Background
TGFβ is known to have pleiotropic effects which differ according to cell state and differentiation (reviewed in reference [
1]). This includes regulation of proliferation and apoptosis, and stimulation of epithelial-mesenchymal transition (EMT) which together are critical for the development of invasive and metastasis potential.
In the liver TGFβ is released in many settings to act as a critical mediator of responses to injury [
2]. It controls the proliferation of hepatocytes [
3], induces hepatocytes apoptosis [
4] and activates EMT [
5‐
8] which, in certain contexts can actually protect hepatocytes from TGFβ-induced apoptosis [
9].
In hepatocellular carcinoma (HCC), there is often production of TGFβ from both malignant hepatocytes and the non-parenchymal cells [
10,
11]. However, evidence suggests that HCC have acquired a resistance to TGFβ inhibition of proliferation through mechanisms that include decreased TGFβ-receptor II expression [
12] or induction of the inhibitory SMAD7 in advanced HCC [
12,
13]. In HCC of different aetiologies, particularly in livers with chronic viral hepatitis B or hepatitis C infection, P53, P21
Cip1 and pRb function are altered [
14‐
21]. We have recently reported that deficiency in these proteins significantly affects hepatocyte responses to TGFβ-induced inhibition of proliferation, and may therefore contribute to resistance to TGFβ [
22]. As these proteins are also key regulators of hepatocyte apoptosis [
23] and given the association of p53 with metastasis potential [
24], we determined whether deficiency in these genes also altered TGFβ effects on morphology, EMT and apoptosis, and investigated the possible relationships between those changes.
Methods
Hepatocyte culture
Mouse primary hepatocytes (male, 6–12 weeks old), were isolated by liver perfusion of
Rb-floxed mice (homozygous for exon 19 of
Rb flanked by LoxP sequences)[
25]
p53-/- [
26] and
p21
Cip1-null mice [
18] using a standard two-step retrograde procedure [
27]. Hepatocytes were purified using Percoll gradient [
28] and cultured in supplemented serum-free medium selecting against survival of non-parenchymal cells. [
29,
30]. Rb-floxed hepatocytes were infected at the time of plating with either a replication-deficient adenovirus expressing Cre-recombinase (Ad-Cre) or with the control adenovirus (Ad-Dl70) using a multiplicity of infection of 10 [
23]. This gave rise to isogenic hepatocytes either homozygous for the
floxed-Rb allele (phenotypically wild-type) or homozygous for deletion of exon 19 of
Rb (
Rb-null). Where indicated, hepatocytes were treated daily with 160pM of TGF-β 1 (TGFβ) for the indicated time starting from 24 hours of culture.
All animals used in this study received humane care. The study protocols are in compliance with the UK Home Office regulation and the local institutional policies.
Quantification of apoptosis
Cells were prepared using Feulgen stain and light green counterstain [
31,
32]. Briefly, cells were fixed in Boum's fixative, treated with 5M HCl for 45 minutes then stained with Schiff reagent. Apoptosis was quantified according the morphological characteristics of the cells as previously described [
33]. Normal hepatocytes are flat, with big pale pink nuclei and green cytoplasm while necrotic hepatocytes have shrunken and distorted nuclei darker pink and no condensation of the chromatin (see additional file
1). Apoptotic cells have condensed, uniformly refractile chromatin with retracted condensed cytoplasm (dark green) often with blebbing. Typically apoptotic bodies are best seen at a different plane of focus (above) normal cells. For each time point of each experiment 500 hepatocytes were counted from 2 independent cultures allowing us to plot a percentage of apoptotic cells +/- SD. Each experiment was repeated at least 3 times with similar results.
Statistical analyses were performed using Minitab 13.0. The proportion of apoptotic cells was arcsine transformed, and differences between means were evaluated with Analysis of Variance (ANOVA). Differences were taken to be significant when p < 0.05. Satisfactory homogeneity of variances was determined with Bartlett's test. Where a significant difference between means was identified with ANOVA, pairwise comparisons were performed using Bonferroni tests for multiple comparisons.
