CHEK2 represses breast stromal fibroblasts and their paracrine tumor-promoting effects through suppressing SDF-1 and IL-6
© The Author(s). 2016
Received: 9 April 2016
Accepted: 25 July 2016
Published: 2 August 2016
Active fibroblasts, the predominant and the most active cells of breast cancer stroma, are responsible for tumor growth and spread. However, the molecular mediators and pathways responsible for stromal fibroblast activation, and their paracrine pro-carcinogenic effects are still not well defined. The CHEK2 tumor suppressor gene codes for a protein kinase, which plays important roles in the cellular response to various genotoxic stresses.
Immunoblotting, quantitative RT-PCR and Immunofluorescence were used to assess the expression of CHEK2 in different primary breast fibroblasts and in tissues. The effect of CHEK2 on the expression and secretion of SDF-1 and IL-6 was evaluated by immunoblotting and ELISA. The WST-1 colorimetric assay was used to assess cell proliferation, while the BD BioCoat Matrigel invasion chambers were utilized to determine the effects of CHEK2 on the migratory and the invasiveness capacities of breast stromal fibroblasts as well as breast cancer cells.
We have shown that CHEK2 is down-regulated in most cancer-associated fibroblasts (CAFs) as compared to their corresponding tumor counterpart fibroblasts (TCFs) at both the mRNA and protein levels. Interestingly, CHEK2 down-regulation using specific siRNA increased the expression/secretion of both cancer-promoting cytokines SDF-1 and IL-6, and transdifferentiated stromal fibroblasts to myofibroblasts. These cells were able to enhance the proliferation of non-cancerous epithelial cells, and also boosted the migration/invasion abilities of breast cancer cells in a paracrine manner. The later effect was SDF-1/IL-6-dependent. Importantly, ectopic expression of CHEK2 in active CAFs converted these cells to a normal state, with lower migration/invasion capacities and reduced paracrine pro-carcinogenic effects.
These results indicate that CHEK2 possesses non-cell-autonomous tumor suppressor functions, and present the Chk2 protein as an important mediator in the functional interplay between breast carcinomas and their stromal fibroblasts.
KeywordsBreast cancer Cancer-associated fibroblasts CHEK2 IL-6 SDF-1
Breast tumors, like other types of solid tumors, are composed of cancer cells as well as various types of stromal cells that constitute the tumor microenvironment . Fibroblasts are the most abundant and active stromal cells, which exhort cancer cells all over the various carcinogenic steps. Cancer-associated fibroblasts (CAFs)-related pro-carcinogenic effects are mediated through paracrine factors, which are under the control of several tumor suppressor genes such as p16 and p53 [2–4]. In addition to their cell-autonomous tumor suppressor function, these proteins possess also non-cell-autonomous tumor suppressive effects that they manifest from stromal fibroblasts .
CHEK2 is another tumor suppressor gene, which is implicated in the pathogenesis of various types of sporadic tumors and is a low penetrance-predisposing gene to sarcoma, brain tumors and familial breast cancer . The two most studied breast cancer predisposing variants of the CHEK2 gene are the 100delC deletion in the kinase domain in exon 10, and the 470 T > C (I157T) missense mutation in the fork-head-associated (FHA) domain in exon 3. These 2 mutations are associated with approximately 2- fold increased risk of breast cancer [5–7]. A novel recurrent CHEK2 Y390C mutation has been recently identified in high-risk Chinese breast cancer patients. This mutation impairs CHEK2 activity and is associated with increased breast cancer risk .
CHEK2 is a multiorgan cancer susceptibility gene that encodes a multifunctional serine/threonine protein kinase. CHEK2 enables the link between ATM/ATR kinases and downstream checkpoint effectors such as p53 during DNA-damage response . When activated Chk2 phosphorylates various proteins involved in cell cycle regulation, DNA repair, p53 signaling and apoptosis . Furthermore, CHEK2 plays also a major role in the senescence-associated secretory phenotype (SASP). Indeed, the expression of several SASP-related cytokines, particularly the inflammatory cytokines IL-6 and IL-8, is under the control of a pathway involving CHEK2 . Therefore, in addition to its capital role in maintaining genomic integrity and preventing fixation of potentially carcinogenic mutations, CHEK2 is also involved in regulating cellular communication with its microenvironment. Like senescent cells, cancer-associated fibroblasts have also a secretary phenotype responsible for their procarcinogenic effects [11, 12]. Therefore, we sought to investigate the potential role of CHEK2 in the secretory phenotype of breast stromal fibroblasts and their activation.
