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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">OL</journal-id>
<journal-title-group>
<journal-title>Oncology Letters</journal-title></journal-title-group>
<issn pub-type="ppub">1792-1074</issn>
<issn pub-type="epub">1792-1082</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ol.2011.285</article-id>
<article-id pub-id-type="publisher-id">ol-02-03-0419</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Silencing of anti-apoptotic transmembrane protein lifeguard sensitizes solid tumor cell lines MCF-7 and SW872 to perifosine-induced cell death activation</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>BUCAN</surname><given-names>VESNA</given-names></name><xref ref-type="corresp" rid="c1-ol-02-03-0419"/></contrib>
<contrib contrib-type="author">
<name><surname>CHOI</surname><given-names>CLAUDIA Y.U.</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>LAZARIDIS</surname><given-names>ANDREA</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>VOGT</surname><given-names>PETER M.</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>REIMERS</surname><given-names>KERSTIN</given-names></name></contrib>
<aff id="af1-ol-02-03-0419">Department of Plastic, Hand and Reconstructive Surgery, Medical School Hanover, D-30659 Hanover, Germany</aff></contrib-group>
<author-notes>
<corresp id="c1-ol-02-03-0419"><italic>Correspondence to:</italic> Dr Vesna Bucan, Klinik f&#x000FC;r Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule, Carl-Neubergstr. 1, 30625 Hanover, Germany, E-mail: <email>bucan.vesna@mh-hannover.de</email></corresp></author-notes>
<pub-date pub-type="ppub">
<month>5</month>
<year>2011</year></pub-date>
<pub-date pub-type="epub">
<day>21</day>
<month>3</month>
<year>2011</year></pub-date>
<volume>2</volume>
<issue>3</issue>
<fpage>419</fpage>
<lpage>422</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>10</month>
<year>2010</year></date>
<date date-type="accepted">
<day>14</day>
<month>1</month>
<year>2011</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2011, Spandidos Publications</copyright-statement>
<copyright-year>2011</copyright-year></permissions>
<abstract>
<p>Lifeguard (LFG), an anti-apoptotic protein with high expression rates in breast cancer cells, has been identified as a molecule that inhibits death mediated by Fas. The molecular function of LFG and its regulation in the carcinogenesis of human breast and sarcoma cells, however, remains to be elucidated. In the present study, we investigated the ability of LFG expression to inhibit apoptosis induced by the alkyl-phospholipid perifosine. Results showed that LFG was able to be downregulated in selected sarcoma and breast cancer cell lines characterized by high endogenous LFG expression. A decreased LFG expression led to enhanced sensitivity to treatment with an agonistic Fas antibody or treatment with perifosine. Taken together, our findings indicate the role of LFG as an anti-apoptotic protein and provide further evidence of the potential of LFG as a target for the development of novel therapeutic strategies.</p></abstract>
<kwd-group>
<kwd>apoptosis</kwd>
<kwd>lifeguard</kwd>
<kwd>Fas</kwd>
<kwd>perifosine</kwd>
<kwd>cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Lifeguard (LFG), a member of a unique gene family with high structural similarity (<xref rid="b1-ol-02-03-0419" ref-type="bibr">1</xref>), was isolated and identified as a molecule that inhibits death mediated by Fas in tumor cells (<xref rid="b2-ol-02-03-0419" ref-type="bibr">2</xref>). The anti-apoptotic role of LFG was confirmed in LN-18 astrocytoma, and cervical carcinoma HeLa and Jurkat T cell lines (<xref rid="b3-ol-02-03-0419" ref-type="bibr">3</xref>). However, the exact role of LFG in apoptosis remains to be determined. While it has been shown that LFG interacts with Bax and localizes in cellular membranes, including the endoplasmic reticulum and plasma membrane (<xref rid="b4-ol-02-03-0419" ref-type="bibr">4</xref>), it is well documented that endogenous LFG localizes to lipid rafts (<xref rid="b3-ol-02-03-0419" ref-type="bibr">3</xref>). Its mode of action depends on Akt/protein kinase B (PKB) signaling as dominant negative Akt/PKB inhibits LFG activity, whereas the overexpression of constitutively active Act/PKB leads to an increase in LFG activity (<xref rid="b3-ol-02-03-0419" ref-type="bibr">3</xref>). Previously, it was found that LFG expression correlates with high tumor grades in primary breast tumors and that the expression of LFG mRNA in breast cancer depends on the activity of Akt/LEF-1 signaling (<xref rid="b5-ol-02-03-0419" ref-type="bibr">5</xref>,<xref rid="b6-ol-02-03-0419" ref-type="bibr">6</xref>).</p>
<p>Perifosine is an alkylphospholipid (APL), a novel class of antitumor agents, structurally related to ether lipids that interact with the cell membrane, thereby modulating intracellular growth signal transduction pathways. Notably, perifosine inhibits Akt/PKB activity, which is associated with activation of the stress-activated protein kinase (SAPK)/JNK pathway, without affecting PI3-K or PDK-1 activity (<xref rid="b7-ol-02-03-0419" ref-type="bibr">7</xref>). Perifosine was found to induce apoptotic cell death in a variety of tumor cell lines and cause inhibition of PC-3 prostate carcinoma cell growth. Perifosine induces p21WAF1 expression in squamous carcinoma cells through a p53-independent pathway, leading to the loss of cyclin-dependent kinase activity and cell cycle arrest (<xref rid="b7-ol-02-03-0419" ref-type="bibr">7</xref>,<xref rid="b8-ol-02-03-0419" ref-type="bibr">8</xref>).</p>
<p>While it has been shown that the cellular uptake of perifosine is required in its role as an anticancer drug, the significance of lipid raft-mediated endocytosis has yet to be determined. Various studies have shown that perifosine accumulates in lipid rafts in a manner sensitive to raft disruption by cholesterol depletion (<xref rid="b9-ol-02-03-0419" ref-type="bibr">9</xref>&#x02013;<xref rid="b11-ol-02-03-0419" ref-type="bibr">11</xref>). Subsequently, it was suggested that LFG, an anti-apoptotic protein with subcellular localization in lipid rafts, may interfere with perifosine-induced apoptosis. Thus, it was postulated that high expression rates of LFG confer resistance to perifosine-induced apoptosis and that downregulation of LFG expression sensitizes cell lines to this drug. Consequently, LFG expression was reduced in selected cellular models by small interfering (si)RNA transfection and the impact on perifosine-induced apoptosis was measured.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell lines and culture condition</title>
<p>Human breast carcinoma MCF7 and liposarcoma carcinoma SW872 cell lines were obtained from the American Type Culture Collection (Rockville, MD, USA) and grown in Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) (PAA, C&#x000F6;lbe, Germany) supplemented with 10&#x00025; fetal calf serum (Biochrom, Berlin, Germany) and 50 mg/ml penicillin-streptomycin. Cultures were maintained at 37&#x000B0;C in a humidified atmosphere with 5&#x00025; CO<sub>2</sub>.</p></sec>
<sec>
<title>Caspase assay</title>
<p>Activation of caspase-3/7 was determined using the Apo-One Homogeneous Caspase-3/7 assay (Promega, Madison, WI, USA) according to the manufacturer&#x02019;s instructions. Briefly, MCF-7 breast cancer and SW872 sarcoma cancer cells were seeded (1&#x000D7;10<sup>4</sup>/well) in a 96-well plate and infected with siRNA LFG and control siRNA &#x0005B;10<sup>7</sup> VP (viral particles)/ml&#x0005D; for 48 h. After 48 h, the cells were incubated with either 25&#x02013;50 ng/ml of agonistic anti-Fas (clone CH11) or 2.5&#x02013;5 &#x003BC;M of perifosine (soluble in water at 10 mg/ml) for 4 h. Following treatment, the cells were mixed with the same volume of Apo-One Homogeneous Caspase-3/7 reagent and incubated at room temperature for 2 h. Caspase-3/7 activation was estimated from sample fluorescence at the excitation wavelength of 492 nm and the emission wavelength of 521 nm using the fluorescence plate reader Tecan GENios (Tecan Schweiz AB, Zurich, Switzerland).</p></sec>
