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Mol Cancer Ther. 2005;4:779-786
© 2005 American Association for Cancer Research

Anti-gene peptide nucleic acid specifically inhibits MYCN expression in human neuroblastoma cells leading to cell growth inhibition and apoptosis

Roberto Tonelli1, Stefania Purgato1, Consuelo Camerin1, Raffaele Fronza1, Fabrizio Bologna1, Simone Alboresi1, Monica Franzoni1, Roberto Corradini2, Stefano Sforza2, Andrea Faccini2, Jason M. Shohet3, Rosangela Marchelli2 and Andrea Pession1

1 Department of Pediatrics, University of Bologna, Sant'Orsola-Malpighi Hospital, Bologna, Italy; 2 Department of Organic and Industrial Chemistry, University of Parma, Parma, Italy; and 3 Center for Cell and Gene Therapy, Texas Children's Cancer Center, Baylor College of Medicine, Houston, Texas

Requests for reprints: Andrea Pession, Unità di Terapia Cellulare, Dipartimento di Scienze Pediatriche Mediche e Chirurgiche, Policlinico Sant'Orsola-Malpighi, via Massarenti 11, 40138 Bologna, Italy. Phone: 39-051346044; Fax: 39-051346044. E-mail: pession{at}med.unibo.it


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
We developed an anti-gene peptide nucleic acid (PNA) for selective inhibition of MYCN transcription in neuroblastoma cells, targeted against a unique sequence in the antisense DNA strand of exon 2 of MYCN and linked at its NH2 terminus to a nuclear localization signal peptide. Fluorescence microscopy showed specific nuclear delivery of the PNA in six human neuroblastoma cell lines: GI-LI-N and IMR-32 (MYCN-amplified/overexpressed); SJ-N-KP and NB-100 (MYCN-unamplified/low-expressed); and GI-CA-N and GI-ME-N (MYCN-unamplified/unexpressed). Antiproliferative effects were observable at 24 hours (GI-LI-N, 60%; IMR-32, 70%) and peaked at 72 hours (GI-LI-N, 80%; IMR-32, 90%; SK-N-KP, 60%; NB-100, 50%); no reduction was recorded for GI-CA-N and GI-ME-N (controls). In MYCN-amplified/overexpressed IMR-32 cells and MYCN-unamplified/low-expressed SJ-N-KP cells, inhibition was recorded of MYCN mRNA (by real-time PCR) and N-Myc (Western blotting); these inhibitory effects increased over 3 days after single treatment in IMR-32. Anti-gene PNA induced G1-phase accumulation (39–53%) in IMR-32 and apoptosis (56% annexin V–positive cells at 24 hours in IMR-32 and 22% annexin V–positive cells at 48 hours in SJ-N-KP). Selective activity of the PNA was shown by altering three point mutations, and by the observation that an anti-gene PNA targeted against the noncoding DNA strand did not exert any effect. These findings could encourage research into development of an anti-gene PNA–based tumor-specific agent for neuroblastoma (and other neoplasms) with MYCN expression.

Key Words: MYCN • neuroblastoma • gene amplification • antigene • peptide nucleic acid


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
About 25% to 30% of primary untreated neuroblastomas present amplification/overexpression of the MYCN proto-oncogene, which is associated with advanced stage disease, rapid progression, and poor prognosis (1).

Targeted expression of MYCN in transgenic mice causes development of neuroblastoma (2). Unlike MYC, which is fairly ubiquitous and is expressed in proliferating cells, MYCN has a very restricted expression pattern (in mice, MYCN is mainly expressed during the early stages of differentiation, and in early B-cell development in adults; ref. 3). Identification of selective inhibitors of N-Myc could be relevant for development of more effective and less toxic specific therapeutic agents for neuroblastomas with MYCN overexpression. Antisense oligodeoxynucleotide–based inhibition of MYCN expression in vitro decreases neuroblastoma proliferation and promotes neuron differentiation (4). A major clinical limitation of conventional antisense oligonucleotides is that they are rapidly degraded by nucleases.

Nucleic acid–based drugs designed to overcome this limitation include peptide nucleic acids (PNA): DNA analogues in which the sugar-phosphate backbone is replaced by a pseudopeptide chain constituted by N-(2-aminoethyl)glycine monomers covalently bonded to DNA bases (5). PNAs form highly stable duplexes with complementary DNA and RNA strands, and are resistant to degradation by nucleases and proteases (6). PNAs exert antisense inhibitory effects in vitro on important tumor proteins like Pml-Rar-{alpha} and Bcl-2 (7, 8). Recently, Sun et al. (9) and our group (10) reported PNA-based antisense strategies for N-Myc inhibition in neuroblastoma cells. Interestingly, PNAs designed to target the DNA coding strand (but not mRNA) also show antigene capacity in vitro and in vivo (even without conjugation to nuclear carriers; refs. 1115).

