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1
Effects of simultaneous knockdown of HER2 and PTK6 on malignancy and
tumor progression in human breast cancer cells
Natalie Ludygaa, Natasa Anastasovb, Michael Rosemannb, Jana Seilera, Nadine
Lohmanna, Herbert Braselmannc, Karin Mengeled, Manfred Schmittd, Heinz Höflera,e,
Michaela Aubelea
Authors’ affiliations
a Institute of Pathology, b Institute of Radiation Biology, c Department of Radiation
Cytogenetics, Helmholtz Zentrum München, German Research Center for
Environmental Health, 85764 Neuherberg, Germany; d Clinical Research Unit,
Department of Obstetrics and Gynecology, Technische Universität München, 81675
München, Germany; e Institute of Pathology, Klinikum rechts der Isar, Technische
Universität München, 81675 München, Germany
Running title: Combined HER2 and PTK6 RNAi reduce breast cancer progression
Key words: ErbB-2, Brk, trastuzumab resistance, JIMT-1, invasion
Financial support: This work was supported by the Deutsche
Forschungsgemeinschaft (DFG, grant No 1671/1-1, NLu).
Corresponding author: Michaela Aubele, Helmholtz Zentrum München, Institut für
Pathologie, Ingolstaedter Landstrasse 1, 85764 Neuherberg, Germany, Fax: +49-89-
3187-3360, Tel: +49-89-3187-4132, E-mail: [email protected]
Disclosure of potential conflicts of interest: The authors declare no conflicts of
interest.
Word count: 5236
Total number of tables and figures: 7 figures
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Abstract
Breast cancer is the most common malignancy in women of the Western world. One
prominent feature of breast cancer is the co- and overexpression of human epidermal
growth factor receptor 2 (HER2) and protein tyrosine kinase 6 (PTK6). According to
the current clinical cancer therapy guidelines, HER2-overexpressing tumors are
routinely treated with trastuzumab, a humanized monoclonal antibody targeting
HER2. Approximately 30 % of HER2-overexpressing breast tumors at least initially
respond to the anti-HER2 therapy, but a subgroup of these tumors develops
resistance shortly after the administration of trastuzumab. A PTK6-targeted therapy
does not yet exist. Here, we show for the first time that the simultaneous knockdown
in vitro, compared with the single knockdown of HER2 and PTK6, in particular in the
trastuzumab-resistant JIMT-1 cells leads to a significantly decreased phosphorylation
of crucial signaling proteins: mitogen-activated protein kinase 1/3 (MAPK 1/3, ERK
1/2) and p38 MAPK, and (phosphatase and tensin homologue deleted on
chromosome ten) PTEN that are involved in tumorigenesis. Additionally, dual
knockdown stronger reduced the migration and invasion of the JIMT-1 cells.
Moreover, the downregulation of HER2 and PTK6 led to an induction of p27 and the
dual knockdown significantly diminished cell proliferation in JIMT-1 and T47D cells. In
vivo experiments showed significantly reduced levels of tumor growth following HER2
or PTK6 knockdown. Our results indicate a novel strategy also for the treatment of
trastuzumab resistance in tumors. Thus, the inhibition of these two signaling proteins
may lead to a more effective control of breast cancer.
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Introduction
HER2 is a member of the HER (EGFR/ErbB) receptor family encompassing the four
HER receptors (HER1-HER4) that are involved in signal transduction (1). Each of
these receptors contains an extracellular, a trans-membrane and an intracellular
domain. In response to extracellular stimuli, the HER receptors form a homo- or
heterodimer via autophosphorylation of the intracellular domains of the receptors (2).
Subsequently, the HERs activate many signaling proteins that are linked to cell
proliferation and tumor malignancy. The HER receptors are highly involved in breast
cancer progression, and for HER2 in particular, there is a large body of experimental
and clinical data underlining its significance. Regarding its clinical relevance, HER2 is
overexpressed in 25 % to 30 % of breast cancer patients and is associated with a
poor prognosis (3). In addition to surgery and hormonal and chemo- or radiation-
therapy, an antibody-based immunotherapy for HER2-positive tumors has been
successfully administered in the last decade (4, 5). However, only a third of breast
tumors highly overexpress HER2 and therefore may be considered for the anti-
HER2-targeted antibody (trastuzumab). Moreover, trastuzumab therapy causes side
effects (cardiotoxicity) (6), and after approximately one year of application, the
development of resistance is not uncommon (7, 8). Combinations of trastuzumab with
the small molecule tyrosine kinase inhibitor lapatinib targeting EGFR and HER2
seem to provide remedy to some extent. Still, also lapatinib, either as a single agent,
or in combination with various chemotherapeutic agents, or trastuzumab, could not
fulfill the high expectations as initially hoped for (5). HER2 knockdown in vitro led to
reduced proliferation and induced apoptosis of HER2-overexpressing breast cancer
cell lines (9). In addition, the simultaneous knockdown of HER2 and uPAR (urokinase
plasminogen activator receptor) resulted in a higher induction of apoptosis and a
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stronger inhibition of cell proliferation than the single knockdown of either HER2 or
uPAR (10).
Another factor with relevance in tumor progression is PTK6, also known as Brk
(breast tumor kinase). This non-receptor Src-related tyrosine kinase is highly
expressed in up to 80 % of breast cancers, as well as in colon and prostate tumors
(11, 12). PTK6 was also shown to be expressed in several cancer cell lines (11-13).
