Abstract
Objective: To evaluate the inhibitory role of a novel oncolytic adenovirus (OA), GP73-SphK1sR-Ad5, on the growth of hepatocellular carcinoma (HCC). Methods: GP73-SphK1sR-Ad5 was constructed by integrating Golgi protein 73 (GP73) promoter and sphingosine kinase 1 (SphK1)-short hairpin RNA (shRNA) into adenovirus serotype 5 (Ad5), and transfecting into HCC Huh7 cells and normal human liver HL-7702 cells. The expression of SphK1 and adenovirus early region 1 (E1A) was detected by quantitative real-time PCR (qRT-PCR) and western blot, respectively. Cell viability was detected by methylthiazolyldiphenyl-tetrazolium bromide (MTT) assay, and apoptotic rate was determined by flow cytometry. An Huh7 xenograft model was established in mice injected intratumorally with GP73-SphK1sR-Ad5. Twenty days after injection, the tumor volume and weight, and the survival time of the mice were recorded. The histopathological changes in tumor tissues were observed by hematoxylin-eosin (HE) staining and transmission electron microscopy (TEM). Results: Transfection of GP73-SphK1sR-Ad5 significantly upregulated E1A and downregulated SphK1 in Huh7 cells, but not in HL7702 cells. GP73-SphK1sR-Ad5 transfection significantly decreased the viability and increased the apoptotic rate of Huh7 cells, but had no effect on HL7702 cells. Intratumoral injection of GP73-SphK1sR-Ad5 into the Huh7 xenograft mouse model significantly decreased tumor volume and weight, and prolonged survival time. It also significantly decreased the tumor infiltration area and blood vessel density, and increased the percentages of cells with nucleus deformation and cells with condensed chromatin in tumor tissues. Conclusions: GP73-SphK1sR-Ad5 serves as a novel OA and can inhibit HCC progression with high specificity and efficacy.
Keywords: Hepatocellular carcinoma, Oncolytic adenovirus, Golgi protein 73, Sphingosine kinase 1
1. Introduction
Hepatocellular carcinoma (HCC) is one of the most common and lethal malignancies, and is the third leading cause of cancer-related deaths worldwide (Lamarca et al., 2016). Surgical resection is an effective therapeutic strategy for HCC patients, especially for those diagnosed at an early stage (Yang XD et al., 2015). Unfortunately, HCC is asymptomatic in the early stages, and more than 60% of HCC patients are diagnosed at an advanced stage (Singal et al., 2013; Wang ZD et al., 2017). Chemotherapy and radiotherapy are effective in controlling tumor growth at an advanced stage, but their efficacy is greatly limited by their low specificity (Kalogeridi et al., 2015; Rinninella et al., 2017). Liver transplantation is also known as a curative and therapeutic modality (Wang and Zheng, 2018). Recently, small-molecule prodrugs have emerged as a novel therapeutic strategy for treating tumors (Xie et al., 2016). High tumor specificity and therapeutic efficacy have been identified in nanoparticles combined with diverse small-molecule prodrugs, such as docosahexaenoic acid-derived compound 1 (Wang HX et al., 2017b), SN38 (7-ethyl-10-hydroxycamptothecin) (Fang et al., 2016; Wang et al., 2018), and doxorubicin (Xu et al., 2018), as well as SN38 combined with taxanes (Wang HX et al., 2017a). The discovery of a novel therapeutic strategy for HCC has become a hot topic in clinical practice.
Virotherapy based on oncolytic adenoviruses (OAs) is a promising therapeutic strategy for treating malignant tumors (Nguyen et al., 2014). OAs can selectively replicate in specific tumors, and induce apoptosis of tumor cells without affecting normal cells (Wong et al., 2012). Diverse recombinant OAs have been constructed, exhibiting highly tumor-selective replication and anti-tumor efficacy on HCC. For example, Ad-HRE(12)/hAFPΔ19 carrying 12 copies of the hypoxia response element (HRE) upstream of the α-fetoprotein (AFP) promoter significantly inhibits HCC growth in subcutaneous and orthotopic models (Kwon et al., 2010). SG635-p53 carrying the p53 gene expression cassette significantly inhibits the viability of HCC cells in vitro, decreases the tumor volume, and prolongs the survival time of the HCC xenograft mouse model in vivo (Chen et al., 2011). SD55-TSLC1 carrying a tumor suppressor in lung cancer 1 (TSLC1) results in significant inhibition of the growth of HCC cells and of tumor development in the Huh7 xenograft mouse model (He et al., 2012). Thus, the discovery of novel recombinant OAs is contributing to the improvement of therapeutic specificity and efficacy in HCC.
