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. Author manuscript; available in PMC: 2013 Mar 2.
Published in final edited form as: Cancer Genomics Proteomics. 2009 May-Jun;6(3):161–175.

Gene Expression Analysis of HCT116 Colon Tumor-derived Cells Treated with the Polyamine Analog PG-11047

NATALIA A IGNATENKO 1, HAGIT F YERUSHALMI 2, RITU PANDEY 3, KAREN L KACHEL 4, DAVID E STRINGER 4, LAURENCE J MARTON 5, EUGENE W GERNER 1,6
PMCID: PMC3586261  NIHMSID: NIHMS440118  PMID: 19487545

Abstract

Background

The conformationally restricted polyamine analog PG-11047 has significant growth inhibitory activity against prostate and lung cancer cell lines and is currently under evaluation in several clinical trials, both alone and in combination with other drugs, for the treatment of relapsed or refractory cancer. The objective of this study was to identify the molecular signature of genes responsive to PG-11047 treatment and the biochemical effects of this drug in the HCT116 colon cancer cell line.

Materials and Methods

Gene expression analysis was performed using Affymetrix GeneChip human genome U133 Plus 2.0 arrays. Changes in protein expression were evaluated using 2D polyacrylamide gels followed by LCMS/MS.

Results

Treatment of cells with PG-11047 at concentrations ranging from 0.1 to 10 μM caused inhibition of cell growth. The activity of PG-11047 was found to correlate with its transcriptional effects on cell cycle control, focal adhesion, adherent and gap junction genes, MAPK-, Wnt- and, TGF-β signaling pathways, transport and DNA/RNA transcription factor genes. PG-11047 caused depletion of polyamine pools. Proteomics analysis showed that PG-11047 restricts the modification of eukaryotic translation initiation factor 5A (eIF5A), resulting in suppression of general protein synthesis in PG-11047-treated cells.

Conclusion

These data show that PG-11047 has a broad spectrum of anticancer activity in colon cancer cells.

Keywords: Polyamine analogs, PG-11047, colon cancer cells, Affymetrix gene chip microarray, polyamines


Polyamines are small polycations that are necessary for cell proliferation (13). Polyamines have been shown to influence transcription (4), RNA stabilization and translational frameshifting (5). The cellular functions of polyamines include intestinal mucosal maturation (6) and cell migration (7). Intracellular polyamine concentrations and activity of a key polyamine biosynthetic enzyme, ornithine decarboxylase (ODC), are elevated in colorectal cancer tissues and in premalignant polyps of cancer patients (8). Polyamine metabolism is up-regulated in intestinal epithelial tissues in humans with familial adenomatous polyposis (FAP), a syndrome caused by mutations in the adenomatous polyposis coli (APC) tumor suppressor gene and associated with a high risk of colon and other types of cancer (9). APC signaling regulates ODC expression in both human cells and a mouse model of FAP (10, 11). The irreversible inhibitor of the ODC gene, α-difluoromethylornithine (DFMO) suppresses intestinal polyamine levels and tumor formation in experimental models of colon cancinogenesis (10, 12, 13). DFMO has been evaluated in several clinical trials for the prevention of skin and colon cancer precursors and in men with familial risk of prostate cancer (1417). In spite of the positive results, the activity of DFMO in vivo is limited because of the compensatory increase in cellular transport of polyamines available from the diet and gastrointestinal flora. The use of structural polyamine analogs represents a complementary approach to inhibition of polyamine biosynthesis in cells (18). Mechanisms by which polyamine analogs exert their intracellular effects include the induction of polyamine catabolic enzyme spermidine/spermine N1-acetyltransferase, depletion of intracellular polyamine pools, competition with natural polyamines for uptake, and the displacement of natural polyamines from functional sites related to the transcriptional regulation of genes (19, 20). Three classes of synthetic polyamine analogs have been developed and include symmetrically substituted, asymmetrically substituted and conformationally restricted analogs. These classes demonstrate multiple biological activities and improved targeting abilities with small changes in molecular structure (19). We previously investigated the molecular mechanisms of the antineoplastic activity of a member of the second generation of polyamine analogs, PG-11093 (formerly CGC-11093) (21). We showed that the activity of PG-11093 is attributed to its transcriptional regulation of cell cycle control, transforming growth factor, (TGF)-β signaling, transport and DNA/RNA transcription factor genes.

PG-11047 is another second-generation conformationally restricted polyamine analog, whose structure is based on the symmetrically alkylated analog N1, N11-bis (ethyl) norspermine (BENSpm) but which is modified by the introduction of a double bond into the central 4-carbon methylene chain (22, 23). Antiproliferative activity of PG-11047 has been reported against human breast cancer cells and both small cell and non-small cell lung cancer cell lines (2426). PG-11047 significantly delayed the development of A549 xenografts in nude nu/nu mice (24). The biochemical mechanisms of the antitumor effects of PG-11047 include the cell type-specific down-regulation of ODC and the induction of SAT1 activities, and the antizyme-mediated feed-back inhibition of polyamine uptake (24, 27). PG-11047 is currently being tested in a Phase I clinical trial in patients with relapsed or refractory cancer as a single agent and in a Phase Ib trial in combination with bevacizumab (Avastin®; Genentech (South San Francisco, CA, USA)), erlotinib (Tarceva®; OSI Pharmaceuticals Inc., Long Island, NY, USA), docetaxel (Taxotere®; Sanofi-Aventis, Paris, France), gemcitabine (Gemzar®; Eli Lilly, Indianapolis, IN, USA), 5-fluorouracil (5-FU), cisplatin, or Sutent (http://www.cancer.gov/search/ResultsClinicalTrialsAdvanced.aspx?protocolsearchid=335980.

It has been shown that periocular injections of PG-11047 in mice causes significant suppression and regression of laser-induced choroidal neovascularization (CNV), of oxygen-induced ischemic retinopathy, or of neovacularization in transgenic mice overexpressing vascular endothelial growth factor (VEGF) in photoreceptors, indicating its antiangiogenic properties and the possibility of its use clinically (28).

In this study, we evaluated the molecular and biochemical effects of PG-11047 in the colon adenocarcinoma cell line HCT116 on the expression of growth-promoting genes and signaling pathways affected by this drug. We also report the effect of this drug on general protein synthesis in HCT116 cells.

