Frequent Downregulation of LRRC26 by Epigenetic Alterations Is Involved in the Malignant Progression of Triple-Negative Breast Cancer

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Frequent Downregulation of LRRC26 by Epigenetic Alterations Is Involved in the Malignant Progression of Triple-Negative Breast Cancer INTERNATIONAL JOURNAL OF ONCOLOGY 52: 1539-1558, 2018 Frequent downregulation of LRRC26 by epigenetic alterations is involved in the malignant progression of triple-negative breast cancer YOSHIMASA MIYAGAWA1,2*, YOSUKE MATSUSHITA1*, HIROMU SUZUKI3, MASATO KOMATSU1, TETSURO YOSHIMARU1, RYUICHIRO KIMURA1, AYAKO YANAI1,2, JUNKO HONDA4, AKIRA TANGOKU5, MITSUNORI SASA6, YASUO MIYOSHI2 and TOYOMASA KATAGIRI1 1Division of Genome Medicine, Institute for Genome Research, Tokushima University, Tokushima 770-8503; 2Department of Surgery, Division of Breast and Endocrine Surgery, Hyogo College of Medicine, Nishinomiya, Hyogo 663-8501; 3Department of Molecular Biology, Sapporo Medical University, Sapporo, Hokkaido 060-8556; 4Department of Surgery, National Hospital Organization Higashitokushima Medical Center, Tokushima 779-0193; 5Department of Thoracic and Endocrine Surgery and Oncology, Institute of Health Biosciences, The University of Tokushima Graduate School, Tokushima 770-8503; 6Department of Surgery, Tokushima Breast Care Clinic, Tokushima 770-0052, Japan Received September 13, 2017; Accepted February 21, 2018 DOI: 10.3892/ijo.2018.4301 Abstract. Triple-negative breast cancer (TNBC), defined as absence of tumor necrosis factor-α (TNF-α) stimulation. breast cancer lacking estrogen- and progesterone-receptor Meanwhile, overexpression of LRRC26 caused the reduction of expression and human epidermal growth factor receptor 2 TNF-α-mediated NF-κB luciferase reporter activity, whereas (HER2) amplification, is a heterogeneous disease. depleting LRRC26 expression resulted in the upregulation of RNA-sequencing analysis of 15 TNBC specimens and The TNF-α-mediated NF-κB downstream genes [interleukin-6 Cancer Genome Atlas-TNBC dataset analysis identified the (IL-6), IL-8 and C-X-C motif chemokine ligand-1]. Taken frequent downregulation of leucine-rich repeat- together, these findings demonstrate that LRRC26 is frequently containing 26 (LRRC26), which negatively regulates nuclear downregulated in TNBC due to DNA methylation and that it factor-κB (NF-κB) signaling, in TNBC tissues. Quantitative suppresses the TNF-α-independent anchorage-independent polymerase chain reaction and bisulfite pyrosequencing analyses growth, invasion and migration of TNBC cells. Loss of LRRC26 revealed that LRRC26 was frequently silenced in TNBC tissues function may be a critical event in the aggressiveness of TNBC and cell lines as a result of promoter methylation. LRRC26 cells through a TNF-α/NF-κB-independent mechanism. expression was restored by 5-aza-2'-deoxycytidine (5'-aza-dC) treatment in HCC1937 TNBC cells, which lack LRRC26 expres- Introduction sion. Notably, small interfering RNA-mediated knockdown of LRRC26 expression significantly enhanced the anchorage-inde- Triple-negative breast cancer (TNBC), defined as a pendent growth, invasion and migration of HCC70 cells, whereas clinical breast cancer subtype that is negative for estrogen ectopic overexpression of LRRC26 in BT20 cells suppressed receptor (ER) and progesterone receptor (PgR) expression their invasion and migration. Conversely, neither knockdown nor and human epidermal growth factor receptor 2 (HER2) gene overexpression of LRRC26 had an effect on cell viability in the amplification, accounts for 15% of all invasive breast cancer cases. TNBC comprises a heterogeneous group of tumors with different histological and molecular characteristics. Clinically, as TNBC patients do not benefit from endocrine therapies (selective estrogen receptor modulators, selective estrogen Correspondence to: Dr Toyomasa Katagiri, Division of Genome receptor downregulators and aromatase inhibitors) (1-3) Medicine, Institute for Genome Research, Tokushima University, or anti-HER2 drugs (trastuzumab, lapatinib, pertuzumab 3-18-15 Kuramoto-cho, Tokushima 770-8503, Japan E-mail: [email protected] and trastuzumab emtansine) (4) due to a lack of targeted thera- peutic receptors (5,6), these therapies are not recommended *Contributed equally in National Comprehensive Cancer Network guidelines (7). Therefore, chemotherapy using conventional cytotoxic agents, Key words: LRRC26, triple-negative breast cancer, tumor including anthracyclines, cyclophosphamides, taxanes, suppressor, hypermethylation platinum agents and eribulin (8,9), is currently the mainstay of systemic treatment, although patients with TNBC have worse outcomes following chemotherapy than patients with breast 1540 MIYAGAWA et al: FREQUENT HYPERMETHYLATION-MEDIATED DOWNREGULATION OF LRRC26 IN TNBC cancer of other subtypes, including hormone receptor-positive (Takara Bio, Inc., Otsu, Japan). A total of 26 TNBC samples