Cancer Therapy: Preclinical Histone Deacetylase Inhibitor FK228 Activates Tumor Suppressor Prdx1 with Apoptosis Induction in Esophageal Cancer Cells Isamu Hoshino,1 Hisahiro Matsubara,1 Naoyuki Hanari,1 Mikito Mori,1 Takanori Nishimori,1 Yasuo Yoneyama,1 Yasunori Akutsu,1 Haruhito Sakata,1 Kazuyuki Matsushita,1 Naohiko Seki,2 and Takenori Ochiai1 Abstract Purpose: The histone deacetylase inhibitor FK228 shows strong activity as a potent antitumor drug but its precise mechanism is still obscure. The purpose of this study is to reveal the effect of FK228 on gene expression in the cell and to determine the mechanism of the antitumor activity of FK228 for further clinical applications. Experimental Design and Results: Microarray analysis was applied to verify the gene expression profiles of 4,608 genes after FK228 treatment using human esophageal squamous cell cancer cell lines T.Tn and TE2. Among them, peroxiredoxin 1 (Prdx1), a member of the peroxiredoxin family of antioxidant enzymes having cell growth suppression activity, as well as p21WAF1, were significantly activated by FK288. In addition, FK228 strongly inhibited the cell growth of T.Tn and TE2 by the induction of apoptosis. Further, chromatin immunoprecipitation analysis revealed that FK228 induced the accumulation of acetylated histones H3 and H4 in Prdx1 promoter, including the Sp1-binding site. In mouse xenograft models of T.Tn and TE2 cells, FK228 injection resulted in significant tumor regression as well as activated Prdx1 expression in tumor tissues. Prdx1 suppression by RNA interference hindered the antitumor effect of FK228. Conclusion: Our results indicate that the antitumor effect of FK228 in esophageal cancer cells is shown at least in part through Prdx1 activation by modulating acetylation of histones in the promoter, resulting in tumor growth inhibition with apoptosis induction. Esophageal squamous cell carcinoma is a highly malignant disease with poor prognosis, the overall 5-year survival rate being only in a range of 5% to 25% (1, 2). Recently, applications of combined chemotherapy and radiotherapy, or the combination therapy as an adjunct to surgery, have improved the prognosis of esophageal squamous cell carcinoma patients (3, 4). Thus, there is some urgency for the development of new antitumor agents so as to further improve the prognosis of esophageal squamous cell carcinoma patients. In this regard, among the most promising candidates as antitumor agents are histone deacetylase inhibitors (HDACI) such as FK228 (5, 6). In chromatin, the four inner histones are wrapped inside 146 bp of DNA to make a nucleosome and they are aggregated to Authors’ Affiliations: Departments of 1Frontier Surgery (M9) and 2Functional Genomics, Graduate School of Medicine, Chiba University, Chiba, Japan Received 4/15/05; revised 7/26/05; accepted 8/4/05. Grant support: Japan Society for the Promotion of Science and a grant-in-aid for scientific research on priority areas from the Minister of Education, Culture, Sports, Science and Technology of Japan. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Requests for reprints: Hisahiro Matsubara, Department of Frontier Surgery (M9), Graduate School of Medicine, Chiba University, 1-8-1Inohana, Chuo-ku, 260-8670 Chiba, Japan. Phone: 81-43-226-2109; Fax: 81-43-226-2111; E-mail: matsuhm@ faculty.chiba-u.jp. F 2005 American Association for Cancer Research. doi:10.1158/1078-0432.CCR-05-0840 www.aacrjournals.org form a higher-order structure of chromatin (7). Chromatin structure is closely related to gene transcription (8). At least two mechanisms of chromatin remodeling are now understood: (a) ATP-dependent chromatin remodelers make chromatin remodeling complexes and slide nucleosome core histone along DNA, making DNA more accessible to transcription factors and DNA binding factors to promote transcription (9) and (b) the chromatin structure of nucleosomes is modified by histone acetyltransferases and HDACs (10). Histone acetyltransferases, which acetylate lysine residues of histone proteins, facilitate the access of many transcriptional