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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJMM</journal-id>
<journal-title-group>
<journal-title>International Journal of Molecular Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1107-3756</issn>
<issn pub-type="epub">1791-244X</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijmm.2014.1724</article-id>
<article-id pub-id-type="publisher-id">ijmm-33-06-1563</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Delivery of EZH2-shRNA with mPEG-PEI nanoparticles for the treatment of prostate cancer <italic>in vitro</italic></article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>WU</surname><given-names>YINXIA</given-names></name><xref rid="af1-ijmm-33-06-1563" ref-type="aff">1</xref><xref rid="fn1-ijmm-33-06-1563" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>YU</surname><given-names>JUNJIE</given-names></name><xref rid="af2-ijmm-33-06-1563" ref-type="aff">2</xref><xref rid="fn1-ijmm-33-06-1563" ref-type="author-notes">&#x0002A;</xref></contrib>
<contrib contrib-type="author">
<name><surname>LIU</surname><given-names>YONGBIAO</given-names></name><xref rid="af3-ijmm-33-06-1563" ref-type="aff">3</xref><xref rid="fn1-ijmm-33-06-1563" ref-type="author-notes">&#x0002A;</xref><xref ref-type="corresp" rid="c1-ijmm-33-06-1563"/></contrib>
<contrib contrib-type="author">
<name><surname>YUAN</surname><given-names>LIN</given-names></name><xref rid="af3-ijmm-33-06-1563" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>YAN</surname><given-names>HANG</given-names></name><xref rid="af3-ijmm-33-06-1563" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>JING</surname><given-names>JING</given-names></name><xref rid="af3-ijmm-33-06-1563" ref-type="aff">3</xref></contrib>
<contrib contrib-type="author">
<name><surname>XU</surname><given-names>GUOPING</given-names></name><xref rid="af3-ijmm-33-06-1563" ref-type="aff">3</xref></contrib></contrib-group>
<aff id="af1-ijmm-33-06-1563">
<label>1</label>Department of Oncology, Clinical Medical College of Yangzhou University, Yangzhou, Jiangsu 225001, P.R. China</aff>
<aff id="af2-ijmm-33-06-1563">
<label>2</label>Department of Urology, Clinical Medical College of Yangzhou University, Yangzhou, Jiangsu 225001, P.R. China</aff>
<aff id="af3-ijmm-33-06-1563">
<label>3</label>Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu 210029, P.R. China</aff>
<author-notes>
<corresp id="c1-ijmm-33-06-1563">Correspondence to: Professor Yongbiao Liu, Department of Oncology, The First Affiliated Hospital of Nanjing Medical University, 300 Guangzhou Road, Nanjing, Jiangsu 210029, P.R. China, E-mail: <email>oncologistlyb@163.com</email></corresp><fn id="fn1-ijmm-33-06-1563">
<label>&#x0002A;</label>
<p>Contributed equally</p></fn></author-notes>
<pub-date pub-type="ppub">
<month>6</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>04</month>
<year>2014</year></pub-date>
<volume>33</volume>
<issue>6</issue>
<fpage>1563</fpage>
<lpage>1569</lpage>
<history>
<date date-type="received">
<day>06</day>
<month>12</month>
<year>2013</year></date>
<date date-type="accepted">
<day>18</day>
<month>03</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>Small interfering RNA (siRNA) is a promising therapeutic approach for castration-resistant prostate cancer (PCa). For the clinical application of siRNA, it is vital to find a safe and efficient gene transfer vector. Nanotechnology can provide a crucial advantage in developing strategies for cancer management and treatment by helping to improve the safety and efficacy of new therapeutic delivery vehicles. In this study, we describe a novel nanoparticle (mPEG-PEI) as an efficient non-viral carrier and found that this copolymer displayed enhanced efficiency in the shRNA-mediated knockdown of target genes. The enhancer of zeste homolog 2 (EZH2) is often elevated in castration-resistant PCa and has been implicated in the progression of human PCa. Targeting EZH2 may have therapeutic efficacy for the treatment of metastatic, hormone-refractory PCa. mPEG-PEI binds plasmid DNA yielding nanoparticles and these complexes exhibit low cytotoxicity and high gene transfection efficiency. Taken together, mPEG-PEI may be a promising non-viral gene carrier for the delivery of EZH2 short hairpin (sh)RNA to PC3 cells for advanced PCa therapy.</p></abstract>
