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ns 10 A Unmethylated C Methylated ) 8 Normal Normal Tissue Cervix Esophagus 4 cervical esophageal a.u. * *** * *** ( 6 TargetID MAPINFO Position Ca-Ski HeLa SW756 tissue COLO-680N KYSE-180 OACM 5.1C tissue cg04255070 22851591 TSS1500 0.896 0.070 0.082 0.060 0.613 0.622 0.075 0.020 2 (log2) 4 cg01593340 22851587 TSS1500 0.826 0.055 0.051 0.110 0.518 0.518 0.034 0.040 cg16113692 22851502 TSS200 0.964 0.073 0.072 0.030 0.625 0.785 0.018 0.010 2 0 cg26918510 22851422 TSS200 0.985 0.019 0.000 0.000 0.711 0.961 0.010 0.060 expression cg26821579 22851416 TSS200 0.988 0.083 0.058 0.000 0.387 0.955 0.021 0.050 TRMT12 mRNA Expression mRNA TRMT12 0 cg01129966 22851401 TSS200 0.933 0.039 0.077 0.020 0.815 0.963 0.078 0.010 -2 cg25421615 22851383 TSS200 0.958 0.033 0.006 0.000 0.447 0.971 0.037 0.020 mRNA cg17953636 22851321 1stExon 0.816 0.092 0.099 0.080 0.889 0.750 0.136 0.030 -4 Methylated SVIP Unmethylated SVIP relative expression (a.u.) expression relative SVIP D Cervix Esophagus HNC Meth ) HNC Unmeth Cervix Meth 3.0 *** Cervix Unmeth *** Esophagus Meth a.u. ( 2.5 CaCaEsophagus-Ski-Ski Unmeth COLO-680N Haematological Meth TSS B TSS Haematological Unmeth 2.0 -244 bp +104 bp 244 bp +104 bp 1.5 ** * expression -SVIP 1.0 HeLa KYSE-180 HeLa TSS TSS 0.5 -ACTB 244 bp +104 bp - 244 bp +104 bp mRNA 0.0 HeLa SW756 Ca-Ski SW756 SW756 OACM 5.1C TSS KYSE-180 TSS COLO-680NOACM 5.1 C - 244 bp +104 bp 244 bp +104 bp E ) 3.0 * Ca-Ski COLO-680N WT TSS TSS 2.0 a.u. AZA-Treated ( 2.5 -244 bp +104 bp - 244 bp +104 bp ** 1.5 2.0 * *** AZA - + - + - + 1.0 1.5 * KYSE--180180 TSS HeLa TSS expression -SVIP 0.5 1.0 +104 bp - 244 bp +104 bp 244 bp 0.5 0.0 -ACTB mRNA SVIP relative exprrelative SVIP (a.u.) 0.0 OACM5.1 C BHY SW756 OACM 5.1C TSS TSS BB30-HNCCa-Ski 244 bp +104 bp - 244 bp +104 bp KYSE-180 Ca-Ski Aza COLO-680N KYSE-180 Aza COLO-680N Aza Supplemental Figure 1. Transcriptional silencing of SVIP by promoter CpG island hypermethylation in cervical and esophageal cancer cells. (A) SVIP expression analysis in head & neck, esophagus, cervix and haematological cell lines. A non-parametric Mann Whitney test was performed. (B) Bisulfite genomic sequencing of SVIP promoter CpG island in the studied cervical and esophageal cancer cells lines. CpG dinucleotides are represented as short vertical lines and the transcription start site (TSS) is represented as a long black arrow. Single clones are shown for each sample. Presence of an unmethylated or methylated cytosine is indicated by a white or black square, respectively. (C) DNA methylation profile of the CpG island promoter for the SVIP gene analyzed by the 450K DNA methylation microarray. Single CpG absolute methylation levels (0 – 1) are shown. Green, unmethylated; red, methylated. Data from three cervical (Ca-Ski, HeLa and SW756), three esophageal (COLO-680N, KYSE-180 and OACM 5.1C), normal cervical tissue and normal esophageal tissue are shown. (D) SVIP expression levels in cervical and esophageal cancer cell lines determined by real-time PCR (data shown represent mean.of biological replicates) (left) and western blot (right). (E) Expression of the SVIP RNA transcript (data shown represent the mean of biological replicates) (left) and protein (right) was restored in the SVIP epigenetically silent Ca-Ski, COLO-860N and KYSE-180 cells by treatment with the demethylating drug 5-aza-2’-deoxycytidine (AZA). qPCRs were analysed using a two tailed Student ‘s t-test. *P < 0.05, **P < 0.01, ***P < 0.001. BHY EV Ca-Ski EV COLO-680N EV KYSE-180 EV BHY SVIP Ca-Ski SVIP COLO-680N SVIP KYSE-180 SVIP A 2.0 2.0 2.0 ) ) ) ) 2.0 a.u. a.u. a.u. a.u. ( ( ( ( 1.5 1.5 1.5 *** *** *** *** 1.5 1.0 1.0 1.0 1.0 -SVIP -SVIP -SVIP expression expression expression expression -SVIP 0.5 0.5 0.5 0.5 -ACTB -ACTB -ACTB -ACTB SVIP SVIP SVIP SVIP 0.0 0.0 0.0 0.0 BHY EV BHY SVIP Ca-Ski EV Ca-Ski SVIP BHY EV KYSE-180 EV B CaCa-SKI-Ski EV EV COLO-680N EV COLOColo680N-680N EV EV KYSE-180 SVIPKYSEKYSE-180-180 EV EV BHYBHYCa-SKI EVSVIP EV COLO-680N SVIP CaCa-SKI-Ski SVIP SVIP COLOColo680N-680N SVIP SVIP KYSEKYSE-180-180 SVIP SVIP 8 BHYCa-SKI SVIP SVIP 15 8 8 8 7 7 7 ) ) ) ) 7 6 * 6 6 a.u. a.u. a.u. a.u. 6 ** ( ( ( ( 10 5 5 5 * 5 4 ** 4 4 4 viability viability viability viability 3 3 3 