Background
Prostate cancer is the most commonly diagnosed cancer and a leading cause of cancer related death in men in developed countries. Because androgen is required for normal growth and functioning of the prostate gland and also for development of cancer androgen deprivation therapy (ADT) has become the mainstay for advanced prostate cancer [
1]. Although most patients initially respond to ADT by showing low PSA values, they eventually develop more aggressive castration resistant prostate cancer (CRPC). Androgen, working through androgen receptor (AR) triggers transcriptional activation of a variety of genes that are essential for growth and survival of prostate epithelial cells. However, prolonged androgen blockade using steroidal or non-steroidal inhibitors such as, cyproterone acetate, Casodex or hydroxyl flutamide, leads to activation of various adaptive mechanisms after initial retardation of cell proliferation [
2,
3].
Development of resistance to ADT, which includes reduction in androgen synthesis and direct antagonism of the androgen receptors (AR), can occur as a result of high expression and activation of AR [
4]. Activation of AR without androgen is through switching of AR to alternative mechanism of activation. Commonly noted mechanisms include AR gene amplification, increased coactivator expression, selection of AR gene mutation and sensitivity to growth factors and cytokines [
5]. AR expression and activity also increased after long-term androgen ablation to a level that was comparable to that in parental cell lines or androgen dependent (AD) tumors prior to castration [
6]. It has been proposed that the increased activity of AR in androgen independent (AI) cells or in relapsed tumors in castrated xenograft mice is mediated through ligand independent mechanism [
7] or through promiscuous sensitivity of AR to other steroid hormone, growth factors or cytokines [
8]. Androgen blockade therapy can accumulate mutations causing AR to become sensitive to androgen antagonists, which then act as agonists [
2,
9]. It is now accepted that CRPC maintains functional AR signaling [
10,
11] but androgen refractoriness is through an AR bypass or adaptive mechanism, which is possibly, mediated through cytokines or other survival factors. Irrespective of the specific phenotypes acquired by the AD prostate cancers, the outcome is altered expression of protein-coding genes as a whole that are responsible for progression and metastasis of prostate cancer. In addition, nonsteroidal agents such as flutamide can alter gene expression in AR negative prostate tumors [
12]. Gene expression profiling in androgen dependent and androgen independent prostate cancers revealed an increasingly complex profile of gene expression in prostate cancer with respect to the status of androgen sensitivity or refractoriness [
13]. However, the exact mechanism of altered gene expression in CRPC is not clear.
The role of small noncoding microRNAs (miRNAs) in regulation of gene expression, which is mediated by inhibition of translation or degradation of target mRNAs is an established phenomenon [
14]. MiRNAs belong to a class of 17–22 nucleotides, which contains a specific sequence at the 5’ end and regulates translation through binding to 3’UTR of the mRNAs [
14]. To date, there are 1921 distinct human miRNAs have been identified, each of which regulate multiple target mRNAs (
http://www.mirbase.org Nov 2011). Genes encoding miRNAs are located in the intergenic regions or within the protein-coding genes either alone or in clusters [
15]. There is now abundant evidence that aberrant expression of miRNAs occurs in diverse types of cancer including prostate cancer and during different stages of disease progression [
16,
17]. The role of miRNAs in regulation of post-transcriptional gene expression has been implicated in 30% of the protein-coding genes [
18]. Because miRNAs can be overexpressed or down regulated in cancer cells these noncoding RNAs are designated as oncogenic miRNAs or suppressor miRNAs. Functionally, miRNAs reduce the levels of many of their target mRNAs and the amount of proteins encoded by these mRNAs [
19]. Because a given miRNA may have many mRNA targets the biological effects of changes in miRNA expression is likely to be dependent on the cellular environment.
