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Accepted Manuscript BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice via REG3B and STAT3 Xicheng Liu, Wendi Wei, Xiaowei Li, Pengcheng Shen, Dapeng Ju, Zhen Wang, Rukui Zhang, Fu Yang, Chunyan Chen, Kun Cao, Guoli Zhu, Hongyan Chen, Liang Chen, Jianhua Sui, Erquan Zhang, Kaichun Wu, Fengchao Wang, Liping Zhao, Rongwen Xi PII: S0016-5085(17)35976-0 DOI: 10.1053/j.gastro.2017.07.044 Reference: YGAST 61336 To appear in: Gastroenterology Accepted Date: 27 July 2017 Please cite this article as: Liu X, Wei W, Li X, Shen P, Ju D, Wang Z, Zhang R, Yang F, Chen C, Cao K, Zhu G, Chen H, Chen L, Sui J, Zhang E, Wu K, Wang F, Zhao L, Xi R, BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice via REG3B and STAT3, Gastroenterology (2017), doi: 10.1053/ j.gastro.2017.07.044. This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Page 1: BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice ... and... · Xicheng Liu1, Wendi Wei1, Xiaowei Li1,2, Pengcheng Shen1, Dapeng Ju1, Zhen Wang1, Rukui Zhang 1 , Fu Yang 1

Accepted Manuscript

BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice via REG3B andSTAT3

Xicheng Liu, Wendi Wei, Xiaowei Li, Pengcheng Shen, Dapeng Ju, Zhen Wang,Rukui Zhang, Fu Yang, Chunyan Chen, Kun Cao, Guoli Zhu, Hongyan Chen, LiangChen, Jianhua Sui, Erquan Zhang, Kaichun Wu, Fengchao Wang, Liping Zhao,Rongwen Xi

PII: S0016-5085(17)35976-0DOI: 10.1053/j.gastro.2017.07.044Reference: YGAST 61336

To appear in: GastroenterologyAccepted Date: 27 July 2017

Please cite this article as: Liu X, Wei W, Li X, Shen P, Ju D, Wang Z, Zhang R, Yang F, Chen C, CaoK, Zhu G, Chen H, Chen L, Sui J, Zhang E, Wu K, Wang F, Zhao L, Xi R, BMI1 and MEL18 PromoteColitis-Associated Cancer in Mice via REG3B and STAT3, Gastroenterology (2017), doi: 10.1053/j.gastro.2017.07.044.

This is a PDF file of an unedited manuscript that has been accepted for publication. As a service toour customers we are providing this early version of the manuscript. The manuscript will undergocopyediting, typesetting, and review of the resulting proof before it is published in its final form. Pleasenote that during the production process errors may be discovered which could affect the content, and alllegal disclaimers that apply to the journal pertain.

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BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice via

REG3B and STAT3

Short Title: PcG-REG3B-STAT3 signaling in CAC

Xicheng Liu1, Wendi Wei1, Xiaowei Li1,2, Pengcheng Shen1, Dapeng Ju1, Zhen Wang1,

Rukui Zhang1, Fu Yang1, Chunyan Chen1, Kun Cao1, Guoli Zhu1, Hongyan Chen1,

Liang Chen1, Jianhua Sui1, Erquan Zhang1, Kaichun Wu2, Fengchao Wang1, Liping

Zhao1, and Rongwen Xi1,3*

1 National Institute of Biological Sciences, No. 7 Science Park Road, Zhongguancun

Life Science Park, Beijing 102206, China

2 State Key Laboratory of Cancer Biology and Xijing Hospital of Digestive Diseases,

Fourth Military Medical University, Xi'an 710032, China

3Shanghai 10th People's Hospital, School of Life Science and Technology, Tongji

University, Shanghai 200072, China

Grant Support: This work was supported by the National Basic Research Program of

China (2014CB850002 to R.X.), National Key Research and Development Program

of China (2017YFA0103602 to R.X), National Basic Research Program of China

(2011CB812700 to R.X.), and a National Youth Fund (31601059 to F.Y.) from

National Natural Science Foundation of China.

Abbreviations: BMI1, BMI1 proto-oncogene, polycomb ring finger; MEL18,

polycomb group ring finger 2; AOM, azoxymethane; CAC, colitis-associated cancer;

ChIP, chromatin immunoprecipitation; Co-IP, co-immunoprecipitation; DAPI,

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4',6-diamidino- Microarray Analysis 2-phenylindole; DSS, dextran sodium sulfate;

Gapdh, glyceraldehyde-3-phosphate dehydrogenase; H&E, hematoxylin and eosin;

IEC, intestinal Epithelial Cell; ISC, intestinal stem cell; JAK, Janus Kinase; PAP,

pancreatitis-associated proteins; PcG, polycomb group; Q-PCR, quantitative

polymerase chain reaction; SPF, specific pathogen-free; WT, wild-type.

*Corresponding Author: Rongwen Xi, National Institute of Biological Sciences,

Beijing, China. E-mail:[email protected]; Phone:86- 10-80723241.

Disclosures: The authors declare no potential conflicts of interest.

Transcript Profiling: The GEO accession numbers for the gene expression profiling

data reported in this paper are GSE57640, GSE57641 and GSE57642.

Access link:

https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?token=krkdwkayrhidhep&acc=GSE57640

https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?token=krkdwkayrhidhep&acc=GSE57641

https://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?token=krkdwkayrhidhep&acc=GSE57642

Author Contributions: X.L. and R.X. conceived of the experiments. X.L., W.W.,

X.L., P.S., Z.W., D.J., R.Z., F.Y., C.C., K.C., H.C., and G.Z. performed experiments.

J.S. produced recombinant human REG3β. L.C., E.Z., F.W., K.W., and L.Z. provided

mice and technical support. X.L. and R.X. wrote the manuscript. R.X. provided

funding.

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Short Summary: This study documents that BMI1 and MEL18 are required for

colitis-associated cancer (CAC) development via regulating a novel REG3B-STAT3

signaling pathway. The findings may have wide implications for the prevention and

treatment of CAC.

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Abstract:

Background & Aims: Polycomb group proteins are epigenetic factors that silence

gene expression; they are dysregulated in cancer cells and contribute to

carcinogenesis by unclear mechanisms. We investigated whether BMI1

proto-oncogene, polycomb ring finger (BMI1) and polycomb group ring finger 2

(PCGF2, also called MEL18) are involved in initiation and progression of

colitis-associated cancer (CAC) in mice.

Methods: We generated mice containing floxed alleles of Bmi1 and/or Mel18 and/or

Reg3b using the villin-Cre promoter (called Bmi1�IEC, Mel18�IEC, DKO, and TKO

mice). We also disrupted Bmi1 and/or Mel18 specifically in intestinal epithelial cells

(IECs) using the villin-CreERT2 inducible promoter. CAC was induced in cre-negative

littermate mice (control) and mice with conditional disruption of Bmi1 and/or Mel18

by intraperitoneal injection of azoxymethane followed by addition of dextran sulfate

sodium (DSS) to drinking water. Colon tissues were collected from mice and analyzed

by histology and immunoblots; IECs were isolated and used in cDNA microarray

analyses.

Results: Following administration of azoxymethane and DSS, DKO mice developed

significantly fewer polyps than control, Bmi1�IEC, Mel18�IEC, Reg3b�IEC, or TKO mice.

Adenomas in the colons of DKO mice were low-grade dysplasias whereas adenomas

in control, Bmi1�IEC, Mel18�IEC, Reg3b�IEC, or TKO mice were high-grade dysplasias

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with aggressive invasion of the muscularis mucosa. Disruption of Bmi1 and Mel18

(DKO mice) during late stages of carcinogenesis significantly reduced the numbers of

large adenomas and the load of total adenomas, reduced proliferation, and increased

apoptosis in colon tissues. IECs isolated from DKO mice after azoxymethane and

DSS administration had increased expression of Reg3b, compared with control,

Bmi1�IEC, or Mel18�IEC mice. Expression of REG3B was sufficient to inhibit

cytokine-induced activation of STAT3 in IECs. The human REG3β protein, the

functional counterpart of mouse REG3B, inhibited STAT3 activity in human 293T

cells, and its expression level in colorectal tumors correlated inversely with pSTAT3

level and survival times of patients.

Conclusions: BMI1 and MEL18 contribute to development of CAC in mice by

promoting proliferation and reducing apoptosis, via suppressing expression of Reg3b.

REG3B negatively regulates cytokine-induced activation of STAT3 in colon epithelial

cells. This pathway might be targeted in patients with colitis to reduce carcinogenesis.

KEY WORDS: PcG, colon cancer, ulcerative colitis, PAP.

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Introduction

Colitis-associated cancer (CAC) is a subtype of colorectal cancer that is commonly

preceded by clinically detectable inflammatory bowel disease, such as Crohn's disease

or Ulcerative colitis. CAC is difficult to treat, and has high mortality.1-3 The mouse

model of CAC has provided important insights into inflammation-associated

tumorigenesis. Inflammation is associated with many types of cancers and may play a

causative role in tumor initiation and metastasis.3 Several major signaling pathways

through which inflammation promotes tumor incidence and size have been identified.

IKK β-dependent activation of NF-kappaB in premalignant epithelial cells prevents

apoptosis to facilitate tumor formation.4 Two key cytokines are IL-6 and IL-11, which

activate their respective receptors, followed by phosphorylation and activation of

STAT3 in malignant cells to promote their proliferation and survival.5-9 Activation of

the paracrine or autocrine STAT3 regulatory loop appears to be a major driver in

various types of cancers. In pancreatic ductal adenocarcinoma and lung

adenocarcinoma, cytokines activate STAT3 in an autocrine manner to promote

proliferation and survival of tumor cells.10-12 Therefore, STAT3 may serve as a

signaling node that connects autonomous, proto-oncogenic stimuli with

environmental inflammatory signals to initiate inflammation-associated

tumorigenesis.

Polycomb group (PcG) proteins are frequently unregulated in various cancers and are

considered proto-oncogenes.13-15 It is therefore important to understand the molecular

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mechanisms underlying this oncogenic function. As a core component of the PRC1

complex, BMI1 is one of the best-studied mammalian PcG proteins. BMI1 was first

identified as a proto-oncogene in the initiation of lymphoma in collaboration with

Myc.16, 17 BMI1 exerts its oncogenic function by preventing Myc-induced apoptosis,

largely due to the repressive effect of BMI1 on the Cdkn2a locus, which contains two

tumor suppressor genes, p16Ink4a and p19ARF.18, 19 However, in some cases, BMI1

appears to have effects beyond silencing of the Cdkn2a locus. For example, deletion

of p16Ink4a and p19ARF only partially rescues neural stem cell maintenance in

Bmi1-deficient mice,20 BMI1 regulates the DNA damage response (DDR) pathway

independently of the Ink4a/Arf pathway.21 Moreover, the requirement of BMI1 in the

development of glioma is independent of Ink4a/Arf.22, 23 These observations suggest

that there are multiple pathways downstream of BMI1 that promote stem cell

self-renewal and tumorigenesis. MEL18, a homologue of BMI1, has been less well

studied. Knock-out studies indicate that Bmi1 and Mel18 have synergistic roles in Hox

gene regulation and skeletal patterning.24 Biochemically, both BMI1 and MEL18 are

able to effectively stimulate E3 ubiquitination ligase activity of recombinant Ring1B.

