Background
Hepatocellular carcinoma (HCC) is one of the most common malignancies in the world, and the prognosis of patients with HCC is very poor [
1]. As it is geographically biased toward the several parts of Asia and Africa, China in particular, it presents one of the major health threat in China [
2]. Although several treatments such as tumor resection, liver transplantation, transcatheter arterial chemoembolization (TAE), and local radiofrequencyablation (RFA) are now used to treat HCC, there is no overall long-term survival benefit so far [
3]. Therefore, strategies that explore new therapy for HCC are urgently needed.
Recently, Li, et al. and others have reported that double-stranded RNA (dsRNA) can activate gene expression by targeting promoter sequence in a process termed RNA activation [
4,
5]. This technique alters chromatin structure leading to robust and prolonged expression of the endogenous target gene [
4]. As such, RNAa has potential to be a useful tool for interrogating gene function by serving as an alternative to traditional vector-based systems and an attractive strategy to activate tumor suppressor genes for the treatment of cancer [
6].
Wilms' tumor 1 gene (WT1) is an important nuclear factor involved in organ development and cell growth [
7]. The role of WT1 in cell biology is equally complex, and it has been shown that the repression or activation function of WT1 is dependent on the cell type and on its level of expression [
8]. Moreover, WT1 has been described as a tumor suppressor and as an oncogene [
9]. It was reported that plasmid-mediated transfection of WT1-KTS isoforms into hepatoma cell lines induced p53-independent apoptosis [
10]. Recently, some studies showed WT1 is expressed in several human hepatocellular carcinoma (HCC) cell lines, and is also expressed in tumor tissue in 42% of patients with HCC [
11]. However, the role of WT1 in hepatocarcinogenesis has not been clarified.
In this study, we investigate the effects of the dsRNA that specifically targets the promoter region of WT1 on the growth of human hepatocellular carcinoma cells HepG2. We found that the dsRNA that specifically targets the promoter region of WT1 could up-regulate WT1 and induce apoptosis which was related to modulation of Bcl-2 family.
Materials and methods
Reagents
The sequence of dsRNAs (dsWT1-319: S,5'-GAC UCA CUG CUU ACC UGA A[dT][dT]-3';AS,5'-UUC AGG UAA GCA GUG AGU C[dT][dT]-3') and dsControl: S, 5'-ACU ACU GAG UGA CAG UAG A[dT][dT]-3';AS, 5'-UCU ACU GUC ACU CAG UAG U[dT][dT]- 3') were designed as previously reported [
12] and chemically synthesized by GeneChem (Shanghai, China). Primary immunoblotting antibodies were: anti-WT1, anti-Bcl-2, anti-Bak and anti-poly (ADP-ribose) polymerase (PARP) (Santa-Cruz Biotechnology, Inc., Santa Cruz, CA), anti-β-actin (Cell Signaling Technology, Beverly, MA).
Cell culture and transfection
The human hepatocellular carcinoma cell line HepG2 was obtained from the Shanghai Institute of Cell Biology, Chinese Academy of Sciences. The cells were cultured in RPMI 1640 medium supplemented with 10% heat-inactivated fetal bovine serum, penicillin (100 U/mL), and streptomycin (100 mg/L) in a humidified atmosphere containing 5% CO2 maintained at 37°C. The day before transfection cells were plated in growth medium without antibiotics at a density of 30-40%. Transfections of dsRNA were carried out by using Lipofectamine 2000 (Invitrogen, Carlsbad, CA) according to the manufacturer's protocol and lasted for 24, 48 or 72 h. Cell images were taken using a phase-contrast microscope at 100× magnification (Olympus, Japan).
Cell viability assay
Cell viability was determined by the MTT assay. Approximately 2,000 HepG2 cells were plated in each well of a 96-well plate. After overnight incubation, the cells were treated with dsRNAs for 48-72 h and the concentration of dsWT1-319 arranged from 2 to 50 nM. At the various times following treatment, the medium was removed and MTT (20 μl of 5 mg/mL) was added to each well and incubated at 37°C for 4 h. The plates were spun, and the purple colored precipitates of formazan were dissolved in 150 μl of dimethyl sulfoxide. Absorbance was measured at 490 nm using the MRX II absorbance reader (DYNEX Technologies, Chantilly, Virginia, USA). The reduction in viability of in dsWT1 or dsControl treated HepG2 cells were expressed as a percentage compared to mock cells. Mock cells were considered to be 100% viable.