factors to DNA and consequently activate the expression of the target genes. In contrast, HDACs, which deacetylate lysine residues, repress transcription (11, 12). One of the histone deacetylase inhibitors, FK228 (depsipeptide), isolated from Chromobacterium violaceum, is a new anticancer agent with potent HDAC-inhibiting activities (5, 6). FK228 induces histone acetylation, cell cycle arrest, and differentiation or apoptosis in vitro and in vivo in some human cancer cell lines (13 – 16). Recently, it was shown that HDACIs (e.g., FK228, suberoylanilide hydroxamic acid, and trichostatin A) activate transcription of the cyclin-dependent kinase inhibitor p21WAF1 (15, 17, 18) and induction of p21WAF1 by HDACIs requires the Sp-1 binding site and is associated with the accumulation of acetylated histones in the promoter region of the gene (17 – 20). In this study, microarray analysis revealed that FK228 activated peroxiredoxin 1 (Prdx1) gene expression, Prdx1 being a member of the peroxiredoxin family of antioxidant enzymes (21 – 25) in both TE2 and T.Tn cell lines. The Sp-1 binding site 7945 Clin Cancer Res 2005;11(21) November 1, 2005 Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. Cancer Therapy: Preclinical Fig. 1. A, antiproliferative activity inT.Tn and TE2. Cells were incubated for 72 hours in the absence or presence of the indicated concentrations of FK228 and cell viability was determined using Cell Counting Kit-8 as described in Materials and Methods. Results are shown as the percentage of viability in the control. Points, mean of eight separate experiments; bars, SD. B, profiles of original flow cytometric analysis inT.Tn and TE2 cells. Cells were treated for 24 or 72 hours with IC80 concentrations of FK228 (T.Tn, 1.83 ng/mL; TE2, 1.13 ng/mL) and stained with propidium iodide. The percentage of cells with a DNA content of less than sub-G1 is indicated in each histogram. C, in vitro apoptotic effects of FK228 inT.Tn and TE2 cells. Cells were exposed to FK228 at IC80 concentrations for 24 or 72 hours and apoptotic cells were stained byTUNEL inT.Tn and TE2. Positive cells are shown with dark brown nuclei. The numbers of positive cells increased in a time-dependent manner in both cell lines. of the Prdx1 promoter was acetylated by FK228. Taken together, we propose a novel antitumor mechanism of FK228 that induces cell growth arrest and/or apoptosis induction augmented by Prdx1 activation with promoter acetylation in human esophageal cancer cell lines and suggest its applicability to esophageal cancer treatment. Materials and Methods Cell culture and chemicals. The human esophageal cell lines were cultured in DMEM (Life Technologies, Grand Island, NY) supplemented with 10% FCS. T.Tn cells were from Japanese Cancer Research Resources Bank. TE2 cells were kindly provided by Dr. T. Nishihira Table 1. TUNEL-positive cells for apoptotic index T.Tn 0h 24 h 72 h TE2 Control (%) IC80 (%) P Control (%) IC80 (%) P 1.50 F 0.30 3.17 F 0.45 3.23 F 0.35 6.20 F 0.30 39.4 F 1.88 0.0006 <0.0001 0.73 F 0.40 2.43 F 0.32 3.20 F 0.36 5.60 F 0.17 50.9 F 2.16 <0.0001 <0.0001 NOTE: The apoptotic index was defined as the percentage of positive cells in 1,000 cells from three arbitrary microscopic fields. Data are expressed as mean F SD. Statistical significance was evaluated by unpaired Student’s t test. Clin Cancer Res 2005;11(21) November 1, 2005 7946 www.aacrjournals.org Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. FK228 Induces Prdx1 in Esophageal Cancer Cells Table 2. List of 11genes up-regulated (>2-fold changes at least at one time point) in both T.Tn and TE2 cells Genbank accession no. Gene symbol Description Function X67951 U03106 M61733 Prdx1 CDKN1A EPB41 M59828 AK000715 X62320 AL132826 M81355 V00662 X93334 BC003560 HSPA1A PTRF GRN FLRT3 PSAP ATP8 ND4L RPN2 Peroxiredoxine1 Cyclin-dependent kinase inhibitor1A (p21, Cip1) Erythrocyte membrane protein band 4.1 (elliptocytosis1, RH-linked) Heat shock 70 kDa protein1A Polymerase I and transcript release factor Granulin Fibronectin leucine-rich transmembrane protein 3 