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Cancer Therapy: Preclinical

C Terminus of Clostridium perfringens Enterotoxin Downregulates CLDN4 and Sensitizes Ovarian Cancer Cells to Taxol and Carboplatin

Zhijian Gao, Xiaoyin Xu, Bruce McClane, Qing Zeng, Babak Litkouhi, William R. Welch, Ross S. Berkowitz, Samuel C. Mok and Elizabeth I.O. Garner
Zhijian Gao
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Xiaoyin Xu
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Bruce McClane
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Qing Zeng
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Babak Litkouhi
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William R. Welch
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Ross S. Berkowitz
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Samuel C. Mok
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Elizabeth I.O. Garner
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DOI: 10.1158/1078-0432.CCR-10-1644 Published March 2011
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    Figure 1.

    The regulation of CLDN4 by C-CPE treatment in EOC cells. A, qRT-PCR analysis of CLDN4 mRNA expression levels in various EOC and normal HOSE cells treated with or without C-CPE (5 μg/mL) for 48 hour. β-Actin was used as an endogenous control to standardize the amount of RNA in each reaction. Data, mean ± SD from triplicate experiments. B, effect of C-CPE on CLDN4 protein expression in EOC cell lines. Whole lysates from the above EOC cell cultures were subjected to Western blot analysis with antibodies to CLDN4 and β-actin (loading control). C, C-CPE downregulated CLDN4 protein expression in a time-dependent manner. SKOV-3 cells were cultured with or without C-CPE (5 μg/mL) for 24, 48, and 72 hours and another 24 hours after removal of C-CPE. Whole cell lysates were subjected to Western blot analysis. The experiments were done in triplicate.

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    Figure 2.

    A, immunofluorescent staining of CLDN4 in SKOV-3 and RMUG-L spheroids in 3D culture. SKOV-3 and RMUG-L spheroids were cultured in growth factor–reduced Matrigel for 10 days and then treated with or without C-CPE (5 μg/mL) for 72 hours. Top, left, confocal fluorescence microscopy images show redistribution of CLDN4 in a diffused staining pattern and morphologic changes in C-CPE–treated spheroids. In contrast, CLDN4 was retained at the cell–cell border with strong staining and on membrane with weak cytoplasmic reactivity in control spheroids. Nuclei were counterstained with DAPI. Scale bars, 20 μm. Top, right, the phase-contrast images show the representative 3D structures of SKOV-3 and RMUG-L cells. Bottom, the percentage of positive spheroids was determined by counting 30 spheroids in each of 3 independent experiments. Spheroids were scored positive when the cells exhibited apparent CLDN4 relocalization and morphologic changes. *, P < 0.001 versus control. B, immunofluorescent staining of CLDN4 in monolayer culture of OVCA429 cells treated in the presence or absence of C-CPE (5 μg/mL) for indicated time. Scale bars, 40 μm.

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    Figure 3.

    C-CPE enhanced chemosensitivities of EOC cells in a CLDN4-dependent manner in vitro. A, cytotoxicity of C-CPE. Left, after exposure to increasing concentrations of C-CPE (0.01–15 μg/mL) or medium alone (control) for 48 hours, cell growth and viability of SKOV-3 cell was evaluated by MTT assay. Right, after treatment with or without C-CPE (5 μg/mL) for indicated time, growth curve of SKOV-3 cells was measured by MTT assay. B–D, C-CPE effect on chemosensitivity of EOC cells to low-dose chemotherapy agents. On the basis of the result of Figure 1B, three EOC cell lines expressing CLDN4 protein at varying levels were selected: OVCA429 (highest), SKOV-3 (higher), and TOV112d (deficient) cells. Left, after exposure to Taxol alone at the indicated concentrations or the combination of Taxol and C-CPE (5 μg/mL) for 24 hours, cell viability was compared in each cell lines by MTT assay, respectively. Right, after exposure to Carboplatin alone at the indicated concentrations or the combination of Carboplatin and C-CPE (5 μg/mL) for 24 hours, cell viabilities were compared in each cell lines by MTT assay, respectively. Data, mean ± SD from triplicate experiments. *, P < 0.05; **, P < 0.001. TX, Taxol; CP, Carboplatin.

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    Figure 4.