Golgi protein 73 (GP73), also known as Golgi phosphoprotein 2 (GOLPH2), is a diagnostic and prognostic marker for HCC (Yang J et al., 2015; Dong et al., 2017). A meta-analysis has shown that GP73, when compared with AFP, exhibits a higher sensitivity (76% vs. 70%) and a similar specificity (86% vs. 89%) in the diagnosis of HCC (Zhou et al., 2012). Notably, GP73-regulated GD55 exerts obvious growth-suppressing effects on HCC cells and on the HCC xenograft mouse model (Wang et al., 2015). Sphingosine kinase 1 (SphK1) is an isoform of conserved sphingolipid kinase, which is overexpressed in diverse tumors, such as HCC (Bao et al., 2012), colon carcinoma (Kawamori et al., 2006), thyroid carcinoma (Guan et al., 2011), adrenocortical carcinoma (Xu et al., 2016), and non-small-cell lung carcinoma (Zhu et al., 2015). Previous studies have proved that SphK1 inhibitor significantly inhibits the proliferation, migration, and invasion of HCC cells (Bao et al., 2012). Inhibition of SphK1 has become a potential therapeutic target against HCC (Cuvillier, 2007). However, there have been few studies of recombinant OAs targeting SphK1.
In this study, a novel OA, adenovirus serotype 5 (Ad5) carrying the GP73 promoter and SphK1-short hairpin RNA (shRNA) (GP73-SphK1sR-Ad5), was constructed. We evaluated the specific effects of GP73-SphK1sR-Ad5 on the viability and apoptosis of Huh7 cells, and on tumor growth and survival time in the Huh7 xenograft mouse model.
2. Materials and methods
2.1. Construction of the recombinant OA
GP73-SphK1sR-Ad5 was constructed according to a three-plasmid system described by Liu et al. (2009). 1612spkShF and 1612spkShR DNA oligos were annealed to form a double-stranded DNA, and inserted into a pLKO.1-puro vector (Sigma, USA) at the restriction sites AgeI and EcoRI to generate pLKO-SpkSH. The fragment containing the U6 promoter and spk-targetting shRNA was amplified (379 bp) from the pLKO-SphK1sR plasmid and inserted into the pShuttle vector (Sigma) at the restriction sites KpnI and HindIII (pSh-U6-SphK1sR). A fragment of the GP73 promoter (1073 bp) was amplified from genomic DNA of human epithelial-2 (HEp2) cells, and inserted into the pTE-ME1 vector at the restriction sites BamHI and EcoRI (pTE-GP73E1). The fragment of the GP73 promoter containing the E1 region was digested with the restriction enzyme MfeI, and inserted into pSh-U6-SpK1sR (pSh-SphK1sR-GP73E1). Then pSh-SphK1sR-GP73E1 was linearized by the restriction enzyme PmeI, mixed with pAdEasy-1 (Agilent Stratagene, USA), and transformed into Escherichia coli strain BJ5183 by electroporation. Following homologous recombination in BJ5183 cells, the adenoviral plasmid pAd5-SphK1sR-GP73E1 was generated. To rescue recombinant OA GP73-SphK1sR-Ad5, pAd5-SphK1sR-GP73E1 was linearized by the restriction enzyme PacI, and transfected into 293T cells by Lipofectamine 3000 (Thermo Fisher Scientific, USA).
2.2. Cell culture and transfection
Cells of human HCC cell line Huh7 were purchased from Wuhan Prosy Life Technology Co., Ltd., (Wuhan, China), and cultured in high-glucose Dulbecco’s modified Eagle medium (DMEM; HyClone, USA) supplemented with 10% fetal bovine serum (FBS). Cells of the normal human liver cell line HL-7702 were a gift from Prof. Zhi-yong ZHANG (Shandong Academy of Medical Sciences, China), and were cultured in Roswell Park Memorial Institute (RPMI)-1640 (Hy-Clone, USA) supplemented with 10% (FBS). Cells were maintained in a humidified incubator containing 5% CO2 at 37 °C. Cells in logarithmic growth phase were used for transfection.
