Abstract
Background
Unlike autosomal tumor suppressors, X-linked tumor suppressors can be inactivated by a single hit due to X-chromosome inactivation (XCI). Here, we argue that targeted reactivation of the non-mutated allele from XCI offers a potential therapy for female breast cancers.
Methods
Towards this goal, we developed a dual CRISPR interference and activation (CRISPRi/a) approach for simultaneously silencing and reactivating multiple X-linked genes using two orthogonal, nuclease-deficient CRISPR/Cas9 (dCas9) proteins.
Results
Using Streptococcus pyogenes dCas9-KRAB for silencing XIST and Staphylococcus aureus dCas9-VPR for activating FOXP3, we achieved CRISPR activation of FOXP3 in various cell lines of human female breast cancers. In human breast cancer HCC202 cells, which express a synonymous heterozygous mutation in the coding region of FOXP3, simultaneous silencing of XIST from XCI led to enhanced and prolonged FOXP3 activation. Also, reactivation of endogenous FOXP3 in breast cancer cells by CRISPRi/a inhibited tumor growth in vitro and in vivo. We further optimized CRISPRa by fusing dCas9 to the demethylase TET1 and observed enhanced FOXP3 activation. Analysis of the conserved CpG-rich region of FOXP3 intron 1 confirmed that CRISPRi/a-mediated simultaneous FOXP3 activation and XIST silencing were accompanied by elevated H4 acetylation, including H4K5ac, H4K8ac, and H4K16ac, and H3K4me3 and lower DNA methylation. This indicates that CRISPRi/a targeting to XIST and FOXP3 loci alters their transcription and their nearby epigenetic modifications.
Conclusions
The simultaneous activation and repression of the X-linked, endogenous FOXP3 and XIST from XCI offers a useful research tool and a potential therapeutic for female breast cancers.
Supplementary Information
The online version contains supplementary material available at 10.1186/s12943-021-01472-x.
Keywords: FOXP3, Breast cancer, CRISPR, X-linked gene, Transcript
Main text
Autosomal tumor suppressor genes can be inactivated by a two-hit Knudson mechanism. However, X chromosome-linked tumor suppressor genes, such as FOXP3 at Xp11.23 [1], can be inactivated by a single-hit mechanism, because of X-chromosome inactivation (XCI). In female breast cancer cells, all identified gene deletions of FOXP3 are heterozygous, and mice with a Foxp3-heterozygous mutation develop spontaneous breast cancers, suggesting that the active allele may be the only allele affected [1]. Thus, for females with cancer, it may be possible to reactivate the non-mutated, inactivated allele for therapeutic purposes. We recently developed, for complex gene regulation, a flexible endonuclease-deficient CRISPR/Cas9 (dCas9)-based platform that independently controls the expression of various genes (repression and activation) within the same cell [2]. Thus, for therapeutic purposes, targeted reactivation of XCI-endogenous tumor suppressor genes may be an effective strategy to restore their function in female cancer cells. The X-linked FOXP3 gene has dual roles in tumor cells and immune cells. As a master transcriptional regulator of regulatory T cells, FOXP3 limits antitumor immunity [3], whereas, in breast cancer cells, it is an epithelial cell-intrinsic tumor suppressor and is implicated in a tumor-suppressive function in the inhibition of tumor initiation and progression [1, 4–6]. Thus, using FOXP3 as an X-linked model gene, we aimed to develop, for human female breast cancer cells, a tunable and reversible, targeted reactivation of X-linked tumor suppressor genes. In the present study, using CRISPR interference and activation (CRISPRi/a), we achieved, for human female breast cancer cells, targeted reactivation of X-linked endogenous FOXP3, at least a partial reactivation from XCI. Next, we investigated the potential epigenetic mechanism during CRISPRi/a-mediated reactivation of FOXP3.
