Use of siRNA for studying effects of protein knockdown for cancer therapy
siRNA was employed to study the effects of TFIIS knockdown on cancer cells. Several lines of evidence indicate that siRNA methodologies employed for the analysis of TFIIS were valid. These include the effectiveness of the positive Eg5 control, the relatively limited effect of S-siRNA and the similar effects of three different TFIIS siRNAs directed at different regions of the TFIIS mRNA. Regarding Eg5, its inhibition of proliferation reached maximal effects at the low concentration of 0.5 nM siRNA in all cell lines (figures
1 and
3) so that transfection efficiencies in the different cell lines are comparable. TFIIS siRNA also induced a reduction in TFIIS mRNA and protein. Finally, recovery of proliferation reduced by TFIIS siRNA is attained by the addition of a TFIIS expression vector.
At the 5 nM TFIIS siRNA concentration, the reduction of mRNA and protein was not complete, nor was it expected to be. Even higher siRNA concentrations do not always allow for absolute protein or mRNA reduction. For example, siRNA reduction of Akt-1 was reported to be 51 and 73% effective for 20 and 80 nM siRNA, respectively [
32]. In general, siRNA concentrations employed for knockdown by others are higher than those employed in the current study (20–100 nM) [
32‐
34]. In our case, it was not necessary, nor possible to increase siRNA levels beyond 5 nM as we had nearly complete elimination of the MCF7 cells and significant reduction in proliferation of other cancer types. Furthermore, increasing siRNA levels is accompanied by increased nonspecific effects known as "off target effects" [
32,
35‐
37].
Pathways affected by TFIIS knockdown
c-myc and p53 were major "hubs" in the TFIIS knockdown pathway for both MCF7 and MCF10A (pathway 1 of MCF7, figure
8 and pathway 1 of MCF10A, figure
9), in accord with the C-ELISA data of altered protein levels of p53 and c-myc. c-myc itself was not represented on the gene array and the p-value for p53 did not match our statistical criteria. However, increased c-myc expression in MCF7 and decreased c-myc expression in MCF10A fits well with the expression pattern of focus genes on the array. For example, in MCF7 arrays, downregulation of BRD2 and MYCN is in accord with c-myc repression of both genes [
38,
39]. Regarding MCF10A, the modest decrease in c-myc observed by the C-ELISA assay concurs with a decrease in expression of HGMN2 and C6ORF108 both of which are induced by c-myc [
38,
40]. Decreased c-myc in MCF10A also agrees with an increase in PERP as c-myc protein represses expression of PERP [
41]. IL15 induces c-myc expression and the MCF10A array results indicate a decrease in IL15 expression in full agreement with decreased myc protein [
42,
43]. As such the gene array data correlates well with the C-ELISA data indicating increased c-myc in MCF7 and decreased levels in MCF10A.
Another hub of genes affected by TFIIS knockdown common to both MCF7 and MCF10A was beta-estradiol (Figures
7A and
7C). TFIIS knockdown appears to mimic the effects estrogen has on gene expression. More specifically, estradiol induces expression of PRKCZ and CFHR4 [
44,
45] and both increase on our MCF7 TFIIS knockdown array. Estradiol also induces expression of c-myc [
46] and p53 [
47] concurring with increased protein levels of both in MCF7 cells. Regarding MCF10A, a decrease in CYP51A1, EIF2S1 [
48], and ACADVL [
48] are all in accord with effects of estrogen on gene expression. However, estradiol also increases c-myc and p53 expression and in contrast MCF10A had moderately reduced levels of both proteins. In addition, within the estradiol expression pathways of MCF7 and MCF10A, different focus genes were affected [see Additional file
1]. It appears that TFIIS knockdown affects some similar pathways including c-myc/p53 and estradiol in both cell lines, though the effect on the particular expression of genes in the pathways differs and may contribute to the dissimilar consequences of TFIIS knockdown.
Another difference between MCF7 and MCF10A was the reduced expression of some components in the mitogen-activated protein kinase (MAPK) signaling pathway in MCF10A alone, as a result of TFIIS knockdown. For example, EDG4, a member of the G-coupled protein receptor family was downregulated. GNB1 a G-protein Ras signaling transducer and Map2K2 (MEK2), which phsophorylates MapK, displayed reduced-expression as well. PLD2 (phsopholipase D2) expression was increased in the TFIIS-knockdown MCF10A array. PLD2 is known to be involved in EGF receptor internalization and degradation [
49]. As such it appears that TFIIS activates expression in a manner consistent with estradiol pathways in both MCF10A and MCF7 and reduces signal transduction pathways in MCF10A cells.
TFIIS knockdown and the induction of cancer cell death
TFIIS knockdown is likely to set into effect a cascade, which modifies the level of expression of specific genes. Possible routes to invoke cancer cell death involve repression of oncogenes or activation of tumor suppressors. For example, it was previously shown that c-myc and c-fos oncogenes contain poly T stretches that pause or arrest transcription
in vitro [
14] and that those sites are TFIIS responsive [
15,
50‐
52]. As such we originally thought that TFIIS knockdown would decrease c-myc expression. Our observed increase in c-myc levels in MCF7 cells suggests that
in vitro assays do not necessarily mirror
in vivo effects. Other transcription elongation factors such as ELL, Elongin and TFIIF may suppress arresting at intrinsic sites
in vivo [
53] so that TFIIS may not necessarily play the key and prominent role of regulating c-myc elongation. Furthermore, although loss of c-myc activity is associated with tumor cell death [
54], overexpression of c-myc can also be proapoptotic [
55‐
58].
