Background
Ovarian carcinoma (OC) is one of the most common causes of postmenopausal cancer mortality worldwide, and epithelial OC (EOC) accounts for most of the histological types [
1]. EOC is the second deadly gynecologic cancer and is the fifth leading cause of cancer-related deaths in women, with 22,440 new cases and 14,080 deaths estimated worldwide in 2017 [
2]. Despite considerable recent progress in the surgical treatment of EOC, the overall and progression-free survival of EOC remain poor primarily because the initial diagnosis is made at the advanced stages of the cancer, particularly in developing countries [
3]. In the past two decades, several new drugs have become available for the treatment of patients with OC. However, the effectiveness of a given treatment in a particular individual cannot be easily determined because objective measures that define efficacy are not available [
4]. These factors emphasise the need to identify biomarkers that can facilitate the monitoring of diagnosis, treatment, and prognosis of OC [
5].
The
Spalt-like gene-2 (
SALL2) is a GC box-binding protein, which contains a DNA-binding sequence GGG(T⁄C)GGG [
6]. SALL2 is a putative tumour suppressor and an inactivation target of a polyoma tumour antigen [
7,
8]. Moreover, SALL2 plays a major role by increasing its expression in colorectal carcinoma tissues [
9]. SALL2 is possibly an early tumour marker for gastric carcinomas [
10] and acts as a suppressor through hypermethylation of the SALL2 P2 promoter in OC [
11]. Inhibition of tumour growth in SCID mice was caused by the restoration of SALL2 expression in OC cells [
12].
SALL2 is located on chromosome 14q12.1–13, a region associated with the loss of heterozygosity in 25% of bladder cancers and 49% of OCs [
13]. Although data imply that SALL2 contributes to the growth of normal human epithelial ovarian cells, the regulatory mechanisms underlying the involvement of SALL2 in tumour growth and metastasis is not fully clear.
In this study, we silenced SALL2 in OC cells by using a siRNA to investigate the role and mechanism of SALL2 in the tumorigenesis in OC. We elucidated the effects of SALL2 knockdown on OC cell growth, migration, and invasion as well as on the potential migration and invasion molecular mechanisms that accompany the enhanced expression of MMP2 and MMP9.
Methods
Cell lines and culture conditions
Seven OC cell lines (COC1, HO8910, OVCAR-3, HEY, CAOV3, A2780, and SKOV3; the catalogue numbers of these cell lines are 3111C0001CCC000368™, 3131C0001000700024™, 3131C0001000700108™, 3131C0001000700111™, 3111C0001CCC000339™, 3111C0002000000075™ and 3131C0001000700107™, respectively.) were obtained from Cell Bank of Shanghai Institutes for Biological Sciences (Shanghai, China). COC1 and CAOV3 were maintained in RPMI 1640 medium (Gibco, Carlsbad, CA, USA) containing 10% foetal bovine serum (FBS, Invitrogen, Carlsbad, CA, USA); HO8910 was maintained in Dulbecco’s modified Eagle medium high glucose (DMEM/HG) containing 10% FBS. The other cell lines were maintained in DMEM/F12 containing 10% FBS.
RNA interference
The cells were divided into three groups: Blank control group (untreated), Scramble group (transfected with nontarget siRNAs), and SALL2 siRNA group (transfected with SALL2 siRNAs). The A2780 cells were transfected with three SALL2 siRNAs, namely siRNA1 duplexes (sense: 5′-CCAGCAGUGGCUUGCCUUAUGGUAU-3′; antisense: 3′-GGAAGGAGAUGGACAGUAAUGAGAA-5′), siRNA2 duplexes (sense: 5′-AUACCAUAAGGCAAGCCACUGCUGG-3; antisense: 3′-CAACAACUCUUCGGCCUCCUCUGAA-5′), and siRNA3 duplexes (sense: 5′-UUCUCAUUACUFUCCAUCUCCUCCUCCC-3; antisense: 3′-UUCAGAGGAGGCCGAAGAGUUGUUG-5′). Lipofectamine™ RNAiMAX (Invitrogen, Carlsbad, CA, USA) (9 μl) was added to Opti-MEM (250 μl) and mixed for 5 min. Each siRNA (Invitrogen, Carlsbad, CA, USA) (3 μl) and Opti-MEM (250 μl) were mixed. The diluted Lipofectamine and siRNA were mixed for 15 min. The reagents were added into six-well plates, in which A2780 cells were seeded (5 × 105 cells/well) for 24 h. The cells in the Scramble group were treated with Stealth™ RNAi Negative Control Duplex (Invitrogen). The positive control cells were treated with BLOCK-iTTM Alexa Fluor® Red Fluorescent Oligo. The transiently transfected cells were assayed through quantitative real-time PCR (qRT-PCR) and Western blot analysis after transfection for 48 h.