A number of studies indicated aberrant expression of miRNAs in CRPC compared to AD prostate cancer cells [
20,
21]. Several miRNAs, such as miR-21, miR-125 and miR-32 are directly regulated by androgens in cells and xenograft models [
20,
22,
23]. Studies include comparative analysis between androgen sensitive (AS) and -resistant prostate cancer cells, with or without treatment of AS cells with androgens or normal vs. hormone refractory prostate cancer tissues, which only provides steady state status of miRNA and gene expression. However none of these studies provide information on the mechanism of transition of androgen-sensitive or dependent prostate cancer cells to antiandrogen resistant cells. In this study, we show, for the first time alteration in expression of miRNAs and their target proteins as the cells progress to antiandrogen resistance, some of which are not detectable in the established AI cell line.
Discussion
Our studies on profiling and validation of miRNA expressions during transition of AD LNCaP-104S cells to AI and CDX resistant cells revealed activation and inactivation of several signaling networks. We noted a difference in miRNA expressions between the AI subline LNCaP-104R1, and freshly generated CDX resistant LNCaP-104S cells, which includes some of the up regulated (miR-146a) and down-regulated miRNAs (miR-15b-3p and miR-18b). Although we noted differential expression of miRNAs between CS-FBS and CDX treated LNCaP cells we selected only miRNAs that showed either up regulation or down regulation in all treated samples for analysis of their putative targets. Despite similar expression profile of specific miRNAs in CS-FBS and CDX treated samples, some the targets such as DOK4 and VEGF showed differential expression in CSFBS and CDX treated cells. Presumably, this could be the effect of regulation of multiple targets by a given miRNA, which may indirectly affect the net expression of DOK4 and VEGF.
Over expression of miR-146a was noted in all treated cells contrary to the study showing loss of expression of miR-146a in CRPC [
129]. Increased miR-146a expression was substantiated by down regulation of its two bona fide targets TRAF6 and IRAK1 in both -104R1 and 3wks treated -104S cells. MiR-146a expression is induced by NF-κB [
130] and acts in a negative feedback loop through degradation of TRAF6 and IRAK1 to reduce NF-κB signaling and inflammatory response. An increase in transcription of miR-146a, as a result of elevated NF-κB activity is noted in thyroid cancer [
131] and down regulation of miR-146a is associated with hyperactivation of NF-kB [
132]. Despite this association, an increase in NF-kB1 expression could be predicted in treated -104S cells, as NF-kB1 is a direct target of the down-regulated miRNA miR-9 [
133]. Increased expression of the other subunit RelA, which heterodimerizes with NF-kB1 also could be predicted as it is a direct target of the down-regulated miR-7 [
134]. It appears that the NF-kB signaling pathway is activated in the early stages of gaining resistance to CDX/androgen blockade and the increased expression of miR-146a is a secondary effect of the activation of the NFkB pathway. As a result, in the initial stages of anti-androgen drug resistance there is decreased inflammatory response but down regulation of tumor suppressor targets of miR-146a, BCORL1 [
135] and RNASEL [
136], which may not be detected in fully developed CRPC.
The EGFR signaling pathway could be activated also in the early stages of androgen blockade and CDX treatment. The evidence of EGFR pathway activation in the treated -104S cells is from our results showing an increased expression of EGFR, down regulation of miR-7 and up-regulation miR-222, which are the miRNA regulators of EGFR. Decreased expression of p27Kip1 and Cbl, as two other targets of the up-regulated miR-222, further aid activation of EGFR signaling. C-Cbl, an E3 ubiquitin ligase, inactivates ligand-bound EGFR through EGFR-Cbl complex formation leading to its degradation [
137]. C-Cbl activation mediates the tumor suppressive effects of EPhB6 and inhibits cancer cell invasiveness [
138]. C-Cbl is also targeted by the up regulated miRNA miR-136 in all treated cells. Down regulation of c-Cbl in treated -104S and untreated -104R1 cells possibly promotes antiandrogen resistance through EGFR stabilization. A loss of expression of AR was noted in these cells (data not shown), which supports the report showing an inverse relationship between expression of AR and EGFR in prostate cancer patients [
139]. Up regulation of miR-136 in treated -104S cells was substantiated by the loss of expression of the miR-136 target ZFAND1, an uncharacterized AN1 type zinc finger domain 1 containing protein.
