Anti-oncogenic activities of cyclin D1b siRNA on human bladder cancer cells via induction of apoptosis and suppression of cancer cell stemness and invasiveness
- Authors:
- Published online on: November 7, 2017 https://doi.org/10.3892/ijo.2017.4194
- Pages: 231-240
Abstract
Introduction
Human cyclin D1 generates two major isoforms via alternative splicing: cyclin D1a and cyclin D1b. The cyclin D1a mRNA, which contains five exons, is 4.5 kb in length and has a coding region of 882 bp. The 1.7 kb cyclin D1b mRNA lacks exon 5, but has an extended exon 4 because of non-splicing, i.e., it extends into intron 4, which contains a translation stop codon after 99 bp and a polyadenylation signal 450 bp downstream of this stop codon. This mRNA encodes a 275 amino acid protein that differs at the C terminus from the 294 amino acid protein encoded by the cyclin D1a mRNA (1). Cyclin D1a is known to be expressed ubiquitously and to regulate the G1-S transition of the cell cycle by binding cyclin-dependent kinase (CDK) 4/6 to the phosphorylated Rb protein (2,3). Although cyclin D1b expression has hardly been detected in normal tissues, it has been detected in certain types of cancers, including Ewing's sarcoma, mantle cell lymphoma, bladder, esophageal and colon cancers, B-lymphoid malignancies and breast and prostate cancers (4). Transfection experiments have shown that cyclin D1b is more oncogenic than cyclin D1a (5–8). Despite the importance of cyclin D1b in human cancers, few studies have assessed the factors that influence its production or the relative expression of each of its isoforms (9–12). We have shown that ectopic cyclin D1b expression promoted cell invasiveness and anchorage-independent growth in bladder cancer cells (13). To clarify the oncogenic potential of the cyclin D1b variant, we previously developed cyclin D1b transgenic (Tg) mice and found that rectal tumors had developed in 62.5% (15/24) of female Tg mice, demonstrating the in vivo function of cyclin D1b as an oncogene (14). We established a cell line, D1bTgRT, derived from a rectal cancer of female cyclin D1b Tg mouse (14). Small interfering (si) RNA-induced cyclin D1b knockdown in this cell line suppressed anchorage-independent growth, cell invasiveness and tumorigenicity in nude mice, indicating that cyclin D1b contributes to rectal carcinogenesis and that knockdown of cyclin D1b is useful for the suppression of malignant phenotypes of cancer cells expressing cyclin D1b. We also found that cyclin D1b activates Erk via activation of Akt and that enhanced phosphorylation of Akt by cyclin D1b contributes to tumorigenicity (15). In the present study, we investigated the role of cyclin D1b on malignant phenotypes of human bladder cancer cell lines, T24 and SBT31A, using cyclin D1b siRNA and found that knockdown of cyclin D1b was able to induce apoptosis and suppress stemness and invasiveness of these cells. These findings suggest that knockdown of cyclin D1b using siRNA is available as a novel therapeutic tool for the treatment of human bladder cancers.
Materials and methods
Cell culture
Human bladder cancer cell lines, SBT31A (16) and T24, were cultured using RPMI-1640 medium supplemented with 10% fetal calf serum (FCS), penicillin (100 U/ml) and streptomycin (100 µg/ml) at 37°C in a humidified 5% CO2 atmosphere. SBT31A was established in our laboratory (16) and maintained from 1998. T24 was purchased from the American Type Culture Collection (ATCC; Manassas, VA, USA) in 2000 and maintained in our laboratory. T24 and SBT31A were authenticated by short tandem repeat analyses.
Cell proliferation assay
Cell proliferation was examined by culturing the cells in 35-mm culture dishes. In brief, 2×104 cells were inoculated in triplicate into each dish containing RPMI-1640 medium supplemented with 10% FCS and incubated at 37°C in a humidified 5% CO2 atmosphere. Viable cells were counted using a hemocytometer.
