Background
CCA is broadly described as malignancies originating from a malignant transformation of cholangiocytes and epithelial cells lining the intra-hepatic and extra-hepatic biliary ducts. CCA is difficult to diagnose and cure, partly due to the unknown molecular mechanisms underlying the development of CCA. In the past two decades, several studies have described molecular details regarding the malignant transformation of cholangiocytes and the environment of chronic inflammation in bile ducts with subsequent cholangiocyte damage, which is most commonly believed to contribute to CCA pathogenesis [
1,
2]. A variety of inflammatory cytokines, including IL-6, IL-8, and TGFβ [
2,
3], were found to contribute to the apoptosis, senescence, migration, invasion, and cell cycle regulation of malignant cholangiocytes [
4]. Oxidative stress, potentially caused by
Clonorchis sinensis,
Opisthorchis viverrini, hepatitis B virus (HBV) infection, or inflammation [
5‐
8], is also implicated in CCA development. The increased reactive oxygen species (ROS) produced by oxidative stress can damage lipids, proteins, and DNA and subsequently alter different cellular pathways and influence gene expression, which may induce tumor promotion and progression [
9]. Persistent oxidative stress might also induce inflammatory responses, implying a complex association between oxidative stress and inflammation in CCA [
7]. Previous studies have reported that malignant transformation of cholangiocytes was associated with chronic inflammation in the biliary epithelium; however, detailed molecular mechanisms of CCA promotion and progression are still unclear.
Recently, promising evidence has shown that non-coding RNAs serve as ideal diagnostic biomarkers and participate in oxidative stress and disease or cancer-related inflammation [
10‐
14]. Small non-coding RNAs, especially microRNAs (miRNAs), are widely reported to play vital roles in disease pathogenesis, including the pathogenesis of CCA, and their post-transcriptional regulatory mechanisms [
15,
16]. Several miRNAs, such as miR-370 [
17], miR-373 [
18,
19], and miR-21 [
20,
21], are dysregulated and play vital roles in CCA. However, none of these miRNAs have been indicated to regulate inflammation or oxidative stress.
In addition to miRNAs, a set of long non-coding RNAs (lncRNAs), that are more than 200 nucleotides in length, have also been reported to play pivotal roles in a variety of diseases. Some lncRNAs, including ANRIL [
22], HOTAIR [
23], and H19 [
24], influence many processes in various cancers, including chromatin remodeling, X chromosomal inactivation, transcriptional regulation, molecular trafficking [
25], inflammation responses, and oxidative stress [
10‐
12,
14]. These observations suggest potential pathophysiological contributions from lncRNAs in CCA and imply that some lncRNAs might be involved in the inflammation response pathways stimulated by infection. Recently, the mechanisms and functions of several lncRNAs, such as lncRNA-HEIH [
26], HULC [
27], and HOTAIR [
28], were uncovered in hepatic carcinoma, the most common hepatic malignancy, and these findings led to the construct of regulation networks and extended our knowledge regarding tumorigenesis in hepatic carcinoma. Similarly, dysregulated lncRNAs in CCA may play an important role in CCA promotion and progression through involvement in CCA key pathways, such as inflammation or oxidative stress. Currently, no lncRNAs have been reported to be associated with CCA progression.
In this study, we sought to determine if any lncRNA is stimulated by oxidative stress and trigger inflammation in CCA. We identified a set of lncRNAs that participated in inflammation and oxidative stress response. Two dysregulated lncRNAs H19 and HULC were shown to promote cell migration and invasion through ceRNA manners leading to the activation of inflammation cytokine IL-6 and chemokine receptor CXCR4. Our findings may provide potential biomarkers for CCA progression and potential therapeutic targets for the disease.
Methods
Cell lines
QBC939 human cholangiocarcinoma cells were obtained from Shuguang Wang (The Third Military Medical University, China). SK-cha-1 human cholangiocarcinoma cells were kindly provided by Dr. Chundong Yu (Xiamen University, China). RBE human cholangiocarcinoma cells and HEK293T human embryonic kidney cells were purchased from the Type Culture Collection of the Chinese Academy of Sciences (Shanghai, China). All CCA cell lines were cultured in RPMI-1640 medium with 10 % fetal calf serum. HEK-293 T cells were cultured in DMEM medium with 10 % fetal calf serum. All cells were maintained in a 37 °C humidified incubator with 5 % CO2.
qRT-PCR analysis
Cells were collected in EP tubes. Then, total RNA was extracted from tissue or cells using TRIzol reagent (Invitrogen, Carlsbad, CA, USA) following the manufacturer’s instructions. RNA was reverse-transcribed into cDNA with the ReverTra Ace® qPCR RT Kit (TOYOBO, Japan) or PrimeScript® RT reagent Kit with gDNA Eraser (Takara, Japan). Real-time PCR for lncRNA was performed using the SYBR Premix ExTaq real-time PCR kit (Takara, Japan) according to the manufacturer’s instructions with GAPDH as normalization control. The expression level for each lncRNA and mRNA was determined using the 2
−△△Ct method. The specificity and reliability of the PCR were confirmed by sequencing the PCR product fragments. All primers are shown in Additional file
1: Table S1.