Here we describe a novel sense anti-gene PNA conjugated with a nuclear localization signal (NLS) peptide, designed for targeted inhibition of MYCN transcription in human neuroblastoma cells, and report its effects in six cell lines: MYCN-amplified/overexpressed GI-LI-N and IMR-32 (16, 17); MYCN-unamplified/low-expressed SJ-N-KP and NB-100 (17); and MYCN-unamplified/unexpressed GI-CA-N and GI-ME-N (16). The newly developed MYCN anti-gene PNA-NLS can be delivered to the nucleus of neuroblastoma cells. Its inhibitory effect on MYCN transcription was highly selective and specific, leading to antiproliferative effects in neuroblastoma cells, which correlated with the rate of N-Myc expression. Compared with an antisense PNA (PNAas) strategy for N-Myc inhibition in MYCN-amplified/overexpressed neuroblastoma cells, this antigene strategy showed stronger and longer inhibitory effect at lower concentrations. Furthermore, anti-MYCN anti-gene induced growth arrest (with G1 phase accumulation) of MYCN-amplified/overexpressed neuroblastoma cells and apoptosis in both MYCN-amplified/overexpressed and MYCN-unamplified/low-expressed neuroblastoma cells, whereas no inhibitory effect was caused in MYCN-unamplified/unexpressed neuroblastoma control cells.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Peptide Nucleic Acid Design
The PNA was designed as homologous to a unique sequence of the noncoding (antisense) strand in exon 2 of MYCN (bp 1,650–1,665: 5'-ATGCCGGGCATGATCT-3'; Genbank accession no. M13241). This PNA anti-gene (PNAs), which is complementary to a unique sequence in the coding DNA strand, was designed to directly inhibit mRNA synthesis. To test the specificity of the activity of this PNAs, we also designed a mismatched PNA (PNAmt) containing a 3-base substitution (homologous to 5'-GTGCCGAGCATGGTCT-3'), the PNAas complementary to the noncoding DNA strand (and therefore also to the PNAs), and an additional anti-gene PNA (PNAMYC) directed to target the MYC oncogene (belonging to the same family of MYCN). The control PNAMYC (5'-TCAACGTTAGCTTCACC-3') is complementary to a unique sequence in the exon 2 of the antisense strand of MYC, and is the same sequence used by Cutrona et al. (11) that caused a strong and specific inhibition of the MYC gene transcription in Burkitt's Lymphoma cells.

Specificity was verified using the BLAST homology program. All the PNAs were covalently linked to their COOH terminus with an NLS peptide (PKKKRKV) to mediate transfer across the nuclear membrane (11). Fluorescently labeled PNAs-NLS was also synthesized by linking a rhodamine (Rho) fluorophore to its NH2 terminus.

Synthesis, Purification, and Characterization of Peptide Nucleic Acids
Synthesis, purification, and characterization of the PNAs were done as described (10). The PNAs synthesized are listed below:

Cells, Peptide Nucleic Acid Treatment, and Cell Growth
We used the following neuroblastoma cell lines: GI-LI-N and IMR-32, characterized by amplifications (30-fold and 20-fold, respectively) and overexpression of MYCN (16, 17); MYCN-unamplified/low-expressed SJ-N-KP and NB-100 (17); and MYCN-unamplified/unexpressed GI-CA-N and GI-ME-N (10, 16). Cell cultures were done as described (10). The PNAs-NLS was added at concentrations of 1, 2.5, 5, 10, and 20 µmol/L. To evaluate the specificity of the effect of PNAs-NLS on MYCN, GI-LI-N, IMR-32, SJ-N-KP, and NB-100 cells were treated at 10 µmol/L (the selected optimal concentration for PNAs-NLS) with PNAmt-NLS and PNAas-NLS (GI-LI-N, IMR-32), and with PNAMYC-NLS (IMR-32); MYCN-unamplified/unexpressed GI-CA-N and GI-ME-N cells were treated with 10 µmol/L PNAs-NLS. Cells were harvested and counted at 24, 48, and 72 hours after treatment; in the case of GI-LI-N, IMR-32, SJ-N-KP, and NB-100, the count was extended for a further 2 days. Cell count and viability were determined by the trypan blue dye exclusion method (three identical experiments).