<kwd-group>
<kwd>enhancer of zeste homolog 2</kwd>
<kwd>mPEG-PEI</kwd>
<kwd>short hairpin RNA</kwd>
<kwd>prostate cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Prostate cancer (PCa) can be treated by the removal of testicular androgens; however, androgen depletion is frequently associated with the recurrence of malignant neoplasms, defined as castration-resistant prostate cancer (CRPC), which has a poor prognosis (<xref ref-type="bibr" rid="b1-ijmm-33-06-1563">1</xref>). The enhancer of zeste homolog 2 (EZH2) belongs to the catalytic subunit of polycomb repressive complex 2 (PRC2) and primarily functions by silenc transcription through the trimethylation of histone H3 lysine 27 (H3K27me3) (<xref ref-type="bibr" rid="b2-ijmm-33-06-1563">2</xref>). EZH2 is frequently elevated in many types of cancer, including PCa (<xref ref-type="bibr" rid="b3-ijmm-33-06-1563">3</xref>). EZH2 overexpression has also been linked to PCa cell invasion and metastasis and poor survival (<xref ref-type="bibr" rid="b4-ijmm-33-06-1563">4</xref>,<xref ref-type="bibr" rid="b5-ijmm-33-06-1563">5</xref>). The expression of EZH2 has been implicated in the progression of human PCa, particularly to lethal CRPC (<xref ref-type="bibr" rid="b6-ijmm-33-06-1563">6</xref>). A recent study reported that the blockade of EZH2 derepression during androgen deprivation therapy may represent an effective strategy for the treatment of androgen-refractory PCa (<xref ref-type="bibr" rid="b7-ijmm-33-06-1563">7</xref>). Xu <italic>et al</italic> (<xref ref-type="bibr" rid="b8-ijmm-33-06-1563">8</xref>) demonstrated that in patients with CRPC overexpressing EZH2, EZH2-stimulated solo genes are frequently upregulated, and their higher expression levels correlate with poor survival. Therefore, the suppression of EZH2 expression may be a novel strategy for the treatment of metastatic, hormone-refractory PCa.</p>
<p>Gene therapy is a promising strategy for the treatment of various genetic and acquired diseases. The use of small interfering RNA (siRNA) is a novel and promising therapeutic approach, as it can be used to suppress gene expression in a highly specific manner for the treatment of genetic diseases (<xref ref-type="bibr" rid="b9-ijmm-33-06-1563">9</xref>). Although highly attractive as a cancer therapeutic strategy, a number of physiological obstacles need to be overcome to successfully introduce RNAi-based therapies into clinical practice. Therefore, there is an urgent need to discover new treatment methods and to find more effective vectors which may improve the efficiency of target gene expression in order to achieve greater success with gene therapy.</p>
<p>Non-viral gene delivery systems can be mainly divided into lipids, polymers and nanomaterials, and have been developed for siRNA delivery (<xref ref-type="bibr" rid="b10-ijmm-33-06-1563">10</xref>,<xref ref-type="bibr" rid="b11-ijmm-33-06-1563">11</xref>). Among these delivery systems, the polymer or lipid-based ones have shown much improvement in delivering therapeutic genes. However, complex chemical synthetic procedures and harsh chemical reactions limit their application (<xref ref-type="bibr" rid="b12-ijmm-33-06-1563">12</xref>). Nanoparticle vectors have been extensively investigated for siRNA delivery due to their ease of production, safety, lower immune response, target tissue and cell specificity, facilitatation of cellular entry, ease of chemical modification and their ability to transfer larger pDNA molecules (<xref ref-type="bibr" rid="b13-ijmm-33-06-1563">13</xref>). Polyethylenimine (PEI) is a highly efficient carrier for siRNA delivery; however, the high density of positive charge on the surface of PEI molecules results in severe cytotoxicity, which has become a limiting factor for the application of PEI (<xref ref-type="bibr" rid="b14-ijmm-33-06-1563">14</xref>). Polyethylene glycol (PEG) moieties are engrafted to PEI polymers with the aim of reducing cytotoxicity and enhancing stability (<xref ref-type="bibr" rid="b15-ijmm-33-06-1563">15</xref>).</p>
