Adenovirus-mediated siRNA targeting Bcl-xL inhibits proliferation, reduces invasion and enhances radiosensitivity of human colorectal cancer cells
© Yang et al; licensee BioMed Central Ltd. 2011
Received: 24 July 2011
Accepted: 4 October 2011
Published: 4 October 2011
Bcl-xL, an important member of anti-apoptotic Bcl-2 family, plays critical roles in tumor progression and development. Previously, we have reported that overexpression of Bcl-xL was correlated with prognosis of colorectal cancer (CRC) patients. The aim of this study was to investigate the association of Bcl-xL expression with invasion and radiosensitivity of human CRC cells.
RT-PCR and Western blot assays were performed to determine the expression of Bcl-xL mRNA and protein in CRC cells and normal human intestinal epithelial cell line. Then, adenovirus-mediated RNA interference technique was employed to inhibit the expression of Bcl-xL gene in CRC cells. The proliferation of CRC cells was analyzed by MTT and colony formation assay. The migration and invasion of CRC cells was determined by wound-healing and tranwell invasion assays. Additionally, the in vitro and in vivo radiosensitivity of CRC cells was determined by clonogenic cell survival assay and murine xnograft model, respectively.
The levels of Bcl-xL mRNA and protein expression were significantly higher in human CRC cells than in normal human intestinal epithelial cell line. Ad/shBcl-xL could significantly reduce the expression of Bcl-xL protein in CRC cells. Also, we showed that adenovirus-mediated siRNA targeting Bcl-xL could significantly inhibit proliferation and colony formation of CRC cells. Ad/shBcl-xL could significantly suppress migration and invasion of CRC cells. Moreover, Ad/shBcl-xL could enhance in vitro and in vivo radiosensitivity of CRC cells by increasing caspase-dependent apoptosis.
Targeting Bcl-xL will be a promising strategy to inhibit the metastatic potential and reverse the radioresistance of human CRC.
Colorectal cancer, one of the most prevalent cancers in the world, is the second most common malignancy and the second leading cause of cancer related mortality in developed countries . In spite of much progress made in diagnostic and therapeutic methods, the prognosis of CRC patients with distant metastasis still remains poor. Therefore, it is necessary to understand the molecular signaling mechanisms of CRC development so as to provide important insights into more effective therapeutic strategies.
Bcl-xL, an anti-apoptotic member, plays important roles in tumor progression and development . Bcl-xL molecule may inhibit apoptosis by maintaining the permeabilization status or stabilization of the outer mitochondrial membrane . It has been reported that Bcl-xL is overexpressed in many human cancers such as gastric cancer, hepatocelluar cancer, prostate carcinoma, osteosarcoma, breast cancer, etc [4–8]. Previously, we have reported that high level of Bcl-xL protein is correlated with tumor differentiation, lymph node metastasis, venous permeation, and Duke's classification of CRC patients . Furthermore, patients with high Bcl-xL expression showed poorer overall survival than those with low Bcl-xL expression and the status of Bcl-xL protein expression might be an independent prognostic marker for CRC patients. Also, Zhang and his colleagues report that Bcl-xL gene plays an important role in carcinogenesis of human colorectal carcinoma and is associated with malignant biological behaviors of human colorectal carcinoma . Additionally, the correlation between Bcl-xL and chemoresistance of CRC was also reported by other researchers. Guichard' et al showed that short hairpin RNAs targeting Bcl-xL modulated senescence and apoptosis following SN-38 and irinotecan exposure in a colon cancer model . Zhu and his colleagues found that the combination of Bcl-XL-specific small interfering RNA and 5-FU had additive effect on the inhibition of 5-FU-resistant cells . Likewise, Nita'et al showed that the suppression of Bcl-X(L) expression by the specific antisense ODNs could increase the sensitivity of CRC cells to 5-FU . From these experimental data, it was concluded that Bcl-xL might play important roles in the chemoresistance of human CRC. However, whether Bcl-xL affects the metastatic capacity and radiosensitivity of CRC cells is still unclear. To the best of our knowledge, there have been no reports about the correlation between Bcl-xL expression and metastasis or radioresistance of CRC cells.
