Original Paper
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Acta Biochim Biophys
Sin 2008, 40: 497-504
doi:10.1111/j.1745-7270.2008.00429.x
Knockdown of insulin-like
growth factor 1 receptor enhances chemosensitivity to cisplatin in human lung
adenocarcinoma A549 cells
Aiqiang Dong1,
Minjian Kong1, Zhiyuan Ma2,
Jianfang Qian1, Haifeng Cheng1,
and Xiaohong Xu3*
1 Department of Cardiothoracic Surgery, Second
Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou 310009,
China
2 Department of Thoracic and Cardiovascular
Surgery, Shanghai Jiao Tong University Affiliated First People’s Hospital,
Shanghai 200080, China
3 Department of Endocrinology, Second Affiliated
Hospital, School of Medicine, Zhejiang University, Hangzhou 310009, China
Received: March 24,
2008
Accepted: May 6,
2008
This work was
supported by a grant from the natural
Science Foundation of Zhejiang Province (Y-204317)
*Corresponding
author: Tel, 86-571-87783516; fax,
86-571-87022660; E-mail, [email protected]
The effects
of RNA interference-mediated insulin-like growth factor 1 receptor (IGF1R) gene
silencing in response to cisplatin (DDP) in the lung cancer cell line A549 in
vivo and in vitro were investigated using two plasmids expressing
short hairpin RNA (shRNA) to IGF1R. A549 cells were transfected with plasmids
expressing each shRNA and then treated with DDP. Semi-quantitative reverse
transcription-PCR and Western blot analysis were used to detect the expression
of IGF1R. MTT assay, flow cytometry and tumor growth assay in athymic nude mice
were used to assess the chemosensitivity to DDP following IGF1R knockdown. Our
data showed that the transfection of A549 cells with shRNA resulted in specific
silencing of IGF1R by 78.9% at the mRNA level and by 89.8% at the protein
level. Down-regulation of IGF1R significantly enhanced cell sensitivity to DDP,
decreased the IC50 of DDP in
A549 cells at 24 h, 48 h and 72 h, and retained 77.5% of A549 cells in the G0/G1 phase.
Furthermore, shRNA-mediated silencing of IGF1R in combination with DDP
treatment enhanced the suppression of tumor growth in both size and weight
by more than 60% and increased apoptosis by more than 75% when compared with
the controls in vivo. Suppression of IGF1R gene expression by shRNA
enhances the chemosensitivity of A549 cells to DDP both in vitro and in
vivo, indicating the therapeutic potential of RNA interference as a method
for gene therapy in treating lung cancer.
Keywords lung cancer; insulin-like growth factor 1 receptor; RNA
interference; cisplatin; chemosensitivity
Lung cancer is the leading cause of cancer death worldwide,
accounting for 32% of cancer deaths in men and 24% in women. Non-small cell
lung cancer (NSCLC) comprises approximately 75%–80% of lung cancers, and
the overall 5-year survival rate for NSCLC is only 8%–14% when diagnosed and 40%
after complete surgical resection [1,2]. Meta-analysis reveals that combined
chemotherapy based on cisplastin (DDP) is the standard therapy for NSCLC; it is
recommended by the American Society of Clinical Oncology (ASCO) for patients
with advanced stage NSCLC. However, the efficacy of this treatment is limited,
and the 5-year survival rate is only 20%–40% [3], which may be due
to the multiple drug resistance of NSCLC cells to chemical agents. The
development of novel strategies for enhancing chemosensitivity is the focus of
much medical research.Insulin-like growth factor 1 receptor (IGF1R; GenBank accession No.