Cellular Uptake of MYCN Anti-gene PNAs-NLS
Fluorescence microscopy analysis to evaluate the intracellular localization of PNAs-NLS, GI-LI-N, IMR-32, SK-N-KP, NB-100, GI-CA-N, and GI-ME-N cells was done by using a Rho-PNAs-NLS by the method previously described (10).

Real-time Reverse Transcription-PCR of MYCN
Total RNA was extracted from IMR-32, GI-LI-N, SJ-N-KP, and NB-100 using the RNeasy Mini Kit (Qiagen, Santa Clarita, CA) from cells treated and untreated with 10 µmol/L PNAs-NLS or PNAmt-NLS after 1, 6, 12, and 24 hours. Each RNA sample was quantified twice with the NanoDrop ND-1000 spectrophotometer (NanoDrop Technologies, Wilmingon, DE). First-strand cDNA was synthesized using 1 µg of total RNA and the cDNA Synthesis Kit for reverse transcription-PCR (Roche Diagnostics, Basel, Switzerland) according to standard procedures of the manufacturer.

Using an ABI-Prism 5700 (Applied Biosystems, Foster City, CA), real-time PCR was done in triplicate using 10 ng of cDNA in a final volume of 20 µL, using the SYBR Green Master Mix 2x (Applied Biosystems; three identical experiments). Primer concentrations were 50 nmol/L for MYCN and 300 nmol/L for ATPS. Primer sequences were MYCN sense, 5'-CGACCACAAGGCCCTCAGT-3'; MYCN antisense, 5'-TGACCACGTCGATTTCTTCCT-3'; ATPS sense, 5'-GTCTTCACAGGTCATATGGGGA-3'; and ATPS antisense, 5'ATGGGTCCCACCATATAGAAGG-3'. PCR reaction conditions were 2 minutes at 50°C, 10 minutes at 95°C, 15 seconds at 95°C, and 60 seconds at 60°C for 50 cycles.

Western Blot Analysis
Western blot analysis was done using IMR-32, GI-LI-N, SJ-N-KP, and NB-100 cells as described (ref. 10; three identical experiments). Immunodetection was done with N-Myc and ß-tubulin rabbit polyclonal antibodies (Santa Cruz Biotechnology, Santa Cruz, CA) using enhanced chemiluminescence kit (Amersham Biosciences, Uppsala, Sweden). Chemiluminescent bands were detected and using ChemiDoc system and quantified by the Quantity One software (Bio-Rad, Hercules, CA).

Morphologic Analysis
GI-LI-N, IMR-32, NB-100, and SJ-N-KP cells (2 x 105/mL) were cultured for 48 hours in wells (from a six-well cluster plate) containing a 24 x 24 mm glass slide, in the presence or absence of PNAs-NLS (10 µmol/L; three identical experiments). Light microscopy was done using a Wilovert microscope (Hund GmbH, Wetzlar, Germany).

Cell Cycle and Apoptosis Analysis
Flow cytometry analysis of cell cycle and apoptosis was done as previously described (10) in IMR-32 cells (1 x 106) at 24 and 48 hours after PNAs-NLS treatment (10 µmol/L; three identical experiments).

For apoptosis analysis in SJ-N-KP, cells were cultured in chamber slides for 48 hours in the presence of PNAs-NLS or PNAmt-NLS (10 µmol/L; three identical experiments). Staining of cells with calcein (Molecular Probes, Eugene, OR) and annexin V-biotin (Oncogene, Cambridge, MA) was done by following the annexin V-Biotin apoptosis detection kit procedure (Calbiochem, La Jolla, CA). Fluorescence microscopy analysis was done with a BX-51 microscope (Olympus, Tokyo, Japan).


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Uptake of MYCN Anti-gene PNAs-NLS in Human Neuroblastoma Cells
GI-LI-N, IMR-32, SJ-N-KP, NB-100, GI-CA-N, and GI-ME-N cells treated with Rho-PNAs-NLS (10 µmol/L) were analyzed at 30 minutes, 2.5 hours, and 24 hours (no Rho-PNAs was used as control due to its inability to enter into the nucleus without NLS; ref. 10). Fluorescence microscopy images showed that in all six cell lines, intracellular fluorescence was already detectable 30 minutes after PNA treatment. Maximum intensity was reached at 2.5 hours (Fig. 1), with the level remaining constant until 24 hours. High intranucleic levels of the PNA were observable, alongside low levels in the cytoplasm (Fig. 1).



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Figure 1. Fluorescence microscopy analysis of PNA-NLS uptake by cells treated for 2.5 h with Rho-PNAs-NLS.