<sec>
<title>Small interfering RNA</title>
<p>MCF-7 and SW873 cells were transfected with siRNA LFG-780 5&#x02032;-gagcgggtgtatttacattg-3&#x02032; and siRNA LFG-650 5&#x02032;-cctcctacccttccaatatgt-3 (designed by Sirion, Munich, Germany) and the appropriate control vector. The algorithm used by Sirion for the siRNA design was optimized for maximum gene specificity and KD efficiency. Subsequent virus rescue and production were carried out in HEK 293 cells. Virus purification was performed using the ViraBind&#x02122; Adenovirus Miniprep kit (Cell Biolabs, Inc., USA). The cells were seeded at 2&#x000D7;10<sup>4</sup> cells/cm<sup>2</sup> and incubated at 37&#x000B0;C in a humidified atmosphere with 5&#x00025; CO<sub>2</sub> for 48 h before being analyzed.</p></sec>
<sec>
<title>Real-time polymerase chain reaction (RT-PCR) analysis</title>
<p>Total RNA was extracted using the NucleoSpin RNAII kit (MN Macherey-Nagel, Duren, Germany). RNA (1 &#x003BC;g) was then reverse transcribed into cDNA and amplified using the iScript&#x02122; cDNA kit (Bio-Rad Laboratories, Hercules, CA, USA). The reverse (R) and forward (F) primers used were: LFG-F 5&#x02032;-gactcatcctggccatcctcctac-3&#x02032; and LFG-R 5&#x02032;-ggcgtcggtt acccatcagc-3&#x02032;; and 18S-F 5&#x02032;-gagcggtcggcgtcccccaacttc-3&#x02032; and 18S-R 5&#x02032;-gcgcgtgcagccccggacatctaa-3&#x02032;. PCR was carried out in 20-&#x003BC;l samples with 5 ng cDNA and 10 pM of each forward and reverse primer and the 2X SYBR-Green SensiMix DNA kit (Quantace, London, UK). Relative gene expression was determined by normalization of the fluorescence intensity to the expression of the 18S gene. Amplification cycles were: 40 cycles at 94&#x000B0;C for 30 sec, 65&#x000B0;C for 30 sec and 72&#x000B0;C for 1 min.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<p>To investigate the ability of LFG expression to suppress APL-induced apoptosis, two human solid tumor-derived cell lines with high endogenous LFG expression were selected: breast carcinoma MCF7 and liposarcoma SW872. Two siRNAs (650 and 780) were designed and tested for their silencing activity in MCF-7 and SW872 cells. Ad-sh-LFG-650 significantly decreased LFG mRNA as shown by semi-quantitative RT-PCR at 48 h following transfection (<xref rid="f1-ol-02-03-0419" ref-type="fig">Fig. 1A</xref>).</p>
<p>We subsequently investigated whether downregulation of LFG expression leads to increased rates of apoptosis in the selected cell lines. The cells did not exhibit a significant increase in cellular apoptosis over a 48-h period; the level of apoptosis remained at an almost constant level comparable to the control (<xref rid="f1-ol-02-03-0419" ref-type="fig">Fig. 1B</xref>).</p>
<p>Since the LFG-mediated inhibition of Fas-induced cell death is well documented in the literature, we assessed the efficiency of LFG suppression on Fas-mediated apoptosis. MCF-7 and SW872 cancer cells were infected with Ad-sh-LFG-650 and the control siRNA (10<sup>7</sup> VP/ml) vector for 48 h followed by incubation with 25&#x02013;50 ng/ml of agonistic anti-Fas (clone CH11) for an additional 4 h. While a dose-dependent increase in apoptosis in the control cells indicated a general sensitivity of MCF-7 and SW872 cells to treatment with agonistic anti-Fas, we found that the cells with a downregulated expression of LFG exhhibited significantly increased rates of apoptosis (SW872: P&#x0003D;4.94581E-07, P&#x0003D;1.7476E-07; MCF7: P&#x0003D;2.9744E-05, P&#x0003D;0.00282759) indicating an increase in sensitivity to the treatment (<xref rid="f2-ol-02-03-0419" ref-type="fig">Fig. 2A and B</xref>).</p>
