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Genetic and Epigenetic Alterations of DLC-1, a Candidate Tumor Suppressor Gene, in Nasopharyngeal Carcinoma

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Acta Biochim Biophys

Sin 2006, 38: 349-355

doi:10.1111/j.1745-7270.2006.00164.x

Genetic and Epigenetic Alterations

of DLC-1, a Candidate Tumor Suppressor Gene, in Nasopharyngeal Carcinoma

Dan PENG, Cai-Ping REN*,

Hong-Mei YI, Liang ZHOU, Xu-Yu YANG, Hui LI, and Kai-Tai YAO*

Cancer

Research Institute, Xiangya School of Medicine, Central South University, Changsha

410078, China

Received: February

18, 2006

Accepted: March 6,

2006

*Corresponding

authors:

Cai-Ping REN: Tel,

86-731-2355066; Fax, 86-731-4360094; E-mail, [email protected]

Kai-Tai

YAO: Tel, 86-731-4805451; Fax, 86-731-4360094; E-mail, [email protected]

Abstract        The DLC-1 gene, located at the

human chromosome region 8p22, behaves like a tumor suppressor gene and is

frequently deleted in diverse tumors. The deletion of 8p22 is not an uncommon

event in nasopharyngeal carcinoma (NPC), therefore we explored the expression

levels of the DLC-1 gene in NPCs and NPC cell lines by reverse

transcription-polymerase chain reaction. The results showed the mRNA level of DLC-1

was downregulated. To identify the mechanism of DLC-1 downregulation in

NPC, we investigated the methylation status of the DLC-1 gene using

methylation-specific PCR, and found that 79% (31 of 39) of the NPC tissues and

two DLC-1 nonexpressing NPC cell lines, 6-10B and 5-8F, were methylated

in the DLC-1 CpG island. Microsatellite PCR was also carried out, and

loss of heterozygosity was found at four microsatellite sites (D8S552, D8S1754,

D8S1790 and D8S549) covering the whole DLC-1 gene with ratios of 33% (4

of 12 informative cases), 18% (2 of 11), 5% (1 of 18), and 25% (3 of 12),

respectively. Taken together, our results suggest that DLC-1 might be an

NPC-related tumor suppressor gene affected by aberrant promoter methylation and

gene deletion.

Key words        DLC-1; nasopharyngeal carcinoma; hypermethylation;

loss of heterozygosity

The tumorigenesis of nasopharyngeal carcinoma (NPC) is a multi-step process

involving various factors, including Epstein-Barr virus infection and

accumulation of epigenetic and genetic alterations. Because of its

exceptionally high incidence in southern China, discovering the molecular basis

of NPC is a priority in our research. Genome-wide microsatellite polymerase

chain reaction (PCR) revealed high frequency of loss of heterozygosity (LOH) on

chromosome 8p22, and published reports indicate 8p22 might be a promising

region containing candidate tumor suppressor genes of NPC [1].DLC-1 (deleted in liver cancer-1), a

candidate tumor suppressor gene, was isolated from human hepatocellular

carcinoma (HCC) by the PCR-based subtractive hybridization approach. DLC-1

shares high sequence similarity with rat p122RhoGAP [2], which is a GTPase-activating protein (GAP) for Rho family proteins

[3]. Rho family proteins play essential roles in regulating diverse biological

functions, including cytoskeletal organization, cell adhesion, and cell cycle

progression [46], and are known to be involved

in Ras-mediated oncogenic transformation [7]. A GAP serves as a negative

regulator of Rho proteins by stimulating its intrinsic GTPase activities [8], thus it may function as a tumor suppressor by

inactivating Rho proteins. Transfection of the DLC-1 cDNA into HCC cell

lines with homozygous deletions of the gene caused a strong inhibition of cell

growth [9]. In addition, transfection of the DLC-1

cDNA into non-small cell lung carcinoma cell lines caused a significant

inhibition of cell proliferation and a decrease in colony formation in vitro,

and abolished tumorigenicity of non-small cell lung carcinoma cell lines in

nude mice in vivo, which clearly showed that DLC-1 might exert

tumor suppressor activity [10].The DLC-1 gene was found to be located at 8p22, a region of

LOH in a number of human cancers such as liver, lung, breast, colon, prostate,

and head and neck cancers [1115]. Of note, DNA methylation of DLC-1 was found in lung,

liver, gastric and primitive neuroectodermal tumors [10,1618], which

strongly suggests that hypermethylation in the DLC-1 promoter might

perform an important role in the transcriptional silencing of the gene. In this

study, our data indicate that genetic and epigenetic alterations are involved

in the inactivation of DLC-1 in NPC.