Prosaposin ATP synthase 8 NADH dehydrogenase 4L Ribophorin II (Tohoku University, Sendai, Japan). FK228 was provided by Fujisawa Pharmaceutical Company (Tokyo, Japan). In in vitro studies, FK228 was dissolved in 100% ethanol and diluted with each experimental medium. In in vivo studies, FK228 was dissolved and diluted with 10% polyoxyethylated (60 mol) hydrogenated castor oil (HCO60) in saline. Cytotoxicity assay. Cell growth was determined with Cell Counting Kit-8 (Dojindo, Kumamoto, Japan). Cells (5 103 per well) were seeded into 96-well microplates and incubated for 48 hours at 37jC under 5% CO2. FK228 was dissolved in ethanol and diluted with DMEM. The medium was changed for test samples and incubated in the presence or absence of drugs for 72 hours. Then the Cell Counting Kit-8 reagent was added and allowed to react for 3 hours. Absorbance at 450 nm was measured using a microplate reader (Bio-Rad Laboratories, Hercules, CA). The IC50 values were calculated by the least-square method. Cell cycle analysis and terminal deoxynucleotidyl transferase – mediated nick-end labeling assay. For cell cycle analysis, cells were incubated with IC80 (T.Tn, 1.83 ng/mL and TE2, 1.13 ng/mL) FK228 and harvested at 0, 24, and 72 hours. Cells were pelleted by centrifugation and resuspended in 70% ethanol. The cells were incubated at 30jC for at least 4 hours and resuspended with 50 Ag/mL propidium iodine in a reaction solution containing 1 mg/mL RNase A. Fluorescence emitted from the propidium iodine-DNA complex was quantified using FACScan (Becton Dickinson Medical Systems, Sharon, MA). Apoptosis was determined by the presence of a sub-G1 population in the cell cycle profile. Apoptosis was also detected by the analysis of DNA fragmentation using terminal deoxynucleotidyl transferase – mediated nick end labeling assay (TUNEL) with an In situ Apoptosis Detection kit (Takara, Tokyo, Japan). The apoptotic index was defined as the percentage of positive cells in 1,000 cells from three arbitrary microscopic fields. Western blot analysis. Whole cell pellets were washed thrice in PBS, resuspended in lysis buffer [20 mmol/L Tris-HCl (pH 7.5), 5% NP40, 1 mmol/L EDTA, 1 mmol/L phenylmethylsulfonyl fluoride, Maximum fold change T.Tn TE2 Metabolism/enzyme Cell cycle Cytoskeleton 3.85 3.41 2.22 4.02 3.75 2.53 Transcription factor Translation factor Translation factor Signal transduction Signal transduction Metabolism/enzyme Metabolism/enzyme Metabolism/enzyme 2.95 2.20 3.05 2.51 2.73 2.22 2.24 3.30 3.74 3.24 3.70 3.01 4.52 2.70 3.70 2.36 50 Amol/L leupeptin, 50 Amol/L antipain, 50 Amol/L pepstatin, 50 Amol/L N-acetyl-leucyl-leucyl-norleucinal]. Protein extracts (25 Ag) were subjected to SDS-PAGE and transferred to polyvinylidene difluoride membranes. Membranes were blocked in PBS containing 5% nonfat dried milk and 0.1% Tween 20. Anti-acetyl-histone H3 polyclonal antibody (1:1,000; Upstate Biotechnology, Inc., Lake Placid, NY), anti-acetyl-histone H4 polyclonal antibody (1:1,000; Upstate Biotechnology), anti-p21WAF1 polyclonal antibody (1:200; Santa Cruz Biotechnology, Santa Cruz, CA), anti-Prdx1 polyclonal antibody (1:2,000; Alexis Biochemicals, Lausen, Switzerland), and anti-h-actin polyclonal antibody (1:200; Santa Cruz Biotechnology, Santa Cruz, CA) were used. After incubation with a primary antibody for 3 hours at room temperature, the membranes were incubated for 2 hours in the second antibody in PBS and visualized using ECL Western Blotting Detection Reagents (Amersham Pharmacia Biotech, Inc., Piscataway, NJ). Messenger RNA preparation and cDNA microarray analysis. Cells were seeded into a 225 cm2 flask and incubated for 48 hours, then treated with or without an IC80 concentration of FK228 and harvested at 0, 6, 12, 24, and 48 hours. Cells were washed with PBS and processed for RNA extraction with RNeasy kit (Qiagen, Inc., Chatsworth, CA). Twenty micrograms of total RNA from cells cultured with FK228 were compared with 20 Ag of total RNA from cells cultured without FK228 by using a cDNA microarray consisting of 4,608 distinct cDNA clones generated as