In the last decade, our group and others have identified several interaction partners
of PTK6, such as signal transducer and activator of transcription (STAT3), (p38)
MAPK, Paxillin and PTEN (14-17). Therefore, PTK6 seems to be involved in several
cellular processes, such as proliferation, migration and invasion. PTK6 was also
shown to regulate the cell cycle (18). PTK6 knockdown led to a diminished
phosphorylation of STAT3, (p38) MAPK and PTEN, as well as to a reduced migration
of breast cancer cells (15, 19).
Studies by our group and others showed that HER2 and PTK6 are co-expressed and
co-localized, and they directly interact with each other in breast cancer tissue.
Furthermore, the HER2 and PTK6 mRNA and protein levels are positively correlated,
emphasizing their role as crucial molecules in breast cancer (17, 20-22). In 2004,
Tanner and colleagues identified a novel HER2-overexpressing cell line that is
intrinsically resistant to trastuzumab and named it JIMT-1 (23). Since then, an
appropriate experimental model system has been established to study the possible
causes of intrinsic and acquired trastuzumab resistance. In the meantime, several
mechanisms for trastuzumab resistance have been hypothesized, among others
including truncation of extracellular HER2, activation of alternative pathways, loss of
the tumor suppressor PTEN, or an interaction with Mucin-4 that potentially inhibits the
binding of trastuzumab to HER2 (8, 24, 25). A recent study described survivin (an
inhibitor of apoptosis) as indispensable for the survival of HER2-overexpressing and
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trastuzumab-resistant breast cancer cells (26). However, the underlying mechanisms
for the development of resistance are not yet exactly known, and additional
therapeutic approaches in breast cancer are strongly needed. To date, no
information exists concerning the effects of the simultaneous inhibition of HER2 and
PTK6 on tumor cell biology and tumor progression. Additionally, in trastuzumab-
resistant JIMT-1 cells, this information could give valuable hints towards strategies
suited to circumvent the resistance to the clinical trastuzumab-based regimens.
In our present study, we demonstrate for the first time the cell line-dependent effects
on the deactivation of key proteins and a reduction in migration, invasion and cell
proliferation in vitro following the simultaneous knockdown of HER2 and PTK6 in
breast cancer cells. Subsequent xenograft experiments revealed the effectiveness of
silencing these signaling proteins in vivo. Therefore, the inhibition of HER2 and/or
PTK6 may offer an attractive tool for targeted breast cancer therapy, specifically in a
subgroup of patients who develop a resistance to trastuzumab during the course of
treatment.
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Materials and methods
Cell culture and transient transfections
The following two permanent human breast cancer cell lines were used: T47D and
JIMT-1. The trastuzumab-sensitive T47D cell line (HTB-133) was acquired from
American Type Culture Collection. It was maintained in RPMI 1640 with GlutaMAX
(Roswell Park Memorial Institute, Life Technologies GmbH, Darmstadt, DE) and
trastuzumab-resistant cell line JIMT-1 (ACC 589) was acquired from the German
Collection of Microorganisms and Cell Cultures. The last cell line authentication was
performed in spring 2012. Therefore, genetic profiles were generated by the
company Eurofins (MWG Operon, Ebersberg, DE). For this, the PowerPlex® 16
System, a multiplex STR system, was performed. Subsequently, the obtained profiles
were introduced into the online STR matching analysis database that is provided by
the DSMZ. The cells were maintained in DMEM with GlutaMAX (Dulbecco´s modified
eagles medium, Life Technologies GmbH, Darmstadt, DE). Both media were
supplemented with human insulin (10 µg/ml, St. Louis, MO, USA), 10 % fetal bovine
serum (FBS, Life Technologies GmbH, Darmstadt, DE), 0.25 % each of penicillin
and streptomycin (Life Technologies GmbH, Darmstadt, DE), and also with 0.1 %
FBS when the serum-independent effects (in the migration, invasion assays, and
MMP activation, as described below) were analyzed and the cells were maintained at
37°C in 5 % CO2. The medium for JIMT-1 cells was supplemented with trastuzumab
(10 µg/ml, Roche Diagnostics, Indianapolis, IN, USA).
For transient transfections, 1 x 106 breast cancer cells were transfected with small
interfering RNAs (siRNAs) (200 pmol) for PTK6 and HER2 knockdown and control
siRNAs (positive control: siRNAs for GAPDH silencing, and negative control: a non-
targeting siRNA) as described (19). All siRNAs were purchased from Thermo
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Scientific Dharmacon, Chicago, IL, USA. Two independent transfections were
performed.
Generation of lentiviral constructs for PTK6 and HER2 knockdown
Previously tested siRNAs leading to specific and efficient knockdown of PTK6 and
HER2 were used as templates for the generation of corresponding shRNAs. The 5’-3’
sequence of the forward primer for shRNA_PTK6 is: GATCCCCCCATTAAGGTGAT
TTCTCGTTCAAGAGACGAGAAATCACCTTAATGGTTTTTGGAAA, and the
sequence of the respective reverse primer is: AGCTTTTCCAAAAACCATTAAGGTG
ATTTCTCGTCTCTTGAACGAGAAATCACCTTAATGGGGG. The 5’-3’ sequence of
the forward primer for shRNA_HER2 is: GATCCCCGCTCATCGCTCACAACCAATT
CAAGAGATTGGTTGTGAGCGATGAGCTTTTTGGAAA, the sequence and of the
respective reverse primer: is: AGCTTTTCCAAAAAGCTCATCGCTCACAACCAATC
TCTTGAATTGGTTGTGAGCGATGAGCGGG. The construction of lentiviral vectors
was performed as published previously (27). In addition to specific shRNAs, all of the
vectors encoded the GFP gene for visualization and quantification of infections.