In addition, BMI1 and MEL18 constitute mutually exclusive PRC1 complexes, but

these complexes all accumulate at H3K27me3-rich regions.25-27 These observations

indicate that these two genes have a similar biological and biochemical function and

might be functionally redundant in tissues in which both genes are abundantly

expressed.

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In this study, we investigated the potential role of Bmi1 and Mel18 in the homeostasis

of colonic epithelium and colitis-associated CAC. BMI1 is expressed in intestinal

stem cells (ISCs) in the crypt of the small intestine,28 and is required for ISC

self-renewal and epithelial homeostasis in the small intestine.29, 30 However, the

contribution of BMI1 to CAC, particularly given its potentially redundant function

with MEL18, has not been defined. Here, we generated Bmi1 and Mel18 conditional

KO mice and specifically depleted their function in the intestinal epithelium.

Depletion of Bmi1 or Mel18 alone or simultaneously does not significantly affect

colonic homeostasis. However, deletion of both genes, but not alone, was able to

significantly inhibit tumor initiation and development in the experimental model of

CAC, indicating that BMI1 and MEL18 have redundant roles in colitis-associated

tumorigenesis. We determined that BMI1 or MEL18 is required for STAT3 activation

in premalignant cells in response to STAT3-activating cytokines released from

inflammatory cells and identified REG3B as a novel PcG target whose up-regulation

inhibits cytokine signaling and, consequently, tumorigenesis.

Materials and Methods

Experimental Animals

All animal experiments were approved by the Institutional Animal Care and Use

Committee at National Institute of Biological Sciences (NIBS) in accordance with the

China's Ministry of Health national guidelines for housing and care of laboratory

animals. No statistical method was used to predetermine sample size. Animal numbers

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were determined to optimize minimum numbers necessary for statistical significance

according to the previous literature.31 All mice were bred and maintained under

specific pathogen-free (SPF) conditions at the animal facility of the National Institute

of Biological Sciences, and all experiments were performed using six- to

eight-week-old sex-matched mice. C57BL/6 mice were from Vital River Laboratory

Animal Technology Co. and all mice used in the experiments were backcrossed to

C57BL/6 mice for at least 6 generations. Cre-negative littermate mice were used as

wild-type (WT) controls. For generation and validation of conditional knockout Bmi1,

Mel18 and Reg3b alleles, see Supplementary Materials and Methods.

The following mouse alleles were used: villin-Cre 32 (Jackson Laboratory, Bar Harbor,

Maine), villin-CreERT2 33 (gift of Dr. Sylvie Robine, Paris, France) and Cdkn2aF/F 34

(Dr. Liang Chen, Beijing, China). For villin-CreERT2 induction, mice were injected

intraperitoneally with tamoxifen (Sigma, #T5648) in sunflower oil at a concentration

of 2 mg per 20 g body weight for 5 consecutive days.

Colitis-Associated Colon Cancer Induction

The CAC model was performed essentially as described previously.4 Briefly, six- to

eight-week-old sex-matched mice were intraperitoneally injected with 10 mg/kg of

azoxymethane (AOM; Sigma, #A5486). After 5 days, the mice were treated with

2.5% dextran sulfate sodium (DSS; MP Biomedicals, molecular weight 35–50 kDa,

#0216011080) in drinking water for 5 days, which was then followed by 16 days of

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regular water. This cycle was repeated twice. On day 80 or 100, mice were

intraperitoneally injected with 100 mg/kg 5-bromo-2-deoxyuridine (BrdU; Sigma,

#B9285) and sacrificed 3 hr. later. In all experiments, littermate controls were used to

enable comparison with mice of the same genetic background. The animals that

exhibited health concerns not related to the study conditions were excluded from the

analysis. The animals were blindly monitored daily by weighing and clinical scoring

during AOM-DSS treatment. Polyp load was identified as a sum of the diameters of

all tumors in a given mouse.35

.

Isolation of Intestinal Epithelial Cells (IECs)

IECs were isolated from the freshly dissected colon as described previously.4, 36 After

removal of the Payer’s patches and the adventitial fat, the colons were cut open

longitudinally and washed with PBS. Colons were cut into 2-3 mm pieces and

incubated in HBSS containing 5mM EDTA at 37°C, shaking for 20 min. The

supernatant was collected and centrifuged. The pellet was washed in ice-cold PBS and

maintained in RNA stabilization solution or snap frozen in liquid nitrogen for western

blot analysis.

Statistical Analysis

Data were presented as mean ± SEM. Graphical analyses, statistical analysis, and

nonlinear regression analysis of the data were performed using GraphPad Prism

Software. Differences between groups were determined using one-way ANOVA,

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two-way ANOVA, or unpaired Student’s two-tailed t-test, or Fisher’s exact test.

Kaplan–Meier method and log-rank test were used for survival analyses. A P value

that was less than 0.05 was indicated statistical significance for all data sets.

Results

BMI1 and MEL18 Are Required for the Initiation and Progression of CAC

Tumorigenesis

A germline knock-out of both the Bmi1 and Mel18 alleles was generated and

described previously. Analysis of these doubly deficient mice has revealed that BMI1

and MEL18 act in synergy and in a dose-dependent manner to repress Hox genes and

mediate survival of the developing embryos, suggesting that these two genes have

overlapping roles in these processes.24 Because the doubly deficient mice die at 9.5

dpc, to investigate the function of these genes in adult tissues, we generated floxed

alleles of Bmi1 (Supplementary Figure 1A-C) and Mel18 (Supplementary Figure

1D-F), respectively. Without excision, the homozygous mice with the floxed alleles

were fertile and healthy and had no apparent abnormalities.

To examine the function of these genes in CAC development, we generated mice

containing floxed alleles of Bmi1 and/or Mel18 and a transgene expressing Cre

recombinase under the control of the villin gene promoter (villin-Cre), an

intestine-specific promoter.32 These mice are hereafter referred to as Bmi1�IEC,

Mel18�IEC and DKO mice (Supplementary Figure 2A and B), respectively.

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Interestingly, intestinal epithelial cell (IEC)-specific depletion of Bmi1 and/or Mel18

did not have an overt effect on epithelial homeostasis in the colon (Supplementary

Figure 2C), and the baseline rates of cell proliferation and apoptosis were also

indistinguishable between WT and single or DKO mice (Supplementary Figure 2D

and E). Furthermore, Bmi1�IEC, Mel18�IEC and DKO mice were fertile and healthy and

did not exhibit any overt phenotype. These data suggest that Bmi1 and Mel18 are

largely dispensable in the epithelium for colonic development and homeostasis.

Next, we examined whether these genes are required for tumor development in the

CAC mouse model. In this model, mutation and chronic inflammation in mice of

appropriate genotypes was triggered by injection with the colonotropic mutagen

azoxymethane (AOM), followed by three cycles of treatment with the luminal toxin

dextran sodium sulfate (DSS) (Figure 1A), as previously described.4 After the

AOM-DSS treatment, upon gross inspection, the WT mice gradually developed

intestinal polyps. Similarly, Bmi1�IEC or Mel18�IEC mice gradually developed polyps.

However, DKO mice exhibited significantly fewer polyps compared to WT, Bmi1�IEC

or Mel18�IEC mice (Figure 1B). Histological analysis revealed that the DKO mice had

markedly decreased polyp multiplicity and polyp load (Figure 1C). In addition,

adenomas observed in the colons of DKO mice generally displayed only low-grade

dysplasias (Figure 1B), but adenomas with high-grade dysplasia characterized by

aggressive invasion of the muscularis mucosa were frequently observed in WT,

Bmi1�IEC or Mel18�IEC colons (Figure 1B). Immunohistochemistry with Ki-67 and

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BrdU, both markers of cellular proliferation, revealed significant reduces in polyp

cells proliferation in the DKO mice compared to WT mice (Supplementary Figure 3A

and B). Active caspase-3 and TUNEL analysis revealed an increase in the apoptotic

response of the colonic mucosa in DKO mice (Supplementary Figure 3C). The

reciprocal decrease in proliferation and increase in cell death occurred specifically in

the polyp tissues, but not in adjacent normal epithelial cells in DKO mice

(Supplementary Figure 3A-C). The above data demonstrate that Bmi1 and Mel18 are

required for CAC tumorigenesis.

To define the stage at which the loss of Bmi1 and Mel18 impacts tumorigenesis, we

generated mice containing the floxed alleles of Bmi1 and Mel18 and the

villin-Cre-ERT2 driver,33 which allows controlled gene ablation in IECs upon

tamoxifen treatment. Similar to the above results with the non-inducible villin-Cre,

conditional deletion of both genes during the earliest stages of CAC resulted in a

significant decrease in polyp multiplicity and polyp load (Supplementary Figure 4A

and B). To determine whether Bmi1 and Mel18 are continuously required for tumor

progression after tumor initiation, we administered tamoxifen to the DKO mice with

villin-Cre-ERT2 after the last DSS treatment (Figure 1D). Remarkably, conditional

depletion of Bmi1 and Mel18 during late stages of CAC significantly reduced the

multiplicity of large adenomas and the load of total adenomas (Figure 1E and F,

Supplementary Figure 4C). Although a similar tendency was observed for the total

number of polyps, it did not reach statistical significance (Figure 1F). Consistent with

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the profound effect on polyp size, there was a significant reduction in cell

proliferation in the DKO mice and a reciprocal increase in the epithelial apoptosis

(Supplementary Figure 4D and E). Taken together, these data suggest that BMI1 and

MEL18 are required for both initiation and progression of colorectal neoplasia in the

mouse model of CAC.

BMI1 and MEL18 Regulate the Proliferation and Survival of Premalignant Cells

Independently of Ink4a/Arf

Because inflammation plays a critical role in tumorigenesis,4, 7 we hypothesized that

the reduced adenoma multiplicity and load in DKO mice could be due to decreased

intestinal inflammation. To this end, we used the acute colitis model that employs a

single 5-day course of DSS.4 Unexpectedly, after AOM-DSS treatment, the DKO

mice exhibited greater body weight loss than WT or single KO mice (Figure 2A).

Histologically, these mice exhibited a significantly higher degree of mucosa damage

and an increased incidence of ulcerations (Figure 2A and B). These are typical

phenotypes of hyper-inflammatory response. In agreement with this notion,

proinflammatory genes, including IL-6, IL-1β, IL-11, TNFα and Cox-2, were

significantly elevated in the colonic mucosa of DKO mice (Figure 2C). Thus, the

reduced polyp multiplicity and load in DKO mice may not due to reduced

inflammation, or the DKO causes the disruption of downstream pathways that are

important for the inflammation-induced tumorigenic function.