<p>In the present study, we used the non-viral cationic polymer vector mPEG-PEI nanoparticles as a carrier and rebuilt the shRNA plasmid; we evaluated the gene-silencing efficiency in PCa cells. The results substantiated that the mPEG-PEI/EZH2-shRNA nanoparticle complexes effectively suppressed EZH2 mRNA expression, thus rendering these complexes as a promising candidate for the treatment of advanced PCa and providing the basis for future research in clinical translation.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cells and cell culture</title>
<p>The PC3 human prostate carcinoma cell line was obtained from the Shanghai Cell Bank, Chinese Academy of Sciences, Shanghai, China and maintained in RPMI-1640 culture medium supplemented with 10&#x00025; fetal bovine serum (FBS) (Gibco), 100 U/ml penicillin and 100 mg/ml streptomycin at 37&#x000B0;C in an atmosphere of 5&#x00025; CO<sub>2</sub>.</p></sec>
<sec>
<title>Synthesis of mPEG-PEI</title>
<p>mPEG-PEI was synthesized according to previously described methods (<xref ref-type="bibr" rid="b16-ijmm-33-06-1563">16</xref>&#x02013;<xref ref-type="bibr" rid="b18-ijmm-33-06-1563">18</xref>). First, 7.9 g of mPEG-1900 and 1.6 ml pyridine were dissolved in dichloromethane. p-Nitrophenoxycarbonyl chloride (p-NPC) (3.2 g) was dissolved in dichloromethane. The mPEG solution was then added to the p-NPC solution drop by drop and continuously stirred for 24 h at room temperature to complete the reaction. The mixture product was then precipitated with petroleum ether, frozen, filtrated and vacuum-dried. Subsequently, 1.03 g of the above product and 3.72 g PEI (MW 25,000) were added to 50 ml anhydrous chloroform, and the mixture was continuously stirred for 48 h at room temperature. The sample was subsequently dialyzed against distilled water in a dialysis tube (MWCO, 3,500 kDa) for 3 days and lyophilized to obtain mPEG-PEI. mPEG-PEI was stored at &#x02212;20&#x000B0;C for further use.</p></sec>
<sec>
<title>Characterization of mPEG-PEI</title>
<p>To characterize the chemical composition and confirm that mPEG-PEI was successfully synthesized, <sup>1</sup>H nuclear magnetic resonance (<sup>1</sup>H-NMR) spectra were recorded using a Varian 400 spectrometer (Varian, Palo Alto, CA, USA) at 400 mHz in CDCl<sub>3</sub> with tetramethylsilane as an internal reference. The prepared nanoparticles were dispersed in deionized water and examined at various temperatures. All experimental groups were examined 3 times. The chemical shift was expressed in parts per million (&#x003B4;) by using the proton peak of H<sub>2</sub>O (set as 4.7 pm) as an internal reference, as previously described (<xref ref-type="bibr" rid="b16-ijmm-33-06-1563">16</xref>).</p></sec>
<sec>
<title>Preparation of mPEG-PEI/pDNA complexes</title>
<p>The plasmid pcDNA3.1/EGFP expression vector with ampicillin resistance and EGFP report was obtained from GenePharma (Shanghai, China). EZH2 short hairpin RNA (shRNA) sequences and the EZH2-shRNA negative control sequence were synthesized and cloned into the pcDNA3.1/EGFP expression vector. We manipulated the charge ratio between the amino groups of mPEG-PEI and the pcDNA3.1/EGFP/EZH2-shRNA (N/P) as 20. The appropriate volumes of mPEG-PEI and pcDNA3.1/EGFP/EZH2-shRNA solutions were quickly mixed together (mPEG-PEI/pDNA) and vortexed at the speed of 2,500 rpm for 30 sec and then incubated at room temperature for 30 min prior to use.</p></sec>
<sec>
<title>Measurement of particle size and zeta potential of mPEG-PEI/pDNA complexes</title>
<p>The mPEG-PEI/pDNA complexes were prepared at different N/P ratios (5&#x02013;50) and then diluted in ultra-pure water. The particle size and zeta potential of the mPEG-PEI/pDNA complexes were examined using a Zeta-Plus Instrument (Malvern Instruments, Ltd., Worcestershire, UK) with an angle of detection of 90&#x000B0;C at room temperature. The experiment was carried out using a Zetasizer 3000 HSa particle sizer (Malvern Instruments, Ltd.) with an angle of detection of 90&#x000B0;C at room temperature.</p></sec>
<sec>
<title>3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) cytotoxicity assays</title>
<p>The cytotoxicity associated with mPEG-PEI was determined by MTT assay according to a previously described method (<xref ref-type="bibr" rid="b19-ijmm-33-06-1563">19</xref>). The PC3 cells were plated with 100 &#x003BC;l culture mediun in 96-well plates at a density of 5,000 cells/well. Different mPEG-PEI concentrations and different N/P ratios were added to each well followed by incubation for 48 h. MTT assay was performed and the absorbance of each well, which identifies the quantity of viable cells, was read at 590 nm on a microplate reader. Each assay was performed in triplicate with 3 independent replicates.</p></sec>