NM_000875) is a receptor protein tyrosine kinase, which is a transmembrane
heterotetramer consisting of two a-subunits and two b-subunits linked by
disulfide bonds. Binding of ligands to the receptor leads to receptor
oligomerization, activation of protein tyrosine kinase, intermolecular receptor
autophosphorylation and phosphorylation of cellular substrates that consequently
cause gene activation, DNA synthesis and cell proliferation [4–8]. Recent
studies have shown that IGF1R is overexpressed in various human cancers,
including lung cancer [9], and that overexpression or constitutive activation
of IGF1R results in ligand-dependent transformation of fibroblasts [10]. IGF1R
also plays a key role in the survival of transformed colonocytes and leads to
the development of tumors in nude mice [11,12]. Besides its role in
tumorigenesis, IGF1R protects tumor cells from apoptosis induced by
chemotherapy, radiotherapy or cytokine [13–15]. In our previous studies [16–18], we constructed IGF1R-specific short
hairpin RNA (shRNA)-expressing plasmids and transfected A549 cells. It was found
that the proliferation, adhesion and invasion of A549 cells were inhibited. In
this study, we further detect the combined effect of IGF1R-specific shRNA with
DDP in A549 cells.
Material and Methods
Materials
Anti-IGF1R monoclonal antibody (MS-645-P0) was purchased from Lab
Vision (New York, USA). Anti-human actin polyclonal antibody (sc-1616),
horseradish peroxidase (HRP)-conjugated goat anti-mouse (sc-2060) and goat
anti-rabbit IgG-HRP IgG (sc-2004) antibodies were purchased from Santa Cruz
Biotechnology (Santa Cruz, USA). BLOCK-iTTM U6 RNA interference (RNAi) entry
vector kit was purchased from Invitrogen (Carlsbad, USA). AxyPrep Multisource
Genomic DNA Miniprep kit was purchased from Axygen Biosciences (Union City,
USA). Specific pathogen-free male BALB/cAnNCrj-nu mice (six weeks old) were
purchased from the Shanghai Cancer Institute (Shanghai, China). The mice were
cared for and used according to Zhejiang University’s guidelines.
Construction of plasmids
expressing shRNA targeting IGF1R
Plasmids expressing two shRNAs targeting IGF1R were constructed and
designated IGF1R-shRNA1 and IGF1R-shRNA2, respectively [16]. A plasmid
expressing shRNA targeting the Photinus pyralis luciferase gene (X65324)
was used as a control (control shRNA). The shRNA sequences contained in the
IGF1R-shRNA1, IGF1R-shRNA2 and control shRNA were as follows: 5-CACCGCACAATTACTGCTCCAAAGACGAATCTTTGGAGCAGTAATTGTGC-3,
5-CACCGCCGATGTGTGAGAAGACCTTCAAGAGAGGTCTTCTCACACATCGGC-3 and 5-CACCGCTCACCGGCTCCAGATTTATCGAAATAAATCTGGAGCCGGTGAGC-3.
Cell culture and transfection
Human lung adenocarcinoma A549 cells were cultured in RPMI 1640
medium supplemented with 10% fetal bovine serum (FBS) at 37 ?C with 5% CO2. For transfection, 2 ml of A549 cells was seeded in a 6-well plate
at the concentration of 3?105 cells/ml for 16 h. Cells were then transfected with a mixture of 4 mg of each
plasmids and 10 ml of Lipofectamine 2000 (Invitrogen) in 2 ml serum-free medium. Six
hours after transfection, the medium was replaced with fresh RPMI 1640 medium
supplemented with 10% FBS and cultured for 48 h.
Reverse
transcription-polymerase chain reaction (RT-PCR) and Western blot analysis
Total cellular RNA and proteins were prepared as described
previously [16]. PCR primer sequences for IGF1R were forward
5-AAATGTGCCCGAGCGTGTG-3 and reverse 5-TGCCCTTGAAGATGGTGCATC-3, and for human b-actin, the
internal control, they were forward 5-TTCCAGCCTTCCTTCCTGGG-3 and reverse
5-TTGCGCTCAGGAGGAGCATT-3. The thermal cycle conditions were: 94 ?C for 3
min followed by 35 cycles for IGF1R (25 cycles for b-actin) at 94 ?C for 30 s,
53.5 ?C for 30 s, 72 ?C for 60 s, and a final extension at 72 ?C for 10 min.