described previously (26). Fluorescent images of the hybridized microarrays were scanned with a fluorescence laser confocal slide scanner (Scan Array 4000, GSI Lumonics, Ottawa, Ontario, Canada) and analyzed with Quant Array software (GSI Lumonics). All experiments were done in duplicate and the averaged data of each time point were subjected to statistical analysis. To identify significantly expressed genes, we defined the data for those genes that showed 2-fold changes for at least one time point. Table 3. List of four genes down-regulated (>2-fold changes at least at one time point) in bothT.Tn and TE2 cells Genbank accession no. Gene symbol Description BC000013 BC005391 D89092 BC002355 IGFBP3 RPSA HNPDL HNRPA1 Insulin-like growth factor binding protein 3 Laminin receptor1 (ribosomal protein SA, 67 kDa) Heterogeneous nuclear ribonucleoprotein D-like Heterogeneous nuclear ribonucleoprotein A1 www.aacrjournals.org Function 7947 Regulation of cell growth Regulation of transcription Translation factor Translation factor Maximum fold change T.Tn TE2 2.46 2.29 2.41 2.56 2.10 2.25 2.99 3.65 Clin Cancer Res 2005;11(21) November 1, 2005 Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. Cancer Therapy: Preclinical Fig. 2. A, comparison of results obtained from real-time quantitative PCR analysis of changes in mRNA levels after treatment with FK228. mRNA levels at various time points after administration of FK228 relative to the level of control cells in real-time quantitative PCR are shown for p21WAF1 and Prdx1 genes. B, effects of FK228 on expression levels of p21WAF1 and Prdx1proteins. T.Tn andTE2 cells were incubated with1ng/mL of FK228 for the indicated time periods and were analyzed for p21WAF1 and Prdx1protein expression levels by Western blotting as described in Materials and Methods. Real-time quantitative reverse transcription-PCR. The expression changes of p21WAF1 and Prdx1 genes were examined by real-time quantitative PCR using the LightCycler technique (Roche Diagnostics GmbH, Mannheim, Germany). The cDNA templates for real-time PCR were synthesized from 1 Ag of total RNA using SuperScript II reverse transcriptase and an oligo-dT primer. The glyceraldehyde-3phosphate dehydrogenase (GAPDH) gene served as internal control. The PCR reaction mixture consisted of DNA Master SYBR Green I mix (LightCycler-FastStart DNA Master SYBR Green I kit, Roche Diagnostics; containing Taq DNA polymerase, deoxynucleotide triphosphate, 3 mmol/L MgCl2, and SYBR green dye), 0.5 Amol/L of each primer, and cDNA. The PCR processes were as follows: initial denaturation at 95jC for 10 minutes, followed by 45 cycles of denaturation at 95jC for 15 seconds, annealing at 57jC for 10 seconds, and elongation at 72jC for 8 to 18 seconds. The Fit Points method provided by the LightCycler software was used to estimate the concentration of each sample. Primers were chosen using Primer3 (available at http://wwwgenome.wi.mit.edu/cgi-bin/primer/primer3_www.cgi). The following primer sequences were used: Prdx1, 5V-CAGCCTGTCTGACTACAAAGGA-3V and 5V-CCAGTCCTCCTTGTTTCTTAGG-3V; p21WAF1, 5V-ACTTCGACTTTGTCACCGAGA-3V and 5V-CAAGACAGTGACAGGTCCACAT-3V; and GAPDH, 5V-ACCACAGTCCATGCCATCAC-3V and 5V-TCCACCACCCTGTTGCTGTA-3V. The expression value was calculated as follows: expression level of each mRNA/expression level of GAPDH. Experiments were done in duplicate. Chromatin immunoprecipitation assay. The chromatin immunoprecipitation assay was done by chromatin immunoprecipitation assay kit (Upstate Biotechnology). Briefly, cells were seeded at 2 106 per 10 cm dish and incubated for 48 hours at 37jC under 5% CO2. The cells were then cultured with 2.0 ng/mL of FK228 for 2 hours at 37jC under 5% CO2. Formaldehyde was added to the cells to a final concentration of 1% and they were further incubated for 10 minutes at 37jC. The harvested cells were precleared with salmon sperm DNA/protein A agarose and subsequently incubated with either 5 AL of anti-acetylhistone H3 or anti-acetyl-histone H4 antibody at 4jC overnight. Chromatin samples were immunoprecipitated using salmon sperm