Department of Clinical Diagnosis, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Cancer Cell Int. 2013 Nov 14;13(1):114. doi: 10.1186/1475-2867-13-114.
Although studies have shown the oncogene WT1 is overexpressed in lung cancer, there is no data showing the implication of WT1 in lung cancer biology. In the present study, we first demonstrated that isotype C of WT1 was conservely overexpressed in 20 lung cancer patient specimens. Knockdown of WT1 by small interference RNA (siRNA) transfection resulted in a significant inhibition of cell proliferation, induction of cell cycle arrest at G1 phase, and the expression change of BCL-2 family genes in WT1+ A549 cells. Furthermore, we found that DDP treatment could decrease the WT1 mRNA expression level by 5% and 15% at a dose of 1 μg/ml, by 25% and 40% at a dose of 2 μg/ml for 24 and 48 h, respectively. In the mean time, DDP treatment also reduced the PI3K/AKT pathway activity. Further analysis by using siRNA targeting the AKT-1 and the PI3K pathway inhibitor Ly294002 revealed that the AKT-1 siRNA reduced the WT1 expression effectively in A549 cells, and the same result was observed in Ly294002 treated cells, indicating that DDP treatment could down regulate WT1 expression through the PI3K/AKT pathway. Of particular interest, knockdown of WT1 also inhibited the AKT expression effectively, Chip assay further confirmed that WT1 is a transcription factor of AKT-1. We thus concluded that there is a positive feedback loop between WT1 and AKT-1. Taken together, DDP treatment downregulates the WT1 expression through the PI3K/AKT signaling pathway, and there is a feedback between WT1 and AKT-1; WT1 is involved in cellular proliferation in A549 cells, WT1 inhibition in combination with DDP will provide a new light for lung cancer therapy.
虽然研究表明 WT1 癌基因在肺癌中过表达,但目前尚无数据表明 WT1 在肺癌生物学中的作用。在本研究中,我们首先证明 WT1 的同种型 C 在 20 例肺癌患者标本中保守性过表达。通过小干扰 RNA(siRNA)转染敲低 WT1,导致 WT1+A549 细胞的细胞增殖显著抑制、细胞周期阻滞在 G1 期,并使 BCL-2 家族基因的表达发生变化。此外,我们发现 DDP 处理可使 WT1 mRNA 表达水平在 1μg/ml 剂量下分别降低 5%和 15%,在 2μg/ml 剂量下分别降低 25%和 40%,分别在 24 和 48h。同时,DDP 处理也降低了 PI3K/AKT 通路的活性。进一步使用靶向 AKT-1 的 siRNA 和 PI3K 通路抑制剂 Ly294002 进行分析表明,AKT-1 siRNA 可有效降低 A549 细胞中的 WT1 表达,在 Ly294002 处理的细胞中也观察到相同的结果,表明 DDP 处理可通过 PI3K/AKT 通路下调 WT1 表达。特别有趣的是,敲低 WT1 也可有效抑制 AKT 的表达,Chip 分析进一步证实 WT1 是 AKT-1 的转录因子。因此,我们得出结论,WT1 和 AKT-1 之间存在正反馈回路。总之,DDP 处理通过 PI3K/AKT 信号通路下调 WT1 表达,WT1 和 AKT-1 之间存在反馈作用;WT1 参与 A549 细胞的细胞增殖,WT1 抑制与 DDP 联合应用将为肺癌治疗提供新的思路。