Materials and Methods

Chemicals and reagents

All culture reagents were obtained from Invitrogen Corp. (Carlsbad, CA, USA). An RNeasy kit was purchased from Qiagen Inc. (Valencia, CA, USA) and a Reverse Transcription Kit was purchased from Promega Corp. (Madison, WI, USA). Invitrogen Corp. synthesized all oligonucleotides used in the experiments. All reagents for real time RT-PCR were purchased from Applied Biosystems, Inc. (Foster City, CA, USA). [1,8,-3H]Spermidine and [35S]-methionine were purchased from PerkinElmer Life Science (Boston, MA, USA). N1-Guanyl-1,7-diaminoheptane (GC-7) was purchased from Biosearch Technologies, Inc. (Novato, CA, USA). DFMO was generously donated by Ilex Oncology Inc. (San Antonio, TX, USA).

PG-11047

The polyamine analog PG-11047 was obtained from Progen Pharmaceuticals, Inc. (Redwood City, CA, USA). PG-11047 ([1N,12N]bis(ethyl)-cis-6,7-dehydrospermine tetrahydrochloride) is a bisethyl spermine analog conformationally restricted due to the presence of a double bond (Figure 1). PG-11047 was synthesized as described elsewhere (22, 23). PG-11047 is highly water-soluble and a stock solution (10 mM) was prepared in water, sterile-filtered, and stored at −20°C. Further dilutions were made in complete growth medium.

Figure 1.

Figure 1

Structure of PG-11047.

Cell culture

HCT116 colon adenocarcinoma cell line was purchased from American Type Culture Collection (ATCC) (Rockville, MD, USA) and was maintained in Dulbecco’s modified Eagle’s medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and 1% penicillin/streptomycin.

Cell viability

Cells were seeded at a density of 0.25×106 cells per 60 mm dish in media containing different concentrations of PG-11047 (0.1, 1, 10 or 50 μM) and were collected at various times after subculture, as indicated in the figures. The viability of control and analog-treated cells was evaluated by an automated Trypan blue dye exclusion method using a Beckman Coulter Vi-Cell™ Cell Viability analyzer (Beckman Coulter Inc, Miami, FL, USA).

Isolation of total RNA and reverse transcription

HCT116 cells were seeded in the absence or presence of PG-11047 at either 1 μM or 10 μM for 72 h. Total cellular RNA was extracted according to a protocol supplied with the Qiagen RNeasy Kit. RNA samples were evaluated for integrity of 18S and 28S rRNA by ethidium bromide staining of 1 μg of RNA resolved by electrophoresis in a 1.0% agarose/formaldehyde gel. Reverse transcription was completed using a TaqMan Reverse Transcription Reagents Kit. Two μg of total RNA were transcribed into cDNA in a 100 μl reaction using Random hexamers and the recommended thermal conditions. The RNA from control and PG-11047-treated HCT116 cells was isolated from three independent experiments with different cell passages (taken from passages 54–60).

Microarray analysis

Ten μg of total RNA were used to produce biotinylated cRNA that was hybridized to the Affymetrix GeneChip® human genome U133 Plus 2.0 array according to the manufacturer’s instructions (Affymetrix Inc., Santa Clara, CA, USA). Chips were washed and stained using a Fluidics Station (Affymetrix) and scanned with a GeneArray Scanner 3000 using default settings. Images from the scanned chips were quantifed to produce transcript level data using the Affymetrix Microarray Analysis Suite (MAS) 5.0. Transcript level data were loaded into GeneSpring 7.0 (Agilent Technologies, Santa Clara, CA, USA) and normalized across arrays. Fold change was derived as the ratio of average differences from three experimental arrays as compared to three control arrays. Genes were selected based on analysis of variance (ANOVA) with variances not assumed equal (Welch’s ANOVA) and a p-value of 0.05 adjusted for multiple testing using the Benjamini Hochberg false discovery rate method. A global error model based on replicates of the control and treated samples was used to estimate variance.

Quantitative real-time RT-PCR

Real-time PCR amplification was performed with an ABI PRISM 7700 SDS instrument (Applied Biosystems), utilizing the universal thermal cycling conditions recommended by the Assay-on-Demand products protocol. Each 50 μl reaction included 25 μl of TaqMan Universal PCR master mix, 5 μl of the resulting cDNA from the reverse transcription step, and 20 μl diluted primer and probe mixes ordered from Assay-on-Demand products (Applied Biosystems). No template controls were included in each plate to monitor potential PCR contamination. The drug effect on target genes was tested in triplicate and each reaction was run in duplicate. To determine the relative expression level of each target gene, the comparative CT method was used. The CT value of the target gene was normalized by the endogenous reference (ΔCT=CT(target) − CT(GAPDH)) and compared with a calibrator (ΔΔCT=ΔCT(target) − ΔCT(calibrator)). The first of three HCT116 replicates was designated as the calibrator sample in these experiments. The relative expression of each target gene was calculated via the equation 2−ΔΔCT. Data were presented as a ratio of the relative expression of each target gene in drug-treated cells to the expression of this gene in the first control replicate.

Pathway analysis and visualization

The set of genes with 3-fold changes in expression in response to 10 μM PG-11047 was searched against Pathway Miner (29) to identify cellular pathways influenced by PG-11047 treatment. Pathway Miner is a web-based interactive tool, written in Perl and Java, that provides expression patterns for affected pathways from 3 different pathway resources: KEGG (www.genome.ad.jp), BioCarta (www.biocarta.com) and GenMAPP (www.genmapp.org). The tool provides multiple outputs for interpretation of pathway perturbations. The expression patterns represented on pathways are based on a fold-change color scheme. The gene association network displays genes that collectively influence or participate in one or more pathways. In the network, nodes represent genes and the edges represent pathways. The thickness of the edge represents number of pathways to which the two connecting genes belong.

ODC enzyme activity

ODC activity was determined by measuring the liberation of 14CO2 from L-[14C]ornithine (DuPont-New England Nuclear (Wilmington, DE, USA)), as described by Sertich et al. (30).

Polyamine measurement

Cells were grown with PG-11047 (10 μM) for 24 and 48 hours. Cell extracts were prepared in 0.1 N HCl in a proportion of 1×107 cells per 900 μl. Samples were sonicated, adjusted to 0.2 N HClO4 and incubated on ice for 2 h. After centrifugation at 13,000× g for 10 min at 4°C, the supernatants were analyzed by reverse-phase high-performance liquid chromatography with 1,7-diaminoheptane as an internal standard (31).