DNA/protein A. Samples were washed once with low salt immune complex wash buffer, once with high salt immune complex wash buffer, once with LiCl immune complex wash buffer, and twice with TE buffer. Immune complexes were eluted and subsequently reverse crosslinked and purified by phenol/chloroform extraction and ethanol precipitation. The supernatant of an immunoprecipitation reaction done in the absence of any antibody was purified and used as control to show total input DNA. PCR analysis by Prdx1-specific primers was carried out using DNA from chromatin immunoprecipitation experi- Clin Cancer Res 2005;11(21) November 1, 2005 ments and input samples. The PCR processes were as follows: initial denaturation at 95jC for 1 minute followed by 30 cycles of denaturation at 95jC for 30 seconds and annealing and elongation at 68jC for 1.5 minutes. PCR products were run on 2% agarose/ethidium bromide gel. The following primer sequences for Prdx1 were used: P1, 5V- CCCAAGAGGTTCTCAGGAGGT-3V and 5V-TGGTGAAACCCTGTCTCTGCT-3V; P2, 5V-CTGAATCAGCCTCCCAAGATG-3V and 5V-ACTACGCACTGTGCCCTCAAT-3V; P3, 5V-CTCACTCCAACCTCAGCCATC-3V and 5V-CACTCACCAGTCCCAACACAA-3V; and E6, 5V-CTGGAAACCTGGCAGTGATAC-3V and 5V-AAGAAAGGCTGGTCTCTCCAC-3V. The following primer sequences for b-actin were used: P1, 5V-GCGTGACTGTTACCCTCAAAA-3V and 5V-TAAATGTGCTGGGTGGGTCA-3V; E6, 5V-ATGTGGATCAGCAAGCAGGA-3V and 5V-ATCAAAGTCCTCGGCCACAT-3V. Small interfering RNA transfections. The anti-Prdx1 small interfering RNA (siRNA) sequences and the control siRNA sequence used were as follows: Prdx1-1, CAGATGGTCAGTTTAAAGATA; Prdx1-2, CAGCCGAATTGTGGTGTCTTA; control, AATTCTCCGAACGTGTCACGT. A total of 10,000 cells per well were seeded in a 96-well plate 1 day before transfection. Transfection was done with 0.25 Ag siRNA and 2 AL transmessenger per well using a transmessenger transfection kit (Qiagen). At 48 hours after transfection, cells were treated in the presence or absence of FK228 for 72 hours. Cell growth was determined by the Cell Counting Kit-8 (Dojindo) as described above. In parallel, RNA from f20,000 cells was isolated using the RNeasy kit (Qiagen) 48 hours after transfection. The relative amount of mRNA was determined by reverse transcription-PCR and real-time quantitative PCR as described above. All experiments were done in triplicate and data were presented as mean F SD. In vivo animal model. T.Tn (2.5 106 cells) and TE2 (2.5 106 cells) were injected into the backs of BALB/c nu/nu mice. When the Fig. 3. Acetylation of histones by FK228. T.Tn and TE2 cells were incubated with different amounts of FK228 for 2 hours and then analyzed for acetylated histones H3 (Ac-H3) and H4 (Ac-H4) by Western blotting as described in Materials and Methods. 7948 www.aacrjournals.org Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. FK228 Induces Prdx1 in Esophageal Cancer Cells Fig. 4. FK228 induction of the acetylation of the histone associated with the Prdx1 gene promoter. A, position of the primers in the Prdx1 gene. Treatment of T.Tn (B) and TE2 (C) cells with or without 2 ng/mL of FK228 for 2 hours and immunoprecipitation of chromatin extracts with input DNA or antibodies to acetylated histone H3 or H4. estimated tumor weight reached f200 mg, animals were divided into four groups and treated i.v. thrice at 4-day intervals with 0, 1.0, 2.0, or 3.0 mg/kg, respectively. Tumor weight was calculated from the following formula: tumor weight (mg) = length width2 / 2. Xenograft model of real-time quantitative PCR for Prdx1 gene. T.Tn (2.5 106 cells) and TE2 (2.5 106 cells) were injected into the backs of BALB/c nu/nu mice. When the estimated tumor weight reached f200 mg, animals were divided into five groups, treated i.v. once with 3.0 mg/kg of FK228, and RNA was extracted from solid tumors at 0, 6, 12, 24, and 48 hours postinjection by RNeasy Mini kit (Qiagen). RNA was reverse-transcribed and PCR analysis for Prdx1 and GAPDH was done as described above. FK228 activates Prdx1 and p21WAF1 expression as detected by microarray analysis. To determine the target genes of FK228 in esophageal cancer cell