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<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">Molecular Medicine Reports</journal-id>
<journal-title-group>
<journal-title>Molecular Medicine Reports</journal-title></journal-title-group>
<issn pub-type="ppub">1791-2997</issn>
<issn pub-type="epub">1791-3004</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/mmr.2014.2050</article-id>
<article-id pub-id-type="publisher-id">mmr-09-05-1743</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Role of Nogo-A in the regulation of hepatocellular carcinoma SMMC-7721 cell apoptosis</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>HAO</surname><given-names>CHUN-QIU</given-names></name><xref rid="af1-mmr-09-05-1743" ref-type="aff">1</xref><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>ZHOU</surname><given-names>YUN</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>JIU-PING</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>PENG</surname><given-names>MEI-JUN</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>XIE</surname><given-names>YU-MEI</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>KANG</surname><given-names>WEN-ZHEN</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>SUN</surname><given-names>LI</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WANG</surname><given-names>PING-ZHONG</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>WAN</surname><given-names>CHUN-LING</given-names></name><xref rid="af1-mmr-09-05-1743" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>HE</surname><given-names>LIN</given-names></name><xref rid="af1-mmr-09-05-1743" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>CAI</surname><given-names>LEI</given-names></name><xref rid="af1-mmr-09-05-1743" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>JIA</surname><given-names>ZHANG-SHENG</given-names></name><xref rid="af2-mmr-09-05-1743" ref-type="aff">2</xref><xref ref-type="corresp" rid="c1-mmr-09-05-1743"/></contrib></contrib-group>
<aff id="af1-mmr-09-05-1743">
<label>1</label>Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiaotong University, Shanghai 200030, P.R. China</aff>
<aff id="af2-mmr-09-05-1743">
<label>2</label>Centre of Liver Diseases, Fourth Military Medical University, Tangdu Hospital, Xi&#x02019;an, Shanxi 710038, P.R. China</aff>
<author-notes>
<corresp id="c1-mmr-09-05-1743">Correspondence to: Dr Zhan-Sheng Jia, Centre of Liver Diseases, Fourth Military Medical University, Tangdu Hospital, 1 Xinsi Road, Xi&#x02019;an, Shangxi 710038, P.R. China, E-mail: <email>haochq@yahoo.com.cn</email>. Dr Lei Cai, Bio-X Institutes, Key Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders (Ministry of Education), Shanghai Jiaotong University, 55 Guangyuanxi Road, Shanghai 200030, P.R. China, E-mail: <email>cailei2010@126.com</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>13</day>
<month>03</month>
<year>2014</year></pub-date>
<volume>9</volume>
<issue>5</issue>
<fpage>1743</fpage>
<lpage>1748</lpage>
<history>
<date date-type="received">
<day>29</day>
<month>06</month>
<year>2013</year></date>
<date date-type="accepted">
<day>18</day>