Lentiviral transductions of breast cancer cells
A total of 2.5 x 105 T47D and JIMT-1 breast cancer cells were infected with lentiviral
vectors encoding small hairpin RNAs: shRNA_PTK6, shRNA_HER2, the
shRNA_control (lacking the sequence for shRNA), and polybrene (Invitrogen,
Carlsbad, CA, USA) as described (27). The supernatants were removed 24 h after
infection. Fresh medium was added, and the cells were further maintained for several
weeks. The infected JIMT-1 cells were cultivated in parallel with or without the
addition of trastuzumab (10 µg/ml, Roche Diagnostics, Indianapolis, IN, USA) to
ensure the maintenance of resistance. Once per week, a defined fraction of infected
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cells was used for Western blot analysis to control for knockdown efficiency, whereas
the residual fraction was further cultivated. As controls, cells were infected only with
the transduction reagents (mock) or with the lentiviral vectors lacking an shRNA
sequence, but containing the GFP gene (control vector). The infections were
performed in triplicates. The infection efficiency of T47D and JIMT-1 cells was
measured by FACS (fluorescence activated cell sorting) as described previously (19).
Western blot analysis
For SDS-PAGE and the subsequent Western blot analysis, T47D and JIMT-1 breast
cancer cells were treated as described previously (19). The proteins were detected
with primary antibodies targeting PTK6 (sc-1188), GAPDH (sc-25778) (Santa Cruz,
Biotechnology, Heidelberg, DE), HER2 (A0485) (DAKO, Glostrup, DK), (phospho,
9554) PTEN (9559), (phospho 4051) Akt (9272), (phospho, 4376) MAPK 1/3, (ERK
1/2) (4695), (phospho 9211) p38MAPK (9212), MMP9 (3852), phospho-STAT3
(9134), PARP (9532) (Cell Signaling Technology, Beverly, MA, USA), STAT3
(610190), p27 (610242) (BD Transduction Laboratories, Lexington, KY, USA), and
tubulin as a loading control (T5168, Sigma, St. Louis, MO, USA). The following
peroxidase-conjugated secondary antibodies were used: anti-rabbit (NA934V) and
anti-mouse (NA931V) (GE Healthcare, Chalfont St. Giles, Buckinghamshire, UK). All
of the bands showing changed intensities were quantified relative to the control
bands using the Molecular Imager ChemiDocTM XRS and the analysis software
Quantity One® (Bio-Rad Laboratories, Hercules, CA, USA).
WST-1 cell proliferation assay
Cell proliferation was determined using the water-soluble tetrazolium WST-1 (4-[3-(4-
Iodophenyl)-2-(4-nitrophenyl)-2H-5-tetrazolio]-1,3-benzene disulfonate) for the
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spectrophotometric assay according to the manufacturer’s protocol (05015944001,
Roche Diagnostics, Mannheim, DE). T47D and JIMT-1 cells were seeded at a
concentration of 1 x 104 cells per well in a 96-well tissue culture plate. After 48 h, the
WST-1 reagent was added and the cells were incubated for 0.5 h to 4 h at 37°C. The
absorbance of the infected and the control cells was measured against a background
control using a microplate ELISA reader (Bio-Rad, München, DE) at 450 nm
(reference wavelength at 655 nm). Five independent experiments were performed.
For statistical analysis the Student’s t-test was used.
Wound scratch migration assay
The migration assay was performed in triplicates under serum-reduced conditions to
reduce proliferation (28) as described previously (19) with minor modifications. The
wound was scratched into a confluent monolayer 5 weeks post-infection and then
documented once a day with phase contrast microscopy on an inverted microscope
Evos (AMG, Bothell, WA, USA). The quantification was performed using TScratch
software (29). All open areas at time point 0 h were set to 100 %, and the open areas
at the later time points were calculated in relation to the respective value at 0 h. For
statistical analysis the Student’s t-test was used.
Matrigel invasion assay
Control or infected JIMT-1 breast cancer cells were seeded at a concentration of 5 x
104 in serum-reduced medium onto BD BioCoat Matrigel Invasion Chambers
(354480, BD Biosciences, Bedford, MA, USA), inserted in 24-well cell culture plates
and incubated for 24 h at 37°C. FBS (10 %) was used as chemoattractant in the
lower chamber, and the invasion assay was performed according to the
manufacturer’s instructions. After the incubation, non-invading cells were removed
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with a cotton swab from the apical side of the membrane, and then the invading cells
were fixed with methanol and stained with toluidine blue. The invading cells were
counted microscopically (Olympus, Hicksville, NY, USA). The assay was performed
after two independent infections.