Results and discussion
Transcription regulation of XIST and FOXP3 by CRISPRi/a in human breast cancer cells
Since most human female breast cancer cell lines have low or no FOXP3 expression [1], accompanied by heterozygous gene deletions but rare FOXP3 mutations (Table S1), it may be possible to reactivate FOXP3 from XCI. We determined the expression levels of X-inactive specific transcript (XIST) in various female breast cancer cell lines, including MDA-MB-231, MCF7, and HCC202. As shown in Fig. S1, expression of XIST was high in HCC202 cells, but low in MCF7 and MDA-MB-231 cells. To achieve simultaneous transcriptional repression of XIST and reactivation of FOXP3 in the same cells, we utilized two orthogonal CRISPR/dCas9 systems [2], Streptococcus pyogenes (Sp) dCas9-Krüppel-associated box (KRAB) (SpdCas9-KRAB) for silencing XIST and Staphylococcus aureus (Sa) dCas9-tripartite VP64-p65-Rta proteins (VPR) (SadCas9-VPR) for reactivation of FOXP3 (Figs. S2A and B). We established the CRISPRi/a MDA-MB-231 cell model stably expressing SadCas9-VPR and SpdCas9-KRAB (Table S2). Then, we transiently co-transduced XIST- and FOXP3-single guide RNAs (sgRNAs) into the CRISPRi/a MDA-MB-231 cells (Figs. S2C-E). The efficacy of transduction of sgRNAs in the cells was validated by fluorescence microscopy (Fig. 1A) and Western blots (Fig. 1B). After transduction of sgRNAs, quantitative real-time PCR (qPCR) analysis showed that levels of the FOXP3 transcript were increased 8-fold by FOXP3-sgRNA with XIST-sgRNA at day 4 and up to 8 days (Fig. 1C). However, after doxycycline (Dox) addition, levels of the XIST transcript were reduced by XIST-sgRNA, but this difference was not statistically significant (Fig. 1D). Likewise, levels of the FOXP3 transcript in MDA-MB-231 cells were not significantly different after addition of Dox (Fig. 1C), suggesting a dominant activation of the FOXP3 transcript from an active X-linked allele. Furthermore, CRISPRi/a (with FOXP3/XIST-sgRNAs) and scrambled (CRISPRi/a without FOXP3/XIST-sgRNAs) MDA-MB-231 cells were injected into the fourth mammary fat pads of 8-week-old NSG female mice followed by Dox injection weekly for 28 days. As shown in Fig. S2F-H, xenograft tumor growth of CRISPRi/a MDA-MB-231 cells was slower than that of scrambled MDA-MB-231 cells. Also, reactivation of FOXP3 in xenograft tumors by CRISPRi/a was validated by qPCR (Fig. S2I). Next, we established the CRISPRi/a MCF7 cell model and transiently co-transduced both XIST- and FOXP3-sgRNAs into these cells (Fig. S3A and B and Table S2). After transduction of sgRNAs, levels of the FOXP3 transcript were increased more than 8-fold by the FOXP3-sgRNA with XIST-sgRNA (Fig. S3C). However, levels of the FOXP3 transcript in the cells were not changed by Dox, although levels of the XIST transcript were reduced by Dox (Fig. S3D), suggesting activation of the FOXP3 transcript from an active X-linked allele.
CRISPRi/a-mediated targeted reactivation of X-linked FOXP3 from XCI in human breast cancer cells
The HCC202 cell line expresses a synonymous heterozygous mutation (p.L266L
c.798G>C) in the coding region of FOXP3 (Table S1), enabling us to determine, by cDNA sequencing, if FOXP3 is reactivated from one or both alleles. Also, in HCC202 cells, the two alleles of FOXP3 showed no deletion, but there were low expression levels of FOXP3 (Table S1). Thus, we established the CRISPRi/a HCC202 cell model (Fig. S4A and Table S2). After being transiently co-transduced with both XIST- and FOXP3-sgRNAs, the sgRNA-transduced cells were sorted by flow cytometry (Fig. 1E). After sgRNA transductions, levels of the FOXP3 transcript were increased approximately 6-fold by the FOXP3-sgRNA with XIST-sgRNA (Fig. 1F). After addition of Dox, transduction of XIST sgRNA reduced more than 90% of XIST expression at day 2 and up to day 10 (Fig. 1G and H). Simultaneously, levels of the FOXP3 transcript were elevated approximately 2-fold at day 4 after Dox addition (Fig. 1F). Of note, by cDNA sequencing, a heterozygous 798G/C mutation of FOXP3 was identified in Dox-treated CRISPRi/a-FOXP3/XIST HCC202 cells but not in untreated CRISPRi/a-FOXP3/XIST HCC202 cells (Fig. 1I), suggesting that, in HCC202 cells, CRISPRi/a-induced activation of the FOXP3 transcript is at least partially reactivated from XCI under XIST downregulation. In addition, to test the effect of CRISPRi/a-induced FOXP3 reactivation on FOXP3 target genes in HCC202 cells, we assessed the expression of p21 (CDKN1A) and SKP2, which are prominent transcriptional targets of FOXP3 in breast cancer cells [7, 8]. Our data revealed that, for HCC202 cells, reactivation of endogenous FOXP3 by CRISPRi/a induced the transcription of p21 but reduced the transcription of SKP2 (Fig. S4B and C). Of note, Dox-induced reactivation of FOXP3 from XCI enhanced the transcriptional regulation of p21 and SKP2 in HCC202 cells.