Exponentially growing cells were plated at approximately 2,000 cells per well in 6-well plates and transfected with dsRNA. Culture medium was changed every 3 days. Colony formation was analyzed 12 days following transfection by staining cells with 0.05% crystal violet solution for 1 hour.
Real-time quantitative PCR (qPCR)
Total RNA was extracted from cells transfected for 48 h (mock, 50 nM dsControl, 50 nM dsWT1-319) and reverse transcribed using random primers. The resulting cDNA was quantified by the SYBR Premix Ex Taq™ Kit (Takara, Dalian, China) according to the manufacturer's protocol in a ABI Prism 7500 Real-time PCR detection system (Applied Biosystems, CA). GAPDH mRNA levels were used for normalization. Values are expressed as fold-difference compared to mock. Primer sequences forWT1 are 5'- AGAGCCAGCCCGCTATTC-3' (forward) and 5'- GGCGTCCTCAGCAGCAAA-3' (reverse) and, for GAPDH are 5'- AAGGTGAAGGTCGGAGTCA-3' (forward) and 5'- GGAAGATGGTGATGGGATTT -3' (reverse).
Detection of apoptotic cells by flow cytometry
A quantitative assessment of apoptosis was made by determining the percentage of cells with nuclei that were highly condensed or fragmented. Cells were harvested at 48 or 72 h following dsRNAs treatment (mock, 50 nM dsControl, 50 nM dsWT1-319) as described above, and washed twice with pre-chilled PBS and resuspended in 100 μL binding buffer at a concentration of 1 × 106 cells/mL. Annexin V and PI double-staining was performed using the Annexin V-FITC Apoptosis Detection Kit (BD Biosciences, San Jose, CA, USA) as described by the manufacturer's protocol. Cell apoptosis analysis was performed by Beckman Coulter FC500 Flow Cytometry System with CXP Software (Beckman Coulter, Fullerton, CA, USA) within 1 h.
Western blotting analysis
Briefly, at 72 h following dsRNA treatment, cells were harvested, washed, and lysed with lysis buffer as described above. Protein concentration in the resulting lysate was determined using the bicinchoninic acid protein assay kit (Pierce Biotechnology, Rockford, IL, USA) according to the manufacturer's instructions. Equivalent quantities of protein (30-50 μg) were separated by electrophoresis in 8% Tris-glycine polyacrylamide gels and transferred to nitrocellulose membranes. Membranes were blocked and then incubated overnight with the appropriate primary antibody at dilutions specified by the manufacturer. They were next washed three times in 15 mL TBS-Tween and incubated with the corresponding horseradish peroxidase (HRP)-conjugated secondary antibody at 1:2,000 dilution in TBS-Tween for 2 h. Bound secondary antibody was detected using an enhanced chemiluminescence (ECL) system (Pierce Biotechnology).
Statistical analysis
All values were expressed as mean ± SD. Statistical significance was compared between treatment group and controls using one-way analysis of variance (ANOVA). Data were considered statistically significant when p values were < .05.
Discussion
RNA activation (RNAa) is a newly discovered mechanism of gene activation directed by small double-stranded RNAs (dsRNAs) [
4,
5,
12,
13]. It offers similar benefits as RNAi by utilizing small dsRNAs, while representing a new method for gene overexpression [
12]. Several models of RNAa have been reported or proposed including transcriptional activation by targeting promoter-specific sequences [
4,
12,
14] and/or gene antisense transcripts [
15,
16] leading to changes in chromatin structure at the targeted gene. RNAa is generally potent and long-lasting making it a promising therapeutic strategy for diseases that can be corrected by stimulating gene expression [
4,
12]. Vector-based overexpression is the traditional approach to evaluate the function of tumor suppressor genes or oncogenes in cancer cells. However, all vector-based systems require ectopic expression from an exogenous construct. Ectopic expression vectors do not typically resemble natural genes [
17]. Ideally, RNAa can be applied as a cancer treatment to re-activate tumor suppressor or pro-apoptotic genes that are otherwise not targetable by current therapeutic strategies [
12].
