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1、NEURAL REGENERATION RESEARCH Volume 7, Issue 12, April 2012Cite this article as: Neural Regen Res. 2012;7(12:924-931.Survivin small interfering RNA suppresses glioblastoma growth by inducing cellular apoptosis*Yanbo Liu, Chunming Miao, Zhenjiang Wang, Xin He, Weigao ShenBeihua University Faculty of

2、Medicine, Jilin 132013, Jilin Province, ChinaAbstractA survivin small interfering RNA sequence specific for a human and mouse homogenous sequence was constructed. Survivin small interfering RNA could significantly inhibit glioma cell proliferation and induce apoptosis when it was transfected into ei

3、ther a human glioma cell line U251 or rat glioma C6 cells in vitro. In addition, treatment of rat orthotopic glioma models with survivin small interfering demonstrated the inhibition of glioma growth in vivo. Our experimental findings suggest that the use of RNA interference techniques to target the

4、 survivin sequence may be useful in the treatment of glioma.Key Words: RNA interference; survivin; glioblastoma; apoptosisAbbreviations: siRNA, small interfering RNA; HE, hematoxylin-eosin; MTT;methylthiazolyldiphenyl-tetrazolium bromide; AO/EB, acridine orange/ethidium bromideglioblastoma tumor pro

5、liferation, and its INTRODUCTIONinhibition in glioma cells can decrease cellgrowth and induce cell cycle arrest.Glioma is the most aggressive cancer Moreover, survivin is a downstream target of among human malignancies and can Src kinase and Stat3 activity in differentdevelop radiotherapy and chemot

6、herapy types of cancer. Several reports have shown resistance. The median survival is less than that survivin mRNA and protein expression 1 year1. Recently, survivin has been levels are markedly increased in gliomas as characterized as an important marker in measured by reverse transcription-PCR, gl

7、ioma initiation and development. Survivin western blot assay, andis of particular interest, as a largeimmunohistochemistry. Moreover, survivin comparative analysis of human transcripts in overexpression correlated with themalignant tumors and normal tissues pathologic grade and poor prognosis of thi

8、s identified it as the fourth-most highlymalignancy 7.expressed gene in tumors. Survivin is also Intriguingly, survivin small interfering RNA highly expressed in gliomas2 and its gene is (siRNA inhibits tumor growth and induces located on chromosome 17q253, which is apoptosis of prostate cancer, lun

9、g cancer expressed at high levels in fetal tissue but and bladder cancer cells8-9. However,absent in most normal differentiated cells in currently there is little evidence addressing adults 4. The increased expression of the effect of survivin siRNA on glioblastoma survivin in cell nuclei appears to

10、 be growth in vitro and in vivo. A number of associated with the aggressive naturestudies have documented the increased and/or poor prognosis of cancer1. Survivin expression of cytoplasmic and nuclear mediates its effects by strengthening the survivin in human gliomas, andsurvival of tumor cells pri

11、marily through its immunohistochemistry and western blot anti-apoptotic function5.analysis showed that the increasedIt is specifically expressed in carcinomas expression in gliomas correlated with an and developing cells, which undergo either increased pathological grade of tumor10-11. inappropriate

12、 or programmed cell growth by In addition, glioma patients with detectable binding to mitotic spindle fibers. In addition, survivin expression measured by western it causes cells to enter the S phase of the blot analysis have a significantly shorter cell cycle and controls apoptosis byoverall surviv

13、al rate compared with those inhibiting apoptosis pathways6. Survivin is without detectable expression12. This an important oncogene for promotingevidence suggests that survivin might be924Yanbo Liu, Ph.D.,Professor, Beihua University Faculty of Medicine, Jilin132013, Jilin Province, ChinaYanbo Liu a

14、nd Chunming Miao contributed equally to this work.Corresponding author: Weigao Shen, Ph.D.,Associate professor, Beihua University Faculty ofMedicine, Jilin 132013, Jilin Province, ChinaReceived: 2011-12-06 Accepted: 2012-03-20 (N20110823001/YJLiu YB, Miao CM, Wang ZJ, He X, Shen WG. Survivin small i

15、nterfering suppresses glioblastoma growth by inducing cellular apoptosis. Neural Regen Res. 2012;7(12:924-931.involved in tumorigenesis and the progression of glioblastoma.Survivin is a promising target for glioblastoma therapy as it is a convergence point for several signaling pathways that promote