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In contrast with the increased inflammatory phenotypes, immunohistochemical

analysis of Ki-67 revealed impaired proliferation of the colonic epithelium of DKO

mice compared to WT (Figure 2D). Staining for active caspase-3 revealed a reciprocal

increase in apoptosis of IECs in DKO mice (Figure 2D). In contrast, we did not

observe any differences in mass loss (Supplementary Figure 5A and B) or

histopathological morphology (Supplementary Figure 5C) between Bmi1�IEC or

Mel18�IEC and WT mice. Therefore, simultaneous depletion of Bmi1 and Mel18 but

not either alone reduces cell proliferation and increases cell death in IECs during

CAC tumorigenesis, resulting in tumor suppression. Collectively, these results

indicate that the reduced polyp multiplicity and load in DKO mice is due to impaired

epithelial cell proliferation and decreased epithelial cell survival, despite the

accompany of increased inflammatory response, a paradoxical disconnection that

have been observed previously.4, 6, 7

The Cdkn2a locus, which encodes the p16Ink4a and p19Arf tumor suppressors, is

targeted by BMI1.19 Significant up-regulation of p16 mRNA levels has also been

observed in Mel18-/- MEFs.19 Consistent with those observations, our qRT-PCR

analysis revealed that the transcription of p16Ink4a and p19Arf was already significantly

increased in Bmi1�IEC or Mel18�IEC single K.O mice (Supplementary Figure 6A).

Therefore, the increased cell death by apoptosis in Bmi1�IEC/ Mel18�IEC double K.O

cannot be simply explained by increased transcription of p16Ink4a and p19Arf. To

functionally test this hypothesis, we generated villin-Cre; Cdkn2aF/F (termed

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Cdkn2a�IEC), Bmi1�IEC/Cdkn2a�IEC and Mel18�IEC/Cdkn2a�IEC double-deficient mice,

and Bmi1�IEC/Mel18�IEC/Cdkn2a�IEC triple-deficient (referred to as B/M/C�IEC

hereafter) mice. We confirmed the absence of the p16 and p19 proteins in the colon

epithelium of Cdkn2a�IEC mice by immunoblot analysis of isolated epithelial cells

(Supplementary Figure 5B). As expected, after AOM-DSS treatment, there was no

significant alteration in polyp multiplicity or polyp load between B/M/C�IEC and DKO

mice (Figure 2E), and between Bmi1�IEC and Bmi1�IEC/Cdkn2a�IEC double-deficient

mice or between Mel18�IEC and Mel18�IEC/Cdkn2a�IEC double-deficient mice

(Supplementary Figure 6C). In addition, when chronic DSS colitis was induced by

three cycles of DSS without AOM injection, no significant difference in the intensity

of epithelial damage was observed between B/M/C�IEC and DKO mice

(Supplementary Figure 6D). These data suggest that tumor suppression by Bmi1 and

Mel18 ablation is not caused by activation of the Ink4a/Arf locus.

BMI1 and MEL18 Are Required for STAT3 Activation in Premalignant Cells

The observed up-regulation of IL-6 and IL-11, which are major STAT3 activators in

the colon,6, 7 suggested that STAT3 might be highly activated in premalignant IECs in

the DKO mice. However, using immunoblot analysis with antibodies against STAT3

phosphorylated at tyrosine residue 705 (pSTAT3, the activated STAT3), we observed

instead dampened STAT3 activation during 8-16 days of induced colitis in IECs of

DKO mice, a time period that is considered critical for the initiation of tumorigenesis

(Figure 2F). By contrast, activation of several other signaling pathway effectors, such

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as S6 kinase (S6K) and ERK remained largely unchanged, and the STAT3 negative

feedback regulator SOCS3 was not changed (Figure 2F). Reduced pSTAT3 staining in

IECs in sectioned tissues from DKO mice was also observed (Supplementary Figure

7A). Again, the reduction in the pSTAT3 level was observed only in DKO mice and

not Bmi1�IEC or Mel18�IEC mice (Supplementary Figure 7B and C), indicating that

BMI1 and MEL18 have redundant roles in facilitating STAT3 activation in

premalignant IECs.

Inflammation via IL-6/STAT3 signaling induces the expression of cell cycle-related

regulators and anti-apoptotic genes to promote the survival and proliferation of

premalignant IECs.6, 7 Consistent with a reduction in STAT3 activity in DKO mice,

RT-PCR analysis revealed that many STAT3-regulated genes, including cyclins

(cyclin B1, D1, D2 and E), c-Myc and cdc2, were moderately or significantly

down-regulated (Supplementary Figure 7D). In addition, the proapoptotic gene Bcl10

and p21 (cell-cycle inhibitor) were significantly up-regulated in DKO mice compared

to control mice (Supplementary Figure 7D). This alteration in STAT3 activation

provides a molecular explanation for the tumor suppression effect of Bmi1 and Mel18

ablation during CAC tumorigenesis.

Identification of Reg3b and Reg3g as Novel PcG Target Genes in IECs

To elucidate the molecular mechanisms of BMI1 and MEL18 in STAT3 regulation

and, consequently, CAC tumorigenesis, we performed cDNA microarray analysis of

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premalignant IECs isolated from WT, Bmi1�IEC, Mel18�IEC, and DKO mice on day 12

after AOM-DSS treatment. As predicted, the Ink4a/Arf (Cdkn2a) locus was among the

top upregulated genes (Supplementary Table 1). Interestingly, two similar genes,

Reg3b and Reg3g, were also at the top in the list of genes that were specifically

upregulated in DKO IECs (Figure 3A and Supplementary Table 1). Reg3b and Reg3g

encode two small proteins that belong to a lectin family of secreted factors. Among

the 7 family members of the Reg genes in the mouse genome, Reg3b and Reg3g

exhibited pronounced up-regulation (>35 fold), Reg4 exhibited much less pronounced

up-regulation (~4 fold), and other Reg genes remained unaltered in DKO mice

(Figure 3A and B). The upregulation of Reg3b and Reg3g was further confirmed by

quantitative RT-PCR analysis (Figure 3B), immunoblot and immunohistochemical

staining for REG3B (Figure 3 C and D).

To determine whether BMI1 and MEL18 directly or indirectly regulate Reg3b and

Reg3g expression, we conducted chromatin immunoprecipitation (ChIP) assays with

BMI1 and MEL18 across the promoter regions of Reg3b and Reg3g loci in mouse

colonic epithelial tissues and CT26.WT cells, a mouse colon carcinoma cell line. The

results revealed that BMI1 and MEL18 were able to bind to promoter regions for

Reg3b and Reg3g and that this binding activity was accompanied by H2A

ubiquitination (Figure 3E and F, and Supplementary Figure 8A-D). In contrast, ChIP

assays did not detect any significant binding activity for BMI1 or MEL18 in the

promoter regions of other Reg family genes (Supplementary Figure 8E). These

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observations are consistent with the results obtained by microarray analysis (Figure

3A) and indicate that the Reg3b and Reg3g loci are specifically targeted by BMI1 and

MEL18 in the colon epithelium. Interestingly, many PcG genes, especially M33 and

CBX8, were significantly upregulated during CAC tumor development

(Supplementary Figure 8F). Along with the observation that H2A ubiquitination was

enriched at Reg3b promoter, it is possible that the canonical PRC1 complexes are

involved in the regulation of REG3B expression.

REG3B Inhibits IL-6/ IL-11-Mediated STAT3 Activation

To determine whether REG3B/REG3G can negatively regulate STAT3 signaling, we

expressed full-length Reg3b and Reg3g in 293T cells and examined the effect on

STAT3 activation in response to IL-6 or IL-11. Normally, cellular STAT3 is strongly

phosphorylated upon IL-6 stimulation. Remarkably, in response to IL-6, STAT3

phosphorylation was considerably inhibited in Reg3b-transfected cells but not

Reg3g-transfected cells (Supplementary Figure 9A), and overexpression of REG3B

was able to inhibit STAT3 phosphorylation during the entire period of IL-6 treatment

in CT26.WT cells (Figure 4A). Similarly, IL-11 treatment induced moderate and

prolonged STAT3 activation in CT26.WT cells, and overexpression of REG3B also

significantly inhibited IL-11-induced STAT3 phosphorylation (Figure 4B). These data

demonstrate that expression of REG3B, but not REG3G, effectively interferes with

cytokine-mediated STAT3 activation in cultured cells.

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Mechanisms of IL-6/IL-11-mediated STAT3 activation are well understood. The

binding of extracellular IL-6/IL-11 to the cell surface receptor complex (IL-6R/GP130

or IL-11R/GP130) triggers activation of the receptor complex, which then activates

the associated Janus Kinase (JAK) via their mutual phosphorylation. The activated

JAK then phosphorylates cytoplasmic STAT3 and induces their dimerization and

activation. We observed that expression of REG3B reduced JAK phosphorylation

(Figure 4C), as well as GP130 phosphorylation (Figure 4D), indicating that REG3B

interferes with STAT3 signaling above JAK phosphorylation, possibly at the level of

the receptor complex. Interestingly, REG3B was able to interact with IL-6R and

IL-11R, respectively, in both CT26.WT cell extract (Supplementary Figure 9B and C)

and colonic epithelial tissue extract (Figure 4E). However, we failed to detect any

interactions of REG3B with IL-6 or GP130 by immunoprecipitation (Figure 4F and

Supplementary Figure 9B). Moreover, pre-incubation of cells with recombinant

REG3B protein inhibited IL-6-induced STAT3 activation in a dose-dependent manner

(Supplementary Figure 9D). In contrast, addition of REG3B protein after IL-6

treatment failed to inhibit STAT3 activation (Supplementary Figure 9E). Taken

together, these observations suggest that REG3B interferes with STAT3 signaling

extracellularly by binding to the receptor complex and inhibiting its activation by IL-6

or IL-11.

REG3B Treatment Suppresses CAC Tumorigenesis

To determine whether REG3B expression is sufficient to suppress CAC tumorigenesis,

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we treated two groups of mice separately with recombinant REG3B protein. One

group was treated at “early stages” and another group was treated at “late stages” of

CAC, as illustrated in Figure 5A and Figure 5C. Strikingly, both early and late

REG3B treatment effectively reduced polyp multiplicity and polyp load compared to

PBS-treated mice (Figure 5B and D). Immunohistochemical staining revealed that

REG3B treatment significantly reduced cell proliferation and induced apoptosis in

epithelial cells (Supplementary Figure 10A-D). In addition, it markedly reduced

pSTAT3 levels in infiltrating inflammatory cells and IECs of CAC adenomas

(Supplementary Figure 10A and C). Meanwhile, we did not observe any altered

expression of BMI1, MEL18, p16, and p19 proteins (Supplementary Figure 11A)

between control and REG3B treatment mice. These data suggest that REG3B

treatment is sufficient to interfere with STAT3 activation in vivo and is effective in

preventing both tumor initiation and growth during CAC tumorigenesis.