<sec>
<title>Gel retardation assay</title>
<p>The attachment of the mPEG-PEI/pDNA complexes was assessed using gel retardation assays. The mPEG-PEI/pDNA complexes formed at various N/P ratios (0, 1, 2, 3, 5, 10 and 20) and was placed on 1&#x00025; agarose gels containing 0.5 mg/ml ethidium bromide in 1X TBE buffer. mPEG-PEI/pDNA binding was analyzed by gel electrophoresis at 80 V for 40 min. DNA bands in the gel imaging system were observed and photographed.</p></sec>
<sec>
<title>Hemagglutination assay</title>
<p>The agglutinating activity of mPEG-PEI/pDNA at different N/P ratios was examined in a 24-well plate. Briefly, fresh mouse blood was centrifuged at 2,000 rpm for 20 min and the plasma and the buffy coat were discarded. Erythrocytes were washed 3 times by centrifugation at 2,000 rpm and were diluted in phosphate-buffered saline (PBS) to a final concentration of 1&#x00025; (v/v). Various N/P ratios were added to the erythrocyte suspension at ratio of 10, 20 and 50 in a 24-well plate and incubated for 15 min at room temperature. The sample was placed on a microscope slide and hemagglutination was observed under an optical microscope.</p></sec>
<sec>
<title>In vitro transfection experiments</title>
<p>The day prior to transfection, the PC3 cells were seeded into a 24-well plate at density of 0.5&#x000D7;10<sup>5</sup> cells/well. mPEG-PEI/pDNA transfection complexes with different N/P ratios (3, 5, 10 and 20) were prepared and added into the well in a dropwise manner. After 6 h of incubation, the medium was replaced with fresh complete medium and the cells were incubated for an additional 48 h prior to analysis. EGFP expression was examined and photographed under a fluorescent microscope (Olympus Axiovert S100; Olympus, Tokyo, Japan) after an additional 48 h of incubation. The number of EGFP-positive cells and total cells in 5 randomly selected sections was counted, and the transfection efficiency was calculated by the ratio between the EGFP-positive cells and the total number of cells, as previously described (<xref ref-type="bibr" rid="b16-ijmm-33-06-1563">16</xref>).</p></sec>
<sec>
<title>Quantitative reverse transcription PCR (qRT-PCR)</title>
<p>Total RNA was isolated from the PC3 cells using TRIzol reagent (Invitrogen, Carlsbad, CA, USA) according to the manufacturer&#x02019;s instructions. Reverse transcription and quantitative PCR were performed using the PrimeScript Reverse Transcription system and the SYBR Premix Ex Taq&#x02122; II kit (Takara, Dalian, China) according to the manufacturer&#x02019;s instructions. The relative mRNA expression compared to that of glyceraldehyde 3-phosphate dehydrogenase (GAPDH) was calculated using the 2<sup>&#x02212;&#x00394;Ct</sup> method. The primers used were as follows: EZH2 forward, 5&#x02032;-TGCAGTTGCTTCAGTACCCATAAT-3&#x02032; and reverse, 5&#x02032;-ATC CCCGTGTACTTTCCCATCATAAT-3&#x02032;; GAPDH forward, 5&#x02032;-TCGACAGTCAGCCGCATCTTCTTT-3&#x02032; and reverse, 5&#x02032;-ACCAAATCCGTTGACTCCGACCTT-3&#x02032;. The quantitative PCR reactions were performed under the following conditions: 95&#x000B0;C for 2 min, followed by 40 cycles of 95&#x000B0;C for 15 sec, and 60&#x000B0;C for 1 min.</p></sec>
<sec>
<title>Western blot analysis</title>
<p>Protein samples were prepared by lysing the cells in modified RIPA buffer and protease inhibitor &#x0005B;phenylmethylsulfonyl fluoride (PMSF); Beyotime, Jiangsu, China&#x0005D;. Cell lysates were subjected to 10&#x00025; SDS-polyacrylamide gel electrophoresis followed by electroblotting onto PVDF membranes. After blocking in 5&#x00025; skim milk, the membranes were probed with the specific primary antibody (anti-EZH2 or anti-GAPDH; Cell Signaling Technology, Beverly, MA, USA) and then incubated with a HRP-conjugated secondary antibody. Signals were visualized using the ECL chemiluminescence kit (Boster, Wuhan, China) and exposured to X-ray films.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Statistical analysis was performed using SPSS software version 17.0. The results are presented as the means &#x000B1; standard deviation (SD). The Student&#x02019;s t-test was used to assess statistically significant differences. A value of P&lt;0.05 was considered to indicate a statistically significant difference. All experiments were performed in triplicate.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Synthesis and characterization of mPEG-PEI</title>