The PCR product (10 ml) was electrophoresed on 2% agarose, stained with ethidium bromide
and visualized by UV absorption. Total cellular RNA and proteins were prepared as described
previously [16]. PCR primer sequences for IGF1R were forward
5-AAATGTGCCCGAGCGTGTG-3 and reverse 5-TGCCCTTGAAGATGGTGCATC-3, and for human b-actin, the
internal control, they were forward 5-TTCCAGCCTTCCTTCCTGGG-3 and reverse
5-TTGCGCTCAGGAGGAGCATT-3. The thermal cycle conditions were: 94 ?C for 3
min followed by 35 cycles for IGF1R (25 cycles for b-actin) at 94 ?C for 30 s,
53.5 ?C for 30 s, 72 ?C for 60 s, and a final extension at 72 ?C for 10 min.
The PCR product (10 ml) was electrophoresed on 2% agarose, stained with ethidium bromide
and visualized by UV absorption. For Western
blot analysis, 100 mg of total cellular proteins (30 mg for b-actin)
were separated on 10% SDS-polyacrylamide gels, and then transferred to Hybond-P
polyvinylidene difluoride (PVDF) membranes (Amersham, Piscataway, USA). After
the non-specific binding sites were blocked by incubating the membranes in
phosphate-buffered saline-0.1% Tween-20 (PBS-T) without skimmed milk
(Tris-buffered saline-0.1% Tween-20 (TBS-T) with 5% skimmed milk for b-actin) for
0.5 h at room temperature, the membranes were probed with primary antibodies
(1:200 dilution for IGF1R for 2 h; 1:1000 dilution for b-actin for 3 h) at
room temperature, and then washed three times with PBS-T (TBS-T for b-actin).
The membranes were then incubated with HRP-conjugated goat anti-mouse (or goat
anti-rabbit) IgG (1:2500 dilution) for 1 h at room temperature, and washed
three times with PBS-T (TBS-T for b-actin). The blots were developed by chemiluminescence kit
(Roche, Indianapolis, USA), and analyzed using Scion Image software (Scion
Corporation, Frederick, USA).
Assessment of the effect on
the chemosensitivity to DDP by MTT assay
A549 cells were seeded in a 96-well plate at a concentration of 4?103 cells/well for 16 h and then transfected with
IGF1R-shRNA1, control shRNA or PBS as the negative control. The medium was
changed with RPMI 1640 medium 6 h later. Then, DDP was added to every 4 wells
at the concentration of 0.1, 0.5, 1, 2, 4 and 8 mg/L. Cell viability was
measured at 24 h, 48 h and 72 h by MTT assay at 570 nm (OD readings) after DDP
or PBS treatment. The suppression rate was calculated using the formula:
Eq.
The suppression rate curve at different DDP concentrations was made
to calculate the IC50 using curve regression. All the experiments
were performed in triplicate.
Evaluation of the effect of
DDP treatment on cell cycle by flow cytometry
A549 cells were seeded into 6-well plates for 16 h and then
transfected with IGF1R-shRNA1 or control shRNA. The medium was replaced with
RPMI 1640 medium 6 h later. Then, 0.5 mg/L DDP was added into each group. PBS
was used as the negative control. Cells were removed by trypsinization 48 h after
the addition of DDP, washed in PBS and fixed in 70% ice-cold ethanol for 2 h.
The fixed samples were centrifuged, treated with 1 mg/ml RNase solution (Sigma,
St. Louis, USA) for 30 min at 37 ?C, and resuspended in 0.1 mg/ml propidium
iodide (PI) solution (Sigma) at 4 ?C for 1 h. PI-stained cells were analyzed
with a flow cytometer (BD Biosciences, San Jose, USA). Cell cycle and apoptotic
rate were analyzed by CellQuest 3.1f and ModFit 3.0 DNA software (BD
Biosciences).
Measurement of the effect on tumorigenicity
in vivo
To assess the effect of IGF1R-shRNA1 on chemotherapy in
tumorigenicity, 12 six-week-old, male nude mice were randomly divided into
three groups. A549 cells transfected with IGF1R-shRNA1 or control shRNA or
treated with PBS were subcutaneously inoculated into murine back region at a
concentration of 5?107
cells/mouse. On day 2, mice in the IGF1R-shRNA1 and control shRNA groups were
administrated i.p. with 100 ml of 1 mg/L DDP twice a day for 10 d while the mice in the
PBS-treated group were administrated i.p. with 100 ml PBS twice a day. Tumor
size was measured every 5 d and calculated by the formula:
Eq.