We have shown that CHEK2 inhibits the procarcinogenic effects of breast stromal fibroblasts and has a non-cell-autonomous tumor suppressive function through repressing the expression/secretion of SDF-1 and IL-6.
Cells, cell culture and chemicals
Breast fibroblast cells were obtained, characterized and cultured as previously described . Breast tissues were obtained from patients who underwent surgery at the King Faisal Specialist Hospital and Research Center. Signed informed consent was obtained from all the patients under the Research Ethical Committee Project number RAC#2031091. While CAFs derived from tumors, TCFs were developed from histologically normal tissues located at least 2 cm away from tumors (invasive ductal carcinomas). Processing of breast cancer tissues was performed after routine examination by certified anatomical pathologist using hematoxilin and eosin (HE)-stained sections. NBF-1 cells were developed from healthy age-matched female who performed breast reduction surgery. In the present experiments CAFs and their corresponding TCFs were always cultured simultaneously, in the same conditions and at similar passages (4–8). MDA-MB-231and MCF-10A cell lines were obtained from ATCC and were authenticated before purchase by their standard short tandem repeat DNA typing methodology, and were routinely tested for the presence of the relevant markers, and were cultured following the instructions of the company. All supplements were obtained from Sigma (Saint Louis, MO, USA) except for antibiotics and antimycotics solutions, which were obtained from Gibco (Grand Island, NY, USA). Cells were maintained at 37 °C in humidified incubator with 5 % CO2.
Anti-SDF-1 (MAB310) and IgG (6-101-C-ABS) from R&D systems; anti-IL-6 (17901) from Sigma, USA. Blocking antibodies were used at 2.5 μg/mL.
RNA purification and quantitative RT-PCR
Total RNA was purified using the TRI reagent (Sigma) and single stranded complementary DNA (cDNA) was obtained from reverse transcription of 1 μg of RNA using RT-PCR kit (BD Biosciences) and following the manufacturer protocol. cDNA was then amplified with 1U Taq polymerase, dNTPs (50 mM), and primers (25 pmol each). For real time RT-PCR Syber green and platinum Taq polymerase (Invitrogen) were used and the amplifications were performed utilizing the Bio-Rad iQ5 multicolor Real time PCR detection system. All reactions were performed in triplicates and the data were analyzed using the 2(−Delta Delta C(T)) method [14, 15].
CHEK2: 5′-TGTCCCTCCCAAACCAGTAGTTGT-3′ and 5′-TTCACAGCCCCATGGCAGCG-3′
IL-6: 5′-GACAAAGCCAGAGTCCTTCAGAGA-3′ and 5′-CTAGGTTTGCCGAGTAGATCT-3′
GAPDH: 5′-GAGTCCACTGGCGTCTTC-3′ and 5′-GGGGTGCTAAGCAGTTGGT-3′
SDF1: 5′-TAGTCAAGTGCGTCCACGA-3′ and 5′-GGACACACCACAGCACAAAC-3′
Cell proliferation assay
Cells were seeded into 96-well plates at 0.5-1.104/well and incubated overnight. The medium was replaced with SFCM and incubated for different time intervals (0, 24 and 48 h). Cell proliferation was measured by the tetrazolium salt WST-1 colorimetric assay, as recommended by the manufacturer (Roche Diagnostics GmbH, Mannheim, Germany). The WST-1 reagent was added to each well, and the plates were then incubated for 4 h at 37 °C. The amount of formazan was quantified using ELISA reader at 450 nm of absorbance.