The BMI1/MEL18-REG3B-STAT3 Signaling Axis in CAC Tumorigenesis

The above results imply that excessive production of REG3B following Bmi1 and

Mel18 ablation interferes with cytokine-mediated STAT3 activation in premalignant

cells and consequently suppresses tumorigenesis. Therefore, PcG proteins may

promote CAC tumorigenesis through a novel BMI1/MEL18-REG3B-STAT3

signaling axis. To further test the existence of this regulatory pathway, especially to

evaluate the contribution of REG3B in STAT3 inhibition followed by the loss of

BMI1 and MEL18, we generated Bmi1, Mel18 and Reg3b single, double or triple

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mutant 3T3 cells, a mouse embryonic fibroblast cell line, using the CASPR/Cas9

system (Supplementary Figure 11B),37 and tested their responsiveness to IL-6- or

IL-11-induced STAT3 activation. Normally, treatment with IL-6 or IL-11 in 3T3 cells

was able to induce robust STAT3 activation (Figure 6A). Interestingly, the levels of

STAT3 activation were significantly reduced when both Bmi1 and Mel18, but not

either alone, were mutated (Figure 6A). Interestingly, upregulation of Reg3b was

observed in either Bmi1 or Mel18 K.O. cells, but a significantly higher magnitude of

upregulation was found in the Bmi1-/-/Mel18-/- (termed B-/-/M-/-) cells (Supplementary

Figure 11C), indicating that BMI1 and MEL18 have a partially redundant function in

regulating REG3B in these cells as well. Importantly, additional mutation of Reg3b

could rescue STAT3 activity in the Bmi1-/-/Mel18-/-/Reg3b-/- (termed B-/-/M-/-/R-/-) cells

back to control levels (Figure 6A), suggesting that the inhibitory effect on STAT3

following the loss of BMI1 and MEL18 is mainly due to the activation of REG3B.

To determine the contribution of this regulatory axis, especially the REG3B

component, to CAC tumorigenesis in vivo, we generated conditional Reg3b-deficient

mice by CRISPR-Cas9-mediated targeting (Supplementary Figure 12A), and studied

its role in the tumor suppressive effect following Bmi1 and Mel18 depletion. The

villin-Cre; Reg3bF/F deficient mice (termed Reg3b�IEC), which appeared

phenotypically normal, were almost completely devoid of REG3B protein in IECs

(Supplementary Figure 12B). We then engineered the Bmi1�IEC/Mel18�IEC/Reg3b�IEC

triple-deficient (referred to as TKO hereafter) mice, and studied the consequences in

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the AOM-DSS model. Strikingly, TKO mice showed efficient development of

adenomas, with significantly increased adenomas multiplicity and load compared to

DKO mice (Figure 6B and C). Interestingly, polyp multiplicity, polyp load, and

adenomas proliferation were also significantly higher in TKO mice compared to that

in the WT control (Figure 6B and D, Supplementary Figure 12C). This is probably

caused by the contribution of a baseline tumor suppressive activity of REG3B in the

WT colonic epithelium, as Reg3b�IEC alone mice exhibited relatively small but

significantly increased adenomas proliferation and pSTAT3 level (Figure 6B-E,

Supplementary Figure 12C). Immunohistochemical staining also revealed the

upregulation of pSTAT3 expression in TKO adenoma cells (Figure 6E). Therefore, the

tumor inhibitory effect caused by Bmi1 and Mel18 depletion can be completely

eliminated by depleting Reg3b, demonstrating genetically that Reg3b is the major

downstream effector of BMI1 and MEL18 in regulating CAC tumor development.

Taken together, these observations strongly support a linear regulatory relationship

among BMI1/MEL18, REG3B and STAT3, which may constitute an important

regulatory pathway to control the initiation and development of CAC.

REG3β in Human Colorectal Cancer

We next assessed the potential role of the Reg family genes in human colorectal

cancers. There are 5 Reg family genes in the human genome, which are aligned

contiguously in a single cluster: REG1α, REG1β, REG3β, REG3γ and REG4.38 We

first expressed each of these genes in 293T cells using lentiviral-based vectors and

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examined the effect on IL-6-mediated STAT3 signaling. Interestingly, among these

five genes, only REG3β exhibited robust STAT3 inhibition (Figure 7A). Coincidently,

REG3β is the most similar to mouse REG3B and is considered the human ortholog of

mouse REG3B.39, 40 To determine whether REG3β expression is sufficient to suppress

CAC tumorigenesis, we treated mice with recombinant REG3β protein at late stage of

CAC, as illustrated in Figure 7B, REG3β treatment significantly reduced polyp load

and marginally reduced polyp multiplicity (statistically not significant), compared to

PBS-treatment (Figure 7B).

To assess the clinical relevance of REG3β in colorectal cancer, we examined REG3β

expression in a tumour tissue microarray (TMA) consisting of 87 colorectal cancer

specimens, and found that patients with higher expression of REG3β in the tumor

tissue had a better 5-year survival rate than patients with moderate or lower

expression of REG3β (p < 0.01 and p< 0.0001, respectively) (Figure 7C). To evaluate

the relationships between REG3β expression and STAT3 activity, we examined

REG3β and pSTAT3 expression by immunostaining in TMA consisting of 92

colorectal cancer specimens. We found that REG3β was more frequently expressed in

tumor tissues with low pSTAT3 than with high pSTAT3 levels (Figure 7D and E).

Taken together, these data suggest that the expression level of REG3β inversely

correlates with pSTAT3 activity and disease prognosis, and indicate that REG3β could

be a tumor suppressor in CAC development by inhibiting STAT3 activity.

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Discussion

Here we have identified a novel and critical role for BMI1 and its homologous protein

MEL18 in the initiation and progression of CAC tumorigenesis by regulating cellular

response to cytokine signaling. We have identified Reg3b as a new tumor suppressor

gene targeted by BMI1/MEL18 in the experimental model of CAC. Gene expression

profiling identified significant up-regulation of Reg3b and Reg3g expression when

Bmi1 and Mel18 are depleted. The results of chromatin immunoprecipitation assays

suggest that BMI1 and MEL18 directly target the promoter regions of both Reg3b and

Reg3g. Interestingly, although most Reg genes are aligned in a single cluster in the

genome, BMI1 and MEL18 seem to specifically target Reg3b and Reg3g, at least in

colonic epithelial cells, indicating that this gene cluster is under sophisticated

regulatory control. Importantly, our triple conditional knock-out mice revealed that

Reg3b is responsible for the tumor suppressive effect following the ablation of Bmi1

and Mel18. Consistent with the genetic relationships, administration of recombinant

REG3B significantly suppresses tumor initiation and growth during CAC

tumorigenesis, and the effect is largely similar to that caused by ablation of Bmi1 and

Mel18. The importance of Reg3b repression by BMI1 and MEL18 for tumorigenesis

suggests that Reg3b represents another major tumor suppressor locus targeted by PcG

proteins.

Our in vitro and in vivo studies strongly suggest that the tumor suppressive effect of

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REG3B in the CAC model is, at least in part, due to its anti-STAT3 activity. REG3B

belongs to a family of small, secreted proteins that contain a single C-type

(calcium-dependent) lectin domain. Reg proteins, also called pancreatitis-associated

proteins (PAP), were initially discovered as proteins that are strongly induced by

pancreatitis or during islet regeneration.38 Subsequent studies revealed that Reg

proteins are also expressed in a number of physiological or pathological processes.

For instance, it has been suggested that Reg3g functions as a carbohydrate-binding

bactericidal lectin to maintain microbial integrity in the gut.41 Prior to this report, a

few studies have implicated Reg proteins in regulating STAT3 activity. In Reg3b KO

mice, STAT3 activity is enhanced during liver regeneration.39 By contrast, STAT

activation is reduced during caerulein-induced pancreatitis.42 These seemingly

contradictory observations may indicate the complexity underlying the functions of

the Reg family proteins. Although Reg family proteins share a common lectin domain,

they may have distinct functions that are cell type-specific or context-dependent.

Indeed, although Reg3b and Reg3g are targeted by BMI1 and MEL18, only Reg3b

displays robust anti-STAT3 activity. We observed that the addition of recombinant

REG3B protein to the medium inhibited IL-6-mediated STAT3 activation, suggesting

that REG3B acts extracellularly to inhibit STAT3 signaling. Moreover, we found that

REG3B physically interacts with the receptor complex but not the ligand. These

observations indicate that REG3B interferes with STAT3 signaling by interfering with

the activation of the IL-6R/GP130 receptor complex (Figure 7F). Further molecular

and structural studies are needed to determine whether REG3B exerts its effect via

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interference with the ligand-receptor interaction or through other mechanisms.

Because REG3B also pocesses bactericidal activity,43 in addition to the direct role in

interfering STAT3 signaling in tumor cells, it could also indirectly impact tumor

progression by modulating microbial composition in the gut, especially during late

stages of tumorigenesis, which warrantees further investigation in the future.

Consistent with a tumor-suppressive role for REG3B/REG3β in the CAC model, the

expression of REG3β is inversely correlated with the prognosis of colorectal cancers.

Interestingly, REG3B/REG3β is highly expressed in the small intestine but not the

colon.38 It is possible that the expression of these proteins and other potential tumor

suppressors in the small intestine provides a tumor-suppressive environment, in

agreement with the strikingly distinct incidences of carcinomas in the small intestine

and colon. Identification of REG3B as a polycomb target also indicates a potential

connection among polycomb function, gut microbiota and cancer. Further

investigation of the Reg family proteins as potential tumor suppressors and their

regulation under physiological and pathological conditions may facilitate the

development of effective therapeutics for colorectal cancers or other

inflammation-associated diseases.

Supplementary Material

Supplemental material includes three tables, twelve figures, supplementary data, and

supplementary materials and methods.

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Acknowledgments

We thank Dr. Sylvie Robine for providing the villin-Cre-ERT2 mice and Dr. Xiaodong

Wang and members of the Xi laboratory for critically reading the manuscript.

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produce metastatic pancreatic ductal adenocarcinoma. Genes Dev 2003;17:3112-26.

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Figure Legends

Figure 1. Double deficiency of Bmi1 and Mel18 decreases adenoma formation and

growth in the CAC model. (A) A schematic overview of the CAC model. (B)

Representative colon sections of WT, Bmi1�IEC, Mel18�IEC, and DKO mice at the end

of the CAC challenge stained with hematoxylin and eosin (H&E). (C) Polyp

multiplicity and average polyp load were analyzed in WT, Bmi1�IEC, Mel18�IEC, and

DKO mice. (D) Scheme of Bmi1 and Mel18 deletion during the late stage of CAC

growth. (E) H&E-stained of representative colon sections of WT and DKO mice at

the end of the CAC challenge showing the polyp reduction in DKO mice. (F) Polyp

number, number of polyps (polyp size > 2 mm), and polyp load were analyzed in WT

and DKO mice. Scale bars = 100 �m. The data are presented as the mean ± SEM (n =

6-30). ns, not significant; *p < 0.05; ***p < 0.001; by one-way ANOVA (C) or

two-tailed, unpaired t-test (F).

Figure 2. Colonic inflammation is increased in the DKO mice through dampened

STAT3 activation during DSS-induced colitis. (A) The body mass of DKO mice

decreased dramatically compared to WT littermates during acute DSS colitis (Upper

panel). Ulcer number and histological damage at day 15 in WT and DKO mice treated

with 3.5% DSS (Lower panel). (B) H&E-stained of colons from WT and DKO mice

at day 15. (C) Relative cytokine mRNA levels in whole colonic mucosa from WT and

DKO mice at day 15 of the CAC model. (D) Immunohistochemical analysis of Ki-67

and cleaved caspase-3 in colons from WT and DKO mice at day 15 of the CAC model.

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(E) Polyp numbers and polyp load in WT, Cdkn2a�IEC, DKO, and B/M/C�IEC mice. (F)

Colonic lysates were prepared at the indicated times, and the expression and

phosphorylation of the indicated proteins were analyze. β-actin was used as loading

controls. Scale bars = 100 �m. The data are presented as the mean ±SEM (n = 3-15).

ns, not significant; *p < 0.05; **p < 0.01; ***p < 0.001; by two-tailed, unpaired t-test

(A,D), two-way ANOVA (C), or one-way ANOVA (E). All data shown are

representative of at least three independent experiments.