Fluorescence-activated cell sorting (FACS) analysis
Cell cycle distribution was detected using the Cycletest Plus DNA Reagent kit (Becton-Dickinson, Franklin Lakes, NJ, USA) with a FACSCanto II flow cytometer system and ModFit 3.2 (Becton-Dickinson). In brief, the cells were collected after treatment with cyclin D1b siRNA and fixed in 70% ethanol at −20°C for 18 h. The cells were washed twice with phosphate-buffered saline (PBS) and then pelleted by centrifugation at 400 × g. The cell pellets were incubated with 250 µl of solution A (trypsin in a spermine tetrahydrochloride detergent buffer) at room temperature for 10 min, 200 µl of solution B (trypsin inhibitor and ribonuclease A in citrate stabilizing buffer with spermine tetrahydrochloride) at room temperature for 10 min, and 200 µl of solution C (propidium iodide and spermine tetrahydrochloride in citrate stabilizing buffer) in the dark at 4°C for 10 min. Cells were then analyzed by FACSCanto II flow cytometry.
In vitro invasion assay
The in vitro invasive potential of cancer cells was determined using a Matrigel™ Basement Membrane Matrix Invasion Chamber (chamber size, 6.4 mm; membrane surface area, 0.3 cm2; pore size, 8 µm; BD Biosciences, Bedford, MA, USA), according to the manufacturer's instructions (13). We added 500 µl of cell suspension (5×104 SBT31A and 2×104 T24 cells/ml) to each chamber. The chambers containing the SBT31A and T24 cells were incubated for 3 and 2 days in a humidified 5% CO2 atmosphere, respectively. Non-invasive cells were removed from the upper surface of the membrane using a cotton swab. The invasive cells on the underside of the membrane were stained using Diff-Quik™ (Kokusai Shiyaku Co., Ltd., Kobe, Japan) and counted under a microscope. Each sample was then assayed in triplicate.
Reverse transcriptase-polymerase chain reaction (RT-PCR) analysis
Total RNA was isolated from cultured cells using TRIzol reagent (Invitrogen, Carlsbad, CA, USA). Isolated RNA was used for First-Strand cDNA Synthesis using SuperScript II (Invitrogen) and an oligo-dT primer for 50 min at 42°C. The cDNA was PCR amplified using Taq DNA Polymerase (Takara, Otsu, Japan) with primers specific for cyclin D1a, 5′-CAAATGGAGCTGCTCCTGG TG-3′ (forward) and 5′-CTTCGATCTGCTCCTGGCAGG-3′ (reverse); cyclin D1b, 5′-CAAATGGAGCTGCTCCTGG TG-3′ (forward) and 5′-TGGCACCAGCCTCGGCATTTC-3′ (reverse) (13). PCR was performed for 35 cycles (cyclin D1b) or 30 cycles (cyclin D1a) consisting of denaturation at 94°C for 30 sec, annealing at 59°C for 30 sec and extension at 72°C for 1 min, followed by a final extension for 7 min. CD44 primers were CD44-F (5′-AGAAGGTGTGGGCAGAAGAA-3′ and CD44-R (5′-AAATGCACCATTTCCTGAGA-3′). Glyceral-dehyde-3-phosphate dehydrogenase (GAPDH) primers were GAPDH-5F (5′-ACCACAGTCCATGCCATCAC-3′) and GAPDH-3R (5′-TCCACCACCCTGTTGCTGTA-3′). Moreover, 30 cycles of PCR was performed for GAPDH and CD44 with annealing at 55°C. The PCR products were separated by electrophoresis in a 2% agarose gel containing ethidium bromide and then photographed.
Transfection of siRNA oligonucleotides
The siRNA oligonucleotides for cyclin D1b and CD44 were synthesized by GeneDesign, Inc. (Osaka, Japan). siRNA sequences were 5′-CAAATGGAGCTGCTCCTGGTG-3′ (sense) and 5′-TG GCACCAGCCTCGGCATTTC-3′ (antisense) for cyclin D1b siRNA and 5′-AAAUGGUCGCUACAGCAUCTT-3′ (sense) and 5′-GAUGCUGUAGCGACCAUUUTT-3′ (antisense) for CD44 siRNA. A non-specific siRNA duplex (GeneDesighn) served as the control. The cells were transfected with siRNA for cyclin D1b or CD44 using Lipofectamine™ RNAiMAX reagents (Invitrogen) according to the manufacturer's protocol.