Another possibility is that TFIIS knockdown could alter transcription patterns and induce expression of a tumor suppressor gene. In this regard, inhibition of RNA Polymerase II has been implicated as resulting in activation of the p53 tumor suppressor [
59,
60], which is known to induce tumor regression [
61]. Although TFIIS knockdown is not synonymous with RNAP inhibition, p53 could play a role in MCF7 cell death. Our data indicates that TFIIS knockdown does result in increased levels of p53 in MCF7 but not in MCF10A.
An additional pathway affected by TFIIS siRNA in both MCF7 and MCF10A was the β-estradiol hub, where TFIIS knockdown appears to mimic the activation of genes by estradiol. Although estrogen may be present in culture media, it was unlikely that the estrogenic pathway disclosed by the Ingenuity pathway software resulted from estrogen in the media as MCF10A does not express the estrogen receptor. In addition, identical conditions of cell growth (including any estrogen present in media) were employed for both control S-siRNA and TFIIS-siRNA treated cells. As such all pathways including the estrogenic pathway disclosed by the Ingenuity software can only be attributed to effects of TFIIS siRNA.
In addition to the increased p53 and c-myc in MCF7 cells, the induction of an estradiol "transcriptional overdose", may have ultimately contributed to MCF7 cell death. When breast cancer cells, including MCF7, are deprived of estrogen, they can develop estrogen hypersensitivity so that the addition of estrogen induces apoptosis [
62,
63]. Recent clinical considerations in treating estrogen refractory breast cancer includes use of estrogen on the estrogen hyper-sensitized cancer cells in post-menopausal women [
62]. In MCF10A cells, the expression snapshot differs in some ways from MCF7. The activation of different focus genes in the estrogenic pathway, along with the moderate reduction of c-myc and p53, and reduced expression of components of the MapK signal transduction pathway are all likely to have been a determinant in its greater resistance to TFIIS siRNA.
TFIIS is primarily an elongation factor and TFIIS knockdown should primarily affect the efficiency of actively transcribed genes rather than activating new pathways. The β-estradiol hub is likely to be one of the active pathways in MCF7 and MCF10A cell lines of breast origin. This may in part explain why only one common focus gene was disclosed on the gene array. Only genes actively expressed in both MCF7 and MCF10A that contain TFIIS responsive arrest sites would be disclosed on the array. It is possible that there were other common focus genes in common between MCF7 and MCF10A that were masked by off target affects of the S-siRNA control. For example, siRNA itself causes some degree of Caspase 3/7 activation so that genes in the apoptotic pathway may not be observed.
TFIIS as a possible target for therapeutics for breast and other Cancers
Aberrant gene expression is a hallmark of cancer cells. We propose that a further insult to the aberrant expression in cancer cells could cause cancer cell death with limited effects on normal cells, which maintain healthy transcription. The goal is to alter rather than inhibit transcription. Indeed, extended inhibition of RNAP is likely to be toxic as alpha-amanitin, an RNAP inhibitor from the mushroom genus Amanita, is fatal if ingested [
64].
For a cancer target to be justified, its inhibition must not only eradicate cancer cells, but should also be tolerated on the cellular and physiological levels. Data from clinical trials of HDAC inhibitors and Flavopiridol, both of which effect transcription mechanisms, indicates a degree of physiological tolerance to transcription-modifying agents [
13,
65].
In vivo knockout experiments also confirm that TFIIS depletion may be tolerated on the cellular and physiological levels. In yeast TFIIS knockout strains are viable [
66,
67]. In TFIIS knockout mice, TFIIS had a critical role in definitive haematopoiesis and embryos did not come to term because they were anemic [
68]. However, TFIIS knockout did not prevent cell growth, differentiation or development and embryos showed similar overall organ development until E13.5 when the lack of terminal differentiation and red ghosts took its toll [
68].
The inhibition of haematopoiesis in mice by TFIIS knockout should not deter further study of TFIIS as a cancer target. First, even if TFIIS knockout inhibits haematopoiesis, red blood ghosts already exist in an adult. In addition, current chemotherapy protocols can employ agents that damage haematopoeisis (along with other cells that rapidly divide), and can be treated with transfusions in severe cases. Second, in knockout mice, the lack of TFIIS is complete and exists since inception. In our study, the reduction of TFIIS was not complete, yet was sufficient to induce dramatic cell death in the MCF7 cell line. Finally, RNAP arrests at specific DNA sequences whereupon TFIIS exerts its role in reinitiating transcription. There exists some degree of sequence difference between mouse and human DNA so that a similar inhibition of haematopoiesis in humans needs to be confirmed.
In the case of TFIIS, the non-cancerous MCF10A cell line was dramatically less affected than MCF7 cells. MCF10A cells were employed as a control for cancer cells because they are not tumorigenic and have been used as a "normal" control by others [
1]. However, it is unlikely that MCF10A truly represents a "normal" cell. MCF10A does display genomic alterations, modified expression of some genes such as ERK1, and does grow in 3-D semi-solid medium [
69,
70]. This may explain why there is no difference in proliferation between the PL45 cells and the MCF10A cells and minimal (only at low siRNA concentrations) differences between A549 and MCF10A. It is likely that transcription in most immortalized cells is aberrant so that targeting the transcription apparatus in immortalized cells may also affect cell viability.