Abstract
Patients afflicted with meningiomas are most often treated with radiation therapy followed by surgical resection. However, resistance to radiation treatment has been well documented among different cancers of the brain. In this study, we demonstrate that the malignant meningioma cells (IOMM-Lee cells) overexpress MMP-9 at both the mRNA and protein levels after radiation treatment. We confirmed an increase in the invasive potential of irradiated cells through spheroid migration and matrigel invasion assays. Knockdown of MMP-9 using an adenoviral siRNA construct blocked MMP-9 expression, reduced the cells’ invasive nature, and subsequently lead to apoptosis. Western blot analysis revealed the activation of ERK, Akt and Fas as well as a decrease in c-JUN levels. Cleavage of PARP and TUNEL-positive characteristics confirmed apoptotic cell death in Ad-MMP-9 infected cells. Treatment with U0126 and transfection with dominant negative ERK plasmid resulted in the decreased phosphorylation of ERK and Akt. Ectopic expression of HA myr-Akt was found to be associated with an increase in pERK, and treatment with LY294002 was shown to block the phosphorylation of Akt and ERK with the restoration of c-JUN. In conclusion, our data suggest that radiation increases MMP-9 expression and the invasive nature of IOMM-Lee cells, both of which can be reversed with siRNA-mediated downregulation of MMP-9, which leads to ERK and Akt-mediated apoptosis.
Keywords: meningioma, IOMM-Lee, MMP-9, siRNA, radiation, apoptosis, extracellular signal regulated kinase (ERK), protein kinase B (Akt)
Introduction
Meningiomas are the most common benign tumors of the brain. They originate from the arachnoidal cells of the meninges and constitute approximately 20% of all primary intracranial tumors, with an approximate annual incidence of 6 per 100,000 (1). The majority of patients diagnosed with a meningioma undergo a surgical resection to reduce neurological symptoms. Complete surgical resection is often curative, but for patients with tumors in surgically inaccessible locations or patients of advanced age, radiotherapy is the treatment modality of choice. Besides the fact that meningiomas grow slowly and have a low mitotic potential, radiation therapy has been reported to be promising in regressing tumor growth after incomplete resection (2,3) after recurrence; (4), and when tumor histology reveals atypia or anaplasia (5-7). However, the development of aggressive characteristics in different tumors after radiotherapy has been widely reported. Reports of radioresistance and radiation-induced invasive and angiogenic characteristics in gliomas and other brain cancers have been gaining significance (8,9). In addition, radiotherapy of other types of brain tumors has been shown to induce the spontaneous development of atypical and anaplastic meningiomas (10,11).
Invasive and metastatic mechanisms are complex and recruit numerous classes of proteins including cadherins, integrins, extracellular proteases and angiogenic factors. Among them, matrix metalloproteinases (MMPs) play a key role in the degradation of extracellular matrix (ECM) proteins. In almost all types of human cancer, augmented MMP expression and activity are associated with advanced tumor stage and poor survival. Elevated plasma levels of MMP-9 have been found in lung cancer, breast cancer and liver cancer during radiotherapy (12,13). Moreover, MMP inhibitors have been shown to block radiation-induced invasiveness of human pancreatic cancer cells (14).
RNAi-mediated knockdown of components that are essential for cancer cell survival, metastasis, angiogenesis and resistance to crisis have been widely studied. Recent studies have demonstrated the effectiveness of an adenoviral construct with MMP-9 siRNA to knockdown MMP-9 expression and induce apoptosis in medulloblastoma cell lines (15,16). Molecular analysis of the signaling cascades that lead to apoptosis is essential for delineating cell death events and to develop novel cancer therapeutics. The involvement of extracellular signal-regulated protein kinases 1 and 2 (ERK1/2) and protein kinase B (PKB or Akt) in cell survival pathways has been well characterized. However, recent evidence suggests the pro-apoptotic role of ERK1/2 in neuronal and renal epithelial cells upon exposure to oxidative stress, toxics and upon deprivation of growth factors (17,18). Akt also plays an apoptotic role in Fas-mediated cell death in epidermal and melanoma cell lines through a mechanism that involves transcriptional activation of the Fas receptor (19-21).
