Endocrinology Vol. 140, No. 7 3125-3132
Copyright © 1999 by The Endocrine Society
Interruption of Activin A Autocrine Regulation by Antisense Oligodeoxynucleotides Accelerates Liver Tumor Cell Proliferation1
Kazuaki Takabe2,
Jean-Jacques Lebrun3,
Yoji Nagashima,
Yasushi Ichikawa,
Masato Mitsuhashi,
Nobuyoshi Momiyama,
Takashi Ishikawa,
Hiroshi Shimada and
Wylie W. Vale4
The Clayton Foundation Laboratories for Peptide Biology (K.T.,
J.-J.L., W.V.), The Salk Institute, La Jolla, California 92037; Second
Department of Surgery (K.T., Y.I., N.M., T.I.) and Department of
Pathology (Y.N.), Yokohama City University School of Medicine, 39
Fukuura Kanazawa-ku Yokohama 236-0004, Japan; and Medical Science
Division (M.M.), Hitachi Chemical Research Center, Irvine, California
92715
Address all correspondence and requests for reprints to: Wylie Vale, The Salk Institute, The Clayton Foundation for Peptide Biology, 10010 North Torrey Pines Road, La Jolla, California 92037.
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Abstract
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Administration of activin A, a member of the transforming growth
factor-ß superfamily inhibits hepatocyte proliferation
in vitro and reduces liver mass in vivo.
However, a role of endogenous activin A in local growth modulation has
not been established in any system. The aim of this study was to
examine the production of activin A in the human hepatoma cell line HLF
and to explore a possible autocrine role of activin as a cell growth
inhibitor by blocking production of endogenous activin using antisense
oligodeoxynucleotides. Administration of exogenous activin A suppressed
HLF cell growth, and immunoreactive activin A was shown to be produced
in the cells at confluency by Western blotting analysis. Cells were
exposed to phosphorothioate-modified oligodeoxynucleotides, synthesized
with antisense or randomly shuffled base sequences of activin ßA
subunit messenger RNA, under serum-free conditions. Uptake of the
oligodeoxynucleotides into the cells was confirmed by use of
fluorescein isothiocyanate-labeled oligodeoxynucleotides.
Administration of antisense oligodeoxynucleotides reduced activin A
production as confirmed by both competitive PCR and Western blotting.
Activin ßA antisense oligodeoxynucleotides significantly increased
cell proliferation compared with controls. These findings are
consistent with the existence of an autocrine role of activin A as an
inhibitor of hepatocyte proliferation.
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Introduction
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ACTIVINS, members of the transforming
growth factor-ß (TGFß) superfamily are homodimeric proteins
composed of two inhibin/activin ß-subunits linked by a disulfide
bridge. Four ß-subunits have been identified in mammals so far: ßA,
ßB, ßC, and ßE. Of the possible dimers, only ßAßA (activin
A), ßAßB (activin AB), and ßBßB (activin B) have been isolated.
The roles of ßC-subunit cloned from a human liver complementary DNA
(cDNA) library (1) have yet to be determined. ßD- and ßE-subunits
have so far been identified only in Xenopus and mouse,
respectively (2, 3). Inhibins are heterodimeric molecules structurally
related to activins, but oppose most of its activities (4). To date,
ßA (inhibin A) and
ßB (inhibin B) have been isolated as
dimeric proteins.
Activin A acts as a multipotential growth and differentiation factor in
many systems and is expressed in various organs during development and
in acquired conditions (5). Activin effects on the liver have been well
characterized. Administration of an excessive amount of exogenous
activin A to rats in vivo markedly reduced liver mass, and
the effect was reversible (6). Mice in which the inhibin
-subunit
gene has been deleted exhibit severe liver dysplasia, presumably as a
consequence of the effects of unrestrained and excessive production of
activin A (7, 8). Finally, exogenous administration of activin A
inhibits DNA synthesis (9) and cell proliferation (10) in a human
hepatoma cell line, HepG2. The presence of messenger RNA (mRNA) for
inhibin/activin ßA-subunit in hepatocytes suggests that either
inhibin A and/or activin A is produced in the liver (11). Such locally
produced activin A could function in the liver to inhibit cell
proliferation in an autocrine manner.