Both Huh7 and HL-7702 cells were transfected with GP73-SphK1sR-Ad5 at a multiplicity of infection (MOI) of 1, 5, 10, and 25 (GP73-SphK1sR-Ad5 group). Cells transfected with Ad5 carrying GFP were used as the negative control (Ad5GFP group). Normal cells without transfection were used as the blank control (Blank group).
2.3. qRT-PCR
Total RNA was extracted from cells of different groups using TRIzol reagent (Thermo Fisher Scientific), and reverse-transcripted using a First Strand cDNA Synthesis kit (Thermo Fisher Scientific). Quantitative real-time PCR (qRT-PCR) was performed using an ABI 7500 PCR system (Thermo Fisher Scientific) and special primers (SphK1; forward: 5'-TGCTTTAC GGTATCGCCGCTCCCGATT-3'; reverse: 5'-AGAA GGCACTGGCTCCAGAGGAACAAG-3'). GAPDH was used as an internal control (GAPDH; forward: 5'-CCACCCATGGCAAATTCCATGGCA-3'; reverse: 5'-TCTAGACCGCAGGTCAGGTCCACC-3'). The PCR program included 95 °C for 10 min, 40 cycles of 95 °C for 15 s, and 60 °C for 60 s. The relative expression level of SphK1 was calculated using the 2−ΔΔ C T method (Livak, 2001).
2.4. Western blot
Cells of different groups were lysed in RIPA lysis buffer (Thermo Fisher Scientific). Total proteins were separated by 10% (0.1 g/mL) sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE), and transferred to a polyvinylidenefluoride membrane. The membrane was blocked with 5% bovine serum albumin (BSA) for 1 h, and incubated with primary antibody (anti-E1A, 1:2000, Merck Millipore, USA) overnight at 4 °C. After 2 h of incubation with horseradish peroxidase-conjugated secondary antibody (1:1000, Abcam) at 25 °C, the protein bands were visualized and quantified using a Gel Imaging system (Thermo Fisher Scientific).
2.5. MTT assay
The viability of cells in different groups was detected by methylthiazolyldiphenyl-tetrazolium bromide (MTT) assay. Briefly, a total of 100 μL cells were seeded in 96-well plates at a density of 3×103 cells/well. Following 4 h of incubation with 20 μL MTT (Sigma), 150 μL DMSO was added to each well. The optical density (OD) at 490 nm was detected using a Microplate Reader (Bio-Rad, USA).
2.6. Flow cytometry
The apoptosis of cells in different groups was detected by flow cytometry. Briefly, cells were stained with fluorescein isothiocyanate (FITC)-Annexin V and propidium iodide (PI) for 10 min on ice in darkness. The apoptotic rate was analyzed using a flow cytometer (BD, USA).
2.7. Establishment of Huh7 xenograft mouse model
Four-week-old female BALB/C nude mice were purchased from the Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences (Beijing, China). Mice were fed under an alternating 12-h day/night cycle at 25 °C with free access to water and food. A total of 100 μL Huh7 cells at a density of 3×107 cells/mL were injected subcutaneously into the right flank of each mouse (n=60). When the tumor grew to a volume of 0.1 cm3, mice were injected intratumorally with 6×108 plaque-forming units (PFU) of GP73-SphK1sR-Ad5 once a day for 3 d (n=20). Mice injected intratumorally with Ad5GFP and phosphate-buffered saline (PBS) were considered the negative control (Ad5GFP, n=20) and blank control (Control, n=20) groups, respectively. The tumor volume was measured at 5, 15, and 25 d post-injection, and the tumor weight was measured at 25 d post-injection (n=10). The survival time of the remaining mice (n=10) was recorded. All animal experiments were performed in accordance with the guidelines of the Public Health Service Policy on Care and Use of Laboratory Animals.