In this study, we are interested in understanding the effect of radiation on MMP-9 in a meningioma cell line. Therefore, we evaluated the effect of MMP-9 siRNA on irradiated IOMM-Lee cells. Our results show that Ad-MMP-9 induced apoptosis via phosphorylation of ERK and Akt through a Fas-mediated mechanism.
Materials & Methods
Cell culture
We used the human meningioma cell line IOMM-Lee for the present study (kindly provided by Dr Ian E. McCutcheon, University of Texas M.D. Anderson Cancer Center, Houston). The cells were maintained in Dulbecco’s modified Eagle’s medium (Mediatech, Herndon, VA) supplemented with 10% fetal bovine serum, 100 μg/mL streptomycin and 100 U/mL penicillin (Invitrogen, Carlsbad, CA) in a humidified atmosphere containing 5% CO2 at 37°C. The primary antibodies used for this study were anti-ERK, anti-pERK, anti-c-JUN, anti-Fas (Santa Cruz Biotech., Santa Cruz, CA), anti-Akt, anti-pAkt, anti-pc-JUN (ser243), anti-pc-JUN(73) and anti-GAPDH (Cell Signaling, Boston, MA) and HRP-conjugated secondary antibodies from Biomeda (Foster City, CA). Specific inhibitors of MEK1/2 (U0126) and phosphatidylinositol 3-kinase (PI3K) (LY294002) were purchased from Calbiochem (San Diego, CA). The expression vector of constitutively active Akt (HA-Akt-myr) was purchased from Addgene, MA (Addgene, Plasmid 10841).
Adenoviral siRNA constructs and infection
The adenoviral siRNA constructs for MMP-9 (Ad-MMP-9) and scrambled vector (Ad-SV) were constructed and amplified as described previously (16). Viral titers were quantified as plaque-forming units/mL following infection of 293 cells. We obtained the following titers for the viruses: Ad-SV (7.6×1011 plaque-forming units/mL) and Ad-MMP-9 (5.0×1011 plaque-forming units/mL). The amount of infective adenoviral vector per cell (plaque-forming units/cell) in culture media was expressed as multiplicity of infection (MOI). Virus constructs were diluted in serum-free culture media to 50 MOI, added to cells, and incubated at 37°C for 1 h. The necessary amount of complete medium was then added, and cells were incubated for the desired time periods.
Transfection with plasmids
All transfection experiments were performed with fuGene HD transfection reagent as per the manufacturer’s protocol (Roche Applied Science). IOMM-Lee cells were transfected with plasmid constructs containing ERK dominant negative mutant (Dn-ERK) (22) and HA myr Akt. Briefly, plasmid containing either Dn-ERK or HA myr-Akt was mixed with fuGene HD reagent (1:3 ratio) in 500 μL of serum-free medium and left for 30 min for complex formation. The complex was then added to the plate, which had 2.5 mL of serum-free medium (2 μg of plasmid/mL of medium). After 6 h of transfection, complete medium was added and kept for 24 h and used for further experiments.
Radiation treatment
The RS 2000 Biological Irradiator (Rad Source Technologies, Inc., Boca Raton, FL) X-ray unit, which was operated at 150kV/50mA, was used for radiation treatments. Cells were infected with Ad-SV or Ad-MMP-9 or transfected with plasmids; a single dose of radiation (2.5, 5 or 7.5 Gy) was given to infected or control IOMM-Lee cells and tumor spheroids (in 96-well plates).
Gelatin zymography
MMP-9 expression levels after Ad-MMP-9 infection and radiation treatment were analyzed using gelatin zymography. IOMM-Lee cells were infected with either Ad-MMP-9 or Ad-SV; untreated cells were also cultured to serve as the control. After a 24 h incubation period, one set each of infected and uninfected plates were irradiated with 5 Gy and the serum-containing media from all the plates was replaced with serum-free media. After further incubation for 16 h, conditioned media was collected from the cells and centrifuged to remove cellular debris. Equal amounts of protein were subjected to electrophoresis on 10% acrylamide gels containing gelatin (0.5 mg/mL). Gels were stained with amido black (Sigma Aldrich, St. Louis, MO) and gelatinase activity of MMP-9 was visualized as clear bands on a dark blue background at areas corresponding to the molecular weight of the protein.