TGFßs are also potent inhibitors of hepatocyte proliferation
(12). TGFßs and activins act through similar signaling pathways
involving heteromerization of two classes of receptor serine kinases
and phosphorylation of common Smad proteins. Both normal hepatocytes
(13) and hepatoma cells (HepG2) (14) produce TGFß; however, most
TGFß in the liver appears to be produced by nonparenchymal cells
(15).
Follistatin, an activin binding protein (16), has been shown to inhibit
activin effects in the liver (11). Interpretation of results using
follistatin are mitigated by questions regarding the specificity of
follistatin as well as the observation that at least one isoform of
this protein binds to cells (17) and may interact with activin and its
target cells in a complex manner.
Antisense oligodeoxynucleotides (ODNs) can selectively and specifically
inhibit target gene expression at the level of transcription. This
strategy has been used extensively as a sensitive and specific tool to
identify putative functions of endogenous proteins (18). We describe
here the use of antisense oligodeoxynucleotides to explore the role of
endogenous activin as an autocrine cell growth inhibitor of liver
cells. We report that the activin A protein is produced endogenously in
HLF cells as well as in the normal liver tissue. By using specific
inhibin/activin ßA phosphorothioate antisense ODNs, our results
indicate that blocking activin ßA mRNA and endogenous activin A
protein expression increases the rate of hepatocyte proliferation.
These data suggest that locally produced activin regulates hepatocyte
growth in these tumor cells and raise the possibility that an autocrine
loop may occur in normal liver.
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Materials and Methods
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ODN sequences
Sequence and targeting sites on activin ßA mRNA of each
ODN were designed on the basis of the DNA sequence of the human
inhibin/activin ßA-subunit (19) using a computer program,
HYBsimulator (Advanced Gene Computing Technologies, Irvine, CA) (20, 21) according to our previously published design strategy (22). Two
candidate sequences were chosen from two different sites in activin
ßA mRNA: Antisense 1(AS1); 5'-GCTGTAGGTTTGTGG-3' (position 1429),
and Antisense 2(AS2); 5'-GACAACTCTTGCTCC-3' (position 15411556). As
controls, two 15-mer ODNs (Ctr1, 5'-ACTGATCCCGACTGA-3'; and Ctr2,
5'-ACTGATCCCGTGAGA-3') were synthesized in which A (adenine) and T
(thymine) or G (guanine) and C (cytosine) were exchanged at random.
Thus, the control of AS1 had the same length and GC content, but would
not be expected to hybridize with the target gene. Phosphorothioate
ODNs, which have a sulfur substituted for one of the nonbridging
oxygens in the phosphate backbone, were chosen because of their
enhanced stability in the presence of cellular and serum nucleases
(23).
Cell Culture and human sample
A human hepatocellular carcinoma cell line, HLF, was obtained
from the Japanese Cancer Resources Bank (Tokyo, Japan). Cells were
cultured in DMEM supplemented with 10% FBS, 100 IU/ml penicillin, 100
µg/ml streptomycin, and 20 mM L-glutamine,
under humidified conditions with 95% air/5% CO2 at 37 C.
Cells were split every 34 days. Human liver samples were obtained
from a 65-yr-old male undergoing hepatectomy at Yokohama City
University Hospital after informed consent. The patient was free from
cirrhosis.