and HER2-positive breast cancer (5,6,10). Thus, since there and 26 normal mammary tissues were surgically resected is no optimized standard chemotherapy protocol for TNBC, with informed consent from patients who were treated at the detailed subtyping of TNBC is necessary to identify more Tokushima Breast Care Clinic (Tokushima, Japan), as previ- effective molecular-targeted therapies. ously described (20) (Table II). Samples were immediately Current omics-based studies, such as genomics and embedded in TissueTek OCT compound (Sakura, Tokyo, transcriptomics, can provide data that can be used to catego- Japan), frozen and stored at -80˚C. rize TNBC. Recent gene expression profiling-based cluster The present study, as well as the use of all clinical mate- analysis using a dataset consisting of 587 TNBC cases from rials aforementioned, was approved by the Ethics Committee 21 independent datasets identified six subtypes, including of Tokushima University (Tokushima, Japan). two basal-like subtypes, as well as an immunomodulatory, a mesenchymal, a mesenchymal stem-like and a luminal RNA-seq analysis. Total RNA was extracted from frozen androgen receptor subtype (11). Moreover, next generation tumors and adjacent normal breast tissues from the 15 out of 26 sequencing (NGS)-based studies detected tumor protein TNBC samples that could produce a large enough amount of p53 and phosphatidylinositol-4,5-bisphosphate 3-kinase RNA for RNA seq analysis using the Nucleospin RNA II system catalytic subunit α mutations in 80 and 9% of TNBC cases, (Takara Bio, Inc.) according to the manufacturer's protocols. respectively (12), highlighting these gene mutations as key Whole-transcriptome RNAs seq analysis was performed genetic events in this subtype. Notably, additional NGS using the SureSelect strand-specific RNA library prepara- studies led to the identification of actionable molecular tion kit (Agilent Technologies, Inc., Santa Clara, CA, USA) characteristics, including ‘BRCAness’, defined as a defect in according to the manufacturer's protocols, followed by paired- homologous recombination repair due to BRCA1 DNA repair end 100-bp sequencing on an Illumina HiSeq 1500 platform associated (BRCA1) or BRCA2 mutation, in TNBC (13,14). (Illumina, Inc., San Diego, CA, USA). All primary sequence Recently, poly(ADP-ribose) polymerase inhibitors were data files are deposited in the DNA Data Bank of Japan (acces- shown to take advantage of synthetic lethality in targeting sion no. JGAS00000000116; http://www.ddbj.nig.ac.jp/). Data TNBC with BRCAness (15,16). Furthermore, the nuclear were analyzed using CLC Biomedical Genomics Workbench factor-κB (NF-κB) signaling pathway is constitutively acti- version 4.0 (Qiagen GmbH, Hilden, Germany) with default vated in the basal-like subtype of breast cancer cells, ~80% parameters. Transcript abundance was calculated as transcript of which include TNBC (17). However, the underlying causes per million. of NF-κB signaling activation have remained poorly under- stood. Quantitative PCR (qPCR) and semi-quantitative PCR. To characterize the molecular features of TNBC, Total RNA extracted from clinical breast cancer samples and RNA-sequencing (RNA-seq) analysis was performed in breast cancer cell lines using the NucleoSpin RNA II system the present study and it was found that leucine-rich repeat (Takara Bio, Inc.) and the poly A-RNAs of a normal human (LRR)-containing 26 (LRRC26), a member of the LRR super- mammary gland (Clontech Laboratories, Inc., Mountainview, family, was frequently downregulated in patients with TNBC. CA, USA) were reverse transcribed using SuperScript II (Life LRRC26, also known as CAPC, is reported to act as a negative Technologies; Thermo Fisher Scientific, Inc., Waltham, MA, regulator of NF-κB activity, and to inhibit cancer cell prolif- USA). qPCR analysis using the ABI PRISM 7500 Real-Time eration and migration (18). However, the pathophysiological PCR system was performed with SYBR® Premix Ex Taq (both role of LRRC26 in carcinogenesis and TNBC progression, from Applied Biosystems; Thermo Fisher Scientific, Inc.). The particularly the mechanisms regulating LRRC26 expression, thermocycling conditions were 10 min at 94˚C, followed by has not yet been elucidated. 45 cycles of denaturation at 94˚C for 15 sec, 1 min annealing The present study aimed to characterize the molecular and extension at 60˚C, and reading of the fluorescence. Following mechanism of LRRC26 downregulation in TNBC. threshold-dependent cycling, melting curve analysis was performed from 60 to 94˚C. The quantitative calculation was Materials and methods analyzed using 2-∆∆Cq (21). Semi-quantitative PCR analysis was performed as described previously (22,23). Gene-specific Cell lines and clinical specimens. The human breast cancer primers used for qPCR and semi-quantitative PCR were as cell lines, MDA-MB-231, HCC1143, BT-20, BT-549, HCC1395,
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