Reverse transcription PCR
IOMM-Lee cells were infected and irradiated as described above, and total RNA was extracted as described by Chomczynski and Sacchi (23). PCR was performed using a reverse transcription-PCR (RT-PCR) kit (Invitrogen): 35 cycles of denaturation at 94°C for 1 min, annealing at 67°C for 30 s, and extension at 72°C for 90 s. The expected PCR products were visualized using ethidium bromide after resolving on 2% agarose gels. RT-PCR for glyceraldehyde-3-phosphate dehydrogenase (GAPDH) was performed to normalize input RNA. We used the following primers: sense, 5′-TGGACGATGCCTGCAACGTG-3′ and antisense, 5′-GTCGTGCGTGTCCAAAGGCA-3′ (MMP-9); sense, 5′-TGAAGGTCGGAGTCAACGGATTTGGT-3′ and antisense, 5′-CATGTGGGCCATGAGGTCCACCAC-3′ (GAPDH).
Matrigel invasion assay
IOMM-Lee cells were infected with Ad-MMP-9 or Ad-SV and irradiated as described above. After irradiation, cells were trypsinized and 1×105 cells were placed into matrigel-coated transwell inserts with 8-μm pore size. Cells were allowed to migrate through the matrigel for 24 h. Then, cells in the upper chamber were removed by cotton swab. Cells adhered on the outer surface of the transwell which had invaded through the matrigel were fixed, stained using the Hema-3 staining kit, and counted under a light microscope as described previously (24).
Western blot analysis
Protein extracts were obtained from the IOMM-Lee cells using Tris-buffered lysis (Tris-buffered saline, 20 mM EDTA, 0.1% Triton X-100). Cell lysates were also collected from untreated cells that were cultured and maintained under similar conditions (mock). Protein concentration was determined using a bicinchoninic acid procedure (Pierce, Rockford, IL). Equal amounts of protein were then subjected to SDS-PAGE using gels with appropriate percentage of acrylamide followed by transfer of protein to polyvinylidene difluoride membranes (Bio-Rad, Hercules, CA). Membranes were then blocked in 5% non-fat dry milk in phosphate-buffered saline (PBS) and incubated overnight at 4°C with primary antibodies in blocking solution (1:1000 dilution). Membranes were then washed twice (15 min per wash) with T-PBS [Tween-20 (0.1%), phosphate-buffered solution]. Horseradish peroxidase (HRP)-conjugated secondary antibodies (Biomeda, Burlingame, CA) were used at a 1:2000 concentration. The membranes were developed following an enhanced chemiluminescence protocol (Amersham Biosciences, Piscataway, NJ). The membranes were further probed for GAPDH, which was used as a loading control.
Spheroid migration assay
IOMM-Lee cells labeled with GFP (green fluorescence protein) were cultured at a concentration of 7×104 cells per well in 0.5% agarose-coated 96-well plates and grown for 2 days at 37°C with shaking at 40-60 rpm. The spheroids were infected with Ad-MMP-9 or Ad-SV. Untreated spheroids were also maintained under similar conditions for 24 h to serve as the control. Later, the spheroids were transferred to 8-well chamber slides and grown in serum-free media for a further 48 h. Migration of the cells from spheroids was recorded with a fluorescence microscope. Spheroid migration was quantified as the relative migration by the tumor cells from the spheroids against the control and scrambled vector-infected cells.