In the present study, we take advantage of the RNA interference (RNAi) technology, by using an adenoviral construct in order to deliver small interfering RNA molecules that target Bcl-xL gene. RNAi is a highly evolutionarily conserved mechanism of gene regulation, which occurs at a post-transcriptional level. Here, adenovirus-mediated siRNA targeting Bcl-xL could inhibit migration, invasion and metastasis of CRC cells. Meanwhile, Bcl-xL inhibition could increase in vitro and in vivo radiosensitivity of CRC cell lines by increasing apoptotic cell death.
Materials and methods
Human colorectal cancer cell lines (SW480, HT-29, LoVo and Colo320) and one human intestinal epithelial cell line (HIEC) were purchased from American Type Culture Collection (ATCC, Manassas, VA). All the cell lines were cultured in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal calf serum (FCS) and maintained at 37°C in a humidified chamber with 5% CO2.
Recombinant adenovirus generation
The cDNA sequence of Bcl-xL was obtained from GenBank (Accession No. Z23115). The siRNA target design tools from Ambion were used to design shBcl-xL and control shRNA (shcontrol) sequences, which were designed and synthesized as follows: shBcl-xL, sense:5'-GATCCCCGGAGATGCAGGTATTGGTGttcaagagaCACCAATACCTGCATCTCCTTTT-TGGAAA-3'; Negative control shRNA, sense: 5'-GATCCCCGGTGAGAGGTAGGCGTTTAttcaa-gagaTAAACGCCTACCTCTCACCTTTTTGGAAA-3'; The sequences was subcloned into the Hin dIII and Bgl II sites of pAdTrack adenoviral shuttle vector to get pAdTrack/shBcl-xLor pAdTrack/shControl. The recombinant vectors were confirmed by the digestion analysis of restriction endonuclease and all inserted sequences were verified by DNA sequencing. The resulting pAdTrack/shBcl-xLor pAdTrack/shControl vectors were linearized with PmeI and co-transformed into BJ5183 cells with adenoviral backbone vector pAdEasy-1. Positive clones were selected and conformed by DNA miniprep and PacI digestion. Plasmids from correct clones were amplified by transforming into DH5K cells. Adenoviral DNA (Ad/shBcl-xL or Ad/shcontrol) was prepared by a standard alkaline lysis procedure, and was linearized with PacI and purified by ethanol precipitation. The packaging cell line 293 was cultured in DMEM with 10% FBS, 100 U/mL penicillin and 100 mg/mL streptomycin. Twenty-four hours before transfection, cells were plated in six-well plates. Cells were transfected with Lipofectamine 2000 plus (Invitrogen, USA). The next day, the medium containing the transfection mix was replaced with fresh medium. Transfected cells were incubated for additional period of 7~10 days and medium was changed every 2~3 days. Virus was harvested, amplified and titered (Stratagene, USA).
On the day before virus infection, CRC cells were plated in each well of six-well plates. When the cells reached approximately 70-90% confluence, the culture medium was aspirated and the cell monolayer was washed with prewarmed sterile phosphate-buffed saline (PBS). Cells were incubated with indicated virus (Ad/shcontrol or Ad/shBcl-xL) at multiplicity of infection (MOI) of 0, 40 or 80 at 37°C, respectively. After adsorption for 2 h, 2 ml of fresh growth medium was added and cells were placed in the incubator for additional 2-3 days. The cells analysis and other experiments were performed. The following experiments were performed using viruses at such MOIs except for special indications.
