Epigenetic control of phospholipase A2 receptor expression in mammary cancer cells

Background It has recently been proposed that the M-type phospholipase A2 receptor (PLA2R1) acts as a tumour suppressor in certain malignancies including mammary cancer. Considering that DNA methylation is an important regulator of gene transcription during carcinogenesis, in the current study we analyzed the PLA2R1 expression, PLA2R1 promoter methylation, and selected micro RNA (miRNA) levels in normal human mammary epithelial cells (HMEC) and cancer cell lines. Methods Levels of PLA2R1 and DNA methyltransferases (DNMT) specific mRNA were determined using real-time RT-PCR. Methylation specific-high resolution melting (MS-HRM) analysis was utilized to quantify the methylation degree of selected CpG sites localized in the promoter region of the PLA2R1 gene. Expression of miRNA was tested using miScript Primer Assay system. Results Nearly complete methylation of the analyzed PLA2R1 promoter region along with PLA2R1 gene silencing was identified in MDA-MB-453 mammary cancer cells. In MCF-7 and BT-474 mammary cancer cell lines, a higher DNA methylation degree and reduced PLA2R1 expression were found in comparison with those in normal HMEC. Synergistic effects of demethylating agent (5-aza-2′-deoxycytidine) and histone deacetylase inhibitor (trichostatin A) on PLA2R1 transcription in MDA-MB-453 cells confirmed the importance of DNA methylation and histone modification in the regulation of the PLA2R1 gene expression in mammary cells. Furthermore, significant positive correlation between the expression of DNMT1 and PLA2R1 gene methylation and negative correlation between the cellular levels of hsa-mir-141, −181b, and -181d-1 and the expression of PLA2R1 were identified in the analyzed cells. Analysis of combined z-score of miR-23b, −154 and -302d demonstrated a strong and significant positive correlation with PLA2R1 expression. Conclusions Our data indicate that (i) PLA2R1 expression in breast cancer cells is controlled by DNA methylation and histone modifications, (ii) hypermethylation of the PLA2R1 promoter region is associated with up-regulation of DNMT1, and (iii) hsa-miR-23b, −154, and −302d, as well as hsa-miR-141, −181b, and −181d-1 are potential candidates for post-transcriptional regulation of PLA2R1 expression in mammary cancer cells.

Background M-type phospholipase A 2 receptor (PLA2R1) is a 180 kDa transmembrane glycoprotein that belongs to the C-type lectin superfamily and the mannose receptor family. PLA2R1 consists of cystein-reach domain, fibronectin type II domain and eight carbohydrate recognition domains [1,2].
The receptor binds secreted phospholipases A 2 (sPLA 2 ) with distinct affinities [3,4]. As result of sPLA 2 binding to PLA2R1, the amount of sPLA 2 is lowered in extracellular milieu and its cellular signaling cascades linked to apoptosis and senescence are switched on [4]. A soluble form of the receptor is constitutively present in circulation as an endogenous inhibitor for mammalian sPLA 2 s [3].
Limited number of studies addressed the pathophysiological role of PLA2R1. It has been shown that PLA2R1 is the major podocyte autoantigen associated with development of idiopathic membranous nephropathy [5,6].
Anti-PLA2R1 autoantibodies bind to conformational epitopes on the receptor, form immune complexes which stimulate the release of cytokines and metalloproteinases; that, in turn, result in proteinuria [5][6][7]. Recent studies uncovered a novel tumour suppressive function of PLA2R1. The receptor exerted anti-tumour responses including cellular senescence, apoptosis and inhibition of cell transformation [8][9][10][11]. For instance, the ability of human mammary epithelial cells (HMEC) to overcome oncogenic stress-induced senescence was improved after downregulation of PLA2R1 levels in vitro [10]. Furthermore, in mammary cancer cell lines MDA-MB-231 and Cama-1 the constitutive expression of PLA2R1 was found to block the colony growth in soft agar, supporting a tumour suppressive role of PLA2R1 [10]. Contrary, knockdown of PLA2R1 increased the transformed phenotype of MDA-MB-436 breast cancer cells as measured by the increased size of soft agar colonies. In addition, PLA2R1-deficient mice displayed increased sensitivity to RAS-induced tumourigenesis by facilitating oncogenic stress-induced senescence escape in vivo, highlighting the role of the receptor as tumour suppressor [10].
PLA2R1 expression was found decreased in leukaemia, mammary, renal and thyroid cancers [9,[12][13][14][15]. While the receptor is down-regulated in these cancers, significant up-regulation of PLA2R1 was described in the prostate cancer cell lines PC-3 and DU-145 in comparison to normal prostate cells [16]. High expression of PLA2R1 was also identified in ovarian carcinoma effusions, human leukemic blasts and dermatofibrosarcoma [17][18][19]. However, detailed functions and mechanisms of PLA2R1-mediated signalling in normal and different cancer cells remain to be elucidated.
It is well-known that epigenetic mechanisms play a crucial role in cell reprogramming during carcinogenesis. DNA methylation, histone modification, and posttranscriptional gene regulations by non-coding RNAs (microRNAs, long non-coding RNAs, and small nuclear RNAs) were also detected at earlier stages of neoplastic transformation essential for cancer initiation and progression [20]. We have recently detected PLA2R1 promoter hypermethylation in leukemic cell lines and leukocytes of patients with leukemia [12]. More hypermethylations of CpG sites in the PLA2R1 promoter region were recently found in PLA2R1-negative kidney cell lines compared to PLA2R1-positive cells [14]. To decrease the tumour suppressive effect, cancer cells may exploit hypermethylation of the PLA2R1 promoter as gene silencing mechanism [12].
The purpose of this study was to examine expression of PLA2R1, degree of PLA2R1 promoter methylation, and expression of methylation regulating enzymes DNAmethyltransferases (DNMT) in normal and mammary cancers cell lines. Levels of distinct miRNAs that may target PLA2R1 mRNA were also assessed. Correlations among expression of PLA2R1, degree of PLA2R1 gene methylation and related miRNAs were tested.