<p>Involvement of LFG in resistance against perifosine-mediated apoptosis was assessed to test the effect of LFG downregulation in the cellular models. We transfected MCF-7 and SW872 cells with the Ad-sh-LFG-650 vector 48 h prior to perifosine treatment. Treatment of the transfected MCF-7 and SW872 cells with 2.5&#x02013;5 &#x003BC;M perifosine for 4 h resulted in a significant increase in cell death compared to the control cells (SW872: P&#x0003D;0.00029973, P&#x0003D;0.00027001; MCF-7: P&#x0003D;0.04668954, P&#x0003D;0.00152829) (<xref rid="f2-ol-02-03-0419" ref-type="fig">Fig. 2C and D</xref>).</p>
<p>To test for specificity of the observed effect, we performed rescue experiments by first transfecting SW872 cells with the Ad-sh-LFG-650 vector (downregulation) for 48 h followed by an LFG-encoding expression vector for an additional 24 h. Following the given time, cells were incubated with 50 ng/ml of agonistic anti-Fas (clone CH11) and 5 &#x003BC;M of perifosine. Four hours after treatment, apoptosis rates were found to be significantly decreased in the LFG-transfected cells (<xref rid="f3-ol-02-03-0419" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we demonstrated that silencing of LFG expression increased apoptosis in Fas- and perifosine-treated MCF7 and SW872 cancer cells (<xref rid="f2-ol-02-03-0419" ref-type="fig">Fig. 2</xref>). This is a significant finding as clinical phase II studies on perifosine for treatment of inoperable soft tissue sarcomas (<xref rid="b12-ol-02-03-0419" ref-type="bibr">12</xref>,<xref rid="b13-ol-02-03-0419" ref-type="bibr">13</xref>) and metastatic breast cancer patients (<xref rid="b14-ol-02-03-0419" ref-type="bibr">14</xref>) are underway for the purpose of identifying sensitive tumor populations.</p>
<p>Although our data clearly revealed that LFG was able to reduce perifosine activity in the cell models, a number of issues require elucidation. Investigation of the cellular uptake of APL under given experimental conditions is warranted as uptake has been shown to be crucial to its antitumoral activity (<xref rid="b10-ol-02-03-0419" ref-type="bibr">10</xref>). Although different types of alkylphospholipids depend on the same modes of cellular uptake, it appears that observed differences in kinetics and efficiencies may depend on variations in the importance of singular pathways, e.g., raft-mediated endocytosis via ATP-dependent translocase activity (<xref rid="b15-ol-02-03-0419" ref-type="bibr">15</xref>,<xref rid="b16-ol-02-03-0419" ref-type="bibr">16</xref>). This may explain differences in the biological activity of modified alkylphospholipids as found in the study by Mravljak <italic>et al</italic> (<xref rid="b17-ol-02-03-0419" ref-type="bibr">17</xref>) which confirms our results of reduced sensitivity of MCF-7 cells to treatment with perifosine.</p>
<p>It is crucial to determine whether prolonged treatment with perifosine induces any changes in the LFG expression since perofisone is a known regulator of survival and proliferation pathways, such as PI3K/Akt and ERK 1/2 (<xref rid="b7-ol-02-03-0419" ref-type="bibr">7</xref>,<xref rid="b18-ol-02-03-0419" ref-type="bibr">18</xref>,<xref rid="b19-ol-02-03-0419" ref-type="bibr">19</xref>). Previously, we demonstrated that LFG is a new target gene of the Akt/LEF-1 pathway (<xref rid="b6-ol-02-03-0419" ref-type="bibr">6</xref>) and consequently a potential target of perifosine activity as well.</p>
<p>A number of studies aimed to sensitize cells to undergo apoptosis by reducing the levels of anti-apoptotic proteins, such as Bcl-2 and Bax-XL. In a large number of cell culture studies, antisense oligonucleotides have been used to block the expression of anti-apoptotic proteins, thereby sensitizing cells to chemotherapy (<xref rid="b20-ol-02-03-0419" ref-type="bibr">20</xref>&#x02013;<xref rid="b24-ol-02-03-0419" ref-type="bibr">24</xref>). The results of these studies showed that altering the homeostasis of pro- and anti-apoptotic proteins can facilitate cell death, suggesting a potential therapeutic application of antisense oligonucleotides in the treatment of cancer. This is the first study to report an enhanced sensitivity to perifosine-mediated apoptosis following LFG downregulation in carcinoma cells. Collectively, these data show that LFG may serve as a target gene for developing new therapeutic strategies against certain types of cancer.</p></sec></body>