Oxidative stress treatment in vitro
CCA cells were treated with 1 μM H2O2 for 1 h and 1 μM glucose oxidase for 24 h for short-term and long-term oxide incubation in vitro, respectively.
Vector construction
Full-length H19-pcDNA 3.1 vectors were purchased from Integrated Biotech Solutions (Shanghai, China). The pcDNA 3.1 vector was used for lncRNA and mRNA overexpression, and the psiCHECK-2 vector was used for the luciferase target assay. Primers and oligonucleotides for full-length HULC, IL-6, and CXCR4 amplification and 3′-UTR segments of IL-6 and CXCR4 construction are listed in Additional file
1: Table S1.
Cell transfection and luciferase target assay
We plated 1.6 × 104 RBE cells or 5 × 104 HEK-293 T cells in 48-well plates. Then, 500 ng psiCHECK-2-derived reporter vectors (Promega, Madison, WI, USA), 500 ng pcDNA3.1 vectors overexpressing lncRNAs (Invitrogen Corporation, Carlsbad, CA, USA), and 30 nM miRNA mimics (GenePharma, Shanghai, China) were co-transfected with Lipofectamine® LTX (Invitrogen Corporation, Carlsbad, CA, USA) and Lipofectamine® 3000 (Invitrogen Corporation, Carlsbad, CA, USA). Finally, 48 h after transfection, cells were harvested for the dual luciferase reporter assay (Promega, Madison, WI, USA). Each experiment was repeated at least three times.
As previously described, 72 h after transfection, the RBE cells were harvested, and total protein was extracted from the cells using RIPA lysis buffer (Beyotime Biotechnology, Shanghai, China) with 1× complete ULTRA (Roche, Nutley, USA). The proteins were detected with antibodies against CXCR4 (ab2074, Abcam, USA), IL-6 (SC-7920, Stantacruz, USA), GAPDH (Proteintech Technology, Manchester, UK), and β-tubulin (32−2600, Invitrogen, USA). The protein levels were normalized to GAPDH or β-tubulin.
RNA immunoprecipitation (RIP)
In the assay, the enrichment of miRNAs binding with AGO2, a key component of the microRNA-containing RISC complex, were used as the positive controls, and U6 as the negative. The AGO2 (FB261-S2, Abnova, Taiwan) monoclonal primary antibody was rip grade, and the procedure of rip experiment was followed to the manual of Magan rip Kit (17−700, Millipore, USA).
Scratch wound healing assay
Transfected RBE cells were cultured in 24-well plates for 24 h in standard conditions until 80−100 % confluency was reached. Linear wound tracks were generated with sterile, 10-μl pipettes and maintained under standard conditions. The scratched cells were rinsed twice with PBS to remove non-adherent cells, and fresh RPMI-1640 medium (with no fetal calf serum) was added. Photographs of the centers of the gaps were taken using a 10× phase-contrast microscope (Zeiss). Cell migration at 0 and 24 h after scratching was evaluated by determining the wound distance at two random wound gap locations. Three independent scratch wound experiments were used for calculations.
Migration and invasion assays
Migration and invasion assays were conducted using Transwell chambers (8 μm, Corning Costar Co., Cambridge, USA) according to the manufacturer’s instructions. For the migration assays, 8 × 104 RBE cells transfected after 24 h were plated in the top chambers lined with a non-coated membrane. For the invasion assay, the chamber inserts were coated with a 1:9 deliquation of Cultrex® Basement Membrane Extract (Trevigen, USA). Then, 1.2 × 105 cells were plated in the top chamber, while 600 μl RPMI-1640 with 10 % fetal bovine serum was added to the lower chamber as a chemoattractant. After a 24-h incubation at 37 °C, cells located in the lower chamber were fixed with 100 % methanol and stained with 0.1 % crystal violet. Cells were counted in ten fields for triplicate membranes at 10× magnification using a microscope (Zeiss). Five random sights in each sample were selected to analyze cell count, and the mean of triplicate experiments was calculated.
Discussion
The importance of several dysregulated lncRNAs has been implicated in developmental regulation and disease pathogenesis, and the function of many dysregulated lncRNAs have been reported in various cancers [
28,
43‐
45]. However, no studies on lncRNAs associated with CCA migration and invasion have been reported. In this study, we found that H19 and HULC targeted IL-6 and CXCR4
, respectively, by sponging miRNAs in CCA cells. The study provides new insight into the mechanism linking lncRNA function with CCA and may serve as novel targets for the development of new countermeasures of CCA.
