Background
Ovarian Cancer (OC) is the sixth most prevalent form of cancer worldwide, which has a high mortality rate because at the time of diagnosis nearly 70% of cases are at an advanced stage, leading to a 5 year survival below 30% [
1]. The classification of OC depends on its cellular origin, with approximately two-thirds belonging to the epithelial serous type [
2]. Similar to other types of cancer, OC is characterized by changes in gene expression profiles [
3‐
6], including under and overexpression, or even
de novo gene expression [
7,
8].
Alternative splicing (AS) provides a critical and flexible layer of regulation, intervening in many biological processes, such as the diversity of proteins.
AS has major impact on the cell phenotype as a single pre-mRNA spliced in different ways can give rise to different mature mRNA transcripts (variants) that are translated onto distinct proteins varying in functions [
9‐
11]. Apparently, over 90% of human genes have two or more splice variants [
9,
10], greatly increasing the complexity of both the transcriptome and the proteome [
12,
13]. Therefore, AS could play an important role in gene regulation both in health and disease. In cancer, AS could affect the cellular processes related to tumor progression, including inhibition of apoptosis, tumor invasiveness, metastasis and angiogenesis [
14].
Among the genes with well established AS patterns whose derived alternative proteins affect tumor cell behavior is the SRPK1 kinase that in breast, colonic and pancreatic carcinomas phosphorylates the splicing factor SF2/ASF, allowing import to the nucleus, where it modulates AS of multiple target mRNAs, such as BIN1, S6K1, MNK2, contributing to tumor progression [
15,
16]. Additional cancer types with apparent alterations of alternative splicing, include: gastric, colon and bladder carcinomas [
17], hepatocarcinoma [
18], prostatic cancer [
19,
20], multiple myeloma [
21], breast cancer, and OC [
22], where most cancer-associated transcript variants belong to genes related to processes such as cellular transformation [
23,
24], adhesion, proliferation, migration and invasion [
25‐
28]. In OC, a new, previously unknown, variant of p53 mRNA transcript variant (p53δ) was identified [
29] whereas variants of the NR4A1, a nuclear receptor involved in steroidogenesis, and MRRF, a mitochondrial protein, were identified in prostatic cancer [
20]. Although the extent and pathophysiological meaning of this has yet to be established, there is little doubt that the study of alternative splicing can lead to a better understanding of the mechanisms of cancer development, and to the identification of new biomarkers for the diagnosis, epidemiological studies of prevalence, prognosis, and therapeutic responses.
The aim of the present study was to identify the whole genome profile of alternatively spliced mRNA in ovarian cancer and cell lines by high-density microarrays. Among the spectrum of several ovarian cancer-associated alternatively spliced genes, one mRNA, coding for ZNF695, a zinc finger protein, had the most significantly overexpression in OC with two prominent splice variants that were not present in normal ovarian tissue. These variants were cloned and sequenced. Here we describe some of the characteristics of ZNF695 mRNA splicing variants associated to ovarian cancer.
Methods
Data set and specimens
All investigations were performed in accordance with the Declaration of Helsinki with approval by the Central Research Committee of the Mexican Institute of Social Security and The Ethics Committee of Centro Médico Siglo XXI, Mexican Institute of Social Security. After informed consent was obtained, normal ovarian tissue (HOT), borderline ovarian tumor (BOT), malignant epithelial ovarian tumors stages III and IV (MOT) tissues were collected by the clinical partners at the Oncology Hospital, National Medical Center Siglo XXI, IMSS, and at the General Hospital of Mexico SSA (Secretaría de Salud) from patients with diagnosed ovarian cancer, or healthy ovarian tissue from patients who underwent abdominal surgery for hysterectomy due to uterine myomatosis with no evidence of ovarian pathology. Routinely, during this type of procedure, in patients over 45 years old both ovaries are removed, and only one in patients under 45.
Cancer and corresponding normal tissue specimens were cut into three fragments and snapped frozen in liquid nitrogen, one of which was stored in RNA LatterR (Qiagen, Valencia, CA, USA) at −70°C for a maximum of two months until RNA was purified, and the other two remaining fragments were formalin-fixed, paraffin-embedded, sliced, mounted on slides, and stained with HE. Only tissue samples with >80% tumor cells or normal epithelial cells (MOT or HOT, respectively), according to the histopathological examination were included for analysis.
Moreover, we also included for study ovarian cancer cell lines (OCL) NIH: OVCAR-3 [
30], SK-OV-3 [
31], TOV-112D [
32] and TOV-21G [
32], kindly provided by Dr. Laura Díaz-Cueto, Research Unit on Reproductive Medicine, Instituto Mexicano del Seguro Social (IMSS).
