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PI3K/Akt/NF-κB介导的FSH对上皮性卵巢癌细胞增殖与侵袭机制的研究
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摘要
目的:卵巢恶性肿瘤是女性生殖器官三大恶性肿瘤之一,其早期诊断率低,中晚期转移率高,预后较差。对于卵巢癌发病机理的研究仍有许多问题有待于解决。近年来越来越多的证据表明,卵巢癌的发生和进展与其所处的激素环境有关。绝经,排卵多或不孕治疗时过量卵泡刺激素(FSH)刺激可能是卵巢癌发生的重要危险因素。多项研究显示FSH作用于细胞表面FSH受体激活胞内信号传导通路发挥作用,而其具体作用机制尚不清楚。磷脂酞肌醇3激酶/蛋白激酶B(PI3K/AKT)信号传导通路在肿瘤的发生、发展、凋亡、血管生成、转移及耐药等方面起着重要的作用。可被PI3K/AKT通路直接或间接影响的下游分子主要包括细胞增殖和蛋白合成的相关因子和一些凋亡相关因子。核转录因子(NF-κB)作为信号传导通路的中枢,是AKT重要的下游分子之一,其异常活化可调节与细胞增殖和凋亡有关的基因转录,溶解细胞外间质促进肿瘤细胞的浸润和转移。因此,本实验主要研究FSH通过PI3K/AKT途径作用于NF-κB,并调节其表达,使卵巢上皮性癌细胞发生增殖和侵袭的机制,以及阻断该通路对卵巢癌恶性进展的影响,拟为卵巢癌的发病机制和基因治疗提供新的实验依据。
     方法:将SKOV-3、3AO细胞置于37℃,饱和湿度5%CO2的RPMI-1640培养基中常规培养,待细胞进入对数生长期后用于实验。
     1光镜观察:将不同浓度的FSH和PI3K/AKT抑制剂LY294002作用于SKOV-3、3AO细胞,在倒置相差显微镜下定时观察细胞的生长情况并照相。
     2 MTT法:调整细胞浓度为1×105/ml,以每孔100μl培养于96孔培养板中,待细胞进入对数生长期后,用不同浓度FSH(10、20、40、80、160mIU/ml)作用不同时间(12h、24h、48h、72h),采用四甲基偶氮唑蓝(MTT)法检测药物对细胞的生长促进作用及分析其与时间和浓度之间的关系。
     3 Western blot蛋白印迹法:观察FSH和LY294002分别及序贯联合作用于SKOV-3、3AO细胞前后FSHR、AKT1/2、p-AKT、NF-kappaB蛋白的表达,以及细胞核与细胞浆中NF-κB蛋白的表达差异。
     4 Transwell小室侵袭实验:调整细胞浓度为1×105/ml,每孔上层小室中加200μl细胞悬液,24孔板槽中加入500μl含10%胎牛血清的培养基。待细胞贴壁后,用FSH 40mIU/ml和LY294002 10μmol/L分别及序贯联合作用于细胞,48小时后结晶紫染色,显微镜下观察上层小室底部穿过的细胞情况并计数。
     5应用SPSS13.0统计软件进行统计学分析。
     结果:
     1倒置相差显微镜下观察可见经FSH作用SKOV-3、3AO细胞后,随时间延长,浓度增加,细胞形态稍变长,生长速度和密集度明显增加。经LY294002作用30分钟后加入FSH继续作用,细胞形态变化不大,增长速度和密集度减低。单独LY294002作用后部分细胞形状由梭形变为圆形,然后细胞开始皱缩,细胞增长能力减弱。
     2不同浓度FSH(10、20、40、80、160mIU/ml)作用不同时间(12h、24h、48h、72h),MTT结果显示SKOV-3细胞于FSH 40mIU/ml作用48 h时细胞增长最快,浓度与其他组比较有显著差异(P<0.05),而时间点之间相比则无差异(P>0.05)。3AO于FSH 40mIU/ml作用24h时细胞增长最快,与其他浓度和时间点进行统计学比较均有显著差异(P<0.05)。
     3 Western bloting结果:①SKOV-3、3AO细胞中FSHR蛋白均有表达,FSH和LY294002单独及联合处理后细胞表达与对照组相比无差异(P>0.05)。②SKOV-3细胞经FSH及LY294002单独处理与对照组相比分别表现为前者p-AKT蛋白表达增加,后者表达则减少(P<0.05),FSH/LY294002联合处理与对照组比较表达减少(P<0.05),而AKT1/2蛋白表达四组间均无差异(P>0.05)。NF-κB总蛋白在三个实验组中表达与对照组相比均无统计学意义(P>0.05);但FSH组表达明显多于LY294002组(P<0.05)。胞核中NF-κB蛋白表达FSH组与对照组相比表达增加(P<0.05),而LY294002组及FSH/LY294002组表达减少(P>0.05);且FSH组表达明显多于LY294002组、FSH/LY294002组(P<0.05),而后两者比较无差异(P>0.05)。胞浆中NF-κB蛋白三个实验组与对照组相比表达均增加,但无统计学差异(P>0.05)。对对照组、FSH组、FSH/LY294002组及LY294002组各组中胞核与胞浆的比值进行统计学分析,四组间有显著差异(P<0.05)。其中,FSH组明显大于FSH/LY294002组及LY294002组,LY294002组明显小于对照组和FSH组(P<0.05),而其他组间比较无差异(P>0.05)。③3AO细胞中p-AKT蛋白表达,三个实验组与对照组比较均有统计学差异(P<0.05)。其中,FSH组p-AKT蛋白表达明显多于其余三组(P<0.05);LY294002组、FSH/LY294002组中表达明显少于对照组(P<0.05)。四组之间AKT1/2蛋白表达均无差异(P>0.05)。总提取蛋白中NF-κB蛋白表达FSH组明显少于对照组及LY294002组(P<0.05),而四组之间及其他组间比较无明显差异(P>0.05)。胞核中NF-κB蛋白表达四组之间比较有明显差异(P<0.05),其中,FSH组与其他三组相比表达明显增加(P<0.05);而LY294002组,FSH/LY294002组与对照组比较表达减少,但无统计学差异(P>0.05),且其两组间比较亦无差异(P>0.05);胞浆中NF-κB蛋白表达FSH组多于对照组及LY294002组、FSH/LY294002组,但组组间比较无统计学差异(P>0.05)。对对照组、FSH组、FSH/LY294002组及LY294002组各组中胞核与胞浆的比值进行统计学分析,四组间有显著差异(P<0.05)。其中,FSH组明显大于其余三组(P<0.05),FSH/LY294002组明显大于对照组(P<0.05),而FSH/LY294002组与LY294002组比较无差异(P>0.05)。