16、 glioblastoma growth andmaintenance. In addition, it induces the expression of genes that regulate anti-apoptotic pathways andproliferation, such as vascular endothelial growth factor, c-Myc, caspase-3, caspase-7 and cyclin D113-14. The anti-apoptotic molecule Bcl-2 utilizes multiple pathways to inh

17、ibit death signals in cancerous cells15-16. One of these mechanisms involves the up-regulation ofsurvivin, which acts on caspases directly and mainly suppresses caspase-3 and caspase-7 activity17. Disruption of survivin microtubule interactions could result in the loss of its anti-apoptotic function

18、 and thus increase caspase-3 activity. Furthermore, survivin also mediates an anti-apoptotic effect through the inhibition of the second mitochondria derived apoptosis inducing factor Smac/DIABLO18. Thus, silencing survivin may promote glioma death through different signal pathways 19. RNA interfere

19、nce is an evolutionarily conserved, post-transcriptional gene-silencingmechanism wherein a double-stranded siRNA directs the sequence specific degradation of its targetmRNA 20. Therefore, the use of siRNA to suppress survivin expression may be a promising treatment for gliomas.In this study, we obse

20、rved the expression of survivin and its downstream products, including Bcl-2, cyclin D1, c-Myc and caspase-3 in human U251 and rat C6 cell lines, and explored the biological effect of survivin down-regulation in a rat tumor-transplantation models.RESULTSSurvivin siRNA inhibited U251 and C6 cell grow

21、th and induced apoptosis in vitroTreatment with survivin siRNA induced a time-dependent inhibition of U251 and C6 cell growth, whereas noinhibitory effect was observed in untreated cells and cells transfected with the vector siRNA plasmid as measured by 3-(4,5-dmethylthiazol-2-yl-2,5-diphenyltetrazo

22、lium bromide (MTT assay (Table 1.Flow cytometry analysis and acridine orange/ethidium bromide (AO/EB staining (nucleus condensation were used to determine apoptosis in U251 and C6 cells (Table 2, Figure 1. The apoptosis rate in survivin siRNA-treated cells was significantly higher compared with theu

23、ntreated and vector siRNA-treated U251 and C6 cells (P < 0.01 or P < 0.05. Although the apoptosis rate in the vector-treated U251 and C6 cells was slightly higher than that in the untreated cells it was not statisticallysignificant (Table 2. This suggested that survivin siRNA induced the apopt

24、osis of glioma cells. Moreover, AO/EB staining revealed that both early apoptotic and late apoptotic cells were seen in the group treated with survivin siRNA (Figure 1. Untreated Control vector Survivin siRNA U251 C6Figure 1 Representative fluoromicrographs of apoptosis detected by acridine orange/e

25、thidium bromide assay in U251 and C6 cells (× 200. White arrows indicate earlystage apoptotic cell and blue arrows indicate late stage apoptotic cell. siRNA: Small interfering RNA.925Survivin siRNA effectively reduced Bcl-2, cyclin D1, c-Myc expression and promoted caspase-3 expression in U251

26、cellsSurvivin expression levels have been shown to besignificantly higher in glioblastoma cells compared with normal cells10, so we attempted to determine whether synthetic survivin siRNA could inhibit the expression of survivin protein in U251 cells. We observed a significant decrease of survivin p

27、rotein levels in U251 cellstransfected with siRNA-survivin (Figure 2A compared with untreated or vector-treated U251 cells. Survivin expression is specifically targeted by survivin siRNA, since survivin siRNA did not change the expression of -actin. Survivin suppresses the expression ofcaspase-3, wh

28、ich promotes apoptosis, and induces the expression of Bcl-2, an anti-apoptotic protein, and cyclin D1 and c-Myc, which promote cell division. To determine the expression of these gene products, western blotanalysis was performed using protein isolated from U251 cells transfected with survivin siRNA.

