Gene expression profiling and pathway analyses 1 Gene expression profiling and pathway analyses following the targeting of HH signaling by GANT61 in human colon carcinoma cell lines Leanne Woods Dr.Ting Shi, Jennifer DeVecchio, Dr. Tanvi Mazumdar, Dr. Akwasi Agyeman, Dr. Janet A Houghton Department of Cancer Biology Lerner Research Institute Cleveland Clinic Gene expression profiling and pathway analyses 2 Abstract The Hedgehog (Hh) signaling pathway is implicated in the development of colorectal cancer. Many cancers display elevated Hh signaling activity; this persistent activation promotes cellular proliferation. GANT61 is a newly discovered small molecule inhibitor that is able to block Hh signaling by inhibiting the Gli1 and Gli2 transcription factors. By inhibiting Gli activity, GANT61 has significant antiproliferative effects that can potentially be used to treat cancers that display a noted increase in Hh signaling activity. Microarray gene expression profiling has become a powerful tool for elucidating genetic interactions, understanding signal transduction pathways, and identifying genetic biomarkers correlated with disease classification and chemotherapeutic treatment responses. The goal of this study was to identify downstream target genes and pathways specific to the regulation of the Hh signaling pathway in colon carcinoma. Illumina GenomeStudio was utilized to perform microarray gene expression profiling of the most significantly modulated 18,401 genes following the GANT61 induction of HT29 and GC3/c1 colon cancer cell lines. We also investigated the modulation of canonical pathways induced by GANT61 using Ingenuity Pathway Analysis. The current analysis revealed commonly upregulated genes, commonly down-regulated genes, and unique gene expressions in GANT61-treated HT29 and GC3/c1 cell lines. Results from both cell lines indicated that the inhibition of the Hh signaling pathway using GANT61, induced diverse gene expression and pathway modulation, especially genes and pathways which control cell cycle progression and cellular apoptosis. These studies verified the important role of the Hh signaling pathway in the maintenance and survival of colon cancer cells. Gene expression profiling and pathway analyses 3 Gene expression profiling and pathway analyses in GANT61-treated HT29 and GC3/c1 human colon carcinoma cell lines Studies on chemoresistant cancer cell lines validated the activation of Hh pathway which is an essential factor of metastatic cancer cells and cancer cell progenitors[1]. In general, Hh signaling plays a pivotal role in a number of normal cellular processes including embryogenesis, patterning of vertebrate organ structures, adult tissue homeostasis maintenance, tissue repair, cellular proliferation, and cell survival [2-10]. Human Hh signaling pathway contributes greatly to juvenile growth and development, but is largely absent in normal adult tissues. Therefore, the adult activation of the canonical Hh signaling cascade is aberrant. This signaling becomes reactivated in many types of cancers and uncontrolled Hh pathway activation can contribute to cancer development [11]. While this much is presently known, genomic approaches to shed light on the role of Hh in colon cancer are lacking and regulatory genes participating in the process remain incompletely characterized [6]. Completely effective cancer treatment specific to colon malignancies have not been developed because of drug resistance. This resistance is a major limitation in the clinical efficacy of anticancer chemotherapy because it is associated with the activation of oncogenic pathways inducing survival pathways and convergent inhibitors of apoptosis [1]. Because of this, therapies that target pathway inhibition offer an efficient treatment opportunity. DNA microarray technology is leading to the development of new cancer treatments that are tailored to the molecular characteristics and phenotype of the tumor and the patient. This will allow for increased tumor response rates and decreased toxicity to the patient [12]. Gene expression profiling and pathway analyses 4 GANT61 is currently under investigation as a potential chemotherapeutic agent that serves as a downstream inhibitor of Hh signaling because of its ability to block both Gli1- and Gli2-induced transcription. These Gli proteins are transcription factors that constitute the essential and ultimate effectors of the Hh signaling pathway. Gli1 and Gli2 possess distinct as well as overlapping functions to activate and repress cellular activities which differ in varying tissue and cell types [13]. However, their specific roles in regulating Hh-driven cellular proliferation, survival, and apoptosis require a deeper investigation. GANT61 researchers have previously studied treatment effects on cancerous tumors utilizing the mouse model. As demonstrated in vivo, GANT61 was able to reduce tumor growth in nude mice until no tumors were palpable. GANT61 is a potentially effective cancer treatment under investigation because of its lack of adverse side effects such as weight loss, ulcerations, and general non-well being [14]. The goals of the current study were to identify downstream target genes and