 
MYCN Anti-gene PNAs-NLS Inhibits MYCN Transcription, N-Myc Production, and Cell Growth in MYCN-Amplified/Overexpressed and MYCN-Unamplified/Low-Expressed Cells
Real-time reverse transcription-PCR of MYCN mRNA was done in MYCN-amplified IMR-32 cells (at 1, 6, 12, and 24 hours) and SJ-N-KP (at 24 hours) after treatment (10 µmol/L) with PNAs-NLS or with PNAmt-NLS. In IMR-32 at 12 and 24 hours after PNAs-NLS treatment, MYCN mRNA decreased (with respect to untreated cells) by one and two threshold cycles (50% and 75% reductions), respectively; no changes were observed after PNAmt-NLS treatment (Fig. 2A). MYCN mRNA levels were normalized to ATPS housekeeping gene levels. At 24 hours after PNAs-NLS treatment, the level of ATPS mRNA decreased (Fig. 2A); similar trends (not shown) were observed for other housekeeping gene transcripts (ß-actin, ß2-microglobulin, 18S rRNA, ribosomal protein L4, and GAPDH). By contrast, mRNA levels of ATPS (Fig. 2A) and other housekeeping genes (not shown) were unchanged after PNAmt-NLS treatment. Moreover, all cDNA samples had identical amounts of total RNA, as accurately quantified by the NanoDrop spectrophotometer. Thus, the housekeeping gene mRNA reductions observed, concomitant with decreased MYCN mRNA, after 24 hours of treatment with PNAs-NLS (but not after PNAmt-NLS), depended on MYCN inhibition. In SJ-N-KP, 24 hours after PNAs-NLS treatment, MYCN mRNA was consistently decreased; no changes were observed after PNAmt-NLS treatment (Fig. 2B).



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Figure 2. MYCN expression (real-time reverse transcription-PCR) in MYCN-amplified IMR-32 cells (A) and SJ-N-KP (B) after treatment with PNAs-NLS ({square}) or PNAmt-NLS ({04-0213fx01}) control, {blacksquare}. Levels of threshold cycle (Ct) observed for the MYCN and ATPS mRNA (columns, mean of three different experiments; bars, SD), and the log ratio after the normalization. C, comparison of MYCN expression in the MYCN-amplified/overexpressed and MYCN-amplified/low-expressed cell lines.

 
N-Myc production was assessed (by Western blotting) in IMR-32 cells (at 3, 6, 12, 24, and 48 hours) and in SJ-N-KP (24 hours) after treatment (10 µmol/L) with PNAs-NLS or PNAmt-NLS. A 50% reduction of protein amount at 3 hours after PNAs-NLS treatment was followed by a progressive decrease at 6, 12, 24, and 48 hours, by which time it was undetectable (Fig. 3B). By contrast, no change was observed after PNAmt-NLS treatment. It should be noted, however, that at 24 and 48 hours, it was not formally possible to compare the N-Myc reduction with expression of ß-tubulin and several other control proteins, due to the profound modifications in the proteome—as also revealed by Coomassie total protein staining (Fig. 3B)—caused by the early inhibition of N-Myc production. In SJ-N-KP, only treatment with PNAs-NLS caused a consisted N-Myc reduction (Fig. 3C).



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Figure 3. N-Myc expression (Western blot) in IMR-32 and SJ-N-KP cells after treatment with PNAs-NLS or PNAmt-NLS. Analysis of proteins extracted from untreated cells (C) or treated with PNAs-NLS (P) or with PNAmt-NLS (M) at 3, 6, and 12 h after treatment (A) and at 24 and 48 h after treatment (B) for IMR-32, or at 24 h after treatment for SJ-N-KP (C). B, arrows, some of the most evident protein bands that decrease or increase after treatment with PNAs-NLS for 24 and 48 h. D, comparison of N-Myc expression in the MYCN-amplified/overexpressed and MYCN-amplified/low-expressed cell lines.

 
To evaluate the effect of PNAs-NLS on cell growth, GI-LI-N and IMR-32 (MYCN-amplified/overexpressed), SJ-N-KP and NB-100 (MYCN-unamplified/low-expressed), and GI-CA-N and GI-ME-N (MYCN-unamplified/unexpressed) neuroblastoma cells were treated at concentrations of 1, 2.5, 5, and 10 µmol/L (a single-dose treatment at time 0), and cell count and viability were determined at 24, 48, 72, 96, and 120 hours. The rate of cell growth inhibition response varied with the levels of MYCN expression in the different cell lines. The MYCN-amplified/overexpressed GI-LI-N and IMR-32 cells showed consistent cell growth inhibition at the optimal concentration of 10 µmol/L. Relevant antiproliferative effects were evident at 24 hours (60% in GI-LI-N and 70% in IMR-32), increased at 48 hours, peaked at 72 hours (80% in GI-LI-N and 90% in IMR-32), and remained stable over the remaining 2 days of monitoring (Fig. 4B). The MYCN-unamplified/low-expressed SK-N-KP and NB-100 showed less cell growth inhibition, peaking at 60% and 50%, respectively, after 72 hours (Fig. 4C). By contrast, the MYCN-unamplified neuroblastoma GI-CA-N and GI-ME-N cells showed no inhibitory effect in experiments done under the same conditions.