Cell culture and treatments
Human mammary epithelial cells (HMEC) were from Lonza (Köln, Germany) and the human UACC-812 and MCF-7 mammary cancer cell lines were from the American Type Culture Collection (Rockville, MD, USA). Additional human mammary cancer cell lines, Cal-51, BT-474 and MDA-MB-453, were obtained from the German Collection of Microorganisms and Cell Cultures (Berlin, Germany). HMEC were cultured in MEGM culture medium and MCF-7 cells in RPMI 1640 culture medium supplemented with 10 % FCS at 37°C in a humidified atmosphere of 5 % CO 2 . Cal-51, BT-474 and MDA-MB-453 cell lines were cultured in L-15 (Leibovitz) medium (Sigma-Aldrich) supplemented with 20 % FCS and incubated at 37°C under conditions of free gas exchange with atmospheric air. All cells were incubated in the presence of 1 % penicillin/streptomycin (Invitrogen) and 0.36 % gentamycin (Invitrogen). Clinicopathological and biological characteristics of the analyzed cell lines were described in details elsewhere [21][22][23].
To estimate the role of epigenetic mechanisms in PLA2R1 expression, 5-aza-2′-deoxycytidine and trichostatin A (TSA, Sigma-Aldrich; Deisenhofen, Germany) were used as described previously [24]. MDA-MB-453 cells were seeded at a density of 5 × 10 5 cells per well into 24-well tissue culture plates 24 h before 5-aza-dC and TSA treatments. Cells were treated with 1 μM 5aza-dC for 72 h and 0.3 μM TSA for 24 h alone and in combination. During combined treatment, cells were exposed first to 1 μM 5-aza-dC for 48 h and then to 0.3 μM TSA for the following 24 h together with 5-aza-dC. After incubation, cells were harvested and DNA and RNA were isolated for MS-HRM and real-time RT-PCR analyses.

Extraction of genomic DNA and RNA
Genomic DNA and RNA were isolated from normal HMEC and mammary cancer cell lines using the Blood & Cell Culture DNA Mini Kit from Qiagen GmbH (Hilden, Germany) and TRI Reagent from Sigma-Aldrich according to the manufacturer's instructions.