Figure 3. Identification of reg3b as a novel PcG target. (A) Heat-map of the

microarray results shown significant up-regulation of the Reg3b and Reg3g genes in

IECs of the Bmi1 and Mel18 DKO compared to control mice. Red, up-regulated;

green, down-regulated; black, no change. Results are representative of two

independent experiments. (B) Quantitative PCR analysis of mouse Reg family genes

in IEC samples from DKO and WT mice. (C) Immunoblot analysis of the REG3B

protein in isolated colonic enterocytes from WT, Bmi1�IEC, Mel18�IEC and DKO mice.

β-actin was used as loading controls. (D) Immunohistochemical analysis of the

REG3B protein in colonic tissues from WT and DKO mice. (E and F) Schematic

representation of the Reg3b locus, with black squares marked 1, 2 indicating the

amplified regions in the ChIP studies (Upper panel). ChIP analysis of the binding of

the BMI1 (E) and MEL18 (F) antibodies at the Reg3b different loci in mouse colonic

epithelial tissues (Lower panel). IgG was used as a control. Scale bars= 100 �m. The

data are presented as the mean ± SEM (n = 3-6). *p < 0.05; **p < 0.01; by two-tailed,

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unpaired t-test (E,F). All data shown are representative of at least three independent

experiments.

Figure 4. REG3B inhibits STAT3 signaling by interfering IL-6R/gp130 receptor

activation. (A) Immunoblot analysis of p-STAT3Y705, STAT3 and REG3B in lysates

from Reg3b-transfected or empty vector-transfected CT26.WT cells at different time

points after IL-6 (25 ng/ml) treatment. (B) Immunoblot analysis of p-STAT3Y705,

STAT3 and REG3B in lysates from Reg3b-transfected or empty vector-transfected

CT26.WT cells at different time points after IL-11 (50 ng/ml) treatment. (C)

Reg3b-transfected and empty vector-transfected CT26.WT cell lysates were first

immunoprecipitated with an anti-JAK2 antibody followed by the detection of tyrosine

phosphorylation with an anti-phosphotyrosine (PY20) antibody. Cell lysates were also

subjected to western blotting analysis using antibodies as indicated. (D)

Reg3b-transfected and empty vector-transfected CT26.WT cell lysates were

immunoprecipitated with an anti-GP130 antibody followed by the detection of

tyrosine phosphorylation with the PY20 antibody. (E) Co-immunoprecipitation (Co-IP)

analysis of REG3B/IL-6R association in mouse colonic epithelial tissues (n= 5 mice).

WCL: whole cell lysates, IP: Immunoprecipitation. (F) CO-IP analysis of the

interactions between REG3B and IL-6. β-actin was used as loading controls. All data

are representative of at least three independent experiments.

Figure 5. REG3B treatment suppresses CAC tumorigenesis. (A) Schematic overview

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of REG3B treatment during CAC induction. Mice were injected intraperitoneally with

recombinant REG3B (5 µg/mouse) versus control PBS on days 1, 3, and 5 during

each DSS cycle. Colons were removed at day 100 after AOM injection. (B) The polyp

numbers and polyp load were determined microscopically. (C) Schematic overview of

REG3B administration during the late stage of the CAC model. Mice were treated

with recombinant REG3B (5 µg/mouse) versus control PBS every 3 days after the last

DSS cycle. Colons were removed at day 100 after AOM injection. (D) The polyp

numbers (polyp size > 2 mm) and polyp load were measured microscopically. The

data are presented as the mean ± SEM (n = 6-9). *p < 0.05; **p < 0.01; by two-tailed,

unpaired t-test.

Figure 6. The BMI1/MEL18-REG3B-STAT3 regulatory axis in CAC tumorigenesis.

(A) Immunoblot analysis of p-STAT3Y705 and STAT3 in lysates from WT, Reg3b-/-,

Bmi1-/-, Mel18-/-, B-/-/M-/-, and B-/-/M-/-/R-/- 3T3 cell after IL-6 treatment (Left panel)

and IL-11 treatment (Right panel). β-actin was used as loading controls. (B) Polyp

multiplicity and average polyp load were analyzed in WT, Reg3b�IEC, DKO, and TKO

mice. (C) H&E-stained of representative colon sections of WT, Reg3b�IEC, DKO

and TKO mice at the end of the CAC challenge shown the polyps are rescued in TKO

mice compared to DKO. (D) Percentage Ki-67 positive cells in WT, Reg3b�IEC, DKO

and TKO colonic polyps was calculated. (E) Immunohistochemical analysis of the

p-STAT3 protein in colonic polyp tissues of WT, Reg3b�IEC, DKO and TKO mice.

Scale bars=100 �m. The data are presented as the mean ± SEM (n = 5-15). ns, not

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significant; **p < 0.01; ***p < 0.001; by one-way ANOVA (B,D).

Figure 7. REG3β in human colorectal cancer. (A) Immunoblot analysis of

p-STAT3Y705 in REG-overexpressing 293T cells incubated with IL-6 (25 ng/ml) or

untreated. β-actin was used as loading controls. Results are representative of one of

three experiments. (B) Upper panel: schematic overview of REG3β administration

during the late stage of the CAC model. Mice were treated with recombinant REG3β

(7 µg/mouse) versus control PBS every 3 days after the last DSS cycle. Colons were

removed at day 100 after AOM injection. Lower panel: the polyp numbers and polyp

load were measured microscopically. (n=14 for control and n=16 for REG3β). (C)

Upper panel: a Kaplan-Meier survival curve of 87 colorectal cancer patients grouped

based the levels of REG3β expression (high, moderate, low) in the tumor tissue. HR,

hazard ratio. Lower panel: representative micrographs of immunohistochemical

staining of REG3β in specimens of colon cancer tumor. (D) Representative

micrographs of immunohistochemical staining of phospho-STAT3 and REG3β in

matched specimens of human colorectal tumor. Insets show staining of specimens in

more detail. (E) Expression and clinical relevance of REG3β and phospho-STAT3

were assessed in human colorectal cancer TMAs. (F) Model of

BMI1/MEL18-REG3B-STAT3 regulatory axis in CAC Tumorigenesis. Scale bars =

100 �m. The data are presented as the mean ± SEM. ns, not significant; *p < 0.05;

**p < 0.01; ***p < 0.001; by two-tailed, unpaired t-test (B), log-rank test (C), or

Fisher’s exact test (E).

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Supplemental Material

BMI1 and MEL18 Promote Colitis-Associated Cancer in Mice via

REG3B and STAT3

Xicheng Liu, Wendi Wei, Xiaowei Li, Pengcheng Shen, Zhen Wang, Dapeng Ju,

Rukui Zhang, Fu Yang, Chunyan Chen, Kun Cao, Guoli Zhu, Hongyan Chen, Liang

Chen, Jianhua Sui, Erquan Zhang, Kaichun Wu, Fengchao Wang, Liping Zhao, and

Rongwen Xi

Inventory of Supplemental Material:

Supplementary Figures 1-12

Supplementary Tables 1-3

Supplementary Data

Supplementary Materials and Methods

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Supplementary Figure 1

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Supplementary Figure 1. Generation of floxed alleles of Bmi1 and Mel18. (A) Schematic diagram of the targeting strategy for the generation of a floxed allele of Bmi1. Exons are indicated by filled blocks with numbers. Neo, neomycin resistance gene; red triangle, loxP site; blue inverted triangle, frt site. (B and C) Southern blot analysis of genomic DNA from electroporated embryonic stem cell clones (129xC57BL/6 strain) after digestion with SacI (B). The 5' external probe detects a 5.7 kb wild type allele fragment and a 4.5 kb targeted fragment. PCR genotyping of targeted embryonic stem clones (C). PCR was performed on DNA prepared from tail biopsies, using a mixture of primers. To amplify the following two bands: 134 bp (floxed allele, lanes 1, 3 and 4), 70 bp (Wild type allele, lanes 1 and 2). (D) Schematic diagram of the targeting strategy for Mel18. Exons are indicated by filled blocks with numbers. Neo, neomycin resistance gene; red triangle, loxP site; blue inverted triangle, frt site. (E and F) Southern blot of DNA from targeted embryonic stem cell clones (129xC57BL/6 strain) after digestion with SmiI (E). The 5' external probe detects a 8.7 kb wild type fragment and a 5.3 kb targeted fragment. PCR genotyping of targeted embryonic stem clones (F). PCR was performed on DNA prepared from tail biopsies, using a mixture of primers. To amplify the following two bands: 113bp (floxed allele, lanes 3, 4, 5 and 6), 178 bp (Wild type allele, lanes 1, 2, 3 and 4).

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Supplementary Figure 2

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Supplementary Figure 2. Villin-Cre-mediated deletion of Bmi1 and/or Mel18 does not significantly affect normal architecture or homeostasis of the colonic epithelium. (A) Quantitative PCR analysis of Bmi1 and Mel18 mRNA expression in IECs isolated from WT, Bmi1�IEC, Mel18�IEC and DKO mice. (B) Immunoblot analysis of the IECs confirmed the depletion of BMI1 and MEL18 proteins in WT, Bmi1�IEC, Mel18�IEC and DKO mice. (C) H&E-stained sections of control and experimental colon tissues revealed no gross changes in architecture or histology. Goblet cells were marked by PAS-haematoxylin staining and immunohistochemical analysis (IHC) against Chromogranin A was used to mark enteroendocrine cells. These cells appeared to be properly differentiated in the intestine of DKO mice. Scale bars = 100 µm. (D and E) Immunohistochemical analysis of Ki-67 (D) and cleaved caspase-3 (E) of colons from WT and DKO mice. Depletion of Bmi1 and Mel18 did not have a significant impact on the basal proliferation and differentiation of IECs. Scale bars = 100 µm. The data are presented as the mean ± SEM (n = 3-7). **p < 0.01; ***p < 0.001; by two-way ANOVA (A). All data shown are representative of at least three independent experiments.

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Supplementary Figure 3

Supplementary Figure 3. BMI1 and MEL18 regulate IEC proliferation and survival. (A) Ki-67 and BrdU staining revealed the decrease in proliferating cells in polyp of Bmi1 and Mel18 double deficient mice compared to WT mice. (B) Percentage Ki-67 positive cells in WT and DKO colonic crypts and colonic polyps was calculated. (C) Cleaved caspase-3 immunohistochemistry and TUNEL staining revealed the increase apoptosis in polyp of Bmi1 and Mel18 double deficient mice compared to WT mice. Scale bars = 100 �m. The data are presented as the mean ± SEM. ns, not significant; **p < 0.01; by two-way ANOVA (B).

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Supplementary Figure 4

Supplementary Figure 4. BMI1 and MEL18 are important for polyp growth and proliferation. (A) Scheme of Bmi1 and Mel18 deletion during the stage of CAC induction. (B) Polyp multiplicity and average polyp load were analyzed in WT and DKO mice. (C) Microscopic changes in the colons of WT and DKO mice on day 100 in the CAC model. (D) Immunohistochemical staining of Ki-67 and cleaved caspase-3 of polyps from WT and DKO mice. (E) Percentage Ki-67 positive cells in WT and TKO colonic polyps was calculated. Scale bars = 100 �m. The data are presented as the mean ± SEM (n = 4-9). ns, not significant; *p < 0.05; **p < 0.01; by two-tailed, unpaired t-test (B,E).

