Background
Gastric adenocarcinoma is the fourth and fifth most common cancer among males and females, respectively, worldwide and is strongly linked to chronic inflammation [
1]. It is now well accepted that infection with
Helicobacter pylori (
H. pylori) plays a major role in triggering chronic inflammation leading to malignancy [
2]. Chronic inflammation of the stomach initiates the histopathological progression of chronic gastritis to gastric atrophy, intestinal metaplasia and finally gastric cancer [
3]. While
H. pylori infection is extremely prevalent, only a small minority (approximately 1%) of infected individuals will develop gastric cancer after many years. The variable response to this common pathogen appears to be governed by a genetic predisposition to high expression levels of proinflammatory cytokines [
4].
The nuclear factor kappa B (NF-kappaB) pathway has long been considered a major proinflammatory signaling pathway, largely based on the activation of NF-kappaB by proinflammatory cytokines and the role of NF-kappaB in the transcriptional activation of responsive genes including cytokines and chemokines [
5]. The “canonical” pathway for NF-kappaB activation is triggered by proinflammatory cytokines such as IL-1β and usually leads to the activation of RelA- or cRel-containing complexes [
6]. NF-kappaB exists in the cytoplasm in an inactive form associated with regulatory proteins referred to as inhibitors of κB (IκB), of which the most important may be IκBα, IκBβ, and IκBϵ. IκBα is associated with transient NF-kappaB activation, whereas IκBβ is involved in sustained activation [
7]. However, chronic inflammation is a complex physiological process, and the role of NF-kappaB in the inflammatory response has not yet been fully explored.
In addition to affecting protein-coding gene expression, inflammation stress also changes the expression level of microRNAs (miRNAs) [
8]. MicroRNAs are a class of endogenous, small, non-coding RNAs that negatively regulate gene expression at the post-transcriptional level mainly via binding to the 3’ untranslated region of a target mRNA, and they have important regulatory functions in the control of diverse physiological and pathological processes [
9,
10]. These RNAs have been shown to be involved in the regulation of many cellular processes including proliferation, differentiation, and apoptosis [
11‐
13]. However, whether chronic inflammation regulates miRNA expression by modulating gene transcription or altering post-transcriptional maturation has not been determined.
In this work, we found that miR-425 induction upon IL-1β-induced inflammation was dependent on the activation of NF-kappaB, which enhanced miR-425 gene transcription. Moreover, the upregulated miR-425 directly targeted phosphatase and tensin homolog (PTEN) and negatively regulated its expression, which promoted cell survival upon IL-1β induction.
Experimental procedures
Ethics statement
All specimens were obtained from patients who underwent surgery at Fudan University Shanghai Cancer Center. The protocol was approved by the Clinical Research Ethics Committee of Fudan University, and the research was carried out according to the provisions of the Helsinki Declaration of 1975. Adjacent normal tissues were excised away from the gastric cancer lesion macroscopically, and their histological diagnosis was confirmed microscopically. Written informed consent was obtained from all participants involved in the study.
Cell culture and reagents
The human embryonic kidney cell line HEK293 (ATCC® CRL-1573™), the human breast cancer cell line MDA-MB361 (ATCC® HTB-27™), the human gastric adenocarcinoma cell line AGS (ATCC® CRL-1739™), SNU-1 (ATCC® CRL-5971™), SNU-5 (ATCC® CRL-5973™), SNU-16 (ATCC® CRL- 5974™), Hs746T (ATCC® HTB-135™), NCI-N87 (ATCC® CRL-5822™), and KATO III (ATCC®HTB-103™) were maintained in DMEM containing 10% fetal bovine serum. All cell lines were maintained in media containing penicillin (100 IU/ml) and streptomycin (100 mg/ml) at 37°C with 5% CO2. The miRNA mimics and anti-miRNA were purchased from Ambion (Austin, TX, USA). The IKK inhibitor TPCA-1 (Cat. No. S2824), the p38 MAPK inhibitor BIX02188 (Cat. No. S1574) and the JNK inhibitor SP600125 (Cat. No. S1460) were purchased from Selleckchem (Houston, TX, USA). Recombinant human IL-1β were purchased from Sigma-Aldrich (Cat. No. H6291, Shanghai, China).
RNA extraction and real-time PCR
Total RNA was extracted from cells using TRIzol (Invitrogen, Carlsbad, CA). For microRNA analysis, poly(A) tails were added to total RNA using poly(A) polymerase (Ambion, Carlsbad, CA) prior to reverse transcription. The MiRcute miRNA qPCR detection kit (TIANGEN, Beijing, China) was used to quantitate the expression levels of mature miR-425 according to the provided protocol, and GAPDH was used as an internal control. Real-time PCR was performed under the following conditions: 95°C 10 m, 1 cycle; 95°C 10 s, 55°C 34 s, 40 cycles.