Quantitative RT-PCR analyses
Isolated RNA was converted to cDNA using the GeneAmp RNA-PCR Kit (PerkinElmer LAS GmbH, Jügesheim, Germany). For quantitative RT-PCR, portions of the reverse transcribed reaction products were amplified for identification of PLA2R1 expression comparing to GAPDH levels used as reference gene. Real-time RT-PCR was performed using Rotor-Gene Q and Rotor Gene SYBR Green PCR kit (Qiagen GmbH) according to manufacturer's instructions. The primer pairs used for the analyses of GAPDH and PLA2R1 expression were: GAPDH, forward 5′-CGG AGT CAA CGG ATT TGG TCG TAT TG-3′ and reverse 5′-GCA GGA GGC ATT GCT GAT GAT CTT G-3′ giving PCR products with a length of 439 bp [25]; PLA2R1, forward 5′-CAG AAG AAA GGC AGT TCT GGA TTG-3′ and reverse 5′-AAA GCC ACA TCT CTG GCT CTG ATT-3′ for PLA2R1, giving PCR products with a length of 325 bp. DNA methyltransferases primer sequences were: DNMT1, forward 5′-GTG GGG GAC TGT GTC TCT GT-3′ and reverse 5′-TGA AAG CTG CAT GTC CTC AC-3′ giving PCR product with a length of 204 bp; DNMT3A, forward 5′-CCA GTT AGC AGC AGG GAG AC-3′ and reverse 5′-CAA GAG GTA ACA GCG GCT TC-3′ giving PCR product with a length of 119 bp and DNMT3B, forward 5′-CAG GGA AAA CTG CAA AGC TC-3′ and reverse 5′-ATT TGT TAC GTC GTG GCT CC-3′ giving PCR product with a length of 296 bp. Primers were applied in a final concentration of 0.8 μM. The conditions for amplification were as follows: 40 courses at 95°C for 5 s and 58°C for 10 s. At the beginning of real-time RT-PCR analyses, the size and purity of the amplification products were confirmed using agarose gel electrophoresis.

Methylation-specific high resolution melting (MS-HRM) analyses
MS-HRM analyses were conducted to quantify the degree of methylation in the distinct region from −437 bp to −270 bp of exon 1 of the PLA2R1 gene (ENSG00000153246, transcript: PLA2R1-001 ENST0000 0283243). The analyses were performed using Rotor-Gene Q and the EpiTect MS-HRM PCR kit (Qiagen GmbH) according to manufacturer's instructions. The applied primer pairs for PLA2R1, standards and additional details of the MS-HRM analyses were described previously [12,26]. Briefly, bisulfite modified unmethylated and methylated standard DNA (Qiagen GmbH) were mixed giving samples with 0, 10, 25, 50, 75, and 100 % methylation degrees for calibration. A standard curve with known methylation degrees was included in each run. The applied primer pairs for PLA2R1 were 5′-GGG GTA AGG AAG GTG GAG AT-3′ and 5′-ACA AAC CAC CTA AAT TCT AAT AAA CAC-3′ giving PCR products with a length of 168 bp. The primers were applied at a final concentration of 0.8 μM. The conditions of amplification were as follows: 40 courses at 95°C for 10 s, 58°C for 30 s and 72°C for 15 s. Immediately after PCR, the products were analyzed by high resolution melting analysis with fluorescence measured during the linear temperature transition from 50 to 95°C at 0.01°C/s.

In silico analyses
MethPrimer software [27] was used to establish primers for MS-HRM and assess the presence of 5′-CpG islands in the promoter region of the PLA2R1 gene. Prediction of putative binding sites for transcription factors in the PLA2R1 promoter region was performed using Promo software V.3 [28]. Search of candidate miRNAs which might target the PLA2R1 gene expression was performed using following prediction programs: miRDB (http:// mirdb.org/cgi-bin/search.cgi), microRNA.org-Targets and Expression (http://www.microrna.org). Data were also assessed using MirWalk program, which includes information about miRNA target interactions produced by established miRNA prediction programs on 3′ UTRs of all known human, mouse and rat genes [RNA22, mi-Randa, miRDB, TargetScan, RNAhybrid, PITA, PICTAR, and Diana-microT (http://www.umm.uni-heidelberg.de/ apps/zmf/mirwalk/predictedmirnagene.html)].

Data analysis
The differences between the studied groups were analyzed with Kruskal-Wallis one way test of variance on ranks. The correlations between variable pairs were studied using Pearson product moment correlation test. All statistical analyses were performed using the statistics module integrated in the SigmaPlot 11.2 software (Systat Software GmbH, Erkrath, Germany). Differences were considered significant at p < 0.05.