Activation of PI3K/AKT signaling axis also could be predicted in treated -104S cells, as a result of down regulation of miR-7, which inhibits tumor growth and metastasis through inhibition of PI3K/AKT pathways [
85,
140]. Down regulation of miR-7 in cancer cells including glioblastoma and its inhibitory effects on EMT and metastasis is well documented [
141]. Activation of this pathway could be further aided by over expression of MiR-22 in all treated cells, which exerts a proto oncogenic effect through down regulation of PTEN in AI prostate cancer cells [
142]. Additionally, activation of VEGF and DOK4 could be predicted, as these proteins are over expressed in treated -104S cells possibly as a result of down regulation of their regulatory miRNA, miR-205. Earlier studies showed an association between poor prognosis of localized prostate cancer and epigenetic repression of miR-205 [
77], and thus confirms the relevance of the loss of miR-205 in development of CDX resistance. DOK4 is a newly identified substrate of ligand-bound insulin receptor (IRS-5), which upon phosphorylation translocates to mitochondria and recruits c-Src kinase to the mitochondria. Up regulation of DOK4 is also noted in renal cell carcinoma [
128]. VEGFA is a target of miR-15b-5p also, which showed 2-10-fold reduction in expression in treated -104S cells and in chemotherapy-resistant squamous cell carcinoma [
67].
Other than modulation of specific signaling axis, altered expression of miRNA clusters is also evident in our study. Members of the miR-17-92 and its paralogous miR-106a-363 clusters, miR-17, miR-18a, miR-18b, miR-20a and miR-106a showed ~9-10-fold down regulation upon CDX treatment and androgen blockade. In support of our observation, loss of expression of miR-17 [
71], miR-18a [
73], miR-20a [
78] and miR-106a [
65] are reported in breast and other cancers. Loss of expression of miR-106a, miR-17 and miR-20a are further supported by an increased expression of their target protein FGD4 in these cells. Contrary to the published study [
143], over expression of miR-34b was noted in AI and CDXR cells, however, an inverse relationship between miR-34b expression and disease free survival of triple negative breast cancer has been reported [
61], which suggests that miR-34b expression may be dependent on the status of hormone responsiveness. Among the other up regulated miRNAs, over expression of let-7f1 [
42], miR-143 [
46], miR-218 [
50], miR-29a [
55], miR-302a [
57], miR-3144 [
59], miR-493 [
62] and miR-664 [
63] in cancer cells has been reported earlier. Our study also identified a number of miRNAs with > 2-fold difference in expression such as miR-3138, miR-3192, miR-3199, and a subset of miR-548 series, which are not yet known to be involved in development of CRPC.
Additional miRNAs such as miR-518b, miR-205 and miR-596 showed > 10-fold loss of expression upon CDX treatment or androgen withdrawal. In support of our observation, loss of expression and tumor suppressor functions of mir-518b and miR-596 has been documented in other cancers [
83]. MiR-1244 and miR-759 are two other miRNAs that are significantly down regulated in all treated cells. This is substantiated by an increased expression of their common target ABHD3 in these cells [
118]. Among the other down regulated miRNAs, miR-9 and miR-422a are known to have tumor suppressor roles in various cancer cells [
81,
86], whereas miRNAs -454, -3131 and -3185 are noted for the first time to be deregulated during progression of CRPC.
Functional contribution of some of the identified microRNAs in development of CRPC has been previously reported. Over expression of miR-222/221 in AI LAPC4 cells was shown to promote androgen independent cell growth, which was abrogated upon expression of anti-miR-222/221 inhibitors [
21]. Down regulation of miR-205 has been correlated with advanced prostate cancer and ectopic expression of miR-205 suppressed AR and MAPK signaling and inhibited cell growth [
144]. Down regulation of miR-17 in AI prostate cancer cells also has been demonstrated. Expression of pre-miR-17 in these cells prevented AR induced gene transcription and inhibited cell proliferation [
145].