After 30 d, the mice were euthanized. The tumors were removed, fixed
by 4% polyformaldehyde, paraffin embedded and sectioned. Formalin-fixed
paraffin sections were used for terminal deoxynucleotidyl transferase-mediated
digoxigenin-dUTP nick-end labeling (TUNEL) assay. The numbers of apoptotic
cells in tumor tissue on each section were counted in 10 different microscopic
fields. Proteins were extracted from 50 mg tumor tissue, and Western blotting
was used to analyze the expression of IGF1R.
Statistical analysis
All the quantitative data were
presented as mean±SD. The statistical significance of the differences was
determined using Student’s two-tailed t-test for two groups and one-way
ANOVA for multiple groups. A P-value less than 0.05 was considered
statistically significant. All the data were analyzed with the SPSS 13.0
software (SPSS, Chicago, USA).
Results
Transfection of shRNA
suppresses IGF1R expression in A549 cells
To inhibit IGF1R gene expression with shRNA, we constructed two
plasmids expressing shRNA to IGF1R. RT-PCR and Western blot analysis were
performed. The results showed that IGF1R mRNA expression in cells
transfected with IGF1R-shRNA1 was 21.1%3.5% of that for those transfected with
control shRNA [P<0.05; Fig. 1(A)]. Similarly, immunoblot
analysis revealed that the expression of IGF1R protein in A549 cells
transfected with IGF1R-shRNA1 was strongly inhibited. Densitometric analysis
showed that the amounts of IGF1R protein remaining in cells transfected with
IGF1R-shRNA1 and IGF1R-shRNA2 was 10.2%2.8% and 47.9%15.8%, respectively, of
that found in cells transfected with the plasmid control shRNA [P<0.05; Fig. 1(B)]. These results indicated that the transfection of shRNA can
effectively suppress IGF1R expression. IGF1R-shRNA1 proved to be more potent
than IGF1R-shRNA2, so we used IGF1R-shRNA1 in the subsequent experiments.
IGF1R gene silencing sensitizes
A549 cells to chemotherapy
To investigate whether IGF1R down-regulation alters chemosensitivity
in A549 cells, we tested DDP in cells transfected with shRNA against IGF1R. The
cell growth suppression was measured at 24 h, 48 h, and 72 h by MTT assay, as
shown in Fig. 2. The suppression rate in cells transfected with
IGF1R-shRNA1, particularly in those treated with 0.5 to 4 mg/L DDP, was
significantly higher than those transfected with control shRNA. IC50 at different time points was also markedly decreased (Table 1).
Suppression of IGF1R
expression blocks A549 cells at G0/G1 and increases apoptosis when
combined with DDP
To determine the apoptosis-inducing potential of IGF1R-shRNA1 in A549
cells, flow cytometric analysis of PI-stained cells was performed. As indicated
in the previous study [16], the percentage of cells at the G0/G1 population after transfection with IGF1R-shRNA1
(77.5%) was much higher than that observed after transfection with control
shRNA (47.2%), and those at S phase and G2/M phase
were 15.7% and 7.3% in IGF1R-shRNA1 group, lower than the 23.0% and 29.9% in
the control, respectively. The apoptotic rate in cells transfected with
IGF1R-shRNA1 combined with DDP (0.5 mg/L) was 44.2%, much higher than that
(27.8%) in the control (Fig. 3).
Combination of IGF1R
gene silencing and chemotherapy inhibits in vivo tumorigenicity
We evaluated the effects of receptor blockade on chemotherapy in
vivo. The incidence of subcutaneous tumors derived from A549 cells were
100%. The time for tumorigenicity was 20 d for the group treated with
IGF1R-shRNA1 and DDP, 20 d for the group treated with control shRNA and DDP, and
15 d for the PBS group. All mice survived for 30 d after inoculation, and the
tumor growth rate in the IGF1R-shRNA1 group was much lower than that in the
other two groups (P<0.05). The tumor size and weight in the group treated with IGF1R-shRNA1 and DDP were 20.74.2 mm3 and
70.012.0 mg, which was markedly lower than the tumor size (50.315.2 mm3) and weight (180.020.0 mg) in the group treated with control shRNA
and DDP (P<0.05; Table 2). The tumors in the group treated
with IGF1R-shRNA1 and DDP were oval and had a smooth surface while the tumors
in the other two groups were irregular, nodular and rich in vessels (Fig. 4).