Materials and Methods

Samples and cell lines

Forty-one poorly-differentiated NPC biopsies (T1T41) of primary tumors and an additional 20 NPC biopsies

with matched constitutional DNA from peripheral blood lymphocytes were obtained

from NPC patients with consent before treatment at the Hunan Cancer Hospital

(Changsha, China). The male to female ratio of the NPC patients was 2.73:1

(30:11), and the age range was 3162 years (mean age, 48.15 years). In addition,

16 normal nasopharynx (NP) tissues were obtained from patients without NPC at

Hunan Cancer Hospital. The tissues were studied simultaneously as controls

under similar experimental conditions. The male to female ratio of the patients

without NPC was 3:1 (12:4), and the age range was 2669 years (mean age, 46.42

years). All the specimens were reviewed by an otorhinolaryngologic pathologist.

Fresh NPC tissues or normal tissues were snap-frozen in liquid nitrogen and

stored until required.Four NPC cell lines were obtained: HNE1 and CNE2 were from the

Cancer Research Institute, Xiangya School of Medicine, Central South University

(Changsha, China); 5-8F and 6-10B were from the Cancer Center, Sun Yet-Sen

University (Guangzhou, China). All were maintained in RPMI 1640 containing 10%

fetal bovine serum at 37 ?C in a humidified 5% CO2

atmosphere. Cells were harvested for total RNA and genomic DNA extraction at 70%80% confluence.

RNA preparation and reverse

transcription-polymerase chain reaction (RT-PCR)

Total RNA was prepared from NPC cell lines and cryopreserved NPC

tissue samples or normal NP tissue samples and was extracted with TRIzol

Reagent (Invitrogen, Carlsbad, USA). RNA was quantified at 260 nm by a

spectrophotometer and RNA quality was assessed by visualization of clear 18S

and 28S RNA bands after electrophoresis through agarose gels. cDNA was

synthesized from total RNA using oligo(dT) as the primer with a commercially

available reverse transcription system (Promega, Madison, USA). Reverse

transcription was performed in a total volume of 20 ml containing 5 mM MgCl2, 1?buffer, 1 mM dNTPs, 20 U RNasin, 14.4 U

AMV reverse enzyme, 1 pM oligo(dT), 2 mg RNA. The reaction was performed according to

the instructions. A pair of primers was used to amplify the 299 bp region of DLC-1,

and the primer sequences were as follows: 5-AGCCAATTCTGGAACCAAAC-3

(forward) and 5-GGAAGACCCCAAGAAACACA-3 (reverse). At the same

time, a 550 bp fragment of glyceraldehyde phosphate dehydrogenase (GAPDH)

was amplified as a control. Negative controls for PCR were run in reagent

mixtures without RNA or reverse transcriptase. The PCR was terminated at the

exponential phases: 32 cycles for DLC-1 and 24 cycles for GAPDH,

including 1 cycle of hot start at 95 ?C for 5 min, followed by amplification at

94 ?C for 30 s, 58 ?C for 30 s, and 72 ?C for 30 s, and a final extension at 72

?C for 5 min.

DNA preparation

Genomic DNA was prepared from NPC cell line pellets and NPC tissues

using an improved method of extracting high molecular weight DNA with

phenol/chloroform, as described previously [19]. Briefly, lysis overnight at 37

?C in 500 ml salt/EDTA buffer, 25 ml 20% (W/V) sodium dodecylsulfate and

25 ml

proteinase K solution (2 mg/ml), followed by phenol/chloroform extraction and

stored at 20 ?C.

Bisulfite modification of DNA

and methylation analysis

The sodium bisulfite reaction converts unmethylated cytosine in DNA

to uracil while leaving the methylcytosine unchanged, so that methylated and

unmethylated alleles can be distinguished by methylation-specific PCR (MSPCR)