2.8. Hematoxylin-eosin (HE) staining
The tumor tissues of mice in the different groups were fixed in 10% formaldehyde, dehydrated in graded ethanol, embedded in paraffin, and sliced at 5 μm. Then the tissue samples were dewaxed in xylene, rehydrated in graded ethanol, and stained with hematoxylin (Beyotime, China) for 5 min and eosin (Beyotime) for 2 min. Following dehydration with graded ethanol and vitrification with dimethylbenzene, the tissue samples were observed under a microscope (Olympus, Japan).
2.9. TEM
The tumor tissues of mice from the different groups were fixed in transmission electron microscopy (TEM)-fixed solution (Servicebio, China) for 4 h at 4 °C, and post-fixed in 1% osmic acid at 20 °C for 2 h. The tissue samples were then dehydrated with graded acetone, embedded in 812 embedding medium (Servicebio), and cut into ultrathin slices at 60–80 nm using an ultra-thin slicer (Leica, Germany). Following staining with 2% uranyl acetate and lead citrate, the tissue samples were observed under an HT7700 TEM microscope (Hitachi, Japan).
2.10. Statistical analyses
All data are expressed as mean±standard deviation (SD). Statistical analysis was performed using SPSS Version 17.0 (SPSS Inc., Chicago, IL, USA). Comparisons between groups were made by one-way analysis of variance (ANOVA). P-value of <0.05 was taken as representing a significant difference.
3. Results
3.1. Expression of E1A in Huh7 cells transfected with GP73-SphK1sR-Ad5
Proteins encoded in early region 1A (E1A) of human adenoviruses (Ad) have been studied extensively as model transcriptional regulators to uncover molecular mechanisms that control viral and cellular gene expression. E1A is also a gene involved early in viral replication in host cells. The selective replication of GP73-SphK1sR-Ad5 in Huh7 cells was evaluated by E1A expression. E1A was expressed in Huh7 cells transfected with GP73-SphK1sR-Ad5, but not in HL7702 cells transfected with GP73-SphK1sR-Ad5 (Fig. 1). The expression of E1A was significantly higher in Huh7 cells transfected with GP73-SphK1sR-Ad5 than in those transfected with Ad5GFP. E1A expression was not observed in either Huh7 or HL7702 cells in the Blank group (Fig. 1).
3.2. Expression of SphK1 in Huh7 cells transfected with GP73-SphK1sR-Ad5
After the transfection of 10 MOI GP73-SphK1sR-Ad5 for 48 h, the expression of SphK1 was detected by qRT-RCR. The expression of SphK1 was significantly lower in Huh7 cells transfected with GP73-SphK1sR-Ad5 than in those transfected with Ad5GFP (Fig. 2). No significant difference in the expression of SphK1 was observed between Huh7 cells in Ad5GFP and Blank groups. In addition, the expression of SphK1 in HL7702 cells was not significantly influenced by the transfection of either GP73-SphK1sR-Ad5 or Ad5GFP (Fig. 2).
3.3. Inhibition of the viability of Huh7 cells by GP73-SphK1sR-Ad5 transfection
The viabilities of Huh7 and HL7702 cells in different groups were detected by MTT assay. Huh7 cells transfected with GP73-SphK1sR-Ad5 exhibited significantly lower cell viabilities than those transfected with Ad5GFP at different MOIs and time points (Figs. 3a and 3b). The viability of Huh7 cells transfected with GP73-SphK1sR-Ad5 was significantly decreased with increasing MOIs (72 h) and time (10 MOI) in a dose-and time-dependent manner. No significant differences in the viability of Huh7 cells were observed between the Ad5GFP and Blank groups at different MOIs and time points (Figs. 3a and 3b). In addition, the viability of HL7702 cells was not significantly influenced by the transfection of either GP73-SphK1sR-Ad5 or Ad5GFP at different MOIs (72 h) (Fig. 3c).
3.4. Promotion of the apoptosis of Huh7 cells by GP73-SphK1sR-Ad5 transfection
After transfection of 10 MOI GP73-SphK1sR-Ad5 for 96 h, the apoptoses of Huh7 and HL7702 cells were detected by flow cytometry. Huh7 cells transfected with GP73-SphK1sR-Ad5 exhibited a significantly higher apoptotic rate than those transfected with Ad5GFP (Fig. 4). No significant difference in the apoptotic rate of Huh7 cells was observed between the Ad5GFP and Blank groups. In addition, the apoptotic rate of HL7702 cells was not significantly influenced by the transfection of either GP73-SphK1sR-Ad5 or Ad5GFP (Fig. 4).