Proteomics analysis

Seventy-two hours after subculture, control and PG-11047 treated cells (10 μM) were lysed on ice in radioimmunoprecipitation assay (RIPA) buffer (PBS, 1% NP-40, 0.5% sodium deoxycholate, 0.1% SDS, 30 μg/ml aprotinin, 100 mM sodium orthovanadate, and a 10 mg/ml phenylmethylsulfonyl fluoride), sonicated for 5–10 s and then incubated on ice for 30 min. Lysates were centrifuged at 13,000 rpm 4°C for 20 min. Supernatants were collected and cleaned using a ReadyPrep 2D Cleanup Kit (Bio-Rad Laboratories, Hercules, CA, USA). Protein concentration was determined using a Bio-Rad DC protein assay (BioRad). Samples were analyzed by the Proteomics Facility Core (University of Arizona) using 2D PAGE gel electrophoresis (pI 5–8, 10–20% gradient). The gels were silver stained, followed by in-gel digestion of spots expressed exclusively in one of the samples (control or PG-11047-treated). The samples were analyzed using nanoLC-MS/MS and SEQUEST database searching.

VEGF Western blotting

Seventy-two hours after subculture, control and PG-11047-treated cells (1 μM and 10 μM) were lysed with a RIPA buffer. Samples were kept on ice for 30 min, followed by centrifugation at 13,000× g for 10 min. Supernatants were collected and protein concentration was determined with the Bio-Rad DC protein assay. A total of 80 μg of cell lysate was loaded per lane and run on a 15% SDS-PAGE gel. The proteins were transferred electrophoretically to Hybon-C nitrocellulose membrane (Amersham Pharmacia Biotech, Inc., Piscataway, NJ, USA) overnight. Blots were blocked in Blotto A (5% w/v nonfat dry-milk, 0.1% Tween 20, and Tris-buffered saline (TBS) consisting of 10 mM Tris-HCl, pH 8.0, 150 mM NaCl) for 1 hour at room temperature. A mouse anti-VEGF monoclonal antibody (C-1) (Cat.# sc-7269; Santa Cruz, CA, USA) was used at a dilution of 1:100 and incubated overnight at 4°C. The blots were washed in TBS/0.1% Tween-20. The primary antibodies were detected with an anti-mouse immunoglobulin G antibody conjugated to horseradish peroxidase for 1 h at room temperature. Blots were washed as described above and protein was detected with enhanced chemiluminescence detection reagent (Amersham). Western blotting was repeated three times and quantified using Scion Imaging Quantification Software (Scion Corp., Frederick, MD, USA).

Analysis of hypusine production using HPLC

Hypusine was quantified using a high performance liquid chromatography method described elsewhere (32). Briefly, after growing cells in 100 mm dishes for 24 hours, they were treated with 5 mM DFMO for 48 hours to suppress endogenous spermidine and cause unmodified eIF5A to accumulate. Aminoguanidine 1 mM, which inhibits serum amine oxidases, and 10 μM PG-11047 were added and the cells were pulse-labeled with 6.25 μCi/ml [1,8,-3H]spermidine for 5 hours. Control cells were grown for 24 hours, treated with 5 mM DFMO for an additional 48 hours and pulse-labeled with 6.25 μMCi/ml [1,8,-3H]spermidine for 5 hours after treatment with 1 mM aminoguanidine. Polyamine-depleted cells which were treated with 1 mM aminoguanidine plus 50 μM of N1-guanyl-1,7-diamino-heptane (GC-7), an inhibitor of deoxyhypusine synthase (33) and pulse-labeled with 6.25 μMCi/ml [1,8,-3H] spermidine for 5 hours, were used as a positive control for the inhibition of the enzymatic process of eIF5A modification. The cells were harvested with trypsin and washed twice with cold PBS. Pellets were resuspended in 800 μl of 0.1 N HCL, sonicated for 10 s at room temperature and after addition of 80 μl of 2 N perchloric acid (HClO4) were incubated at 4°C overnight. HClO4-insoluble fractions were washed three times with cold 0.2 N HClO4 and hydrolysed in 6 M HCl at 120°C for 18 h. After drying under air in a hood for 6–7 h, pellets were dissolved in 500 μl of 0.2 N HClO4 and separated by HPLC as described (34). Hypusine was identified as radiolabel eluting at a position of free hypusine (34). Radioactivities were measured by scintillation counting of 1-min fractions, collected from the post-column effluent supplemented with 10 ml of Ecolite (ICN, Irvine, CA, USA).

Metabolic labeling of HCT116 cells

Cells were grown in 100 mm dishes with or without 10 μM PG-11047 for 48 h. Media were then replaced with methionine-free media for 1 h and 3 ml of [35S]-methionine (100 μCi/ml) were added per dish. Cells were incubated for 6 h. After completion of the labeling, the media were removed, then the cells were washed twice with PBS, lysed and counted using a scintillation counter.

Statistics

P-values between control and treated cells were calculated with ANOVA or t-test (Microsoft Excel, Microsoft Corp., Redmond, WA, USA).

Results

Effect of the polyamine analog PG-11047 on HCT116 cell growth and viability

The sensitivity of HCT116 cells to PG-11047 was assessed by analysis of cell growth and viability. PG-11047 treatment resulted in significant growth inhibition of HCT116 cells in a time- and dose-dependent manner (Figure 2A). An almost 50% decrease in cell number was observed after a 72 h exposure to 10 μM PG-11047. In order to evaluate the long-term effect of the compound on cultured cells, we tested the viability of HCT116 cells treated with PG-11047 after seven days in culture using a Beckman Coulter Vi-Cell™ Cell Viability analyzer (Figure 2B). The total and viable cell numbers were similar at all concentrations used, except for the concentration of 1 μM where the number of viable cells decreased two-fold, suggesting a cytotoxic effect at this concentration.

Figure 2.

Figure 2

Effect of PG-11047 treatment on the growth and viability of HCT116 colon cancer cells. A, Compound was added to cells to a final concentration of 0.1, 1, 10, or 50 μM. Cells were collected on different days after subculture and total cell numbers were determined. Results shown represent the means of duplicate determinations in a single representative experiment that was replicated once. B, HCT116 cell viability on day 7 after subculture. Control cells and cells seeded in medium containing different concentrations of PG-11047 were cultured for seven days. Cells were harvested, and the percentage of viable cells was determined using an automated trypan blue dye exclusion method. Data presented are the average of three independent experiments.