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Supplementary Figure 5

Supplementary Figure 5. Ablation of Bmi1 or Mel18 in IECs does not overtly affect the proliferation or apoptosis of colon epithelial cells during induced tumorigenesis. (A and B) The body mass of Bmi1�IEC (A) and Mel18�IEC (B) mice did not changed compared to WT littermates during acute DSS colitis. (C) H&E staining, immunohistochemical analysis of Ki-67, and cleaved caspase-3 immunohistochemistry revealed no change in proliferation and apoptosis in colons of WT, Bmi1�IEC, and Mel18�IEC mice at day 15. Scale bars= 100 �m. The data are presented as the mean ± SEM (n = 9). ns, not significant; by one-way ANOVA (C).

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Supplementary Figure 6

Supplementary Figure 6. Ink4a/Arf deficiency fails to rescue the DKO tumor phenotype. (A) Quantitative PCR analysis of p16 and p19 mRNA expression in IECs isolated from WT, Bmi1�IEC, Mel18�IEC and DKO mice at day 12 of the CAC model. (B) Immunoblot analysis of p16 and p19 in IEC lysates from WT and Cdkn2a�IEC mice. (C) Polyp numbers and polyp load were analyzed in WT, Cdkn2a�IEC, Bmi1�IEC and Bmi1�IEC/Cdkn2a�IEC mice (Left panel) or in WT, Cdkn2a�IEC, Mel18�IEC and Mel18�IEC/Cdkn2a�IEC mice (Right panel). (D) Representative H&E-stained histopathologic sections of colons from WT, Cdkn2a�IEC, DKO, and B/M/C�IEC mice with DSS-induced colitis. Scale bars = 100 �m. The data are presented as the mean ± SEM (n = 3-12). ns, not significant; by two-way ANOVA (A), or by two-tailed, unpaired t-test (C).

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Supplementary Figure 7

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Supplementary Figure 7. Dampened STAT3 Activation in Bmi1- Deficient and Mel18-Deficient IECs. (A) Immunohistochemical analysis of phospho-STAT3 in colons from WT and DKO mice at day 15 of the CAC model. (B) Western blot analysis of p-STAT3Y705, STAT3, p-ERK and p-S6K expression in control and Bmi1 deficient mice at indicated time points (Upper panel). Examination of p-STAT3Y705, STAT3, p-ERK and p-S6K expression in control and Mel18 deficient mice at indicated time points(Lower panel). β-actin was used as loading controls. Results are representative of one of three experiments. (C) Immunohistochemical analysis of phospho-STAT3 in colons from WT, Bmi1�IEC, and Mel18�IEC mice at day 15 of the CAC model. (D) Relative expression levels of cell-cycle and apoptosis regulator mRNAs isolated from IECs of WT (white bars) and DKO (black bars) mice at day 12 of the CAC model. Scale bars= 100 �m. The data are presented as the mean ± SEM.

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Supplementary Figure 8

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Supplementary Figure 8. Reg3b and Reg3g, but not other Reg family genes, are directly targeted by BMI1 and MEL18. (A and B) ChIP analysis of the binding of the indicated antibodies at the Reg3b (A) and Reg3g (B) loci in CT26-WT cells; IgG was used as a control. (C) ChIP analysis of the binding of the BMI1 antibody at the Reg3b promoter loci in colonic epithelial tissues from control and Bmi1 deficient mice; IgG was used as a control. (D) ChIP analysis of the binding of the MEL18 antibody at the Reg3b promoter loci in colonic epithelial tissues from control and Mel18 deficient mice; IgG was used as a control. (E) ChIP analysis for the indicated antibodies at the Reg1, Reg2, Reg3a, Reg3d, and Reg4 locus, with IgG as control. (F) qRT-PCR analysis of mRNA expression for multiple PcG genes (EZH2, EED, JARID2, CBX8, M33, MEIS1, MPH2, RAE28, RING1 and SUZ12) in IECs isolated from AOM-DSS-treated mice at indicated time points. The results showed many other PcG genes were significantly upregulated during CAC tumor development. The data are presented as the mean ± SEM. *p < 0.05; by two-tailed, unpaired t-test (C,D). All data shown are representative of at least three independent experiments.

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Supplementary Figure 9

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Supplementary Figure 9. REG3B inhibits STAT3 signaling by interfering IL-6R/GP130 receptor activation. (A) Immunoblot analysis of p-STAT3Y705, STAT3 and REG3B in lysates from Reg3b- and Reg3g-transfected 293T cells. Cells were either remained untreated or treated with IL-6 (25ng/ml). (B and C) Co-IP analysis of REG3B/IL-6R (B) and REG3B/IL-11R (C) association in CT26.WT cells. WCL: whole cell lysates, IP: Immunoprecipitation. (D) Immunoblot analysis of p-STAT3Y705 and STAT3 in lysates from CT26.WT cells with or without REG3B treatment. The recombinant REG3B protein with the indicated dose was incubated with the cells first for 10 minutes before IL-6 treatment. (E) Immunoblot analysis of p-STAT3Y705 and STAT3 in lysates from CT26.WT cells with or without REG3B treatment. The recombinant REG3B with the indicated dose was added to the media 10 minutes after IL-6 treatment. β-actin was used as loading controls. All data shown are representative of at least three independent experiments.

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Supplementary Figure 10

Supplementary Figure 10. REG3B treatment alleviates STAT3 activation, inhibits proliferation and promotes apoptosis of premalignant IECs. (A) Immunohistochemical analysis of Ki-67, cleaved caspase 3, and phospho-STAT3 in colonic tumor tissues from CAC mice treated with PBS or REG3B during each DSS cycle. (B) Percentage Ki-67 positive cells in control and early REG3B treat mice colonic polyps was calculated. (C) Immunohistochemical staining of Ki-67, Cleaved Caspase 3, and phospho-STAT3 in colonic tumor tissues from CAC mice treated with PBS or REG3B after the last DSS cycle. (D) Percentage Ki-67 positive cells in control and late REG3B treat mice colonic polyps was calculated. Scale bars = 100 �m. The data are presented as the mean ± SEM. *p < 0.05; **p < 0.01; by two-tailed, unpaired t-test (B,D).

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Supplementary Figure 11

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Supplementary Figure 11. Generation of Bmi1, Mel18 and Reg3b-deficient cell lines. (A) Immunohistochemical analysis of BMI1, MEL18, p16 and p19 in colonic tumor tissues from CAC mice treated with PBS, REG3B during each DSS cycle, and REG3B after the last DSS cycle. (B) Generation of Bmi1-/-, Mel18-/-, Reg3b-/-, B-/-/M-/-, and B-/-/M-/-/R-/- 3T3 cells by CRISPR-Cas9-mediated targeting. TA clones from the PCR products were analyzed by DNA sequencing. # indicates allele’s number. The PAM sequences are highlighted in green; the targeting sequences in red; deletions are shown in dotted line. (C) qPCR analysis of Reg3b mRNA expression in 3T3 cell lysates from WT, Bmi1-/-, Mel18-/-, and B-/-/M-/- cells. Scale bars = 100 �m. The data are presented as the mean ± SEM. All data shown are representative of at least three independent experiments.

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Supplementary Figure 12

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Supplementary Figure 12. Reg3b deletion rescues Bmi1 and Mel18 double-deficient mice. (A) Schematic diagram of the targeting strategy for the generation of a floxed allele of Reg3b using CRISPR/Cas9. Exons are indicated by filled blocks with numbers. Red triangle, loxP site. (B) Immunoblot analysis of REG3B protein in isolated colonic enterocytes from WT and Reg3b deficient mice. β-actin was used as loading controls. (C) Immunohistochemical analysis of Ki-67 in polyps from WT, Reg3b�IEC, DKO and TKO AOM-DSS-treated mice. (D) Immunoblot analysis of p-STAT3Y705 and REG3B at day 12 of the CAC challenge. β-actin was used as loading controls. (E and F) Luminal, mucosa-associated and epithelium-associated bacteria of WT mice and TKO mice with no (E) or DSS-treated (F) were assessed by qPCR determination of 16S rRNA gene copy number in the terminal colon. Data are from three groups of littermates. Scale bars= 100 �m. The data are presented as the mean ± SEM (n= 6-9). ns, not significant; by two-tailed, unpaired t-test (E,F). Results are representative of one of three experiments.

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Supplementary Table 1. Genes with an Absolute Fold Change of >|10| and a P-Value <0.05 on Either of the Two Gene Lists ProbeSetID DKO vs WT fold UniGene ID Gene Symbol 1459187_at 93.0040158 Mm.455233 --- 1448649_at 66.77703442 Mm.1193 Enpep 1424445_at 63.4912169 Mm.24400 Tm4sf5 1450140_a_at 62.49522949 Mm.4733 Cdkn2a 1425668_a_at 51.86565454 Mm.275973 St3gal4 1431213_a_at 47.83291482 --- LOC433762 1422610_s_at 33.50170088 Mm.281018 Igf2bp3 1448872_at 30.22333024 Mm.252385 Reg3g 1457068_at 28.50290367 Mm.359041 Naaladl1 1455869_at 25.9633332 Mm.458283 --- 1418486_at 25.24579449 Mm.27154 Vnn1 1416297_s_at 21.97107194 Mm.2553 Reg3b 1419400_at 20.05884001 Mm.2941 Mttp 1425470_at 19.34276189 --- --- 1424303_at 19.13095368 Mm.288805 Depdc7 1429994_s_at 18.9291097 Mm.271190 Cyp2c65 1446368_at 17.10073161 --- 9130221J18Rik 1451339_at 15.50876523 Mm.23352 Suox 1447845_s_at 13.91132386 Mm.27154 Vnn1 1418069_at 13.73191334 Mm.477720 Apoc2 1419393_at 13.0528788 Mm.289590 Abcg5 1417600_at 12.48559864 Mm.281804 Slc15a2 1448783_at 12.13590804 Mm.45874 Slc7a9 1417079_s_at 11.48989453 Mm.390793 Lgals2 1455223_at 11.4788323 Mm.476844 Igf2bp1 1455996_x_at 11.15406788 Mm.439707 Prap1 1417803_at 11.11540973 Mm.45481 1110032A04Rik 1418761_at 10.89019018 Mm.476844 Igf2bp1 1448290_at 10.58261418 Mm.2553 Reg3b 1427262_at 10.50277475 Mm.274770 Xist 1417889_at 10.41223436 Mm.281793 Apobec2

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Supplementary Table 2. qRT-PCR Primers for mRNA Expression Name Sense Anti-sense Bmi1 5'-AGCAATGACTGTGATGCACTTGAG-3' 5'-CTCCAGCATTCGTCAGTCCATCCC-3'

Mel18 5'-GACACTTCCCAAATCTCCTCAG-3' 5'-ACAATGGTGGTGGCATCAAT-3'

bclx-F 5'-GGTCGCATCGTGGCCTTT-3' 5'-TCCGACTCACCAATACCTGCAT-3'

cdc2 5'-TCGCATCCCACGTCAAGA-3' 5'-GTTTGGCAGGATCATAGACTAGCA-3'