Samples were disrupted using a TissueLyser™ system (Qiagen, Valencia, CA, USA) for 60s at 30 Hz. Total RNA was obtained with RNeasy Mini Kit (Qiagen, Valencia, CA, USA) and total RNA concentration was quantified using a NanoDrop ND-1000 spectrophotometer and RNA quality was visualized and measured on an Agilent RNA 6000 Nano Assays in an Agilent 2100 Bioanalyzer (Agilent Technologies, Santa Clara, CA, USA).
Microarray GeneChip 1.0 assay
The microarray used for these studies was Affymetrix GeneChip 1.0, which contains over 750,000 probe sets representing all exons of ~28,800 annotated genes. Sample amplification and preparation for microarray hybridization was performed according to Affymetrix specifications (
http://media.affymetrix.com/support/downloads/manuals/wt_expressionkit_manual.pdf). In brief, 100 ng total RNA was reverse transcribed to cDNA, amplified by
in vitro transcription and reverse transcribed to cDNA again. Fragments between 40 and 70 bp were generated enzymatically, labelled and hybridized onto the microarray chips in an Affymetrix hybridization oven at 60 rpms, 45°C for 17 hours. Chips were washed according to the established protocols (Affymetrix, Santa Clara, CA, USA) with GeneChip fluidics station 450, and finally they were scanned with an Affymetrix 7G GeneChip scanner. The raw data (CEL files) will be deposited in Gene Expression Omnibus (GEO).
Data analysis
Microarray analysis was achieved by means of CEL files of the Partek Genomics Suite 6.5 v software (Partek Incorporated, Saint Louis, MO). Probe sets were summarized by means of Median Polish and normalized by quantiles with no probe sets excluded from analysis. Background noise correction was achieved by means Robust Multi-chip Average (RMA) and data were log2 transformed. Data grouping and categorization was achieved by principal component analysis (PCA). Differentially expressed exons were detected by means of Alternative Splicing ANOVA with the healthy control samples as the baseline. Moreover, BOT, MOT and OCL were also examined against HOT by the Geometric least squares means model. Hierarchical clustering was based on the dissimilarity of samples (Euclidian method) by means of average linkage.
Reverse transcription PCR
For linear cDNA synthesis, 1 μg total RNA was predigested with 1 U DNAse, 1 × DNAse buffer, 5 mM EDTA, after which it was incubated at 37°C for 30 min and at 65°C for an additional 10 min. Thereafter, samples were placed in master mix containing: 40 U Ribolock RNAse inhibitor, 0.2 μg random hexamer primers, 20 mM dNTP’s mix, 40 U M-Mulv reverse transcriptase (RT), and 1 × M-Mulv RT Buffer (Thermo Scientific).
Conditions for endpoint PCR amplification were: 5′ CGAATGAGAGCTGGCAAAGGCAAA 3′ Fwd., 5′ ACGCCAAGTGCCGTACAATTCATC 3′ Rev. primers (housekeeping gene RPL4) 7.5 mM, 1 × Taq buffer, 2 mM MgCl2, 0.4 mM dNTP’s, 1.25 U Taq Pol, 2 ul cDNA; whereas ZNF695 was amplified with primers: 5′ GCCTTTGTCTCCTTGCGGC 3′ Fwd. 5′ GGCTGTCTTCTCTGTGTTCACGTT 3′ Rev. 12.5 mM, 1 × Taq buffer, 3 mM MgCl2, 0.4 mM dNTP’s, 1.25 U Taq Pol, 2 ul cDNA. In both cases mix reactions were initially incubated at 95°C for 5 min, and then were run for 40 cycles at 94°C 45 s, 59°C 45 s, 72°C 60 s; and finally at 72°C for 5 min.
PCR product purification and cloning
PCR products were separated by electrophoresis (2.5% agarose gels) and extracted by means of Gel extraction kitTM (Qiagen, Valencia, CA, USA). The extracted products were ligated into pGem-T Easy Vector™ (Promega, Madinson, WI) by incubating overnight in 1.5 mL Eppendorf tubes with 2 × Rapid Ligation Buffer (T4 ligase), pGEM-T Easy Vector, PCR product and T4 DNA ligase at 4°C.
Recombinant plasmid DNA was purified with Wizard Plus Miniprep DNA Purification System™ (Promega) and selected clones were sequenced with M13 oligonucleotide and BigDye Terminator 3.1 cycle sequencing kit (Applied Biosystems), and sequenced in an Applied Biosystems Abi Prism 3130 genetic analyzer automated sequencer. Subsequently, the PCR amplicon sequences were assembled and checked against the transcript sequences annotated in the NCBI nucleotide database.