Immunoblotting
Cells and tissues were lysed in Laemmli sodium dodecyl sulfate (SDS) buffer containing 62.5 mM Tris-HCl (pH 6.8), 10% glycerol, 5% 2-mercaptoethanol, 2% SDS, 0.01% bromophenol blue and 5 mM ethylenediaminetetraacetic acid. A sample of the cell lysate was subjected to SDS-PAGE, and the separated proteins were electrotransferred to membrane filters (Immobilon-P; Millipore Corp., Billerica, MA, USA). After blocking with TBS-T [10 mM Tris-HCl (pH 7.6), 150 mM sodium chloride and 0.1% Tween-20] containing 5% bovine serum albumin (BSA), the filters were incubated overnight with the first antibody in TBS-T containing 2% BSA. The filters were washed with TBS-T and incubated for 1 h in horseradish peroxidase-conjugated anti-mouse or anti-rabbit IgG (GE Healthcare Bio-Science Corp., Arlington Heights, IL, USA) diluted to 1:20,000 in TBS-T containing 2% BSA. After several washes with TBS-T, immunoreactivity was detected using the ECL system (GE Healthcare Bio-Science), according to the manufacturer's instructions.
Antibodies
Anti-α-tubulin (DM1A) monoclonal antibodies were purchased from Sigma-Aldrich (St. Louis, MO, USA). Anti-cyclin D1 rabbit monoclonal (92G2), anti-CD44 mouse monoclonal (156-3C11), anti-GAPDH rabbit monoclonal (D16H11), anti-N-cadherin rabbit monoclonal (D4R1H) and anti-caspase-3 rabbit monoclonal (D3R6Y) antibodies were purchased from Cell Signaling Technology (Tokyo, Japan). Anti-E-cadherin (36/E-cadherin) and anti-Rb (G3-245) mouse monoclonal antibodies were purchased from BD Biosciences, whereas anti-vimentin (C9) mouse monoclonal antibody was purchased from Santa Cruz Biotechnology Inc. (Santa Cruz, CA, USA).
Tumorigenicity assay in nude mice
The use of animals in the experimental protocols was reviewed and approved by the Management Committee of the Research Center for Animal Life Science at Shiga University of Medical Science. The animals were housed in a specific pathogen-free room with controlled temperature (20–22°C) and humidity (50–60%) and a preset light-dark cycle (12:12 h). They were allowed ad libitum access to food (CE-2; CLEA Japan, Inc., Tokyo, Japan) and water. The right dorsal flank of each 6-week-old BALB/c-nu/nu female nude mouse was injected subcutaneously with 5×106 SBT31A cells. After establishing palpable tumors (~50 mm3), external tumor volume was determined on days 0, 4, 8, 12 and 16. A total of 12 mice carrying palpable tumors were randomized into two groups of 6 mice. siRNA complexes were prepared using the Invivofectamine® 3.0 reagent (Invitrogen) and siRNA duplex solution (cyclin D1b and control siRNA) according to the manufacturer's protocol. Each siRNA complex was injected into the tumor of each mouse at a dose of 5 µg on days 0, 4, 8 and 12. An injection volume of 100 µl was prepared for each tumor. Tumor volume was calculated using the formula A × B × C/2, where A, B and C represent the diameters of length, height and width, respectively. Resected tumors that developed on the back of the mice were fixed with 10% formalin in PBS for 4 h and embedded in paraffin. Serial 3 µm sections were used for histological evaluation using hematoxylin and eosin staining. For the detection of apoptotic cells in tumor tissues, terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) assays were performed using the Apoptosis in situ Detection kit (Wako Pure Chemical Industries, Osaka, Japan) according to the manufacturer's protocol (17).
DAPI (4′,6-diamidino-2-phenylindole) staining
The SBT31A cells were stained with DAPI (10 mg/ml in PBS) for 30 min, followed by fixation with 4% paraformaldehyde for 15 min in the dark. Cell apoptotic morphology was observed using a fluorescence microscope (BX61; Olympus, Inc., Tokyo, Japan).
Three-dimensional (3D) spheroid formation assay
3D spheroid formation was examined by culturing the cells in 96-well V plates (PrimeSurface®; Sumitomo Bakelite Co., Ltd., Tokyo, Japan). In brief, 1×103 cells were inoculated in triplicate into each well containing RPMI-1640 medium supplemented with 10% FCS and incubated at 37°C in a humidified 5% CO2 atmosphere. After 3 days of incubation, spheroid formation was photographed using phase contrast microscopy (×4 magnification; Olympus). The CellTiter-Glo® 3D Cell Viability Assay (Promega, Madison, WI, USA) was then used to determine the number of viable cells in the 3D cell culture based on quantitation of the ATP present according to the manufacturer's protocol. The Caspase-Glo® 3/7 assay (Promega) was used to measure caspase-3 and -7 activities according to the manufacturer's protocol. The morphology of the spheroids was observed using a microscope (Diaphot 30D; Nikon, Inc., Tokyo, Japan).
