A siRNA screen was performed to identify gene targets that affect the activity of CPT in the breast cancer cell line MDA-MB-231. Breast cancer cell lines are sensitive to CPT [
25], but due in part to ABCG2-mediated drug resistance [
26,
27], the application of CPT clinical derivatives for the treatment of breast cancer has been limited. A lack of therapeutic options for advanced breast cancer, in particular triple negative breast cancer [
28], has led to the reconsideration of CPT derivatives, often in combination with other chemotherapeutic agents, as a treatment for breast cancer [
29]. The MDA-MB-231 cell line is a triple negative breast cancer cell line that lacks expression of estrogen receptor, progesterone receptor, and over-expressed of ERBB2 (HER2) and, as such, is frequently used as a model for the identification or preclinical assessment of new treatments for triple negative breast cancer.
Screening was performed using a library of 836 siRNAs corresponding to 418 apoptosis-related genes (2 siRNAs per gene, 1 siRNA per well). siRNAs were screened in both the presence (EC
50) and absence of CPT. Screening conducted in the absence of CPT served to establish the basal activity of each siRNA. The complete data for both screens is presented in
Supplemental Table S1. To identify siRNAs that affected CPT activity, the percent viability of each siRNA in the presence of CPT was plotted versus the percent viability of each siRNA in the absence of CPT (). An analogous Z-score plot was also generated to help illustrate significant hits (). In this screen, the top sensitizer corresponded to a siRNA targeting
MAP3K7 (siMAP3K7-1) as indicated in (panels
A and
B). The ratio of percent viability of CPT treated cells to non-CPT treated cells for siMAP3K7-1 was 0.59, and though less dramatic, a ratio of 0.84 was observed for siMAP3K7-2.
Follow-up, dose response analysis indicated that the siMAP3K7-1 siRNA induced a 6-fold decrease in CPT EC
50 in MDA-MB-231 cells, as compared to cells transfected with negative control siRNA (), and reduced
MAP3K7 mRNA levels by 65% (
Supplemental Table S3). This effect was corroborated with an additional, sequence-independent siRNA targeting
MAP3K7 (siMAP3K7-3), which yielded an eight-fold decrease in CPT EC
50 (), and induced a 78% reduction in
MAP3K7 mRNA levels (
Supplemental Table S3). Similar sensitization was observed in a line of independently maintained MDA-MB-231 cells (
Supplemental Fig. S1) and in a second triple negative breast cancer cell line MDA-MB-468 (). Intriguingly, the silencing of
MAP3K7 did not sensitize the comparatively normal mammary epithelial cell line MCF10A (). Moreover, a decrease in RNAi efficiency did not cause this lack of activity, as transfection with siMAP3K7-3 achieved 85% silencing of
MAP3K7 in MCF10A cells (
Supplemental Table S3). Similarly, no reproducible sensitization was observed in MCF7, BT20, or Hs578T breast cancer cells, despite efficient silencing of
MAP3K7 (
Supplemental Table S3;
Supplemental Fig. S2). However, a 4-fold sensitization was observed in HCT-116 colon cancer cells (), corresponding to an 83% reduction in
MAP3K7 levels (
Supplemental Table S3).
The silencing of
MAP3K7 sensitizes MDA-MB-231 cells to the clinical CPT derivatives topotecan and irinotecan, and to a lesser extent doxorubicin. For example, siMAP3K7-3 mediated a 6-fold decrease in the EC
50 value of the CPT clinical derivative topotecan (). A three-fold sensitization was also observed for doxorubicin (), and an independent screen using the same library of siRNAs, as used for CPT screening, also identified siMAP3K7-1 as a top enhancer of doxorubicin activity in MDA-MB-231 cells (data not shown). Sensitization was less pronounced for cisplatin and 5-fluorouracil (
Supplemental Fig. S3). The silencing of
MAP3K7 also sensitized HCT-116 cells to topotecan and irinotecan by 6-and 3-fold, respectively (). These results imply that the inhibition of
MAP3K7 may enhance the activity of camptothecins in different cancer cells.
MAP3K7 encodes TAK1 (Transforming growth factor-b Activated Kinase 1), a mitogen-activated serine/threonine protein kinase kinase kinase (MAP3K). TAK1 is important in activating critical cellular components, including NF-kB, JNK, and p38. The use of a drug to phenocopy effects seen following RNAi can be useful if a drug mimics the functional effects of RNAi that result from a loss of protein rather than inhibition of a specific activity. The natural fungal resorcylic lactone 5
Z-7-oxozeaenol, has been reported as an inhibitor of TAK1 catalytic activity [
30] and so we tested whether the combination of CPT and 5
Z-7-oxozeaenol was synergistic. In neither MDA-MB-231 nor HCT-116 cells did we see evidence of synergism (
Supplemental Fig. S4). In this case we hypothesize that either a different function or more than one function of TAK1 may need to be inhibited before a synergistic effect of its loss of function on CPT is evident.