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Figure 4. A, morphologic analysis of IMR-32 and GI-LI-N cells at 48 h after treatment with MYCN-PNAs-NLS. B, percentage growth rates with respect to controls after treatment of IMR-32 and GI-LI-N, with PNAs-NLS, PNAas-NLS, and PNAmt-NLS. C, percentage growth rates with respect to controls after treatment of SJ-N-KP and NB-100 with PNAs-NLS and PNAmt-NLS. Columns, mean of three different experiments; bars, SD.

 
MYCN Anti-gene PNAs-NLS Is Selective and Specific for MYCN
Specificity of PNAs-NLS anti-gene activity was shown by the finding that the inhibitory effect recorded in GI-LI-N and IMR-32 (MYCN-amplified/overexpressed) and SJ-N-KP and NB-100 (MYCN-unamplified/low-expressed) neuroblastoma cells was absent in GI-CA-N and GI-ME-N (MYCN-unamplified/unexpressed) cells (Fig. 4).

To test the selectivity of PNAs-NLS for its designated target in the antisense strand of exon 2 of MYCN, we also did proliferation experiments using PNAmt-NLS (sequence altered by three point mutations) and in the case of GI-LI-N and IMR-32 also using PNAas-NLS (complementary to the sense strand of MYCN). No inhibitory effect was observable (Fig. 4).

Furthermore, we did additional control experiments by choosing an additional target gene (the MYC gene) and a specific anti-MYC PNA-NLS (PNAMYC-NLS), and we evaluated the specific anti-gene activity and cell growth inhibition effects in the IMR-32 cells, that while overexpressing MYCN, they also expressed MYC (Fig. 5).



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Figure 5. A, MYC and MYCN expression (real-time reverse transcription-PCR) in IMR-32 at 24 h after treatment with PNAMYC-NLS or PNAs-NLS. B, Myc expression (Western blot) in IMR-32 at 24 h after treatment with PNAMYC-NLS. C, percentage growth rates in IMR-32 with respect to controls after treatment with PNAMYC-NLS or PNAmt-NLS.

 
PNAMYC-NLS has same sequence used by Cutrona et al. (11). PNAMYC-NLS and PNAs-NLS are complementary to a unique sequence in the exon 2 of the antisense strand of their respective target genes (MYC and MYCN).

Treatment of the IMR-32 neuroblastoma cells with PNAMYC-NLS (10 µmol/L) for 24 hours caused an inhibition in the MYC transcription (Fig. 5A) and protein production (Fig. 5B), leading to a cell growth inhibition of 60% (Fig. 5C), whereas the MYCN transcript level remained unaltered (Fig. 5A). By contrast, treatment of IMR-32 cells with the anti-MYCN PNAs-NLS led to MYCN inhibition (Fig. 5A) whereas the MYC transcript levels remained unaltered.

Morphologic analysis (Fig. 4A) of IMR-32 and GI-LI-N cells 48 hours after treatment with MYCN-PNAs-NLS (10 µmol/L) revealed that treated cells were less uniformly distributed with respect to control cells, and had the tendency to form clumps. No evident morphologic changes were observable in the MYCN-unamplified/low-expressed SJ-N-KP and NB-100 (data not shown).

MYCN Anti-gene PNAs-NLS Induces Accumulation of Cells in G1
Flow cytometric analysis in IMR-32 cells at 24 hours showed that MYCN PNAs-NLS (10 µmol/L) induced accumulations, with respect to untreated cells, of cells in G1 (39–53%) and decreases in G2-M (17–6%) and S phases (45–41%; Fig. 6B). The failure to observe a sub-G1 phase (relative to hypodiploid DNA content, where DNA is cleaved at the internucleosomal linker regions before death by apoptosis) indicated that cells were not in late apoptosis after 24 hours of treatment.



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Figure 6. A, detection of apoptosis in IMR-32 at 24 and 48 h after treatment with PNAs-NLS by flow cytometry following annexin V staining. B, cell cycle inhibition in IMR-32 cells by PNAs-NLS revealed by flow cytometry following propidium iodide staining at 24 h. C, detection of apoptosis in SJ-N-KP at 48 h after treatment with PNAs-NLS.