Bcl-xL siRNA oligonucleotide and cell transfection
The siRNA oligonucleotide specific for Bcl-xL (siRNA/Bcl-xL) and scrambled siRNA (siRNA/control) were purchased from Ambion (Austin, TX, USA). Human colorectal cancer cell line (LoVo) was grown in DMEM medium containing 10% fetal calf serum (Gibco BRL, Life Technology, USA) at 37°C in a humidified atmosphere containing 5% CO2. Twenty-four hours before transfection, cells were diluted in fresh media without antibiotics and transferred to six-well plates. LoVo cells grown to a confluence of 40%-50% were transfected with 50-200 nmol/L (final concentration) of siRNA per well using Lipofectamine 2000 and Opti-MEM (Invitrogen, Karlsruhe, Germany) media according to the manufacturer's recommendations. 48 h after transfection, the cells were collected for the further researches.
Reverse Transcription (RT) - PCR assay
Total RNA was extracted from tissues using TRIzol reagent (Invitrogen, Carsbad, CA, USA) according to the manufacturer's instructions. Two micrograms of RNA were subjected to reverse transcription. The PCR primers used were as follows: for Bcl-xL, 5'-CCCAGAAAGGATACAGC-TGG -3' (forward), 5'-GCGATCCGACTCACCAATAC -3' (reverse); and for GAPDH (internal control), 5'-GAAGGTGAAGGTCGGATGC-3' (forward), 5'-GAAGATGGTGATGGGATTTC-3' (reverse). The amplification conditions were as follows: denaturation at 94°C for 15 min; 40 cycles of 94°C for 40 s, 56°C (for Bcl-xL) and 60°C (for GAPDH) for 1 min, 72°C for 1 min; and a final 10 min extension at 72°C. The PCR products were separated on a 1.5% agarose gel, visualized, and photographed under UV light.
Western blot assay
Cells were harvested and washed with cold phosphate-buffered saline solution, and total proteins were extracted in the extraction buffer (150 mM sodium chloride; 50 mMTris hydrochloride, pH7.5;1%glycerol; and1%Non-idetp-40 substitute solution). Equal amounts of protein (15 μg per lane) from the treated cells were loaded and electrophoresed on an 8% sodium dodecyl sulfate (SDS) polyacrylamide gel and then electroblotted onto nitrocellulose membrane, blocked by 5% skim milk, and probed with the antibodies to Bcl-xL, caspase-3 or 9, PARP, uPA and GAPDH (Santa Cruz Biotechnology, Santa Cruz, CA), followed by treatment with secondary antibody conjugated to horseradish peroxidase (1:5000). The proteins were detected by the enhanced chemiluminescence system and exposed to x-ray film.
Immunohistochemical analysis was done to study altered protein expression in tumor tissues. Formalin-fixed, paraffin-embedded tissue was freshly cut (3 mm). Sections were incubated in a moist chamber with primary rabbit anti-human Bcl-xL monoclonal antibody Santa Cruz Biotechnology, Santa Cruz, CA) for 30 min at room temperature, followed by a secondary antibody (peroxidase labeled polymer conjugated to goat anti-rabbit immunoglobulin) for 30 min (DakoCytomation, Denmark). Rabbit serum was used as negative control.
3-(4,5-dimethylthazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) assay
The cell viability of LoVo cells was measured by a (Sigma, USA). Above three kinds of cells (5.0 × 103/well) were seeded into five 96-well culture plates with each plate having all three kinds of cells (6-parallel wells/group). On each day, 200 μL MTT (5 mg/mL) was added to each well, and the cells were incubated for at 37°C for additional 4 h. Then the reaction was stopped by lysing the cells with 150 μL DMSO for 5 min. Optical densities were determined on a Versamax microplate reader (Molecular Devices, Sunnyvale, CA) at 490 nm.
Colony formation assay
A total of 4.5 × 102 mock LoVo or LoVo infected with Ad/shBcl-xL or Ad/shcontrol were placed in a fresh 6-well plate with or without DDP for another 12 h and maintained in RMPI 1640 containing 10% FBS for 2 weeks. Colonies were fixed with methanol and stained with 0.1% crystal violet in 20% methanol for 15 min.
