Background
Pancreatic ductal adenocarcinoma (PDAC) remains one of the most aggressive human cancers [
1]. Despite substantial efforts, PDAC is associated with a short survival that has been declining steadily since the early 1990s [
2]. PDAC is characterized by a highly malignant phenotype that is associated with early metastasis and resistance to chemotherapy and radiation therapy [
3]. There is an urgent need for further understanding of the mechanism of PDAC development and new innovative therapeutic approaches. Identifying the underlying molecular mechanisms of invasion and metastasis in PDAC will be essential for the identification of effective drug targets.
In recent years, it has become increasingly apparent that the noncoding portion of the genome is of crucial functional importance in both normal physiology and diseases [
4]. Long noncoding RNAs (lncRNAs), which are defined as those longer than ~200 nucleotides but lacking protein coding capacity [
3], have recently been shown to play a key role in regulating vital cellular functions including cancer progression [
5]. To date, thousands of lncRNAs have been discovered through chromatin signature analysis and large-scale sequencing, and functional studies have shown that many of them exhibit diverse biological functions and have clinical significance [
6]. Importantly, many lncRNAs have been identified as being cancer-specific [
5,
7]. For example, aberrant expression of lncRNA
HOTAIR was associated with various cancers such as breast, hepatocellular, gastric, colorectal, and pancreatic, and its expression was associated with survival and prognosis of cancer patients [
8].
MALAT1 was discovered as a prognostic marker for lung cancer metastasis but also been linked to several other human malignancies [
9]. Other examples include HULC in hepatocellular carcinoma [
10] and PCGEM1 in prostate cancer [
11,
12]. In pancreatic, a number of lncRNAs were found to exhibit pro-oncogenic or tumor-suppressive activities, such as ENST00000480739 [
13],
LOC285194 [
13],
HULC [
14],
HOTAIR [
15], and
MALAT1 [
16], suggesting an important of lncRNAs in progression of pancreatic cancer. Therefore, identification of lncRNAs involved in PDAC progression might help yield novel prognostic biomarkers or therapeutic targets.
In this study, we observed that a lncRNA, AFAP1-AS1, was substantially overexpressed in PDAC tissues. Knockdown of AFAP1-AS1 could inhibit cell proliferation, migration, and invasion of PDAC cells. Moreover, AFAP1-AS1 expression correlated with lymph node metastasis, perineural invasion, and poor survival in PDAC patients. Our results suggest that AFAP1-SA1 may represent a novel indicator of poor prognosis and a potential therapeutic target in PDAC.
Methods
Cell culture
The human pancreatic cancer cell lines Panc1 (CRL-1469™), MIAPaCa-2(CRL-1420™), Capan2(HTB-80™), SW1990(CRL-2172™), and BXPC-3 (CRL-1687™), and the human pancreatic ductal epithelial cells line HPDE6 were purchased from the American Type Culture Collection and grown in complete growth medium as recommended by the supplier with 10% fetal bovine serum (FBS) and 1% penicillin/streptomycin. All cells were cultured in a humidified 5% CO2 incubator at 37°C.
RNA Isolation, quantitative real-time reverse-transcription polymerase chain reaction (PCR), and microarrays
Quantitative real-time PCR (RT-qPCR) was performed for
AFAP1-AS1 and the epithelial–mesenchymal transition (EMT) markers E-cadherin, N-cadherin, Vimentin, Snai1, and Slug. β-Actin was used as an internal control. RNA was extracted from frozen pancreatic cancer tissues and their corresponding non-neoplastic tissues and pancreatic cell lines using TRIzol reagent (Invitrogen, Carlsbad, CA, USA). The total RNA was then converted to cDNA by reverse-transcription using oligodT primers and SuperScript II reverse transcriptase (Invitrogen). For real-time quantitative PCR, three replicates of each sample were amplified and analyzed using a Roche Light-Cycler (Roche, Basel, Switzerland). The 20 μl reaction mixtures contained SYBR Green reaction mix (Qiagen Sciences) and 0.5 mM of primer. Relative gene expression was determined using the comparative delta-delta CT method (2-∆∆Ct). The primer sequences for PCR were provided in the supplementary materials (Additional file
1).
