Background
Hepatocellular cancer (HCC), the third cause of cancer-related death worldwide, accounts for 85%-90% of all primary liver cancer [
1,
2]. In China, it is the most commonly diagnosed cancer and the leading cause of cancer death in male patients younger than 60 years old [
3]. Although there are various treatment options, such as surgical resection, liver transplantation, interventional treatment, and systemic therapies, the outcomes of patients with advanced stage are still extremely poor [
4,
5]. Conventional cytotoxic systemic therapy is of limited benefit for unresectable or metastatic HCC [
6]. Sorafenib, a molecular-targeted agent, demonstrates a modest overall survival benefit, however resistance develops eventually [
6–
8]. Deeper understanding of molecular carcinogenesis of HCC is urgently warranted to develop new novel target agents.
The metallothioneins (MTs) are a class of cysteine-rich, low-molecular-weight, metal-binding intracellular proteins, including four identified isoforms (MT-1, MT-2, MT-3, and MT-4) [
9,
10]. In human, these proteins are encoded by a cluster of genes, which are located on chromosome 16q13 [
11]. The MT-1 protein comprises many subtypes encoded by a set of
MT-1 genes (
MT1A, MT1B, MT1E, MT1F, MT1G, MT1H, etc.).
MT-1 genes are reported to be involved in carcinogenesis in various human tumors [
9]. In Fu et al’s study [
12], MT1G acts as a tumor suppressor in thyroid carcinogenesis via regulating the phosphatidylinositol-3-kinase (PI3K)/Akt pathway and Rb/E2F pathway. Loss of heterozygosity (LOH) causes the downregulation of
MT1F in colon cancer tissues, suggesting a tumor suppressor role for MT1F in colon cancer [
13]. Of specific note, by analyzing 30 sets of online microarray data, Han et al. [
14] found a consistent downregulation of
MT1H in various kinds of human malignancies as compared with normal tissues, including small cell lung cancer, neuroblastoma, melanoma, B-cell lymphoma, prostate cancer, colon cancer, breast cancer, and leukemia. Furthermore, a 10- to 100-fold decrease of
MT1H expression was observed in HCC in comparison with normal liver tissues, indicating a potential role of MT1H in the development and progression of HCC [
14]. Nevertheless, the biological functions and underlying mechanisms of MT1H in HCC are largely unknown.
The Wnt/β-catenin signaling pathway is frequently activated during carcinogenesis, especially in HCC [
15]. In the canonical Wnt pathway, Wnt binding to Fz receptor inactivates the β-catenin destruction complex of adenomatous polyposis coli (APC), axin, and glycogen synthase kinase-3 β (GSK-3β) [
15]. When the Wnt pathway is activated, β-catenin is released from the complex and translocated into nucleus. The nuclear β-catenin binds to members of the lymphoid-enhancing factor/T-cell factors (LEF/TCF) family that activate target genes transcription [
16]. Further delineation of the mechanisms underlying the dysregulated Wnt/β-catenin signaling in HCC is of great interest.
In the current study, we identified the biological functions of MT1H in HCC and explored the possible mechanisms. Our study suggests that MT1H plays crucial role in regulating the proliferation and invasion of HCC cells through modulating Wnt/β-catenin signaling.
Methods
Cells and culture
Human hepatoblastoma cell lines HepG2 and Hep3B were obtained from the China Infrastructure of Cell Line Resource. The cells were cultured in Dulbecco’s modified Eagles medium (DMEM) (Gibco, Grand Island, NY) containing 10% fetal bovine serum (FBS), 100 U/mL penicillin, and 100 mg/mL streptomycin (Gibco, Grand Island, NY) at 37 °C in a humidified atmosphere with 5% CO
2.
Obtainment of clinical specimens
Twelve HCC tissues (T) and their corresponding adjacent non-tumorous liver tissues (NT) were obtained from the surgery operation in the First Affiliated Hospital of Zhejiang University from Jan. 2015 to Dec. 2015. NT was defined as liver tissues more than 2 cm away from the edge of the tumor [
17]. Two pathologists carried out histopathological diagnosis of the specimens independently. Soon after the tissues were collected, they were immediately snap-frozen in liquid nitrogen and stored at −80 °C for subsequent total cellular RNA extraction. The clinicopathologic characteristics of the patients are listed in Table
1. This study was performed in accordance with the ethical guidelines of the
Declaration of Helsinki and was approved by the hospital’s Institutional Review Board (No. 2016397). Informed consent was obtained from each patient.