TUNEL assay
To evaluate the apoptotic response of Ad-MMP-9, we performed the terminal deoxynucleotide transferase (TdT)-mediated biotin-dUTP nick end labeling technique using the commercially available in situ cell death detection kit (Roche Applied Science). Briefly, 5,000 cells were seeded onto the 8-well chamber slides and infected with 50 MOI of Ad-SV or Ad-MMP-9. Twenty-four hours after infection, the cells were irradiated and incubated for another 16 h. The cells were washed, fixed with 4% buffered paraformaldehyde, and permeabilized with freshly prepared 0.1% Triton X-100 containing 0.1% sodium citrate. The cells were then incubated with TUNEL reaction mixture for 1 h at 37°C in a humidified chamber. The slides were washed three times with PBS, and the incorporated biotin-dUTP was detected under a fluorescent microscope. Cell death was quantified as the relative percent of apoptosis compared to the controls.
Results
Radiation induces MMP-9 activity and expression
The dose-dependent studies with radiation ranging from 2.5 to 7.5 Gy on IOMM-Lee cells showed an increase in MMP-9 activity at 5 Gy but a further increase in the dose led to the loss of activity (Fig. 1A). This effect could be due to protein degradation at higher doses of radiation. Although a dose of 5 Gy induced MMP-9 activity 6 h after treatment, the activity was more prominent after 16 h (Fig. 1B). Gelatin zymography and reverse transcription PCR analysis revealed that significant increase in MMP-9 with irradiated cells compared to the non-irradiated cells (Fig. 1C). Densitometric analysis revealed a significant increase in MMP-9 activity and RNA levels in the irradiated cells (Figs. 1D-E).
Ad-MMP-9 reduces radiation-induced expression of MMP-9
To evaluate the efficiency of Ad-MMP-9 in the knockdown of MMP-9, the cells were infected with 50 MOI of Ad-MMP-9 or Ad-SV with and without irradiation. As shown in the zymography and reverse transcription PCR results (Fig. 1C), Ad-MMP-9 treatment at 50 MOI significantly reduced the activity of MMP-9 and mRNA levels in both non-irradiated and irradiated cells, thereby showing the efficacy of RNAi-mediated knockdown of MMP-9 (Figs. 1D-E). Activity and mRNA levels in the cells infected with Ad-SV remained similar to their respective controls.
Ad-MMP-9 reduces radiation-induced migration and invasion
Noting that irradiation induced MMP-9 expression but infection with Ad-MMP-9 reduced MMP-9 activity, we next analyzed the invasive and migration abilities of the IOMM-Lee cells. Spheroid migration assay with IOMM-Lee-GFP cells showed an increase in the migration properties of the cells in the irradiated treatment groups as compared to the controls. However, migration of the cells from Ad-MMP-9-infected spheroids was markedly diminished both in the irradiated and non-irradiated cells (Fig. 2A). The increase in migration was quantified as the relative migration of the treated cells against the controls (Fig. 2B). Radiation treatment was shown to induce more than a 50 percent increase in the migration of IOMM-Lee cells and decreased almost more than 98% of the cells infected with Ad-MMP-9. Matrigel invasion assay revealed a similar trend with irradiated cells showing more invasive potential compared to the non-irradiated cells. Ad-MMP-9-infected cells in both irradiated and non-irradiated groups showed very poor invasion (Fig. 2C). Quantitative determination of invasion confirmed that IOMM-Lee cells infected with Ad-MMP-9 invaded only less than 10% with and without radiation (Fig.2D) compared to controls and Ad-SV treated cells.
Ad-MMP-9 infection induces apoptosis
Infection of IOMM-Lee cells with Ad-MMP-9 induced a marked change in the morphological characteristics of the cells within the experimental time period (data not shown). Based on these observations, we performed Western blot analysis for the cleavage of PARP and TUNEL assay for in situ cell death. TUNEL assay revealed that the majority of the Ad-MMP-9-infected cells were fluorescent in both irradiated and non-irradiated groups (Fig. 3A). Cell death was quantified as percent of apoptotic cells against the controls. Fig. 3B shows that almost 80-90% of apoptotic cells in Ad-MMP-9 infected cells compared to controls and Ad-SV infected cells. We found that Ad-MMP-9 infection caused cleavage of PARP, which is a downstream effector of caspases. As shown in Figure 3C, the 85-kDa cleaved fragment of PARP-1 was detected in Ad-MMP-9-treated cells, but not in control and Ad-SV-infected cells.