Confocal laser scanning microscopy (CLSM) analysis
The transfected A2780 cells at a density of 1 × 106 cells/mL were cultured on 35-mm glass-based culture dishes containing DMEM with 10% FBS at 37 °C for 24 h under 5% CO2. The cells were fixed and permeabilized, followed by staining overnight with mouse anti-Human SALL2 (1:50) mAb in a humidified box at 4 °C. The secondary CY5-conjugated goat anti-mouse antibody (1:100) was subsequently added and incubated for 1 h at room temperature. The cells were washed in cold PBS two times for 3 min and then analysed through CLSM (Olympus, IX71, Tokyo, Japan). The nuclei of the cells were stained with Hoechst 33,258 (Amresco, USA). Isotype controls (Invitrogen, Carlsbad, CA, USA)were used in each experiment.
Cell proliferation assay
At 48 h post transfection of the A2780 cells with siRNA, 4 × 103 cells/mL were introduced into a 96-well plate at 100 μl/well. The cells were incubated at 37 °C under 5% CO2. They were subsequently incubated for an additional 2 h with 10 μl CCK-8 (Dojindo, Kumamoto, Japan) for 24, 48, and 72 h. The absorbance at 450 nm was measured using a microplate reader (Tecan M200 PRO, Switzerland). Cell proliferation ability was determined as follows: cell proliferation ability = AV (Absorbance value)/0 h AV.
Cell apoptosis analysis
At 48 h post transfection of the A2780 cells with siRNA, 1 × 105 cells/mL were introduced into a 24-well plate at 500 μl/well. The cells were cultured at 37 °C for 24 h under 5% CO2 according to the instruction manual of the Annexin V-FITC/propidium iodide (PI) Cell Apoptosis Detection Kit (KeyGEN BioTECH, Nanjing, China). The cells were subsequently treated with 0.5 μg/ml cisplatin (Hansoh Pharmaceutical Co., Ltd., Lianyungang, China) for 18 h, and then digested with 0.25% trypsin (without EDTA), washed with PBS, centrifuged at 2000 rpm for 5 min, and collected. The collected cells were suspended in 500 μl of binding buffer to which 5 μl of Annexin V-FITC and 5 μl of PI were added. The mixture was incubated in the dark for 15 min at room temperature and analysed through flow cytometry (FCM, FACS Aria III, Becton Dickinson, USA).
Cell cycle assay
At 48 h post transfection of the A2780 cells with siRNA, 2.5 × 105 cells/mL were introduced into a 6-well plate at 2 ml/well. All adherent and floating cells were harvested, fixed gently in 70% ethanol overnight at 4 °C, and resuspended in 500 μl of PBS containing 25 μl of PI (20×) and 100 μl of RNase A (50×). After incubation at 37 °C in the dark for 30 min, the cells were analysed by FCM. Data were analysed using the Cell Quest software (BD Biosciences, San Jose, CA, USA).
RT-CIM migration assay
An xCELLigence Real-Time Cell Analyzer (RTCA) DP (ACEA Biosciences, San Diego, CA, USA) was used in this study. Cell-culture media (100 μl) was added in the lower chamber of the system at room temperature. A CIM-plate 16 was connected to the system. The cell-culture incubator was examined to ensure appropriate electrical contacts, and the background impedance was measured. At 48 h post transfection with siRNA, the cells were resuspended in a cell-culture medium, and the cell density was adjusted to 105 cells/well. Complete medium (165 μl) and serum-free medium (30 μl) were added in the upper and lower chambers, respectively. After 30-min incubation at room temperature, CIM-plate 16 was placed in a cell-culture incubator. Cell migration was monitored every hour for 76 h by using the incorporated sensor electrode arrays of the CIM-plate 16. Electrical impedance was measured using the RTCA-integrated software of the xCELLigence system as a dimensionless parameter termed CI.