Effect of PG-11047 on gene expression

To identify genes whose expression is regulated by PG-11047 in HCT116 cells, we used the Affymetrix Human Genome GeneChip array U133 Plus 2.0. This platform contains over 47,000 transcripts with 38,500 well-characterized human genes. We profiled the gene expression in HCT116 cells for one time point (72 h) at two different concentrations (1 and 10 μM) using results from three (for a concentration of 10 μM) or four (for a concentration of 1 μM) independent experiments. A comparison of the distribution of gene expression patterns revealed a greater difference in cells treated with 10 μM of the analog. Three hundred and sixteen genes were altered in a statistically significant manner in HCT116 cells treated with 10 μM PG-11047, and forty-one genes were differentially expressed after treatment with a 1 μM dose of the compound. The list of genes differentially expressed in response to the dose of 10 μM was further filtered for a 3-fold change from that of the control cells. Eighty-one genes were found to be differentially expressed in PG-11047-treated cells using a 3-fold cut-off (presented in Table IA). A HeatMap of these 81 genes showing the expression profile across the ten experiments is presented in Figure 3. Selected down-or up-regulated genes whose expression was significantly changed in the Affymetrix arrays after treatment with 10 μM of PG-11047 are presented in Table IB. We confirmed these differentially expressed genes by real-time RT PCR analysis (Figure 4). The first gene presented in Table IB is early growth response gene-1 (EGR-1), which is a member of a family of zinc-finger transcription factors and which participates in cellular proliferation, differentiation and apoptosis (35, 36). EGR-1 binds to a consensus GC-rich element (GCE) 5′-GCGGGGGCG-3′ to regulate the transcription of numerous target genes including TGFβ (37), basic fibroblast growth factor (bFGF) (38), p53 (39), and thymidine kinase (40). EGR-1 mRNA expression was found to be significantly higher in gastric cancer tissue than in normal mucosa (41). EGR-1 has been implicated in the progression of prostate cancer since its basal expression was very low in normal prostate and elevated in prostate cancer. The EGR-1 levels of expression also correlated directly with Gleason scores (42, 43). PG-11047 treatment resulted in a statistically significant and concentration-dependent decrease in EGR-1 mRNA level (5- and 10- fold decrease, for 1 μM and 10 μM, respectively) (Figure 4). The other regulatory gene differentially expressed in PG-11047-treated cells was cyclin L2 (CCNL2), which is a novel member of the cyclin family of genes, playing a key role in transcriptional regulation (44). It was shown recently that overexpression of human cyclin L2 suppresses the growth of human lung carcinoma cell line A549 via induction of cell cycle arrest and apoptosis involving up-regulation of caspase 3 and down-regulation of Bcl-2 and survivin (45). The mechanism of CCNL2 activity includes regulation of the pre-mRNA splicing process, since it was found to be co-localized with splicing factors SC-35 and 9G8 (46). PG-11047 induced increased CCNL2 transcript level up to 3-fold at a dose of 10 μM, which could account in part for the growth inhibitory activity of this agent (Figure 4). The gene SLC6A6/TauT, which belongs to the family of Na+- and Cl-dependent neurotransmitter transporters SLC6 (47), was also induced up to 3-fold when cells were treated with 10 μM of PG-11047 (Table IB). SLC6A6/TauT is expressed in retinal capillary endothelial cells and mediates transport of taurine (48). SLC6A6/TauT also has been recognized as a transporter of γ-aminobutyric acid (GABA) at the inner blood-retinal barrier, at least in conditionally immortalized rat retinal capillary endothelial cells (49). SLC6A6/TauT might play an important role in the reducing the GABA concentration in the retinal interstitial fluid. We suggest that PG-11047-mediated up-regulation of this transporter could lead to an increase in GABA transport and possibly relieve the hypo-osmotic and ischaemic conditions in the retina during diseases such as diabetes. The up-regulation of VEGF-A gene transcript was also confirmed in PG-11047-treated HCT116 cells by real-time PCR (Figure 5A). At the same time, we found that VEGF-A protein expression was significantly lower in cells treated with 10 μM of the compound, compared to the level of expression in control cells (Figure 5B, p=0.006), suggesting that PG-11047 may interfere with the mechanism of VEGF translation.

Table IA.

List of genes statistically significantly altered by ≥3-fold in response to PG-11047 (10 μm).

