion

Next, we detected the functional roles of TFEB in colon cancer cell lines. HT-29, HCT-8 and C2BBe1 cells were transfected with TFEB siRNA or siRNA-A followed by exploring cell migration and invasion ability that contribute to cancer progression. Through the photos, we could intuitively observe the decreased cell number of migration and invasion after knockdown of TFEB mRNA as compared to control and NC groups (Figure 4(a) and (b)). In Figure 4(c), we employed the percentage of migration rate to show the migration abilities of HT-29, HCT-8 and C2BBe1 cells. We found that the migration rate of the colon cancer cell was significantly reduced after TFEB-siRNA interference (P < 0.05). Figure 4(d) showed the quantified cell number of invasion, indicating that TFEB siRNA transfection could markedly decrease the invasion ability of HT-29, HCT-8 and C2BBe1 cells (P < 0.05).

Figure 4.

TFEB mRNA silencing inhibited cell migration and invasion. (a) Cell migration was evaluated by wound-healing assays. Microscopic observations were recorded at 0, 72 h after scratching the cell surface. Cells were counted through selecting five random fields, and the results were represented as the average number of cells per field of view. (b) Invasion ability was evaluated using transwell assay. After 72 h, the tumor cells in bottom chamber were stained by 0.5% crystal violet for 30 min. Representative photographs of stained HT-29, HCT-8 and C2BBe1 cells were taken by inverted microscopy. (c) and (d) The statistical plots of wound-healing rate (%) and the relative number of invasion cells in each group, respectively. The data were mean ± SD. Compared with control group, #P < 0.05; compared with NC group, &P < 0.05.

TFEB silencing inhibited xenograft tumor growth in nude mice

To study the effects of TFEB on tumorigenicity, we constructed a xenograft tumor model. Since TFEB-siRNA showed the same effect in HT-29, HCT-8, and C2BBe1 CRC cell lines, the TFEB-siRNA and TFEB-siRNA-A transfected HT-29 cells were injected intraperitoneally into nude mice to form tumors. In the end of each time point, the tumor tissues were excised and the volumes of the tumors were measured every week (Figure 5(a)). The growth of tumors in the TFEB-siRNA group was significantly smaller than those in the NC group (P < 0.05). After 6 weeks, the nude mice were executed and the tumor weight was weighed. We found that the tumor excised from mice in siRNA group was lighter than NC group, indicating the better antitumor effect in vivo (Figure 5(b)).

Figure 5.

TFEB silencing inhibited the tumorigenicity of HT-29 cells in vivo (n = 20). (a) Tumor growth curve of HT-29 tumors transfected by TFEB-siRNA in nude mice. The tumor size was monitored once a week. Compared with NC group, &P < 0.05. (b) A statistical plot of tumor weight in the animal model in NC and siRNA groups. The mean weight of tumors was weighed immediately after execution at sixth week. Compared with NC group, &P < 0.05. NC group, cells transfected with TFEB-siRNA-A; siRNA group, cells transfected with TFEB-siRNA.

Discussion

CRC is one of the most commonly diagnosed malignancies worldwide.^1,2,15 Radiotherapy and chemotherapy are the most common methods of treating CRC after surgery. Although great progress has been made in treatment of colon cancer, it is necessary to find new molecular targets for diagnosis, prognosis, and treatment.

In 2016, Zeng et al.¹⁶ identified TFEB which is the central regulator of autophagy and lysosomal biogenesis as a susceptibility locus for CRC. To better understand the relation between TFEB and CRC progression, we investigated 40 cases of CRC patients and observed that TFEB expression was significantly increased in CRC tissues than in paired non-cancer tissues in all samples. In addition, the mRNA expression of TFEB was examined in three CRC cell lines including HT-9, HCT-8, and C2BBe1. In three types of CRC cell lines, the mRNA expression was significantly increased as compared to normal cell line CCD-18Co. However, a previous study showed the decreased TFEB expression in CRC tumor tissues which is against our results.¹⁶ The contradictory results might be due to the different states or types of CRC cells. We noticed that TFEB expression is also increased in multiple types of cancers: translocation renal cancer cells have a very high expression of TFEB.^11,12,17 Overexpression of TFEB (47.9%) was noted in 98 cases of non-small-cell lung cancer.⁸ Klein et al.⁹ also found that TFEB expression was significantly elevated in 45 samples of human PDAC. The TFEB deregulation is not always increasing along with the enhanced metastatic potentials of cancer cells. Recently, overexpression of TFEB in early breast cancer was noted in 23 of 100 cases, and absence or weak expression was noted in 42 of 100 cases by Giatromanolaki et al.⁷ Despite the TFEB expression is increased in certain types of cancer cell, the deregulation of TFEB could be used as a potential marker for cancer prognosis.

