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Asian Pacific Journal of Cancer Prevention, Vol 13, 2012 1349 DOI:http://dx.doi.org/10.7314/APJCP.2012.13.4.1349 Up-regulation of Thy-1 Promotes Invasion and Metastasis of Hepatocarcinomas Asian Pacific J Cancer Prev, 13, 1349-1353 Introduction Hepaticarcinoma is the fifth most common cancer and one of the leading causes of cancer death worldwide. Especially with quick development of liver disease due to hepatitis B virus infection, incidence of hepaticarcinoma has been on the rise and earlier recurrence after operation or liver transplant is common. The underlying root cause is the existence of cancer stem cells (CSCs) (Shupe et al., 2005; Sell et al., 2008; Alison et al., 2009; Chiba et al., 2009; Lee et al., 2009), which, despite their small number, play a major role in tumor origination, development, invasion and earlier metastasis (Reya et al., 2001; Couzin et al., 2003). Oval cells are the stem cells of liver (Bird et al., 2008; Strick-Marchand et al., 2008; Okabe et al., 2009; Shupe et al., 2009). Recently a great deal of research suggested a positive relationship between its proliferation and the incidence of hepaticarcinoma (Alison et al., 2005; Alison et al., 2006; Wu et al., 2006). Thy-1, as a marker protein of oval cells, has recently been suggested to play a role in potential liver cancer stem cells (Dahlke et al., 2003; Ceafalan et al., 2005; Masson et al., 2006; Yang et al., 2008; Yang et al., 2008; Xu et al., 2009). As a gene expressed during embronic period or under pathologic state, AFP (alpha fetoprotein) participates in Department of Hepatology Center, Fuzhou General Hospital, Nanjing Military Area Command, Fuzhou, China *For correspondence: [email protected] Abstract Increasing evidence has revealed that thy-1 was a potential stem cell marker of liver cancer, but no data have been shown on how thy-1 regulates the pathophysiology of liver cancer, such as proliferation, apoptosis, invasion and migration. We previously demonstrated that thy-1 was expressed in about 1% of hepg2 cells, thy-1+ hepg2 cells, but not thy-1-, demonstrating high tumorigenesis on inoculation 0.5x10 5 cells per BACA/LA mouse after 2 months. In the present study, our results showed that higher expression of thy-1 occurs in 72% (36/50 cases) of neoplastic hepatic tissues as compared to 40% (20/50 cases) of control tissues, and the expression of thy-1 is higher in poorly differentiated liver tumors than in the well-differentiated ones. In addition, thy-1 expression was detected in 85% of blood samples from liver cancer patients, but none in normal subjects or patients with cirrhosis or hepatitis. There was a significant negative correlation between thy-1expression and E-cadherin expression (a marker of invasion and migraton), but not between thy-1 expression and AFP expression in all the liver cancer and blood samples. We further investigated the relationship between thy-1 and E- cadherin in liver cancer hepg2 cell line which was transfected with pReceiver-M29/thy-1 eukaryotic expression vector followed by aspirin treatment. Lower expression of E- cadherin but higher expressions of thy-1 were detected in hepg2 cells transfected with pReceiver-M29/thy-1. Taken together, our study suggested that thy-1 probably regulates liver cancer invasion and migration. Keywords: Invasion - migration - thy-1 - hepatocarcinomas RESEARCH COMMUNICATION Up-regulation of Thy-1 Promotes Invasion and Metastasis of Hepatocarcinomas Bian-Qiao Cheng, Yi Jiang*, Dong-Liang Li, Jing-Jing Fan, Ming Ma embryonic development and cell division process (Kang et al., 2006). Recent research suggested (Kuhlmann et al., 2006) AFP possessed stem cell characteristics and could be regarded as an ideal marker predicting earlier liver cancer recurrence after operation. However, the shortcoming of AFP loss expression in some samples required a more accurate and specific marker to predict liver cancer occurrence and recurrence independent of or in combination with AFP marker. E-cadherin, a member of cadherin family, mediates cell-cell adhesions and its loss of function could cause breakdown of cell-cell conjunctions. It is therefore commonly used to predict invasion and metastasis of various kinds of malignant tumor. Based on findings above, this article was aimed to investigate the relationship between thy-1, AFP and E-cadherin and to unravel the function of thy-1 in hepaticarcinoma. Materials and Methods Cell lines The human cell line hepg2 (ATCC, American ) was maintained in RPMI1640 medium (Hyclone, American) containing 10% fetal bovine serum (Hyclone, American) and 1% penicillin at 37 °C in a humidified incubator with 5% CO 2 .
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  • Asian Pacific Journal of Cancer Prevention, Vol 13, 2012 1349