Using the established CRISPRi/a HCC202 cells, we determined the effect of CRISPRi/a-induced endogenous FOXP3 on cell growth. We transiently transduced XIST sgRNA, FOXP3 sgRNA, or both into CRISPRi/a HCC202 cells for 48 hours, and then added Dox to the cells for 5 days. As shown in Figs. S4D and E, levels of the FOXP3 transcript were gradually elevated in the CRISPRi/a cells with FOXP3 sgRNA, whereas levels of XIST were reduced in the CRISPRi/a cells with XIST sgRNA from days 1 to 5 after addition of Dox. Cell growth was slower for CRISPRa cells with FOXP3 sgRNA and slowest for CRISPRi/a cells with FOXP3/XIST sgRNAs relative to CRISPRi/a control cells, but there was no difference between cells with XIST sgRNA alone and control CRISPRi/a HCC202 cells (Fig. 1J), suggesting that CRISPRi/a-induced endogenous FOXP3 inhibits growth of HCC202 cells. Furthermore, we injected CRISPRi/a HCC202 cells with or without FOXP3/XIST-sgRNAs into the fourth mammary fat pads of 8-week-old NSG female mice. However, we failed to generate orthotopic xenograft tumors using CRISPRi/a and scrambled HCC202 cells until day 28 after injection. Since bone is a common metastatic site for patients with breast cancer [9], we injected the luciferase-transduced CRISPRi/a and scrambled HCC202 cells into the tibia bones of 8-week-old NSG female mice followed by weekly Dox injections. As shown in Fig. 1K and L, luciferase imaging analysis showed that xenograft tumor growth in the bone was slower for CRISPRi/a cells (CRISPRi/a with FOXP3/XIST-sgRNAs) compared to scramble cells (CRISPRi/a without FOXP3/XIST-sgRNAs) for 28 days after tumor cell injection, supporting tumor growth inhibition by CRISPRi/a-induced endogenous FOXP3 in vivo. Likewise, lung metastases were evident in 60% of the mice (3/5) with CRISPRi/a cells but were not observed in mice (0/5) injected with scramble cells (Fig. 1M). However, due to a small sample size, quantitative analysis of tumor nodules in the lung showed no significant difference between mice with CRISPRi/a cells and scramble cells (p = 0.1667, Fig. 1N).
To exclude off-target effects of our CRISPRi/a, we evaluated the potential off-target genes of our designed sgRNAs using the Cas-OFFinder (Table S3a-d). For FOXP3-sgRNA, the three nucleotide mismatched genes, CFAP61, ERI3, and ZFAT, were assessed by qPCR. Although expression levels of the potential off-target genes undulated in the CRISPRi/a cells with FOXP3 sgRNAs, overall changes in these genes were not significant from days 0 to 10 after Dox addition (Fig. S5A-C). Likewise, for XIST-sgRNA, the three nucleotide mismatched genes, ASXL2, IGF2BP2, and VAMP4, were not significantly changed from days 0 to 10 after Dox addition (Fig. S5D-F).
Effect of DNA demethylation on CRISPRi/a-mediated activation of FOXP3 in human breast cancer cells
XIST RNA works in concert with DNA methylation and histone modifications to maintain XCI [10, 11]. In regulatory T cells, DNA demethylation of the conserved non-coding sequence (CNS) of the FOXP3 intron 1 is specific for inducing or stabilizing transcription of FOXP3 [12–15]. First, we determined whether treatment with the DNA methylation inhibitor, 5-aza-2'-deoxycytidine (5-Aza-CdR), enhanced CRISPRi/a-mediated activation of FOXP3 in human breast cancer cells. As shown in Fig. S6A and B, we transiently transduced FOXP3-sgRNAs into CRISPRa HCC202 cells, followed by treatment with or without 5-Aza-CdR. For the 10 CpG sites of conserved CNS of FOXP3 intron 1, pyrosequencing analysis showed deregulation of DNA methylation by CRISPRa, 5-Aza-CdR, or both, in 7/10 CpG sites, but these changes appeared to be not statistically significant (Figs. 2A and S7A-C). Likewise, FOXP3 was induced in the cells after FOXP3-sgRNA transduction, but levels of the FOXP3 transcript were not changed by treatment with 5-Aza-CdR (Fig. 2B). Next, we transiently co-transduced FOXP3/XIST-sgRNAs into CRISPRi/a HCC202 cells, followed by treatment with or without 5-Aza-CdR and Dox addition (Fig. S6C and D). Treatment of FOXP3/XIST-sgRNAs-transduced CRISPRi/a cells with 5-Aza-CdR enhanced levels of the FOXP3 transcript approximately 2-fold at days 2 and 4 (Fig. 2C), suggesting that induction of FOXP3 by 5-Aza-CdR from XCI was under XIST downregulation. Likewise, pyrosequencing analysis revealed deregulation of DNA methylation by CRISPRi/a, 5-Aza-CdR, or both in most CpG sites (Figs. 2A and S7D).