Wound healing assay
The LoVo cells infected with no adenovirus or adenovirus adenovirus (Ad/shcontrol or Ad/shBcl-xL) at multiplicity of infection (MOI) of 80 were seeded into 24-well tissue culture plates. 48 h later, an artificial homogenous wound was created onto the monolayer with a sterile plastic 100 μL micropipette tip. After wounding, the debris was removed by washing the cells with serum-free medium. Migration of cells into the wound was observed at different time points. Cells that migrated into the wounded area or cells with extended protrusion from the border of the wound were visualized and photographed under an inverted microscope.
Transwell invasion experiments were performed with 24-well matrigel-coated chambers from BD Biosciences (Bedford, MA, USA). Briefly, the LoVo cells infected with no adenovirus or adenovirus adenovirus (Ad/shcontrol or Ad/shBcl-xL) at multiplicity of infection (MOI) of 80 were seeded into inserts at 4.0 × 103/insert in serum-free medium and then transferred to wells filled with the culture medium containing 10% FBS as a chemoattractant. After 24 h of incubation, non-invading cells on the top of the membrane were removed by scraping. Invaded cells on the bottom of the membrane were fixed, followed by staining with 0.05% crystal violet. The number of invaded cells on the membrane was then counted under a microscope.
Flow cytometry analysis of apoptosis
Cells were treated with or without DDP for another 12 h and harvested and fixed with 2.5% glutaraldehyde for 30 minutes. After routine embedment and section, the cells were observed under electronic microscope. The apoptosis rates were determined using Annexin V-FITC and PI staining flow cytometry.
Clonogenic survival assay
The cells were seeded in 24-well plates. After 24 h-incubation, fresh medium was added to each well and incubation was continued for 24 h before further treatments. One day after the viral infection, cells were trypsinized, plated and incubated for 24 h before irradiation. The time interval between viral infection and radiation treatment was two days. Following irradiation, duplicate cultures were incubated for 10-14 days for colony formation. Cultures were fixed with pure ethanol and stained with 1% crystal violet in ethanol, and colonies were counted. Surviving fraction was determined by normalizing to the plating efficiency of the untreated control cells. For dose fractionation, cells were irradiated with a high-dose rate 137Cs unit (4.0 Gy/min) after the viral infections, respectively.
In vivo radiotherapy assay
BALB/c nude mice were purchased from the Experiment Animal Center of Nanjing Medical University and maintained under pathogen-free conditions according to protocols that were approved by the Jiangsu Province Animal Care and Use Committee. LoVo cells (4.0 × 106) suspended in 100 μl of PBS were inoculated in the flanks of 5-week-old female BALB/c nude mice. One week after inoculation (day 0), mice with established tumors measuring 5-6 mm in diameter, were randomly divided into 5 groups (5 mice/group). Two of the groups were irradiated, and three groups remained unirradiated. For the irradiated groups, intratumoral injections of 0.1 ml of PBS, 6.0 × 108 pfu of Ad/shcontrol or Ad/shBcl-xL were repeated three times on days 1, 3, and 5, and subsequently X-ray irradiation was performed at a clinically relevant dose of 5.0 Gy on days 2, 4, and 6. For the unirradiated groups, intratumoral injections of 0.1 ml of PBS, 6.0 × 108 pfu of Ad/shcontrol or Ad/shBcl-xL were administered. Tumors were measured with a caliper gauge twice a week over a 6-week period following the initial virus injections. Tumor volume was calculated according to the formula: TV (mm3) = length×width2 ×0.4. All mice were sacrificed and s.c tumors were resected and fixed in 10%PBS. We measured the primary tumors and performed Western blot or immunohistochemistry for Bcl-xL protein expression.
Extracts were diluted 1:5 in assay buffer and 100 μL aliquots of each extract were incubated overnight at 4°C in precoated microtest wells. Wells were washed thoroughly with wash buffer and a second, biotinylated antibody that recognizes a specific epitope on uPA molecule was added
for each analysis. Wells were washed again after an incubation of 1 hour and 100 μL of enzyme conjugate was added, leading to the formation of the antibody-enzyme detection complex. After 1 h-incubation, wells were washed again. Then, 100 μL of perborate 3, 3',5, 5'-tetramethylbenzidine substrate was added to each well and reacted with horseradish peroxidase, producing a blue solution. We used 50 μL of 0.5 mol/L sulfuric acid as a stopping solution, which yielded a yellow color in the reaction.