lines, we did cDNA microarray analysis. Two-fold or greater alterations in gene expression, either increasing or decreasing, were considered significant. Ninetythree genes were identified in T.Tn and 65 in TE2. Among them, 11 genes were up-regulated (Table 2) and four were downregulated (Table 3) in both cell lines, respectively. Especially, the expression levels of p21WAF1 and Prdx1 genes were remarkably increased. To verify whether p21WAF1 and Prdx1 Results FK228 showed antiproliferative activity by inducing cell arrest and apoptosis in human esophageal cancer cell lines. FK228 has apparent antitumor efficacy in several human cancer cell lines (5, 6, 13 – 16). In this study, we assessed the antitumor activity of FK228 in human esophageal cancer cell lines T.Tn and TE2 and the sensitivities of these cells were evaluated with IC50 values of 0.373 and 0.781 ng/mL, respectively (Fig. 1A). In both T.Tn and TE2 cell lines, the percentage of G2-M cells was increased at 24 hours with IC80 FK228 treatment, and sub-G1 cells were increased in a time-dependent manner (Fig. 1B). For TUNEL assay, T.Tn and TE2 cells were cultured with IC80 concentrations of FK228 for 24 and 72 hours, respectively. In both T.Tn and TE2, TUNEL-positive cells increased in a time-dependent manner (Fig. 1C). TUNEL index also showed that FK228 increased sub-G1 fractions, representing the induction of apoptosis (Table 1). www.aacrjournals.org Fig. 5. A, FK228 did not alter expression levels of h-actin proteins. T.Tn and TE2 cells were incubated with 1ng/mL of FK228 for the indicated time periods and were analyzed for h-actin protein expression levels by Western blotting as described in Materials and Methods. B, FK228 did not induce acetylation of the histone associated with b-actin gene promoter. T.Tn and TE2 cells were treated with or without 2 ng/mL of FK228 for 2 hours and immunoprecipitation of chromatin extracts was done with input DNA or antibodies to acetylated histone H3 or H4. 7949 Clin Cancer Res 2005;11(21) November 1, 2005 Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. Cancer Therapy: Preclinical expression levels were activated at transcriptional levels, we did quantitative real-time reverse transcription-PCR analysis of these mRNAs and showed that their expressions were activated at both transcriptional (Fig. 2A) and protein levels (Fig. 2B). FK228 acetylated histones in the Prdx1 gene promoter. FK228 treatment increased acetylated histones in several human cancer cell lines (27). First, to determine whether FK228 can induce histone acetylation in human esophageal cancer cells, T.Tn and TE2 cells were exposed to FK228 at various concentrations for 2 hours. As expected, FK228 induced histones H3 and H4 acetylation in a dose-dependent manner, becoming especially apparent at doses higher than 1.0 ng/mL (Fig. 3). Second, we examined whether FK228 acetylates histones H3 and/or H4 in the promoter of Prdx1 gene by using chromatin immunoprecipitation assay in T.Tn and TE2 cells. As shown in Fig. 4A, primer sets encompassing the Prdx1 promoter and the coding gene were used to assess the extent of histone acetylation; the acetylation of histone H3 of Prdx1 promoter and exon 6 (the last exon of Prdx1) was increased in both cell lines (Fig. 4B and C). In TE2 cells, histone H4 in P3 was acetylated, whereas in T.Tn cells histone H4 in P1 and P2 regions was acetylated; however, histone H4 in exon 6 was acetylated in both cell lines (Fig. 4B and C). These results indicate that the regions of histone acetylation differ among esophageal cancer cell lines. FK228 did not induce accumulation of acetylated histones in chromatin associated with b-actin genes. To determine whether this effect was selective for a limited number of genes, we examined the level of histone H3 or H4 acetylation in h-actin. The protein expression level of h-actin was not changed by incubation with FK228 (Fig. 5A) and there was no change in the levels of histone H3 or H4 acetylation after culture with FK228 (Fig. 5B). Taken together, these results suggest that the FK228-induced changes