Gene ID Symbol Description Fold change Mean±SD
Systematic ANP32E Acidic (leucine-rich) nuclear phosphoprotein 32 family, member E 0.108±0.042
229128_s_at PRPS2 Phosphoribosyl pyrophosphate synthetase 2 0.175±0.034
230352_at --- 0.183±0.044
238199_x_at EGR1 Early growth response 1 0.189±0.070
227404_s_at ID3 Inhibitor of DNA binding 3, dominant negative helix-loop-helix protein 0.177±0.031
207826_s_at Homeo box B8 0.220±0.128
229667_s_at MTND3 --- 0.224±0.087
1553588_at INSIG1 Insulin-induced gene 1 0.198±0.011
201625_s_at BAG1 BCL2-associated athanogene 0.221±0.058
211475_s_at SQLE Squalene epoxidase 0.211±0.042
213577_at LOC203069 Hypothetical protein LOC203069 0.233±0.078
212866_at INSIG1 Insulin-induced gene 1 0.196±0.042
201627_s_at ID2 Inhibitor of DNA-binding 2, dominant negative helix-loop-helix protein 0.235±0.057
201565_s_at FOSB FBJ murine osteosarcoma viral oncogene homolog B 0.181±0.024
202768_at --- 0.275±0.063
234469_at STARD4 START domain containing 4, sterol-regulated 0.217±0.071
226390_at NDUFS1 NADH dehydrogenase (ubiquinone) Fe-S protein 1, 75 kDa (NADH-coenzyme Q reductase) 0.263±0.075
236356_at RPS4Y Ribosomal protein S4, Y-linked 0.248±0.031
201909_at TREX1 Three prime repair exonuclease 1 0.257±0.024
205875_s_at IDI1 Isopentenyl-diphosphate delta isomerase 0.228±0.041
204615_x_at THRAP3 Thyroid hormone receptor-associated protein, 150 kDa subunit 0.285±0.127
227338_at Homo sapiens mRNA; cDNA DKFZp564P142 (from clone DKFZp564P142) 0.229±0.040
221750_at TEB4 Similar to S. cerevisiae SSM4 0.280±0.062
201737_s_at HSPA4 Heat-shock 70 kDa protein 4 0.274±0.037
208814_at HBA2 Hemoglobin, alpha 2 hemoglobin, alpha 2 0.290±0.087
211699_x_at RARSL Arginyl-tRNA synthetase-like 0.310±0.075
1561048_at AGA Aspartylglucosaminidase 0.309±0.042
216064_s_at IDI1 Isopentenyl-diphosphate delta isomerase 0.252±0.035
208881_x_at CUL5 Cullin 5 0.317±0.092
230393_at Amyotrophic lateral sclerosis 2 (juvenile) chromosome region, candidate 3 0.327±0.095
202124_s_at BAG1 BCL2-associated athanogene 0.329±0.002
202387_at Protein phosphatase 3 (formerly 2B), regulatory subunit B, 19 kDa, alpha isoform (calcineurin B, type I) 0.324±0.069
204506_at TMEM20 Hypothetical protein FLJ33990 0.313±0.044
236219_at Homo sapiens cDNA FLJ37115 fis, clone BRACE2022158. 0.307±0.022
1562849_at MGA MAX gene associated 0.307±0.079
235409_at FLJ36445 Hypothetical protein FLJ36445 0.328±0.053
235515_at MGC13114 Hypothetical protein MGC13114 0.321±0.002
227380_x_at SLC26A2 Solute carrier family 26 (sulfate transporter), member 2 0.320±0.088
205097_at RAP2B RAP2B, member of RAS oncogene family 0.318±0.069
227897_at MGC16037 Hypothetical protein MGC16037 0.326±0.046
229050_s_at MK-STYX Map kinase phosphatase-like protein MK-STYX 0.330±0.073
233982_x_at BARD1 BRCA1-associated RING domain 1 0.339±0.096
205345_at EFA6R ADP-ribosylation factor guanine nucleotide factor 6 2.875±0.412
203355_s_at BHLHB3 Basic helix-loop-helix domain containing, class B, 3 3.108±0.807
221530_s_at HCFC1R1 Host cell factor C1 regulator 1 (XPO1 dependant) 3.002±0.461
45714_at LAMP3 Lysosomal-associated membrane protein 3 3.268±0.476
205569_at KIAA1641 KIAA1641 protein 3.270±0.404
214723_x_at KIAA2026 KIAA2026 3.008±0.659
238490_at IRS1 Insulin receptor substrate 1 3.051±0.478
235392_at SLC6A6 Solute carrier family 6 (neurotransmitter transporter, taurine), member 6 3.042±0.766
205921_s_at EDG2 Endothelial differentiation, lysophosphatidic acid G-protein-coupled receptor, 2 3.011±0.888
204036_at Homo sapiens similar to hypothetical protein DKFZp434F142 (LOC339494), mRNA 3.053±0.692
227922_x_at BIRC3; AIP1; API2; MIHC; CIAP2; HAIP1; HIAP1; RNF49 Baculoviral IAP repeat-containing 3 baculoviral IAP repeat-containing 3 3.044±0.845
210538_s_at TARBP1 TAR (HIV) RNA binding protein 1 3.228±0.555
202813_at APBB3 Amyloid beta (A4) precursor protein-binding, family B, member 3 3.148±0.287
204650_s_at SCA1 Spinocerebellar ataxia 1 (olivopontocerebellar ataxia 1, autosomal dominant, ataxin 1) 3.272±0.550
203232_s_at KLF7 Kruppel-like factor 7 (ubiquitous) 3.068±0.872
1555420_a_at Homo sapiens transcribed sequences 3.389±0.524
229672_at PPAP2B Phosphatidic acid phosphatase type 2B 3.325±0.563
212230_at FLJ10120 Hypothetical protein FLJ10120 3.074±0.217
220220_at CCNL2 Cyclin L2 3.589±0.570
222999_s_at Chromosome 6 open reading frame 166 3.315±0.663
227368_at VEGF Vascular endothelial growth factor 3.519±0.805
211527_x_at ARL7 ADP-ribosylation factor-like 7 3.112±0.689
202206_at CSAD Cysteine sulfinic acid decarboxylase 3.259±0.549
221139_s_at NCDN Neurochondrin 3.8422±3.795
209556_at Homo sapiens transcribed sequences 3.831±0.481
227985_at ARL7 ADP-ribosylation factor-like 7 3.945±0.715
202207_at Homo sapiens mRNA; cDNA DKFZp686J1595 (from clone DKFZp686J1595) 3.695±0.639
243179_at Homo sapiens mRNA; cDNA DKFZp686L01105 (from clone DKFZp686L01105) 3.296±0.649
238320_at CCNL2 Cyclin L2 cyclin L2 4.441±0.130
221427_s_at SAT Spermidine/spermine N1-acetyltransferase 3.809±1.010
203455_s_at LOC283874 Homo sapiens, clone IMAGE:5296395, mRNA 4.057±0.631
1563629_a_at MGEA5 Meningioma expressed antigen 5 (hyaluronidase) 4.899±0.778
235868_at LOC147463 Hypothetical protein LOC147463 4.883±1.748
238332_at SAT Spermidine/spermine N1-acetyltransferase 5.220±1.188
210592_s_at WSB1 SOCS box-containing WD protein SWiP-1 5.433±1.205
201294_s_at PRO1073 PRO1073 protein 6.610±1.276
224558_s_at SAT Spermidine/spermine N1-acetyltransferase 6.462±1.897
213988_s_at Homo sapiens transcribed sequences 5.819±1.239
235419_at Homo sapiens similar to hypothetical protein MGC38936 (LOC344403), mRNA 6.537±2.286

Figure 3.

Figure 3

Heatmap of 81 genes found to be significantly changing with 10 μm treatment. Bioconductor was used to generate the heatmap. The row names show the gene names and where gene names are not available accession numbers are given. Gene expressions are shown as varying level of colors red and green, with red for up-regulation and green for down-regulation.

Table IB.

Top 5 known genes altered after treatment with 10 μM of PG-11047 with at least 3-fold change (p<0.05) and validated using real time RT PCR.