29、 Western blots and quantitative analysis relative to -actin levels showed that intracellular Bcl-2, cyclin D1 and c-Myc levels were significantly decreased in survivin siRNA-transfected U251 cells, whereas caspase-3 expression levelssignificantly increased (Figure 2 compared with control groups. Thu

30、s, survivin siRNA down-regulated the expression of Bcl-2, cyclin D1 and c-Myc, butup-regulated caspase-3. Interestingly, these factors are known to be associated with apoptosis or stimulation of cell cycle progression. Thus, the survivin siRNA construct inhibited growth and survival, by inducing apo

31、ptosis and G1 arrest of U251 cells in vitro. Quantitative analysis of experimental animalsThirty rats were used for the development of a cerebral glial tumor model, by intracranial injection of C6 cells. Following injection of the C6 cells rats were randomly divided into three groups: untreated grou

32、p (injected with phosphate buffered saline (PBS only; control vectorgroup (transfected with blank siRNA plasmid; and survivin siRNA group (transfected with survivin siRNA plasmid. At 21 days post-transplantation, the tumor volume wasmeasured by CT, and the development and growth of C6 cells followin

33、g different treatments were determined by hematoxylin and eosin (HE staining, terminaldeoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling (TUNEL assay and immunohistochemistry. Survivin siRNA inhibited C6 glioma growth in vivo To evaluate the effects of survivin siRNA on gliomagrowth

34、 intracranially, we examined its antitumor efficacy using a rat model. Adult rats were intracraniallyinoculated with 2 × 105 C6 cells. Seven days after C6 glioma transplants, rats treated with PBS had a median survival of 18.4 ± 9.51 days (n = 10 with the longest survival of 36 days, and r

35、ats treated with scrambled siRNA had a median survival of 20.1 ± 8.50 days (n = 10 with the longest survival of 32 days. There was no statistical significance between the scrambled control group and PBS group. Intracranial therapy with survivin926siRNA significantly improved the survival rate (

36、median survival 31.9 ± 6.04 days, P < 0.01 compared with both controls and with the longest survival of 41 days. The size of C6 gliomas in rats treated with survivin siRNA analyzed by CT scan was 22.8 ± 5.32 mm3 at 21 days post-transplantation, which was significantly lower compared wit

37、h the PBS group and scrambled siRNA group (42.1 ± 8.08 mm3, 44.2 ± 6.27 mm3, respectively. P < 0.05; Figure 3. Thus, a more pronounced suppression of intracranial C6 glioma growth was observed in survivin siRNA-treated rats.In vitro experiments demonstrated reduced survivin expression l

38、evels in U251 and C6 cells treated with survivin siRNA and significant inhibition of cell growth (Table 1; Figure 1. To evaluate the antitumor effect in vivo , C6 glioma cells were inoculated intracranially, thus producing carcinoma in situ, and then treated withsurvivin siRNA and controls, respecti

39、vely. Tumors in situ were removed and analyzed for survivin levels. Western blot analysis showed that survivin protein levels were significantly reduced in the survivin siRNA group,confirming survivin siRNA-transfection of the glioma cells. Approximately 2-2.5 folds decrease of survivin protein leve

40、ls were observed in the survivin siRNA treatment group compared with controls (Figure 4. To determine the mechanism underlying tumor growth inhibition in vivo, C6 tumors treated with different vectors were excised for HE staining and analyzed using TUNEL assay and Ki67 immunohistochemistry. HE stain

41、ing showed that the cells proliferated actively in the mock and empty vector treatment group, while glioma growth was significantly inhibited in the survivin siRNA-treated group (Figures 5A-C. TUNEL staining indicated that a large number of apoptotic cells were present in the survivin siRNA group co

42、mpared with controls (Figures 5D -F. The immunohistochemistry results showed that numbers of Ki67+ cells were markedly reduced in the survivin siRNA-treated group compared with controls (Figures 5G-I. Figure 3 Photomicrographs of rat brains treated with survivin siRNA resulting in significant inhibi

43、tion of tumor growth through computed tomography scan. Red arrows represent glioblastoma.The rat C6 glioma treated with phosphate-buffered saline (A, scrambled siRNA (B, and survivin siRNA (C by day 21.Compared with untreated and control vector groups, survivin siRNA treatment resulted in obvious gr

44、owth inhibition of giloma cells. siRNA: Small interfering RNA. Hematoxylin- eosin stainingTUNELstainingKi67immunohisto-chemistry stainingFigure 5 Hematoxylin-eosin staining, terminaldeoxynucleotidyl transferase-mediated dUTP-biotin nick end labeling and Ki67 immunohistochemistry analysis for rat gli