in histone acetylation are localized to specific areas of chromatin. Silencing Prdx1 gene expression reduced chemosensitization by FK228. If FK228 induces antiproliferative effects by activating the Prdx1 gene, Prdx1 suppression by RNA interference should reduce the antitumor activity of FK228. To examine this hypothesis, Prdx1-specific siRNA was transfected into T.Tn and TE2 cells (Fig. 6A and B). Expectedly, the reduction in Prdx1 expression significantly down-regulated the chemosensitization by FK228 in both cell lines (Fig. 6C). Effect of FK228 on the expression of Prdx1 mRNA in T.Tn and TE2 xenografts. To establish a basis for future clinical applications of FK288, we examined the antitumor activity of FK228 using transplanted human esophageal cancer cell lines in a mouse model. As shown in Fig. 7A, 50 days after the first administration, the growth of TE2 tumors was significantly suppressed compared with the control group. On the other hand, in the case of T.Tn cells, although tumor growth inhibition was observed to some extent, there was no significant difference in tumor size between any of the treated groups. In all cases, there was no effect on the weight of the mice compared with controls. Furthermore, we examined the expression of Prdx1 mRNA in T.Tn and TE2 xenografts by real-time PCR analysis after the administration of FK228. Even in the xenograft models, the expression of Prdx1 had its peak at 12 hours postadministration (Fig. 7B), after which the induction levels decreased, reaching basal expression levels at 48 hours. Clin Cancer Res 2005;11(21) November 1, 2005 Discussion We showed for the first time that FK228 induces both apoptosis and cell cycle arrest, resulting in antiproliferative effect on human esophageal cancer cell lines T.Tn and TE2. Further, FK228 activated Prdx1 gene expression by acetylating histones H3 and H4 of its promoter. Acetylation and deacetylation of histones play a major role in the regulation of gene transcription and in the modulation of chromatin structure (10). The activity of HDACIs plays a key role in transcriptional modulation for the therapeutic approach that is described as ‘‘transcription therapy’’ (28). However, the molecular events that correlate with growth inhibition by HDACIs are not fully understood and they may differ in each combination of reagent and tumor cells. Fig. 6. A and B, quantification of mRNA of Prdx1 after transfection of specific siRNA with reverse transcription-PCR (A) and real-time quantitative PCR (B). C, effects of silencing Prdx1 gene expression on antiproliferative activity inT.Tn and TE2. Cells were transfected with Prdx1-specific (Prdx1-1or Prdx1-2) siRNA or nonspecific control (control) siRNA. At 48 hours after transfection, cells were incubated for 72 hours in the presence or absence of the indicated concentrations of FK228 and cell viability was determined using Cell Counting Kit-8 as described in Materials and Methods. Results are shown as the percentage of viability in the control. Points, mean of three separate experiments; bars, SD. Statistical significance was analyzed by Dunnett’s test for multiple comparisons (*P < 0.01versus control). 7950 www.aacrjournals.org Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. FK228 Induces Prdx1 in Esophageal Cancer Cells Fig. 7. A, FK228 inhibition of human esophageal cancer cell tumor growth in vivo. Fragments of human solid tumor were implanted s.c. into the backs of BALB/c nu/nu mice. The drugs were given i.v. to mice thrice at 4-day intervals with FK228 (#). Tumor weight was calculated from the results of five independent experiments. Points, mean; bars, SD. Data were analyzed for statistical significance by Dunnett’s test for multiple comparisons (*P < 0.05, **P < 0.01versus control). B, changes in the expression of Prdx1 mRNA inT.Tn andTE2 xenografts after FK228 administration. Tumor cells were inoculated s.c. into nude mice. FK228 (3.0 mg/kg) was given in a single i.v. administration to the mice. Quantitative changes in the expression levels of Prdx1 mRNA after FK228 administration inT.Tn