Transcriptomic analysis was performed using Arraystar human lncRNA microarrays, V3 (Agilent, USA), which target 27958 Entrez protein-coding genes and 7419 lncRNAs. Total RNA was extracted and mRNA was purified using the mRNA-ONLYTM Eukaryotic mRNA Isolation Kit (Epicentre). Total RNA was fragmented, labeled (One-Color, Cy3, Agilent), purified, and hybridized with probes in Hybridization Chamber gasket slides (Agilent). The slides were then washed and scanned with an Agilent Microarray Scanner. The raw data were extracted with Agilent Feature Extraction software (Agilent Technology). This software uses the robust multi-array average algorithm to adjust the background signals. Normalized data were obtained after performing the quantile method of intra-microarray normalization and the median method of baseline transformation between the microarrays. Differentially expressed genes with a raw expression level of >400 in more than 4 out of the 12 samples used for profiling were extracted and ordered by p-value. Genes with the highest top 10 p-values were selected for validation. The microarray platform and data were submitted to the Gene Expression Omnibus public database at the National Center for Biotechnology Information (accession number: GSE61166,
http://www.ncbi.nlm.nih.gov/geo/query/acc.cgi?acc=GSE61166).
Immunoblotting
Immunoblotting was performed as described previously [
17]. Briefly, cells were washed in phosphate-buffered saline (PBS) and lysed with RIPA buffer (Invitrogen, Carlsbad, CA) plus protease inhibitor cocktail (Roche, Mannheim, Germany). For equal protein loading, a bicinchoninic acid protein assay kit (Pierce) was used to calculate protein concentration in each sample. Equivalent amounts of proteins were subjected to sodium dodecyl sulfate polyacrylamide gel electrophoresis, transferred to a polyvinylidene fluoride membrane, blocked in 5% fat-free milk for 2 hours at room temperature, and detected with appropriate primary antibodies. The following antibodies were used for analysis: anti-E-cadherin (1:1000; BD Biosciences, CA, USA), anti-N-cadherin (1:1000; BD Biosciences), anti-Vimentin (1:1000; BD Biosciences), anti-slug (1:1000; Abcam), anti-snail (1:1000, Abcam), and anti-β-actin (Sigma). β-Actin was used for loading controls. Horseradish peroxidase-conjugated secondary antibodies (Cell Signaling Technology), and an ECL chemiluminescence kit (Pierce) were used to detect bound antibody.
AFAP1-AS1 knockdown
Vector construction and virus infection
For lentivirus-mediated suppression of human
AFAP1-AS1, the following shRNA and scrambled control shRNA were inserted into the pMKO.1-puro vector: #1, forward, 5′-CCGGAGCGGTCTCAGCCGAATGACTCTCGAGAGTCATTCGGCTGAGACCGCTTTTTTG-3′ and reverse, 5′-AATTCAAAAAAGCGGTCTCAGCCGAATGACTCTCGAGAGTCATTCGGCTGAGACCGCT-3′; #2, forward, 5′-CCGGAACACCAATCCCAAGAGGTGACTCGAGTCACCTCTTGGGATTGGTGTTTTTTTG-3′ and reverse, 5′-AATTCAAAAAAACACCAATCCCAAGAGGTGACTCGAGTCACCTCTTGGGATTGGTGTT-3′; scrambled control shRNA, forward 5′-CCGGTTTCTCCGAACGTGTCACGTCTCGAGACGTGACACGTTCGGAGAATTTTTG-3′and reverse, 5′-AATTCAAAAAGTTCTCCGAACGTGTCACGTCTCGAGACGTGACACGTTCGGAGAA-3′. For ectopic expression of
AFAP1-AS1, The full-length
AFAP1-AS1 cDNA was generated by reverse transcriptase-polymerase chain reaction (RT-PCR) using total RNA from SW1990 pancreatic cancer cell line. The
AFAP1-AS1 cDNA with the wild-type sequence was inserted into the EcoRI site of the pcDNA3.1(+) expression vector (Invitrogen) to obtain the
AFAP1-AS1wt/pcDNA3.1(+) construct. Lentivirus packaging, cell infection and selection of puromycin-resistant cells was performed as previously described [
17].