Analysis of the altered cellular processes during progression towards CDX resistance and androgen independence showed a decreased percentage of miRNAs involved in cancer but an increased percentage in reproductive system, endocrine system, hepatic system and metabolic diseases. It can be speculated that up regulated oncomirs at earlier stages aid in transformation of cells through suppression of tumor suppressors. Whereas, at later stages accumulation of abnormal cellular events triggers expression of additional sets of miRNA, which inhibit key regulatory proteins involved in metabolic process, hormone response and other cellular events. Our qRT-PCR FC data indicate differential expression of miRNAs between 1wk and 3wks treatment, which would have been undetected had the profiling been done only in CDX sensitive/AD and –resistant/AI cells. In silico analysis identified a number of targets that are potentially regulated by one or more altered miRNAs. This includes, two mitosis regulatory proteins CCNJ and CHAMP1 (ZNF828) [
120,
121], two oncogenic proteins PIK3CD [
85] and MYB that are over expressed in CRPC [
122], a protein trafficking regulatory protein RAB9B, a ubiquitination promoting protein SPOPL involved in the Hedgehog/Gli signaling pathway [
124] and E2F1 transcription factor [
127].
In summary, our results and in silico network analysis suggest that inhibition of expression of TP53, BRCA, Toll like receptors, IRAK1, STAT1, CHUK and FADD by the up regulated miRNAs, and increased synthesis of EGFR, NFkB1/RelA, E2F family members, BCL2L2, ZBTB7A, EGO2 (EIF2C2) and ZEB2 as the targets of down regulated miRNAs are part of the events that support growth and survival of AI LNCaP cells. During treatment with AR antagonist in androgen-deprived condition, additional inhibition of expression of DDX20, URF1, IRF5 and CDKN3 as the targets of the up regulated miRNAs and increased expression of PRDM1, DOK4, TNFSF9 and NOTCH2 as a result of down regulated miRNAs may provide additional protection against CDX induced cell death. In-depth studies are needed to accurately determine the activation and inactivation of specific signaling pathways during development of insensitivities of prostate cancer cells to AR antagonistic drugs.
Materials and methods
Cell culture, and treatments
The androgen responsive LNCaP-104S and androgen independent LNCaP-104R1 cells were generous gifts from Dr. Shutsung Liao, University of Chicago. These LNCaP sublines were isolated and characterized as previously described [
146]. LNCaP-104S cells were maintained in DMEM (Gibco) containing 10% FBS (Atlanta Biologicals), 1nM DHT (Sigma-Aldrich), 1% Antibiotic/Antimycotic (Invitrogen). LNCaP-104R1 cells were maintained in DMEM containing 10% charcoal-stripped FBS (CSFBS), 1% Antibiotic/Antimycotic. Isolation of androgen independent cells was conducted by passaging LNCaP-104S cells in DMEM/10% CSFBS, supplemented with or without 5 μM Bicalutamide (Fluka) (Casodex, CDX) for 3 weeks (detail treatment method is in the Additional file
12 supplemental method section). Cells were harvested for protein or RNA extraction at 7 and 21 days post treatment.
RNA extraction and cDNA synthesis
Total RNA was extracted from untreated and treated cells using the Cell-to-Cts kit (System Biosciences) according to the manufacturer’s instructions. Total RNA was converted to cDNA utilizing the QuantiMir RT Kit (System Biosciences) according to the manufacturer’s instructions. Briefly, small RNAs were first tagged with polyA-tails; oligo-dT primers were annealed next, and converted to cDNA by reverse transcription.
Quantitative real-time PCR
Expression of mature miRNAs in untreated and treated LNCaP cells was determined by quantitative real-time PCR (qRT-PCR) using the miRNome microRNA Profiling Kit (System Biosciences) and cDNAs according to the manufacturer’s instruction. The kit provides specific primers for 1,113 mature miRNAs and 3 internal control snRNAs. MiRNA IDs listed in the text are based on Sanger miRBase identifiers. Primers were designed to maintain uniform amplification efficiencies. qRT-PCR was conducted using the Applied Biosystems 7900HT thermal cycler and data analyzed using and SDS2.3 software. DNA concentrations were reported through SYBR Green fluorescence and normalized to that of the passive reference dye, ROX.