3.5. Effects of GP73-SphK1sR-Ad5 injection on tumor growth and survival time of mice
To further identify the anti-tumor effect of GP73-SphK1sR-Ad5 in vivo, the Huh7 xenograft model was established in mice. The tumor volume of the mice significantly increased in a time-dependent manner. Mice in the GP73-SphK1sR-Ad5 group exhibited a significantly lower tumor volume than those in the Ad5GFP group at 5, 15, and 25 d post-injection (Fig. 5a). Twenty days after injection, the tumor weight of mice in the GP73-SphK1sR-Ad5 group was significantly lower than that in the Ad5GFP group (Fig. 5b). In addition, the survival time of mice in the GP73-SphK1sR-Ad5 group was significantly longer than that in the Ad5GFP group (Fig. 5c). No significant differences in tumor volume or weight, or survival time were observed between mice in the Ad5GFP and the control groups (Fig. 5).
3.6. Effects of GP73-SphK1sR-Ad5 injection on histopathological changes in tumor tissues in mice
The histopathological changes in the tumor tissues in the Huh7 xenograft mouse model were evaluated by HE staining and TEM 20 d after injection. Obvious tumor infiltration and angiogenesis were observed in tumor tissues of the control group (Fig. 6a). The injection of GP73-SphK1sR-Ad5 significantly decreased the tumor infiltration area and blood vessel density in tumor tissues (Figs. 6c and 6d). In addition, obvious nucleus deformation and condensed chromatin were observed in tumor cells of the GP73-SphK1sR-Ad5 group (Fig. 6b). The injection of GP73-SphK1sR-Ad5 significantly increased the percentages of cells with nucleus deformation and cells with condensed chromatin in tumor tissues (Figs. 6e and 6f). However, injection of Ad5GFP had no obvious effects on the histopathological changes in tumor tissues in the mice (Fig. 6).
4. Discussion
OAs are a novel and promising therapeutic agent for treating malignant tumors (Choi et al., 2012). Increasing evidence suggests that recombinant OAs can be specific and effective in inhibiting tumor growth (Larson et al., 2015). GP73 is known as a diagnostic marker, and SphK1 is a therapeutic target for HCC (Cuvillier, 2007; Zhou et al., 2012). However, recombinant OAs targeting GP73 and SphK1 have rarely been reported. In this study, a GP73 promoter and SphK1-shRNA were integrated into Ad5 (GP73-SphK1sR-Ad5). The intervention of GP73-SphK1sR-Ad5 significantly inhibited the growth of Huh7 cells, as well as tumor growth in an Huh7 xenograft mouse model.
Promoter replacement is a commonly used strategy in the construction of recombinant OAs (Baker et al., 2018). OAs carrying tumor-specific promoters, such as Mucin 1 (MUC1), prostate specific antigen (PSA), and AFP, can selectively target specific tumor cells without affecting normal cells (Kurihara et al., 2000; Small et al., 2006; Kwon et al., 2010). GP73 is an epithelial-specific Golgi membrane protein that is highly expressed in HCC cells (Liu YM et al., 2016). It has been reported that GP73 is a promising serum marker for diagnosis of HCC with a high sensitivity (76%), specificity (86%), and diagnostic odds ratio (18.59) (Zhou et al., 2012). In this study, the GP73 promoter was integrated into GP73-SphK1sR-Ad5. We found that the expression of E1A was significantly higher in GP73-SphK1sR-Ad5-transfected Huh7 cells than in Ad5GFP-transfected Huh7 cells. Since E1A is a gene involved early in viral replication in host cells, our finding indicates that GP73-SphK1sR-Ad5 is highly efficient in the production of progeny viruses in Huh7 cells. In addition, we found that E1A was expressed in GP73-SphK1sR-Ad5-transfected Huh7 cells, but not in GP73-SphK1sR-Ad5-transfected HL7702 cells. This result indicates that GP73-SphK1sR-Ad5 is highly selective for HCC cells. A previous study proved that GP73-regulated GD55 confers high adenovirus replication and infectivity in HCC cells (Wang et al., 2015). Our findings are consistent with those findings, and further illustrate that the GP73 promoter is an effective element for improving the specificity of OAs targeting HCC cells.