<month>02</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>Nogo-A has been identified as an inhibitor of neurite outgrowth specific to the central nervous system. However, little is known about the role of Nogo-A in hepatocellular carcinoma (HCC), the most common primary malignant tumor with a high mortality rate. This study aimed to investigate the role of endogenous Nogo-A in human liver cancer cells. Reverse transcription polymerase chain reaction was used to detect the expression of Nogo-A in four liver cancer cell lines. A lentivirus vector was then constructed to mediate RNA interference (RNAi) targeting of Nogo-A (LV-Nogo-A-siRNA) and was confirmed to successfully suppress the expression of the Nogo-A gene in SMMC-7721 cells. Furthermore, Nogo-A was observed to be highly expressed in liver cancer cell lines. RNAi of Nogo-A using the LV-Nogo-A-siRNA construct significantly decreased Nogo-A protein expression and specifically inhibited the growth of SMMC-7721 cells. This growth inhibitory effect may be attributed to an increase in G2/M phase arrest and apoptosis in SMMC-7721 cells containing Nogo-A-siRNA. The results of this study demonstrate that Nogo-A may represent a novel therapeutic target for the treatment of liver cancer, in addition to its potent roles in neural systems.</p></abstract>
<kwd-group>
<kwd>Nogo-A</kwd>
<kwd>myelin</kwd>
<kwd>apoptosis</kwd>
<kwd>lentivirus</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Nogo-A, a myelin-associated endoplasmic reticulum protein, is encoded by the reticulon-4 (<italic>RTN4</italic>) gene located at chromosome 2p13-14 (<xref rid="b1-mmr-09-05-1743" ref-type="bibr">1</xref>). The human <italic>RTN4</italic> gene encodes three alternatively spliced variants, Nogo-A, Nogo-B and Nogo-C. Nogo-A is the largest Nogo isoform, which exhibits a unique N-terminal extension and is mainly expressed by oligodendrocytes in the brain. By contrast, Nogo-B demonstrates a ubiquitous pattern of expression and Nogo-C is highly expressed in skeletal muscles (<xref rid="b2-mmr-09-05-1743" ref-type="bibr">2</xref>,<xref rid="b3-mmr-09-05-1743" ref-type="bibr">3</xref>). The three Nogo isoforms share a common C-terminal domain of 188 amino acids, which contains two putative transmembrane domains and an endoplasmic reticulum retention motif (<xref rid="b4-mmr-09-05-1743" ref-type="bibr">4</xref>). <italic>In vitro</italic> studies have reported that Nogo-A contributes to the axonal growth inhibitory function of central myelin; however, there have been contradictory results regarding this growth inhibitory effect in Nogo-A knockout mice (<xref rid="b5-mmr-09-05-1743" ref-type="bibr">5</xref>,<xref rid="b6-mmr-09-05-1743" ref-type="bibr">6</xref>). Whilst the role of Nogo-A in the nervous system is well established, including activation of growth cone collapse, axonal outgrowth inhibition and synaptic plasticity (<xref rid="b7-mmr-09-05-1743" ref-type="bibr">7</xref>&#x02013;<xref rid="b9-mmr-09-05-1743" ref-type="bibr">9</xref>), the role of endogenous Nogo-A in non-neural systems is yet to be elucidated.</p>
<p>Hepatocellular carcinoma (HCC) is the most common primary malignant tumor and accounts for ~5.6&#x00025; of all tumors (<xref rid="b10-mmr-09-05-1743" ref-type="bibr">10</xref>). As a result of the poor prognosis associated with HCC, a high mortality rate is observed among patients with the tumor. Therefore, exploring the molecular mechanisms associated with HCC and developing more effective targeted therapies are of utmost importance. The Arg114Gly mutation in the Nogo-C gene, which affects the dimensional structure of the Nogo-66 domain, was observed to promote apoptosis in a liver cancer cell line (<xref rid="b11-mmr-09-05-1743" ref-type="bibr">11</xref>). The Nogo-66 domain has been identified as a conserved functional group among the three Nogo isoforms; therefore, it is hypothesized that Nogo-A may have a role in HCC.</p>