In addition to morphological assessment, activation of apoptosis was confirmed biochemically by quantification of cleaved-caspase 3. Briefly, hepatocytes in culture for 72 and 96 hours, treated or not with TGFβ, were fixed in acetone/methanol. Cleaved-caspase 3 was labelled using a rabbit polyclonal antibody (9661S, New England Biolabs, UK) (1/100 overnight) and red-fluorescent secondary antibody (Alexa555 goat antirabbit, molecular probes, UK).
Immunohistochemistry
Control (wt) and Rb -/- hepatocytes in culture for 24 hours on Permanox 2-well chamberslides (LabTech, UK) were treated daily or not with TGFβ(160pM of TGF-β1). 72 hours after treatment (96 hours after plating) the hepatocytes were fixed in Acetone/Methanol (50/50 V/V). After Avidin/Biotin block (Vector, UK), the slides were incubated with a rabbit polyclonal anti E-cadherin antibody (clone NCH38, DAKO UK), rabbit monoclonal anti CK18 (clone E431-1, AbCam, UK), mouse monoclonal anti-SMAα (clone 1A4, Sigma UK) or rabbit polyclonal anti N-cadherin (AbCam, UK), followed by the appropriate biotinylated secondary antibody (Dako, UK) and revealed using ready-to-use peroxidase stain (Vector, UK) and counterstained with haematoxylin.
Real time RT-PCR
RNA was extracted using Qiagen RNeasy mini kit according to manufacturers' instructions. The concentration and purity of RNA was determined using a NanoDrop® ND-1000 spectrophotometer (NanoDrop Technologies DE, USA). Total RNA (up to 1 μg) was reverse transcribed using Superscript II reverse transcriptase (Invitrogen, UK) in a reaction mix consisting of: 4 μl of 5× buffer, 2 μl DTT (0.1 M), 0.5 μl dNTPs (10 mM), 2 μg of random hexamers, 0.5 μl (100 U) Superscript II and 0.5 μl (20 U) RNAse inhibitor (all Invitrogen, UK). The resulting cDNA was diluted 1:100 ready for PCR.
Expression of both E-cadherin and Snail was determined using SYBR green master mix (Invitrogen, UK) and the following primers: E-Cadherin: Forward primer ACT GTG AAG GGA CGG TCA AC; Reverse primer GGA GCA GCA GGA TCA GAA TC. Snail: Forward primer CCA CTG CAA CCG TGC TTT T; Reverse primer TCT TCA CAT CCG AGT GGG TTT. Pre-designed 18S primer/probe (Applied Biosystems, UK) was run as an internal control using a TaqMan master mix (Invitrogen, UK). Each system was run under standard conditions on an ABI 7500 detection system
Discussion
TGFβ has pleiotropic effects ranging from regulation of proliferation and apoptosis to morphological changes and mesenchymal transition (EMT). Our evidence suggests that these effects may be interconnected: for example, TGFβ stimulates the production of extracellular matrix proteins and their receptors [
38], affecting cytoskeletal structure, cell shape, and cell spreading, which in turn regulates gene expression and cell proliferation [
39,
43].
We have recently reported that P53, P21
Cip1 and pRB, three critical regulators of the G1/S transition are variably involved in TGFβ-induced cell cycle arrest in hepatocytes [
22]. As these proteins are also involved in the regulation of apoptosis in many circumstances [
36,
37], we investigated their contribution to other TGFβ-induced effects, namely apoptosis and EMT, and examined how these different processes were interrelated.