or sequencing. Genomic DNA from tumor samples was purified using the standard

proteinase K digestion and phenol/chloroform extraction method, as described

above. Then sodium bisulfite treatment was carried out using a protocol

modified from Clark et al. [20]. Ten micrograms of genomic DNA was

denatured with 0.3 M NaOH and mixed with 300 ml of 10 mM hydroquinone

(Sigma, St. Louis, USA), 5.2 ml of 3.6 M NaHSO3 (pH

5.0; Sigma), covered with paraffin oil then deaminated in the dark for 4 h at

55 ?C. Bisulfite-treated DNA was purified with purification columns (TaKaRa,

Shiga, Japan). Subsequently purified DNA samples were desulfonated with 0.3 M

NaOH at room temperature for 10 min, neutralized with ammonium acetate, ethanol

precipitated, and resuspended in 20 ml of Tris-EDTA buffer.Bisulfite-treated DNA was amplified by PCR with methylation-specific

primer pairs described in previously published reports [17]. The primer pairs were

able to discriminate between methylated and unmethylated alleles of the DLC-1

gene. MSPCR was carried out under the following conditions: hot start at 95

?C for 5 min, followed by 35 cycles of 94 ?C for 30 s, 55 ?C for 30 s, and 72

?C for 30 s, and a final extension at 72 ?C for 10 min. The PCR reaction

conditions for the unmethylated allele of the DLC-1 gene were the same

as those for MSPCR.

Allelic loss analysis

To examine the allelic loss in the DLC-1 locus, we selected

four microsatellite markers on chromosome 8p22, which covered a relatively wide

chromosomal region of approximately 1.6 Mb encompassing the DLC-1 gene.

Primers for amplification of microsatellite markers D8S549 (maps to 1.0 Mb

upstream of DLC-1), D8S1754 (locates at DLC-1), D8S1790 (locates

at DLC-1), and D8S552 (maps to 0.2 Mb downstream of DLC-1) are

available through the genome database on the National Center for Biotechnology

Information website (http://www.ncbi.nlm.nih.gov).

The microsatellite markers were amplified by PCR from 50100 ng DNA

extracted from human NPC tissues and their matched blood samples which were

used as controls. Reaction was initiated at 95 ?C for 5 min, 28 cycles of 94 ?C

for 15 s, 58 ?C for 15 s, and 72 ?C for 15 s, followed by a final elongation at

72 ?C for 5 min.After amplification, 68 ml of the reaction mixture was mixed with 8 ml of loading dye

(95% formamide, 20 mM EDTA, 0.05% bromophenol blue, and 0.05% xylene cyanol), heat

denatured, chilled on ice, then electrophoresed on a 6% polyacrylamide gel

containing 8 M urea. The DNA bands were visualized by silver staining. LOH was

scored if one of the heterozygous alleles showed at least a 50% reduction in

intensity in tumor DNA as compared with the matched blood DNA.

Grayscale scanning and

statistical analysis

RT-PCR products were separated through 1.5% agarose gel containing

ethidium bromide. The sizes of the RT-PCR products were 299 bp for DLC-1

and 550 bp for GAPDH. The intensity of each band was measured by Image

Master VDS (Pharmacia Biotech, Piscataway, USA), and analyzed by VDS software

version 2.0 for band quantification. The expressions of DLC-1 in tumors

and normal tissues were investigated after they were normalized by transforming

them into two groups of ratios of the band intensity of DLC-1 over that

of GAPDH of the same sample. Each RT-PCR reaction was carried out in

triplicate. Otherwise, the association of DLC-1 expression with histological

type of tissue, gender and node metastasis was examined by Mann-Whitney U-test.

The association of DLC-1 methylation with gender was analyzed by Fisher? exact test, and the

association of DLC-1 methylation with age was analyzed by Mann-Whitney U-test,

as appropriate. All statistical analysis was performed using spss version 10.0 statistical software for

Windows (SPSS, Chicago, USA). P<0.05 was regarded as statistically

significant.

Results

Downregulation of DLC-1

expression in NPC tissues and NPC cell lines

To evaluate the relationship between mRNA expression of DLC-1 and

NPC, RT-PCR was carried out in 41 samples of NPC tissues and 16 normal NP

tissues as well as four NPC cell lines. Our analysis revealed that all the

normal NP tissues demonstrated stable DLC-1 gene expression, which is

consistent with the earlier finding that DLC-1 was widely expressed in

normal tissues [2]. The DLC-1 mRNA level was normalized against the

housekeeping gene GAPDH (Fig. 1). DLC-1 mRNA was undetectable

in 13 cases, and the overall DLC-1 expression in NPCs was reduced

significantly (P=0.001) (Table 1). DLC-1 transcripts were

nearly undetectable in HNE1, CNE2, 5-8F and 6-10B NPC cell lines. Statistical

analysis revealed no significant difference in expression of DLC-1

between males and females or node metastasis and non-node metastasis (P=0.063

and P=0.057, respectively). We also ranked the DLC-1 expression

and age, and no statistical correlation between expression and age was found

using Spearman’s rank coefficient analysis (P=0.370).