Ad-MMP-9 infection activates ERK and Akt
We next investigated the signal transduction mechanism of apoptosis in Ad-MMP-9-infected cells. Cell lysates were subjected to Western blot analysis and probed with antibodies against phospho ERK, phospho Akt, and their respective total forms. Ad-MMP-9 infection increased phospho ERK and phospho Akt as compared to the control and Ad-SV-infected cells with and without radiation. But there was no change in total ERK and Akt levels in treated and non-treated cells with and without radiation (Fig. 4A). Densitometric analysis indicated more than a 9-fold increase in pERK and more than 15-fold increase in pAkt in the Ad-MMP-9-infected cells (Figs. 4B-C) compared to control and Ad-SV infected cells. Similar trend was observed in Ad-MMP-9 infected cells with and without irradiation in relation to these molecules.
MEK1/2 inhibitor and Dn-ERK plasmid reduce the activity of ERK and Akt
To investigate the interactions between Akt and ERK, we treated the Ad-MMP-9 infected cells with U0126; the cell lysates were subjected to Western blot analysis. In addition, we transiently transfected IOMM-Lee cells with a dominant negative mutant of ERK (Dn-ERK; kinase-dead mutants of ERK-1) prior to Ad-MMP-9 infection and analyzed its effect on the phosphorylation of Akt. U0126 completely inhibited the phosphorylation of ERK and Akt in IOMM-Lee cells infected with Ad-MMP-9 with or without irradiation (Fig. 5A). Further in the presence of Dn-ERK the levels of phosphor ERK and Akt was inhibited in IOMM-Lee cells infected with Ad-MMP-9. Both the experiments clearly indicated that the phosphorylation of Akt is negatively regulated by inhibiting the phosphorylation of ERK (Figs. 5A-B). However, the total forms remain unaffected in controls or treated groups.
PI3K inhibitor decreases the phosphorylation of Akt and ERK
The impact of blocking phosphorylation of Akt on ERK was investigated by treating the Ad-MMP-9-infected cells with a PI3K inhibitor. Western blot analysis of the cell lysates indicated that the inhibitor interfered with the phosphorylation of Akt. In addition, a decrease in the phosphorylation of ERK was also observed, thereby revealing the Akt-mediated modulation of ERK phosphorylation (Fig. 6A). As in the MEK1/2 treatment, the total forms of both ERK and Akt remained unaffected.
Ectopic expression of constitutively active Akt induces ERK phosphorylation
To further characterize the reciprocal influence of Akt phosphorylation on the activation of ERK, we transiently transfected the IOMM-Lee cells with myr-Akt for 48 h. The cell lysates were subjected to Western blot analysis using antibodies against pERK and pAkt. The transfected cells exhibited a marked increase in the phosphorylation of Akt as well as ERK (Fig. 6B) compared to controls and Ad-SV infected cells.
Ad-MMP-9 executes apoptosis via a c-JUN and Fas-dependent mechanism
Since the activation of Akt in apoptosis has been reported thus far as a rare event, we studied the downstream molecules of Akt in the execution of apoptosis. As reported in the apoptosis of epidermal cells (21), the involvement of c-JUN and Fas were assessed. In the cells treated with Ad-MMP-9, total and phospho forms of c-JUN (Ser-73) were found to be decreased while Fas increased (Fig. 7). However, treatment with a PI3K inhibitor restored both the forms of c-JUN but the Fas levels were significantly decreased. Phospho c-JUN (Ser-243), which is subjected to proteasomal degradation, was present more in Ad-MMP-9-treated cells; its levels were reduced in PI3K inhibitor-treated cells. The attenuation of apoptotic activity in the PI3K inhibitor-treated cells was confirmed by the absence of cleaved PARP (Fig. 7) which were infected with Ad-MMP-9 previously.