 
MYCN Anti-gene PNAs-NLS Induces Apoptosis in MYCN-Amplified Cells
Early apoptotic changes in MYCN-amplified/overexpressed IMR-32 cells were assessed by annexin V staining at 24 and 48 hours after treatment with PNAs-NLS or PNAmt-NLS (10 µmol/L). The percentage of early apoptotic cells (annexin V+/propidium iodide) increased in treated cells from 2% to 56% at 24 hours, and from 6% to 36% at 48 hours (Fig. 6A). After 48 hours of treatment, the percentage of annexin V+/propidium iodide+ cells increased from 5% to 53%, indicating a consistent amount of cells in late apoptosis.

Apoptotic changes in MYCN-unamplified/low-expressed SJ-N-KP cells were assessed by annexin V staining at 48 hours after treatment with PNAs-NLS or PNAmt-NLS (10 µmol/L). The percentage of early apoptotic cells (calcein+/annexin V+) was 7% in untreated cells and 10% in cells treated with PNAmt-NLS, and increased to 22% in cells treated with PNAs-NLS (Fig. 6C). Statistical analysis (test for proportion) indicated that the increase of apoptosis in SJ-N-KP was significative after treatment with PNAs-NLS (P = 2.7 x 10–9) whereas it was not after treatment with PNAmt-NLS (P = 0.104).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Our in vitro data on human neuroblastoma cells indicate specific, selective inhibition of MYCN expression by anti-gene activity, leading to cell growth inhibition that varied with the rates of expression of the cell lines analyzed. Strong (80% and 90%) and persistent cell growth inhibition, G1 cell cycle arrest, and apoptosis were observed in MYCN-amplified/overexpressed neuroblastoma cells; 60% and 50% cell growth inhibitions were observed in MYCN-unamplified neuroblastoma cells expressing low levels of N-Myc; no effect was observed in MYCN-unamplified/unexpressed neuroblastoma cells.

These findings suggest the possibility of developing an anti-gene PNA–based strategy for targeted inhibition of MYCN transcription.

PNAs can exert anti-gene capability in vitro and in vivo (1115). Following interesting results reported by Sun et al. (9) and our group (10) using an antisense strategy, we developed an anti-gene PNA designed for targeted inhibition of MYCN transcription in neuroblastoma cells. For the PNAs-NLS design, we targeted a unique sequence of the antisense strand of exon 2 of MYCN (bases 1,650–1,665)—a position analogous to that chosen for an anti-gene PNA for MYC which led to potent specific inhibition of gene transcription and cell growth in Burkitt's lymphoma (11). To mediate transfer to the nucleus, the NH2 terminus of our PNA was linked to an NLS peptide (PKKKRKV). Our PNAs-NLS complementary to the antisense strand of MYCN was intended to interfere with the activity of the RNA polymerase II and MYCN transcription protein complex. In vitro (11, 12, 14, 15) and in vivo (13) studies showed that anti-gene PNAs functioned as sense sequences when targeted to the antisense gene strand, whereas the relative PNAas exerted a consistently less inhibitory activity (14).

In line with in vivo evidence that neuronal cells allow easy access to PNA (13), we recorded effective nuclear delivery of the Rho-PNAs-NLS in the neuroblastoma cells studied. Treatment with PNAs-NLS (10 µmol/L) caused progressive, marked reductions of MYCN mRNA and N-Myc, leading to strong, persistent, and specific cell growth inhibitory effects in MYCN-amplified cells. The growth inhibition curve represents a remarkable improvement over that obtained with our previously reported antisense strategy (10): stronger inhibitory effects were recorded at lower concentrations (10 versus 20 µmol/L), with the maximum effect persisting well beyond 72 hours (instead of declining after 48 hours) in MYCN-amplified and overexpressing neuroblastoma cells. The augmented inhibition likely reflects inherent advantages of anti-gene over antisense strategies. First, achievement of inhibitory effects at lower PNA concentrations can be ascribed to the much lower copy number of the targeted gene (even when amplified) with respect to the thousands of MYCN transcripts targeted in an antisense strategy. Second, by attacking the neoplastic clone at the root (the gene itself), an anti-gene strategy should allow persistence of the inhibitory effect after a single treatment (whereas an antisense strategy entails progressive subtraction of the PNA, leaving MYCN mRNA production free to continue). Our data suggest the possibility of obtaining a stronger and longer-lasting specific inhibitory effect on gene expression and avoiding the need for continuous infusion.