     4 Transwell小室侵袭结果:经FSH处理的两种细胞穿过小室的细胞数明显多于对照组(P<0.05);经LY294002单独处理组及两者联合作用组的两种细胞穿过小室的细胞数均明显少于FSH组(P<0.05),但两组相比无明显差异(P>0.05)。
     结论:
     1卵泡刺激素有促进上皮性卵巢癌细胞株SKOV-3、3AO增殖作用,提示增殖峰最高时的浓度可能是最强作用浓度。
     2 SKOV-3、3AO细胞中均存在FSHR受体,卵泡刺激素作用于细胞SKOV-3、3AO后激活PI3K/Akt途径,提高了p-AKT蛋白的表达量,进而诱导其下游分子NF-κB蛋白在细胞核中表达增加,促进细胞增殖,增加肿瘤细胞侵袭能力。
     3 PI3K/Akt抑制剂LY294002作用于SKOV-3、3AO细胞后再给予FSH刺激,p-AKT活性被抑制,蛋白表达明显降低,进而NF-κB蛋白在细胞核中表达降低,抑制细胞增殖,降低肿瘤细胞侵袭能力。
     4卵泡刺激素可能是通过PI3K/Akt通路促进卵巢癌细胞株SKOV-3、3AO中NF-κB的表达,实现对卵巢癌细胞的促增殖和侵袭作用。
Objective: Ovarian cancer is one of the three female genitalia malignant tumor, and has low early diagnosis, high metastasis rate and poor prognosis. So the pathogenesis of ovarian cancer still has many problems to be solved. There is increasing evidences suggesting that it is the hormonal environment of the normal ovarian surface epithelium (OSE) and ovarian epithelial cancer (OEC) cells that is associated with the development and progression of ovarian cancer. Exposure to excess follicle stimulating hormone (FSH), related to menopause, ovulation, or infertility therapy, has been implicated as an important possible risk factor for ovarian cancer. A number of studies have shown that FSH acting on FSH receptor in the cell surface play a role by activating of intracellular signal transduction pathways, but its specific mechanism of action is unknown. Phosphatidylinositols-kinase/protein kinase B (PI3K/AKT) signaling pathway play an important role in tumor occurrence, development, apoptosis, angiogenesis, metastasis and drug resistance, etc. PI3K/AKT pathway may be directly or indirectly affect the downstream molecules include cell proliferation and protein synthesis related factors and a number of apoptosis related factors. Nuclear transcription factor (NF-κB) as a center of signal transduction pathway, is one of important downstream molecule of AKT. Its abnormal activation may regulate cell proliferation and apoptosis related gene transcription, dissolved in extracellular matrix to promote tumor cell infiltration and metastasis. Therefore, this experiment mainly study the role of FSH on NF-κB through PI3K/AKT pathway and to regulate its expression, get the occurrence mechanism of epithelial ovarian cancer cell proliferation and invasion, and the malignant progression of ovarian cancer by blocking the pathway. This study will provide new experimental evidence for the pathogenesis of ovarian cancer and gene therapy.
     Methods: SKOV-3, 3AO cells were cultured at 37℃in RPMI-1640 in the tissue culture flask under a humidified 5%CO2 atmosphere, applying to the experiment when they entered the logarithmic phase .