and TE2 xenografts were detected by real-time quantitative PCR. Columns, mean of four independent experiments; bars, SD. In this study, we identified several genes that were significantly up-regulated by FK228, one of the HDACIs, in both T.Tn and TE2 cells. Cyclin-dependent kinase inhibitor p21WAF1 was clearly up-regulated and it has been reported to play an important role in growth arrest, both in G1 and G2-M cell cycle arrest (29). Recent studies also reported that HDACIs exert cell cycle arrest by inducing p21WAF1 in some other cell lines (15, 17, 18). HDACIs, such as trichostatin A, butyrate, suberoylanilide hydroxamic acid, and FK228, induce the acetylation of histones H3 and H4 in the promoter region including the Sp1-binding sites, also called the GC-box, which are important for the expression of the human p21WAF1 gene (17 – 20). Further experiments are required for revealing the mechanism underlying how p21WAF1 and Prdx1 up-regulation are directly or indirectly related to apoptosis induction. In addition, FK228 seems to activate Prdx1 genes at both transcriptional and protein levels. Peroxiredoxines are a novel family of peroxidases that can reduce H2O2 using an electron donor from thioredoxin and/or glutathione (21). Peroxiredoxine has been identified and divided into six groups in mammals (30). Prdx1 is a highly conserved protein that is up-regulated in ras oncogene–transformed primary mammary epithelial cells (31) and is highly expressed during proliferation (32). Recently, Prdx1 was reported to inhibit c-Abl kinase activity by interacting with its SH3 domain (22) and to relate to certain c-Myc– dependent functions by interacting with its Myc box II domain (23). Thus, Prdx1 is a potent tumor suppressor gene. It was also reported that lower expression of Prdx1 in the tumor correlates to larger tumor size, lymph node metastasis, and clinically advanced stages (24), and that Prdx1 knockout mice generate malignancies in intestines, lymphomas, and sarcomas (25). Thus, what is the mechanism of Prdx1 activation by FK228? One possibility may be that FK228 acetylates histones H3 and/or H4 of promoter region, including Sp1-binding sites. These Sp1binding sites are transcriptional modulator – binding sites, such as Sp1, Sp2, Sp3, and ZBP-89/BFCOL1 (33 – 37). Additionally, silencing of Prdx1 gene expression by specific RNA interference down-regulated the sensitization of cells to FK228. In any event, it is clear that the unraveling of the precise mechanism of Prdx1 activation by FK228 will require further studies. In summary, FK228 induces growth inhibition and apoptosis in human esophageal squamous cancer cells, presumably by activating the Prdx1 gene with histones H3 and H4 acetylation of its promoter. Our findings will provide some clue that may be helpful for the future clinical application of HDACIs in the treatment of esophageal cancer. References 1. MillerJD, Jain MK, de Gara CJ, Morgan D, UrschelJD. Effect of surgical experience on results of esophagectomy for esophageal carcinoma. J Surg Oncol 1997; 65:20 ^ 1. www.aacrjournals.org 2. Chan A,Wong A. 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Cloning of a GADD34-like gene that interacts with the zinc-finger transcription factor which binds to the p21(WAF) promoter. Biochem Biophys Res Commun 1999;256: 249 ^ 54. www.aacrjournals.org Downloaded from clincancerres.aacrjournals.org on June 18, 2017. © 2005 American Association for Cancer Research. Histone Deacetylase Inhibitor FK228 Activates Tumor Suppressor Prdx1 with Apoptosis Induction in Esophageal Cancer Cells Isamu Hoshino, Hisahiro Matsubara, Naoyuki Hanari, et al. Clin Cancer Res 2005;11:7945-7952. Updated version Cited articles Citing articles E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://clincancerres.aacrjournals.org/content/11/21/7945 This article cites 36 articles, 11 of which you can access for free at: http://clincancerres.aacrjournals.org/content/11/21/7945.full.html#ref-list-1 This article has been cited by 3 HighWire-hosted articles. 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