Transwell assay
Cell invasion was assessed using 24-well inserts (BD Biosciences Cat. No. 354480) with 8-μm pores according to manufacturer instructions. In brief, 48 h post transfection with siRNA, 1 × 105 cells were seeded into the upper chamber with (to measure invasion) or without (to measure migration) the matrigel layer and were allowed to invade the lower reservoir containing 20% FBS at 37 °C for 24 h. After 48 h, the noninvading cells in the upper surface of the filters were removed using a cotton swab; the cells were fixed in 4% paraformaldehyde for 30 min and then stained with 0.1% crystal violet for 5 min. The cells in five visual fields that passed through the membrane were counted as invasive cells. All the cells were counted using a microscope at ×200 magnification.
Real-time fluorescence quantitative PCR (qPCR)
The relative expression levels of SALL2 and p21 were measured through qRT-PCR. The total RNA was extracted using the Trizol reagent (Takara, Dalian, China) and then reverse-transcribed into cDNA by using a Revert Aid First Strand cDNA Synthesis Kit (Fermentas, Canada). The forward and reverse primers used for SALL2 DNA amplification were 5′-CATCCTCAGCCTCTTCTGGA-3′ and 5′-TGCAGAGTGACAGCATTGG-3′, respectively; the forward and reverse primers used for p21 DNA amplification were 5′-CAGGTCCACATGGTCTTCCT-3′ and 5′-TGCCCAAGCTCTACCTTCC-3′. The housekeeping gene GAPDH was used as an internal control, and the primers used for GAPDH were 5′-GCGGGGCTCTCCAGAACATCAT-3′ and 5′-CCAGCCCCAGCGTCAAAGGTG-3′. The qPCR reaction system consisted of 10 μl of FastStart Universal SYBR Green Master Kit (Roche Diagnostics, Basel, Switzerland), 0.5 μl of forward and reverse primers (2.5 μM), respectively, 1 μl of cDNA, and 8 μl of ddH2O. Probe amplification was performed as follows: 15 s at 95 °C; 45 cycles at 95 °C for 5 s and at 60 °C for 30 s. The relative mRNA expression levels of SALL2 and p21 were normalised against GAPDH by using the comparative △△Ct method. The relative fold change of gene was calculated using the 2−△△Ct formula.
Western blot analysis
At 48 h after transfection, the cells were collected and lysed using the RIPA lysis buffer (Beyotime, China). A BCA Kit (Pierce, Rockford, IL, USA) was used to estimate the protein concentration. Protein samples (30 μg/lane) were diluted in 5× SDS-PAGE sample-loading buffer and electrophoretically separated on a 10% SDS-PAGE gel. After the proteins were transferred onto polyvinylidene difluoride membranes (Millipore, Bedford, MA, USA), the membranes were blocked with 5% nonfat skimmed milk for 2 h at room temperature and then incubated overnight with primary antibodies at 4 °C. After being washed for 5 min three times, the membranes were incubated with suitable secondary antibodies (1:6000; horseradish peroxidase-labelled) for 1 h at room temperature. Signals were detected using ECL reagents (Pierce, USA). ImageJ software was used to measure the grey value of molecular bands. The following antibodies were used: mouse anti-human SALL2 monoclonal antibody (mAb) (Santa Cruz, CA, USA), rabbit anti-human MMP-2 mAb (San Eagle BioTECH, Wuhan, China), rabbit anti-human MMP-9 mAb (San Eagle BioTECH, Wuhan, China), rabbit anti-human Akt mAb (San Eagle BioTECH, Wuhan, China), rabbit anti-human p-Akt mAb (Bioworld TECH, Nanjing, China), mouse anti-human GAPDH mAb (San Eagle BioTECH, Wuhan, China), rabbit anti-human GAPDH polyoclonal antibody (Goodhere BioTECH, Hangzhou, China) HRP-conjugated goat anti-mouse antibody, and HRP-conjugated goat anti-rabbit antibody (both from Zhongshanjinqiao BioTECH, Beijing, China).
