Background
Protein kinase CK2 (formerly known as casein kinase II) is a highly conserved serine/threonine kinase that phosphorylates more than 300 proteins [
1]. CK2 has a heterotetrameric structure consisting of two catalytic subunits (42-kDa α or 38-kDa α') and the regulatory subunit (28-kDa β), forming the configurations α2β2, αα'β2 and α'2β2. CK2 is a multifunctional protein kinase [
2], that has been shown to be involved in nearly every aspect of cell proliferation and survival [
3]-[
5]. The level of CK2α expression is tightly regulated in normal cells [
6], and increased CK2α level and activity has been consistently observed in a variety of human cancers [
7]-[
9]. For instance, a high level and/or nuclear localization of CK2α is a marker of poor prognosis for patients with acute myeloid leukemia, chronic lymphocytic leukemia, prostate cancer and gastric cancer [
10]-[
13]. In addition, stable knockdown CK2α has recently been shown to inhibit cell migration and invasion of hepatocellular carcinoma [
14]. Studies also revealed that CK2 affects several cell signaling pathways, including PI3K, NFkB and Wnt [
6],[
15],[
16].
The Hedgehog (Hh) family of secreted proteins, which consists of Sonic, Indian and Desert Hedgehog, plays important roles in mammalian development and in stem cell maintenance [
17],[
18]. The Hh pathway is activated at the cell surface by the Hh ligand binding to its receptor Patched (Ptc), resulting in derepression of the effector protein, a G-protein-coupled receptor, Smoothened (Smo) [
19]. Ultimately, Smo activates the Gli family of transcription factors and target genes. There are three Gli proteins in humans: Gli1 activates Hh target genes, Gli2 acts both as activator and repressor of Hh target genes, while Gli3 acts as a repressor of Hh target genes [
20],[
21]. Deregulation of Hh/Gli signaling is implicated as an initiating or maintaining factor in the progression of various cancers, including basal cell carcinomas, medulloblastomas, leukemia, gastrointestinal, lung, ovarian, breast and prostate cancers [
20],[
22]. For instance, the Gli1 gene is amplified in human glioma and activated in basal cell carcinoma [
23]-[
25]. Transgenic over-expression of Gli1 in mice leads to the development of basal cell carcinoma [
26]. Hedgehog pathway inhibitor GDC-0449 is an FDA-approved drug for treatment of metastatic basal cell carcinoma.
Malignant pleural mesothelioma (mesothelioma) is an aggressive cancer with poor prognosis that originates mostly from the pleura of the lung. Mesothelioma is associated with occupational exposure to asbestos [
27]. It has been suggested that mesotheliomas contain cancer stem cells and their stem cell characteristics are thought to confer therapy-resistance [
28]. Activated stem cell signaling in patients has already been suggested in mesothelioma. For instance, cells staining positive for nuclear beta-catenin, a marker for Wnt signaling activation, have been reported in a few studies [
29],[
30].
Recently, Hh/Gli1 signaling was reported to be aberrantly activated in human mesothelioma [
31],[
32]. To date, there is no evidence for the status of CK2 in mesothelioma. The relationship between CK2 and Hh/Gli1 signaling in mesothelioma is unknown. We therefore sought to detect CK2α and Gli1 expression in primary mesothelioma tissues and cell lines, and to analyze their relationship.
Methods
Cell culture and small molecule treatment
Nine human mesothelioma cell lines (H28, H290, H2052, 211H, H2452, MS-1, H226, REN and H513) and a normal pleura cell line (LP9) were obtained from American Type Culture Collections (Manassas, VA). Cells were routinely maintained in RPMI-1640 supplemented with 10% heat-inactivated fetal bovine serum, penicillin (100α'g/ml) and streptomycin (100α'g/ml). All cells were routinely cultivated at 37-C in a humid incubator with 5% CO2. Treatment with CX-4945 (Synkinase, San Diego, CA) and TBB (Sigma, St. Louis, MO) dissolved in DMSO was administered at several dosages. Cells were grown in medium for 48-hours after treatment. Cell proliferation
in vitro was assessed using a CellTiter-Glo Luminescent cell viability assay (Promega Corporation, Madison, WI), according to the manufacturer-s protocol [
33].