The ten-eleven translocation (TET) family of DNA demethylase proteins converts cytosine methylated at C5 (5mC) to 5hmC, 5fC, and 5caC, and finally to cytosine with the aid of thymine-DNA glycosylase [16]. These changes are associated with elevated gene transcription [17]. Thus, we constructed SadCas9-TET1 (Fig. S8A and B) for targeted DNA demethylation in the FOXP3 CNS locus to enhance the activation of FOXP3 in human breast cancer cells. However, we failed to transfect SadCas9-TET1 into the CRISPRa HCC202 cells due to the large construct size. Next, we transfected the SadCas9-TET1 and transduced the FOXP3-sgRNA into CRISPRa HEK 293T cells (Fig. S6E). For these cells, the efficacies of transfection and transduction were validated by fluorescence microscopy (Fig. 2D). After 2 days of transfection, Western blots confirmed protein expression of SadCas9-TET1 in the transfected cells (Fig. S8C). On days 2 and 4, levels of the FOXP3 transcript were elevated approximately 3-fold in SadCas9-TET1-transfected and FOXP3-sgRNA transduced cells relative to cells transduced with FOXP3-sgRNA (Fig. 2E), suggesting, for HEK 293T cells, synergistically enhanced activation of FOXP3 by co-expression of TET1 and VPR. Likewise, pyrosequencing analyses validated, for most CpG sites, deregulation of DNA methylation by CRISPRa with VPR, TET1, or both (Figs. 2A and S7E).
Histone modifications during CRISPRi/a-mediated activation of FOXP3 in human breast cancer cells
Histone methylation and acetylation either repress or activate transcription [18]. First, using established the CRISPRi/a HEK 293T cell models (Fig. S9A-D and Table S2), we performed chromatin immunoprecipitation (ChIP)-qPCR assays with a SadCas9-specific antibody (Fig. 2F). As shown in Fig. 2G, binding of SadCas9-VPR to the intron 1 CNS locus of FOXP3 was elevated more than 3-fold in cells transduced with FOXP3/XIST-sgRNAs relative to cells without sgRNAs; this binding was enhanced after addition of Dox to the cells. Although SadCas9-VPR also bound to FOXP3 neighbor genes, PPP1R3F and CCDC22, these bindings were not elevated after transduction of FOXP3/XIST-sgRNAs or addition of Dox to the cells (Fig. 2G). Further, expressions of PPP1R3F and CCDC22 in the cells were not changed after the transduction of FOXP3/XIST-sgRNAs and addition of Dox (Fig. S10A and B). In addition, no specific binding of SadCas9-VPR was evident in the XIST locus (Fig. 2G). These data suggest a FOXP3-sgRNA-guided specific binding of SadCas9-VPR to the intron 1 CNS locus of FOXP3.
To address the histone modification in the intron 1 CNS locus of FOXP3 during activation of FOXP3, we performed a ChIP-qPCR assay using CRISPRa-FOXP3/XIST-sgRNAs HEK 293T cells. As shown in Fig. 2H-N, in CRISPRi/a cells after FOXP3/XIST-sgRNAs transduction and Dox addition, H4K5ac, H4K8ac, and H4K16ac were enriched in the intron 1 CNS locus of FOXP3 but not in the promoter regions of PPP1R3F and CCDC22. Of note, during activation of FOXP3, H4K8ac and H4K16ac were elevated more than 2-fold in the intron 1 CNS locus (Fig. 2H and I), but there were no significant changes after Dox addition. H3K4me3, H3K9me3, H3K27me3, and H3K27ac were minimally changed in the FOXP3, PPP1R3F, and CCDC22 loci after FOXP3/XIST-sgRNAs transduction (Fig. 2K-N). However, H3K4me3 was elevated more than 3-fold in the intron 1 CNS locus after addition of Dox (Fig. 2L). These data suggest that, during activation of FOXP3, FOXP3-sgRNA guided specific H4 acetylation at active alleles and H3K4 methylation at inactive alleles in the intron 1 CNS locus of FOXP3.