In vivo experiments in female nude mice
The animal studies were performed in accordance with the German and European
laws on animal welfare. The treatments were approved by the Bavarian authorities on
veterinary issues (file no. 55.2-1-54-2531-118-10). The female athymic nude mice
(Crl:NU-Foxn1 nu) (originating from Charles River Laboratories, Sulzfeld, DE) were
maintained in a pathogen-free environment. Five-week-old female nude mice were
inoculated once into the mammary fat pad (m.f.p.) with 1 x 106 T47D or JIMT-1 cells
in 50 µl. The cells were suspended in PBS and mixed with an equal volume of
Matrigel (354234, BD Matrigel, BD Biosciences, Bedford, MA, USA). The tumor size
was estimated as the product of the length and width of the xenograft measured once
a week with a caliper. The data were collected between day 16 post-injection (p.i.)
and day 56 p.i. eight weeks p.i., or when the xenograft reached approximately 1 cm3,
the mice were euthanized. The increases in the tumor size over time were estimated
by ANOVA, and the individual size measurements from each day were normalized to
the average size on day 23 p.i. for the JIMT-1 cell xenografts or on day 56. p.i. for the
T47D cell xenografts. These normalized tumor sizes were tested for differences
between the four injected cell line approaches using the Mann Whitney U-test. P-
values that were less than 0.05 were considered to be statistically significant. The
median and standard errors of the normalized tumor sizes were calculated.
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Results
The simultaneous knockdown of PTK6 and HER2 in breast cancer cells led to
stronger effects in the HER receptor signaling pathway
Before stably downregulating HER2 and PTK6, their expression was transiently
downregulated with siRNAs in the T47D and JIMT-1 cell lines to investigate the effect
of simultaneous knockdown. As recently shown by us, specific and efficient siRNAs
for PTK6 knockdown were identified as described (19). The siRNAs for HER2
knockdown led to a specific and effective downregulation (Fig. 1A). The simultaneous
knockdown of PTK6 and HER2 after 72 h (using the most efficient siRNAs,
respectively) shows that the phosphorylation of MAPK 1/3 (ERK 1/2) at
Thr202/Tyr204 and of STAT3 at Ser727 is further reduced compared with the
phosphorylation status following single HER2 or PTK6 downregulation (Fig. 1B).
Based on these results, for stable and simultaneous knockdown of HER2 and PTK6,
the T47D and JIMT-1 cell lines were efficiently infected with lentiviral particles
encoding sequences for shRNAs. Due to the stable integration of the sequences into
the host genome, the infections led to a stable downregulation of the target proteins.
We show the effects of the stable and simultaneous knockdown of PTK6 and HER2
on selected signaling proteins downstream of HER2 and PTK6 (Fig. 2 and Fig. 3).
Because the results from JIMT-1 cells that were incubated with and without
trastuzumab were comparable, we only show the results obtained from cells
cultivated with trastuzumab (Fig. 2). In JIMT-1 and T47D cells the protein expression
levels of HER1, HER3, HER4, were not changed (data not shown) following the
knockdown of HER2 and PTK6 but the phosphorylation of HER receptor-dependent
signaling proteins was affected. Compared with the mock and vector controls, the
phosphorylation of MAPK 1/3 (ERK 1/2) at Thr202/Tyr204 in the JIMT-1 cell line was
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significantly reduced after HER2 (p < 0.001) or PTK6 (p < 0.001) silencing, and in
both cell lines it was significantly decreased due to the combined downregulation
(Fig. 2B and Fig. 3B). Phosphorylated, and therefore activated, MAPK mediates
cellular processes such as proliferation, differentiation and migration by
phosphorylation of its substrates (15). In contrast, p38 MAPK is activated due to
environmental stress and is involved in regulating cell death (15). The
phosphorylation of p38 MAPK at Thr180/Tyr182 leads to the activation of other
MAPK and transcription factors. In T47D and JIMT-1 cells, the simultaneous
downregulation of HER2 and PTK6 resulted in a further reduced phosphorylation of
this kinase than single knockdown alone (Fig. 2A and Fig. 3A). However in JIMT-1
cells the dual knockdown significantly reduced the phosphorylation compared with
single knockdowns (Fig. 2B). Consequently anti-apoptotic signaling via p38 MAPK
may be reduced.
In addition, Akt is activated by phosphorylation at Thr308 and Ser473, regulating
survival and apoptosis by inhibiting the target proteins (30). The single and the
simultaneous knockdowns of HER2 and PTK6 led to a reduced phosphorylation of
Akt at Ser473 in both cell lines (Fig. 2 and Fig. 3). In particular, in T47D cells,
compared with PTK6-depleted cells, the dual knockdown significantly reduced the
phosphorylation (Fig. 3B). The phosphorylation status at Thr308 was not changed
(data not shown).
STAT3 is an additional signaling protein that mediates cell growth, survival,
differentiation and gene expression via phosphorylation at Tyr705 followed by
dimerization, translocation to the nucleus and DNA binding (31). STAT3 that is
phosphorylated at Ser727 promotes gene expression. Following combined
downregulation in JIMT-1 cells, we observed a slightly diminished phosphorylation of
STAT3 at Ser727 (Fig. 2). In T47D cells the phosphorylation at this site was
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significantly reduced in HER2-depleted cells (p = 0.002) and also significantly
decreased in cells depleted of both compared with the PTK6 knockdown alone (Fig.
3B). The phosphorylation of STAT3 at Tyr705 was not analyzed because this
phosphorylation site was marginal detectable in the cells.
The phosphatase PTEN is a tumor suppressor that negatively regulates the PI3K/Akt
pathway, and PTEN phosphorylation at Ser380/Thr382/383 lessens its activity as a
tumor suppressor (32). In both cell lines, only the simultaneous silencing of HER2
and PTK6 significantly reduced the phosphorylation of PTEN in comparison with
controls and single knockdowns (Fig. 2 and Fig. 3).