There was no invasion in any of the groups. These results suggested that the
combination of IGF1R gene silencing and chemotherapy could significantly
inhibit the tumor growth of A549 cells in nude mice.
Suppression of IGF1R combined
with DDP treatment increases cell apoptosis and decreases IGF1R expression in
established tumors
TUNEL assay was further performed to evaluate apoptosis of tumor
tissues in vivo. The number of apoptotic cells was significantly
increased in the group treated with IGF1R-shRNA1 and DDP (141.39.1) when
compared with the group treated with control shRNA and DDP (34.57.6) (P<0.05; Fig. 5). Western blot analysis showed significantly decreased amounts of
IGF1R protein in the group treated with IGF1R-shRNA1 and DDP when compared with
the group treated control shRNA and DDP and the PBS group (Fig. 6).
These data indicated that shRNA-mediated IGF1R gene silence combined with
chemotherapy may also induce apoptosis of A549 cells in vivo.
Discussion
It has been reported that IGF1R mediates tumor growth and protects
cancer cells from apoptosis [19–21]. In order to blunt IGF1R function or expression, a number of experimental
strategies have been employed. For instance, a-IR3, a monoclonal antibody
to IGF1R which blocks IGF1R signaling, significantly inhibits Ewing’s sarcoma
cells in vitro and induces the regression of established tumors [22].
Genetic blockage can be accomplished using an antisense oligonucleotide [23],
and vectors [24] expressing antisense IGF1R mRNA have been shown to inhibit
cell growth, suppress tumorigenesis, alter the metastatic potential and prolong
survival in vivo. Another approach is to utilize dominant-negative
mutants to inhibit the function of the naturally expressed receptor rather than
its expression. Using mutant receptors for IGF1R that contain a portion of the
molecule including only the extracellular domain or the extracellular domain
with a mutant or deleted intracellular tyrosine kinase domain induces
differentiation and inhibits adhesion, invasion and metastasis [25–26]. In this
study, we constructed two plasmids expressing shRNA to IGF1R under the control
of the human U6 promoter, IGF1R-shRNA1 and 2, and then evaluated the effects of
shRNA on IGF1R expression in A549 cells. Our results show that IGF1R expression
significantly inhibited in A549 cells at both mRNA and protein levels by shRNA
to IGF1R [27], suggesting that vector-based RNAi may be a potential approach to
cancer gene therapy.It has also been reported that IGF1R signaling results in
chemotherapy resistance in a wide variety of tumors. For example, blockage of
IGF1R signaling using a monoclonal antibody or RNAi enhances sensitivity to
chemotherapy in breast and liver cancer cell lines [28,29]. An anti-IGF1R
antibody enhances the chemosensitivity to gemcitabine in the pancreatic cancer
xenografts [30], and an antisense inhibition of IGF1R increases sensitivity of
prostate cancer cells to cisplatin, mitoxantrone and paclitaxel [31].
In agreement with these results, our study shows that knockdown of
IGF1R by shRNA alters chemosensitivity and results in a significant increase in
sensitivity to DDP. Specifically, IGF1R-shRNA1 combined with DDP treatment in
A549 cells significantly decreases IC50, arrests A549 cells at
G0/G1 and increases apoptosis in vitro.
Similarly, suppression of IGF1R combined with DDP treatment inhibits in vivo
tumorigenicity, increases cell apoptosis and decreases IGF1R expression in
established tumors.Taken together, our findings indicate that IGF1R expression can be
inhibited by shRNA to IGF1R, and shRNA-mediated silencing of IGF1R results in
sensitization to DDP in lung cancer A549 cells both in vitro and in
vivo. Our results provide further evidence that IGF1R targeting is a
potential therapy for human lung cancer.
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