Results
Using MS-HRM and in silico analyses we identified potential transcription factor binding sites in the PLA2R1 promoter region. We suggested that the region from −270 bp to −437 bp might contain CpG sites for E2F-1 and NFI/CTF or those located near CpG sites for C/ EBP-β, p53, c-Jun/c-Fos, and LEF/CTF (Fig. 1a). MS-HRM analyses demonstrated differential PLA2R1 promoter methylations in HMEC and breast cancer cell lines ( Fig. 1b and c). In normal cells and CAL-51 and UACC-812 cancer cell lines the PLA2R1 methylation degree was negligible (<10 %), whereas in MDA-MB-453 cells it reached a value of about 80 %. Simultaneously, MDA-MB-453 cells demonstrated strongly downregulated levels of the receptor mRNA representing only~1 % of those in HMEC (Fig. 1d). In BT-474 and MCF-7 cells levels of PLA2R1-specific mRNA were also markedly reduced, whereas in CAL-51 and UACC-812 cells, levels of PLA2R1-specific mRNA were similar to those in normal HMEC (Fig. 1d). The Pearson product moment correlation coefficient between PLA2R1 expression and PLA2R1 promoter methylation reached −0.664 but the relationship was not statistically significant (Table 1).
To examine the role of DNA methylation and histone modifications in silencing the PLA2R1 gene expression MDA-MB-453 cells were exposed to demethylating agent, 5-aza-dC and histone deacetylase inhibitor, TSA. MS-HRM analyses revealed a nearly 50 % reduction of PLA2R1 gene methylation degree with 1.0 μM 5-aza-dC for 72 h, whereas 0.3 μM TSA for 24 h as expected had a negligible effect on PLA2R1 promoter methylation in comparison to untreated control cells (Fig. 2a). Treatment of cells with 5-aza-dC or TSA alone was accompanied by 6.7-and 3.3-fold increased PLA2R1 transcript levels, respectively (Fig. 2b). The combined application of both agents resulted in a synergistic 20.9-fold reexpression of PLA2R1 relative to untreated control cells, suggesting that, in addition to DNA methylation, histone deacetylation plays an important role in the regulation of PLA2R1 expression in MDA-MB-453 cells (Fig. 2b).
Next, we analyzed expression levels of DNMT1, the primary enzyme responsible for copying methylation patterns after DNA replication [29]. The analysis revealed significantly increased levels of DNMT1 transcripts in MDA-MB-453 cells with the highest PLA2R1 gene methylation followed by the BT-474 and MCF-7 cell lines (Fig. 3a). The PLA2R1 methylation degree in mammary cells strongly correlated with DNMT1 expression level (r = 0.970; p = 0.001, Fig. 3b). In contrast, levels of DNMT3A-and DNMT3B-specific mRNA were not significantly associated with PLA2R1 gene methylation ( Fig. 3c and d).  Table 2). In contrast, hsa-miR-302d, −154 and −23b levels positively correlated with receptor mRNA levels. To select miRNA candidates as possible additional regulators of PLA2R1 expression, we converted individual miRNA expression values into z-score that is considered as a useful tool to combine scores from data with different means, ranges, and standard deviations. Mean of z-values (mean z-score) allows the assessment of the multiple markers as a continuous variable [30]. In case of mean z-score of all miRNAs analyzed in this study, a weak negative Pearson correlation of this combined score with PLA2R1 expression was detected (r = −0.077, Table 1). Mean z-scores of five (hsa-mir-141, −149, −181b, −181d-1, −501) and three candidate miRNAs (hsa-mir-141, −181b, and −181d-1), which all were negatively associated with PLA2R1 mRNA levels, showed a stronger correlation with the receptor expression (r = −0.581 and −0.721, respectively; Table 1). In case of mean z-score of hsa-miR-23b, −154, and −302d, a strong and significant positive correlation with PLA2R1 expression was found (r = 0.923, p = 0.009; Table 1).