One of TGFβ properties is to induce morphological changes associated with epithelial to mesenchymal transition (EMT), which is characterised by downregulation of epithelial markers concomitant with upregulation of mesenchymal markers [
44‐
46]. Mouse primary hepatocytes of all genotypes expressed high levels of E-cadherin and CK18, two epithelial markers. After treatment with TGFβ, the morphological changes observed were consistent with that seen during EMT: E-cadherin expression decreased sharply while
snail expression increased. However, mesenchymal markers expression was not significantly increased (N-cadherin, vimentin, SMAα) and CK18 remained unchanged. Therefore the morphological changes were only associated with changes in E-cadherin expression, and this is most probably driven by
snail [
47] and reflect loss of epithelial differentiation rather than mesenchymal transition. Why mesenchymal markers were not expressed is unclear, but longer exposure (4 to 6 days) to several signals may be required for completion of EMT [
48]. In any case, this occurred for all genotypes suggesting that P53, P21
Cip1 and pRB are not involved in these changes. Nevertheless, morphological changes and proliferation have been shown to be correlated. For example, in rat hepatocytes, morphological changes induced by TGFβ-treatment govern proliferation through alteration of p27
KIP1 and p21
Cip1 expression [
49]. In our cells, TGFβ-treatment did not upregulate p27
KIP1 [
22]. The morphological alterations also occurred similarly without
p21
Cip1, suggesting that these cyclin-dependent kinases (CDKI) are not required for this TGFβ-effect in primary adult mouse hepatocytes. Furthermore, the morphological changes occurred irrespective of genotypes which we have previously reported have differing proliferation index [
23] and responses to inhibition of proliferation by TGFβ [
22]. This demonstrates that TGFβ-signalling to morphological changes is different to its growth inhibitory signalling in primary mouse hepatocytes. A similar observation has recently been reported for human keratinocytes [
50].
TGFβ is well described as a trigger for apoptosis in hepatocytes [
35] and high level of apoptosis was observed regardless of genotype studied. Apoptosis appeared somewhat later than in other published studies where high levels are usually reported after 48 hours of TGFβ; the fact that primary hepatocytes in our system are almost synchronous in terms of entry from quiescence to cell cycle on plating [
22,
23,
32] may be a factor and supports the hypothesised influence of cell cycle stage on TGFβ-induced apoptosis. In our study, apoptosis triggered by TGFβ occurred earlier in
p53 and
Rb-deficient cells than in control cells, showing an increased sensitivity. It has been suggested that increased cell cycle activity may lower the threshold for apoptosis. More specifically, the abundance of pRb and its level of phosphorylation have been shown to correlate with the threshold for TGFβ-induced apoptosis in hepatocytes [
51]. In that study, Fan
et al reported an enrichment of the G2/M population after TGFβ-treatment and proposed that TGFβ-induced apoptosis occurred in G1 or S phase [
51]. In our system, using near synchronous adult primary hepatocytes, TGFβ-treatment triggers a strong and sustained G1-arrest in control cells [
22] (less than 1% cells entering S phase) supporting the hypothesis that TGFβ-induced apoptosis occurs in G1. However, the earlier onset of apoptosis in
p53 and
Rb-null cells correlates with the peak of S phase and the appearance of the first mitosis suggesting that in cells escaping TGFβ-induced cell cycle arrest, another exit to apoptosis may exist in S phase and G2/M. Although this could contribute to the higher level of apoptosis in
Rb-/- and
p53-/- hepatocytes [
23] it is clearly not the case in
p21-/- hepatocytes: we have previously reported that
p21
cip1
-/- hepatocytes proliferate more and enter S phase earlier than
p53 or
Rb-/- cells [
23] and that a substantial proportion of
p21
cip1
-/- cells treated with TGFβ are able to enter S phase (10.3% +/- 3.3 in
p21-/- versus 0.70% +/- 0.42 in control hepatocytes; ([
22] and additional file
2). Despite this sustained proliferation in
p21
cip1
-/- cells, apoptosis was of similar level to that of control cells. Similarly,
p21
cip1
Rb-/- cells proliferate more than
Rb-/- cells after TGFβ-treatment (21.1% +/- 0.26 versus 9.05% +/- 3.17 respectively, additional file
2), yet apoptosis was not significantly different in those cells. This may suggest that the presence of
p21
cip1
, and more particularly expression of cytoplasmic P21
Cip1after TGFβ-treatment [
22] which has been associated with apoptosis [
52], sensitises hepatocytes to TGFβ-induced apoptosis independently to the proliferation index.