Table 1
The characteristics of patients (
n = 12)
Age (yr)
|
≤50
|
4 (33.3)
|
>50
|
8 (66.7)
|
Gender
|
Male
|
9 (75)
|
Female
|
3 (25)
|
BCLC stage
|
Stage 0-A
|
3 (25)
|
Stage B
|
7 (58.3)
|
Stage C-D
|
2 (16.7)
|
Etiology
|
Alcoholic
|
3 (25)
|
HBV
|
6 (50)
|
HCV
|
1 (8.3)
|
Others
|
2 (16.7)
|
Liver cirrhosis
|
No
|
2 (16.7)
|
Yes
|
10 (83.3)
|
Generation of stable cell lines with MT1H overexpression
Human TrueORF Gold™ pCMV6-Entry-MT1H plasmid with a C-terminal fusion of MYC/DDK tag was purchased from OriGene Technologies (Rockville, MD). To establish stable cell lines with constitutive expression of MT1H, HepG2 and Hep3B cells were transfected with pCMV6-Entry-MT1H by Lipofectamin™ 2000 (Invitrogen, Life Technology, Carlsbad, CA) according to the manufacturer’s protocol. After selection with complete medium containing G418 (0.6 mg/mL) for 2 weeks [
18], individual clones were isolated and grown separately in the presence of G418. The expression of MT1H was confirmed by Western blotting assay. A stable transfectant expressing pCMV6-Entry empty vector was established and served as the control.
Transwell invasion and migration assays
For Transwell invasion/migration assays, the indicated 2 × 10
4 cells suspended in 200 μL DMEM without FBS were added to Transwell insert (Millipore, Billerica, MA) with or without coated Matrigel (BD Biosciences San Diego, CA), respectively. The insert held in 24-well companion plates with DMEM containing 10% FBS. After 24 h incubation, the cells and Matrigel in the upper chambers were removed by cotton tip. Migrating and invading cells at the bottom of the filter were fixed, stained with 1.0% crystal violet solution and photographed under a light microscope. The number of migrating and invading cells was quantified by counting five fields in each chamber [
19]. This experiment was repeated three separate times.
Wound healing assay
To evaluate the cell motility, the wound-healing assay was performed. Indicated cells were seeded in 6-well plates and grown into a monolayer. In order to exclude the possible role of MT1H in proliferation that may affect the result of wound healing assay, the cells were cultured in DMEM medium supplemented with lower percentage of serum (3%). A sterile p200 pipette tip was used to make a scratch and the cells were rinsed several times with medium to remove debris and unattached cells. Cells were then cultured for 36 h and the motility of cells was photographed. Migratory activity of the indicated cells was assessed by the width of the wound, and results were quantified as the percent of control [
20].
MTT (3-[4, 5-dimethylthiazol-2-yl]-2, 5-diphenyl-tetrazolium bromide) assay
HepG2-Vector, HepG2-MT1H, Hep3B-Vector and Hep3B-MT1H cells were trypsinized and seeded in 96-well plates at a density of 2 × 10
3 cells/well. A solution of MTT (Sigma-Aldrich, St Louis, MO, 25 μL of a 5 mg/mL solution in PBS) was added and cells were incubated for another 2 h at 37 °C. Then the medium was replaced by 100 μL Dimethyl sulfoxide (DMSO, Sigma-Aldrich, St Louis, MO) and shaken at room temperature for 10 min. The plate absorbance was measured at 490 nm. This experiment was repeated three separate times.
Colony formation assay
Two hundred indicated cells per well were put in 12-well plates and cultured in complete medium for 10 days. The colonies were fixed with 4% paraformaldehyde and stained with 1% crystal violet solution [
21]. This experiment was repeated three separate times.
5-Ethynyl-2′-deoxyuridine (EdU) incorporation assay
EdU incorporation assay was carried out using the Cell-Light™ EdU In Vitro kit (RiboBio, Guangzhou, China) according to the manufacturer’s instructions. Briefly, the indicated cells added with EdU (50 μM) were cultured for 2 h, and then fixed in 4% paraformaldehyde at room temperature for 30 min. TritonX (0.5%) was used to permeabilize the cells. After incubated with 1 × Apollo reaction mixture for 30 min, the cells were subsequently stained with Hoechst 33342 for 30 min at room temperature [
22]. EdU positive cells were calculated with Zeiss fluorescent microscope system (Carl Zeiss, Thornwood, NY). This experiment was repeated three separate times.