<p>The reaction scheme of mPEG-PEI is shown in <xref rid="f1-ijmm-33-06-1563" ref-type="fig">Fig. 1</xref>. mPEG-PEI was prepared by the conjugation of mPEG-1900 to PEI. The molecular structure of mPEG-PEI was characterized by measuring <sup>1</sup>H-NMR in deuterium oxide. <xref rid="f2-ijmm-33-06-1563" ref-type="fig">Fig. 2</xref> illustrates that the proton peak appearing at 2.5&#x02013;3.0 ppm was attributed to -CH<sub>2</sub>CH<sub>2</sub>NH- in PEI. The peaks at 3.6 ppm were assigned to the protons of -CH<sub>2</sub>CH<sub>2</sub>O- in PEG. The peak at 7.25 was the chemical shifts of protons from solvent D<sub>2</sub>O. This copolymer has both the characteristic absorption peaks of the proton in PEG and characteristic absorption peak in PEI, and it can be identified as PEG copolymer with PEI. These results indicated that mPEG-PEI was successfully synthesized.</p></sec>
<sec>
<title>Particle size and zeta potential characterization</title>
<p>The mPEG-PEI/pDNA complexes were evaluated for particle size and zeta potential. The particle size and zeta potential of the mPEG-PEI/pDNA complexes varied at the different N/P rations (<xref rid="f3-ijmm-33-06-1563" ref-type="fig">Fig. 3</xref>). Dynamic light scattering (DLS) experiments using different mPEG-PEI/pDNA (N/P) ratios revealed that the particle size of the mPEG-PEI/DNA complexes decreased with the increasing N/P ratios. At an N/P ratio of 5, the particle size was approximately 183 nm. The particle size reached approximately 90 nm at an N/P ratio of 10, and then remained relatively constant between 70 and 90 nm. When the N/P ratio increased, the size of the PEG-PEI/EZH2-shRNA complexes decreased, but the zeta potential increased. The zeta potential increased with the increased N/P ratio, but the particle size of the mPEG-PEI/pDNA complexes decreased.</p></sec>
<sec>
<title>Agarose gel retardation assay</title>
<p>An agarose gel retardation assay was performed to measure the ability of mPEG-PEI to bind DNA. mPEG-PEI/pDNA complexes formed at various N/P ratios in a gel retardation assay (<xref rid="f4-ijmm-33-06-1563" ref-type="fig">Fig. 4</xref>). This phenomenon can be explained by the fact that the positive charges of mPEG-PEI were able to neutralize the negative charges of the phosphate groups in EZH2-shRNA, thus retarding in gel. mPEG-PEI combine with pDNA, which hinder the EB insert double-stranded DNA. mPEG-PEI completely retarded the migration of DNA when the N/P ratio was 10, indicating that the mPEG-PEI/pDNA complexes were fully formed at this N/P ratio.</p></sec>
<sec>
<title>Cytotoxicity assay</title>
<p>PC3 cells were used to determine the cytotoxic effects of the nanoparticles by MTT assay. Cytotoxicity was measured at various concentrations of the mPEG-PEI nanoparticles (<xref rid="f5-ijmm-33-06-1563" ref-type="fig">Fig. 5A</xref>) and mPEG-PEI/pDNA ratios (N/P) from 0&#x02013;60 (<xref rid="f5-ijmm-33-06-1563" ref-type="fig">Fig. 5B</xref>). PC3 cell viability displayed a decreasing trend with the increasing mPEG-PEI polymer concentration; when the mPEG-PEI nanoparticle concentration was &gt;50 &#x003BC;g/ml, there was a significant increase in toxicity, and the cell death rate was &gt;50&#x00025;. The cytotoxicity of the mPEG-PEI/pDNA complexes increased as the N/P ratio increased. The mPEG-PEI/pDNA complexes showed very small or negligible cytotoxicity when the N/P ratio was &lt;50. Cell viability was 94.13&#x000B1;3.42 and 78.6&#x000B1;3.94&#x00025; at an N/P ratio of 3 and 20, respectively. However, the cytotoxicity of mPEG-PEI/pDNA markedly increased at an N/P ratio of &gt;50.</p></sec>
<sec>
<title>Hemagglutination assay</title>
<p>Hemagglutination assay with mouse erythrocytes was performed to assess the agglutinating activity of mPEG-PEI/pDNA at different N/P ratios. Hemagglutination assay for N/P ratios of 10, 20 and 50 is shown in <xref rid="f6-ijmm-33-06-1563" ref-type="fig">Fig. 6</xref>. When the N/P ratio was 50, the mouse erythrocytes began to aggregate, whereas no agglutinating ability was observed at an N/P ratio of 10 and 20. These findings indicate that different N/P ratios have different hemagglutination abilities. This is a significantl factor in determining which ratio is suitable for use in clinical applications.</p></sec>