Cellular lysate preparation and immunoblotting
This has been performed as previously described . Antibodies directed against alpha smooth muscle actin (α-SMA), Stromal-derived factor-1 (SDF-1), Twist-1, Vimentin (RV202), interleukin-6 (IL-6) and N-cadherin were purchased from Abcam (Cambridge, MA); E-cadherin (24E10), EpCam (UV1D9), Chk2 (2662) from Cell Signaling (Danvers, MA); p53 (DO-1) and Glyceraldehydes-3-phosphate dehydrogenase (GAPDH, FL-335) was purchased from Santa Cruz (Santa Cruz, CA).
Supernatants from 24 h fibroblast cell cultures were harvested, and ELISA was performed according to the manufacturer’s instructions (R&D Systems). The OD was used at 450-nm on a standard ELISA plate-reader. These experiments were performed in triplicates and repeated at least twice.
Chemotaxis and invasion assay
The 24-well BD BioCoat Matrigel Invasion Chambers were used as per the manufacturer guideline (BD Bioscience). 2–4 × 105 cells were added to the upper wells separated by an 8 μm pore size PET membrane with a thin layer of matrigel basement membrane matrix (for invasion) or without (for migration). The membranes were stained with Diff Quick stain (Fisher Scientific) after removing the non-migrated cells from the top of the membrane with Q-tips. After air-drying, the membranes were cut and mounted on slides with oil, and cells that had migrated to the underside of the filter were counted using light microscope (Zeiss Axio Observer) in five randomly selected fields (magnification; 40x). Each assay was performed in triplicate.
CHEK2-siRNA (SIH600921A) was obtained from SABiosciences, and the transfection was performed using lipofectamin (Invitrogen) as recommended by the manufacturer.
Lentivirus based vectors bearing CHEK2-ORF and the control (Origene, RC212127L1) were used to prepare lentiviral supernatant from 293FT cells. Lentiviral supernatants were collected 48 h post-transfection, filtered and used for infection. 24 h later, media were replaced with complete medium and cells were grown for 3 days.
Cells were cultured in serum-free medium for 24 h, and then medium was collected and centrifuged. The resulting supernatants were used either immediately or were frozen at −80 °C until needed.
Quantification of protein expression level
Protein signal intensity of each band was determined using ImageQuant TL Software (GE Healthcare). Next, dividing the obtained value of each band by the values of the corresponding internal control allowed a correction of the loading differences.
Statistical analysis was performed by student’s t-test (two tailed and unpaired) and p-values < 0.05 were considered as statistically significant.
CHEK2 is down-regulated in cancer-associated fibroblasts
CHEK2 induces p53 but represses the expression of α-SMA, SDF-1 and IL-6 in breast stromal fibroblasts
CHEK2 represses the secretion of SDF-1 and IL-6 from breast stromal fibroblasts
To further show the effect of CHEK2 down-regulation on the expression of important secreted cytokines, we assessed the effect of CHEK2 Knock-down on the secretion of SDF-1 and IL-6. To this end, serum-free conditioned media (SFCM) was collected from TCF-169-CHEK2-siRNA and their corresponding control cells, and then the secreted levels of SDF-1 and IL-6 was assessed by ELISA. Figure 2c shows that the down-regulation of CHEK2 increased the secretion of SDF-1 and IL-6 by 3.3 and 2 fold, respectively. This mirrors the secreted levels of SDF-1 and IL-6 in TCF-169 and their corresponding CAF-169 cells (Fig. 2c).