45、oma (× 100.(A, D, G In the untreated groups, the tumors grow very strong and apoptosis cells are little.(B, E, H In control vector group, apoptotic cells are also little, Ki67 positive cells are everywhere.(C, F, I In survivin small interfering RNA group, apoptotic cells increase significantly

46、while Ki67 immuno-positive cells are reduced greatly. Positive cells: brown.927DISCUSSIONTo determine the exact role of survivin in gliomas, we used RNA interference to specifically inhibit the expression of survivin in U251 cells. We found thatsurvivin was highly expressed in U251 cells, and that i

47、ts expression could be significantly decreased when cells were transfected with a survivin siRNA plasmid. To determine whether synthetic survivin siRNA had an inhibitory effect on human U251 and rat C6 cell growth, we determined cell proliferation by MTT assay. The survival of both cell types was si

48、gnificantly reduced compared with controls following survivin siRNAtransfection. Moreover, quantification of apoptotic cells by flow cytometry assay determined that survivin siRNA significantly increased the number of apoptotic cells. Additionally, visualization of nucleus condensation using AO/EB d

49、yes suggested that the synthetic survivin siRNA has effects on both early and late apoptosis. Western blot analysis showed that survivin siRNA could inhibit the protein levels of survivin, Bcl-2, cyclin D1 and c-Myc and promote caspase-3 levels in U251 cells.This study also demonstrated that the syn

50、thetic survivin siRNA effectively suppressed U251 cell growth as evidenced by the reduced growth rate of U251 cells. Thus, reduced survivin expression could inhibit the downstream gene expression of cyclin D1 and c-Myc, which would induce cell cycle arrest and slow cell proliferation, overall reduci

51、ng glioma cell survival21-24. This study showed that survivin siRNA treatment could cause long-term target gene inhibition, leading to growth suppression and induction of apoptosis in U251 and C6 cells. Treatment of U251 cells with survivin siRNA resulted in morphologic and biochemical changes indic

52、ating apoptosis. However, previous studies have reported that U251-MG glioma cells may also undergo caspase-dependent cell death upon survivinRNAi-treatment 25-26. In this study, when U251 cells were transfected with survivin siRNA, a caspase dependent apoptosis pathway was observed. To evaluate the

53、effects of survivin siRNA on glioblastoma growth in vivo, we examined the antitumor efficacy of survivin siRNA in a rat tumor model. CT scan analysis demonstrated that survivin siRNA-treatment delayed glioma growth and significantly prolonged the life span of rats inoculated with glioma cells. Tumor

54、s isolated from survivin siRNA-treated rats demonstrated reduced survivin expression, confirming that survivin siRNA had been successfully transfected into glioma cells. Additionally, massive apoptosis of the tumor cells was detected by TUNEL, Ki67 immunohistochemistry and HE staining assays in surv

55、ivin siRNA-treated rats. These data suggested that survivin siRNA injection into the tumor could exert significant antitumor effects in vivo similar with those in vitro. Therefore, survivin is an ideal target for cancer therapy.In conclusion, data presented in the current study show928that the block

56、ade of survivin signaling using RNAinterference significantly suppressed survivin expression in vitro and in vivo, suggesting that survivin signaling is a potential molecular target for glioblastoma therapy. Plasmid based siRNA therapy for tumor suppression may offer an effective and inexpensive app

57、roach for the treatment of glioblastoma.MATERIALS AND METHODSDesignA randomized, controlled study in vivo and parallel experiments in vitro. Time and settingAll experimental procedures were performed in the Research Center of Molecular Medicine, Basic Medical College of Beihua University, China betw

58、een October 2009 and June 2011. Materials AnimalsMale Wistar cleaning rats, weighing 160-180 g were supplied by the Animal Experimental Center of Jilin University Bethune Medical College (license No. SCXK (Ji 2003-0001. Rats were housed under standardized pathogen-free conditions allowing access to

59、food and water ad libitum. All the experimental protocols wereperformed in accordance with the Guidance Suggestions for the Care and Use of Laboratory Animals, formulated by the Ministry of Science and Technology of China26. CellsHuman U251 cells and rat C6 cells27-28 were supplied by the American Type Culture Collection (Manassas, Virginia, USA. MethodsConstruction of pSilenceTM neo

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