All statistical analyses were performed using the SPSS 17.0 statistical software. Statistical significance of experimental data was determined by Student's t-test (two-tailed). P < 0.05 were deemed statistically significant.
The expression level of Bcl-xL is higher in CRC cell lines than in human intestinal epithelial cell line (HIEC)
Adenovirus-mediated siRNA targeting Bcl-xL inhibits the expression of Bcl-xL protein in CRC cells
Ad/shBcl-xL significantly suppresses the proliferation of CRC cells
Ad/shBcl-xL significantly reduces the migration and invasion of CRC cells
Ad/shBcl-xL significantly increases the in vitro sensitivity of CRC cells to irradiation
Ad/shBcl-xL significantly increases the in vivo sensitivity of CRC cells to irradiation
Effects of Ad/shBcl-xL on apoptosis or metastasis-related proteins in CRC cells
CRC is the third most commonly diagnosed cancer around the world and the incidence of CRC in China is lower than that in the west countries, but has increased in recent years and become a substantial cancer burden in China, particularly in the more developed areas such as East Guangdong . Despite the current surgical techniques and chemo- or radiotherapy that have made significant improvements, the cure rate for advanced CRC remains low and the morbidity remains high. Therefore, progresses made in CRC therapy might result from a fully understanding of its pathogenesis and biological characteristics.
The Bcl-2 family comprises a group of structurally related proteins that play a fundamental role in the regulation of the intrinsic pathway by controlling mitochondrial membrane permeability and the release of the pro-apoptotic factor, cytochrome c . Usually, those proteins were divided into two classes: those that inhibit apoptosis (Bcl-2, Bcl-xL, Mcl-1, et al); those that promote apoptosis (BAK, Bax, Bcl-xs, et al) . Bcl-xL is an important novel member of anti-apoptotic Bcl-2 family, which has been reported to play critical roles in tumor progression, development and chemo- or radioresistance [17–19]. Tumor metastasis is a highly complex process involving the survival of tumor cells, both in the blood stream and within specific organs . It has been reported that cell-death or survival are determined by a number of gene products from an expanding family of the Bcl-2 gene. In other researches, Bcl-xL was found to be correlated with metastasis of tumor cells. Rubio N and his colleagues reported that overexpression of Bcl-x(L) could counteract the proapoptotic signals in the microenvironment and favor the successful development of metastasis in specific organs . Additionally, Fernández' et al showed that Bcl-xL expression in breast cancer cells could increase metastatic activity and this advantage could be created by inducing resistance to apoptosis against cytokines, increasing cell survival in circulation, and enhancing anchorage-independent growth . Meanwhile, this research group also showed that overexpression of Bcl-xL in human breast cancer cells enhanced organ-selective lymph node metastasis . In our previous study, we showed that the overexpression of Bcl-xL was significantly associated with lymph node metastasis and venous permeation of CRC patients . Zhang and his colleagues also reported that the expression of Bcl-xL was associated with the pathological grade, lymph node metastasis and Duke's stage of colorectal carcinoma . However, the correlation of Bcl-xL expression with invasion and metastasis of CRC cells need to be further elucidated.