Discussion
The findings of this study demonstrate that the PLA2R1 is differentially expressed amongst mammary normal and cancer cells, and confirm the importance of epigenetic mechanisms such DNA methylation and histone modification in the regulation of PLA2R1 transcript levels. Similar to previous data obtained in leukemia cells [12], the analyzed PLA2R1 promoter region was nearly completely methylated in the mammary cancer Table 1 Pearson product moment correlation coefficients (r) and significance (p) between PLA2R1 expression and variables such PLA2R1 promoter methylation and means of z-score transformed data of candidate miRNAs expression in HMEC and mammary cancer cell lines (CAL-51 1 and 2). These findings are consistent with previous studies underscoring the role of DNA methylation in gene silencing mechanism critically involved in cell cycle regulation, carcinogen detoxification, cell adhesion and metastasis [31]. In addition to DNA methylation, the importance of histone modification in PLA2R1 regulation was indicated by the synergistic re-expression of PLA2R1 after simultaneous treatment of MDA-MB-453 cells with DNA methylation and histone deacetylase inhibitors (Fig. 2).
Recently, PLA2R1 was identified as potential tumour suppressor that controls replicative-and stress-induced senescence [9,13,14]. Normal cells employ cellular senescence to control or prevent carcinogenesis, while cancer cells suppress senescence to increase their survival capacity [9,14,32]. The importance of PLA2R1 for regulation of cell life span was confirmed in vivo, as PLA2R1 knockout mice were more sensitive to RASinduced skin tumours [10]. Conversely, constitutive expression of PLA2R1 in normal cells activated premature senescence [8,13]. However, little is known about the pathophysiological significance of senescence during mammary carcinogenesis, although recent data indicated the involvement of senescence in the regulation of mammary cancer progression [32]. Whether the activation of senescence is linked to levels of PLA2R1 expression in the investigated subset of cell lines remains unclear. Therefore, it will be of interest for future studies to assess which cellular signalling pathways are activated by PLA2R1 and   (Figs. 1 and 2) are consistent with previous unsupervised cluster analysis of methylation-sensitive gene expression [33]. The study revealed a subset of mammary cancer cells, including MDA-MB-453 cells, which were classified as hypermethylator cell lines and exhibited aberrant DNA hypermethylations of distinct genes. This cell line subset exhibited elevated DNMT activities. In contrast, mammary cancer cells classified as low-frequency methylator cell lines did not show increased methylation of specific genes or DNMT activity [33]. In agreement with these studies we detected an upregulation of DNMT1 expression in MDA-MB-453, MCF-7, and BT-474 cells (Fig. 3) which are characterized by increased PLA2R1 promoter methylations (Fig. 1). Whether this DNMT1 expression is causally connected to the observed PLA2R1 promoter methylation requires further investigation.
A growing number of data confirmed that microRNAs play a crucial role in the regulation of gene expression via control of post-transcriptional mRNA function. As "global-regulators" miRNAs direct a diverse range of cellular responses both in normal and pathological conditions [20,34]. Expression of miRNA is one of the universal epigenetic mechanisms implicated in the regulation of growth and survival pathways in cancer cells [35].
We identified a significant up-regulation of miR-141, miR-181b, and miR-181d-1 and a down-regulation of miR-23b, miR-154 and miR-302d in mammary cancer cells in comparison to HMEC. According to the applied databases (Table 2), these miRNAs exhibit extended complementarity to the 3′-UTR sequence of PLA2R1 gene. Therefore, further studies are warranted to confirm regulatory effects of hsa-miR-23b, −154 and −302d (positive  Table 2 regulators) and hsa-miR-141, −181b, and −181d-1 (negative regulators) on PLA2R1 expression. The observed depletion of hsa-miR-154 in all analyzed mammary cancer cell lines is a novel finding that should also be investigated in further detail. Associations between miRNA expression and cancer progression were reported for different cancer types [20,36], while selected miRNAs, that were analysed in this study, have been described as regulators of carcinogenesis. For instance, hsa-miR-141 is overexpressed in cisplatin resistant ovarian, gastric and esophageal squamous cancer cells [37][38][39]. Furthermore, hsa-miR-141 expression was associated with chemoresistance in breast cancer patients receiving neoadjuvant chemotherapy [40] and was elevated in MDA-MB-231 invasive breast carcinoma cell line [41]. Members of the hsa-miR-181 family were involved in myeloid differentiation and acute myeloid leukemia [42]. It was noted that hsa-miR-181a/b overexpression coincided with aberrant activation of major signalling pathways involved in breast tumourigenesis, including IL6/ STAT3 [43], TGF-β [44,45], HIF-1 [46], WNT/β-catenin [47] and HMGA1 [48]. The hsa-miR-181 family has been shown to be deregulated also in other solid tumours such pancreas, prostate, gastric and colon cancers and was able to target tumour suppressors, including TIMP3, CYLD, PTEN and p27 [43,45,49,50]. Overexpression of hsa-miR-181a/b in breast cancers correlated with aggressive features and the likelihood to develop distant metastases [44,51,52]. Our findings are consistent with the observation that hsa-miR-181d-1 and −181b are strongly up-regulated in the metastatic MDA-MB-453 mammary cancer cell line (Fig. 4).
Among miRNAs, which were positively associated with PLA2R1 expression in this study, hsa-miR-23b and −154 exerted suppressing effects in different cancers in vitro and in vivo [53][54][55]. Consequently, it will be of special interest to elucidate the effects of distinct miRNA inhibitors on cellular PLA2R1 expression in future studies.

Conclusions
The data of this study indicate that the PLA2R1 is differentially expressed in mammary normal and cancer cells and that the cellular receptor expression is regulated by epigenetic mechanisms such as DNA methylation and histone acetylation. An up-regulation of DNMT1 was found in cells with high PLA2R1 promoter methylation. In addition, new candidate miRNAs such as hsa-miR-23b, −154 and −302d which are positive regulators and hsa-miR-141, −181b and −181d-1 which are negative regulators were identified. These miRNAs should be further tested as putative regulators of PLA2R1 expression in mammary cancer cells.