Statistical analysis of miRNA expression
Ct values generated by the SDS2.3 software were normalized according to the average Ct values of the three internal controls provided with the miRNome Profiler kit using qbasePLUS software (Biogazelle). In order to ensure the integrity of the ∆Ct values, we utilized the Genorm software (Biogazelle) to identify 7 additional miRNAs displaying stable expressions between samples. The Ct values of all miRNAs were then normalized to these 10 controls. The relative expression values were then generated using qbasePLUS software and used in additional analysis (detail explanation is in the Additional file
12 supplemental method section). The Ct values were used to derive ΔΔCt values using the miRNome analysis software (SBI). Candidate miRNAs with higher fold change values in each treatment conditions were determined by z score calculation as described in the Additional file
12 supplemental method section.
Clustering was performed using log2 transformed average ΔΔCt values and the Cluster 3.0 software (Michiel de Hoon, Univ of Tokyo, based on Eisen Lab Cluster software). Hierarchical clustering of the miRNAs was based on the average linkage of the Pearson’s correlation values. The relative expression values were Log2 transformed and used for evaluation of differences among groups of treated and untreated cells by performing a Welch t-test using MultExperiment Viewer (MEV) software. Results of the t-test were displayed in Volcano plots using -log10 P values of the log2 transformed values. The K-median clustering of the normalized values were performed using MEV software.
Next, identification of target mRNAs, creation of miRNA-protein networks, and identification of altered cellular processes were conducted using the IPA software (Ingenuity Systems). The ∆∆Ct values were used for a core analysis by selecting all tissue and cell types and using a stringent filter and generating direct relationships only. From the core analysis, mRNA targets were identified for each sample and these mRNAs were used to generate the Venn diagrams using online tool (Venny:
http://bioinfogp.cnb.csic.es/tools/venny/index.html). The miRNA-protein network generated by the core analysis was overlayed with different cancer types and members of the network that displayed alterations in those cancers were identified using the Interactive Pathway Analysis (IPA) software (Ingenuity Systems). All connections made in the networks are based on previously published results.
Western blotting
Cells harvested at different time points were lysed and total protein extracts were used for western blotting using antibodies specific for AR (US Biological, Salem, MA), PSA (Santa Cruz Biotechnology, Dallas, TX), Cbl (C-15) (Santa Cruz Biotechnology, Dallas, TX), TRAF6 (Millipore, Temecula, CA), p27Kip1 (C-19) (Santa Cruz, Biotechnology), IRAK1 (F-4) (Santa Cruz, Biotechnology), ZFAND1 (A-14) (Santa Cruz Biotechnology), FGD4 (Epitomics, Burlingame, CA), ABHD3 (Biorbyt, Cambrige, UK), DOK4 (C-16) (Santa Cruz Biotechnology), EGFR (1005) (Santa Cruz Biotechnology), VEGFA (A-20) (Santa Cruz Biotechnology), α-tubulin (Cell Signaling, Danvers, MA), GAPDH (Sigma-Aldrich, St. Louis, MO). Total extracts (30–50 μg) were directly mixed with Lammeli sample buffer and separated on SDS-PAGE. Immunoblotting was performed using appropriate primary and horseradish peroxidase conjugated respective secondary antibodies. Positive signals were detected using a chemiluminiscence ECL kit (Pierce, Rockford, IL).
Competing interests
The author(s) declare that they have no competing interests.
Authors’ contributions
RO performed cell treatments, profiling and all validation experiments including western blots. He also did the hierarchical clustering and in silico analysis of the targets. He participated in manuscript writing. CN analyzed data using IPA software and performed cell treatment related experiments. RL analyzed data including data normalization, z score calculation and Venn diagrams. RC conceived the idea, wrote the manuscript and performed data analysis. All authors read and approved the final manuscript.