    The combination therapy of C-CPE and Taxol attenuates EOC xenograft growth in vivo. Female SCID mice were inoculated s.c. with 5 × 106 SKOV-3 cells. Four weeks later, the mice harboring large tumor burden were divided randomly into 3 groups and administered i.p. with Taxol alone (20 mg/kg), Taxol combined with C-CPE (0.1 mg/kg), or vehicle (PBS) twice a week for 4 weeks. A, growth curves of tumors were presented as the mean volume normalized to the start volume. *, the combination of C-CPE and Taxol led to a significant tumor suppression compared with vehicle or Taxol alone (P < 0.05). Data, mean ± SD from the mice in each group. B, immunostaining of Ki67 and TUNEL to evaluate cell proliferation and apoptosis in EOC xenografts. After 4 weeks of treatment, the combination therapy markedly attenuates tumor cell proliferation and accelerates apoptosis relative to the use of single-agent Taxol. The graph represents the percentage of apoptotic or Ki-67 positive nuclei per high field from pooled tumors from 5 mice per group. *, P < 0.05; **, P < 0.001. Scale bar, 50 μm.

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  • Table 1.

    Representative list of upregulated and downregulated genes in C-CPE–treated SKOV-3 cells versus control cells

    Gene symbleNameFunctionsFold change
    NDUFB9NADH dehydrogenase (ubiquinone) 1 beta subcomplexMetabolism8
    TNFRSF21Tumor necrosis factor receptor superfamily, member 21Tumor suppressor8
    MMP23BMatrix metalloproteinase 23BMetastasis/adhesion7
    RAB27BRAB27B, member RAS oncogene familyOncogene7
    QPCTLGlutaminyl-peptide cyclotransferase-likeMetabolism7
    UBQLN1Ubiquilin 1Ubiquitin pathway6
    UBE2J1Ubiquitin-conjugating enzyme E2, J1Ubiquitin pathway6
    UBE4AUbiquitination factor E4AUbiquitin pathway6
    RAB18member RAS oncogene familyOncogene6
    UCHL1Ubiquitin carboxyl-terminal esterase L1Ubiquitin pathway5
    SFNStratifinMetastasis/growth inhibition4
    CCNB1Cyclin B1Cell cycle4
    PGM1Phosphoglucomutase 1Metabolism−2
    MMP2Matrix metalloproteinase 2Metastasis/adhesion−3
    SYKSpleen tyrosine kinaseMetabolism−4
    RAP2ARAP2A, member of RAS oncogene familyOncogene−4
    PGM1Phosphoglucomutase 1Metabolism−4
    MKNK2MAP kinase interacting serine/threonine kinase 2Metabolism−5
    CD47CD47 antigenMetastasis/adhesion−5
    SULT1C1Sulfotransferase family, cytosolic, 1C, member 1Metabolism−5
    ACHEAcetylcholinesteraseMetabolism−5
    RIT1Ras-like without CAAX 1Oncogene−6
    WISP2Wnt1 inducible signaling pathway protein 2Wnt signaling Pathway−11

Additional Files

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    Supplementary Figures S1-S3.

    Files in this Data Supplement:

    • Supplementary Data - Supplementary Figures S1-S3.
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Clinical Cancer Research: 17 (5)
March 2011
Volume 17, Issue 5
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C Terminus of Clostridium perfringens Enterotoxin Downregulates CLDN4 and Sensitizes Ovarian Cancer Cells to Taxol and Carboplatin
Zhijian Gao, Xiaoyin Xu, Bruce McClane, Qing Zeng, Babak Litkouhi, William R. Welch, Ross S. Berkowitz, Samuel C. Mok and Elizabeth I.O. Garner
Clin Cancer Res March 1 2011 (17) (5) 1065-1074; DOI: 10.1158/1078-0432.CCR-10-1644

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C Terminus of Clostridium perfringens Enterotoxin Downregulates CLDN4 and Sensitizes Ovarian Cancer Cells to Taxol and Carboplatin
Zhijian Gao, Xiaoyin Xu, Bruce McClane, Qing Zeng, Babak Litkouhi, William R. Welch, Ross S. Berkowitz, Samuel C. Mok and Elizabeth I.O. Garner
Clin Cancer Res March 1 2011 (17) (5) 1065-1074; DOI: 10.1158/1078-0432.CCR-10-1644
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