Cell growth and cell cycle assays
Cell proliferation analysis 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) substrate (Sigma-Aldrich) was used to assay cell proliferation according to the manufacturer’s instructions. Briefly, a total of 3 × 103 cells were seeded into 96-well dishes and allowed to adhere overnight. The growth curves of cells, covering a total of 3 days of culturing, were determined through measuring absorbance at 570 nm. After transfection, 5 × 104 SW1990, MIAPaCa-2 cells, or PANC-1 cells were collected and washed three times with PBS. After RNase digestion and PI dyeing, the cells were subjected to FACS analysis.
Migration and invasion assays
The cell migration assay was performed using BD Transwell chambers. Cell invasion assays were performed with chambers uniformly covered with Matrigel (BD Biosciences) diluted with Dulbecco’s modified Eagle’s medium (DMEM) to a certain percentage and incubated at 37°C for 30 minutes. Cells (1 × 106) were suspended in 200 μl serum-free DMEM medium and seeded into the upper chamber of each insert. Then, 600 μl of DMEM containing 10% FBS was added to a 24-well plate. After incubation at 37°C for 12 h, the cells that migrated were fixed and stained for 20 min in a dye solution containing 0.4% crystal violet and 20% methanol. The cells in the upper layer of the membrane were removed and the cells in the lower layer were washed off with 33% acetic acid (500 μl per chamber). The migrated cells was quantified by measuring the absorbance of eluent at 570 nm. The relative migration fold change of the experimental group was calculated by normalizing to that of the control group.
Patient samples
All samples were obtained from patients when undergoing resection of the pancreas at Sun Yat-Sen Memorial Hospital between 2009 and 2014. Informed consent was obtained from the patients before sample collection. All patients had a clear histological diagnosis. Patients’ specimens and the related clinicopathological data, including complete follow-up, were obtained from the Institute of Pathology and from the Department of Pancreaticobiliary, Sun Yat-Sen Memorial Hospital. All patients in this study met the following criteria: 1) PDAC diagnosis was verified by pathological examination; 2) paraffin-embedded tissues were well stored and qualified for serial section; 3) the corresponding tumor tissues and the paired non-tumor tissues were stored in liquid nitrogen immediately following surgical removal; 4) no anticancer treatments given before biopsy collection; and 5) availability of exhaustive clinicopathologic and follow-up data.
Tumorigenicity assays in nude mice
All experiments involving animals were conducted according to the institutional guidelines of Guangdong Province and were approved by the institutional guidelines of Guangdong Province and by the Use Committee for Animal Care. BALB/c nude mice (5 weeks old) were randomly separated into the shControl group or the shAFAP1-AS1 group (5 mice per group). SW1990 cells (3 × 106 cells/mouse) stably transfected with shAFAP1-AS1 or control shRNA were injected subcutaneously into the right axilla of each mouse. Tumor volume was calculated using the following formula: volume = (L × W2)/2, where L and W are the longest and shortest diameters, respectively. The mice were sacrificed two weeks after injection.
Statistical analysis
Statistical analyses were performed using SPSS Statistics 17.0 (SPSS lnc®). The chi-square test (X
2 test), Fisher’s exact test for nonparametric variables, and Student’s t test for parametric variables (two-tailed) were used. Differences in patient survival were assessed using the Kaplan–Meier method and analyzed using the log-rank test in univariate analysis. All tests were two tailed, and results with P = 0.05 were considered statistically significant.
Discussion
Although thousands of lncRNAs have recently been identified, investigation of their respective roles in modulating gene expression is relatively incomplete. Functional studies have indicated that some lncRNAs are involved in human cancer tumorigenesis, progression, and adjuvant therapy resistance, acting as oncogenes or tumor suppressors [
4,
18]. In the current study, by using high-throughput microarrays, we found that
AFAP1-AS1 is markedly upregulated in PDAC cell lines and in primary material, and its overexpression correlates with lymph node metastasis, perineural invasion, and poor prognosis of PDAC patients. These observations suggest pro-oncogenic activity of
AFAP1-AS1, a notion that is further supported by our functional studies showing that
AFAP1-AS1 knockdown attenuates PDAC cell proliferation, migration, and invasion.