The simultaneous knockdown of PTK6 and HER2 enhanced p27 expression
and significantly reduced cell proliferation
The induction of apoptosis as a consequence of HER2 and PTK6 knockdown was
investigated based on PARP (poly-ADP-ribose polymerase) cleavage using Western
blot analysis. PARP was only cleaved when the breast cancer cells were incubated
for 24 h with staurosporine, an unspecific kinase inhibitor that induces apoptosis
(positive control), and not after PTK6 and HER2 downregulation (Fig. 4A).
We also analyzed the expression of cell cycle proteins depending on HER2 and
PTK6 protein levels. The protein expression of cyclins and cdk2 following single and
simultaneous knockdown of HER2 and PTK6 was not affected in T47D and JIMT-1
cells (data not shown). However, compared with the mock and vector controls, in
both cell lines an induction of the cell cycle inhibitor p27 was observed due to HER2
and PTK6 knockdown (Fig. 4B).
We examined the proliferation of T47D and JIMT-1 cells by analyzing the enzymatic
cleavage of tetrazolium salts into formazan (WST-1 assay). This reaction can be
proceeded in metabolically active cells, and the amount of formazan dye is directly
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associated with the amount of viable cells (33). Compared with control cells (mock),
the number of cells following HER2 knockdown is significantly reduced (T47D cells: p
< 0.008, JIMT-1 cells: p = 0.004) (Fig. 4C). It is also reduced when PTK6 is silenced
(T47D and JIMT-1 cells: p < 0.001, respectively), and following simultaneous
knockdown, the number of metabolically active cells is additively diminished (T47D
cells and JIMT-1 cells: p < 0.001, respectively). The differences between HER2-
depleted cells and cells depleted of both proteins (T47D and JIMT-1 cells: p < 0.001,
respectively), or between PTK6-depleted cells and cells depleted of both proteins
(T47D cells: p < 0.001, JIMT-1 cells: p = 0.04), were also statistically significant (Fig.
4C).
Stronger reduced migration and invasion of breast cancer cells due to the
simultaneous knockdown of PTK6 and HER2
To further determine the effects of HER2 and PTK6 silencing in breast cancer cells,
the migration and invasion of the cells were analyzed in vitro. JIMT-1 cells were
seeded into six-well plates, then a wound was scratched into the confluent monolayer
and the cells were observed for the following 72 h under serum-reduced conditions,
as exemplarily shown (Fig. 5A). Whereas the control JIMT-1 cells almost overgrow
the open area (mock (6 %) and control vector (5 %), Fig. 5B), the open area of
HER2-depleted cells was at 39 % (p = 0.037), of PTK6-depleted cells was at 42 % (p
= 0.008) indicating a significantly reduced migration. Moreover, the simultaneous
HER2 and PTK6 knockdown further reduced the cell migration, as indicated by an
area that remained over 52 % opened (p = 0.003, Fig. 5B) but it is not significant
compared with single knockdowns. Due to a very strong HER2-knockdown effect in
the T47D cell line, these cells (approaches with HER2-depleted and cells depleted of
both: HER2 and PTK6) did not became confluent and since this is a prerequisite for
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the scratch assay the cells could not be used for the migration assay. Furthermore,
the invasion of JIMT-1 cells was also reduced in vitro due to the combined silencing
of HER2 and PTK6 when compared with single downregulation of the respective
proteins (Fig. 6A). Indeed, the values were statistically not significant but a clear
tendency was observed. In the control experiments, the amount of invasive cells was
approximately 100 % (mock) or 90 % (empty vector), respectively. Following HER2,
PTK6 or simultaneous silencing, the amount of invasive cells was approximately 60
%, 40 % and 20 %, respectively (Fig. 6A).
To confirm the outcome of reduced invasion, we analyzed the cleavage, and
therefore the activation, of MMP9 (matrix metalloproteinase 9) by immunoblotting
using supernatants of JIMT-1 cells that were cultivated in serum-reduced medium.
MMPs mediate the digestion of the extracellular matrix and play an important role in
wound healing, tumor invasion, angiogenesis and carcinogenesis (34). The cleavage
of the precursor protein into the active MMP is required for invasion (34). In
comparison with controls (mock and control vector), the cleavage and thus the
activation of MMP9 (illustrated by the band at 84 kDa) is diminished when PTK6 and
both proteins are downregulated (Fig. 6B). Here, we only show the results obtained
with JIMT-1 cells because T47D cells are less invasive and express lower levels of
MMP9.
Significantly reduced in vivo tumor growth following HER2 and PTK6
knockdown
Female nude mice were inoculated with control cells (T47D cells and JIMT-1 cells
infected with the control vector), and with T47D or JIMT-1 cells that were depleted of
HER2, PTK6 and with cells containing the combined knockdown. The median tumor
size (normalized to the average on day 23 p.i.) in JIMT-1 xenografts was significantly
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16
reduced following PTK6 knockdown (32.7 mm2 to 25.9 mm2 = -21 %; p = 0.0003),
HER2 knockdown (32.7 mm2 to 29.4 mm2 = -10.2 %; p = 0.0008), and the combined
PTK6 and HER2 knockdown (32.7 mm2 to 29.3 mm2 = -10.4 %, p = 0.0007) (Fig. 7).