    DOI:http://dx.doi.org/10.7314/APJCP.2012.13.4.1349 Up-regulation of Thy-1 Promotes Invasion and Metastasis of Hepatocarcinomas

    Asian Pacific J Cancer Prev, 13, 1349-1353

    Introduction

    Hepaticarcinoma is the fifthmost common cancerandoneoftheleadingcausesofcancerdeathworldwide.EspeciallywithquickdevelopmentofliverdiseaseduetohepatitisBvirusinfection,incidenceofhepaticarcinomahasbeenontheriseandearlierrecurrenceafteroperationorlivertransplantiscommon.Theunderlyingrootcauseistheexistenceofcancerstemcells(CSCs)(Shupeetal.,2005;Selletal.,2008;Alisonetal.,2009;Chibaetal.,2009;Leeetal.,2009),which,despitetheirsmallnumber,play amajor role in tumor origination, development,invasionandearliermetastasis(Reyaetal.,2001;Couzinetal.,2003).Ovalcellsarethestemcellsofliver(Birdetal.,2008;Strick-Marchandetal.,2008;Okabeetal.,2009;Shupeetal.,2009).Recentlyagreatdealofresearchsuggestedapositiverelationshipbetweenitsproliferationand the incidence of hepaticarcinoma (Alison et al.,2005;Alisonetal.,2006;Wuetal.,2006).Thy-1,asamarkerproteinofovalcells,hasrecentlybeensuggestedtoplayaroleinpotentiallivercancerstemcells(Dahlkeetal.,2003;Ceafalanetal.,2005;Massonetal.,2006;Yang et al., 2008;Yang et al., 2008;Xu et al., 2009).As a gene expressed during embronic period or underpathologicstate,AFP(alphafetoprotein)participatesinDepartment of Hepatology Center, Fuzhou General Hospital, Nanjing Military Area Command, Fuzhou, China *For correspondence: [email protected]

    Abstract

    Increasing evidence has revealed that thy-1 was a potential stem cell marker of liver cancer, but no data have been shown on how thy-1 regulates the pathophysiology of liver cancer, such as proliferation, apoptosis, invasion and migration. We previously demonstrated that thy-1 was expressed in about 1% of hepg2 cells, thy-1+ hepg2 cells, but not thy-1-, demonstrating high tumorigenesis on inoculation 0.5x105 cells per BACA/LA mouse after 2 months. In the present study, our results showed that higher expression of thy-1 occurs in 72% (36/50 cases) of neoplastic hepatic tissues as compared to 40% (20/50 cases) of control tissues, and the expression of thy-1 is higher in poorly differentiated liver tumors than in the well-differentiated ones. In addition, thy-1 expression was detected in 85% of blood samples from liver cancer patients, but none in normal subjects or patients with cirrhosis or hepatitis. There was a significant negative correlation between thy-1expression and E-cadherin expression (a marker of invasion and migraton), but not between thy-1 expression and AFP expression in all the liver cancer and blood samples. We further investigated the relationship between thy-1 and E- cadherin in liver cancer hepg2 cell line which was transfected with pReceiver-M29/thy-1 eukaryotic expression vector followed by aspirin treatment. Lower expression of E- cadherin but higher expressions of thy-1 were detected in hepg2 cells transfected with pReceiver-M29/thy-1. Taken together, our study suggested that thy-1 probably regulates liver cancer invasion and migration. Keywords: Invasion-migration-thy-1-hepatocarcinomas

    RESEARCHCOMMUNICATION

    Up-regulation of Thy-1 Promotes Invasion and Metastasis of HepatocarcinomasBian-Qiao Cheng, Yi Jiang*, Dong-Liang Li, Jing-Jing Fan, Ming Ma

    embryonicdevelopmentandcelldivisionprocess(Kanget al., 2006).Recent research suggested (Kuhlmann etal., 2006)AFPpossessed stem cell characteristics andcouldberegardedasanidealmarkerpredictingearlierliver cancer recurrence after operation.However, theshortcoming ofAFP loss expression in some samplesrequiredamoreaccurateandspecificmarkertopredictlivercanceroccurrenceandrecurrenceindependentoforincombinationwithAFPmarker.E-cadherin,amemberofcadherinfamily,mediatescell-celladhesionsanditslossoffunctioncouldcausebreakdownofcell-cellconjunctions.It is therefore commonlyused to predict invasion andmetastasis of variouskindsofmalignant tumor.Basedonfindingsabove,thisarticlewasaimedtoinvestigatetherelationshipbetweenthy-1,AFPandE-cadherinandtounravelthefunctionofthy-1inhepaticarcinoma.