     1 Light microscopy observation of cell morphological changes: different concentrations of FSH and PI3K/AKT inhibitor LY294002 were roled in SKOV-3, 3AO cells and to observe the growth of cell regularly in inverted phase contrast microscope and to photo.
     2 MTT method: adjusting the cell concentration of 1×105/ml, with 100μl per well cultured in 96-well plate. Then the cells were exposed in different concentrations of FSH (10, 20, 40, 80, 160 mIU/ml) when the cells entered logarithmic growth phase. At last MTT method detected the proliferation of cell growth in different times(12h, 24h, 48h, 72h).
     3 Western blot analyses: To observe FSHR, Akt1 / 2, p-AKT, NF-kappaB protein expression of SKOV-3, 3AO cells before and after exposed to FSH and LY294002 respectively or combined by western blot, as well as the different expression of NF-kappaB protein in the nucleus and cytoplasm.
     4 Transwell invasion method: adjusting the cell concentration of 1×105/ml, with 200μl cell suspension in the inner cup of the 24-well Corning chamber that had been coated with 40μl Matrigel and 500μl RMPI-1640 culture media supplemented with 10% heat-inactivated FBS in the outer cup. Then the cells were exposed in FSH 40mIU/ml and LY294002 10μmol/L respectively or combined until adherencing. After 48 h, cells that had invaded through the Matrigel were fixed, stained, then observed and counted under the light microscope.
     5 Application of SPSS13.0 statistical software for statistical analysis.
     Results:
     1 The appearance of SKOV-3, 3AO cells exposed to FSH were observed under inverted phase contrast microscope. As the concentration increased and the time extended, the shape of the cells began to change slightly longer, the growth rate and intensity increased significantly. After LY294002 treating 30 minutes, FSH was exposed to continue to effect, leading to little change in cell morphology, growth rate and intensity reduced. Exposing LY294002 alone, some cells were from the spindle into a round shape, and then began to shrink. The cell growth capacity diminished.
     2 After we treated SKOV-3, 3AO cells in different time (12h, 24h, 48h, and 72h ) and with FSH in different concentration(s10,20,40,80,160 mIU/ml), MTT results showed that SKOV-3 cells were in the fastest growing for 48 h and FSH in 40μmol/ml, the concentration compared with the other groups was significantly different (P<0.05), and between the time groups there was no differences (P>0.05). 3AO cells were for 24 h and in 40μmol/ml, and compared with the other concentrations and times has significant differences (p <0.05).