Lymph node metastasis and perineural invasion are the strongest indicators of short overall survival in PDAC patients. Efforts have recently been made to identify molecular predictive factors in pancreatic cancer patients [
19-
21]. In the current study, we observed that
AFAP1-AS1 overexpression is associated with lymph node metastasis, perineural invasion, and overall survival after surgical treatment, raising the possibility that this lncRNA may provide a means of identifying high-risk patients for more intensive therapy. Importantly, ROC curve analysis revealed that
AFAP1-AS1 has great potential in predicting tumor progression after surgery. In the data set of our present study, we observed that an over 8-fold increase in
AFAP1-AS1 expression in PDAC tissues compared with adjacent non-tumor tissues was associated with an extremely high risk of short-term recurrence. Whether
AFAP1-AS1 alone, or in combination with other markers, could predict PDAC short-term recurrence required further research through well-designed studies with larger sample size.
In this study, the clinical value of
AFAP1-AS1 in PDAC was supported by functional analysis, which showed that
AFAP1-AS1 suppression diminished migration, invasion, and expression of EMT-related genes in PDAC cells, and
AFAP1-AS1 ectopic expression promoted these malignant behaviors vice versa. This long noncoding RNA was first reported by Wu et al. [
22], who showed that
AFAP1-AS1 is overexpressed in primary esophageal adenocarcinoma tissues and regulates esophageal adenocarcinoma cell proliferation, migration, and invasion. Consistent with the latter report, the findings of our study support a similar oncogenic role for
AFAP1-AS1 in PDAC. Importantly, our data showed that
AFAP1-AS1 was one of the most intensely and frequently overexpressed lncRNA in PDAC, further highlighting this transcript to be of significant biological interest in the study of pancreatic cancer pathogenesis.
The
AFAP1-AS1 is derived from the antisense strand of the
AFAP1 (Actin Filament Associated Protein) gene, the sense strand of which encodes the protein AFAP1. The function of the
AFAP1 gene in oncogenesis has been investigated in both breast and prostate cancer. It has been reported that
AFAP1 regulates Src activity and promotes the formation of actin stress fibers and focal adhesions in breast cancer cells [
23]. The loss of
AFAP1 in prostate cancer cells reduced cell proliferation and tumorigenesis in nude mice [
24]. Usually, the antisense RNA regulates expression of its cognate sense gene, but Wu et al. demonstrated that
AFAP1-AS1 had limited effect on
AFAP1 expression, instead functioning in an almost
AFAP1-independent manner [
22]. Therefore, it will be of great interest in future to investigate whether
AFAP1-AS1 is involved in regulating
AFAP1. Whether overexpression of
AFAP1-AS1 is induced by hypomethylation or other epigenetic mechanism also deserves further study.
Conclusions
In summary, we have identified that a long noncoding RNA, AFAP1-AS1, is up-regulated in PDAC tissues and serves as a negative prognostic factor for lymph node metastasis, perineural invasion, and poor survival in PDAC patients. The value of AFAP1-AS1 as a potential prognostic biomarker and/or therapeutic target in PDAC was supported by findings that knockdown of AFAP1-AS1 in PDAC cells inhibits cell proliferation, motility, and invasiveness in vitro.
Acknowledgments
This work was supported by the National Natural Scientific Foundation of China (No. 81000917 and No. 81370059). The funders had no role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. We thank Prof. Gu Jing (School of Public Health, Sun Yat-sen University) for providing suggestions of statistics.
We demonstrate for the first time that a long noncoding RNA, AFAP1-AS1, is extremely elevated in PDAC tissues. We show that increased expression of AFAP1-AS1 in PDAC tissues predicts very poor survival and a shorter time to tumor progression. In vitro functional analysis supported an oncogenic role for this lncRNA in PDAC, providing a rational basis for its predictive value.
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Competing interests
The authors declare that they have no competing interests.
Authors’ contributions
RF Chen and Tao Chen conceived and carried out the experiments, analyzed and interpreted the data and drafted the manuscript. Yibiao Ye and Jie Chen conceived the experiments, analyzed and interpreted data and wrote the manuscript. Y Zhou, ZQ Fu, QB Zhou, YX Wang, WC Gao, SY Zheng, and XH Zhao participated in the experiment and helped analyzed data. All authors read and approved the final manuscript.