    Materials and Methods

    Cell lines Thehumancelllinehepg2(ATCC,American)wasmaintainedinRPMI1640medium(Hyclone,American)containing10%fetalbovineserum(Hyclone,American)and1%penicillinat37°Cinahumidifiedincubatorwith5%CO2.

  • Bian-Qiao Cheng et al

    Asian Pacific Journal of Cancer Prevention, Vol 13, 20121350

    Patients and sample collection Fifty paraffin-embedded tissueswith liver cancerwho had undergone laparotomy (46/50 had curativehepaticresectionand4/50hadlivertransplation;18/50well-differentiated and 32/50 poorly differentiated)were included in the study. Pathology diagnosiswasmade according to the histology of tumor specimensand examinations were performed by experiencedpathologists.Fiftycorrespondingperi-tumoroushealthytissueswere used as controlswhichwere confirmedaccordingtopathologicaldiagnosis.ThemajorityofHCC(53cases)andcirrhosisorhepatitispatients(36cases)werepositiveforserumhepatitisBsurfaceantigen.AllthebloodsamplestudieswereapprovedbytheInstitutionalReviewBoardofthefuzhougeneralhospital.

    Immunohistochemistry and Immunocytochemistry Immunohistochemical evaluation on 4mm-thintissue sections from formalin-fixed and paraffin-embeddedsampleswasperformedforthy-1(sc-53456,dilution1:200; SantaCruzBiotechnology Inc., SantaCruzCA),AFP(sc-51506, dilution1:200; SantaCruzBiotechnologyInc.,SantaCruzCA;),E-cadherin(sc-8426,dilution1:200; SantaCruzBiotechnology Inc., SantaCruzCA).Thestainingreactionswereinterpretedinthepresenceoftissuemastcellsinportalfieldsoftheliverasinternalcontrols,whileAFPandE-cadherinasexternalcontrolsforembryonictissuesandbreastductcarcinomarespectively. Stainingwasperformedaccordingaspermanufacturer’sinstructions of vltrasensitiveTMS-P (mouse/rabbit) kit(Maixin, Fujian China). Briefly, paraffin-embeddedsectionswere deparaffinized and rehydrated throughgraded alcohols to phosphate buffered saline (PBS).0.01Mcitratebuffersolution(pH6.0)wasusedinantigenrecovery.Aftersequentialincubationwith3%endogenousperoxidaseblockingsolutionand1%normalnonimmuneserum, 10min for each at room temperature, primaryantibodieswereincubatedovernightat4°C.Anti-mouseIgGwasusedinsteadofprimaryantibodyasadditionalcontrol.Other negative controls included theomissionof either primaryor secondary antibodies.Nonspecificreactionsweredetectedinthenegativecontrols.AccordingtoFromowitzscorestandard,whenthereweredifferentdifferentiationdegreeinthesamesample,predominateareawasselected(Fromowitzetal.,1987)accordingtopositivestainingpercent,scorewasclassifiedasfollows:0: ≤ 25%; 1: 26%~50%; 2: 51%~75%; 3: > 75%. Inaddition, staining intensitywas rated as 0 (negative),1 (weakly positive), 2 (intermediate) and 3 (stronglypositive).Finally,asummationofthetwoscoresabovewas furtherclassified into:0:negative;1~2:“+”;3~4:“++”;5~6:“+++”(Jawharietal.,1997).

    Immunocytochemistry HepG2 cellswere plated at 100,000 cells perwellonenightbeforetheexperiment.BreastcarcinomacelllineDBA-DA231 andun-transfected hepg2 cellswereused as positive and negative controls respectively.Hepg2cellswere transfectedwithpReceiver-M29/ thy-1expressionvectorandtreatedwithAspirininthetest

    group according to themanufacturer’s instructions ofvltrasensitiveTMS-P(mouse/rabbit)kit(Maixin,FujianChina).Briefly,cellswerefixedin4%paraformaldehydefor10minandpermeabilizedwith0.3%Triton-100for10min.Thefollowingstepswereperformedinthesamewayasimmunohistochemistry.