Inhibitor assay
LY294002 (Cell Signalling Technology, Boston, USA), a PI3K inhibitor, was prepared in DMSO from a stock concentration of 50 mM. The A2780 cells were detached by trypsinization and washed two times with PBS. At 48 h post transfection with siRNA, the transfected cells were cultured in 6-well plates (5 × 105 cells/well) for 24 h and then incubated with 50 μM of DMSO or LY294002 for 30 min. The cell pellets were subsequently collected for Western blot analysis. The following antibodies were used: mouse anti-human Akt mAb (San Eagle BioTECH, Wuhan, China) and rabbit anti-human p-Akt mAb (San Eagle BioTECH, Wuhan, China). For the transwell assay, transfected cells were cultured overnight in 24-well plates (1 × 105 cells/well). Either DMSO (50 μM) or LY294002 (50 μM) was added to the cells for 30 min and then the cells were collected for the transwell experiment.
Statistical analysis
All data were analysed using SPSS version 17.0 for Windows. Continuous variables were expressed as means ± standard deviations. Differences between the Scramble and SALL2 siRNA groups were assessed using the Student’s t-test; comparisons involving three or more groups were performed using one-way ANOVA. At least three repetitions (n = 3) were performed on the data in each group. P < 0.05 was considered statistically significant.
Discussion
The ontogenesis of EOC is a result of various molecular events such as mutation of
p53,
KRAS,
BRAF, and
ERBB2 genes [
16]. The mortality rate for EOC remains extremely high because of late diagnosis of the cancer and the frequent failure of conventional treatment strategies. Therefore, identification of cancer-related molecular markers associated with the prognosis of EOC and development of novel anticancer therapies are fundamental steps in EOC treatment [
17].
SALL proteins are zinc finger transcription factors present in
Caenorhabditis elegans, which harbour only one member of the
SALL gene family. In vertebrates, the SALL proteins are generally encoded by four genes (
SALL1–4). Four members of the
SALL gene family play roles in embryonic development and genetic disorders [
18,
19]. Mutations in SALL1 cause Townes–Brocks syndrome, which is associated with several developmental defects [
20]. SALL3 homozygous mutant mice exhibit abnormalities in the cranial nerves and die shortly after birth [
21]. SALL3 regulates the development of cone photoreceptors, particularly their terminal differentiation [
22]. SALL4 is a critical transcription factor for pluripotency in embryonic stem cells [
23]. Mutations in SALL4 result in Okihiro syndrome, characterised by defective heart and kidney development [
24,
25]. Furthermore, SALL4 upregulation plays crucial roles in carcinogenesis in gliomas and gastric cancers [
26,
27]. Many tumours, such as synovial sarcomas and tongue squamous cell carcinomas, exhibit high levels of SALL2 expression [
28‐
30]. Related reports have indicated that high levels of SALL2 are expressed in the normal ovary; however, it is not expressed in several OC-derived cell lines such as OVCAR-3 and OVCA432 [
6]. However, in this study, both the gene and protein levels of SALL2 were detected in the A2780 and other five OC cell lines. The protein expression levels of SALL2 was higher in the A2780 cells than in the other cells; thus, we selected the A2780 cells for studying the effects of SALL2 on OC cells.
An understanding of the molecular mechanisms involved in OC formation and progression will enable the development of more effective treatments for OC. Moreover, SALL2 has been recognised and characterised as a quiescence factor and is essential in arresting the growth of human fibroblasts under serum deprivation [
31]. Upon serum restoration, SALL2 is rapidly degraded as cells reenter the cell cycle [
8]. In this study, siRNA was transfected into the OC cell line A2780 to silence SALL2 gene. The results indicated that SALL2 gene silencing promoted the proliferation of the A2780 cells. In addition, SALL2 downregulation caused cell cycle arrest at the G0/G1 phase.