Methylation status of the DLC-1

CpG island in NPC tissues and NPC cell lines

To explore the potential role of CpG island methylation in the

transcriptional silencing of the DLC-1 gene, we checked the methylation status

in the NPC tissues by MSPCR, which can specifically amplify the methylated and

unmethylated alleles, after chemically modifying the isolated DNA with sodium

bisulfite [17]. Our MSPCR analysis showed that the DLC-1 CpG island was

methylated in 79% (31 of 39) of the NPC tissues and two NPC cell lines (5-8F

and 6-10B) with loss of DLC-1 expression. Methylated DLC-1

alleles were also observed in 30.7% (4 of 13) of the normal samples. A

representative illustration of MSPCR is shown in Fig. 2(A). In tumorous

samples, T1, T2 and T4 showed both the methylation-specific and

unmethylation-specific bands, but T3 showed only the unmethylation-specific

band. In non-tumorous samples, N1 and N2 showed only the unmethylation-specific

band. A significant difference in age was found between the methylated and

unmethylated groups (Mann-Whitney U-test, P=0.003) (Table 2).

No relationship was found between methylation and gender in NPCs (Fisher? exact test, P=0.682)

(Table 3).

Allelic deletion of DLC-1

in NPCs

Previous reports manifested that the deletion of the DLC-1

gene was associated with downregulation of DLC-1 in multiple tumors [2].

To determine whether the downregulation of DLC-1 in NPCs was due to

genomic deletion of DLC-1, the allelic status of DLC-1 was

investigated by microsatellite analysis. As shown in Fig. 3, D8S552 and

D8S549 flank a 1.6 Mb region on chromosome 8p22 containing the DLC-1 locus,

and D8S1754 and D8S1790 are intragenic markers mapped in the DLC-1 gene.

The LOH frequencies for D8S552, D8S1754, D8S1790, and D8S549 were 33% (4 of 12

informative cases), 18% (2 of 11), 5% (1 of 18), and 25% (3 of 12),

respectively. In total, 35% (7 of 20) of informative NPCs demonstrated LOH of

at least one marker: case 6 displayed LOH at site D8S549; case 8 displayed LOH

at site D8S552; case 10 displayed LOH at site D8S549; case 13 displayed LOH at

site D8S1790; and case 20 displayed LOH at site D8S552. Cases 9 and 16 were

likely to have lost one allele of DLC-1, for these two cases displayed

LOH at both of the intragenic markers and the flanking markers. These findings

indicated that allelic loss at the DLC-1 locus was not uncommon in NPCs.

Discussion

Since DLC-1 was isolated from human HCC by PCR-based subtractive

hybridization approach, subsequent reports have shown that DLC-1 was

associated with several kinds of tumors acting like a tumor suppressor gene

[9,10,2123]. In our study, RT-PCR of DLC-1 in NPC tissues and NPC

cell lines showed manifest downregulated expression of DLC-1 mRNA

compared with normal NP tissues, therefore DLC-1 might be a candidate

NPC tumor suppressor gene. The loss of DLC-1 mRNA expression was not

only observed in tumors with genomic deletions but also in tumors without

homozygous deletion, such as HCCs and gastric cancer cells [16,17], suggesting

that multiple mechanisms are responsible for inactivating DLC-1 in these

tumors.To find the reasons leading to the reduced level of DLC-1

mRNA, we carried out LOH studies to investigate the allelic status of DLC-1.

While, our results showed that 35% (7 of 20) informative cases of NPC biopsies

demonstrated LOH in at least one site, strongly suggesting that downregulation

of DLC-1 expression might not be only due to genomic deletions compared

with the more conspicuous downregulation of DLC-1 detected in NPCs and

epigenetic mechanism remained investigated.There is a growing realization that LOH at a given tumor suppressor

gene locus is not a prerequisite for neoplasia, following the intensive

comprehension of epigenetic alterations in tumorigenesis. Methylation of the

CpG island is an alternative way of making genes inactive. Structurally, the 5-upstream

region from the start codon of the DLC-1 gene (GenBank accession No.