<p>The present study aimed to explore the role of the neural-associated Nogo-A gene in liver cancer cells. Nogo-A was observed to exhibit high expression in the HCC SMMC-7721 cell line. Furthermore, a novel lentivirus vector that mediated RNA interference (RNAi) targeting of Nogo-A (LV-Nogo-A-siRNA) was employed to study the effect of Nogo-A knockdown on SMMC-7721 cell growth <italic>in vitro</italic>.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell culture</title>
<p>The human liver cancer cell lines HepG2, Huh-7, BEL-7402 and SMMC-7721 (Shanghai GeneChem Co., Shanghai, China) were maintained in Dulbecco&#x02019;s modified Eagle medium (DMEM; Gibco-BRL, Grand Island, NY, USA) supplemented with 10&#x00025; (v/v) heat-inactivated fetal bovine serum (FBS; Gibco-BRL) at 37&#x000B0;C with 5&#x00025; CO<sub>2</sub>.</p></sec>
<sec>
<title>Construction of lentiviral vectors, and preparation and transduction of the lentivirus</title>
<p>The complementary DNA sequence of Nogo-A was designed from full-length Nogo-A by Shanghai GeneChem Co., Ltd. The sequence of the small interfering RNA (siRNA) targeting Nogo-A was as follows: ccggGC TATATCTGAGGAGTTGGTTTTCAAGAGAACCAACTC CTCAGATATAGCTTTTTgaatt. Following the testing of knockdown efficiencies, stem-loop oligonucleotides were synthesized and cloned into the lentivirus-based vector, pGCSIL-enhanced green fluorescence protein (eGFP). A non-targeting stem-loop DNA was generated as a negative control. An improved lentivirus system of pGC-LV was developed by Shanghai GeneChem Co, Ltd. This system consisted of the following plasmids: pHELPER1.0, a packaging plasmid in which the accessory genes, vif, vpr, vpu and nef, and a regulatory gene, tat, were deleted; pHELPER2.0, an envelope plasmid for vesicular stomatitis virus G glycoprotein (VSV-G); and pGCSIL-eGFP, a transferring plasmid with a multiple cloning site and the gene encoding eGFP (<xref rid="f1-mmr-09-05-1743" ref-type="fig">Fig. 1A</xref>).</p>
<p>The recombinant Nogo-A-siRNA lentivirus vector was generated using co-transfection of 293T cells with 20 &#x003BC;g pGCSIL-Nogo-A-siRNA-eGFP, 15 &#x003BC;g pHELPER1.0, 10 &#x003BC;g pHELPER2.0 and Opti-MEM<sup>&#x000AE;</sup> (Invitrogen Life Technologies, Carlsbad, CA, USA) of the same volume in 15<italic>-</italic>cm dishes with Lipofectamine<sup>&#x000AE;</sup> 2000 (Invitrogen Life Technologies). The 293T cells were cultured in DMEM containing 10&#x00025; FBS. Culture supernatants were collected after two days, filtered through a 0.45-&#x003BC;m pore size filter and concentrated using Centricon<sup>&#x000AE;</sup> Plus-20 (Millipore Corporation, Hayward, CA, USA). The viral filtrate was collected and stored at &#x02212;80&#x000B0;C.</p>
<p>Cells were incubated with the lentivirus in a small volume of serum-free DMEM at 37&#x000B0;C for 4 h. Medium was then replaced with DMEM containing 10&#x00025; FBS, and cells were cultured further as indicated for the following experiments. eGFP revealed that the infection efficiency in SMMC-7721 cells was ~90&#x00025; and at a multiplicity of infection (MOI) of 30. No viral toxicity was observed at this concentration in the SMMC-7721 cells; therefore, the following experiments were performed using viruses at such MOIs, unless indicated. The lentivirus package with eGFP was used for the cell proliferation assay, and that without eGFP was used for the cell apoptosis assay.</p></sec>
<sec>
<title>Western blot analysis of exogenous flag-Nogo-A expression</title>