Gene name, symbol, and accession number Fold change at 1 μM Mean±SD Fold change at 10 μM Mean±SD Function
Early growth response 1, EGR1, AI459194 0.33±0.14 0.19±0.07 Transcriptional regulator, recognizes and binds to the DNA sequence 5′-CGC CCC CGC-3′ (EGR response element). Activates the transcription of target genes whose products are required for mitogenesis and differentiation
Cyclin L2, CCNL2, NM_03093 2.51±0.53 3.59±0.57 Regulates transcription and RNA processing of apoptosis-related fuctors, resulting in tumor growth inhibition and apoptosis
Spermidine/spermine N1 acetyltransferase, SAT, M55580 3.36±1.89 6.46±1.9 Key polyamine catabolic enzyme, catalyzes the acetylation of polyamines. It is also involved in the regulation of polyamine transport out of cells
Solute carrier family 6, member A6, SLC6A6, U16120 1.46±0.37 3.04±0.77 Neurotransmitter, taurine transporter
Vascular endothelial growth factor, VEGF-A, M27281 2.21±0.5 3.52±0.8 Growth factor active in angiogenesis, vasculogenesis and endothelial cell growth. Promotes cell migration, inhibits apoptosis

Figure 4.

Figure 4

Validation of PG-11047-dependent changes in gene expression by real-time RT-PCR. HCT116 cells were grown without (control) or in the presence of 10 μM PG-11047 for 72 h. Cells were harvested and total RNA was extracted according to a protocol supplied with the Qiagen RNeasy kit. RT and real-time PCR were performed as described in Materials and Methods. Individual bars represent the relative expression of each validated gene in treated cells to the expression of this gene in the control cells. Results are presented as average values of three independent experiments. P-values between control and treated cells were calculated with t-test.

Figure 5.

Figure 5

VEGF transcript and protein levels in PG-11047-treated HCT116 cells. Cells were grown without (control) or in the presence of 10 μM PG-11047 for 72 h and collected for real-time PCR analysis (A) and Western blot analysis (B) as described in Materials and Methods. Results are presented as average values of three independent experiments. P-values between control and treated cells were calculated with t-test.

We also analysed the changes in cellular pathways associated with PG-11047 treatment using Pathway Miner software (www.biorag.org) developed by the Bioinformatics Shared Service at the Arizona Cancer Center, University of Arizona (29). Using this software, we were able to identify cellular pathways affected by this polyamine analog (Figure 6 and Table IIA). The altered genes were involved in MAPK signaling, Wnt signaling, TGF beta signaling, cytokine receptor interaction, the cell cycle and cell adhesion.

Figure 6.

Figure 6

Cellular pathways influenced by CGC-11047 based on Pathway Miner analysis of the KEGG pathway database. Nodes are labeled using the gene names. The color of the nodes is based on the expression values of up- and down-regulated genes. The edges indicate relationships between genes in the pathway. The edge weights indicate the number of pathways in which the associating nodes (genes) interact.

Table IIA.

Major PG-11047-dependent changes in cellular and regulatory pathways based on KEGG pathways resources.

Gene name Biological function Accession Log ratio*
1 μM 10 μM
MAPK signaling pathway
PPP3R1 Protein phosphatase regulatory subunit B, alpha isoform NM_000945
GNA12 Guanine nucleotide binding protein gamma 12, activity BE504098
PRKCA Protein kinase C-alpha, regulation of progression through cell cycle, induction of apoptosis by extracellular signals AI471375
HSPA1A Heat-shock 70 kDa protein 1A, chaperon NM_005345
FGF11 Fibroblast growth factor 11, cell–cell signaling AW172597
Cell cycle
CDC45L Cell division cycle 45-like, regulation of progression through cell cycle NM_003504
CDKN2B Cyclin-dependent kinase inhibitor 2B, cell cycle arrest AW444761
SKP2 S-phase kinase associated protein 2, G1/S transition of mitotic cycle NM_005983
CDC25C Cell division cycle 25 homolog, regulation of mitosis, traversing start control point of mitotic cell cycle NM_001790
Wnt signaling pathway
PPP3R1 Protein phosphatase C regulatory subunit B, calcium-dependent protein serine/threonine phosphotase activity AL544951
WNT3 Wingless-type MTV integration site family, member 3, WNt receptor signaling pathway AA463626
PRKCA Protein kinase C, alpha, regulation of progression through cell cycle, induction of apoptosis by extracellular signals AI471375
Focal adhesion, adherent and gap junction
SRC v-SRC sarcoma oncogene homolog, protein amino acid phosphorylation, protein kinase cascade BG767702
IGF1R Insulin-like growth factor 1 receptor, positive regulator of cell proliferation AI830698
DOCK1 Dedicator of cytokinesis 1, integrin-mediated signaling pathway AA599017
PTPRF Protein tyrosine phosphatase receptor type F, protein amino acid dephosphorylation NM_002840
PVRL3 Poliovirus receptor related 3, cell adhesion AA129716
EDG2 Endothelial differentiation, lysophosphatidic acid G-coupled receptor 2, positive regulator of NF-κB cascade AW269335
GNAS GNAS complex locus, Golgi to secretory vesicle transport, protein secretion AA401492
DNA polymerase
POLE2 Polymerase (DNA-directed) epsilon 2, DNA replication NM_002692
POLI polymerase (DNA-directed) iota, DNA replication NM_007195
POLD1 Polymerase DNA-directed delta 1, catalytic subunit, S-phase of mitotic cell cycle NM_002691
TGF beta signaling
ID2 Inhibitor of DNA-binding 2, dominant negative helix-loop-helix protein NM_002166
CDKN2B Cyclin-dependent kinase inhibitor 2B, cell cycle arrest AW444761
ID3 Inhibitor of DNA-binding 3, negative regulator of transcription from RNA polymerase II NM_002167
ACVR2B Activin A receptor type 2B, protein amino acid phosphorylation NM_001106

Genes with altered expression and their known function(s) are indicated. *Colors indicate the range of the change in gene expression calculated as the log of the ratio of average expression in the three arrays from PG-11047-treated HCT116 cells to average expression in three arrays from control cells according to the following scheme: graphic file with name nihms440118u1.jpg

Assessing the effect of PG-11047 on cell viability, we found an unusual decrease in the number of viable cells when HCT116 cells were treated with a 1 μM dose of the compound. In order to determine whether any differences in gene expressions account for the observed dose effect in cell viability, we compared the gene expression in control cells and in 1 μM- and 10 μM-treated cells. Eleven genes were identified as uniquely altered in cells treated with the 1 μM dose. These genes are presented in Table IIB. It remains to be determined which of these genes or their combinations may contribute to the observed physiological effect.

Table IIB.

Genes differentially expressed in HCT116 cells treated with 1 μM PG-11047 (p<0.05).