<sec>
<title>Transfection efficiency assay in vitro</title>
<p>The transfection efficiency of mPEG-PEI/pDNA at various N/P ratios was observed 48 h after transfection. Fluorescence images in the cells were evaluated under a fluorescence microscope (<xref rid="f7-ijmm-33-06-1563" ref-type="fig">Fig. 7A</xref>). We compared the transfection efficiency of mPEG-PEI/pDNA with the transfection reagent, Lipofectamine&#x02122; 2000. The gene transfection efficiency correspondingly increased with the increasing N/P ratio from 3 to 20, and the transfection efficiencies increased from 12.10&#x000B1;1.61 to 64.67&#x000B1;3.92&#x00025;. The transfection efficiency of Lipofectamine&#x02122; 2000 was 62.63&#x000B1;3.62&#x00025;. The highest transfection activity of mPEG-PEI/pDNA was obtained at an N/P ratio of 20 in the PC3 cells (<xref rid="f7-ijmm-33-06-1563" ref-type="fig">Fig. 7B</xref>).</p></sec>
<sec>
<title>Gene silencing effect of EZH2-shRNA</title>
<p>To determine whether the mPEG-PEI/pDNA particles knockdown EZH2 mRNA expression <italic>in vitro</italic>, we investigated the efficacy of the mPEG-PEI/pDNA particles in the PC3 cells. mPEG-PEI/pDNA at an N/P ratio of 20 was selected for the transfection of the PC3 cells. Following 48 h of treatment, EZH2 gene expression was measured by qRT-RCR and western blot analysis. As shown in <xref rid="f8-ijmm-33-06-1563" ref-type="fig">Fig. 8A</xref>, the EZH2 mRNA expression was knocked down to 24.0&#x000B1;2.64 and 28.47&#x000B1;2.90&#x00025; by the mPEG-PEI/pDNA particles and Lipofectamine&#x02122; 2000/shRNA-EZH2 complex, respectively. The blank control and mPEG-PEI/shRNA control particle treatment groups showed no obvious silencing effect on the expression of EZH2. The cells transfected with the mPEG-PEI/pDNA particles showed a decreased EZH2 protein expression compared to the cells transfected with the negative control (<xref rid="f8-ijmm-33-06-1563" ref-type="fig">Fig. 8B</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>PCa is the most common malignant disease and the second leading cause of cancer-related mortality in males in the Western world (<xref ref-type="bibr" rid="b20-ijmm-33-06-1563">20</xref>). The majority of patients with PCa initially respond to androgen ablation, but eventually progress to CRPC, which is a lethal form of PCa that is an aggressive malignancy with a poor prognosis (<xref ref-type="bibr" rid="b21-ijmm-33-06-1563">21</xref>). Thus, it is crucial to discover an novel effective approaches for the treatment of CRPC.</p>
<p>It is mandatory to discover a novel and effective therapeutic strategy for CRPC. The EZH2 gene, which has been implicated in metastatic PCa, belongs to an important component of PRC2 and regulates epigenetic gene silencing (<xref ref-type="bibr" rid="b22-ijmm-33-06-1563">22</xref>&#x02013;<xref ref-type="bibr" rid="b24-ijmm-33-06-1563">24</xref>). Numerous studies have indicated that EZH2 is overexpressed in hormone-refractory, metastatic PCa (<xref ref-type="bibr" rid="b5-ijmm-33-06-1563">5</xref>,<xref ref-type="bibr" rid="b6-ijmm-33-06-1563">6</xref>,<xref ref-type="bibr" rid="b25-ijmm-33-06-1563">25</xref>). The downregulation of the expression of EZH2 decreases prostate cell proliferation and ectopically expressed EZH2 in prostate cells enhances the proliferation and invasion of PCa cells (<xref ref-type="bibr" rid="b26-ijmm-33-06-1563">26</xref>). Since EZH2 is overexpressed and acts as an oncogene in PCa, it has been suggested to be a therapeutic target for metastatic, hormone-refractory PCa (<xref ref-type="bibr" rid="b8-ijmm-33-06-1563">8</xref>,<xref ref-type="bibr" rid="b27-ijmm-33-06-1563">27</xref>).</p>