<p>To assess the gene knockdown efficiency of Nogo-A-siRNA, an exogenous 3flag-Nogo-A fusion protein was constructed into a GV143 vector (Shanghai GeneChem Co.). The constructed 3flag-Nogo-A vector was co-transfected with pGCSIL-Nogo-A-siRNA-eGFP or pGCSIL-scr-siRNA-eGFP, respectively, into 293T cells. The transfection ratio was estimated using fluorescence microscopy. Total proteins were extracted 48 h following transfection and the protein was quantified using the Coomassie brilliant blue assay. Subsequently, 20 &#x003BC;g protein was boiled in loading buffer, separated on 10&#x00025; SDS-polyacrylamide gels, electro-transferred to polyvinylidene fluoride (PVDF) membranes and probed with mouse anti-flag (Sigma Aldrich, St. Louis, MO, USA) and mouse anti-GAPDH (Santa Cruz Biotechnology, Inc., Santa Cruz, CA, USA) antibodies overnight at dilutions of 1:3,000 and 1:5,000 respectively. Membranes were then incubated with a goat anti-mouse immunoglobulin G (IgG) peroxidase-conjugated secondary antibody (Santa-Cruz Biotechnology, Inc., 1:5,000), prior to development using the Amersham enhanced chemiluminescence (ECL) plus western blotting detection system (Amersham Pharmacia Biotech, Piscataway, NJ, USA).</p></sec>
<sec>
<title>RNA isolation and quantitative polymerase chain reaction (qPCR) analysis</title>
<p>Total RNA was extracted using TRIzol<sup>&#x000AE;</sup> reagent (Invitrogen Life Technologies) in accordance with the manufacturer&#x02019;s instructions. A total of 2 &#x003BC;g RNA was subjected to reverse transcription. The PCR primer sequences were as follows: GAPDH, 5&#x02032;-TGACTTCAACAGCGACAC CCA-3&#x02032; (forward) and 5&#x02032;-CACCCTGTTGCTGTAGCCAAA-3&#x02032; (reverse); Nogo-A, 5&#x02032;-AGGAGCAGCCAGGTAACAC-3&#x02032; (forward) and 5&#x02032;-GAGACAGAGAAGGAAGAGAAGC-3&#x02032; (reverse), as described previously (<xref rid="b11-mmr-09-05-1743" ref-type="bibr">11</xref>). PCR products were separated on a 1&#x00025; agarose gel, and visualized and photographed under ultraviolet light for semi-quantitation.</p></sec>
<sec>
<title>Cell growth assay</title>
<p>The cell growth rate was determined using the Cellomics<sup>&#x000AE;</sup> ArrayScan<sup>&#x000AE;</sup> VTI machine (Thermo Fisher Scientific, San Jose, CA, USA). Cells were transduced with lentivirus vectors for 72 h, prior to being seeded into flat-bottom 96-well plates at 2,000 cells per well. Cells were observed at one, two, three, four and five days using the Cellomics ArrayScan VTI machine. In the Cellomics ArrayScan VTI system (Thermo Fisher Scientific), an automated inverted epifluorescence microscope was used to record images from multiple fields in each individual well. Fluorescence images were acquired using a high-resolution charge-coupled device (CCD) camera. Cells were identified based on the presence of valid nuclei and cell body measurements, determined by analyzing size, shape and eGFP fluorescence intensity. Images were then analyzed using the Cellomics software and cells were counted (<xref rid="b12-mmr-09-05-1743" ref-type="bibr">12</xref>). Cell growth curves were generated following three experimental repeats.</p></sec>
<sec>
<title>Colony formation assay</title>
<p>The Cellomics ArrayScan VTI system was used to perform colony formation assays to assess the anchorage-independent growth ability of cells as a characteristic of <italic>in vitro</italic> tumorigenicity. SMMC-7721 cells were infected with the virus for 24 h, then detached using Trypsin (Chemreagent, Shanghai, China) and plated in 96-well plates at 500 cells/well. The number of foci (&gt;100 &#x003BC;m) was counted after 14 days. Each experiment was performed in triplicate.</p></sec>
<sec>
<title>Flow cytometric analysis</title>