The increased percentage of IMR-32 (MYCN-amplified) neuroblastoma cells in G1 phase after PNAs-NLS treatment is in line with the knowledge on the specific role exerted by N-Myc in the cell cycle: in postmitotic sympathetic (but not cortical) neurons, high MYCN expression selectively induces S-phase reentry while protecting against apoptosis (18). Apoptosis was induced in IMR-32 as early as 24 hours after treatment.

Our PNAs-NLS seems to be highly specific for MYCN expression and also shows a high degree of selectivity for its designated target in the initial portion of exon 2 of MYCN sequence. Cutrona et al. (11) have suggested that specific inhibition of transcription by anti-gene PNAs can probably be ascribed to invasion of the complementary double-stranded DNA, although this interpretation is still debated (19). Our data are of relevance to this discussion. The observation that a PNA bearing the same NLS element but directed against the noncoding strand is much less efficient suggests that an antisense effect can be ruled out in the interpretation of our results. The sequence specificity of the inhibition suggests that the PNA interacted with the coding strand of the DNA. Although displacement of one strand of a long double-stranded DNA with mixed sequence (i.e., non-homopyrimidine) PNAs has not been observed in vitro (20), our findings agree with other reports (1115) suggesting that, in the nuclear compartment at least, transcriptionally active genes such as the overexpressed MYCN could be more accessible to interaction with complementary duplex-forming PNA.

PNAs belong to a third generation of nucleic acid–based gene-specific drugs. Compared with conventional oligonucleotides, they offer greater clinical potential because of resistance to degradation by nucleases and stronger binding abilities with nucleic acids. The present anti-gene PNAs-NLS has superior potential for therapeutic molecular targeting in neuroblastoma cells expressing MYCN with respect to the reported capabilities of conventional antisense oligonucleotides (4) or PNAas (10). Moreover, association of the SV40 NLS peptide with a cellular membrane transport peptide allows delivery of PNA to the nuclear compartment of living cells (11), suggesting that the present approach could readily be improved and extended to other less permeable cell lines.

Evidence supporting the feasibility of anti-gene PNA–based therapeutic strategies comes from in vivo animal experiments (21). Systemically injected PNA-4K oligomers (PNA with four lysines linked at the COOH terminus) exhibited sequence-specific antisense activity in various mouse organs due to favorable tissue distribution and pharmacokinetics, whereas single lysine oligomers (PNA-1K) were completely inactive, indicating that the four-lysine tail is essential for the antisense activity of PNA oligomers in vivo (22). The cationic NLS peptide conjugated to the anti-gene PNAs used in our study contains four lysines and could confer similar in vivo properties.

If in vivo animal experiments confirm our in vitro results, pharmacologic interest could be aroused to develop a candidate anti-gene PNA–based drug designed for specific treatment of the unfavorable subset of neuroblastomas that overexpress N-Myc. A similar approach might also be considered for other tumors associated with N-Myc overexpression (3).


    Acknowledgments
 
We thank Robin M.T. Cooke M.A. (Oxon) for writing assistance, and Dr. L. Zanella (Rizzoli Institute, Bologna) for technical assistance in cell cycle analysis.


    Footnotes
 
Grant support: Ministero dell'Università a Ricerca Scientifica a Tecnologica/Fondo Integrativo Speciale per la Ricerca; University of Bologna (funds for selected research topics); Consorzio Interuniversitario di Biotecnologie; Ministero dell'Istruzione, dell'Università e della Ricerca project: Fondo per gli Investimenti della Ricerca di Base ("Novel anti-inflammatory and antitumor molecules via organic synthesis and combinatorial techniques"); and Associazione Genitori Ematologia Oncologia Pediatrica (R. Fronza and M. Franzoni).

The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

Received 8/20/04; revised 2/11/05; accepted 3/21/05.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