Cox-2 5'-CAGCCAGGCAGCAAATCCT-3' 5'-CTTATACTGGTCAAATCCTGTGCTCA-3'

cyclin B1 5'-ACTTCAGCCTGGGTCGCC-3' 5'-ACGTCAACCTCTCCGACTTTAGA-3'

cyclin D1 5'-CCCTGACACCAATCTCCTCAAC-3' 5'-GCATGGATGGCACAATCTCCT-3'

cyclin E 5'-ATGTGGCCGTGTTTTGCA-3' 5'-GGTCTGATTTTCCGAGGCTGA-3'

Cyclin D2 5'-GCGTGCAGAAGGACATCCA-3' 5'-CACTTTTGTTCCTCACAGACCTCTAG-3'

IL-6 5'-TTGGGACTGATGCTGGTGAC-3' 5'-TTGCCATTGCACAACTCTTTTC-3'

IL-11 5'-CTGCACAGATGAGAGACAAATTCC-3' 5'-GAAGCTGCAAAGATCCCAATG-3'

p21 5'-ATTCAGAGCCACAGGCACCAT-3' 5'-TCTCCGTGACGAAGTCAAAGTT-3'

IL-1β 5'-TGGGAAACAACAGTGGTCAGG-3' 5'-CCATCAGAGGCAAGGAGGAA-3'

survivin 5'-CCTGCACCCCAGAGCGAAT-3' 5'-AGAAAAAACACTGGGCCAAATCAG-3'

TNFα 5'-TCTGTGAAGGGAATGGGTGTT-3' 5'-CAGGTCACTGTCCCAGCATC-3'

PCNA GCACGTATATGCCGAGACCT-3' 5'-CCGCCTCCTCTTCTTTATCC-3'

bcl10 5'-CTTCTCTATGGCGTCGTCCC-3' 5'-CCCTCTTCCAACCGAAGGTC-3'

bcl2 5'-CCACCTGTGGTCCATCTGAC-3' 5'-CAATCCTCCCCCAGTTCACC-3'

c-Myc 5'-CGACTACGACTCCGTACAGC-3' 5'-GTAGCGACCGCAACATAGGA-3'

Reg1 5'-AAGAAGACCTGCCATCTGCC-3' 5'-GCCAGCGACGATTCCTTTTG-3'

Reg2 5'-AATCAACTGCCCAGAGGGTG-3' 5'-AGTGCCAACGACGGTTACTT-3'

Reg3a 5'-ACAAGGCTTATCGCTCCCAC-3' 5'-TGGGTTGTTGACCCATTGTTG-3'

Reg3b 5'-GAATATACCCTCCGCACGCA-3' 5'-GGTCATGGAGCCCAATCCAA-3'

Reg3d 5'-ACTGTGTTGCCTGATGTCCC-3' 5'-TGGCAGTGGATCTCTGCATT-3'

Reg3g 5'-TGCAAGGTGAAGTTGCCAAG-3' 5'-GGTTCATAGCCCAGTGTCGG-3'

Reg4 5'-TCATGCTGAGCTGGAGTGTC-3' 5'-GCGGTTGGCACATCCATTTT-3'

EZH2 5'-TTCGTGCCCTTGTGTGATAG-3' 5'-GGAAAGCGGTTTTGACACTC-3'

EED 5'-TGGCCATGGAAATGCTATC-3' 5'-CCTCCAAATATTGCCACCAG-3'

SUZ12 5'-TGCAGTTCACTCTTCGTTGG-3' 5'-GAACCAGGCTTGTTTTCCTG-3'

Jarid2 5'-ACAATGCTTCATCTTCGTGCC-3' 5'-GCTCTTTCTCCCGTGCTGAC-3'

Meis1 5'-CCTCTGCACTCGCATCAGTAC-3' 5'-GTTTGGCGAACACCGCTATATC-3'

Ring1 5'-CAGAATGCCAGCAAAACGTGGG-3' 5'-TTCTTCAGCATGTCCAGGCAGAT-3'

Cbx8 5'-GTTCGCGGCCGAAGCCCTCC-3' 5'-TGGGGCCATAGAGCTCCATCTC-3'

M33 5'-CAACAAAGGGGAAAAGCTGA-3' 5'-ACATCCGTGACAAAGACGTG-3'

Rae28 5'-GGCAGAAGCAGATGGGAGTG-3' 5'-GAGGGGCAGTGAGGGTTGTT-3'

Mph2 5'-CACTGGCATCTCCAGGTTTT-3' 5'-GAGGTATGGGGAAGGGGTTA-3'

GAPDH 5'-ATGACATCAAGAAGGTGGTGAAG-3' 5'-TCCTTGGAGGCCATGTAGG-3'

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Supplementary Table 3. qPCR Primers for ChIP Used in the Study Name Sense Anti-sense Reg3b-CHIP1 5'-GTGTCTGGAAGAGGGTGTGGATGGT-3' 5'-TCCCGTTAGCCGACCTGCTTT-3'

Reg3b-CHIP2 5'-ATGCTGAAAGGTAGGCATGGGTTCT-3' 5'-AGACACCTGTCCTGTGTGTGAGA-3'

Reg3g-CHIP1 5'-TGGCAGGAAGAAACTCCCGCT-3' 5'-GGGAGGTAGGTGGTGCTTGGC-3'

Reg3g-CHIP2 5'-GGCTGCTAACAGGAAAGGGCCA-3' 5'-AGCGGGAGTTTCTTCCTGCCA-3'

Reg1-CHIP 5'-GGGCACTTGTTTGCTTCTGG-3' 5'-AACCTGGCAGTAGTCACAGC-3'

Reg2-CHIP 5'-AGTGGAGGCCCAAATTGCTT-3' 5'-AGGCTCCCTTGTATCCCCAT-3'

Reg3a-CHIP 5'-GGCAAAAGTGAAGGGAGGGA-3' 5'-ACAACAAACAGGGCACCAGA-3'

Reg3d-CHIP 5'-CAGGAGCTGGCACTTCTTCA-3' 5'-ATACCTGCCAGCCTTGCATT-3'

Reg4-CHIP 5'-GACAACTCGGGAACTCTGGG-3' 5'-GACAGGGGCAGAAGTGTTGA-3'

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Supplementary Data

REG3B Is Required for Initiation of CAC Tumor

REG3B has antibacterial effects and recent studies suggest that it protects mice

against dissemination of Salmonella enteritidis and alcoholic steatohepatitis.1-3 To test

whether the effects of REG3B on STAT3 activity could be caused indirectly by its

anti-bacterial function, we analyzed the bacterial load in colonic epithelial lysates of

DSS-treated WT and TKO animals. The bacterial load was measured by total 16S

rRNAs using quantitative polymerase chain reaction (Q-PCR) in a

culture-independent manner, as described previously.1, 4 Upon DSS treatment, the

TKO mice indeed exhibited elevated phospho-STAT3 in the epithelial lysates

(Supplementary Figure 12D). However, consistent with findings by others,1 we

found that the bacteria load in lumen, mucus layer, or epithelial cells of the colon did

not significantly differ between TKO and cohoused WT littermates, under either

normal or DSS-treated conditions (Supplementary Figure 12E and F). These

observations suggest that the anti-STAT3 activity of REG3B, at least at the early

stages of tumor development, is likely not due to its impact on microbiota.

Supplementary Materials and Methods

Experimental Animals

The Bmi1 (Bmi1F/F) and Mel18 (Mel18F/F) conditional knockout mice were generated

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by homologous recombination (depicted in Supplementary Figure 1A and D). The

8.9-kb genomic DNA fragment containing Bmi1 exons 2-10 and 8.6-kb genomic DNA

fragment containing Mel18 exons 5-13 were subcloned from C57BL/6 BAC library

using gap repair and cloned into PL253 vector.5 Final Bmi1 and Mel18 targeting

vector linearized by NotI were electroporated into 129xC57BL/6 ES cells. The

neomycin-resistant colonies were screened by southern blot according to the strategy

outlined in Supplementary Figure 1. Southern blot of Bmi1 was performed by using

the following probes: 3’ probe was amplified by forward primer:

GGGACCCAGTCAACA and reverse primer: CAAGAGGCTAAATGAGAT.

Southern blot of Mel18 was performed by using the following probes: 5’ probe was

amplified by the forward primer, AGCTGTCCCTGCGTCTT and reverse primer,

GGTGCTCTTACCCGTTG. Targeted ES clones were microinjected into C57BL/6

blastocysts to generate chimeric mice. Germline male chimeras were mated to

C57BL/6 females, and their agouti offspring were tested by PCR to confirm germ-line

transmission of the conditional allele. The Bmi1 conditional knockout mouse was

genotyped with the set of primers - Forward-WT: AAAATGGACATACCCAATAC,

Reverse-targeted: GTATAGCAT ACATTATACGAAG and Reverse -WT:

CATTTAAATTTGAAAATCTG. These primers yield a 134 bp band for floxed allele

and a 70 bp band for wild type locus. The Mel18 conditional knockout mouse was

genotyped with the set of primers - Forward-WT: CTGGGACAGCATCAGAAACCT,

Reverse-targeted: GTACCTGAC TGATGAAGTTCCTATA, and Reverse-WT:

CCCAACACAGAAGGTGCACCA. These primers yield a 113 bp band for floxed

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allele and a 178 bp band for wild type locus.

The Reg3b conditional knockout mice were generated by co-microinjection of in

vitro-translated Cas9 mRNA, sgRNA and target vector into the C57BL/6 zygotes

(depicted in Supplementary Figure 9C). Founders were verified by sequencing of the

PCR fragments. The sgRNA sequence used to generate the Reg3b-CKO mice is

AAGCCTCTCTGCCCAGTGTT.

Reagents

Recombinant mouse REG3B (#51153-M08H) was purchased from Sino Biological.

Recombinant human IL-6 (#200-06) and IL-11 (#200-11) were purchased from

Peprotech. Recombinant human REG3β was expressed and purified from human

cells.

Histology and Immunohistochemistry

For histology, colons were excised and flushed gently with cold phosphate buffered

saline (PBS) and fixed with 10% neutral formalin overnight, embedded as Swiss rolls

in paraffin. Every 40 sections (5µm) of serial cuts were stained with hematoxylin and

eosin (H&E).6 Immunohistochemistry was performed according to the manufacturers’

protocols. The signals were developed using the ABC kit (Vector Laboratories)

according to manufacturers’ protocol. Counterstaining was done with hematoxylin.

All magnifications in legends represent objective lens. The following antibodies were

used: anti-BrdU (ab6326, 1:200, Abcam), anti-mouse Ki-67 (12202, 1:400, Cell

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Signaling Technology), anti-mouse phospho-Stat3(Tyr705) (9145, 1:400, Cell

Signaling Technology), anti-human and mouse cleaved caspase-3 (9661, 1:300, Cell

Signaling Technology), anti-mouse Reg3b (AF5110, 1:500, R&D Systems),

anti-human and mouse Chromogranin A (1782-1, 1:200, Epitomics), and horseradish

peroxidase (HRP)–conjugated anti–rabbit IgG, anti–sheep IgG, and anti–mouse IgG

(ZSJQ-BIO). Polyps counts and immunohistochemistry analysis were performed in a

blinded fashion.