pathways specific to the Hh in colon carcinoma as well as to elucidate diverse gene expression and pathway modulation in HT29 and GC3/c1 colon cancer cell lines that were treated with GANT61. The expectation was that genes and pathways involving cell cycle progression and apoptosis would be identified. Gene expression profiling and pathway analyses 5 Materials and Methods Human colon carcinoma cell lines HT29 was purchased from ATCC (Manassas, VA). GC3/c1 was established in culture from a human colon adenocarcinoma xenograft model by the Houghton Lab at Lerner Research Institute, Cleveland Clinic . Both HT29 and GC3/c1 cell lines express mutant p53 alleles. Cell lines were preserved in folate-free RPMI 1640 medium containing 10% dFBS and 80nM [6RS] 5-methyltetrahydrofolate. Flow cytometry Flow cytometry was utilized to analyze the effects of inhibition of Hh signaling on phase distribution of cells within the cell cycle. HT29 and GC3/c1 cancer cells were plated in six-well plates at a density of 100,000 cells per well. Cells were treated with GANT61 (20M; Enzo Life Sciences, Germany) or vehicle control (0.2% DSMO) in duplicate for 24 hours following overnight attachment. This was followed by washing with PBS, trypsinization, and centrifugation. The cells were fixed at 22oC with 70% ethanol, stored at -20o C, centrifuged at 200 x g for 5 minutes, and washed in PBS. The cells were then suspended in PBS. Low molecular weight DNA was extracted, centrifuged, and resuspended in a DNA staining solution that contained 50g of propidium iodide and 2mg of DNAse-free RNAse. A 30 minute incubation period followed in the dark at RT. A FACSCalibur flow cytometer was used to analyze the distribution of cells through the cell cycle and CellQuest software analyzed the data. See Figure 1. Gene expression profiling and pathway analyses 6 Venn Diagram A Venn Diagram was created to summarize the Differentially Expressed Genes (DEGs) in GANT61-treated HT29 and GC3/c1 cells. Illumina Human-ref8 V3.0 Bead-Chip array was used to determine changes in gene expression. The DEGs consisted of genes with a False Discovery Rate (FDR)-adjusted p-value <0.001 and fold change 1.5. See Figure 2. Heatmap Matlab (Mathworks) was utilized to generate a heatmap to compare the fold change of induced DEGs in HT29 and GC3/c1. Two steps were taken to select the genes in comparison. First, the genes with differential expression p-value <0.001 were selected. Second, the up-regulated genes with fold change 4 and the down-regulated genes with fold change -3 were chosen in each cell line as these were the maximum extents of positive and negative fold change. Specific genes were classified into categories defined by roles such as G1/S transition, S-phase progression, DNA replication or repair, and regulation of the G2 or M-phase transitions. See figure 5. Ingenuity Pathway Analysis (IPA) Differentially expressed genes were uploaded and mapped in the IPA database for canonical pathway analysis (Ingenuity Systems, Mountain View, CA). Up-regulated and down-regulated gene datasets were analyzed in specified pathways involving cell cycle progression at G1/S and G2/M. See Figure 4. Gene expression profiling and pathway analyses 7 qRT-PCR HT29 and GC3/c1 cells were either untreated with 0.2% DSMO or treated with 20 M GANT61 for either 0 hours, 16 hours, 24 hours, 38 hours, or 48 hours at 37oC. Reverse transcription was accomplished using 1g total RNA to prepare cDNA. iScript Select cDNA Synthesis Kit (Biorad) Reverse Transcription System was used for this process. Analysis was performed with an Applied Biosystems 7500 PCR Detection System (Applied Biosystems Inc.). Primer-BLAST, NCBI software was used to perform amplifications primed by pairs of chemically synthesized 18- to 24- mer oligonucleotides. Target amplicons of 50-200 bp were generated. The qRT/PCR reaction conditions consisted of activation for 10 minutes at 95oC with 40 cycles of denaturation for 15 seconds at 95oC, primer annealing and extension for 1 minute at 60C and ramping back to 95oC. The extent of amplification at the end of each cycle was able to be determined with fluorescence readings. Using the comparative CT method, mRNA expression levels of target genes were normalized to the expression of glyceraldehydes phosphate dehydrogenase (GAPDH) and quantified. See Figure 3. Gene expression profiling and pathway analyses 8 Results Flow cytometry: cell cycle arrest GANT61 was shown to induce the accumulation of cells at G1/S in HT29 and GC3/c1 cells. Both cell lines demonstrated the G1 cell accumulation 24 hours after treatment with GANT61. These results support the evidence of cell cycle phase arrest at G1 that leads to apoptosis. Figure 1 Gene expression profiling and pathway analyses 9 Venn Diagram: profile of Differentially Expressed Genes (DEGs) 1,368 genes were differentially expressed in HT29 cells and 1,002 genes were differentially expressed in GC3/c1 cells. The Venn Diagram provides a quantitative visual account of both common and unique DEGs to HT29 and GC3/c1. 755/558 genes were upregulated and 613/444 were down-regulated. 