<p>The silencing of gene expression by siRNA is rapidly becoming a powerful tool for genetic analysis and represents a potential strategy for therapeutic product development (<xref ref-type="bibr" rid="b28-ijmm-33-06-1563">28</xref>,<xref ref-type="bibr" rid="b29-ijmm-33-06-1563">29</xref>). Despite the enormous therapeutic potential of siRNAs, their delivery remains problematic due to unfavorable biodistribution profiles and poor intracellular bioavailability (<xref ref-type="bibr" rid="b30-ijmm-33-06-1563">30</xref>). An increasing number of studies have indicated that nanoparticles have low cytotoxicity and high gene transfection efficiency and may thus be potentially applied as a new vector system for gene delivery (<xref ref-type="bibr" rid="b31-ijmm-33-06-1563">31</xref>,<xref ref-type="bibr" rid="b32-ijmm-33-06-1563">32</xref>). In our study, the non-viral vehicle, mPEG-PEI, was applied in the siRNA plasmid delivery to PCa cells to overcome the obstacles involved with the application of siRNA. Studies have shown that the adequate size and positive potential of nanocomplexes are essential for cellular uptake (<xref ref-type="bibr" rid="b33-ijmm-33-06-1563">33</xref>,<xref ref-type="bibr" rid="b34-ijmm-33-06-1563">34</xref>).</p>
<p>In this study, the affinity of the mPEG-PEI/pDNA complexes was evaluated by agarose gel electrophoresis. The plasmid DNA was completely retarded when the N/P ratios of the mPEG-PEI/pDNA complexes were 10 and the charge of shRNA was completely neutralized. Therefore, it may be considered that mPEG-PEI completely complexed with shRNA at N/P ratios of &#x02265;10.</p>
<p>The relative surface charges of the resulting complexes were quantified with zeta potential measurements (<xref ref-type="bibr" rid="b16-ijmm-33-06-1563">16</xref>). The particle size and zeta potential of the mPEG-PEI/pDNA complexes were dependent on the N/P ratio. We designed different N/P ratios to discover which is the optimal N/P ratio of the nanoparticles for transfection. At N/P ratios of &#x02265;10, the size of the nanoparticles was approximately 90.33&#x000B1;1.53 nm and the zeta potential was 9.0&#x000B1;0.67 mV. This can be partly explained by the fact that the electrostatic interaction of mPEG-PEI with siRNA becomes stronger when the N/P ratio is enhanced (<xref ref-type="bibr" rid="b35-ijmm-33-06-1563">35</xref>). Therefore, mPEG-PEI/pDNA complexes with N/P ratio of 10 are suitable for transfection.</p>
<p>The cytotoxicity of the mPEG-PEI/pDNA complexes was analyzed by MTT assay. Cytotoxicity was induced by mPEG-PEI in a concentration-dependent manner; these results are consistent with those of a previous study (<xref ref-type="bibr" rid="b36-ijmm-33-06-1563">36</xref>). When the N/P ratios were &gt;30, the cytotoxicity of PEG-PEI markedly increased and the cell viability was &lt;70&#x00025;. The results of hemagglutination assay also indicated that the mouse erythrocytes began to agglutinate when the N/P ratio was 50 and was not suitable for application.</p>
<p>We constructed the plasmid pcDNA3.1/EGFP/EZH2-shRNA expression vector. This construct carries a coding sequence for the EGFP protein, providing the extra feature of an EGFP marker for monitoring the cell distribution of the nanoparticles. The increased transfection efficiency of mPEG-PEI/pDNA was observed at higher N/P ratios, reaching the highest transfection efficiency at an N/P ratio of 20, which displayed the most bright fluorescent spots. The present study shows that mPEG-PEI/pDNA complexes at an N/P ratio of &lt;10 cannot achieve excellent cell transfection efficacy.</p>
<p>Our results revealed that the mRNA and protein levels of EZH2 were downregulated in the cancer tissues following transfection with mPEG-PEI/pDNA for 48 h, indicating that mPEG-PEI can deliver EZH2-specific shRNA into PC3 cells, resulting in the inhibition of EZH2 expression.</p>
<p>In this study, we developed a novel strategy of nanoparticles loaded with EZH2-shRNA constructs for PCa gene therapy. mPEG-PEI/pDNA complexes were successfully synthesized with suitable physicochemical properties. More importantly, the mPEG-PEI/pDNA complexes exhibited low cytotoxicity and high tranfection efficiency. In addition, mPEG-PEI delivered EZH2-shRNA, effectively inhibiting the expression of EZH2 in the PC3 cells, which was a key target for the treatment of CRPC. At present, there are limited therapeutic options for CRPC. Therefore, mPEG-PEI may be a promising non-viral vector for delivering EZH2-shRNA plasmids to PCa cells and its application for CRPC therapy <italic>in vivo</italic> requires further investigation.</p></sec></body>
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<floats-group>
<fig id="f1-ijmm-33-06-1563" position="float">
<label>Figure 1</label>
<caption>