To study the functional roles of TFEB in CRC progression, we transfected TFEB-siRNA into CRC cell lines (HT-9, HCT-8, C2BBe1, respectively). The expression of both TFEB mRNA and protein were decreased after transfection. Furthermore, we showed that silencing of TFEB significantly decreased the invasion and migration abilities of CRC cells. TFEB silencing also impaired tumor growth in nude mice in vivo. The fact that TFEB knockdown reduced the invasion and migration of cancer cells is consistent with some previous studies. For example, silencing of TFEB by TFEB-siRNAs in the lung cancer cell lines A549 and H1299 was found to have no effect on proliferation but reduce the migration ability of cancer cells.⁸ In 2018, the same group got similar conclusion by investigating the effects of TFEB knockdown on oral squamous cell carcinomas.¹⁸ It is well known that TFEB is the central regulator of autophagy and lysosomal biogenesis by controlling the transcription of most autophagy and lysosomal genes.^4,5,19 Considering the above point, the mechanism of TFEB knockdown decreasing invasion and migration of cancer cells is likely through lysosomal regulation. Given that the cellular invasion and the migration abilities were related to the degradation of matrix proteins, we proposed that TFEB knockdown lead to the upregulation of adhesion proteins by reducing the lysosomal biogenesis. The tight association between TFEB controlled lysosomal biogenesis and cancer cells metastatic characteristic should be noteworthy.

Drug resistance is a major obstacle in the chemotherapy of cancer treatment. Chemother-apeutics such as doxorubicin and mitoxantrone activated quick lysosomal biogenesis which was related to nuclear translocation of TFEB and resulted in the increasing of downstream lysosomal gene expression.¹³ Overexpression of TFEB in cancer cells caused chemotherapy resistance.¹⁴ In primary PDAC cell lines, the expression of TFEB in nucleus was dominant even under basal conditions which means highly activated.⁹ It is known that cellular localization and transcriptional activity of TFEB are regulated by mechanistic target of rapamycin (mTOR)-mediated phosphorylation that occurs at the lysosomal surface. Phosphorylated TFEB is retained in the cytoplasm, while unphosphorylated TFEB moves toward the nucleus to activate target genes.²⁰ The translocation to nucleolus of TFEB is also controlled by several kinases such as ERK2, PKCβ, and other interacting proteins (mTOR, 14-3-3 protein).^3,20–22 Recently, tumor suppressor p53 and paternally expressed gene 3 (PEG3) were found to be upstream regulators of TFEB.^10,23 In the treatment of CRC, the TFEB is a potential target by modulating its expression and activity through development of specific pharmacological inhibitors.

Our study showed that TFEB expression is upregulated in CRC tissues and cell lines. TFEB knockdown by siRNA interference inhibited the invasion and migration abilities of three types CRC cells. Moreover, the TFEB silencing slows down the growth of tumor in vivo. These results strongly suggested that TFEB deregulation tightly associates with enhanced metastatic potentials of cancer cells through its lysosomal regulation function. Thus, TFEB can serve as a potential target for the diagnosis and treatment of colon cancer.

Footnotes

Authors’ Note

J.-Z.C. and S.-D.C. contributed equally to this work.

Declaration of conflicting interests

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Funding

The author(s) received no financial support for the research, authorship, and/or publication of this article.

References

Torre

Bray

Siegel

et al . Global cancer statistics, 2012. CA: A Cancer Journal for Clinicians 2015; 65: 87–108.

Siegel

Miller

Jemal

Cancer statistics, 2018. CA: A Cancer Journal for Clinicians 2018; 68: 7–30.