Generation of CRISPR-Cas9 Knockout Cell Lines

The CRISPRs designs were performed as described previously.7 SgRNAs were

designed and cloned into pX330 CRISPR/Cas9 vector (Addgene). The target

sequences used for Bmi1: ATGGCTCCAATGAAGACCGA; Mel18:

ACCTGCATCGTACGCTACTT, and Reg3b: TCTGTGCTCAATAGCGCTGA. To

construct the knockout cell lines, sgRNA-expressing plasmid with GFP, Cas9 plasmid

with RFP, and puromycin vectors were co-transfected into NIH3T3 cells. Selected

cells were sorted into single clones into the 96-well plate by flow cytometry using the

BD Biosciences FACSAria II. Single clones were screened by T7 endonuclease

I-cutting assay and the candidate knockout clones were verified by sequencing of the

PCR fragments.

Cell Culture, Lentivirus Production and Infection

CT26.WT, 3T3 and 293T cells were obtained from ATCC. All cells were cultured in

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DMEM medium with 10% fetal bovine serum and 1% penicillin-streptomycin. All the

cell lines have been tested to be mycoplasma negative by the commonly used PCR

method and were authenticated by ATCC prior to purchase with their standard short

tandem repeat DNA typing methodology. All cells were grown at 37℃ in a 5% CO2

incubator. For over-expressing experiments, the full-length coding cDNAs of

candidate genes were cloned into the modified lentiviral vector pWPI. Constructed

pWPI plasmids were introduced to 293FT cells together with packaging plasmid

psPAX2 and envelope plasmid pMD2.G with a ratio of 5:3:2. After 48-50h

transfection, the medium containing lentiviruses was collected and centrifuged at

3000rpm for 5-10 min. Stable over-expressing cell lines were generated by infecting

HEK293T or CT26.WT cells with lentivirus in the presence of puromycin selection

(6µg/ml).

Western Blot Analysis

Protein was extracted from cell or tissue samples by standard methods using RIPA

lysis buffer (150 mM sodium chloride, 1.0% (vol/vol) Triton X-100, 0.5% sodium

deoxycholate, 0.1% SDS, 50 mM Tris, pH 8.0) containing protease inhibitors

(Complete Protease Inhibitor Cocktail Tablets, Roche) and phosphatase inhibitors

(PhosSTOP Phosphatase Inhibitor Cocktail Tablets, Roche). Solubilized proteins (30

µg) were separated by standard SDS-PAGE on a 12% polyacrylamide separating gel

with 5% stacking gel and then transferred to PVDF western blotting membrane

(Roche) by standard methods. The following primary antibodies were used:

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anti-human and mouse IL6R (ab83053, 1:500, Abcam), anti-human and mouse

IL-11R (ab125015, 1:1,000, Abcam), anti-mouse p19 (ab80, 1:1,000, Abcam),

anti-human and mouse phospho-Stat3(Tyr705) (9145, 1:1,000, Cell Signaling

Technology), anti-mouse Stat3 (9132, 1:2,000, Cell Signaling Technology),

anti-human and mouse phospho-ERK (4370, 1:1,000, Cell Signaling Technology),

anti-human and mouse ERK (9102, 1:2,000, Cell Signaling Technology), anti-human

and mouse phospho-S6 (2211, 1:1,000, Cell Signaling Technology), anti-human and

mouse p16 (4824, 1:500, Cell Signaling Technology), anti-human and mouse Jak2

(3230, 1:1,000, Cell Signaling Technology), anti-human and mouse SOCS3 (2932,

1:1,000, Cell Signaling Technology), anti-mouse Reg3b (AF5110, 1:1,000, R&D

Systems), anti-human and mouse GP130 (SC-655, 1:250, Santa Cruz), anti-human

and mouse IL-6 (10395-MM02, 1:1,000, Sino Biological), anti-Flag M2 (F1804,

1:1,000, Sigma), anti-mouse Phosphotyrosine (05-947, 1:500, Millipore), and

anti-mouse β-actin (MAB1501, 1:20,000, Millipore). Secondary antibodies include

the following: HRP-conjugated goat anti-rabbit HRP (ZDR-5403, ZSJQ-BIO), goat

anti-mouse HRP (ZDR-5402, ZSJQ-BIO) and rabbit anti-goat HRP (ZDR-5105,

ZSJQ-BIO), all secondary antibodies were used at 1:5,000. Blots were visualized with

Immobilon Western Chemiluminescent HRP Substrate kit (Millipore) according to the

manufacturer’s instructions.

TUNEL Assay

TUNEL assay was performed using a fluorescein In Situ Cell Death Detection Kit

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(Roche) following the manufacturer’s instructions. Sections were counterstained with

4',6-diamidino- Microarray Analysis 2-phenylindole (DAPI).

Isolation of RNA and Quantitative Real Time PCR (qRT-PCR)

For quantitative RT-PCR, tissue was homogenized using a rotor stator in TRIZOL

(Life Technologies), and total RNA was isolated according to the manufacturer’s

instructions. RNA was digested with DNaseI and purified using an RNeasy Mini kit

(Qiagen). The RNAs were reverse-transcribed to cDNA using the HiScript II 1st

Strand cDNA Synthesis Kit (Vazyme, R211-02), and the cDNA was mixed with

ChamQ SYBR qPCR master mix reagents (Vazyme, Q331-02). Real-time PCR was

performed using the ABI 7500 Fast Real-Time PCR System (Applied Biosystems).

The abundance of each cytokine mRNA was normalized to that of

glyceraldehyde-3-phosphate dehydrogenase (Gapdh) and compared to the levels in

WT intestines to calculate the fold induction. The qRT-PCR primers used in the study

are listed in Supplementary Table 2.

Isolation of Bacterial DNA and Quantitative PCR (Q-PCR) for Microbiota Analysis

Isolation of genomic DNA was essentially performed as described previously.4 Briefly,

the distal 5 cm of colon was isolated. The luminal contents were collected by flushing

with 2 ml sterile PBS. The remaining colons were cut longitudinally and washed

vigorously in 2 ml sterile PBS to collect the mucus and the bacteria that were adherent

to the mucosal surface. The remaining part of the colon was cut for isolating genomic

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DNA. Genomic DNA was isolated from the pellets of lumen, mucus and epithelial

cell layer with the Qiagen Stool Kit.

Q-PCR analysis of bacterial genomic DNA was performed using the universal 16S

rRNA gene primers as described previously.1, 4 Bacterial 16S rRNA gene universal

primers-forward: ACTCCTACGGGAGGCAGCAGT, reverse: ATTACCGCGGCTGC

TGGC.

Co-Immunoprecipitation (Co-IP) Assay

Stable cell lines and mice IECs were lysed in NP-40 lysis buffer containing protease

inhibitors. The samples and controls lysates were incubated with anti-Flag resin

(A2220, Sigma) overnight with gentle shaking at 4℃. Protein complexes were then

washed three times in NP-40 lysis buffer and eluted with 3X FLAG peptide (F4799,

Sigma) for western detection. Anti-Flag M2 antibody (F1804, 1:1,000, Sigma) was

used to detect Flag-tagged REG3B.

Chromatin Immunoprecipitation (ChIP) Assays

The cells or tissue samples were fixed with 2% paraformaldehyde to crosslink the

DNA with bound proteins. CHIP assays were performed using a Chromatin

Immunoprecipitation (ChIP) Assay Kit (Millipore) following the manufacturer’s

instructions. The antibodies used for this study were anti-Bmi1 (ab14389, Abcam),

anti-Mel18 (ab5267,Abcam), anti-Ub-H2A (05-678, Millipore), and normal mouse or

rabbit IgG (Cell Signaling Technology) as a control. For CHIP primer design, we first

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identify the gene promoter sequences using the NCBI database, and then search the

predicted binding site using the JASPAR database. We used PrimerPremier software

to design the random primers flanking the putative binding site sequences. The

resulting DNA was quantified and served as a template for the qRT-PCR reactions,

which were performed using the SYBR Premix Ex Taq reagents kit (Takara) and ABI

7500 Fast Real-Time PCR System (Applied Biosystems). The DNA enrichment after

ChIP was normalized using the fold enrichment method. All results were obtained

from three independent biological replicates. The sequence information for all the

primers are listed in Supplementary Table 3.

Microarray Analysis

Whole RNA was extracted using Trizol reagent (Invitrogen) from mouse IECs.

Microarray experiments were performed by the Beijing CapitalBio Corporation.

Material was processed for Affymetrix Mouse GeneChip 1.0 ST arrays (Affymetrix,

Inc.). For each experimental condition, three mice were used. The raw image files

were processed by Bioconductor “Affy” package, the intensity of probes in arrays

passed quality control were calculated and normalized for expression value. A fold

change of 2 and q value (FDR-corrected P value) of 0.05 were used as cutoffs.

Human Colon Adenocarcinoma Tissue Microarray Analysis

The study was ratified by the Institutional Review Board of the National Institute of

Biological Sciences (NIBS). Protein levels of REG3β expression in tissues were

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determined using tissue microarray (TMA). Matched pairs of primary human colon

adenocarcinoma samples and adjacent normal tissues from 87 patients with survival

information and tumor grade information and primary human colon adenocarcinoma

samples from 92 patients were used for the construction of a tissue microarray

(Shanghai Outdo Biotech Co., Ltd.). Sections of tissue microarray were stained with

anti-human Reg3β antibody (ab134309, 1:500, Abcam) and anti-human and mouse

phospho-Stat3 (Tyr705) (9145, 1:400, Cell Signaling Technology). Positive staining

was scored as follows: high, large area staining; moderate, staining of multiple

smaller areas; low, staining of scattered few positive cells.

Supplementary References

1. Wang L, Fouts DE, Starkel P, et al. Intestinal REG3 Lectins Protect against Alcoholic

Steatohepatitis by Reducing Mucosa-Associated Microbiota and Preventing Bacterial

Translocation. Cell Host Microbe 2016;19:227-39.

2. van Ampting MT, Loonen LM, Schonewille AJ, et al. Intestinally secreted C-type lectin Reg3b

attenuates salmonellosis but not listeriosis in mice. Infect Immun 2012;80:1115-20.

3. Miki T, Holst O, Hardt WD. The bactericidal activity of the C-type lectin RegIIIbeta against

Gram-negative bacteria involves binding to lipid A. J Biol Chem 2012;287:34844-55.

4. Vaishnava S, Yamamoto M, Severson KM, et al. The antibacterial lectin RegIIIgamma

promotes the spatial segregation of microbiota and host in the intestine. Science

2011;334:255-8.

5. Liu P, Jenkins NA, Copeland NG. A highly efficient recombineering-based method for

generating conditional knockout mutations. Genome Res 2003;13:476-84.

6. Greten FR, Eckmann L, Greten TF, et al. IKKbeta links inflammation and tumorigenesis in a

mouse model of colitis-associated cancer. Cell 2004;118:285-96.

7. Platt RJ, Chen S, Zhou Y, et al. CRISPR-Cas9 knockin mice for genome editing and cancer

modeling. Cell 2014;159:440-55.

Authors names in bold designate shared co-first authorship.