As reported here, we developed, for human female breast cancer cells, a CRISPRi/a approach for targeted transcriptional regulation of specific X-linked FOXP3, using two orthogonal dCas9-fusion systems, including SpdCas9-KRAB for CRISPRi to the XIST locus and SadCas9-VPR for CRISPRa to the FOXP3 locus (Fig. S11). The targeted reactivation of endogenous FOXP3 from XCI was achieved by simultaneous use of CRISPRi/a. Of note, targeted reactivation of FOXP3 inhibited growth of human female breast cancer cells. Furthermore, we optimized our CRISPRa system with the TET1 catalytic domain to enhance the transcriptional activation of FOXP3. The CRISPRi/a-mediated activation of FOXP3 was accompanied by H4 acetylation at active alleles, including H4K5ac, H4K8ac, and H4K16ac, and H3K4 methylation at inactive alleles in the intron 1 CNS locus of FOXP3, indicating a CRISPRi/a-mediated epigenetic mechanism during activation of FOXP3.
Conclusions
The present study provides a better understanding of the CRISPRi/a-mediated activation of X-linked endogenous FOXP3 and its regulatory mechanism in human female breast cancer cells. Also, our identification of the reactivation of the X-linked FOXP3 from XCI moves beyond an incremental advance in breast cancer therapy by a targeted reactivation of X-linked tumor suppressor genes. Since epithelial FOXP3 is inactivated in 70% of breast cancer samples [1], our results may lead to the design of preclinical studies to develop more effective treatments for female breast cancers with FOXP3 dysfunction. In addition, this concept and tools may provide new routes of targeted therapy for other X-chromosome-linked genetic disorders.
Supplementary Information
Acknowledgements
We thank Dr. Donald Hill for editorial assistance in preparing this manuscript.
Abbreviations
- 5-Aza-CdR
5-aza-2’-deoxycytidine
- ChIP
Chromatin immunoprecipitation
- CNS
Conserved non-coding sequence
- CRISPRa
CRISPR activation
- CRISPRi
CRISPR interference
- dCas9
Endonuclease-deficient CRISPR/Cas9 protein
- Dox
Doxycycline
- H3K4me3
Tri-methylation at the 4th lysine residue of the histone H3 protein
- H3K9me3
Tri-methylation at the 9th lysine residue of the histone H3 protein
- H3K27ac
Acetylation at the 27th lysine residue of the histone H3 protein
- H3K27me3
Tri-methylation at the 27th lysine residue of the histone H3 protein
- H4K5ac
Acetylation at the 5th lysine residue of the histone H4 protein
- H4K8ac
Acetylation at the 8th lysine residue of the histone H4 protein
- H4K16ac
Acetylation at the 16th lysine residue of the histone H4 protein
- KRAB
Krüppel-associated box
- qPCR
Quantitative real-time PCR
- Sa
Staphylococcus aureus
- sgRNA
Single guide RNA
- Sp
Streptococcus pyogenes
- TET
Ten-eleven translocation
- VPR
Tripartite VP64-p65-Rta proteins
- XCI
X-chromosome inactivation
- XIST
X-inactive specific transcript
Authors’ contributions
LW, RL and LSQ designed the research approach. XC, ZX, SW, XL and RL performed the experiments. XC, RL and LW analyzed data. XC, SB and LW performed statistical analyses. LZ, DZ and LSQ provided key resources. XC made a draft of the paper. XC, ESR, RL, LSQ and LW revised and edited the paper. The author(s) read and approved the final manuscript.
Funding
This work was supported by grants from the DOD (W81XWH-17-1-0017 for L. Wang and W81XWH-17-1-0018 for L.S. Qi) and the Breast Cancer Research Foundation of Alabama (L. Wang).
Availability of data and materials
Results are based, in part, upon data generated by Cas-OFFinder (http://www.rgenome.net/cas-offinder).
Declarations
Ethics approval and consent to participate
Not applicable.
Consent for publication
All authors have agreed to publish this manuscript.
Competing interests
The authors declare that they have no competing interests.
Footnotes
Publisher’s Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Contributor Information
Runhua Liu, Email: runhua@uab.edu.
Lei S. Qi, Email: stanley.qi@stanford.edu
Lizhong Wang, Email: lwang12@uab.edu.
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Associated Data
This section collects any data citations, data availability statements, or supplementary materials included in this article.
Supplementary Materials
Data Availability Statement
Results are based, in part, upon data generated by Cas-OFFinder (http://www.rgenome.net/cas-offinder).