<p>Flow cytometric analysis was performed to determine the distribution of cells throughout the cell cycle and those undergoing apoptosis, and was performed as described previously (<xref rid="b13-mmr-09-05-1743" ref-type="bibr">13</xref>). SMMC-7721 cells were seeded and transduced with lentivirus vectors and then cultured for 96 h in complete medium. Following one wash with Hanks&#x02019; balanced salt solution (Sigma Aldrich) adherent cells were detached using trypsin, and cells were washed once with ice cooled phosphate-buffered saline (PBS). Prior to analysis, the transduction efficiency and cell death rate were estimated using a fluorescence microscope. Cells with &gt;90&#x00025; transduction efficiency and &lt;1&#x00025; death rate were used for the subsequent fluorescence-activated cell sorting (FACS) analysis.</p>
<p>For analysis of apoptosis, cells were washed with 1X binding buffer before 1&#x000D7;10<sup>6</sup>&#x02013;1&#x000D7;10<sup>7</sup> cells were pelleted and resuspended in 1 ml 1X staining buffer. A total of 100 &#x003BC;l of the cell suspension was added to 5 &#x003BC;l Annexin V-allophycocyanin (APC) and incubated in the dark at room temperature for 10&#x02013;15 min. Data from &#x02265;10,000 cells were collected and analyzed using CellQuest software (Becton Dickinson, San Diego, CA, USA). The apoptosis ratio was calculated as the number of apoptotic cells/total number of cells.</p>
<p>For cell cycle analysis, cells were fixed using 0.5 ml 70&#x00025; iced alcohol and incubated at 4&#x000B0;C for 1 h, prior to being washed once with ice cooled PBS. The cell pellet was resuspended with staining buffer at 4&#x000B0;C for 30 min &#x0005B;40&#x000D7; 2 mg/ml propidium iodide (PI): 100&#x000D7; 10 mg/ml RNase: 1X PBS&#x0003D;25:10:1,000&#x0005D;. The suspension was filtered through a 50-&#x003BC;m nylon mesh, and flow cytometry was used to analyze the DNA content of the stained nuclei with a BD FACSCalibur machine (Becton Dickinson). Cell cycle distribution was assessed using Multicycle cell cycle analysis software (Phoenix Flow Systems, San Diego, CA, USA).</p></sec>
<sec>
<title>Statistical analysis</title>
<p>Each experiment was repeated at least three times. Bands from western blot analysis or qPCR were quantified using Quantity One<sup>&#x000AE;</sup> software (Bio-Rad Laboratories Inc., Berkley, CA, USA). Relative protein or mRNA levels were calculated using GAPDH as a normalization control. T-test analysis was performed to determine the significance of the differences between means. All statistical analyses were performed using Excel 2003 software (Microsoft, Redmond, WA, USA). A value of P&lt;0.05 was considered to indicate a statistically significant difference.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Expression of Nogo-A in liver cancer cell lines</title>
<p>To determine the expression of Nogo-A in different liver cancer cell lines, qPCR analysis was performed. As shown in <xref rid="f2-mmr-09-05-1743" ref-type="fig">Fig. 2</xref>, Nogo-A expression was observed in four different liver cancer cell lines.</p></sec>
<sec>
<title>Effect of RNAi targeting Nogo-A on Nogo-A expression using the LV-Nogo-A-siRNA lentivirus vector</title>
<p>To examine the interrelation between Nogo-A and liver cancer cells, a lentivirus-delivered Nogo-A-specific siRNA vector (LV-Nogo-A-siRNA) and a negative control scramble-siRNA vector (LV-scr-siRNA) were constructed. The two vectors were then respectively transduced into SMMC-7721 cells for three days. qPCR and western blot analyses demonstrated that the level of Nogo-A expression was lower in SMMC-7721/Nogo-A-siRNA cells than in SMMC-7721/scr-siRNA cells (P&lt;0.001). Furthermore, Nogo-A-siRNA was also observed to knockdown expression of exogenous 3flag-Nogo-A (<xref rid="f3-mmr-09-05-1743" ref-type="fig">Fig. 3</xref>). These data show that the constructed recombinant lentiviral vector of Nogo-A-siRNA is capable of efficiently downregulating endogenous and exogenous Nogo-A expression in SMMC-7721 cells.</p></sec>