3D spheroid invasion assay
For spheroid generation, cell suspensions of 100 µl/well at optimized densities (1×103 cells/ml) were dispensed into 96-well U-plates (PrimeSurface® Sumitomo Bakelite). Plates were incubated for 3 days at 37°C in a humidified 5% CO2 atmosphere. Where indicated, optimal 3D structures were achieved by adding 100 µl of Matrigel (Corning Life Sciences B.V, Amsterdam, The Netherlands). After incubation, spheroid images were captured using an Olympus IX 70 inverted microscope (Olympus) equipped with a CCD camera and imported into the Image-Pro Plus 6.2 Analyzer software (Media Cybernetics, Inc., Rockville, MD, USA). Thereafter, maximal radial distances for invaded cells were calculated using ImageJ 1.51h.
Statistical analyses
All quantitative data are presented as means ± standard deviations (SD). Welch's t-test was used for statistical analyses. The statistical analyses were performed using the R statistical software package, version 2.6.2 (R Foundation for Statistical Computing, Vienna, Austria). Significance was set at P<0.05.
Results
Effect of cyclin D1b knockdown on cell proliferation and invasiveness
To examine the role of cyclin D1b on the expression of malignant phenotypes in bladder carcinogenesis, we suppressed the expression of cyclin D1b in human bladder cancer cell lines, T24 and SBT31A, by introducing cyclin D1b siRNA. Cyclin D1b siRNA markedly suppressed the expression of cyclin D1b transcripts compared to the no-treatment control and control siRNA in both cell lines 24 h after transfection (Fig. 1A). Protein levels of cyclin D1(a) were not affected by cyclin D1b siRNA treatment (Fig. 1B), indicating that such treatment was able to specifically suppress cyclin D1b expression under these experimental conditions. To evaluate the anti-oncogenic effects of cyclin D1b siRNA in these cell lines, we initially compared cell proliferation and in vitro cell invasiveness after treatment with control and cyclin D1b siRNAs. As shown in Fig. 1C and D, cyclin D1b siRNA significantly suppressed the proliferation of SBT31A and T24 cells compared to control siRNA. Cell invasiveness of both cell lines was also significantly suppressed by cyclin D1b siRNA (Fig. 1E–H).
Cell cycle arrest in the G1 phase and induction of apoptosis by cyclin D1b siRNA treatment
To further assess the effects of cyclin D1b siRNA on these cancer cells, we performed FACS analyses in cells treated with control and cyclin D1b siRNAs 48 h after transfection. As shown in Fig. 2A, cyclin D1b siRNA treatment significantly decreased the population of the S phase and increased that of the G1 phase in T24 cells compared to the no-treatment control and control siRNA. Given that the Rb protein is a key regulator in the G1-S transition of the cell cycle, we examined the change in Rb phosphorylation through immunoblot analysis with specific antibodies of Rb. As shown in Fig. 2B, cyclin D1b siRNA decreased upper hyper-phosphorylated Rb and increased lower hypo-phosphorylated Rb compared to control siRNA in T24 cells, indicating that regulation of Rb phosphorylation plays a critical role in cell cycle suppression, at least in T24 cells. In contrast to T24 cells, Rb expression was not detected in SBT31A cells (Fig. 2B), suggesting that other mechanisms are involved in the suppression of cell proliferation by cyclin D1b siRNA. FACS analyses showed that the sub-G1 population was significantly increased in SBT31A cells treated with cyclin D1b siRNA (14.3±2.2%) compared to the no-treatment control and control siRNA cells (7.5±1.0%), suggesting the induction of apoptosis by knockdown of cyclin D1b (Fig. 2A). The increase in the sub-G1 fraction was hardly detected in T24 cells transfected with both control and cyclin D1b siRNAs. To confirm the induction of apoptosis by cyclin D1b siRNA in SBT31A cells, we performed nuclear staining with DAPI and immunoblot analysis with anti-caspase-3 antibody. As shown in Fig. 2C and D, the percentage of morphologically aberrant nuclei with nuclear fragmentation was significantly increased in SBT31A cells treated with cyclin D1b siRNA (24.3±2.1%) compared to those treated with control siRNA (12.5±1.7%) or those that had no treatment (8.1±1.1%). Activation of caspase-3 (cleaved lower band) was also detected in SBT31A cells, but not T24 cells, treated with cyclin D1b siRNA (Fig. 2E). These results indicated that, in SBT31A cells, the induction of apoptosis plays a critical role in the suppression of cell proliferation by knockdown of cyclin D1b.