     3 Result of western blotting:①FSHR protein were expressed in SKOV-3, 3AO cell. After FSH and LY294002 alone or in combination treating the cells, there were no significant differences as compared with the control group (p> 0.05).②A fter treating SKOV-3 cells with FSH and LY294002 alone, compared with the control group showed that p-AKT protein expression increased in FSH group, and the expression decreased in LY294002 group (p <0.05). In FSH/LY294002 combined treatement, the expression decreased compared with the control group (P<0.05). And AKT1 / 2 protein expression has no significant differences among the four groups (P>0.05). NF-κB total protein expression in the three experimental groups as compared with the control group, there was no statistical significance (P>0.05); but FSH group has more expression than LY294002 group (P<0.05). NF-κB protein expression in the nucleus of FSH group, compared with the control group increased (P<0.05), while the expression of LY294002 and FSH/LY294002 group decreased (P>0.05); and the expression of FSH group more than LY294002 group, FSH /LY294002 group (P<0.05). The latter two showed no difference (P>0.05). NF-κB protein expression in the cytoplasm of three experimental groups as compared with the control group had increased (p> 0.05). Analyzed statistically the ratio of the nucleus and the cytoplasm in the control group, FSH group, FSH/LY294002 group and LY294002 group, the four groups were significantly different (P<0.05). Which, FSH significantly larger than FSH/LY294002 group and LY294002 group, LY294002 group was significantly less than the control group and the FSH group (P<0.05), while there were no differences between the other groups (P>0.05).③p-AKT protein expression in 3AO cells, the three experimental groups compared with control group were statistically different (P<0.05). Which, p-AKT protein expression of FSH group was significantly more than the other three groups (p <0.05); LY294002 group, FSH/LY294002 group expressed significantly lower than the control group (P<0.05). Among the four groups AKT1/2 protein expression had on difference (P>0.05). NF-κB protein expression of total extracted protein, FSH group was significantly less than the control group and LY294002 group (P<0.05), while the other groups and between the four groups showed no significant difference (P>0.05). NF-κB protein expression of the nucleus in the four groups have more significant differences (p <0.05), which, the expression of FSH group increased significantly compared with the other three groups (P<0.05); while the expression of LY294002 group, FSH/LY294002 group decreased compared with the control group, but no statistically significant difference (P>0.05), and no difference between the two groups (P>0.05); NF-κB protein expression of the cytoplasm in FSH group were more than the control group and LY294002 group, FSH/LY294002 group, but between the latter two groups was no significant difference (P>0.05). Analyzed statistically the ratio of the nucleus and the cytoplasm in the control group, FSH group, FSH/LY294002 group and LY294002 group, the four groups were significantly different (P<0.05). Which, FSH group was significantly higher than the other three groups (P<0.05), FSH/LY294002 group was significantly more than the control group (P<0.05), while the FSH/LY294002 group and LY294002 group had no significant difference (p> 0.05).
     4 The results of Transwell invasion method: Treating the two kinds of cells with FSH, the number of cells invading through the Matrigel were more than the control group (P<0.05). LY294002 treatment alone group and combined of the two drugs group also had a few cells invading through. And the cells were significantly less than FSH group (P<0.05), but compared the two groups had no significant differences (P>0.05).
     Conclusion:
     1 Follicle-stimulating hormone has the effect of inducing proliferation on epithelial ovarian cancer cell line SKOV-3, 3AO. That suggests that the peak concentration may be the strongest proliferative concentration.
     2 FSH receptor exist in both of SKOV-3, 3AO cells. That FSH acts on SKOV-3, 3AO cells could excite PI3K/Akt pathway. So p-AKT protein expression increase. Thereby, inducing its downstream molecule NF -κB protein expression increase in the nucleus, promoted cell proliferation and invasion ability.
     3 PI3K/Akt inhibitor LY294002 acts on SKOV-3, 3AO cells and then given to FSH stimulation, p-AKT activity is inhibited, protein expression is significantly reduced, and thus NF-κB protein expression in the nucleus is reduced, inhibiting cell proliferation, reducing the invasive ability of tumor cells.
     4 Follicle-stimulating hormone may be through PI3K/Akt pathway to promote ovarian cancer cell line SKOV-3, 3AO in the expression of NF-κB, then achieve on promoting the proliferation and invasion of ovarian cancer cells.
引文
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