763 genes were unique to HT29 and 397 genes were unique to GC3/c1. In HT29, 459 (60%) were up-regulated and 304 (40%) were downregulated. Similarly, in GC3/c1, 262 (66%) were up-regulated and 135 (34%) were downregulated. 605 genes were common to both cell lines; this represented 3.4% of the total genes. Of these, 296 (49%) were up-regulated while 309 (51%) were down-regulated. Figure 2 Gene expression profiling and pathway analyses 10 qRT-PCR: validation of gene expression qRT-PCR was performed for 0 hours, 16 hours, 24 hours, 38 hours, and 48 hours after GANT61-treated HT29 and GC3/c1 cDNA. GAPDH was utilized for qRT-PCR data normalization. This procedure revealed a down-regulation at G1/S of E2F2, CCNE2, CDC25A, and CDK2 and an up-regulation at G1/S of CDKN1A and CDKN2B. At G2/M, there was a down-regulation of CCNA2, CDC25C, CCNB2, and CDK1. qRT was able to accurately confirm changes in gene expression in HT29 and GC3/c1 cancer cells following treatment with GANT61. Figure 3 Gene expression profiling and pathway analyses 11 Ingenuity Pathway Analysis (IPA): modulation of canonical signaling pathways Genes that demonstrated significant expression following GANT61 treatment were assigned to different canonical signaling pathways and subsequently analyzed using IPA. The pvalue for the 15 most significantly altered canonical pathways in HT29 ranged from 2.045 to 9.025. The p-value range for GC3/c1 was 2.32 to 7.509. 12 of the 15 pathways involving genes significantly down-regulated were common to both cancer cell lines (indicated by blue lines in Figure 4). The 3 common pathways that exhibited the greatest down-regulated differential expression included genes involved in DNA damage response, cell cycle checkpoint control, and mitosis (indicated by red lines in Figure 4). The other down-regulated pathways involved the G1/S and G2/M DNA damage checkpoints, DNA precursor metabolism, and cell signaling. Some cell signaling involved different pathways that were unique to cancers, in general, and colon cancer. 8 of the 15 pathways involving genes significantly up-regulated were common to both cancer cell lines (indicated by blue lines in Figure 4). The up-regulated gene expression, in general, demonstrated more diversity. The common up-regulated pathways were mostly involved in metabolism in roles dealing with steroids, pyruvate, glycolysis, glutathione, and glycerolipid. The up-regulated gene expression was not directly related to cellular proliferation control. Gene expression profiling and pathway analyses Figure 4 12 Heatmap: up-regulated genes (red); down-regulated genes (green); asterisks (*) denote genes with specific roles in G1/S-, G2-, or M-phase transitions as well as DNA replication or repair Figure 5 Gene expression profiling and pathway analyses 14 Discussion The Hh signaling pathway is growing as an important area of research because of its activating role in the development of many human cancers. This activation comes as a result of mutations in the genes that regulate canonical Hh signaling [4]. Hh signaling is transcriptionally activated by Gli1 and Gli2 and is significantly influenced by the cellular context of gene expression. There are differing levels of activation dependent upon the type of tissue or cell origin. The inhibition of Hh pathway activity has been shown to prevent cancer growth [15-17]. In this current study, GANT61 was able to inhibit the transcriptional function of both Gli1 and Gli2. Both HT29 and GC3/c1 colon cancer cell lines accumulate in G1-phase following GANT61 treatment with a subsequent decrease in following cell cycle phases which suggested induction of a G1/S checkpoint. The signals that promote this cellular accumulation lead to the repression of genes that regulate further cell cycle progression. Following statistical analyses, 1,368 genes in HT29 and 1,002 genes in GC3/c1 were determined to be significantly modulated with a p-value 0.001 and fold change 1.5 when treated with GANT61. 296 genes were commonly up-regulated in both cell lines and 309 genes were commonly down-regulated in both cell lines. Some of the important down-regulated genes identified at G1/S included E2F2, CCNE2, CDC25A, and CDK2. The important up-regulated genes at G1/S were CDKN1A and CDKN2B. At G2/M, the significant down-regulated genes were CCNA2, CDC25C, CCNB2, and CDK1. In addition, novel genes involved in DNA damage response, stress response, and DNA replication and repair were identified following Hh signaling inhibition. Gene expression profiling and pathway analyses 15 Regarding the canonical pathways, the down-regulated differentially expressed pathways included genes involved in DNA damage response, cell cycle checkpoint control, and mitosis, G1/S and G2/M DNA damage checkpoints, DNA precursor metabolism, and cell signaling. The up-regulated gene expression, in general, demonstrated more diversity and included genes involved in metabolism. These metabolic roles were specific to steroids, pyruvate, glycolysis, glutathione, and glycerolipid. In summary, a comparison of gene expression profiles was conducted in HT29 and GC3/c1 human colon carcinoma cell lines while using GANT61 to target the function of Gli1 and Gli2, transcriptional regulators of Hh signaling. 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