Concerning T47D cell xenografts, the median tumor size was estimated at the end of
the experiment (day 56 p.i.) due to a slower proliferation of the T47D cells. In all
approaches, the reduction of xenograft size of HER2- and PTK6-depleted T47D cells
was statistically significant (p ≤ 0.0001) (Fig. 7). In comparison with control
xenografts (10.2 mm2), the size of HER2-depleted xenografts was reduced to
approximately 5.2 mm2 (-49 %), of PTK6-depleted xenografts to approximately 8.7
mm2 (-15 %) and the size of xenografts depleted of both were reduced to
approximately 6.4 mm2 (- 37 %).
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Discussion
A possible approach for a targeted therapy for breast cancer is the anti-HER2
treatment by means of employing the humanized antibody trastuzumab in HER2-
overexpressing tumors. However, a percentage of them become resistant within a
year of administration of the antibody (7, 8). Therefore, novel biomarkers and targets
are needed for additional tailored therapies in breast cancer. One expedient concept
to circumvent the development of resistance to breast cancer therapy would be
simultaneous targeting of different, but physiologically related, targets within already
validated cancer-related signaling pathways. Nevertheless, to date, studies that
examine and confirm the advantageous effects of simultaneous knockdown of such
target pairs are still scarce, although some groups have reported stronger or
synergistic effects following the simultaneous knockdown of uPAR and HER2, uPAR
and MMP9, or uPA and uPAR (10, 35, 36).
In previous studies, we have demonstrated the association of HER2 with PTK6 in
breast cancer (19, 20, 22). These studies led us to investigate the effects of
simultaneous knockdown of HER2 and PTK6. To demonstrate stronger effects in
regards to the reduction of tumor progression, we simultaneously knocked down
HER2 and PTK6 in T47D cells and in trastuzumab-resistant JIMT-1 cells. This
inhibition may offer an attractive approach for directed therapy of resistant breast
tumors.
Prompted by preliminary results in which the transient and simultaneous
downregulation of HER2 and PTK6 revealed to be more efficient involving the
reduced phosphorylation of HER2-associated signaling proteins, we stably silenced
HER2 and PTK6 in two human breast cancer cell lines. MAPKs, STAT3, Akt, and
PTEN are involved in tumorigenic processes, and reduced phosphorylations of these
signaling proteins may more strongly inhibit cell proliferation, migration and anti-
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18
apoptotic pathways (14, 15, 30, 32). Consequently, the tumor cell growth regulated
by these proteins may be reduced. In the JIMT-1 cell line the effects concerning
reduced phosphorylation of MAPK 1/3 (ERK 1/2) were the most extensive and
compared with single knockdowns, the simultaneous silencing of both proteins
resulted in a further statistically significant reduction of phosphorylation. Our results
are in agreement with previous studies showing decreased phosphorylations of (p38)
MAPK (MAPK 1/3, ERK 1/2) following PTK6 knockdown (15).
Regarding the STAT3 activation at Ser727, we observed a slightly reduced
phosphorylation after simultaneous knockdown in JIMT-1 cells whereas in T47D cells
a HER2-knockdown dependent phosphorylation was observed. Usually, PTK6 is
involved in the phosphorylation of STAT3 at Tyr705 (31), but phosphorylation at this
site was not detectable in JIMT-1 and T47D cells. Because the phosphorylation of
STAT3 at Ser727 is affected by the MAPK pathway (37), we assume that there is an
indirect regulation of STAT3 at Ser727 via the MAPK that was explicitly reduced
following the combined silencing. Interestingly, due to siRNA-mediated
downregulation, the phosphorylation of STAT3 at Ser727 was already reduced
following the single HER2 or PTK6 knockdown. We hypothesize that the long-term
downregulation causes a time-dependent adaptation of the cells and compensates
for the absent phosphorylation at Ser727 by activation of alternative kinases. The
reduced phosphorylation of Akt at Ser473 in particular after HER2 and simultaneous
silencing suggests a HER2-dependent regulation. This result correlates with a study
presented by Knuefermann et al. (38), demonstrating Akt activation through the
HER2/PI-3K pathway in breast adenocarcinoma cells. In addition, Ostrander showed
no change in the phosphorylation of Akt following PTK6 knockdown (15). The
phosphorylation, and therefore the inactivation of the tumor suppressor PTEN was
significantly reduced only when both proteins were silenced in combination. Here, we
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19
also assume a time-dependent compensation regulated by other kinases when HER2
or PTK6 were stably knocked down. According to our observations, the effects
following the dual knockdown may be based on the inhibition of HER2-associated
pathways, and additionally by diminished PTK6-regulated signaling involved in EGFR
(epidermal growth factor receptor) and IGF-1R (insulin-like growth factor-1 receptor)
pathways, for example (21, 39).
Although the simultaneous knockdown led to a reduced activation of several
signaling proteins involved in tumorigenesis, an induction of apoptosis was not
observed. It seems that even a combined knockdown of HER2 and PTK6 was not
powerful enough to induce apoptosis neither in T47D nor in JIMT-1 cells. Our results
regarding the additive effects due to simultaneous knockdown are in agreement with
previous studies showing stronger effects following combined silencing of other target
proteins (10, 35, 36, 40). However, RNAi of HER2 and uPAR together, with the
addition of trastuzumab, induced apoptosis in breast cancer cells (10). This outcome
may be explained by the application of different cell lines, e.g., SKBR-3 or BT474,
which are sensitive to trastuzumab in contrast to JIMT-1 cells, and by the fact that the
proliferation in these cell lines is more dependent on HER2 expression levels than in
JIMT-1 cells (9, 10).