A number of studies have revealed that IL-6 was released by autocrine and paracrine by malignant cells or immune cells and functioned in tumorigenesis [
40,
46,
47]. Generally, IL-6 was secreted by noncancer stem cells in low-attachment culture conditions and enriched Oct4 gene expression by activating the IL-6R/JAK/STAT3 signaling pathway in chronic inflammatory disease, such as cholangiocarcinoma [
47,
48]. Our previously study also found treatment of CAA cells with IL-6 can active paracrine IL-6/STAT3 pathway in inflammation and CCA initiation [
49]. IL-6 is a multifunctional inflammatory cytokine that plays a major role in the response of cholangiocytes to inflammation [
40,
50]; and increased concentrations of IL-6 during inflammation in the biliary tract stimulates several pathways, including the JAK-STAT pathway, the p38 MAPK pathway, the ERK pathway, and the PI3-kinase pathway, and is involved in survival and growth of malignant cholangiocytes [
40,
51]. CXCR4 is a chemokine receptor involved in several inflammatory processes and diseases, including CCA [
52], and induces CCA cell migration and invasion via the ERK 1/2 and Akt pathways [
53,
54]. However, a single lncRNA can regulate multiple target genes, and a powerful inflammation-related lncRNA might also target multiple inflammation genes, for example, H19 targets TGFβ1 in prostate cancer cells [
55]; TGFβ1 is a key regulator in CCA inflammation [
1], suggesting the pivotal role of inflammation regulation by H19. Therefore, we speculate that H19 and HULC may act as primary regulators of other downstream inflammation genes that initiate and sustain CCA.
The growing evidences have indicated that H19 involved in both proliferation and differentiation processes, together with epithelial to mesenchymal transition (EMT) and also mesenchymal to epithelial transition (MET), suggesting its contribution in tumor both initiation and progression [
56]. H19 has an evolutionary conservation secondary structure, suggesting its structure-dependent functions, which include binding to enhancer of zeste homolog 2 (EZH2) [
57], and interacting with the methyl-CpG-binding domain protein 1 (MBD1) and recruiting it to some of its targets that maintain the repressive H3K9me3 histone marks in their loci [
58]. H19 has also been recently found to interact with P53 proteins, and led to its inactivation, indicating that H19 plays a role in tumorigenesis [
59]. HULC was reported to promote the proliferation and regulated cell cycle of HCC through down-regulation of the tumor suppressor gene CDKN2C (p18) and involved in signaling pathways including ATM/ATR and p53 [
60,
61]. In this study, we revealed the potential pathway of H19 that is targeted by let-7a/let-7b, causing the partial inactivation of IL-6 in its mediated inflammatory responses triggered by oxidative stress in cholangiocarcinoma. We also found that HULC was targeted by miR-372 and miR-373 and further activated the chemokine receptor CXCR4 in the progression of migration and invasion in cholangiocarcinoma cells. The results suggest a potential pathway of lncRNAs participated in the progression of CCA.
Previous studies indicated that oxidative stress from infection with parasites, bacteria and viruses is highly related to the inflammatory and malignant processes of cholangiocytes [
7,
62,
63], and cholangiocytes under oxidative stress might induce and augment inflammatory responses [
7,
62]. An increasing number of studies have realized that inflammation is one of important responses to the oxidative stress in many diseases, such as the gut [
64], lung [
65], pancreatitis [
66], colorectal cancer [
49], and cholangiocarcinoma [
67]. Fernanda et al. also reviewed a total of 1332 studies initially identified that TNF-a, IL-8, IL-6, IL-1b, and NF-κB were the main inflammatory mediators and oxidative stress markers [
65], suggesting that the oxidative stress made a great contribution in inflammatory in the initiation or progression of disease. However, the molecular details between oxidative stress and inflammation are not well defined in CCA cells. Several previous studies have indicated that infections are induced by oxidative stress via chronic inflammation [
5,
7]. In this study, we found that H19 and HULC are stimulated by both short-term and long-term oxidative stress and regulate the expression of pivotal genes in the inflammatory process, suggesting that there is a positive feedback loop between inflammation and oxidative stress, and the activation of this feedback loop with lncRNAs might promote tumorigenesis in CCA.
Acknowledgments
We thank Shuguang Wang, from the Third Military Medical University, China, for the gift of QBC939 human cholangiocarcinoma cells and Dr. Chundong Yu (Xiamen University, China) for SK-cha-1 human cholangiocarcinoma cells.