Siva‑1 Regulates Multidrug Resistance of Gastric Cancer by Targeting MDR1 and MRP1 Via the NF‑Κb Pathway
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1558 MOLECULAR MEDICINE REPORTS 22: 1558-1566, 2020 Siva‑1 regulates multidrug resistance of gastric cancer by targeting MDR1 and MRP1 via the NF‑κB pathway FAN-BIAO KONG1*, QIAO-MING DENG2*, HONG-QIANG DENG1*, CHEN-CHENG DONG1, LEI LI3, CHUN-GANG HE1, XIAO-TONG WANG3, SHENG XU1 and WEI MAI3 1Department of Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi Zhuang Autonomous Region 530021; 2Department of Surgery, Guangxi Traditional Chinese Medical University Affiliated First Hospital, Nanning, Guangxi Zhuang Autonomous Region 530023; 3Department of Gastrointestinal and Peripheral Vascular Surgery, People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi Zhuang Autonomous Region 530021, P.R. China Received December 17, 2019; Accepted May 15, 2020 DOI: 10.3892/mmr.2020.11211 Abstract. Siva-1 is a well-known anti-apoptosis protein apoptotic cells decreased following overexpression of Siva-1. that serves a role in multiple types of cancer cells. However, The colony formation assay demonstrated that cell growth whether Siva-1 affects multidrug resistance via the NF-κB and proliferation were significantly promoted by Siva-1 pathway in gastric cancer is currently unknown. The present overexpression. Additionally, Siva-1 overexpression increased study aimed to determine the possible involvement of Siva-1 the migration and invasion of KATO III/VCR cells in vitro. in gastric cancer anticancer drug resistance in vitro. A Western blot analysis determined that Siva-1 overexpression vincristine (VCR)-resistant KATO III/VCR gastric cancer increased NF-κB, MDR1 and MRP1 levels. The current study cell line with stable Siva-1 overexpression was established. demonstrated that overexpression of Siva-1, which functions The protein expression levels of Siva-1, NF-κB, multidrug as a regulator of MDR1 and MRP1 gene expression in gastric resistance 1 (MDR1) and multidrug resistance protein 1 cancer cells via promotion of NF-κB expression, inhibited the (MRP1) were detected via western blotting. The effect of sensitivity of gastric cancer cells to certain chemotherapies. Siva-1 overexpression on anticancer drug resistance was These data provided novel insight into the molecular mecha- assessed by measuring the 50% inhibitory concentration of nisms of gastric cancer, and may be of significance for the KATO III/VCR cells to VCR, 5‑fluorouracil and doxorubicin. clinical diagnosis and therapy of patients with gastric cancer. The rate of doxorubicin efflux and apoptosis were detected by flow cytometry. Additionally, colony formation, wound Introduction healing and Transwell assays were used to detect the prolifera- tion, migration and invasion of cells, respectively. The results Advanced gastric cancer often recurs and metastasizes of the current study revealed that the Siva-1-overexpressed subsequent to surgery, and eventually the metastatic cancer KATO III/VCR gastric cancer cells exhibited a significantly cells develop resistance to the chemotherapeutic drugs (1-3). decreased sensitivity to VCR, 5‑fluorouracil and doxorubicin. Multidrug resistance (MDR) accounts for poor prognosis in The results of flow cytometry revealed that the percentage of gastric cancer (4), the development of multidrug resistance is a key issue for tumor recurrence and metastasis, leading to treatment failure of gastric cancer. Cancer cells may become unresponsive to chemotherapeutics via multidrug resistance, which interrupts apoptosis signaling. Multidrug resistance Correspondence to: Professor Sheng Xu, Department of involves the overexpression of energy-dependent ATP-binding Surgery, People's Hospital of Guangxi Zhuang Autonomous cassette transporter protein, which detoxifies cancer cells Region, 6 Taoyuan Road, Nanning, Guangxi Zhuang Autonomous Region 530021, P.R. China and lowers intracellular concentrations under the therapeutic E‑mail: [email protected] threshold by pumping drugs out at the expense of ATP hydro- lysis (5,6). Therefore, it is necessary to identify multidrug Dr Xiao-Tong Wang, Department of Gastrointestinal and Peripheral resistant molecules in gastric cancer cells, and to develop more Vascular Surgery, People's Hospital of Guangxi Zhuang Autonomous effective diagnostic and therapeutic clinical strategies in order Region, 6 Taoyuan Road, Nanning, Guangxi Zhuang Autonomous Region 530021, P.R. China to treat advanced gastric cancer. E‑mail: [email protected] Siva-1 exists in a wide variety of tissues and cells, and serves as a proapoptotic protein (7). Siva-1 was elucidated by *Contributed equally Prasad et al (8) from a HeLa cell library using yeast two-hybrid screening with a tumor necrosis factor receptor. Although Key words: Siva-1, multidrug