    Immunosorbent assay Thy-1,AFPandE-cadherinELISA.wereperformedusingELISAkit(R&D)aspermanufacturer’sinstructions.Briefly,50µlstandardor50µlof1:5dilutedsampleswasdispensedtostandardorsamplewells,respectively.Thrityminutesaftertheadditionof50µlenzymelabelreagentat37°C,chromogenicagentAandBwereaddedtoreactfor10minat37°Cwithprotectionfromlight,followingwhichstopbufferwasadded.Thereafter,theabsorbanceat450nmwasmeasuredwithanenzyme-labelinginstrument(ELX-800type).

    RT-PCR Experiments were performed using RT-PCR kit(TakaRa,code:DRRO14A).TotalRNAwasisolatedwithtrizol reagent (Invitrogen,Cat: 15596-026) accordingto themanufacturer’s instructionsusing1ml trizol per1*107 cells.TotalRNA concentrationwas quantifiedwith eppendorf Bio photometer. The cDNAsweregenerated from 5 µg of totalRNAper sample using20µl reaction containing 1µl random6 primers, 1µldNTPmixture,0.5µlprimeScripTMRtaseand0.5µlRNaseinhibitor.Gene-specificprimesforthy-1(primerA:5’-AAGGTGACCAGCCTAACGG-3’,primerB:5’-CCCTCGTCCTTGCTAGTGAA-3’),forβ-actin(primerA: 5’-GGAAATCGTGCGTGACATT -3’, primerB:5’-CGTCATACTCCTGCTTGCTG-3’),andforE-cadherin(primerA:5’-CGCCGACGAGAGCTACACGTTCA-3’,primerB:5’-CCCAGGCGTAGACCAAGAAA-3’)weredesignedusing the primer 3 software and synthesized(ShanghaiBiologiccompany,China).

    Statistical analysis Descriptive statistics, t-test, χ2 test andOne-wayANOVAwithLSDmultiplecomparisonwereperformed.Fisherpreciseprobabilisticmethodwasusedtoanalyzeexpressionintensity,Spearmanforcorrelationanalysis.SPSS software (version 11.5 forWindows; spss Inc.,Chicago,IL)wasusedforallstatisticalanalyses.Pvaluelessthan0.05wasconsideredsignificant.

    Results

    Altered expression pattern of thy-1,AFP andE-cadherin in liver cancers. Immunohistochemicalstainingshowedreactivitiesofthy-1,AFPandE-cadherinin 40%, 20%, and30%of peritumoral normal tissues,whereas72%,76%and64%ofneopastic liver tissuesrespectively.Staining intensities for thy-1 andAFPin normal peritumoral samples were significantlyweaker than in tumorsamples,butE-cadherinstainingshowedtheoppositeresults(Figure1).Inaddition,wedetectedasignificantcorrelationbetweenthedegreeofdifferentiationofhepatocarcinomasandtheexpressionof

  • Asian Pacific Journal of Cancer Prevention, Vol 13, 2012 1351

    DOI:http://dx.doi.org/10.7314/APJCP.2012.13.4.1349 Up-regulation of Thy-1 Promotes Invasion and Metastasis of Hepatocarcinomas

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    Figure 1. Immunohistochemical Staining of Thy-1, AFP and E-cadherin in Hepatocarcinoma and Peritumoral Normal Liver Samples. (a) Peritumoral normal tissuesdemonstratingweakAFP reactivity (magnification 200x).(b)Hepatocarcinoma exhibiting strong expression ofAFP(magnification200x). (c)Hepatocarcinoma exhibiting strongexpression of thy-1 (magnification 200x). (d) Peritumoralnormal liver tissues revealing intermediate thy-1 expression(magnification 100x). (e) Liver cancer cells demonstratingweaker expressionofE-cadherin (black arrow) compared tohigherexpressioninnormaltissues(redarrow)(magnification200x).(f)BreastcancerascontrolexhibitingstrongexpressionofE-cadherin(magnification200x)

    Figure 2. RT-PCR Analysis of Thy-1 mRNA and E-cadherin mRNA Expression. (a)Expressionofthy-1wasincreasedinpReceiver-M29/Thy-1transfectedhepg2cellsbutdramaticallyreducedaftertreatmentwithAspirin.(b)E-cadherinexpressionwaslowestininpReceiver-M29/Thy-1transfectedhepg2cellsbutslightincreasedwithAspirintreatment