CHEK2 represses the migration/invasion abilities of breast stromal fibroblasts
CHEK2 down-regulation in breast stromal fibroblasts enhances the proliferation of epithelial cells in a paracrine manner
CHEK2 down-regulation in breast stromal fibroblasts promotes the migration/invasion abilities of breast cancer cells in an SDF-1/IL-6-dependent manner
Next, we sought to investigate the possible role of SDF-1 and IL-6 in the paracrine effects of CHEK2-deficient cells. To this end, both cytokines were inhibited either separately or simultaneously using specific neutralizing antibodies in the SFCM from TCF-169-CHEK2-siRNA. Anti-IgG was also used as negative control. MDA-MB-231 cells were incubated with these media, and then the migration/invasion abilities of these cells were studied as described above. Figure 5b shows that the inhibition of SDF-1 reduced by 2 fold the migration potential of breast cancer cells as compared to cells exposed to anti-IgG. Interestingly, the inhibition of IL-6 was more potent, reducing the migration to a level similar to that obtained by the double inhibition (7 fold lower as compared to the control). In addition, the inhibition of SDF-1, IL-6 or both in SFCM collected from TCF-169-CHEK2-siRNA reduced the invasion potential of breast cancer cells 2.5, 5 and 6 fold, respectively (Fig. 5b). This shows that the paracrine IL-6 effect on the migration/invasion of breast cancer cells is stronger than that of SDF-1, and that the pro-migratory/-invasiveness effects of CHEK2-deficient stromal fibroblasts is mediated through increase in the secretion of SDF-1 and IL-6, which are in normal situations repressed by CHEK2.
CHEK2 down-regulation in breast stromal fibroblasts enhances the epithelial-to-mesenchymal transition of breast cancer cells in a paracrine manner
To further study the effect of CHEK2 down-regulation on breast cancer cells, we investigated the paracrine effect of CHEK2 deficient fibroblasts on the mesenchymal and epithelial markers of MDA-MB-231 cells. These cells were treated with SFM conditioned with TCF-169-CHEK2-siRNA or TCF-169-control-siRNA for 24 h. Subsequently, protein extracts were prepared and used for immunoblotting analysis using specific antibodies for EMT markers. Figure 5c shows that the levels of the epithelial markers E-cadherin and Epcam were reduced 2.3 and 12 fold in MDA-MB-231 cells treated with SFCM from TCF-169-CHEK2-siRNA as compared to SFCM from control cells. On the other hand, the levels of the mesenchymal markers N-cadherin, Twist1 and vimentin were 2.3, 12 and 3 fold higher in breast cancer cells treated with SFCM from TCF-169-CHEK2-siRNA as compared to SFCM from control cells (Fig. 5c). This indicates that SFCM from CHEK2-deficient fibroblast cells can enhance the EMT process in breast cancer cells.
Ectopic expression of CHEK2 suppresses the procarcinogenic features of cancer-associated fibroblasts
To further show the role of CHEK2 in suppressing the procarcinogenic effects of CAFs, we investigated the paracrine effect of CHEK2 expression on the migration/invasion capacities of MDA-MB-231. Cells were seeded in the inserts of BD chambers, and SFM conditioned with CAF-169-CHEK2-ORF cells (SFCM-CHEK2-ORF) as well as control cells (SFCM-control) were placed in the lower wells of the chambers. Cells were incubated overnight to allow migration and invasion. Figure 6c shows that SFCM-CHEK2-ORF reduced the motility (3 fold) and the invasiveness (2.5 fold) of breast cancer MDA-MB-231 cells as compared to SFCM-control. This further confirms that CHEK2 represses the paracrine pro-migration/invasion effects of breast stromal fibroblasts. Together, these results indicate that ectopic expression of the CHEK2 gene in the active CAF-169 fibroblasts transforms these cells to a normal state.