Western blotting assay
Briefly, the indicated cells were washed with PBS and lysed using Radioimmunoprecipitation assay buffer (RIPA) (150 mM NaCl, 1% NP-40, 0.5% Sodium deoxycholate, 0.1% SDS, 50 mM Tris–HCl pH 7.4) and the amounts of protein were assayed using the Bradford method. Equal amount of protein was subjected to sodium dodecyl sulfate-polyacrylamide gels electrophoresis (SDS-PAGE). Proteins on the gel were transferred onto a polyvinylidene difluoride (PVDF) membrane (Millipore, MA). The membrane was blocked in 5% powdered non-fat milk in Tris-buffered saline (TBS) solution containing 0.05% Tween 20 for 1 h. Membrane was then incubated with primary antibody overnight at 4 °C, followed by incubation with secondary antibody conjugated to horseradish peroxidase at room temperature for 1 h. The signal was developed using the enhanced chemiluminescence (ECL, Advance Western blotting detection kit, Pierce, Rockford, IL) to expose an Xray film. The primary antibodies against Flag, β-catenin, lamin a, α-Tubulin (Abcam, Cambridge, UK), phospho-Akt (Ser473), Akt, phospho-GSK-3β (Ser9), and GSK-3β (Cell Signaling Technology, Beverly, MA), were used. The experiment was repeated three times to confirm the results. The intensity of the indicated bands was quantified using Quantity One software (Bio-Rad, Richmond, CA).
Immunofluorescence
Indicated cells were grown on coverslip (Fisher Scientific, Pittsburgh, PA) on 24-well plate were fixed with 4% paraformaldehyde and permeabilized with 0.1% Triton-X in PBS. β-catenin were detected by incubation with specific anti-β-catenin antibody (Abcam, Cambridge, UK) overnight at 4 °C. A secondary antibody (donkey anti-rabbit rhodamine red) (Jackson Immunoresearch Laboratories, West Grove, PA) was used before staining the nuclei with 1 μg/mL DAPI (Sigma-Aldrich, St. Louis). Pictures were acquired by using a fluorescence microscope (Olympus, Tokyo, Japan).
Quantitative real-time PCR (qPCR) analysis
Total RNA was extracted from the cells or tissues using Trizol reagent (Invitrogen, Life Technology, Carlsbad, CA), and reverse transcription was conducted as follows with random primers and Moloney murine leukemia virus reverse transcriptase (Promega, Madison, Wisconsin) in accordance with the manufacturer’s protocol. The original amount of the specific transcripts were measured by real-time PCR according to a standard protocol with a SYBR Green PCR kit (Roche Diagnostics, Indianapolis, IN) using the ABI Prism 7000 sequence detection system (Applied Biosystems, Foster City, CA). For each gene and sample, three independent assays were conducted and the comparative Ct method was performed to calculate the relative abundance of mRNA compared with that of the endogenous reference control β-actin. The primers used were listed in Table
2.
Table 2
Sequences of primers
MYC
|
TTTCGGGTAGTGGAAAACCA
|
CACCGAGTCGTAGTCGAGGT
|
MMP7
|
GAGCTACAGTGGGAACAGGC
|
GCATCTCCTTGAGTTTGGCT
|
LEF1
|
TGGATCTCTTTCTCCACCCA
|
CACTGTAAGTGATGAGGGGG
|
ACTB
|
GCCAACACAGTGCTGTCTGG
|
CTCAGGAGGAGCAATGATCTTG
|
Nuclear protein extraction
Nuclear protein extraction was carried out using Active Motif Nuclear Extraction Kit (Active Motif, Carlsbad, CA) according to the manufacture’s protocol. Lamin A was used as nuclear fraction controls [
23].
Luciferase reporter assay
The Top/Fop flash plasmid system (Upstate, Lake Placid, NY) was used to evaluate the transcriptional activity of TCF. Topflash and Fopflash plasmids were co-transfected in the indicated cells using Lipofectamin™ 2000 (Invitrogen, Life Technology, Carlsbad, CA). The luciferase values were measured after 48 h incubation, using Dual-Luciferase reporter assay system (Promega, Madison, WI) according to the manufacturer’s instructions [
24]. The experiment was repeated three times to confirm the results.
