FIGURE SUMMARY
Title

5-Azacytidine Downregulates the Proliferation and Migration of Hepatocellular Carcinoma Cells In Vitro and In Vivo by Targeting miR-139-5p/ROCK2 Pathway

Authors
Tonon, F., Cemazar, M., Kamensek, U., Zennaro, C., Pozzato, G., Caserta, S., Ascione, F., Grassi, M., Guido, S., Ferrari, C., Cansolino, L., Trotta, F., Kuzmanov, B.G., Forte, G., Martino, F., Perrone, F., Bomben, R., Gattei, V., Elvassore, N., Murano, E., Truong, N.H., Olson, M., Farra, R., Grassi, G., Dapas, B.
Source
Full text @ Cancers

Figure 1. Effects of 5-Aza on cell growth and migration. (ac) Cell cycle phase distribution. Data, expressed as mean ± SEM, are reported as percentage. JHH-6 NTC G0/G1 vs. JHH-6 0.8/6 μM 5-Aza G0/G1, * p < 0.021; JHH-6 NTC S vs. JHH-6 0.8/6 μM S, § p < 0.0087; JHH-6 NTC G2/M vs. JHH-6 0.8/6 μM G2/M, # p < 0.011, n = 5. HuH-7 NTC G0/G1 vs. HuH-7 0.8/6/30 5-Aza μM G0/G1, * p < 0.022; HuH-7 NTC S vs. HuH-7 0.8/6/30 5-Aza μM S, § p < 0.024; HuH-7 NTC G2/M vs. HuH-7 0.8/6/30 μM G2/M, # p < 0.045, n = 3. IHH NTC S vs. IHH 6 μM 5-Aza S, § p < 0.0003; IHH NTC G2/M vs. IHH 6 μM 5-Aza G2/M, # p = 0.0012, n = 3. (d,e) Cell migration, evaluated by scratch assay. Data, expressed as percentage, are presented as median with interquartile range; JHH-6/NTC vs. JHH-6 0.8/6 5-Aza μM, * p = 0.0012, n = 6; HuH-7/NTC vs. HuH-7 0.8/6/30 5-Aza μM, # p = 0.0002, n = 8. (f) Wound healing experiments were analyzed by measuring the reduction in the area of the cell-free region over time (A), normalized with respect to its initial value (A0); the slope of the linear range of the A/A0 vs. t curve can be considered a measure of the wound closure velocity α (h−1); JHH-6/NTC/mitomycin vs. JHH-6/6 μM 5-Aza/mitomycin, # p = 0.012, n = 5. (g,h) Effects on cell migration, evaluated by FATIMA assay. Data, expressed as mean ± SEM, are reported as percentage. JHH-6/NTC vs. JHH-6 0.8/6 5-Aza μM, * p < 0.046, n = 5; HuH-7/NTC vs. HuH-7 6/30 5-Aza μM, # p < 0.014, n = 4; BSA: bovine serum albumin (control-treated cells).

Figure 2. Effects of 5-Aza on cell cytoskeleton. (a,b) Immunostaining of β-actin and β-tubulin in JHH-6 and HuH-7 cells, respectively. Images were acquired with a Leica DM 2000 microscope. Red = β-actin; green = β-tubulin; blue = DAPI. Magnification 40X (bar = 100 μm). (c) Ratio of polymerized/cytosolic α-tubulin in 5-Aza-treated vs. non-treated cells (NTC); data are expressed as mean ± SEM; JHH-6 NTC vs. JHH-6/5-Aza, § p= 0.04; HuH-7 NTC vs. HuH-7/5-Aza, $ p= 0.045, n = 3. (d,e) Quantification of the number of altered nuclei shape in 5-Aza-treated vs. non-treated cells. Data, expressed as mean ± SEM, are reported as percentage normalized to the average of non-treated cells (NTC). Abnormal nuclei in JHH6/NTC vs. JHH6/0,8-6 μM, * p < 0.0001 n = 60; HuH7/NTC vs. HuH7/6-30 μM, # p < 0.001 n = 60.