  1. Brodeur GM. Neuroblastoma: biological insights into a clinical enigma. Nat Rev Cancer 2003;3:203–16.[CrossRef][Medline]
  2. Weiss WA, Aldape K, Mohapatra G, Feuerstein BG, Bishop JM. Targeted expression of MYCN causes neuroblastoma in transgenic mice. EMBO J 1997;16:2985–95.[CrossRef][Medline]
  3. Strieder V, Lutz W. Regulation of N-myc expression in development and disease. Cancer Lett 2002;180:107–19.[CrossRef][Medline]
  4. Negroni A, Scarpa S, Romeo A, Ferrari S, Modesti A, Raschella G. Decrease of proliferation rate and induction of differentiation by a MYCN antisense DNA oligomer in a human neuroblastoma cell line. Cell Growth Differ 1991;2:511–8.[Abstract]
  5. Nielsen PE, Egholm M, Berg RH, Buchardt O. Sequence-selective recognition of DNA by displacement with a thymine-substituted polyamide. Science 1991;254:1497–500.[Abstract/Free Full Text]
  6. Nielsen PE, Haaima G. A DNA mimic with a pseudopeptide backbone. Chem Soc Rev 1997;26:73–8.
  7. Mologni L, Marchesi E, Nielsen PE, Gambacorti-Passerini C. Inhibition of promyelocytic leukemia (PML)/retinoic acid receptor- and PML expression in acute promyelocytic leukemia cells by anti-PML peptide nucleic acid. Cancer Res 2001;61:5468–73.[Abstract/Free Full Text]
  8. Mologni L, Nielsen PE, Gambacorti-Passerini C. In vitro transcriptional and translational block of the bcl-2 gene operated by peptide nucleic acid. Biochem Biophys Res Commun 1999;264:537–43.[CrossRef][Medline]
  9. Sun L, Fuselier JA, Murphy WA, Coy DH. Antisense peptide nucleic acids conjugated to somatostatin analogues and targeted at the n-myc oncogene display enhanced cytotoxicity to human neuroblastoma IMR32 cells expressing somatostatin receptors. Peptides 2002;23:1557–65.[CrossRef][Medline]
  10. Pession A, Tonelli R, Fronza R, et al. Targeted inhibition of MYCN by peptide nucleic acid (PNA) in N-myc-amplified human neuroblastoma cells: cell-cycle inhibition with induction of neuronal cell differentiation and apoptosis. Int J Oncol 2004;24:265–72.[Medline]
  11. Cutrona G, Carpaneto EM, Ulivi M, et al. Effects in live cells of a c-myc anti-gene PNA linked to a nuclear localization signal. Nat Biotechnol 2000;18:300–3.[CrossRef][Medline]
  12. Boffa LC, Scarfi S, Mariani MR, et al. Dihydrotestosterone as a selective cellular/nuclear localization vector for anti-gene peptide nucleic acid in prostatic carcinoma cells. Cancer Res 2000;60:2258–62.[Abstract/Free Full Text]
  13. McMahon BM, Stewart JA, Bitner MD, Fauq A, McCormick DJ, Richelson E. Peptide nucleic acids specifically cause antigene effects in vivo by systemic injection. Life Sci 2002;71:325–37.[CrossRef][Medline]
  14. Cutrona G, Carpaneto EM, Ponzanelli A, et al. Inhibition of the translocated c-myc in Burkitt's Lymphoma by a PNA complementary to the Eµ enhancer. Cancer Res 2003;63:6144–8.[Abstract/Free Full Text]
  15. Braun K, Ehemann V, Waldeck W, et al. HPV18 E6 and E7 genes affect cell cycle, pRB and p53 of cervical tumor cells and represent prominent candidates for intervention by use peptide nucleic acids (PNAs). Cancer Lett 2004;209:37–49.[CrossRef][Medline]
  16. Longo L, Christiansen H, Christiansen NM, Cornaglia-Ferraris P, Lampert F. N-myc amplification at chromosome band 1p32 in neuroblastoma cells as investigated by in situ hybridization. J Cancer Res Clin Oncol 1988;114:636–40.[CrossRef][Medline]
  17. Pession A, Trere D, Perri P, et al. N-myc amplification and cell proliferation rate in human neuroblastoma. J Pathol 1997;183:339–44.[CrossRef][Medline]
  18. Wartiovaara K, Barnabe-Heider F, Miller FD, Kaplan DR. N-myc promotes survival and induces S-phase entry of postmitotic sympathetic neurons. J Neurosci 2002;22:815–24.[Abstract/Free Full Text]
  19. Koppelhus U, Nielsen PE. Cellular Delivery of Peptide Nucleic Acid (PNA). Adv Drug Deliv Rev 2003;55:267–80.[CrossRef][Medline]
  20. Hyrup B, Nielsen PE. Peptide Nucleic Acids (PNA): synthesis, properties and potential applications. Bioorg Med Chem 1996;4:5–23.[CrossRef][Medline]
  21. Tyler BM, Jansen K, McCormick DJ, et al. Peptide nucleic acids targeted to the neurotensin receptor and administered i.p. cross the blood barrier and specifically reduce gene expression. Proc Natl Acad Sci U S A 1999;96:7053–8.[Abstract/Free Full Text]
  22. Sazani P, Gemignani F, Kang SH, et al. Systemically delivered antisense oligomers up-regulate gene expression in mouse tissues. Nat Biotechnol 2002;20:1228–33.[CrossRef][Medline]




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