RNA interference (RNAi) by double stranded RNA (dsRNAs) molecules of approximately 20-25 nucleotides termed short interfering (siRNAs) is a powerful method for preventing the expression of a particular gene . Plasmid and viral vectors producing siRNA using the polymerase III promoter offer more efficient siRNA delivery and are showing promise both in vitro and in vivo . In our research, adenovirus-mediated siRNA targeting Bcl-xL could significantly inhibit the expression of Bcl-xL in human CRC cells. Adenovirus-mediated siRNA targeting Bcl-xL could significantly inhibit proliferation and colony formation in CRC cells. Moreover, downregulation of Bcl-xL significantly inhibited CRC cell migration in response to wound scratch and impaired the ability of CRC cells to invade across a Matrigel Layer. Subsequently, we investigated the possible molecular mechanisms by which Bcl-xL may enhance tumor invasion. The urinary-type plasminogen activator, or uPA, regarded as the critical trigger for plasmin generation during cell migration and invasion, is strongly upregulated in various malignancies including colorectal cancers . Previously, our and others studies have shown that Bcl-xL is upregulated starting from the earliest stages of dysplasia, we hypothesized that the uPA expression might be related to the dysregulated expression of Bcl-xL in CRC. In our reports, we showed that siRNA-mediated Bcl-xL inhibition could significantly downregulate the expression of uPA protein. The activity of uPA in Ad/shBcl-xL-infected LoVo cells was significantly reduced, which suggested that the Bcl-xL-mediated invasive behavior of CRC cells might be associated with increased activity of uPA. However, how Bcl-xL could affect the expression and activity of uPA in CRC cells still remains unclear and needs to be elucidated in future researches.
Currently, radiotherapy has been an integral part of the preoperative treatment of rectal cancers. However, only a minority of patients achieve a complete pathologic response to therapy because of radioresistance of these tumors . Previously, we have shown that the overexpression of Bcl-xL is associated with radioresistance of human osteosarcoma cells. In other human cancers, the association of Bcl-xL expression and radiosensitivity of tumor cells is also studied. Wang' et al showed that siRNA-mediated Bcl-xL downregulation could lead to the increased sensitivity of prostate cancer cells to radiation . Masui, et al showed that the antisense oligonucleotide against Bcl-XL could be a good therapeutic tool for radiosensitization of pancreatic cancer . Streffer and his colleagues showed that BCL-2 family protein expression (Bcl-xL and BAX) could modulate radiosensitivity in human glioma cells and targeted alterations in BCL-2 family protein expression might be a promising strategy to improve the therapeutic efficacy of radiotherapy for gliomas . However, up to date, there have been no reports about the associations of Bcl-xL expression and radiosensitivity of human CRC cells. In this study, Ad/shBcl-xL could increase the radiosensitivity of CRC cells not only in vitro but also in vivo, which might be mainly associated with caspase-dependent apoptosis enhancement.
In conclusion, we have shown for the first time that adenovirus-mediated siRNA targeting Bcl-xL could inhibit proliferation and enhance radiosensitivity of human CRC cells. Moreover, our results also showed that Bcl-xL played an important role in CRC cell invasion, which might be mediated by uPA. Therefore, Bcl-xL has potential of being a novel molecular target for the treatment of human CRC.
This work was supported by the Medical Science Development Subject in Science and Technology Project of Nanjing (Grant No. ZKX08017 and YKK08091). The authors are grateful to every one of the Department of Biochemistry and Molecular Biology for their technical support and sincere help.
- Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, Thun MJ: Cancer statistics, 2008. CA Cancer J Clin. 2008, 58: 71-96. 10.3322/CA.2007.0010.View ArticlePubMedGoogle Scholar
- Wong WW, Puthalakath H: Bcl-2 family proteins: the sentinels of the mitochondrial apoptosis pathway. IUBMB Life. 2008, 60: 390-7. 10.1002/iub.51.View ArticlePubMedGoogle Scholar
- Lomonosova E, Chinnadurai G: BH3-only proteins in apoptosis and beyond: an overview. Oncogene. 2008, 27: S2-19.PubMed CentralView ArticlePubMedGoogle Scholar
- Kondo S, Shinomura Y, Kanayama S, Higashimoto Y, Miyagawa JI, Minami T, Kiyohara T, Zushi S, Kitamura S, Isozaki K, Matsuzawa Y: Over-expression of bcl-xL gene in human gastric adenomas and carcinomas. Int J Cancer. 1996, 68: 727-30. 10.1002/(SICI)1097-0215(19961211)68:6<727::AID-IJC6>3.0.CO;2-5.View ArticlePubMedGoogle Scholar
- Watanabe J, Kushihata F, Honda K, Mominoki K, Matsuda S, Kobayashi N: Bcl-xL overexpression in human hepatocellular carcinoma. Int J Oncol. 2002, 21: 515-9.PubMedGoogle Scholar
- Castilla C, Congregado B, Chinchón D, Torrubia FJ, Japón MA, Sáez C: Bcl-xL is overexpressed in hormone-resistant prostate cancer and promotes survival of LNCaP cells via interaction with proapoptotic Bak. Endocrinology. 2006, 147: 4960-7. 10.1210/en.2006-0502.View ArticlePubMedGoogle Scholar
- Wang ZX, Yang JS, Pan X, Wang JR, Li J, Yin YM, De W: Functional and biological analysis of Bcl-xL expression in human osteosarcoma. Bone. 2010, 47: 445-54. 10.1016/j.bone.2010.05.027.View ArticlePubMedGoogle Scholar
- Olopade OI, Adeyanju MO, Safa AR, Hagos F, Mick R, Thompson CB, Recant WM: Overexpression of BCL-x protein in primary breast cancer is associated with high tumor grade and nodal metastases. Cancer J Sci Am. 1997, 3: 230-7.PubMedGoogle Scholar
- España L, Fernández Y, Rubio N, Torregrosa A, Blanco J, Sierra A: Overexpression of Bcl-xL in human breast cancer cells enhances organ-selective lymph node metastasis. Breast Cancer Res Treat. 2004, 87: 33-44. 10.1023/B:BREA.0000041579.51902.89.View ArticlePubMedGoogle Scholar
- Jin-Song Y, Zhao-Xia W, Cheng-Yu L, Xiao-Di L, Ming S, Yuan-Yuan G, Wei D: Prognostic significance of Bcl-xL gene expression in human colorectal cancer. Acta Histochem. 2011Google Scholar
- Zhang YL, Pang LQ, Wu Y, Wang XY, Wang CQ, Fan Y: Significance of Bcl-xL in human colon carcinoma. World J Gastroenterol. 2008, 14: 3069-73. 10.3748/wjg.14.3069.PubMed CentralView ArticlePubMedGoogle Scholar
- Guichard SM, Hua ML, Kang P, Macpherson JS, Jodrell DI: Short hairpin RNAs targeting Bcl-xL modulate senescence and apoptosis following SN-38 and irinotecan exposure in a colon cancer model. Cancer Chemother Pharmacol. 2007, 60: 651-60. 10.1007/s00280-006-0408-1.View ArticlePubMedGoogle Scholar
- Zhu H, Guo W, Zhang L, Davis JJ, Teraishi F, Wu S, Cao X, Daniel J, Smythe WR, Fang B: Bcl-XL small interfering RNA suppresses the proliferation of 5-fluorouracil-resistant human colon cancer cells. Mol Cancer Ther. 2005, 4: 451-6.View ArticlePubMedGoogle Scholar
- Nita ME, Ono-Nita SK, Tsuno N, Tominaga O, Takenoue T, Sunami E, Kitayama J, Nakamura Y, Nagawa H: Bcl-X(L) antisense sensitizes human colon cancer cell line to 5-fluorouracil. Jpn J Cancer Res. 2000, 91: 825-32. 10.1111/j.1349-7006.2000.tb01020.x.View ArticlePubMedGoogle Scholar
- Cao KJ, Ma GS, Liu YL, Wan DS: Incidence of colorectal cancer in Guangzhou City from 2000 to 2002. Ai Zheng. 2009, 28: 441-4.PubMedGoogle Scholar