Figure 3. Effects of 5-Aza on miR expression and effects of miR-139-5p on cell viability and migration. (a) Differentially expressed miRs following 6 μM 5-Aza treatments in JHH-6 evaluated by microarray analysis. (b) Viability of JHH-6 treated with both antagomiR-139-5p (100 nM) and 5-Aza. Data, normalized to the average of JHH-6 scr + 5-Aza, are represented as mean ± SEM, n = 3; JHH-6 antagomiR-139-5p vs. JHH-6 scr, # p = 0.0123; JHH-6 antagomiR-139-5p + 5-Aza vs. JHH-6 scr + 5-Aza, * p = 0.0001. (c) Viability of HuH-7 treated by both antagomiR-139-5p and 5-Aza. Data, normalized to the average of HuH-7 scr + 5-Aza, are represented as mean ± SEM, n = 3. HuH-7 antagomiR-139-5p vs. HuH-7 scr, # p = 0.0065; HuH-7 antagomiR-139-5p + 5-Aza vs. HuH-7 scr + 5-Aza, * p = 0.0001. (d) Migration of JHH-6 treated with both antagomiR-139-5p and 5-Aza. JHH-6 antagomiR-139-5p + 5-Aza vs. JHH-6 miR scr + 5-Aza, * p = 0.002. Data are presented as mean ± SEM, n = 3.

Figure 4. Effects of 5-Aza and miR-139-5p on ROCK2 expression. (a) Effects of 5-Aza on ROCK2 protein level in JHH-6. Left, representative Western blot (GAPDH was introduced for normalization); right, data normalized to GAPDH levels and to the average of non-treated cells (NTC) are reported in % as mean ± SEM, n = 6; NTC vs. 0.8 μM, * p = 0.0398; NTC vs. 6 μM, # p = 0.0177. (b) Effects of 5-Aza on ROCK2 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 4; NTC vs. 0.8 μM, * p = 0.0135; NTC vs. 6 μM, # p = 0.0081; NTC vs. 30 μM, § p = 0.038. (c) Effects of 5-Aza on ROCK2 mRNA level in JHH-6. Data normalized to 28S levels and to the average of NTC are reported in % as mean ± SEM, n = 6; NTC vs. 0.8 μM, * p = 0.0025; NTC vs. 6 μM, # p = 0.0001. (d) Effects of 5-Aza on ROCK2 mRNA level in HuH-7. Data normalized to 28S levels and to the average of NTC are reported in % as median with interquartile range, n = 6; NTC vs. 6 μM, * p = 0.0022; NTC vs. 30 μM, # p = 0.002. (e) Effects of miR-139-5p on ROCK2 protein level in JHH-6. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr (scrambled miR treated cells) are reported in % as mean ± SEM, n = 5; scr vs. miR-139-5p, * p = 0.0071. (f) Effects of miR-139-5p on ROCK2 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr are reported in % as mean ± SEM, n = 5; scr vs. miR-139-5p, * p = 0.0268. (g) Effects of miR-139-5p on ROCK2 mRNA level in JHH-6 and HuH-7. Data normalized to 28S levels and to the average of scr are reported in % as mean ± SEM, n = 3; scr vs. miR-139-5p, * p = 0.04.