For all results obtained by real-time PCR methods, we used the delta delta CT method to calculate the fold change in gene expression between different groups. The amount of target (PTEN/miR-425), normalised to the endogenous housekeeping gene GAPDH and relative to a reference sample, is given by the following equation: amount of target =2-△△CT.
Immunoblotting
Proteins were separated on a 10% SDS-PAGE gel and subsequently transferred to a PVDF membrane. After blocking with 5% nonfat milk, the membrane was incubated with a mouse monoclonal anti-PTEN antibody (1:500, Santa Cruz, sc-7974) and a NF-kappaB p65 Phospho (pS536) (RELA) antibody (1:10000, EPITOMICS, Cat.#: 2220–1). IRdye-labeled secondary antibodies were used for quantitation of the immunoblotting signal, and the signals were analyzed using an Odyssey scanner (LI-COR Biosciences, Lincoln, NE, USA).
Luciferase assay
HEK293 cells and AGS cells were transfected with miR-425 and pGL3 luciferase reporter constructs harboring the miR-425 target sequence. After 24 h, the activities of firefly luciferase and renilla luciferase in the cell lysates were measured with the Dual-Luciferase Assay System (Promega, Madison, WI, USA). For the luciferase transcription reporter assay, miR-425 gene promoter sequences (WT or site deletion) were cloned into the promoter region of the pGL3-Basic vector, and luciferase activity was measured as described above.
Chromatin immunoprecipitation (ChIP)
Briefly, treated cells were cross-linked with 1% formaldehyde, sheared to an average size of 400 bp, and subsequently immunoprecipitated with antibodies against NF-kappaB (Santa Cruz, sc-166588). The ChIP-PCR primers were designed to amplify the promoter regions containing putative NF-kappaB binding sites within miR-425 as illustrated. A positive control antibody (RNA polymerase II) and a negative control non-immune IgG were used to demonstrate the efficacy of the kit reagents (Epigentek Group Inc, P-2025-48). Immunoprecipitated DNA is then cleaned, released, and eluted. Eluted DNA can be used for downstream applications ChIP-PCR. Fold enrichment (FE) was calculated by using a ratio of amplification efficiency of the ChIP sample over that of non-immune IgG. Amplification efficiency of Polymerase RNA II was used as a positive control. FE% = 2(IgG CT – Sample CT) × 100%.
Cell proliferation assay
A cell proliferation assay was performed using the Cell Counting Kit-8 (Dojindo, Kumamoto, Japan) according to the manufacturer's instructions. Before the addition of CCK-8, the cells were washed with warm culture media by spinning the plate at 500 rpm for 3 m and then discarding the supernatant.
Cell apoptosis assay
The cancer cells were harvested and resuspended in 500 μl of a binding buffer. The cell suspension (100 μl) was incubated with 5 μl annexin-V and propidium iodide at room temperature for 20 minutes. The stained cells were analyzed with fluorescent-activated cell sorting (FACS) using BD LSR II flow cytometry.
Cell cycle analysis
For the flow cytometry analysis, cells were trypsinized and fixed in 70% ethanol overnight. The cells were then incubated in 0.5 ml of propidium iodide solution containing 25 μg ml−1 RNase for 15 minutes at 37°C and measured.
Mouse experiments
The NCI-N87 cells (3 × 106) were injected into the right flanks of athymic nu/nu mice. One week after the injections, mice with comparably sized tumors were treated for 4 weeks with anti-miR-425. The anti-miR-425 (2 nmol) were injected directly into the tumors twice weekly for 4 weeks.
Statistical analysis
The results are presented as means ± SEM, and the data were analyzed with Student’s t test. A value of p < 0.05 was considered statistically significant.
Discussion
Interleukin-1 (IL-1) is a major pro-inflammatory cytokine that is produced by malignant or microenvironmental cells [
17]. IL-1 also functions as a pleiotropic cytokine involved in tumorigenesis and tumor invasiveness; therefore, it represents a feasible candidate for a modulatory cytokine that can tilt the balance between inflammation and immunity toward the induction of antitumor responses [
18]. IL-1α and IL-1β are the major agonists of IL-1. In their secreted forms, IL-1α and IL-1β bind to the same receptors and induce the same biological functions [
19]. However, IL-1α and IL-1β differ in their compartmentalization within the cell or the microenvironment [
20]. IL-1β is only active in its secreted form and mediates inflammation, which promotes carcinogenesis, tumor invasiveness and immunosuppression [
21]. Some novel anti-IL-1β agents have been used in clinical trials in patients exhibiting diverse diseases with inflammatory manifestations [
22]. A better understanding of the integrative role of IL-1β signaling pathways in the malignant process will enable the application of novel IL-1β modulation approaches in cancer patients.