<sec>
<title>Depletion of Nogo-A inhibits cell growth</title>
<p>The present study further investigated the effect of Nogo-A siRNA treatment on SMMC-7721 cell viability. As shown in <xref rid="f4-mmr-09-05-1743" ref-type="fig">Fig. 4</xref>, the growth of SMMC-7721 cells treated with Nogo-A siRNA was significantly inhibited compared with those treated with scr-siRNA (<xref rid="f4-mmr-09-05-1743" ref-type="fig">Fig. 4A and B</xref>). This growth inhibitory effect was also confirmed by colony formation assay, which demonstrated that LV-Nogo-A-siRNA transfection significantly decreased the number and size of SMMC-7721 cell colonies (<xref rid="f4-mmr-09-05-1743" ref-type="fig">Fig. 4C and D</xref>). These data indicate that knockdown of Nogo-A is capable of inhibiting proliferation in the HCC SMMC-7721 cell line. Furthermore, the effect of Nogo-A depletion was assessed in three other cancer cell lines: H1299, RKO and SKOV3. Compared with the scr-siRNA, Nogo-A siRNA was not observed to significantly inhibit growth in these cancer cell lines (data not shown). These results suggested that the growth inhibitory effect of Nogo-A siRNA may be liver cancer-specific.</p></sec>
<sec>
<title>Cell cycle arrest in G2/M phase by LV-Nogo-A siRNA in SMMC-7721 cells</title>
<p>Experiments were also performed to assess the role of the cell cycle in mediating the anti-proliferative effects of Nogo-A inhibition in SMMC-7721 cells. Cell cycle distribution was analyzed at 96 h following siRNA transduction, using flow cytometry. Cell cycle analysis revealed that inhibition of Nogo-A expression using siRNA caused a significant increase in the proportion of the cell population in G2/M phase compared with that of the control population transduced with scr-siRNA (<xref rid="f5-mmr-09-05-1743" ref-type="fig">Fig. 5A</xref>; P&#x0003D;0.0014). These data indicate that knockdown of Nogo-A expression is capable of inducing G2/M arrest in SMMC-7721 cells.</p></sec>
<sec>
<title>Induction of apoptosis by LV-Nogo-A siRNA in SMMC-7721 cells</title>
<p>To determine whether Nogo-A depletion is capable of inducing apoptosis in SMMC-7721 cells, flow cytometric analysis was performed 96 h following siRNA transduction (<xref rid="f5-mmr-09-05-1743" ref-type="fig">Fig. 5B</xref>). Apoptosis was observed in 24.7&#x00025; of the SMMC-7721 cells transduced with Nogo-A-siRNA compared with 7.6&#x00025; of the control cells transduced with scr-siRNA (P&#x0003D;0.004). Since the transduction efficiency was &gt;90&#x00025;, these data suggest that knockdown of Nogo-A expression promotes an increase in apoptosis in the HCC SMMC-7721 cell line.</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Liver cancer is associated with the highest mortality rate among all types of cancer. However, even when diagnosed early, few patients represent candidates for surgery, due the high likelihood of HCC cell relapse and metastasis following surgery. Therefore, the development of novel therapies for the treatment of liver cancer is of great importance. It has been previously reported that Nogo-A has a significant role in the development of myelin and other central nervous tissues (<xref rid="b4-mmr-09-05-1743" ref-type="bibr">4</xref>,<xref rid="b9-mmr-09-05-1743" ref-type="bibr">9</xref>). Numerous studies have suggested that the Nogo-A, Nogo-B and Nogo-C isoforms have a role in apoptosis, particularly in cancer cells (<xref rid="b14-mmr-09-05-1743" ref-type="bibr">14</xref>&#x02013;<xref rid="b16-mmr-09-05-1743" ref-type="bibr">16</xref>). This study has presented the Nogo-A expression profile in four liver cancer cell lines, and has investigated the inhibitory effect of endogenous Nogo-A on HCC SMMC-7721 cells using an improved lentivirus packaging system.</p>