SphK1 is a sphingolipid kinase that phosphorylates sphingosine to sphingosine 1-phosphate (S1P) (Bao et al., 2017). SphK1 is unregulated in diverse tumors, and plays important roles in the regulation of the proliferation, apoptosis, metastasis, and multi-drug resistance of tumor cells (Pan et al., 2011; Datta et al., 2014; Yang et al., 2014). Inhibition of SphK1 has been considered a promising therapeutic target against tumors (Dai et al., 2008). In this study, SphK1-shRNA was integrated into GP73-SphK1sR-Ad5. We found that the expression of SphK1 was significantly decreased in GP73-SphK1sR-Ad5-transfected Huh7 cells, but not in GP73-SphK1sR-Ad5-transfected HL7702 cells. This result indicates that GP73-SphK1sR-Ad5 is specific and effective in the downregulation of SphK1 in Huh7 cells. We also found that GP73-SphK1sR-Ad5 transfection significantly decreased the cell viability and increased the apoptotic rate of Huh7 cells. Our findings are consistent with previous studies on SphK1 inhibitors (Zhang et al., 2014; Liu H et al., 2016). It has been reported that SphK1 inhibitor II significantly inhibits the survival and invasion, and induces G1 phase arrest of HepG2 cells through Wnt5A-mediated β-catenin degradation (Zhang et al., 2014; Liu H et al., 2016). We suspect that downregulation of SphK1 directly contributes to the inhibitory effect of GP73-SphK1sR-Ad5 on the growth of Huh7 cells.
The anti-tumor effects of GP73-SphK1sR-Ad5 were further evaluated in an Huh7 xenograft mouse model. We found that intratumoral injection of GP73-SphK1sR-Ad5 significantly decreased tumor volume and weight, and prolonged the survival time of mice. Similar results have also been revealed for SG635-p53 and GD55. It has been reported that intratumoral injection of SG635-p53 results in a significant inhibition of tumor growth and prolonged survival in an Hep3B xenograft mouse model (Chen et al., 2011). The intratumoral injection of GD55 significantly reduces tumor size in the Huh7 xenograft mouse model (Wang et al., 2015). Our findings are consistent with previous studies on SG635-p53 and GD55 (Chen et al., 2011; Wang et al., 2015), and illustrate that GP73-SphK1sR-Ad5 is effective in inhibiting tumor growth in vivo. Furthermore, the histopathological changes in the tumor tissues of the mice were observed, and we found that GP73-SphK1sR-Ad5 significantly decreased the tumor infiltration area and blood vessel density, and increased the percentages of cells with nuclear deformation and cells with condensed chromatin. These findings further illustrate that GP73-SphK1sR-Ad5 is effective in inhibiting tumor infiltration and angiogenesis, and promoting the apoptosis of tumor cells in vivo.
5. Conclusions
A novel GP73-SphK1sR-Ad5 was constructed by integrating a GP73 promoter and SphK1-shRNA into Ad5. GP73-SphK1sR-Ad5 was selectively replicated in Huh7 cells, and significantly inhibited cell viability and promoted cell apoptosis. In addition, the intratumoral injection of GP73-SphK1sR-Ad5 significantly inhibited tumor growth and prolonged the survival time of mice. GP73-SphK1sR-Ad5 may be a promising agent with high specificity and efficacy for the treatment of HCC. However, the toxicity of GP73-SphK1sR-Ad5 to mice is still unclear, and further research is needed.
Footnotes
Project supported by the Shandong Provincial Science and Technology Development Plan Project (No. 2013GSF11853), China
Contributors: Yu-huan BAI, Xiao-jing YUN, and Yan XUE designed and analyzed data. Ting ZHOU, Xin SUN, and Yan-jing GAO revised the article critically for important intellectual content. All authors read and approved the final manuscript. Therefore, all authors have full access to all the data in the study and take responsibility for the integrity and security of the data.
Compliance with ethics guidelines: Yu-huan BAI, Xiao-jing YUN, Yan XUE, Ting ZHOU, Xin SUN, and Yan-jing GAO declare that they have no conflict of interest.
The use and care of experimental animals were approved by the Institutional Animal Care and Use Committee, Qilu Hospital of Shandong University (Shandong, China).
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