Tissue samples and immunohistochemistry (IHC)
Fresh mesothelioma tissues were obtained from patients who were undergoing surgical resection of the primary tumor. All human tissue samples were obtained and analyzed in accordance with procedures approved by the institutional review board of the University of California, San Francisco (IRB H8714-22 942-01). The tissue microarray sections were immunostained as previously described [
33]. Anti-CK2α antibody was from Millipore (Billerica, MA). Anti-Gli1 antibody was from Cell Signaling (Beverly, MA). The following scoring system was used: −, no stain; +, weak staining (10% or above stained cellularity considered as positive); ++, moderate staining (30% or above stained cellularity considered as positive); +++, strong staining (50% or above stained cellularity considered as positive). All scoring was done under low power objective lens (10-) with a Zeiss Axioscop 2 microscope (Carl Zeiss Inc, Germany). Images were taken under 10x or 40x objective lens.
SiRNA and plasmid DNA transfection
CK2α siRNA (ON-TARGET plus SMARTpool) and control siRNA were purchased from Thermo Scientific (Waltham, MA). Cells were seeded in a 6-well plate as 105 cells/well one day before transfection, with a target of 30-50% confluency at the time of transfection. Cells were transfected with 50-nmol/L of siRNA using Lipofectamine RNAiMAX (Invitrogen, Carlsbad, CA) according to the manufacturer-s protocol. Adequate inhibition of the siRNA-mediated knockdown was confirmed by Western blot. The pcDNA3.1-CK2α or control pcDNA3.1-LacZ plasmid vectors were then transfected into the H28 cells (0.5 μg/ml in 24-well plate) using Lipofectamine 2000 transfection reagent (Invitrogen), according to the manufacturer-s protocol. Cells were harvested for RT-PCR and Western blot or used in reporter assays at 48-hours post-transfection.
RNA isolation, cDNA synthesis and semi-quantitative RT-PCR
RNA was isolated using the RNeasy Mini kit (Qiagen, Valencia, CA). Human Lung Total RNA was purchased from Applied Biosystems (Foster City, CA). Five-hundred ng of total RNA was converted into 20 μl cDNA using iScript cDNA Synthesis Kits (Bio-Rad, Hercules, CA,) according to the manufacturer-s recommendations. PCR bands were visualized under UV light and photographed.
Quantitative RT-PCR
A total of 2 μl of the reverse transcription reaction were used as template for real-time detection using TaqMan Technology on an Applied Biosystems 7000 sequence detection system (Applied Biosystems). Gene expression was quantified for the tested genes and endogenous control gene b-glucuronidase (GUSB) using commercially available primer and probe sequences (Applied Biosystems). Relative mRNA level was calculated by normalizing the gene expression levels of tested genes to that of the control GUSB gene.
Western blot analysis
Whole protein was extracted by M-PER Mammalian Protein Extraction Reagent (Thermo) from cell lines added with Phosphatase Inhibitor Cocktail Set II (Calbiochem, San Diego, CA) and Complete Protease Inhibitor Cocktails (Roche, Lewes, UK) according to manufacturers- protocols. The proteins were separated on 4-15% gradient SDS-polyacrylamide gels and transferred to Immobilon-P membranes (Millipore, Bellerica, MA). The following primary antibodies were used: anti-CK2α (Millipore), anti-Gli1 (Cell Signaling), and anti-GAPDH (Trevigen, Gaithersburg, MD). After being incubated with appropriate secondary antibodies, the antigen-antibody complexes were detected by using an ECL blotting analysis system (Amersham Pharmacia Biotech, Piscataway, NJ). Digital images were prepared using Adobe Photoshop CS3.