While the cell cycle protein expression (cyclin A, cyclin D1, cyclin E and cdk2; data
not shown) was not affected following downregulation, the expression of the cell
cycle inhibitor p27 was clearly elevated in T47D and JIMT-1 cells when HER2, PTK6,
and both were knocked down. This may result in a G1-arrest and therefore in a
reduced cell cycle progression. This outcome corresponds to the significantly
pronounced decrease in the percentage of viable cells following the combined
downregulation of HER2 and PTK6. Our results are in accordance with a previous
study showing regulation of p27 expression by PTK6 in MDA-MB-231 breast cancer
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cells through the activity of its transcription factor FoxO3a (18). Another study
reported an EGCG (epigallocatechin-3 gallate)-induced inhibition of growth in HER2-
positive breast cancer cells via repression of FoxO3a and induction of p27 (41).
However, PTK6 silencing seemed to influence the trastuzumab-resistant JIMT-1 cell
proliferation more than HER2 knockdown. In T47D cells the HER2 knockdown
impaired the cell proliferation more than the PTK6 downregulation.
The stronger effects due to simultaneous RNAi were also underpinned by reduced
migration and invasion of JIMT-1 cells in vitro, correlated with a reduced activation of
MAPK 1/3 (ERK 1/2) and MMP9. Both proteins are also involved in cell motility,
wound healing and invasion (15, 34). Migration and invasion are complex processes,
and both highly contribute to the malignancy of tumor cells (42). Although each single
silencing statistically reduced JIMT-1 cell migration and the simultaneous approach
further diminished the migration, in comparison with single knockdowns it was not
statistically significant. We suggest that the single silencing effect, in particular the
PTK6 RNAi, was so strong that the dual knockdown leads not any more to significant
changes. However, the migration and invasion of JIMT-1 cells seemed to be more
affected by the depletion of PTK6 than of HER2.
To demonstrate the effect of HER2 and PTK6 silencing in vivo, we performed animal
experiments with female immunosuppressed nude mice. The tumor growth was
significantly reduced following HER2, PTK6 and simultaneous knockdown.
Interestingly, in JIMT-1 cells PTK6 downregulation seemed to have a greater impact
on reducing tumor growth than HER2 RNAi, whereas in T47D cells the HER2
knockdown stronger impaired the cells in vivo. These results partly reflect our
observations from the previously performed in vitro assays. This outcome might be
related to the different genotypic features of the respective cell line, namely that the
survival of the JIMT-1 cells is not as strongly regulated by HER2 protein expression,
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21
as it may be in other HER2-overexpressing and HER2-dependent cell lines, e.g.,
SKBR-3 or BT474 (9, 10, 43). In addition, the strong effect of PTK6 knockdown may
also be associated with the fact that PTK6 is expressed in approximately 80 % of
breast tissues (13), and therefore, it may be an additional target in particular
considering the therapy of trastuzumab-resistant breast cancers. Furthermore,
although the HER2 expression in T47D cells is not very high, the HER2 knockdown
in this cell line has a greater impact than the PTK6 RNAi. This indicates a highly
HER2-dependent proliferation which may also be correlated with the trastuzumab-
sensitivity of T47D cells (data not shown). Consistent with our findings, some
research groups showed that overexpression of HER2 and PTK6 in vitro and in vivo
increases breast cancer tumorigenesis (21, 44, 45). Accordingly, when HER2 was
downregulated, the cell proliferation of JIMT-1 breast cancer cells was also reduced
in vivo (9, 46). Concerning PTK6 knockdown in vivo only investigations in the murine
small intestine are described and demonstrate a contrary role compared with its role
in breast cancer (47, 48).
Unexpectedly, although the reduction of tumor growth in vivo following single PTK6
or HER2 knockdown was significantly reduced in both cell line xenografts, the
combined approach led to an intermediate reduction of the tumor size and not to an
additive one. Here, we hypothesize that in contrast to the positively infected cells of
the combined knockdown approach (which significantly reduced the cell proliferation),
the minimal number of non-infected cells which have a survival benefit may stronger
proliferate during the experiment duration of up to eight weeks.
In summary, our experiments for the first time provide evidence that the knockdown
of HER2 and/or PTK6 can stronger inhibit tumor progression through the significantly
reduced activation of key proteins that are linked to tumorigenesis, and via
diminished migration, invasion and cell proliferation leading to significantly decreased
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22
tumor growth. Consequently, our results demonstrate that the inhibition of HER2
and/or PTK6 proteins represent an attractive tool in targeted breast cancer therapy.
Acknowledgements
The authors acknowledge the high technical expertise of Michaela Häusler, Katrin
Lindner, and Stefanie Winkler. We also thank Boris Schön for animal care, and
Elenore Samson and Jacqueline Müller for assistance related to animal treatment.
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23
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Figure legends
Figure 1: The effective transient downregulation of HER2 and PTK6 in T47D and
JIMT-1 breast cancer cells by siRNA. A: The protein expression levels of T47D cells
after transfection with siRNA_HER2, si_GAPDH (positive control), a non-targeting
siRNA (negative control), and mock (cells transfected with transfection reagents
without siRNA) B: The protein expression levels of JIMT-1 and T47D cells after
transfections with siRNA_HER2, siRNA_PTK6 and a combination of siRNAs against
HER2, PTK6 and mock. The protein extracts were analyzed by immunoblotting using
primary antibodies targeting HER2, PTK6, phospho-STAT3, phospho-MAPK 1/3
(ERK 1/2), and tubulin (loading control). For quantification, the means of two
independent transfections were calculated.