In fact, comparison of all genotypes revealed no simple relationship between the level of proliferation and the amount of apoptosis (additional file
2). This therefore suggests that other parameters are important and that higher proliferation itself can not predict cells' sensitivity to TGFβ.
Interestingly, apoptosis induced by TGFβ in p53-null cells was at least partially, dependent on P21Cip1 (regardless of Rb genotype) as double deficiency in p53 and p21
cip1
decreases the level of apoptosis. This effect is specific to TGFβ as it is not observed when apoptosis is induced by other means such as UV-induced DNA-damage (data not shown).
Various recent reports have shown an association between resistance to apoptosis and EMT in hepatocytes [
8,
9,
53]. In one study, TGFβ treatment of a subpopulation of fetal rat hepatocytes resulted in EMT which was associated with resistance to apoptosis. By contrast, adult rat hepatocytes which did not undergo EMT, died by apoptosis [
54]. In our system, the morphological changes and loss of cell adhesion may be insufficient to provide resistance, or the pathway may be different in adult primary mouse hepatocytes. This is suggested by the recent study from Ju et al. [
55] that showed that Smad2 deficiency leads to EMT but does not affect apoptosis in adult primary hepatocytes.
Conclusion
During carcinogenesis, growth inhibitory responses to TGFβ are often lost, and insufficient apoptosis has been associated with the development of hepatocellular carcinoma [
56]. P53, P21
Cip1 and pRb are well known regulators of both proliferation and apoptosis in response to a multitude of stresses. In a previous study, we found that
p53,
p21
cip1
and
Rb deficiencies decreased the sensitivity of primary hepatocytes to TGFβ-driven cell cycle arrest.
Rb deficiency had the strongest effect which was independent of the presence of
p53 and
p21
cip1
[
22]. Our present results reveal a more subtle involvement of theses genes in the regulation of TGFβ-induced apoptosis. Although differences in the onset of apoptosis were observed in the different genotypes, all but
p53 p21
cip1
double null remained very sensitive to apoptosis induced by TGFβ. We therefore propose that
p53 and
Rb have only slight modulatory effect on TGFβ-induced apoptosis and that other parameters including proliferation index, presence of P21
CIP1 and double deficiency in
p53 and
p21
cip1
are likely to be more important.
EMT is thought to be critical for metastasis. Increased
snail expression and decreased E-cadherin, associated with changes of morphology occurred irrespective of
p53,
p21
Cip1 and
pRb genotypes without mesenchymal transition, suggesting that the association of
p53 deficiency with metastasis in the liver [
24] for example does not correlate with a change in the ability of hepatocytes to undergo loss of cell adhesion induced by TGFβ.
Acknowledgements
This work was supported by grants from the Melville Trust for the Care and Cure of Cancer to SP and SS. The p21
Cip1
-/- mice were kind gift from Philip Leder (Harvard Medical School, Boston, MA) and the Rb-floxed (Rb
lox/lox
) mice from Anton Berns (Netherlands Cancer Institute, Amsterdam), to whom we are very grateful. We wish to thanks Helen Caldwell for technical assistance, Professor Sarah Howie (Centre for Inflammation, QMRI, Edinburgh) for kindly donating Snail primers, Rebecca Aucott (Centre for Inflammation, QMRI, Edinburgh) for providing N-cadherin antibody and Helen Wilson (Centre for Reproductive Biology, QMRI, Edinburgh) for providing the cleaved-caspase 3 antibody.
Competing interests
The authors declare that they have no competing interests.
Authors' contributions
SS initiated the study and carried out some of the experiments, COB contributed to the experimental design, interpretation of data, supervision and gave critical review of the manuscript, SNH carried out some of the experiments, DJH contributed to the experimental design and gave general supervision and funding support, SP made substantial contribution to the conception & design, acquisition and interpretation of data and wrote the manuscript.