Myofibroblasts actively contribute to the growth, expansion and dissemination of neoplastic epithelial cells. However, the genes and pathways controlling myofibroblast-related tumor-promoting effects are not fully delineated. Several lines of evidence indicate the implication of tumor suppressor genes in controlling the procarcinogenic effects of stromal fibroblasts in a paracrine manner [2, 3]. In the present study we have shown that the tumor suppressor Chk2 protein plays an important role in controlling mammary stromal fibroblast autocrine and paracrine signaling. Indeed, CHEK2 is down-regulated in CAFs as compared to their corresponding TCFs, isolated from the same patients. In addition, we have seen inter-individual variation in the CHEK2 expression among TCF cells. This could be due to different tumor features such as the stage or the grade. Similar differences were previously observed for p16 . The CHEK2 decrease suggests a role of cancer cells in suppressing CHEK2 expression in fibroblast cells present in their vicinity, either directly or indirectly. In fact, several lines of evidence indicate that neoplastic cells have the ability to affect their microenvironment and modulate gene expression through secreted factors [17, 18]. This in principle leads to the activation of stromal cells, which in turn fuel the carcinogenic process and promote tumor growth and spread through functional cross-talk with tumor cells. To study the role of CHEK2 down-regulation in these processes, we specifically down-regulated this gene in breast stromal fibroblasts using specific siRNA, and we studied the consequent autocrine and paracrine effects. We have shown that CHEK2 down-regulation activates breast stromal fibroblasts and enhances their paracrine procarcinogenic effects. Indeed, CHEK2-defective cells exhibited higher migratory and invasive capacities, expressed lower levels of p53 and higher levels of the myofibroblast markers α-SMA and SDF-1, and enhanced the migration/invasion abilities of breast cancer cells and their mesenchymal features in a paracrine manner. Indeed, CHEK2 down-regulation in fibroblasts paracrinaly induced the three major mesenchymal markers N-cadherin, Twist-1 and vimentin, and decreased two major epithelial markers E-cadherin and Epcam in breast cancer cells. This indicates that CHEK2-defective breast stromal fibroblasts enhance the pro-metastatic EMT process in epithelial cells in a paracrine manner. On the other hand, ectopic expression of CHEK2 repressed the migratory/invasiveness abilities of active breast stromal fibroblasts as well as their paracrine effects on breast cancer cells. This confirmed the suppressive role of CHEK2 in the procarcinogenic effects of breast stromal fibroblasts.
The present data showed also that in addition to its autonomous tumor suppressor function, CHEK2 has also a non-cell-autonomous tumor suppressor activity. This paracrine effect is mediated through controlling the expression/secretion of the pro-carcinogenic cytokines SDF-1 and IL-6, may be through p53 down-regulation. Indeed, p53 represses the expression of both SDF-1 and IL-6 [19, 20], which are important promoters of tumor growth and progression [11, 12]. Furthermore, specific inhibition of secreted SDF-1 or IL-6 suppressed the pro-migratory/invasiveness effects of CHEK2-deficient stromal fibroblasts. Interestingly, the double blockage had an inhibitory effect similar to that obtained by the inhibition of IL-6 alone, which was stronger than SDF-1 inhibition (Fig. 5). This indicates that the effects of IL-6 and SDF-1 inhibition were synergistic despite the fact that the 2 molecules act through different receptors and pathways, however, a potential functional interaction between the activated pathways is possible.
In addition to Chk2, other important tumor suppressor proteins such as p16, p21, p53, PTEN and CAV-1 are also implicated in repressing the procarcinogenic effects of breast stromal fibroblasts both in vitro and in vivo [2, 3, 19, 21–24]. This clearly shows that these tumor suppressor proteins represses breast carcinogenesis in both epithelial as well as stromal cells.
The present findings have shown that in addition to its well-known cell-autonomous tumor suppressor function within incipient pro-carcinogenic epithelial cells, stromal fibroblast CHEH2, like other tumor suppressor genes, exerts also non-cell-autonomous effects in breast tumorigenesis. Therefore, stromal fibroblast CHEK2 might constitute a valid therapeutic target to stop tumor progression and/or recurrence.
ATCC, American type culture collection; DMSO, dimethyl sulfoxide; EMT, epithelial-to-mesenchymal transition; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; ORF, open reading frame; PBS, phosphate buffered saline; RT-PCR, reverse transcriptase-polymerase chain reaction; siRNA, small interfering RNA
We are grateful to the Research Center administration for their continuous help. This work was performed under the RAC proposal # 2080009.
This study was not funded.
Availability of data and materials
The datasets supporting the conclusions of this article are included within the article.
MAA carried out the experiments and participated in writing the manuscript. SFH carried out experiments. AA conceived the project, supervised research and wrote the manuscript. All authors read and approved the final manuscript.
The authors declare that they have no competing interests.
Consent for publication
Ethics approval and consent to participate
Breast tissues were obtained from patients who underwent surgery at the King Faisal Specialist Hospital and Research Center. Signed informed consent was obtained from all the patients under the Research Ethical Committee (REC) project number RAC#2031091.
Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
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