Luciferase reporter assays
To measure Gli-mediated Hh transcriptional activity, the luciferase reporter constructs, 8- wild-type Gli binding site (8- Gli
wt Luc) or 8- mutant Gli binding site (8- Gli
mut Luc) plasmids [
34] and a human Gli1 expression vector (pcDNA3.1-Gli1) were co-transfected into H28 cells in 24-well plates. The Renilla luciferase pRL-TK plasmid (Promega, Madison, WI), whose expression is driven by the housekeeping thymidine kinase gene promoter, was co-transfected to normalize for transfection efficiency. All transfection experiments were performed using the Lipofectamine2000 (Invitrogen) in accordance with the manufacturer-s instructions. After 24-h cells were lysed and luciferase assays were performed as described previously [
35]. Results are expressed as fold induction, which is the ratio of luciferase activity induced in Gli-transfected cells relative to basal luciferase activity in control transfected H28 cells. All experiments were performed in triplicate; means and standard errors were calculated using Student-s t-test.
Statistical analysis
Data were expressed as mean ± standard deviation (SD) from three independent experiments. All of the statistical analyses were performed using SPSS 13.0 for Windows software system (SPSS Inc, Chicago, IL). Student-s t-test was used to compare the differences among groups. Pearson product correlation tests (in the form of a correlation matrix) were used to analyze the mRNA and protein level of CK2α and Gli1. A significant difference was declared if the P value from a two-tailed test was less than 0.05 (* P <0.05, ** P <0.01).
Discussion
Our results suggest that CK2α is over-expressed and positively regulates Hh/Gli1 signaling in human malignant pleura mesothelioma. This is supported by several lines of evidence. First, broadly aberrant over-expression of CK2 was demonstrated in most of the primary mesothelioma samples and cell lines we tested. Second, we found a statistically mild correlation between CK2 and Gli1 expression both at the mRNA and protein levels. Third, in experimental studies of mesothelioma cell lines, CK2α inhibition by siRNA or small-molecular inhibitor resulted in down-regulation of Gli1 expression and transcriptional activity. Finally, forced over-expression of CK2α led to Gli1 transcriptional activation.
To date, there is no evidence for the expression status of CK2 in mesothelioma, although CK2 reportedly affects cell growth in several types of tumor. Our study shows the broad over-expression of CK2α for the first time. Our findings suggest that CK2 may play an important role in mesothelioma pathogenesis and is a potential biomarker and therapeutic target for patients with mesothelioma. Further studies are warranted to show evidence for patients who may potentially benefit from CK2 inhibitors. CK2 inhibitors have not been extensively developed as therapeutic agents, partly because the ATP-binding pocket of CK2 is not as druggable as some other protein kinases [
44]-[
46]. To date, only one small-molecule CK2 inhibitor has been entered to clinical trials as a potential anticancer drug [
47]. CX-4945, a highly selective CK2 small molecule inhibitor, is a promising first-in-class oral therapeutic agent that targets multiple human cancers. CX-4945 shows a favorable safety profile in Phase I clinical trials [
48]. In addition, CIGB-300 (a synthetic peptide-based drug targeting the CK2 phosphoaceptor domain) has proved to be safe and of clinical benefit in Phase I cervical cancer trials [
49].
Our study also demonstrates that Gli1 is over-expressed in mesothelioma, indicating the presence of an active Hh pathway. In several samples, the Gli1 mRNA level was more than 1000-fold greater than that in the normal pleura cell line LP9. This is consistent with findings from the recent study that first reported the role of aberrant Hh/Gli1 signaling in human mesothelioma [
31]. The Hedgehog pathway expression in mesothelioma tumors was recently analyzed using qRT-PCR, and SHH gene expression was only detected in tumor tissue but not in non-tumor pleural samples [
31]. Moreover,
in situ hybridization analysis of mesothelioma tumors showed similar results that the expression of SHH and DHH was mostly associated with the tumor cells [
31]. Together, these results suggested that the Hh pathway expression on mesothelioma cells is mostly from autocrine expression of its ligands.