WT1 was initially discovered as a tumor suppressor in Wilms' tumor (WT), a pediatric kidney malignancy that affects approximately 1/10,000 children. The Wilms' tumor suppressor protein WT1 functions as a transcriptional regulator of genes controlling growth, apoptosis, and differentiation [
18]. Recent findings have shown that wildtype WT1 is expressed in a variety of tumors from different origins that normally do not express WT1 [
7]. Several reports have revealed an antiapoptotic function for WT1, suggesting that WT1 acts as an oncogene in some tumors [
18]. However, the ability of WT1 to induce growth suppression and suppress tumorigenicity in mice also highlights its role as a tumor suppressor. For example, The stable introduction of the WT1 -/- isoform into G401, a kidney-derived tumor cell line that does not express endogenous WT1, alters cellular morphology and reduces tumor formation in athymic nude mice [
19]. Furthermore, expression of WT1 in osteosarcoma cell lines, Saos-2 and U20S can alter signaling pathways and induce apoptosis [
20], and plasmid-mediated transfection of WT1-KTS isoforms into in HCC cell lines, Hep3B and HepG2 also induced apoptosis [
10].
Recently, Li et al [
12] has confirmed that dsWT1-319 can up-regulate expression of WT1 in both African green monkey (COS1) and chimpanzee (WES) cells. In this study, we focus on investigating the effects and efficacy of WT1 induction by small dsRNA in the treatment of hepatocellular carcinoma. We found that dsWT1-319 induced activation of WT1 inhibited cell viability in a dose- dependent and time-dependent way by MTT assay and it was related to apoptotic cell death after treatment. The role of WT1 in hepatocarcinogenesis has not been clarified. It is reported that WT1 is expressed in several human hepatocellular carcinoma (HCC) cell lines, including PLC/PRF/5 and HepG2, and in HCC tumor tissue in a high proportion of patients, up-regulation of WT1 in liver cells promotes apoptosis resistance and cellular dedifferentiation. Moreover, overexpressed WT1 was associated with a poor prognosis of HCC [
11,
21]. The mechanism of WT1 in the regulation of apoptosis remains unclear, several genes that are central to the control of apoptosis have been proposed as targets of WT1, including Bcl-2, Bcl-2A1, Bak, c-myc, and JunB [
18,
22]. Also, WT1 can downregulate growth factor receptors such as the epidermal growth factor receptor (EGFR) and the insulin receptor, altering the balance of survival signals towards death [
10].
The process of apoptosis is under the control of a variety of internal and external signals that activate the mitochondrial pathway or the death receptor pathway, respectively [
22,
23]. Members of the multidomain Bcl-2 gene family play a key regulatory role in the mitochondrial pathway by eithersuppressing or promoting apoptosis. The antiapoptotic members include Bcl-2, Bcl-XL, Bfl-1, Bcl-W, and Mcl-1, whereas the proapoptotic members include Bax, Bak, and Bik. Activated Bax/Bak induces apoptosis by causing outer mitochondrial membrane permeabilization and release of cytochrome c, leading to cleavage of caspase-9, caspase-3, and eventually poly(ADP-ribose) polymerase (PARP). The activation of Bax/Bak is blocked by Bcl-2/Bcl-XL that function as decoy receptors. Ultimately, it is the net balance between antiapoptotic and proapoptotic proteins in the cell that determines cell fate [
22]. Activation of caspase-9, caspase-3 plays a central role in apoptosis by initiating cell death [
24]. Caspase-3 has substrate specificity for the amino acid sequence Asp-Glu-Val-Asp (DEVD) and cleaves poly (ADP-ribose) polymerase (PARP). And activated caspase-3 is the key mediator of cell apoptosis cleaving intracellular proteins vital for cell survival and growth, such as PARP. It has been demonstrated that the proteolytic cleavage of PARP is a biochemical event during apoptosis [
25,
26]. In this study, dsWT1-319 decreased anti-apoptotic protein Bcl-2, increased proapoptotic protein Bak and activated caspase-3, leading to PARP cleavage and the induction of apoptosis in dsWT1-319 treated HepG2 cells.
In conclusion, this study demonstrates that dsWT1-319 induced apoptosis in human hepatocellular carcinoma HepG2 cells. This is mediated through up-regulation of Bak, down-regulation of Bcl-2, and activation of caspase-3 and PARP. The results of our study provide evidences that up-regulation of WT1 by dsWT1-319 may have therapeutic potential in the treatment of hepatocellular carcinoma
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
QQ conducted the experiments, analyzed data and drafted the manuscript. SJH and ZYZ also analyzed the data and assisted with manuscript preparation. YWL, HC, QQM and KY assisted with experiments and manuscript preparation. XYZ revised the manuscript. All authors have read and approved the final manuscript.