Effects of cyclin D1b knockdown on 3D spheroid formation
3D spheroid formation models are recently being used in cancer research to more closely mimic the environment associated with tumors (18). We also examined the anti-oncogenic effects of cyclin D1b siRNA in this multicellular tumor spheroid model. After cyclin D1b siRNA transfection for 24 h, 1×103 SBT31A and T24 cells were inoculated into 96-well plates for 3D spheroid formation. The spheroid-forming ability of these cells was examined after incubation for 3 days in complete culture medium. As shown in Fig. 3A, spheroids grew dim in SBT31A cells treated with cyclin D1b siRNA, while outer layer spheroid formation was inhibited in T24 cells treated similarly. These inhibitory changes in spheroid formation were not observed in control siRNA treatment. The number of viable cells in these spheroids was assessed using ATP activity in both cell lines. As shown in Fig. 3B and C, this was significantly decreased by cyclin D1b siRNA compared to controls (left panels). In addition, caspase-3/-7 activities (middle panels) and the caspase-3/-7/ATP activity ratio (right panels) were increased by cyclin D1b siRNA in SBT31A cells (Fig. 3B) but not in T24 cells (Fig. 3C). These results revealed that apoptosis also contributed to the suppression of 3D spheroid formation by cyclin D1b siRNA in SBT31A cells. On the other hand, although the number of viable cells significantly decreased in T24 cells treated with cyclin D1b siRNA, caspase-3/-7 activity similarly decreased in these cells (Fig. 3C). This was probably because the decrease in caspase-3/-7 activities reflects the decrease in viable cell number of T24 spheroids treated with cyclin D1b siRNA, revealing that knockdown of cyclin D1b suppressed cell proliferation of T24 cells in 3D spheroid culture. These 3D spheroid culture results are consistent with those of adhesive cultures in Figs. 1 and 2.
Effects of cyclin D1b knockdown on cancer stemness and epithelialmesenchymal transition (EMT)-related invasiveness of T24 cells
As given that 3D spheroid formation is considered to be one of the cancer stem cell phenotypes (19), we investigated alterations in the expression of CD44, a stem cell marker of human bladder cancer, in SBT31A and T24 cells treated with cyclin D1b siRNA (Fig. 4A). Although the expression of CD44 was hardly detected in SBT31A cells, it was evidently detected and suppressed by cyclin D1b siRNA in T24 cells, suggesting that cyclin D1b knockdown suppresses the cancer stem cell phenotype via CD44 in T24 cells. To assess the role of CD44 in the suppression of 3D spheroid formation by cyclin D1b siRNA, CD44 expression was knocked down by CD44 siRNA in T24 cells (Fig. 4B). As shown in Fig. 4C, CD44 knockdown hardly affected ATP activity in T24 spheroid culture. However, CD44 siRNA changed the morphology of T24 spheroids (Fig. 4D). Given that the phenotype of cancer stem cells is closely correlated with EMT (20), we examined the expression of EMT-related proteins in T24 cells treated with cyclin D1b siRNA. As shown in Fig. 4E and F, the expression of N-cadherin, an EMT protein, was significantly decreased (~50%) by cyclin D1b knockdown in T24 cells. On the other hand, the expression of E-cadherin was faintly detected and not altered by cyclin D1b siRNA (Fig. 4E). The expression of vimentin was not affected by CD44 siRNA (Fig. 4E). Similar results were obtained in T24 cells treated with CD44 siRNA (Fig. 4B). To exclude the possibility that CD44 siRNA suppress the expression of N-cadherin via suppression of cyclin D1b mRNA, we examined the effect of CD44 siRNA on the expression of cyclin D1b by RT-PCR. As shown in Fig. 4G, CD44 siRNA did not suppress the expression of cyclin D1b mRNA, indicating that cyclin D1b acts upsteam of CD44 for suppression of N-cadherin expression. These results indicate that knockdown of cyclin D1b suppresses N-cadherin expression via CD44. To further evaluate these correlations, we examined the invasion activity (invadopodia) of spheroid cells treated with CD44 and cyclin D1b siRNAs using T24 spheroids embedded in Matrigel. As shown in Fig. 4H and I, the invadopodia formation of T24 spheroid cells was suppressed by CD44 and cyclin D1b siRNAs compared to control siRNA. Taken together, these results indicate that knockdown of cyclin D1b is able to suppress malignant phenotypes of T24 cells, including cancer stemness and invasiveness, via the regulation of CD44 and N-cadherin expression.