Discussion
Maximum surgical resection and adjuvant radiotherapy have been shown to be independent prognostic predictors for patients with meningiomas. However, optimum treatment modalities for meningiomas have not been well defined because of their surgically inaccessible location (3,25), recurrence (4) as well as the problem of radiation-induced development of malignant meningiomas (10). Sublethal doses of radiation have the potential to augment cell proliferation and resistance because they are capable of activating growth factor receptors and subsequent pro-survival signaling pathways (26,27). Ionizing radiation has been shown to induce the expression of MMP-1 and MMP-10 in squamous cell carcinoma (28), MMP-1 and MMP-3 in human dermal fibroblasts (29), and MMP-2 secretion in glioma cells (26). In this study, we report that the exposure of malignant meningioma IOMM-Lee cells to sublethal radiation leads to the overexpression of MMP-9. In obedience with our findings, radiation induced MMP-9 over expression at mRNA and protein level were reported in hepatocellular carcinoma cell lines (12) and in irradiated BRE-SNB19 cocultures (30). We also show the enhanced migration and invasiveness of IOMM-Lee cells during radiation treatment, which is in agreement with the studies of Wild-Bode et al. (31,32) and Hegedus et al. (33) on glioma cell lines and Cheng et al. on hepatocellular carcinoma (12). Furthermore, we showed that the aggressive tumor characteristics can be reversed using RNAi-mediated downregulation of MMP-9. Earlier studies by our group and others have demonstrated the correlation between MMPs and the invasiveness of different cancer cell lines (34-36). Consistent with our present results, several studies have shown that synthetic MMP inhibitors block the invasion of cancer cells by inhibiting MMP activation process (37,38). In addition, inhibition of radiation-enhanced MMP-9 protein expression with antisense oligonucleotides of MMP-9 has been shown to significantly suppress radiation-induced invasion (39).
Our investigation revealed the apoptosis-inducing ability of Ad-MMP-9 in IOMM-Lee cells. We also show that the phosphorylation of ERK and Akt are key events in the apoptotic cells. Although the pro-survival and anti-apoptotic roles of ERK and Akt-mediated signaling cascades have been widely reported, evidence exists that the ERK-mediated apoptosis can be induced by diverse stimuli in different cell lines and tissues (40). Also, the Akt-mediated positive regulation of Fas-mediated apoptosis in epidermal cell death has been reported (41). Cross-talk among different intracellular signaling pathways have been generally adopted as strategies by the cancer cells under stress conditions. In this study, the use of ERK and PI3K specific inhibitors, transfection with a dominant negative ERK construct and ectopic expression of constitutively active Akt revealed an interdependent mechanism between ERK and Akt with one modulating the activity of the other. Consistent with these results, Ouabain-stimulated ERK phosphorylation has been shown to be required for Akt phosphorylation on Ser (473) in opossum kidney cells (42).
In agreement with the earlier studies on Akt-mediated apoptosis executed by c-JUN and Fas, our data also suggest that the inhibition of the PI3K pathway leads to the restoration of phospho c-JUN (Ser-73), the decrement in the Fas, and eventually the rescue of cells from siRNA-caused apoptosis. Attenuation of apoptosis has not been observed in MEK1/2 inhibitor-treated experiments (data not shown)—probably because of the blockade of basal phosphorylation of ERK that is essential for cell survival.
In summary, our data show that radiation enhances MMP-9 expression and its associated aggressive characteristics in malignant meningioma cells. However, we also demonstrate that the siRNA-mediated knockdown of MMP-9 is effective in attenuating these properties. Furthermore, Ad-MMP-9 treatment induces apoptosis via the concomitant activation of ERK and Akt.
Acknowledgement
We thank Shellee Abraham for assistance in the manuscript preparation and Diana Meister and Sushma Jasti for the review. We also thank Professor Richard A. Roth for the construct encoding the constitutively active myristoylated AKT (myr-AKT δ 4-129).
This research was supported by National Cancer Institute Grants CA 75557, CA 92393, CA 95058, CA 116708, N.I.N.D.S. NS47699, NS57529, NS061835, and Caterpillar, Inc., OSF Saint Francis, Inc., Peoria, IL (to J.S.R.).
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