<p>Lentivirus vectors, which integrate their complementary DNA (cDNA) into dividing and non-dividing cells, are capable of permanently integrating into their target cells (<xref rid="b17-mmr-09-05-1743" ref-type="bibr">17</xref>). In comparison with the small hairpin RNA (shRNA) expression vector systems, whose transduction efficiency and transient shRNA expression are low (<xref rid="b18-mmr-09-05-1743" ref-type="bibr">18</xref>), lentivirus-delivered siRNAs are capable of specific, highly stable and functional silencing of gene expression in a variety of human cells (<xref rid="b19-mmr-09-05-1743" ref-type="bibr">19</xref>). This study employed an improved lentivirus vector with a deletion of the U3 region, including the TATA box, of the 3&#x02032; long terminal repeat (LTR), which deactivated the LTR promoter and significantly enhanced the safety level of transgene expression. Using this lentivirus system, a lentivirus vector that mediated RNAi targeting of Nogo-A (LV-Nogo-A-siRNA) was constructed, and was observed to effectively and specifically downregulate Nogo-A expression in SMMC-7721 cells by &#x02264;90&#x00025;.</p>
<p>The proliferation of SMMC-7721 cells was observed to be markedly reduced following infection with LV-Nogo-A-siRNA for 72 h. Furthermore, the growth inhibitory effect associated with LV-Nogo-A-siRNA infection was identified as being SMMC-7721 cell-specific. Moreover, the present study revealed that Nogo-A depletion may achieve such growth inhibition by arresting the SMMC-7721 cells in the G2/M phase of the cell cycle and consequently promoting apoptosis. These results are in accordance with the findings of Sutendra <italic>et al</italic> (<xref rid="b20-mmr-09-05-1743" ref-type="bibr">20</xref>), who suggested that the absence of Nogo-B may increase the susceptibility of pulmonary arterial smooth muscle cells to apoptosis.</p>
<p>Contrary to the findings of the present study, Chen <italic>et al</italic> (<xref rid="b14-mmr-09-05-1743" ref-type="bibr">14</xref>) observed that the overexpression of mutant Nogo-C was capable of inducing apoptosis in HCC SMMC-7721 cells. Among the three Nogo isoforms, Nogo-C is the shortest, while Nogo-A is the longest. These conflicting findings suggest that the exogenous mutant Nogo-C may be capable of antagonizing endogenous Nogo-A, thereby reducing the activity of Nogo-A and increasing apoptosis. Further evidence is required to verify this hypothesis.</p>
<p>In conclusion, the present study found that Nogo-A depletion was capable of inhibiting HCC SMMC-7721 cell proliferation by promoting G2/M cell cycle arrest and apoptosis. To the best of our knowledge, this is the first investigation into the effect of endogenous Nogo-A in a liver cancer cell line. The present findings suggest that Nogo-A may represent an effective molecular target for the therapeutic treatment of liver cancer, in addition to its significant roles in neural systems.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>The authors would like to thank Professor Krzysztof Trzci&#x00144;ski and Dr. Bing-Jun Qian for their generous assistance and editing skills. This study was supported by the 973 Program (no. 2012CB910100) to CLW, the National Nature Science Foundation of China (no. 31101015) and the Scientific Research Foundation for the Returned Overseas Chinese Scholars to LC, State Education Ministry (no. 12Z102050009).</p></ack>