Suppression of tumor growth in vivo by cyclin D1b siRNA
To assess whether cyclin D1b siRNA is able to suppress in vivo tumor growth of human bladder cancer cells expressing cyclin D1b, the tumorigenicity assay was performed in nude mice. Given that SBT31A cells can efficiently form tumors through subcutaneous injection in nude mice, we used these cells in our in vivo tumor model (16). T24 cells did not form tumors in nude mice under these experimental conditions. Upon reaching a palpable volume (~50 mm3), control and cyclin D1b siRNAs were injected into the tumors using the Invivofectamine reagent. Nude mice with palpable tumors were randomly separated into two groups of six. There was no significant difference in tumor volume between cyclin D1b (55.8±11.3 mm3) and control (58.3±14.1 mm3) siRNA groups (P=0.7415). As shown in Fig. 5A and B, tumor growth was significantly inhibited in SBT31A cells treated with cyclin D1b siRNA compared to those treated with control siRNA. The resected tumors of the cyclin D1b siRNA-treated group (178±64 mg) were significantly smaller than those of the control siRNA-treated group (408±86 mg, P=0.0003) (Fig. 5C). Histopathological (Fig. 5D–G) and TUNEL (Fig. 5H and I) examinations showed that apoptotic cells were significantly increased in tumor tissues treated with cyclin D1b siRNA. These results indicate that cyclin D1b siRNA is able to inhibit the in vivo growth of SBT31A tumors by inducing apoptosis. Hence, cyclin D1b siRNA will serve as a novel therapeutic agent for the treatment of bladder cancers that express cyclin D1b.
Discussion
In the present study, we investigated the anti-oncogenic effects of cyclin D1b siRNA on human bladder cancer cell lines, which express cyclin D1b, and found that it had the ability to effectively suppress in vitro and in vivo malignant phenotypes of bladder cancer cells. Knockdown of cyclin D1b by specific siRNAs significantly suppressed proliferation and in vitro invasiveness of both SBT31A and T24 cells. Cell cycle analyses revealed that cyclin D1b siRNA inhibited the G1-S transition in T24 cells. On the other hand, cyclin D1b siRNA induced an increase in the sub-G1 fraction after FACS analysis, an increase in morphological aberrant nuclei with nuclear fragmentation, and the activation of caspase-3 in SBT31A cells, indicating induction of apoptosis. Although cyclin D1b siRNA did not induce apoptosis in T24 cells, it suppressed the expression of a cancer stem cell marker, CD44, in T24 cells. Moreover, 3D spheroid formation was also inhibited by cyclin D1b siRNA in SBT31A and T24 cells. Apoptosis was induced in spheroids of SBT31A cells but not in those of T24 cells. Knockdown of CD44 or cyclin D1b suppressed invadopodia formation of spheroids and the expression of N-cadherin in T24 cells. Taken together, these results demonstrate that knockdown of cyclin D1b successfully suppresses malignant phenotypes of human bladder cancer cells via multiple mechanisms, such as suppression of the cell cycle, induction of apoptosis and suppression of EMT and cancer stemness.