Martina

Diab

et al . Novel roles for the MiTF/TFE family of transcription factors in organelle biogenesis, nutrient sensing, and energy homeostasis. Cellular and Molecular Life Sciences 2014; 71: 2483–2497.

Sardiello

Palmieri

di Ronza

et al . A gene network regulating lysosomal biogenesis and function. Science 2009; 325: 473–477.

Settembre

Di Malta

Polito

et al . TFEB links autophagy to lysosomal biogenesis. Science 2011; 332: 1429–1433.

Settembre

De Cegli

Mansueto

et al . TFEB controls cellular lipid metabolism through a starvation-induced autoregulatory loop. Nature Cell Biology 2013; 15: 647–658.

Giatromanolaki

Sivridis

Kalamida

et al . Transcription factor EB expression in early breast cancer relates to lysosomal/autophagosomal markers and prognosis. Clinical Breast Cancer 2017; 17: e119–e125.

Giatromanolaki

Kalamida

Sivridis

et al . Increased expression of transcription factor EB (TFEB) is associated with autophagy, migratory phenotype and poor prognosis in non-small cell lung cancer. Lung Cancer 2015; 90: 98–105.

Klein

Werner

Teske

et al . Role of TFEB-driven autophagy regulation in pancreatic cancer treatment. International Journal of Oncology 2016; 49: 164–172.

10.

Zhang

Wang

Ding

et al . The tumor suppressor p53 regulates autophagosomal and lysosomal biogenesis in lung cancer cells by targeting transcription factor EB. Biomedicine & Pharmacotherapy 2017; 89: 1055–1060.

11.

Malouf

Camparo

Molinié

et al . Transcription factor E3 and transcription factor EB renal cell carcinomas: Clinical features, biological behavior and prognostic factors. The Journal of Urology 2011; 185: 24–29.

12.

Lilleby

Vlatkovic

Meza-Zepeda

et al . Translocational renal cell carcinoma (t(6;11)(p21; q12) with transcription factor EB (TFEB) amplification and an integrated precision approach: A case report. Journal of Medical Case Reports 2015; 9: 281.

13.

Zhitomirsky

Assaraf

YG.

Lysosomal sequestration of hydrophobic weak base chemotherapeutics triggers lysosomal biogenesis and lysosome-dependent cancer multidrug resistance. Oncotarget 2015; 6: 1143–1156.

14.

Fang

Guan

et al . Transcription factor EB is involved in autophagy-mediated chemoresistance to doxorubicin in human cancer cells. Acta Pharmacologica Sinica 2017; 38: 1305–1316.

15.

Siegel

Miller

Fedewa

et al . Colorectal cancer statistics, 2017. CA: A Cancer Journal for Clinicians 2017; 67: 177–193.

16.

Zeng

Matsuda

Jia

et al . Identification of susceptibility loci and genes for colorectal cancer risk. Gastroenterology 2016; 150: 1633–1645.

17.

Martignoni

Pea

Gobbo

et al . Cathepsin-K immunoreactivity distinguishes MiTF/TFE family renal translocation carcinomas from other renal carcinomas. Modern Pathology 2009; 22: 1016–1022.

18.

Sakamoto

Yamashita

Okamoto

et al . Transcription factor EB (TFEB) influences invasion and migration in oral squamous cell carcinomas. Oral Diseases 2018; 24: 741–748.

19.

Zhao

Czaja

MJ.

Transcription factor EB: A central regulator of both the autophagosome and lysosome. Hepatology 2012; 55: 1632–1634.

20.

Napolitano

Ballabio

TFEB at a glance. Journal of Cell Science 2016; 29: 2475–2481.

21.

Tsuda

Davis

Argani

et al . TFE3 fusions activate MET signaling by transcriptional up-regulation, defining another class of tumors as candidates for therapeutic MET inhibition. Cancer Research 2007; 67: 919–929.

22.

Nabar

Kehrl

JH.

The transcription factor EB links cellular stress to the immune response. Yale Journal of Biology and Medicine 2017; 90: 301–315.

23.

Neill

Sharpe

Owens

et al . Decorin-evoked paternally expressed gene 3 (PEG3) is an upstream regulator of the transcription factor EB (TFEB) in endothelial cell autophagy. The Journal of Biological Chemistry 2017; 292: 16211–16220.