Figure 2: The reduced phosphorylation of tumor-promoting signaling proteins
following stable single and simultaneous knockdown of HER2 and PTK6 in the
trastuzumab-resistant JIMT-1 cells. A: Western blot analysis of protein extracts using
primary antibodies targeting HER2, PTK6, (phospho) STAT3, (phospho) Akt,
(phospho) PTEN, (phospho) MAPK 1/3 (ERK 1/2), (phospho) p38 MAPK, and tubulin
(loading control). For quantification, the means of three independent infections were
calculated. B: The graphs show the quantifications of the phosphorylation status
relative to mock control. The mean values of three independent infections, the
standard deviations and the significant p-values of single and simultaneous
knockdown in comparison are shown. 1: mock, 2: control vector, 3: shRNAHER2, 4:
shRNAPTK6, 5: shRNAHER2 + shRNAPTK6.
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30
Figure 3: The reduced phosphorylation of tumor-promoting signaling proteins
following stable single and simultaneous knockdown of HER2 and PTK6 in T47D
cells. A: Western blot analysis of protein extracts using primary antibodies targeting
HER2, PTK6, (phospho) STAT3, (phospho) Akt, (phospho) PTEN, (phospho) MAPK
1/3 (ERK 1/2), (phospho) p38 MAPK, and tubulin (loading control). For quantification,
the means of three independent infections were calculated. B: The graphs show the
quantifications of the phosphorylation status relative to mock control. The mean
values of three independent infections, the standard deviations and the significant p-
values of single and simultaneous knockdown in comparison are shown. 1: mock, 2:
control vector, 3: shRNAHER2, 4: shRNAPTK6, 5: shRNAHER2 + shRNAPTK6.
Figure 4: The simultaneous knockdown of HER2 and PTK6 does not induce
apoptosis, but it elevates the protein expression of p27 and leads to significantly
reduced cell proliferation. A: Western blot analysis of JIMT-1 and T47D cell extracts
using primary antibodies targeting full-length (116 kDa) and cleaved (89 kDa) PARP
and tubulin (loading control). B: Western blot analysis of JIMT-1 and T47D cell
extracts using primary antibodies targeting HER2, PTK6, p27 and tubulin (loading
control). For quantification, the mean values of three independent infections were
calculated. C: JIMT-1 and T47D cells were seeded at a concentration of 1 x 104 per
well and incubated for 48 h. The WST-1 reagent was added and the absorbance
measured after 1 h is shown. The graph represents the amount of viable cells in
relation to the mock control. The mean values of five independent experiments and
the standard deviations are shown. The differences between the mock control and
cells depleted of HER2 (T47D cells p < 0.008, JIMT-1 cells: p = 0.004), of PTK6
(T47D and JIMT-1 cells: p < 0.001, respectively), and of both (T47D and JIMT-1
cells: p < 0.001, respectively), as well as between HER2-depleted cells and cells
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depleted of both proteins (T47D and JIMT-1 cells: p < 0.001, respectively), and
PTK6-depleted cells and cells depleted of both proteins (T47D cells: p < 0.001, JIMT-
1 cells: p = 0.04) were statistically significant. ** p < 0.001, * p ≤ 0.05.
Figure 5: The simultaneous knockdown of HER2 and PTK6 additively reduces JIMT-
1 cell migration. A: Representative figures illustrating the migration of JIMT-1 mock,
cells infected with empty vector, vectors for HER2 and PTK6 single knockdown,
respectively, and both vectors simultaneously. The percentages of the open area
were calculated using the TScratch software. B: The graph shows the mean values,
the standard deviations and respective p-values of three independent experiments.
The scale bars are 400 µm.
Figure 6: The simultaneous knockdown of HER2 and PTK6 and reduced JIMT-1 cell
invasion. A: Control (mock) and infected with empty vector, and vectors for HER2
and PTK6 single knockdown, respectively, and both vectors simultaneously were
seeded at a concentration of 5 x 104 onto invasion chambers in 24-well cell culture
plates and were incubated for 24 h at 37°C. Invasive cells were stained and counted.
The graph shows the means and the standard deviations of two independent
infections. B: Western blot analysis of the extracts from JIMT-1 cells (mock, infected
with the empty vector, and vectors for HER2 and PTK6 single knockdown,
respectively, and both vectors simultaneously) using primary antibodies targeting
HER2, PTK6, and cleaved (84 kDa) MMP9. For quantifications, the means of three
independent infections were calculated.
Figure 7: The knockdown of HER2 or PTK6 significantly reduces tumor growth in
vivo. Nude mice were orthotopically inoculated with JIMT-1 and T47D cells carrying a
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32
control vector, cells depleted of HER2, PTK6 or of both proteins. The median and
standard error of the normalized tumor sizes are plotted, (n = 11 animals per group).
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Published OnlineFirst January 30, 2013.Mol Cancer Res Natalie Ludyga, Natasa Anastasov, Michael Rosemann, et al. cellsmalignancy and tumor progression in human breast cancer Effects of simultaneous knockdown of HER2 and PTK6 on
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