<back>
<ack>
<title>Acknowledgements</title>
<p>This study was funded by the Claudia-von-Schilling Breast Cancer Foundation and Nieders&#x000E4;chsische Krebsgesellschaft. We are most grateful to AEterna Zentaris Inc. for providing perifosine. We also thank Dr Christine Radtke for the helpful discussion and critical reading of the manuscript and Nikolas Bautsch for the excellent technical assistance.</p></ack>
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<floats-group>
<fig id="f1-ol-02-03-0419" position="float">
<label>Figure 1</label>
<caption>
<p>(A) Reduction in LFG mRNA 48 h after transfection with adenoviral vector as compared to the control cells. Semi-quantitative RT-PCR was carried out in 20-&#x003BC;l samples with 5 ng cDNA and 10 pmol of each forward and reverse primer using the 2X SYBR-Green Sensi-Mix DNA kit. The relative gene expression was determined from the fluorescence intensity ratio of the target gene to 18S. (B) The human breast carcinoma MCF-7 and liposarcoma SW872 cell lines were transfected with Ad-sh-LFG-650 and Ad-sh-LFG-780 vectors for 48 h and analyzed for activated levels of caspase 3 using the Apo-One assay. The data are the means &#x000B1; SD for triplicate determinations which were repeated in three separate experiments.</p></caption>
<graphic xlink:href="OL-02-03-0419-g00.gif"/></fig>
<fig id="f2-ol-02-03-0419" position="float">
<label>Figure 2</label>
<caption>
<p>MCF-7 and SW872 cells were transfected with LFG-specific siRNA (Ad-sh-LFG-650) for 48 h. Non-transfected and Ad-sh-control vector-transfected cells were used as negative controls. Following transfection, the cells were treated with agonistic anti-Fas (clone CH11; 25&#x02013;50 ng/ml) and perifosine (2.5&#x02013;5 &#x003BC;M). Apoptosis was quantified by measuring the levels of active caspase 3 using the Apo-One assay. (A) SW872 and (B) MCF-7 cells with downregulated LFG expression showed a statistically significant increase in apoptosis compared to the control when treated with Fas (P&#x0003D;4.94581E-07, P&#x0003D;1.7476E-07 and P&#x0003D;2.9744E-05, P&#x0003D;0.00282759, respectively). Transfected (C) SW872 and (D) MCF-7 cells showed a statistically significant increase in apoptosis compared to the control when treated with perifosine (P) (P&#x0003D;0.00029973, P&#x0003D;0.00027001 and P&#x0003D;0.04668954, P&#x0003D;0.00152829, respectively). Data are the means &#x000B1; SD of triplicate determinations which were repeated in three separate experiments. <sup>&#x0002A;</sup>p&lt;0.05, <sup>&#x0002A;&#x0002A;</sup>p&lt;0.01, <sup>&#x0002A;&#x0002A;&#x0002A;</sup>p&lt;0.001 vs. the control. Checkered bar, control; white bar, Ad-sh-conrol; vertical-striated bar, LFG vector; black bar, Ad-sh-LFG-650; horizontal-striated bar, untreated control.</p></caption>
<graphic xlink:href="OL-02-03-0419-g01.gif"/></fig>
<fig id="f3-ol-02-03-0419" position="float">
<label>Figure 3</label>
<caption>
<p>SW872 cells were transfected with the Ad-sh-LFG-650 vector for 48 h (downregulation). Cells were then transfected with the cDNA-LFG vector for the next 24 h (upexpression). Apoptosis was quantified by measuring the levels of active caspase 3 using the Apo-One assay. Data represent the means &#x000B1; SD for triplicate determinations which were repeated in three separate experiments. <sup>&#x0002A;</sup>p&lt;0.05 vs. the control. Black bar, Ad-sh-LFG-650; dotted bar, Ad-sh-LFG-650&#x0002B;LFG vector; white bar, Ad-sh-Ctrl.; checkered bar, control.</p></caption>
<graphic xlink:href="OL-02-03-0419-g02.gif"/></fig></floats-group></article>