In vivo tumorigenicity assay
HepG2-Vector and HepG2-MT1H (1.5 × 10
6 cells) were injected subcutaneously into the right flanks of female BALB/c athymic nude mice (4–6 weeks of age), five mice per group [
25]. The tumor volume was measured routinely using a caliper every 5 days, and was calculated with the formula 0.5 × (length × width
2). At 30 days after injection, all mice were sacrificed and tumors were weighted. This experiment was performed in accordance with the institutional ethical guidelines for animal experiment.
Gene set enrichment analysis (GSEA)
Statistical analysis
All statistical analyses were performed using the SPSS 13.0 package (SPSS International, Chicago, IL, USA). Continuous variables were presented as mean ± SD and analyzed using the Student’s t-test. The relationship between
MT1H expression and the expression of Wnt/β-catenin target genes was analyzed by Chi-square tests.
P < 0.05 was considered statistically significant.
Discussion
In the present study, we found significantly downregulated
MT1H in HCC tissues, which is consistent with previous study [
14]. Moreover, MT1H plays an anti-proliferative and anti-invasive role in HCC cells. MT1H in HCC can inhibit Wnt/β-catenin signaling, therefore suppresses HCC progression.
MTs are demonstrated to be involved in various physiological and pathological processes, such as protection against oxidative damage, cell proliferation, and apoptosis [
11,
28]. Of note, the important roles of MTs in cancer development and progression have been emphasized [
29–
32].
MT1H, one member of
MT-1 genes, has been proved of decreased expression in HCC tissue [
14]. Consistently, the results in current study from TCGA database and paired fresh tumor/non-tumor tissues showed significantly decreased
MT1H expression in HCC tissues. The significant downregulation of
MT1H in HCC implicates its potential roles in the development and progression of HCC. As expected, our results indicated that ectopic overexpression of
MT1H may inhibit the growth of HCC cells. Moreover, MT1H involves in the invasiveness of HCC cells.
The mechanisms underlying the downregulation of MTs have been investigated in malignant diseases [
12–
14,
29,
33–
40]. The downregulation of
MT1F in colon cancer is mainly caused by loss of heterozygosity (LOH) [
13]. In addition, a direct relation between p53 and MT-1A and MT-2A was found in epithelial cancer cells [
41]. Whether these mechanisms or other mechanism are involved in the downregulation of
MT1H in HCC need to be further explored. Delineating the precise molecular mechanisms for the altered expression of
MT1H in HCC will put new insights into the understanding of HCC tumorigenesis.
Given that Wnt/β-catenin pathway plays an essential role in tumorigenesis, together with our bioinformatics analysis implicated that Wnt/β-catenin signaling might involve in the function of MT1H in HCC. It is important to explore the tumor suppressor role of MT1H mediated by Wnt/β-catenin signaling in HCC. We found that MT1H suppressed β-catenin nuclear translocation and transcriptional activity in HCC. Wnt/β-catenin signaling has demonstrated to have important effects on proliferation and invasion of tumor cells. The activated Wnt/β-catenin pathway has been observed in at least one-third HCCs and most of them have mutations in the β-catenin gene [
42]. Therefore, it is rational to deduce that tumor suppressive role of MT1H on HCC is attributed, at least partly, to the inhibition of Wnt/β-catenin signaling.
Akt can lead to phosphorylated inactivation of GSK-3β, which in turn results in β-catenin stabilization and nuclear transportation [
43]. Of note, Akt signaling has been implicated in mediating the biological functions of MTs [
12,
44,
45]. These prompt us to investigate whether MT1H regulates Wnt/β-catenin via Akt/GSK-3β axis. Intriguingly, our results implicate that Akt/GSK-3β axis mediates the modulatory role of MT1H on Wnt/β-catenin signaling. These provide new insights into regulatory networks for dysregulated Akt activation in HCC. Nevertheless, whether MT1H regulates Akt by direct or indirect mechanisms needs to be further explored. Moreover, Han et al. have reported that MT1H interacted with euchromatin histone methyltransferase 1 (EHMT1) and enhanced its methyltransferase activity on histone 3, thereby involved the tumorigenesis of prostate cancer [
14]. It remains to be determined whether this mechanism or other mechanisms may also be involved in the role of MT1H in HCC.
Acknowledgements
Not applicable.