PTEN was discovered as an important tumor suppressor that is often mutated or lost in various cancers [
23]. Several lines of evidence have highlighted PTEN as a lipid phosphatase that hydrolyzes the 3’ phosphate in phosphoinositides [
24]. PTEN can also regulate the activity of the serine/threonine kinase AKT/PKB and can thus influence cell survival signaling [
25]. UV exposure can trigger PTEN interaction with wild-type melanocortin-1 receptor variants, which protects PTEN from WWP2-mediated degradation, leading to AKT inactivation in melanoma [
26]. There are multiple mechanisms for the regulation of PTEN, including transcription, mRNA stability, microRNA targeting, translation and protein stability. PTEN is transcriptionally silenced by promoter methylation in gastric carcinoma [
27]. PTEN can also be post-translationally regulated by acetylation, ubiquitylation, oxidation, phosphorylation, and subcellular localization [
28]. Despite extensive characterization of PTEN mutations in human cancers and a relatively good understanding of the molecular roles of PTEN in the control of cellular processes, little is known about modes of PTEN regulation.
PTEN can be inhibited in cancer cells upon induction of the pro-inflammatory cytokine IL-1β [
29]. Stimulation with IL-1β activates NF-kappaB by phosphorylation and degradation of IκB. This activation allows NF-kappaB to translocate into the nucleus and transcriptionally activate target genes [
30]. NF-kappaB is a heterodimeric transcription activator consisting of the DNA binding subunit p50 and the transactivation subunit p65 [
31]. High levels of endogenous NF-kappaB decreased the expression of PTEN, and PTEN expression could be rescued by specific inhibition of the NF-kappaB pathway [
32]. These findings indicate that NF-kappaB activation is necessary and sufficient for the inhibition of PTEN expression. Importantly, the mechanism underlying suppression of PTEN expression by NF-kappaB was independent of p65 transcription function [
33]. These studies indicate that other molecules may be involved in the process of PTEN expression inhibition by NF-kappaB.
In this study, we described a novel signaling pathway in which miR-425 can negatively control PTEN activation in cells upon IL-1β induction. The IL-1β-induced expression of miR-425 was regulated by NF-kappaB. Selective inhibition of PTEN by siRNA or miR-425 can improve cell survival in response to IL-1β treatment. However, we cannot rule out the possibility that IL-1β could induce additional miRNAs that could directly or indirectly target PTEN. We presume that there are other IL-1β-induced miRNAs involved in regulating PTEN expression because overexpression of anti-miR-425 could not completely block PTEN repression (Figure
2G). In addition to miR-425, miR-21 [
34] and miR-32 [
35] have been shown to target PTEN and to modulate growth, migration, and invasion in cancers of the digestive system. Downregulation of PTEN by miR-21 and miR-32 significantly enhanced the survival and proliferation of human cancer cells exposed to inflammation stress, further supporting a critical role for PTEN in the mediation of apoptosis.
NF-kappaB activation is generally considered to be pro-survival. We found that IL-1β-induced NF-kappaB activation was required for the upregulation of miR-425, which promoted cell survival by repressing PTEN. NF-kappaB was also considered as one of the major contributors in the oncogenesis of chronic inflammation-induced colorectal carcinomas, most likely through the upregulation of its pro-survival target genes including cyclin D1, VEGF, IL-8, COX2, and MMP9 [
36]. Therefore, the impact of NF-kappaB activation on cell survival and proliferation in response to chronic inflammation most likely needs to be weighed in the context of cell types and cytokines as well as the extent of activation. Similarly, the role of miR-425 in the regulation of cell growth and tumor progression is being studied but remains inconclusive. The oncogenic function of miR-425 was associated with reduced expression of genes such as stab1, ccnd2, and fscn1 [
15]. The role of miR-425 in solid tumors is relatively unknown.
Taken together, our data support the critical role of NF-kappaB-dependent upregulation of miR-425, which represents a new pathway for the repression of PTEN activation and the promotion of cell survival upon IL-1β induction. Our studies will aid researchers searching for novel putative therapeutic markers.
Competing interest
The authors declare no competing financial interests.
Authors' contribution
JM carried out the molecular biology studies. JL drafted the manuscript. ZW carried out the bioinformatic analysis. XG and YF participated in the cell migration and invasion assays. WZ carried out the immunoblotting analysis. LX performed the statistical analysis. JZ and DC participated in the design of the study and coordination and helped to draft the manuscript. All authors read and approved the final manuscript.