Although the expression of Rb and CD44 proteins was not detected in SBT31A cells, they were evidently expressed in T24 cells, suggesting that the difference in the expression of these proteins is due to the different responses of these cell lines to introduction of cyclin D1b siRNA. In the HT1197 bladder cancer cell line, wherein the expression of cyclin D1b mRNA was not detected, knockdown of cyclin D1b neither induced apoptosis nor suppressed cell proliferation (data not shown), indicating that the responses of SBT31A and T24 cells to cyclin D1b siRNA depend on the expression of cyclin D1b. Rb has been shown to be deleted in 37% of invasive human bladder cancers (21–23). Although Rb is known to regulate the cell cycle and control apoptosis, it has also been shown to be involved in the process of malignant progression, including EMT and metastasis of many human cancers (24–26). In fact, SBT31A cells, lacking Rb, had a higher ability to induce anchorage-independent growth and form tumors in nude mice compared to T24 cells. Rb serves as a critical point in the regulation of the G1-S transition of the cell cycle (24,25). In the presence of Rb, cyclin D1b accelerates the cell cycle progression via the Akt-Erk pathway (15). In this case, knockdown of cyclin D1b causes the suppression of cell proliferation. On the other hand, in the absence of Rb, cyclin D1b may act to suppress apoptosis caused by the dysregulation of the cell cycle. Thus, knockdown of cyclin D1b could induce apoptosis. Nevertheless, in this study, knockdown of cyclin D1b suppressed cancer phenotypes irrespective of Rb expression, indicating that knockdown of cyclin D1b is able to confer its therapeutic ability in most invasive human bladder cancers.
Tumor growth of SBT31A cells in nude mice was significantly inhibited by cyclin D1b siRNA via the induction of apoptosis. In breast cancer, knockdown of cyclin D1b was shown to suppress in vivo tumor formation by inducing apoptosis (27). However, in the present study, we further found the ability of cyclin D1b siRNA to suppress the stemness and invasiveness of bladder cancer cells via suppression of CD44 and N-cadherin expression in T24 cells. CD44, a multi-structural and multifunctional transmembrane glycoprotein, was identified as a receptor for hyaluronan and was found to be closely associated with the development of a variety of solid tumors (20,28–32). Furthermore, the elevated expression of CD44 has been shown to be correlated with the phenotypes of cancer stem cells and EMT in various human cancers, such as those of the breast, prostate, pancreas and bladder (20). Although CD44 variants, such as v6 and v9, have been reported to play a role in these cancers (20), expression of these variants was not detected by RT-PCR in T24 and SBT31A cells (data not shown). We also demonstrated that knockdown of CD44 suppressed cell invasiveness of spheroids and expression of N-cadherin in T24 cells, suggesting that cyclin D1b regulates the expression of CD44 thereby affecting invasion and cancer stemness. As for the induction of EMT, downregulation of E-cadherin and upregulation of N-cadherin have been shown to play critical roles in a variety of human cancers (33-38). Notably, elevated expression of N-cadherin has been reported to play a critical role in human bladder carcinogenesis (39,40). In T24 cells, the expression of E-cadherin was hardly detected, and cyclin D1b siRNA was not able to increase it. On the other hand, the expression of N-cadherin was significantly suppressed by cyclin D1b and CD44 siRNAs, suggesting its vital role in suppressing the invasion of bladder cancers. These results indicate that the expression of cyclin D1b plays a critical role in the maintenance of cancer stemness and EMT via regulation of CD44 and N-cadherin expression.
Knockdown of cyclin D1b promoted apoptosis of cyclin D1b-expressing SBT31A bladder cancer cells. We also revealed that cyclin D1b siRNA inhibited tumor growth of cancer cells in nude mice by intratumoral injections, demonstrating the therapeutic potential of cyclin D1b siRNA for the treatment of cyclin D1b-expressing bladder cancers. To use this treatment in clinical studies, the siRNAs have to be modified to reduce its sensitivity to nucleases and increase its cellular uptake (41). In bladder cancer cases, transurethral endoscopic surgery is initially applied for non-muscle invasive bladder cancers. However, after endoscopic surgery, bladder cancers have an intravesical recurrence rate of 50-70% (42). The intravesical instillation of a chemotherapeutic agent is widely applied to decrease the risk of recurrence in patients with bladder cancers after the endoscopic surgery (43). In addition, it is possible to directly administer high concentrations of anticancer agents through transurethral therapy, in contrast to systemic therapy, because the anticancer agents can be administered to the intravesical space by transurethral catheterization. Indeed, Nogawa et al (44) demonstrated that intravesical administration of Polo-like kinase-1-targeted siRNA/cationic liposomes inhibited cancer growth in mouse orthotopic bladder cancer models. It is assumed that these characteristics of the transurethral approach will be beneficial to the practical application of the in vivo siRNA therapy in human bladder cancers.
Acknowledgments
We would like to thank Ms. Akiyo Ushio (Shiga University of Medical Science) for technical assistance. The present study was supported by the KAKENHI, Japan Society for the Promotion of Scientific Research, Grant nos. 19591843, 21590437, 24590480 and 23590457).
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