    Figure 3. Immuocytochemical Staining for E-cadherin in Hepg2 Cells after Differenct Treatments. (a)E-cadherinstaininginnon-transfectedhepg2cells(magnification200x).(b)ObviouslyweakerstainingforE-cadherininhepg2cells transfectedwith pReceiver-M29/thy-1 (magnification200x). (c) Slightlyweaker staining in pReceiver-M29/thy-1hepg2 transfected cells treatedwithAspirin (magnification200x).(d)E-cadherinstaininginbreastcancerDAB-DA231cells(magnification200x)

    Table 2 Correction Between thy-1 and AFP, E-cadherin by Immunohistochemistry Proteinofinterest Thy-1 rs p + _

    AFP + 27 7 0.116 0.421 _ 11 5 E-cadherin + 18 16 -0.336 0.117 _ 14 2

    Table 1 Immunohistochemical Reactivity in Liver Cancers and Peritumoral Nomal Tissues proteinofinterest tumorperitumousWellPoorly -differentiateddifferentiated (n=50)(n=50)(n=18)(n=32)

    Thy-1 36 20 7 26AFP 38 10 7 22E-cadherin 32 15 15 17

    Table 3 Correction Between thy-1 and AFP, E-cadherin by ELISA groups Serum(U/ml)rsp

    Thy-1 3.694 2.961 E-cadherin 1.591 -0.334 0.027 0.696 AFP 3.121 0.046 0.746 1.965

    thy-1,AFPandE-cadherin,wherebypoorlydifferentiatedhepatocarcinomasweremorelikelytoexpressthy-1andAFP but less likely to expressE-cadherin thanwell-differentiated ones (poorly differentiated: thy-1,AFPandE-cadherinexpressed in81.2%,68.8%and53.1%ofsamplesrespectively;well-differentiated:thy-1,AFPandE-cadherinexpressedin38.8%,38%and83.3%ofsamplesrespectively)(Table1). Lack of correlation between thy-1 andAFP, butnegative correlation between thy-1 and E-cadherin.

    Bothpositiveexpressionsamplesornegativefor thy-1andAFPwas 27or 5, Positive expression samples forthy-1of7casesbutnegative1forAFPandnegative11forthy-1butpositiveforAFPwasalsoobserved,therewas no significant difference between them (rs=0.116,p=0.421).Both positive expression samples for thy-1andE-cadherinwas18,bothnegative for themwas2,positive for thy-1was 16 but negative forE-cadherinwas14,negativecorrelationwasdetectedbetweenthem(rs=-0.336,p=0.017)(Table2).Inaddition,from53livercancerserumsamples,levelsofthy-1,AFPandE-cadherindetectedwere3.6942.961,3.1211.965,and1.5910.696respectively.No correlationwas found betweenAFPandthy-1(rs=0.046,p=0.746),buttherewasanegativecorrelation between thy-1 andE-cadherin (rs=-0.334,p=0.027)(Table3). EnhancedThy-1 expression reduces E-cadherinlevel. In order to further understand the relationship

  • Bian-Qiao Cheng et al

    Asian Pacific Journal of Cancer Prevention, Vol 13, 20121352

    betweenThy-1 andE-cadherin,we transfected hepg2cellswith pReceiver-M29/thy-1 expressionvector andlookedforchangesinexpressionofE-cadherinandthy-1usingRT-PCR.Immunocytochemistryrevealedhigherexpressionof thy-1but lowerexpressionofE-catherinin pReceiver-M29/thy-1 transfected hepg2 cells ascomparedtonon-transfectedhepg2cellsanddifferencesinexpressionlevelswerestatisticallysignificant(p

  • Asian Pacific Journal of Cancer Prevention, Vol 13, 2012 1353

    DOI:http://dx.doi.org/10.7314/APJCP.2012.13.4.1349 Up-regulation of Thy-1 Promotes Invasion and Metastasis of Hepatocarcinomas

    early invasion/metastasis of liver cancer are complexprocesses.Therefore, understanding detailed actionsof thy-1 inhepatocarcinomaanddesigning therapeuticstrategies such asRNAi or gene knock-out directedtowardsthy-1wouldholdpromiseforfuturelivercancertherapy.

    Acknowledgements

    ThebreastcarcinomaDAB-DA231cellswerekindlyprovidedbyQiao-JiaHuangofDepartmentofLaboratoryInstitute, FuzhouGeneralHospital,NanjingMilitaryDistrict,Fuzhou,China.

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