To investigate further how loss of TAK1 protein augments CPT toxicity we considered the fact that TAK1 is part of a signaling complex comprising TAK1, TAB1, and either TAB2 or its homolog TAB3 [reviewed in [
31]]. From the known biology of TAK1, we evaluated whether the silencing of other members of its signaling complex would also sensitize MDA-MB-231 cells towards CPT. As shown in , two independent siRNAs targeting TAB2 (siTAB2-1 and siTAB2-2) sensitized MDA-MB-231 cells to the EC
20 dose of CPT. Follow-up analysis showed that both induced about a 6-fold decrease in CPT EC
50 value (), corresponding to a 88% and 77% reduction in
TAB2 mRNA levels, respectively. Similar sensitization was observed in a line of independently maintained MDA-MB-231 cells (
Supplemental Fig. S1).
Several large-scale expression-profiling studies have been performed in different cell model systems to probe the transcriptional response of cells to CPT [
32–
36]. Like the functional genomics approach used here, the aim of many of these expression studies has been to identify novel determinants of drug sensitivity. Interestingly, none of these transcription-based studies conducted in a variety of cell line model systems identified
MAP3K7 and its complex members as potential modulators of CPT activity. To establish that
MAP3K7 and
TAB2 also show minimal transcription-related response in MDA-MB-231 cells, we examined the expression of these genes in the absence and presence of CPT. For comparison, the expression of the ribonucleotide reductase submit,
RRM2, that we have recently shown does show a transcriptional response to CPT [
15]. Unlike
RRM2 expression, which, is highly induced by the addition of CPT,
MAP3K7 and
TAB2 expression changed only minimally following addition of CPT (
Supplemental Fig. S5).
TAK1 can activate NF-κB, JNK, and p38 signaling pathways, and the activation of these pathways, especially NF-κB, can be anti-apoptotic [
37–
39]. Accordingly, siRNA-mediated knockdown of TAK1 has been found to enhance TRAIL-induced apoptosis [
40]. Similarly, the inhibition of TAK1 sensitizes cells towards TNFα [
41], and siRNA screen also identified the silencing of TAK1 as a general promoter of apoptosis in pancreatic cancer cells [
11]. We investigated whether TAK1 silencing augments CPT-induced apoptosis. As shown in , siMAP3K7-3 enhanced CPT-associated caspase-3/7 activity in MDA-MB-231 cells, as compared to cells transfected with negative control, demonstrating increased apoptosis in response to CPT in TAK1 downregulated cells.
CPT-induced DNA damage can activate NF-κB through a process dependent on interactions between NF-κB essential modulator (NEMO) and activated ataxia telangiectasia mutated (ATM) proteins [
42]. Owing to NF-κB’s well-established ability in preventing apoptosis, we hypothesized that
MAP3K7 silencing might inhibit CPT-induced NF-κB activation. However, as shown in , no inhibition of CPT-induced NF-κB activation was observed by electrophoretic mobility shift assay (EMSA), despite near complete elimination of detectable TAK1 protein levels by siMAP3K7-3. Moreover, the NF-κB (IKKβ) inhibitor parthenolide did not sensitize MDA-MB-231 cells towards CPT (
Supplemental Fig. S6); nor, as shown in Fig. (
4C), did a series of siRNAs directed against IKKβ (the direct target of TAK1 associated with NF-κB activation).
We next examined whether disrupting JNK and p38 activation could sensitize MDA-MB-231 cells to CPT. TAK1 can activate JNK and p38 by phosphorylating MAP2K3/7 and MAP2K4/6, respectively. As shown in , siRNAs directed against these upstream activators of JNK and p38 had no effect on CPT activity. Nor did chemical inhibitors of JNK and p38 (
Supplemental Fig. S6). In addition to these RNAi- and inhibitor-based experiments,
MAP3K7 silencing had no detectable effect on the CPT-associated phosphorylation status of either protein (
Supplemental Fig. S7).
Since silencing
MAP3K7 did not detectably affect the CPT-associated activity of the known downstream, apoptosis-related components, we next examined whether
MAP3K7 down-regulation was augmenting CPT-induced DNA damage. Camptothecins generate replication-associated DNA double-strand breaks through collisions between replication forks and drug-stabilized topoisomerase I cleavage complexes [
43,
44]. These breaks result in the phosphorylation of histone H2AX, yielding γ-H2AX [
45,
46]. Using Western blot analysis of γ-H2AX, we investigated the effect of
MAP3K7 silencing on CPT-associated DNA damage. As shown in ,
MAP3K7 silencing appreciably enhanced γ-H2AX following CPT treatment. Moreover, the
MAP3K7 silenced cells were unable to eliminate the γ-H2AX induced by a 2 h pulse with CPT followed by a 24 h recovery (), suggesting persistent DNA damage upon
MAP3K7 silencing.