Figure 5. Phenotypic effects of ROCK2 overexpression/downregulation and miR-139-5p/ROCK2 pathway. (a) ROCK2 overexpression and 5-Aza treatment. Left: data in %, normalized to the average of JHH-6 overexpressing EGFP (enhanced green fluorescent protein, control cells) + 5-Aza treatment (0.8 μM), are expressed as mean ± SEM, n = 4; JHH-6 overexpressing ROCK2 + 5-Aza vs. JHH-6 overexpressing EGFP + 5-Aza, * p = 0.035. Right: HuH-7 overexpressing ROCK2 + 5-Aza vs. HuH-7 overexpressing EGFP + 5-Aza (6 μM); data in %, normalized to the average of HuH-7 overexpressing EGFP + 5-Aza, are expressed as mean ± SEM, n = 3. (b) Molecular pathways regulated by miR-139-5p and effects on cell migration and proliferation: 5-Aza upregulates miR-139-5p, which in turn leads to the downregulation of ROCK2/cyclin D1/E2F1/cyclin B1/MMP-2 and the upregulation of p27kip1; this results in G1/G0-G2/M cell cycle arrest and in the impairment of cell migration.

Effects of 5-Aza and miR-139-5p on cyclin D1 and E2F1 expression. (a) Effects of 5-Aza on cyclin D1 protein level in JHH-6. Left, representative Western blot (GAPDH was introduced for normalization); right, data normalized to GAPDH levels and to the average of non-treated cells (NTC) are reported in % as mean ± SEM, n = 5; NTC vs./6 μM, * p = 0.0005. (b) Effects of 5-Aza on cyclin D1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 6; NTC vs. 30 μM, * p = 0.048. (c) Effects of miR-139-5p on cyclin D1 protein level in JHH-6. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr (scrambled miR treated cells) are reported in % as mean ± SEM, n = 4; scr vs. miR-139-5p-treated cells, * p = 0.048. (d) Effects of miR-139-5p on cyclin D1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr are reported in % as mean ± SEM, n = 5; scr vs. miR-139-5p-treated cells, * p = 0.045. (e) Effects of 5-Aza on E2F1 protein level in JHH-6. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 3; NTC vs. 6 μM, * p = 0.048. (f) Effects of 5-Aza on E2F1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 3; NTC vs. 30 μM, * p = 0.044. (g) Effects of miR-139-5p on E2F1 protein level in JHH-6. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr are reported in % as mean ± SEM, n = 3; scr vs. miR-139-5p-treated cells, * p = 0.04. (h) Effects of miR-139-5p on E2F1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr are reported in % as mean ± SEM, n = 3; scr vs. miR-139-5p-treated cells, * p = 0.015. (i) E2F1 mRNA levels following ROCK2 overexpression. Left JHH-6, data normalized to 28S levels and to the average of pEGFP (control plasmid, cells overexpressing EGFP) are reported in % as mean ± SEM, n = 4; pEGFP vs. pROCK2 (cells overexpressing ROCK2), * p = 0.028. Right: HuH-7, data normalized to 28S levels and to the average of pEGFP are reported in % as mean ± SEM, n = 4; pEGFP vs. pROCK2, #p = 0.028. (j) Effects of E2F1 overexpression on the number of 5-Aza-treated cells. Left: data in %, normalized to the average of JHH-6 overexpressing EGFP + 5-Aza treatment, are expressed as mean ± SEM, n = 4; JHH-6 overexpressing E2F1 + 5-Aza vs. JHH-6 overexpressing EGFP + 5-Aza, * p = 0.047. Right: data in %, normalized to the average of HuH-7 overexpressing EGFP + 5-Aza, are expressed as mean ± SEM, n = 4; HuH-7 overexpressing E2F1 + 5-Aza vs. HuH-7 overexpressing EGFP + 5-Aza, #p = 0.032.