resistance, gastric cancer numerous studies (9-11) have demonstrated that Siva-1 func- tions in the cytoplasm, studies have also determined that Siva-1 can relocate into the nucleus (12,13). The human Siva KONG et al: SIVA-1 REGULATES MULTIDRUG RESISTANCE OF GASTRIC CANCER 1559 gene is located on chromosome 14 (14), a region which is often 37˚C in a fully‑humidified atmosphere containing 5% CO2. targeted for chromosomal translocation. Previous studies KATO III/VCR cells were maintained culture medium was have demonstrated that Siva-1 arrests apoptosis and facilitates supplemented with 0.6 µg/ml VCR to maintain drug-resistant cancer development in osteosarcoma, hepatocellular carci- phenotypes. noma and non-small cell lung cancer (15-18). However, the molecular function of Siva-1 regulating multidrug resistant in Gene transfection. The DNA sequence of SIVA‑1 was gastric cancer currently remains uncertain as previous studies obtained from the Gene Bank (ID No. NM_6427) and the have presented confusing and ambiguous results (16), which cDNA, which included the entire coding sequence (CDS) has prompted further investigation into both its function of SIVA‑1 was obtained from Shanghai Cancer Institute. and associated signaling pathway. Whether Siva-1 acts as a pGV358-GFP (Shanghai Cancer Institute), which express determinant for gastric cancer development therefore requires green fluorescent protein, were used to construct the further examination. Siva-1-overexpression lentivirus. The Siva-1-overexpression With the aim of gaining further knowledge regarding the lentiviral vector (pGV358-GFP-SIVA‑1) and negative control specific mechanisms of Siva‑1 in gastric cancer and elucidating vector (pGV358-GFP) was stored in the laboratory of Guangxi molecular determinants for multidrug resistance, the current People's Hospital. Lentiviruses were generated by co-trans- study overexpressed Siva-1 in gastric cancer cells using a fecting pGV358-GFP-SIVA‑1 with pHelper1.0 and pHelper2.0 lentiviral vector. Subsequently, effects on chemotherapeutic plasmids (Shanghai Genechem Co., Ltd) into 293T cells compound 50% inhibitory concentration (IC50) values, apop- according to the manufacturer's protocol (20). Recombinant tosis, colony formation, metastasis and invasion were observed. pGV358-GFP-SIVA‑1 plasmid was transfected into 293T cells Preliminary experiments revealed that drug-sensitive (native) to determine LV titers using the end-point dilution method, gastric cancer cells were sensitive to chemotherapeutic which involved counting the number of infected green cells drugs at very low doses. Thus, it is appropriate to choose a under fluorescence microscopy (magnification, x100). The chemotherapeutic drug resistance gastric cancer cell line as lentiviral titer was calculated by the formula: lentiviral titer a research tool. The five commonly used chemotherapeutic (TU/ml) = number of positive cells x dilution times/volume drugs, including vincristine (VCR), doxorubicin (DOX), of lentivirus used. KATO III/VCR cells were plated at a low platinum drugs, 5‑fluorouracil (5‑FU) and paclitaxel (PTX), density (5x104 cells/well) in 6-well plates. Following incubation in gastric cancer is of great clinical interest (19). Therefore, for 24 h, KATO III/VCR cells were infected with polybrene the vincristine (VCR)-resistant KATO III/VCR gastric cancer (2 mg/ml; Shanghai Genechem Co., Ltd) combined with cell line was selected for further experimentation. DOX is a recombinant lentiviruses at a multiplicity of infection (MOI) common substrate for P-glycoprotein (P-gp), which is one of value of 12 PFU/cell (MOI, 12), as previously described (21). the major energy‑dependent efflux transporters that contribute Transfected cells were subsequently cultured in the presence to MDR. The ability to pump DOX was analyzed by flow of 600 mg/ml G418 (Invitrogen; Thermo Fisher Scientific) cytometry to reveal potential molecular determinants for for 4 weeks, after which stably overexpressed cell lines were multidrug resistance. Additionally, the possible underlying generated. Cells were then divided into three groups: i) KATO mechanisms of multidrug resistance were also investigated in III/VCR + LV-Siva-1; ii) KATO III/VCR + LV-negative the current study. control (NC); and iii) KATO III/VCR. Materials and methods Cytotoxicity assay. Cells (5x104 cells/ml) were cultured in 96-well tissue microplates (100 µl/well) and exposed Reagents. VCR, trypsin, penicillin and streptomycin were to VCR (1.8 µg/ml). Following incubation for 48 h at 37˚C, obtained from Sigma‑Aldrich (Merck KGaA). DOX (0.4 µg/ml) the cytotoxicity of KATO III/VCR + LV-Siva-1, KATO was purchased from Sigma‑Aldrich (Merck KGaA). Cells III/VCR + LV‑NC and KATO III/VCR cells was determined were cultured in RPMI‑1640 medium, which was purchased via an MTT assay