SALL2 regulates the balance between the antiapoptotic and proapoptotic B lymphocyte tumour-2 (Bcl-2) protein families. Moreover, SALL2 can regulate the expression of the
Bcl-2-associated X (
BAX) gene to induce cell apoptosis [
12]. SALL2 plays a crucial role in cell apoptosis during the growth of human foreskin fibroblasts [
32]. In this study, SALL2 expression was downregulated in the A2780 cells through siRNA transfection. The results indicated that SALL2 gene silencing reduces the extent of apoptosis in the A2780 cells. SALL2 is downregulated in many malignancies, including gastrointestinal tumours, ovarian tumours, and certain types of leukaemia [
33]. These findings on the loss of SALL2 expression in some solid tumours suggest that SALL2 functions as a tumour suppressor.
The
p16 tumour suppressor gene is one of the targets of the
SALL2 genes; SALL2 upregulates p16 transcription through a SALL2 responsive element, which bears a SALL2 binding site near the proximal region of p16 promoter [
34]. SALL2 also plays a role in neuronal development, thereby affecting neurite outgrowth. In the nerve cells, SALL2 is the transcriptional promoter of p21, which is also a member of cell cycle-dependent kinase inhibitor family, similar to p16 [
35]. Furthermore, SALL2 overexpression can upregulate the activity of p21 promoter in human embryonic kidney cells and EOC [
6]. Thus, SALL2 regulation is vital for suppression of tumour growth. Our results suggested that SALL2 knockdown downregulated the level of p21 in the A2780 cells, thereby indicating that SALL2 restrains the proliferation and cell cycle progression of the A2780 cells through transcriptional activation of p21. This finding is similar to the report of Zhenghua Wu et al. [
34]. The authors reported that SALL2 blocked cell cycle progression by regulating the promoter activity of p16 in another OC cell line, namely SKOV3.
In addition to the effect of SALL2 on tumour growth, we studied the effect of SALL2 on tumour migration and invasion. SALL2 interacts with other transcription factors to participate in cell reprogramming and inhibition of the migration and invasion of malignant glioma cells following ionising radiation [
36]. Furthermore, SALL4 is involved in invasion of different tissues by various epithelial cancers, such as colon villous epithelial cancer and prostate cancer [
37]. The current study demonstrated that SALL2 silencing in the A2780 cells resulted in high metastatic potential in vitro. This observation suggests that SALL2 inhibits the metastatic potential of the A2780 cells.
A vital reason for the occurrence of migration and invasion is the infiltration of tumour cells into the extracellular matrix (ECM). MMPs play a crucial role in this process. MMPs mainly degrade a variety of ECM components. Degradation of the basement membrane (BM) in the ECM is the key event in tumour invasion. MMP2 and MMP9 are two major factors in the MMP family, which can specifically degrade collagen V, VII, and X in BM. Furthermore, gelatin and elastic fibres and are positively associated with tumour invasion and migration [
38,
39]. Studies have indicated that the invasiveness of OC cell lines is correlated with MMP2 and MMP9 expression [
40,
41]. This study found that SALL2 silencing upregulated the protein expression levels of MMP2 and MMP9 in the A2780 cells, thereby suggesting that SALL2 silencing participates in the migration of and invasion by the A2780 cells by influencing the expression levels MMP2 and 9.
The PI3K/Akt/mTOR signalling pathway considerably affects diverse cellular processes involving cell cycle progression, metastases, and angiogenesis [
42]. Akt activation results in the phosphorylation of its downstream molecules, including mTOR, NF-κB, and GSK-3β, which regulate the impacts of Akt on cell growth and metastases [
43]. The activation of the PI3K/Akt pathway may also upregulate the expression levels of MMP2 mRNA and protein and the degradation of various ECM components to promote tumour metastasis [
44].
This study suggested that after transfection with SALL2 siRNA, the levels of p-Akt in the A2780 cells significantly increased, whereas the PI3K inhibitor, LY294002, effectively reversed the SALL2 siRNA-induced Akt activation. Additionally, our results indicated that increased cellular motility caused by SALL2 knockdown can be eliminated by LY294002, thereby confirming that PI3K/Akt is a key signalling pathway through which SALL2 regulates the migratory and invasive abilities of OC cells. Taken together, the promotion of cell metastasis after loss of SALL2 is possibly related to ECM degradation and PI3K/Akt signalling pathway activation in OC cells. Previous studies have suggested the role of SALL2 in OC progression. However, elucidating the function and detailed molecular biological mechanisms through which SALL2 suppresses EOC growth, migration, and invasion requires further in vivo and in vitro investigations.