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<floats-group>
<fig id="f1-mmr-09-05-1743" position="float">
<label>Figure 1</label>
<caption>
<p>Packaging system of pGC-LV and identification of pGCSIL-eGFP using PCR. (A) Recombinant self-inactivating lentivirus vectors were produced by co-transfection of the envelope plasmid pHELPER2.0, packaging plasmid pHELPER1.0 and transfer vector plasmid. (B) Detection of the positive clone-containing pGCSIL-eGFP using PCR. Lane 1, negative control with H<sub>2</sub>O (NC1); lane 2, empty vector of 306 bp (NC2); lane 3, DNA ladder (M) from top to bottom, 5 kb, 3 kb, 2 kb, 1.5 kb, 1 kb, 750 bp, 500 bp, 250 bp and 100 bp; lanes 4&#x02013;7, recombinant vector of 343 bp (V1&#x02013;V4). LTR, long terminal repeat; RRE, Rev response element; hU6, human U6 promoter; MCS, multiple cloning sites; CMV, cytomegalovirus promoter; eGFP, enhanced green fluorescent protein marker gene; WPRE, woodchuck post-transcriptional regulatory element; cPPT, central polypurine tract; Env, envelope protein; VSV-G, vesicular stomatitis virus G protein envelope; GAG, group-specific antigen; POL, reverse transcriptase; PRO, protease; PCR, polymerase chain reaction.</p></caption>
<graphic xlink:href="MMR-09-05-1743-g00.gif"/></fig>
<fig id="f2-mmr-09-05-1743" position="float">
<label>Figure 2</label>
<caption>
<p>Detection of Nogo-A mRNA levels in four liver cancer cell lines using quantitative polymerase chain reaction.</p></caption>
<graphic xlink:href="MMR-09-05-1743-g01.gif"/></fig>
<fig id="f3-mmr-09-05-1743" position="float">
<label>Figure 3</label>
<caption>
<p>Constructed lentivirus vector of Nogo-A-siRNA and its efficiency in silencing Nogo-A expression in SMMC-7721 cells. (A) Western blot analysis of exogenous flag-Nogo-A protein expression in transduced 293 T cells containing Nogo-A-siRNA or scr-siRNA; (B) quantitative polymerase chain reaction of endogenous Nogo-A mRNA levels in SMMC-7721 cells transduced with LV-Nogo-A-siRNA or LV-scr-siRNA (control); <sup>&#x0002A;&#x0002A;</sup>P&#x0003D;9.03&#x000D7;10<sup>&#x02212;7</sup>. siRNA, short interfering RNA; scr, scramble.</p></caption>
<graphic xlink:href="MMR-09-05-1743-g02.gif"/></fig>
<fig id="f4-mmr-09-05-1743" position="float">
<label>Figure 4</label>
<caption>
<p>(A) Nogo-A depletion decreases SMMC-7721 cell proliferation and colony formation as determined using Cellomics ArrayScan (Thermo Fisher Scientific, San Jose, CA, USA). (B) LV-Nogo-A-siRNA depresses the SMMC-7721 cell growth curve compared with LV-scr-siRNA, in a time-dependent manner. As shown using a colony formation assay, LV-Nogo-A-siRNA decreases the (C) size and (D) number of SMMC-7721 cell colonies compared with LV-scr-siRNA; <sup>&#x0002A;&#x0002A;</sup>P&#x0003D;1.05&#x000D7;10<sup>&#x02212;6</sup>. siRNA, short interfering RNA.</p></caption>
<graphic xlink:href="MMR-09-05-1743-g03.gif"/></fig>
<fig id="f5-mmr-09-05-1743" position="float">
<label>Figure 5</label>
<caption>
<p>Effect of LV-Nogo-A-siRNA on cell cycle and apoptosis determined by flow cytometric analysis. (A) Knockdown of Nogo-A expression using LV-Nogo-A-siRNA induced G2/M phase arrest which disrupted cell cycle progression, compared with LV-scr-siRNA; P&#x0003D;0.0014. (B) Knockdown of Nogo-A expression using LV-Nogo-A-siRNA increased cell apoptosis, compared with LV-scr-siRNA; P&#x0003D;0.004. siRNA, short interfering RNA; scr, scamble.</p></caption>
<graphic xlink:href="MMR-09-05-1743-g04.gif"/></fig></floats-group></article>