- Brown R: The bcl-2 family of proteins. Br Med Bull. 1997, 53: 466-77.View ArticlePubMedGoogle Scholar
- Gross A: BCL-2 proteins: regulators of the mitochondrial apoptotic program. IUBMB Life. 2001, 52: 231-6. 10.1080/15216540152846046.View ArticlePubMedGoogle Scholar
- Llambi F, Green DR: Apoptosis and oncogenesis: give and take in the BCL-2 family. Curr Opin Genet Dev. 2011, 21: 12-20. 10.1016/j.gde.2010.12.001.PubMed CentralView ArticlePubMedGoogle Scholar
- Reed JC: Bcl-2 family proteins: strategies for overcoming chemoresistance in cancer. Adv Pharmacol. 1997, 41: 501-32.View ArticlePubMedGoogle Scholar
- Richardson A, Kaye SB: Pharmacological inhibition of the Bcl-2 family of apoptosis regulators as cancer therapy. Curr Mol Pharmacol. 2008, 1: 244-54. 10.2174/1874467210801030244.View ArticlePubMedGoogle Scholar
- Hoon DS, Ferris R, Tanaka R, Chong KK, Alix-Panabières C, Pantel K: Molecular mechanisms of metastasis. J Surg Oncol. 2011, 103: 508-17. 10.1002/jso.21690.View ArticlePubMedGoogle Scholar
- Rubio N, España L, Fernández Y, Blanco J, Sierra A: Metastatic behavior of human breast carcinomas overexpressing the Bcl-x(L) gene: a role in dormancy and organospecificity. Lab Invest. 2001, 81: 725-34. 10.1038/labinvest.3780281.View ArticlePubMedGoogle Scholar
- Fernández Y, España L, Mañas S, Fabra A, Sierra A: Bcl-xL promotes metastasis of breast cancer cells by induction of cytokines resistance. Cell Death Differ. 2000, 7: 350-9. 10.1038/sj.cdd.4400662.View ArticlePubMedGoogle Scholar
- España L, Fernández Y, Rubio N, Torregrosa A, Blanco J, Sierra A: Overexpression of Bcl-xL in human breast cancer cells enhances organ-selective lymph node metastasis. Breast Cancer Res Treat. 2004, 87: 33-44. 10.1023/B:BREA.0000041579.51902.89.View ArticlePubMedGoogle Scholar
- Zhang J, Hua ZC: Targeted gene silencing by small interfering RNA-based knock-down technology. Curr Pharm Biotechnol. 2004, 5: 1-7.View ArticlePubMedGoogle Scholar
- Wall NR, Shi Y: Small RNA: can RNA interference be exploited for therapy?. Lancet. 2003, 362: 1401-3. 10.1016/S0140-6736(03)14637-5.View ArticlePubMedGoogle Scholar
- Dass K, Ahmad A, Azmi AS, Sarkar SH, Sarkar FH: Evolving role of uPA/uPAR system in human cancers. Cancer Treat Rev. 2008, 34: 122-36. 10.1016/j.ctrv.2007.10.005.View ArticlePubMedGoogle Scholar
- Sauer R, Becker H, Hohenberger W, Rödel C, Wittekind C, Fietkau R, Martus P, Tschmelitsch J, Hager E, Hess CF, Karstens JH, Liersch T, Schmidberger H, Raab R, German Rectal Cancer Study Group: Preoperative versus postoperative chemoradiotherapy for rectal cancer. N Engl J Med. 2004, 351: 1731-40. 10.1056/NEJMoa040694.View ArticlePubMedGoogle Scholar
- Wang R, Lin F, Wang X, Gao P, Dong K, Wei SH, Cheng SY, Zhang HZ: Suppression of Bcl-xL expression by a novel tumor-specific RNA interference system inhibits proliferation and enhances radiosensitivity in prostatic carcinoma cells. Cancer Chemother Pharmacol. 2008, 61: 943-52. 10.1007/s00280-007-0548-y.View ArticlePubMedGoogle Scholar
- Masui T, Hosotani R, Ito D, Kami K, Koizumi M, Mori T, Toyoda E, Nakajima S, Miyamoto Y, Fujimoto K, Doi R: Bcl-XL antisense oligonucleotides coupled with antennapedia enhances radiation-induced apoptosis in pancreatic cancer. Surgery. 2006, 140: 149-60. 10.1016/j.surg.2006.03.014.View ArticlePubMedGoogle Scholar
This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.