The Hh pathway plays key roles in maintaining cancer stem cells, and an antagonist of hedgehog inhibits tumor growth, indicating a new therapeutic approach on mesothelioma. However the druggable targets in the Hh pathway are very limited; to date, only one Hedgehog inhibitor GDC-0449 is approved by FDA for treatment of metastatic basal cell carcinoma. Recently, we have shown that CK2α regulates Hh/Gli1 signaling in human lung cancer, and silencing of CK2α promotes Gli1 degradation in a time-course experiment [
39]. CK2α promotes Hh/Gli1 signaling by, at least in part, increasing Gli1 protein stability [
39]. Another study showed that silencing CK2α inhibited the expressions of Gli1 and Patched homolog 1 (PTCH1) in hepatocellular carcinoma, resulting in the inactivation of Hh signaling pathway [
14]. The relationship between CK2 and Hh/Gli1 signaling in other types of cancer, including mesothelioma is still unknown.
In this study, correlated IHC staining of CK2α and Gli1 in mesothelioma was demonstrated. For example, 32 of 38 (84.2%) of moderate and strong positive (++/+++) staining of Gli1 existed in the 52 samples with moderate and strong positive (++/+++) staining of CK2α. Nine of thirteen (69.2%) of strong positive (+++) staining of Gli1 exited in the 30 samples with strong positive (+++) staining of CK2α. We also analyzed CK2α expression in human mesothelioma tumors using IHC. The CK2α staining was compared with CK2α and Gli1 expression in the same tumor samples (n=61) (Additional file
1: Table S1). Association of CK2α and Gli1 expression in the tumors was identified (Additional file
1: Table S2, p < 0.05, chi-square). Association of CK2α and CK2α expression in the tumors was shown (Additional file
1: Table S3, p < 0.05, chi-square). However, association of CK2α and Gli1 expression in the tumors was not statistically significant (Additional file
1: Table S4, p > 0.05, chi-square). Taken together, our results suggested that Gli1 expression is associated with CK2α expression, but not CK2α expression, in the mesothelioma tumors. Furthermore, in the experimental studies of mesothelioma cell lines, CK2α was suggested to positively regulate Hh/Gli1 signaling. Our study also suggests that CK2 is an additional target for the inhibition of Hh/Gli1 signaling in mesothelioma. Thus, CK2 inhibitors such as CX-4945 may be potentially beneficial for clinical treatment of patients with mesothelioma.
Authors- contributions
SZ conceived, designed and performed the experiments, analyzed the data and wrote the paper. YL performed the experiments, analyzed the data and wrote the paper. YW, LTF, IJK, AA analyzed the data. DH, BY, YD, GC performed the experiments. HJS contributed reagents/materials/analysis tools. ZX designed the experiments and analyzed the data. DMJ analyzed the data and revised the manuscript. LY conceived the experiments, analyzed the data and wrote the paper. All authors read and approved the final manuscript.
Acknowledgements
The present work was supported by NIH grant R01 CA140654-01A1 (LY). This work is also supported by the UALC foundation (Uniting Against Lung Cancer) (IJK). We thank Pamela Derish of the UCSF Department of Surgery for editorial assistance with the manuscript. We are grateful for support from the Kazan, McClain, Abrams, Fernandez, Lyons, Greenwood, Harley & Oberman Foundation, Inc; the Estate of Robert Griffiths; the Jeffrey and Karen Peterson Family Foundation; Paul and Michelle Zygielbaum; the Estate of Norman Mancini; and the Barbara Isackson Lung Cancer Research Fund. We thank Lorretta Chan and Rick Baehnev for their important directions in staining.
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Competing interests
The authors declare that they have no competing interests.