Gene ID Symbol Description Fold change
Mean±SD
Function
210764_s_at CYR61 Cysteine-rich, angiogenic inducer, 61 0.25±0.03
209101_at CTGF Connective tissue growth factor 0.27±0.02
201289_at CYR61 Cysteine-rich, angiogenic inducer, 61 1.72±0.17
201464_x_at JUN Jun oncogene 0.39±0.06 See FOS
202887_s_at DDIT4 DNA-damage-inducible transcript 4 2.31±0.47
225740_x_at MDM4 Mdm4, transformed 3T3 cell double minute 4, p53-binding protein (mouse) 1.68±0.02 Inhibits p-53 and p73-mediated cell cycle arrest and apoptosis. Inhibits degradation of MDM2
207740_s_at NUP62 Nucleoporin 62 kDa 0.61±0.06 Involved in nucleocytoplasmic transport. The C-terminal is involved in protein protein interaction.
209189_at FOS v-fos FBJ murine osteosarcoma viral oncogene homolog 0.08±0.02 As the heterodimer with the JUN transcription factor, plays an important role in signal transduction, cell proliferation, and differentiation.
238593_at FLJ22531 Hypothetical protein FLJ22531 3.00±0.8
201110_s_at THBS1 Thrombospondin 1 0.45±0.07
203168_at CREBL1 cAMP responsive element binding protein-like 1 0.7±0.01 Act in the unfolded protein response (UPR) pathway by activating UPR target genes induced during ER stress.

Effect of PG-11047 on genes involved in polyamine metabolism in HCT116 colon cancer cells

The inhibitory effect of PG-11047 on polyamine metabolism, which occurs via suppression of activity of the polyamine biosynthetic enzyme ODC and induction of a key polyamine catabolic enzyme SAT1, has been reported in several lung cancer cell lines (24). Similarly, we found that SAT1 was significantly up-regulated in HCT116 colon cancer cells after treatment with PG-11047 (6.46±1.9 fold change, Table IB). Validation using real-time RT PCR confirmed a concentration-dependent induction of SAT1 gene expression by this analog (p=0.017) (Figure 4). ODC enzyme activity was suppressed starting as early as 2 hours after addition of the analog (p<0.03) (Figure 7), presumably due to the stimulation of antizyme production by PG-11047 (27). Subsequently, putrescine, spermidine and spermine levels were significantly lower in PG-11047-treated HCT116 cells (p<0.01) (Table III), leading to a 14-fold decrease in the total polyamine content after the 48 h of treatment (17.21±1.98 nmol/mg protein in control cells vs. 1.21±0.04 nmol/mg protein in PG-11047-treated cells).

Figure 7.

Figure 7

ODC enzyme activity in HCT116 cells treated with 10 μM of PG-11047. HCT116 cells were grown for 24 h before adding the polyamine analog. Control cells and cells treated with PG-11047 were collected 0, 2, 4, and 6 hours after the addition of PG-11047, and ODC enzyme activity was measured as described in Materials and Methods. Measurements were carried out in triplicate. P-values between control and treated cells were calculated with t-test.

Table III.

Polyamine levels (nmol/mg protein) in HCT116 cells treated with 10 μM PG-11047. Cells were seeded with media containing the polyamine analog. Control and PG-11047-treated cells were collected at 0, 24 and 48 h after the drug addition. Results are presented as average values of three independent experiments.

Hours in culture Putrescine
N1 Acetylspermidine
Spermidine
Spermine
Control PG-11047 Control PG-11047 Control PG-11047 Control PG-11047
0 3.65±0.33 3.65±0.33 0.19±0.03 0.19±0.03 8.07±0.43 8.07±0.43 8.95±0.45 8.95±0.45
24 3.03±0.17 0.22±0.01* 0.38±0.04 1.30±0.03* 6.95±0.47 1.06±0.03* 7.70±0.56 2.50±0.06*
48 2.20±0.31 0.04±0.03* 0.41±0.04 0.52±0.03 6.46±0.77 0.11±0.00* 7.31±0.73 0.40±0.03*
*

P-value <0.01 for the difference in values between control and PG-11047-treated cells.

Cellular effects of PG-11047

While performing the analysis of changes in protein expression after treatment with PG-11047 using proteomic techniques, we identified the presence of the unmodified eukaryotic translation initiation factor 5A (eIF5A, gi number 109296) on 2D PAGE gels run from samples treated with PG-11047 (Figure 8A). eIF5A is a putatitive eukaryotic translation initiation factor that is modified postranslationally by the polyamine spermidine. The eIF5A modification is catalyzed by deoxyhypusine synthase, which transfers the 4-aminobutyl moiety from spermidine to the e-amino acid deoxyhypusine. Deoxyhypusine is further hydrolysed by deoxyhypusine hydrolase to form the mature hypusine-containing eIF5A (50). Hypusine-containing eIF5A is essential for eukaryotic cell proliferation (51). To confirm the proteomics findings, we analysed hypusine production in control and PG-11047-treated HCT116 cells using an HPLC method as described in the Materials and Methods section. When PG-11047 and [1,8,-3H]spermidine were added to the polyamine-depleted HCT116 cells hypusine production was not significantly affected, implying that PG-11047 does not inhibit the enzymatic process of eIF5A modification (Figure 8B). As a positive control for the enzymatic inhibition of hypusine synthesis we used polyamine-depleted HCT116 cells which were treated with the inhibitor of deoxyhypusine synthase CG-7 plus radiolabeled spermidine. In contrast to PG-11047-treated cells, hypusine formation was completely abolished in CG-7-treated cells (Figure 8C). Based on the results of this experiment, we explained the presence of the unmodified eIF5A in PG-11047-treated HCT116 cells found during the proteomics analysis by the depletion of spermidine, a substrate for eIF5A modification, caused by PG-11047 treatment. As a consequence, the general rate of translation in PG-11047-treated cells was suppressed (p<0.0001) (Figure 9).

Figure 8.