AF404867) has a high G+C content (73%), which meets the criteria for a CpG

island [Fig. 2(B)]. Recently, hypermethylation of the DLC-1

promoter region was reported in HCC, lung cancer and gastric cancer unceasingly

[10,1618,24]. MSPCR analysis in our study showed that the DLC-1 CpG

island was methylated in 79% (31 of 39) of the NPC tissues. Confusingly, the

theme at the center of this controversy is whether significance can be attached

to the methylated promoter in NPCs, considering those CpG islands methylated in

four samples of 13 normal tissues. General reasons for the methylation present

in histologically normal samples have been provided by others [24], such as

infiltrating tumor cells, epigenetic field defect, imprinting, or

tissue-specific methylation. Notwithstanding, we want to discuss individual

possible mechanisms according to our results.Promoter hypermethylation can occur in conjunction with allelic loss

and/or mutation and is regarded as an alternative form of “knockout”

in bi-allelic inactivation. According to accepted knowledge, within the whole

sequence of the CpG island of a gene, methylation taking place at transcription

factor binding sites takes overwhelming responsibility in silencing a certain

gene. Actually, Bais et al. [25] reported that complex high to low

methylation levels are found in primary breast tumors and their normal

counterparts at multiple regions within the promoter sequence of a potential

tumor suppressor gene named CBFA2T3B. They revealed that only a few cell

lines displayed clear hypermethylation in association with reduced expression

of CBFA2T3B in breast cancer. A second-round real-time MSPCR

(quantitating methylation levels) combined with real-time RT-PCR (examining

mRNA levels), still revealed the strong correlation between reduced expression

and “hypermethylation” at several certain regions out of a

“basal” methylation existing in the promoter CpG island. For this

reason, we selected those primers with amplification products residing within a

consensus and predicted specificity protein (Sp1) binding site in MSPCR. No

data has directly proved the existence of the Sp1 binding site in DLC-1

utilized in MSPCR by experiment, even though the potential transcription factor

binding sites are delicately predicted, precisely designed and adopted by many

researchers, including us. Methylation of DLC-1 found in normal NP

tissues might be due to the undefined Sp1 binding site. However, further

studies using DLC-1 promoter constructs are required to identify the

functional roles of the Sp1 binding sites in DLC-1 silencing.Furthermore, a more interesting finding in our research is that a

significant difference was found in age between the methylated group and the

unmethylated group (P=0.003). Higher age tends to correlate with higher

frequency of methylation. The available explanation for this result comes from

the role of the environment, particularly carcinogens, in causing epigenetic

changes. Previously published reports showed that aberrant methylation of RASSF1A

was associated with exposure to smoke and correlated to a long-term smoking

habit [26,27]. It is not a rare phenomenon that hypermethylation of RASSF1A

has been detected from cells in the sputum and bronchioloalveolar lavages of

smokers [28], which might also provide us with an alternative way of studying

the methylation appearing in some normal tissues in our study. Perhaps there is

something associated with the methylation of DLC-1 in our living

circumstances, even though there has been no report, until now, demanding

intensive investigation. Andrew P. Feinberg hypothesized that genetic and

epigenetic alterations might interact, in that epigenetic alterations might

influence the effect of subsequent genetic insults during the course of cancer

initiation and the probability of cancer development depends on the

presence of epigenetic alterations after genetic alterations have occurred

[29]. Thus, considering the environmental effects on epigenetic alterations, as

we age, the number of epigenetic errors increase followed by the increasing

probability of carcinogenic progression after genetic changes.Lack of DLC-1 expression was detected in one medulloblastoma

cell line [18], in which no genomic deletion, somatic mutation, or promoter

hypermethylation was found. A similar observation was reported in two DLC-1-nonexpressing

gastric cancer cell lines without detectable methylated alleles of DLC-1 [17]. In this study, the authors were able to

reactivate DLC-1 expression by treating these cells with a histone

deacetylase inhibitor [17]. Thus, there is another epigenetic mechanism

mediating transcriptional silencing of DLC-1 at least in gastric cancer,

which is histone deacetylation. These findings have led to the speculation that

perturbation in the chromatin environment with histone deacetylation might

contribute to transcriptional silencing of the DLC-1 gene in gastric

cancer cells.In summary, our results indicate that mRNA levels of DLC-1

were downregulated in NPC, and promoter hypermethylation and LOH of DLC-1

were commonly found in NPC tissues. The results suggest that both promoter

hypermethylation and LOH of DLC-1 might have occurred in NPC, and they

might take major responsibility for the downregulation of DLC-1 in NPC.

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