Discussion
Understanding the origin of malignancy is one of the greater challenges of modern science. Among malignant tumors, OC represents a major problem because little is known about its pathogenesis, which is also difficult to identify in early stages as it goes asymptomatic over long periods of time to be detectable only in late stages, almost always beyond any possibility of remission [
33,
34]. Alternative exon splicing is a biological process of major importance, because gene changes leading to altered splicing can affect normal cell and tissue function [
19,
20,
27,
35], including malignant transformation [
36]. The current studies were carried out to examine whether OC could be associated to particular exon-splicing state and if so, to identify differentially spliced transcripts present in OC but absent in healthy ovarian tissue. With the exon array data set presented here, we identified nine overexpressed genes with differential exon profiles associated to OC, one such gene, ZNF695, coding for a largely uncharacterized zinc finger protein, is the most representative, with three transcripts differentially expressed by MOT and OCL, one corresponding to the whole protein, a second ORF corresponding to a shorter peptide and a third, with lower but significant expression that corresponds to a long non-coding mRNA. These results likely provide a useful biomarker of malignant transformation in women suspected to have OC and open the study of the role of these transcripts in cell proliferation and malignant transformation.
Alternative splicing is a major source of protein diversity, bioinformatics-based methods indicate that >90% human genes could be subject to AS [
10,
12,
13] with an estimate of several million different proteins, and some individual proteins having over 1000 variants due only to AS [
37]. This process can differ during distinct cellular functional or developmental stages [
38,
39]. It is, therefore, not surprising that AS has also been found altered during malignant transformation [
40], which could be either a general marker of cancer or limited to certain cancer types. Moreover, cancer-associated AS could be the clue to understand the basis of malignant transformation, tumor behavior [
23,
41], and even for the identification of potential therapeutic targets [
42].
We found that OC tissue has indeed a signature of alternatively spliced genes. Although we do not know yet whether these changes are indeed related only to OC or they are general markers of cancer. Of the >270 differentially spliced genes found in OC, nine were highly significant, but we decided to focus on the most significantly expressed gene with differential AS, the zinc finger protein ZNF695.
The zinc finger protein family (ZNF) spans over 700 members with many functional roles within the cell, including regulation of gene expression, which is achieved by different means. For instance, ZNF transcription factors bind to DNA by means of C
2H
2 zinc finger domains, constituting a subfamily of ZNF [
43]. Although some ZNF members act only as repressors, others solely as act as activators, most of them can apparently be either repressors or activators depending on the particular status of the cell. Moreover, some ZNF play roles in signal transduction and many other cellular functions. ZNF695, which we found here to be differentially expressed and spliced in OC belongs to the C
2H
2 subfamily of ZNF and also contains Krüpple-associated box (KRAB) domains, which characteristically identify gene repressors [
44‐
46]. Because these genes, including ZNF695 contain two or more functional domains, changes affecting only one domain can have dramatic consequences [
45,
47]. On one hand, repressors could lose their regulatory function or even turn in the opposite direction and become activators [
47]. KRAB domains in ZNF proteins serve to bind co-repressors, which in turn mediate transcription repression [
44]. Of the ZNF695 splice variants we found here to be preferentially associated to OC, isoforms 2 and 3 have incomplete KRAB domains that are essential for interactions with co-repressors which suggests that such AS pattern could be related to carcinogenesis. The third variant lacked the initial translation codon; hence, it is unlikely to yield a translational product.
Unfortunately, as yet, almost nothing is known about ZNF695 in humans or in other species, with the closest homologues having up to 64% identity. Therefore, at present it is not possible to predict how ZNF695 could play a role in OC development, if at all. One could envision that because the alternative forms found in OC have incomplete KRAB domains, this potential repressor could function as an activator and turn on cell proliferation and, hence, malignant transformation. The other possibility would be to function as dominant negative variants, but this seems unlikely because normal ovarian tissue does not express ZNF695 in any of its isoforms ad OC cells express only the alternative splice variants. Therefore, we consider ZNF695 splice variants 1/2, 4 and 5 as potential oncogenes playing a role in the pathogenesis of OC.
Competing interests
The authors declare that they have no competing interests.
Authors’ contributions
SJ-M participated in the study design, carried out experiments, performed statistical analysis and helped to draft the manuscript, VV-R and RL-R performed experimental procedures, OAP-G, and MS participated in microarray analysis, VEMO-F, AZ-D participated in sequencing and cloning experiments, ML-O, RB, provided clinical sample material, performed the pathological analysis and tumor classification. JM participated in the design of the study, coordination and helped to draft the manuscript, GV-O conceived the study and participated in its design and helped to draft the manuscript. All authors read and approved the final manuscript.