3 5 2 2 2 Cell Cell Cell Cell 2 Cell viability (a.u.) viability Cell Cell viability (a.u.) viability Cell Cell viability (a.u.) viability Cell Cell viability (a.u.) viability Cell Cell viability (a.u.) 1 viability Cell 1 1 1 00 0 0 0 00 2424 4848 72 96 120120 144144 0 24 48 72 96 120 144 0 24 48 72 96 120 144 0 24 48 72 96 120 144 Time (hours) Time (hours) Time (hours) Time (hours) Time (days) Time (days) Time (days) Time (hours) Time (days) 5 SVIP methylated (N=61) SVIP low expression (N=50) 4 * C D* Ca9-22 SVIP unmethylated (N=138) SVIP highCCND1 expression (N=50) 3 *** *** Lb771 3 *** BB30-HNC EV *** 5 2 ns ) BB30-HNC SVIP *** 2 2 1 a.u. ( 4 * Ca9-22 mRNA expression (a.u.) expression mRNA * 1 0 3 *** *** Lb771 0 0 BB30-HNC EV Ca9-22 Lb771 *** 2 BB30-HNC SVIP expression ns CCND1 CCND1 -1 BB30-HNC EV BB30-HNC SVIP 1 -2 -2 mRNA expession (au) expession mRNA mRNA expession (au) expession mRNA mRNA mRNA expression (a.u.) expression mRNA 0 mRNA expression (z-score) expression mRNA -3 Supplemental Figure 2. Efficient restoration of SVIP in other cell lines. SVIP recovery upon transfection in BHY (head and neck cancer), Ca-Ski (cervical cancer), COLO-680N Lb771 (esophageal cancer) and KYSE-180 (esophageal cancer) cancer cell lines was validated by (A) qRTCa9-22-PCR (biological replicates are shown, statistical analysis was performed using a two- sided Student’s t test) and western blot (images are representative of at least three different assays). (B) Cell viability was determined by SRB assay (graphs are representative of three BB30-HNC EV independent experiments; statistical analysis was performed by comparing mean endpoints using two-tailed (C) In silicoBB30-HNC correlation SVIP of the expression of the cell cycle marker cyclin D1 depending on SVIP methylation and expression status in head and neck, esophageal, cervix and haematological cell lines. Samples whose SVIP expression was lower than the first quartile were considered “SVIP low”, whereas samples with SVIP expression levels higher than the third quartile were considered “SVIP high”. Two-tailed U-Mann Whitney test was performed to compare mRNA expression between the groups of cell lines and TCGA samples. (D) Comparison of the magnitude of SVIP overexpression in BB30-HNC cell line compared with two unmethylated cell lines, Ca9-22 and Lb771 by qPCR.*P < 0.05, **P < 0.01, ***P<0.001. A EV SVIP B C SVIP methylated (N=61) SVIP low expression (N=50) SVIP unmethylated (N=138) SVIP high expressionDERL3 (N=50) 4 ** 6 -p-IRE1α ** Low SVIP expression 4 High SVIP expression -IRE1α 2 2 -PERK 0 0 DERL3 DERL3 -2 -BiP -2 mRNA expession expession mRNA(au) mRNA expession expession mRNA(au) -4 XBP1 -ERO1-Lα 4 *** 4 *** BHY (N=61) 2 2 -PDI (N=138) 0 -ACTB 0 XBP1 XBP1 -2 -2 mRNA expession expession mRNA(au) mRNA expession expession mRNA(au) -4 D E 50 100 BB30-HNC EV BB30-HNC SVIP 80 40 60 -HRD1 30 40 ns -SEL1L %viability Cell 20 20 Ski -ACTB0 ** - 0 1 2 103 4 5 6 Ca Log[Thapsigargin (nM)] % Of X-Gal positive cells positive % Of X-Gal 0 BB30-HNC EV BB30-HNC SVIP Supplemental Figure 3. Restoration of SVIP expression does not alter the expression of other proteins involved in ERAD machinery and also recapitulates the ER stress situation in BHY and Ca-Ski cell lines. (A) Electron microscopy images of empty vector-transfected and SVIP-expressing BHY and Ca-Ski cell lines. All scale bars represent 1µm. (B) Representative western blots of various proteins associated to UPR and protein folding in the ER after SVIP recovery in BHY and Ca-Ski cells. (C) In silico correlation of the expression of three ER-related proteins (AMFR, DERL3 and XBP1) depending on SVIP methylation and expression status in head and neck, esophageal, cervix and haematological cell lines and in head & neck TCGA cohort. Samples whose SVIP expression was lower than the first quartile were considered “SVIP low”, whereas samples with SVIP expression levels higher than the third quartile were considered “SVIP high”. Two-tailed U-Mann Whitney test was performed to compare mRNA expression between the groups of cell lines and TCGA samples. (D) Representative western blot of proteins involved in ERAD process after SVIP recovery in BB30-HNC, BHY and Ca-Ski cell lines. All western blots in B and D were performed in triplicate.