Effects of 5-Aza and miR-139-5p on p27kip and cyclin B1 expression. (a) Effects of 5-Aza on p27kip1 protein level in JHH-6. Left, representative Western blot (GAPDH was introduced for normalization); right, data normalized to GAPDH levels and to the average of non-treated cells (NTC) are reported in % as mean ± SEM, n = 6; NTC v.s 6 μM, * p = 0.031. (b) Effects of 5-Aza on p27kip1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 3; NTC vs. 30 μM, * p = 0.018. (c) Effects of miR-139-5p on p27kip1 protein level in JHH-6. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr (scrambled miR treated cells) are reported in % as mean ± SEM, n = 5; scr vs. miR-139-5p-treated cells, * p = 0.01. (d) Effects of miR-139-5p on p27kip1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of scr are reported in % as mean ± SEM, n = 3; scr vs. miR-139-5p-treated cells, * p = 0.025. (e) Effects of 5-Aza on cyclin B1 protein level in JHH-6. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 6; NTC vs. 6 μM, * p = 0.044. (f) Effects of 5-Aza on cyclin B1 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 4; NTC vs. 30 μM, * p = 0.042. (g,h) Effects of 5-Aza on CCNB1 mRNA level in JHH-6 and HuH-7, respectively. Data normalized to 28S levels and to the average of NTC are reported in % as median with interquartile range, n = 6; JHH-6/NTC vs. JHH-6/6 μM 5-Aza, * p = 0.0001; HuH-7/NTC vs. HuH-7/6-30 μM 5-Aza, #p < 0.0022. (i,j) Effects of miR-139-5p on cyclin B1 protein level in JHH-6 and HuH-7, respectively. In each panel, a representative Western blot is presented on the left; right, data normalized to GAPDH levels and to the average of scr are reported in % as mean ± SEM, n = 4; JHH-6/scr vs. JHH-6/miR-139-5p-treated cells, * p = 0.042, HuH-7/scr vs. HuH-7/miR-139-5p-treated cells, #p = 0.0002.

Figure 8. Effects of 5-Aza and miR-139-5p on MMP-2. (a) Effects of 5-Aza on MMP-2 protein level in JHH-6. Left, representative Western blot (GAPDH was introduced for normalization); right, data normalized to GAPDH levels and to the average of non-treated cells (NTC) are reported in % as mean ± SEM, n = 7; NTC vs. 0.8/6 μM, * p < 0.048. (b) Effects of 5-Aza on MMP-2 protein level in HuH-7. Left, representative Western blot; right, data normalized to GAPDH levels and to the average of NTC are reported in % as mean ± SEM, n = 5; NTC vs. 30 μM, * p = 0.016. (c,d) Evaluation of MMP-2 activity by zymography; left, representative zymogram obtained from the analysis of JHH-6 supernatants is shown; right, data are reported in % as mean ± SEM, n = 6; NTC vs. 0.8/6 μM, * p < 0.0001. (e,f) Effects of miR-139-5p on MMP-2 protein level in JHH-6 and HuH-7, respectively. In each panel, a representative Western blot is shown on the left; right, data normalized to GAPDH levels and to the average of scr (scrambled miR treated cells) are reported in % as mean ± SEM, n = 4; JHH-6/scr vs. JHH-6/miR-139-5p-treated cells, * p = 0.041; HuH-7/scr vs. HuH-7/miR-139-5p-treated cells, # p = 0.0031. (g,h) Scratch assay quantification in JHH-6 and HuH-7 cells treated by 5-Aza with or without the combined treatment with bortezomib. Data are represented as median with interquartile range, n = 4; JHH-6/0.8/6 μM aza vs. JHH-6/0.8-6 μM aza + bortezomib, * p < 0.0314; HuH-7/0.8-6-30 μM aza vs. HuH-7/0.8-6-30 μM aza + bortezomib, # p < 0.04.