Figure 8

PG-11047 influences the posttranslational modification of eIF5A in HCT116 colon cancer cells. A, Spots of unmodified (A) and modified (B) eIF5A in PG-11047-treated HCT116 cells separated by 2D-PAGE and stained with silver stain. Control and PG-11047-treated HCT116 cells were collected 72 h after subculture and samples were analysed using 2D PAGE gel electrophoresis as described in Materials and Methods. Images presented are from one of three independent experiments. B, Effect of PG-11047 treatment on synthesis of hypusine in HCT116 cells. HCT116 cells were grown in culture for 24 h and were then treated with 5 mM DFMO for 48 h; after that 1 mM aminoguanidine only (Control) or 1 mM aminoguanidine plus 10 μM PG-11047 (PG-treated) were added and cells were incubated in the presence of [1,8-3H]spermidine for 5 h before harvesting and processing for hypusin analysis as described in Materials and Methods. Shown is the elution or radiolabel after separation of the hydrolyzed protein sample by HPLC. The early fractions (elution times less than 15 min.) contained no radiolabel. Results presented are representative of an experiment which was repeated twice. B, Suppression of the eIF5A modification by GC-7. HCT116 cells were grown in culture for 24 h and were then treated with 5 mM DFMO; after that 1 mM aminoguanidine plus vehicle control (acetic acid) (Control) or 1 mM aminoguanidine plus 50 μM of GC-7 (GC-7) were added and cells were incubated in the presence of [1,8-3H]spermidine for 5 h before harvesting and processing for hypusin analysis as described in Materials and Methods.

Figure 9.

Figure 9

General protein synthesis rate in control and PG-11047-treated HCT116 cells. Cells were treated with PG-11047 for 48 h and labeled with [35S]-methionine as described in Materials and Methods. Results are presented as average values of three independent experiments. P-values between control and treated cells were calculated with t-test.

Another protein found to be present in PG-11047-treated HCT116 cells was peroxiredoxin 5 (gi number 6746557). Peroxiredoxin 5 is a peroxisomal membrane protein which plays an important role in modulating the cellular response to hydrogen peroxide-induced stress by reducing hydrogen peroxide and alkyl hydroperoxidases (52). Overexpression of peroxiredoxin 5 may reduce mitochondrial DNA damage, thus protecting cells against apoptosis (53). Indeed, we did not detect any apoptosis in PG-11047-treated HCT116 cells by annexin V followed by flow cytometry (data not shown).

Discussion

In recent years, interest has increased in using synthetic polyamine analogs for antineoplastic therapy (19). Several classes of polyamine analogs have been developed, including symmetrically substituted bis(alkyl) analogs, asymmetrically substituted analogs, and conformationally restricted analogs. These have been evaluated in cell culture and clinical trials. The conformationally restricted analog PG-11047 was well tolerated in phase I and II clinical trials in patients with lymphoma and solid tumors, therefore understanding the mechanism of antitumor action of this drug in different types of cancer has become important. As such, we conducted genome-wide gene expression profiling and proteomics assessment of HCT116 colon adenocarcinoma cells treated with this agent.

Using Pathway Miner (www.biorag.org) (29), the web-based analytical software which allows for analysis of gene expression patterns based on metabolic, cellular, and regulatory pathways, we determined that genes differentially expressed in PG-11047-treated HCT116 cells are involved in the cell cycle, focal adhesion, adherent and gap junction formation, as well as, MAPK-, Wnt-, TGF-beta signaling pathways. Eighty-one genes were altered 3-fold or more when cells were treated with 10 μM PG-11047. We validated the agent-induced three-fold alterations in expression of EGR-1, cyclin L2a, SLC6A6/TauT, and SAT1. The inhibitory effect of PG-11047 on EGR-1 is especially important since EGR-1 is a pivotal gene that initiates early signal transduction events in response to many stresses, including ionizing radiation and EGFR activation (54). Similarly to other cell types, PG-11047 depleted polyamine levels in HCT116 cells via the induction of SAT1 gene expression and suppression of ODC enzyme activity. Treatment with a low, 1 μM dose of PG-11047 resulted in a decrease in cell viability, which was likely mediated by changes in the expression of specific genes.

Proteomics analysis revealed accumulation of unmodified eIF5A protein in PG-11047-treated cells. Quantification of hypusine synthesized in control and PG-11047-treated cells showed no significant changes in its level in treated cells provided spermidine was available for the reaction of eIF5A modification. We confirmed that PG-11047 depletes cellular spermidine, decreasing the substrate for the modification reaction and causing cells to accumulate unmodified eIF5A. This accumulation is similar to that reported in different cell types when spermidine was depleted with either DFMO (32, 55, 56) or 5′-{[(Z)-4-amino-2-butenyl]methyamino}-5′-deoxyadenosine, which blocks spermidine synthesis by inhibiting S-adenosylmethionine decarboxylase (57). The decrease of the modified eIF-5A levels resulted in the suppression of general protein synthesis in PG-11047-treated cells.

Previously, we conducted a similar gene expression analysis in HCT116 cells treated with the conformationally restricted polyamine analog PG-11093 (formerly CGC-11093) (21). Although these two agents belong to the same class of synthetic polyamine analogs, clearly small structural differences significantly modify their molecular activities. PG-11047 is an unsaturated cis double-bond variant of the symmetrically substituted polyamine analog N1,N12bis (ethyl)spermine (BESpm), and PG-11093 is a cyclopropyl variant of another symmetrically substituted polyamine analog, N1N14bis(ethyl)homospermine (BENspm). Both agents significantly deplete intracellular polyamine levels, but only PG-11047 is an effective inducer of SAT1 transcription. Comparison of the gene expression profiles of HCT116 cells treated with CGC-11093 and PG-11047 showed that these agents act within similar signaling pathways but alter the expression of distinct genes.

In conclusion, PG-11047 exerts a strong cytostatic effect on HCT116 colon cancer cells by influencing the expression of growth-related genes and suppressing general protein synthesis. The dramatic effect of this agent on polyamine catabolism suggests that this agent could be successfully used in combination with established drugs, such as DFMO, for the targeted depletion of polyamine levels and suppression of tumor growth.

Acknowledgments

This research was supported by Progen Pharmaceuticals, Inc. and a grant from the USPHS, NIH/NCI CA123065. The authors gratefully acknowledge the Genomics and Proteomics Shared Services at the University of Arizona for their assistance in data collection and analysis. We also acknowledge the online resource BioRag (Bioresource for array genes) at www.biorag.org, which is supported by the Arizona Cancer Center Bioinformatics Core. This work was supported by Progen Pharmaceuticals Inc., Redwood City, CA and USPHS grants CA23074 and CA95060.

Abbreviations

ODC

Ornithine decarboxylase

EGR-1

early growth response gene-1

SAT1

spermine/spermidine N1-acetyltransferase

eIF5A

eukaryotic translation initiation factor 5A

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