The phosphorylation of H2AX (γ-H2AX) has also been linked to cellular apoptosis [
47,
48]. To delineate whether the increased γ-H2AX response to CPT combined with MAP3K7 silencing was due to enhanced apoptosis or a lack of repair, cells were co-treated with the pan-caspase inhibitor Z-VAD-FMK. As shown in , Z-VAD-FMK effectively eliminated differences in γ-H2AX between siMAP3K7-3 and siNegative transfected cells indicating that TAK1 (MAP3K7) acts primarily by suppressing the apoptotic response to CPT.
Further investigation will be needed to explicitly determine which downstream effects of TAK1 inhibition are involved in increasing CPT-mediated apoptosis. Recently, additional mechanisms of survival have been associated with TAK1 activity. For example, TAK1 can reduce reactive oxygen species through a process independent of NF-κB [
49]. TAK1 can also inhibit the transcriptional activity of the forkhead transcription factor FOXO1 through Nemo-like kinase (NLK). This suppresses transcription of the pro-apoptotic protein Bim and cell cycle protein p27 [
50]. Moreover, TAK1 can mitigate death signal from the TNF-α receptor through regulating transient phosphorylation of the epidermal growth factor receptor EGFR [
51]. Regardless of the mechanism, TAK1 signaling can clearly protect cells against a variety of stresses.
TAK1 can be activated through stimulation by growth factors and cytokines. For example, the ubiquitin ligase TRAF6 can be activated by a variety of growth factors and cytokines, including IL1, resulting in subsequent recruitment of TAB2 and the activation of TAK1 [
52]. Our initial screen included two siRNAs corresponding to TRAF6; however, neither sensitized CPT (
Supplemental Table S1). An independent, larger CPT-siRNA screen (7,000 genes, unpublished data) that included four siRNAs corresponding to
TRAF6 did identify two
TRAF6 siRNAs that modulated the activity of CPT. A dose response analysis of in the context of TRAF6 knockdown using these siRNAs yielded sensitization comparable to that of TAK1 (MAP3K7) and TAB2 (). We also co-silenced
TAK1 and
TAB2, and
TAK1 and
TRAF6 using a combination of siRNAs targeting both genes in an effort to increase sensitivity. In neither case did we see further enhancement of CPT sensitization see when each gene was silenced individually (data not shown).
Overall, this study further demonstrates the utility of RNAi screening approaches. By conducting a relatively small siRNA-based screen corresponding to approximately 400 apoptosis-related genes, we identified the inhibition of TAK1 as a significant enhancer of CPT activity in MDA-MB-231 breast cancer cells. Follow-up investigation confirmed this activity in additional cell lines, including HCT-116 colon cancer cells suggesting that this effect is independent of altered hormone receptor signaling. Further, we identified additional, related targets TAB2 and TRAF6 as proteins whose loss of function enhances CPT cytotoxicity, though an inhibitor of TAK1 kinase activity did not act synergistically with CPT. Together, our data suggests that the protective effects of TAK1 are dependent upon upstream signaling and scaffolding events and may be independent of the kinase activity of TAK1. Recent studies have also demonstrated that DNA damage, either through ionizing radiation or chemical agents, can activate TAK1 through a process dependent upon ATM and NEMO, which leads to the activation of NF-κB [
53–
55]. These findings, together with our own, suggest that the inhibition of TAK1, or other, closely related members of its signaling pathway, may offer a strategy towards improving the activity of camptothecins and other DNA damaging agents, potentially broadening their application [
56]. Moreover, since the inhibition of TAK1 did not sensitize all cell lines examined in this study, its inhibition may offer a way to selectively improve compound activity in a cell-type specific manner. Further studies are needed to determine which genetic backgrounds are susceptible to this type of strategy. Notably, in addition to augmenting compound activity, the targeting of TAK1 may have additional benefits. For example, the disruption of TAK1 and TAB2 has been found to contribute to the metastatic potential of breast cancer cells by reducing the expression of MMP9, a matrix metalloproteinase [
57,
58]. Additionally, TAK1 was found to be required for TGF-β stimulated invasion by MCF10A-CA1a breast cancer cells [
59]. Thus, the targeting of TAK1 may not only sensitize certain cells to cytotoxic agents such as CPT, but may also affect metastasis, making it a very attractive molecular target.