Figure 9. Phenotypic and molecular effects of 5-Aza in the xenograft mouse model of HCC. (a) Effects of 5-Aza on tumor growth. Left: the arrows indicate the administration times for 5-Aza (either 0.25 μg or 0.5 μg per injection); data are reported in mm3 as mean ± SEM, 0.5 μg 5-Aza/day1-10 vs. CTRL (saline solution treated animals) days 1-10, # p = 0.0022; 0,25μg 5-Aza/day1-10 vs. CTRL day/1-10, * p = 0.0036. Right: Equation (3) best fit to tumor growth data determines the dimensionless tumor speed velocity VD+ (Equation (4)) expressing the number of cells generated by each original cell after time. (b) Kaplan–Meier curve; mice were treated either with 0.5 μg 5-Aza/day or with saline solution (CTRL), log-rank (Mantel–Cox) test, * p = 0.03, n = 6. (c) miR-139-5p expression level; data normalized to 5s rRNA content and to the average of CTRL are reported in % as mean ± SEM, CTRL vs. 0.5 μg 5-Aza, * p= 0.047, n = 6. (d) Effects of 5-Aza on ROCK2 protein level; data normalized to GAPDH levels and to the average of CTRL are reported in % as median with interquartile range, n = 6; CTRL vs. 0.5 μg 5-Aza, * p = 0.041, n = 6. (e) Effects of 5-Aza on cyclin D1 protein level; data normalized to GAPDH levels and to the average of CTRL are reported in % as mean ± SEM, n = 6; CTRL vs. 0.5 μg 5-Aza, * p = 0.0001. (f) Effects of 5-Aza on E2F1 protein level; data normalized to GAPDH levels and to the average of CTRL are reported in % as mean ± SEM, n = 6; CTRL vs. 0.5 μg 5-Aza, * p = 0.047. (g) Effects of 5-Aza on E2F1 mRNA level; data normalized to 28S levels and to the average of CTRL are reported in % as median with interquartile range, CTRL vs. 0.5 μg 5-Aza, * p = 0.041, n = 6. (h) Effects of 5-Aza on cyclin B1 protein level; data normalized to GAPDH levels and to the average of CTRL are reported in % as mean ± SEM, n = 5; CTRL vs. 0.5 μg 5-Aza, * p = 0.002. (i) Effects of 5-Aza on MMP-2 protein level; data normalized to GAPDH levels and to the average of CTRL are reported in % as mean ± SEM, n = 6; CTRL vs. 0.5 μg 5-Aza, * p = 0.045. (j) Effects of 5-Aza on p27kip protein level; data normalized to GAPDH levels and to the average of CTRL are reported in % as mean ± SEM, n = 5.

Figure 10. Phenotypic and molecular effects of 5-Aza in the xenograft zebrafish model of HCC. (a) Comparison of tumor growth between 5-Aza-treated and control zebrafish inoculated with JHH-6; data are reported in % as median with interquartile range, CTRL 2 days post-injection (dpi) vs. 6 μM 5-Aza 2dpi, * p = 0.025; CTRL 3 dpi vs. 6 μM 5-Aza 3dpi, # p = 0.0015, n = 45. (b) Effects of 5-Aza on human Ki67 mRNA level; data, normalized to GAPDH levels and to the average of CTRL, are reported as mean ± SEM, CTRL vs. 0.5 μg 5-Aza * p = 0.0002, n = 12. (c) Kaplan–Meier curve; zebrafish were treated either with 0.5 μg 5-Aza/day or with saline solution (CTRL), log-rank (Mantel–Cox) test, * p = 0.0252, n = 45 for each group; % of animal survival is expressed as mean ± SEM, n = 45. (d) Effects of 5-Aza on the zebrafish VEGFA, FLK-1, and CXCL8 mRNA levels (vehicle: animal not injected with JHH-6 and treated with saline; 6 μM 5-Aza w/o JHH-6: animal not injected with JHH-6 and treated with 5-Aza; CTRL: animal injected with JHH-6 and treated with saline; 6 μM 5-Aza + JHH-6: animal injected with JHH-6 and treated with 5-Aza). Data, normalized to GAPDH levels and to the average of CTRL at 3dpi, are reported as mean ± SEM. VEGFA: CTRL vs. 6 μM 5-Aza + JHH-6, * p = 0.0359; FLK-1: CTRL vs. 6 μM 5-Aza + JHH-6, # p = 0.0495; CXCL8: CTRL vs. 6 μM 5-Aza + JHH-6, § p < 0.0001, n = 4.

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