<p>Schematic illustration of the synthetic process of mPEG-PEI. mPEG-PEI was synthesized through PEG moieties engrafted to the PEI polymers. PEG, polyethylene glycol; PEI, polyethylenimine.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g00.gif"/></fig>
<fig id="f2-ijmm-33-06-1563" position="float">
<label>Figure 2</label>
<caption>
<p>Representative <sup>1</sup>H nuclear magnetic resonance (<sup>1</sup>H-NMR) spectra of mPEG-PEI. The proton peak appearing at 2.5&#x02013;3.0 ppm was attributed to -CH<sub>2</sub>CH<sub>2</sub>NH- in PEI. The peaks at 3.6 ppm were assigned to the protons of -CH<sub>2</sub>CH<sub>2</sub>O- in PEG. The peak at 7.25 was a chemical shift of the protons from solvent D<sub>2</sub>O. PEG, polyethylene glycol; PEI, polyethylenimine.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g01.gif"/></fig>
<fig id="f3-ijmm-33-06-1563" position="float">
<label>Figure 3</label>
<caption>
<p>Particle size and zeta potential of the mPEG-PEI/pDNA complexes. Effective diameter and zeta potential of the mPEG-PEI/pDNA complexes at various N/P ratios (5, 10, 20, 30 and 50). Zeta potentials were determined with an incident laser beam of 633 nm at a scattering angle of 90&#x000B0; using a Malvern Zetasizer 3000 HSa. Data are the means &#x000B1; standard deviation (SD) (n&#x0003D;5). PEG, polyethylene glycol; PEI, polyethylenimine.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g02.gif"/></fig>
<fig id="f4-ijmm-33-06-1563" position="float">
<label>Figure 4</label>
<caption>
<p>Agarose gel electrophoresis of the mPEG-PEI/pDNA complexes at different N/P ratios. Agarose gel electrophoresis of the mPEG-PEI/pDNA complexes at various w/w ratios. Lane 1, marker; lane 2, naked pDNA; lanes 3&#x02013;9, complexes at N/P ratios of 0.1, 0.5, 1, 3, 5, 10 and 20, respectively. PEG, polyethylene glycol; PEI, polyethylenimine.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g03.gif"/></fig>
<fig id="f5-ijmm-33-06-1563" position="float">
<label>Figure 5</label>
<caption>
<p>Cytotoxicity of mPEG-PEI. (A) Viability of PC3 cells exposed to nanoparticles with different exposure concentrations determined by MTT assay. Cells were treated with 0, 5, 10, 20, 50, 100 or 200 &#x003BC;g/ml mPEG-PEI. (B) PC3 cells treated with mPEG-PEI/pDNA complexes at various N/P ratios from 0 to 60; Lipofectamine&#x02122; 2000 (Lipo2000) was used as a control. Results are the means &#x000B1; standard deviation (SD) of 3 independent experiments each carried out in triplicate. PEG, polyethylene glycol; PEI, polyethylenimine.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g04.gif"/>
<graphic xlink:href="IJMM-33-06-1563-g05.gif"/></fig>
<fig id="f6-ijmm-33-06-1563" position="float">
<label>Figure 6</label>
<caption>
<p>Hemagglutination assay. Hemagglutination assay was performed to assess the agglutinating activity of mPEG-PEI/pDNA at different N/P ratios. Erythrocytes became scattered at an N/P ratio of 10 and 20. Erythrocytes began to aggregate with the mPEG-PEI/pDNA complexes at an N/P ratio of 50.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g06.gif"/></fig>
<fig id="f7-ijmm-33-06-1563" position="float">
<label>Figure 7</label>
<caption>
<p>Gene transfection efficiency of mPEG-PEI. (A) Representative microscopic images of EGFP expression in PC3 cells at at different N/P ratios and Lipofectamine&#x02122; 2000 (Lipo2000; control) after 48 h of transfection. (B) Quantitative analysis of transfection efficiency of mPEG-PEI/pDNA complexes. Percentage of EGFP-positive cells per total amount of PC3 cells at indicated ratios (N/P) after 48 h of transfection &#x0005B;means &#x000B1; standard deviation (SD) n&#x0003D;3&#x0005D;. PEG, polyethylene glycol; PEI, polyethylenimine.</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g07.gif"/>
<graphic xlink:href="IJMM-33-06-1563-g08.gif"/></fig>
<fig id="f8-ijmm-33-06-1563" position="float">
<label>Figure 8</label>
<caption>
<p>Gene silencing effect of mPEG-PEI/pDNA (N/P&#x0003D;20) in PC3 cell lines. (A) qRT-PCR for the analysis of EZH2 expression. (B) Western blot analysis of EZH2 expression. All values are the means &#x000B1; standard deviation (SD) of 3 experiments (<sup>&#x0002A;</sup>P&lt;0.05 vs. blank control).</p></caption>
<graphic xlink:href="IJMM-33-06-1563-g09.gif"/>
<graphic xlink:href="IJMM-33-06-1563-g10.gif"/></fig></floats-group></article>