RT-Competitive PCR (c-PCR)
Quantification of activin ßA-subunit mRNA was analyzed by
RT-cPCR following a previously reported method (24). Total RNA was
extracted by a modified acid guanidine method using TRIzol (Gibco BRL, Gaithersburg, MD). To eliminate residual genomic DNA from
the RNA sample, RNA was treated with 0.1 µg/µl of deoxyribonuclease
1 (Gibco BRL) with 20 mM Tris-HCl (pH 8.4), 50
mM KCl, and 2 mM MgCl2, for 10 min
at 37 C, and then inactivated by 2.5 mM EDTA. Randomly
primed cDNA was reverse-transcribed from the isolated RNA by M-MLV
reverse transcriptase (Gibco BRL) with 1x RT buffer, 0.25
mM deoxynucleoside triphosphate, 0.01 M
dithiothreitol containing ribonuclease inhibitor, followed by
PCR amplification in a thermal cycler (Perkin Elmer Corp.,
Norwalk, CT). The sense and antisense primers were
5'-CTTTGGCTGAGAGGATTTCT-3' and 5'-GGTGACATCGGGTCTCTTCT-3',
respectively, which were designed following our previously published
criteria (25). The activin A competitor cDNA template was synthesized
to be identical to the amplified PCR except for the length. Serial
dilution of the competitor was added to each tube together with 30 µg
of total RNA. After 10 min of denaturation at 94 C, 30 cycles of PCR
were started, 55 C for 1.5 min, 72 C for 4 min, and 94 C for 1.5 min.
The PCR products were electrophoretically separated on 8%
polyacrylamide gel followed by staining with ethidium bromide. The
linearity of the assay was confirmed by 10-, 100-, and 1000-fold
dilutions of a sample, respectively (data not shown).
Western blot analysis after immunoprecipitation
Cells were incubated in six-well plates for 24 h in
serum-free DMEM before treatment with oligonucleotides as described.
Cells or human liver sample were then lysed in 1 ml of lysis buffer (50
mM Tris-HCl, pH 7.5; 150 mM NaCl; 10%
glycerol; 0.5% NP-40; 0.5% sodium deoxycholate) containing protease
inhibitors (1 mM phenylmethylsulfonyl floride; 1 µg/ml
pepstatin A; 2 µg/ml leupeptin; 5 µg/ml aprotinin) for 15 min at 4
C. The lysate was centrifuged at 12,000 rpm for 15 min, and the
supernatant was transferred to a new tube. Cell lysates were
immunoprecipitated overnight at 4 C with an antiactivin ßA antibody
and 30 µl of protein A agarose beads. The affinity-purified rabbit
antibody to amino acids 81113 of porcine activin ßA-subunit has
been previously characterized (26). Samples were then washed three
times with 1 ml of washing buffer (50 mM Tris-HCl, pH 7.5;
2 mM EDTA; 150 mM NaCl; 10% glycerol) and
eluted in 20 µl of SDS loading buffer (20% glycerol; 10%
ß-mercaptoethanol; 4.6% SDS; 0.125 M Tris-HCl, pH
6.8). Proteins were electrophoretically separated on a 15%
polyacrylamide gel, transferred onto nitrocellulose, and incubated with
an anti-activin ßA antibody (at 0.5 µg/ml), overnight at 4 C. An
antihuman TGFß1 antibody (Promega Corp., Madison, WI),
antihuman TGFß2, and antihuman TGFß3 antibody (R&D Systems,
Minneapolis, MN) were used for Western blotting of TGFß. For
reference purposes, either 10 ng human TGFß1, TGFß2, or TGFß3
were coelectrophoresed in the respective gels. After incubation, the
membranes were washed twice for 15 min in washing buffer (50
mM Tris-HCl, pH 7.6; 200 mM NaCl; 0.05% Tween
20) and incubated with a secondary antirabbit antibody conjugated with
horseradish peroxidase (Amersham, Arlington Heights, IL;
antirabbit Ig-HRP, NA 934) at a 4000-fold dilution for 1 h at room
temperature. Finally, the membranes were washed four times for 15 min
in the washing buffer, and immunoreactivity was detected by
chemiluminescence (Amersham, ECL kit, RPN 2106) according
to the manufacturers instructions.
Antisense or control ODNs treatment
Administration of the ODNs were performed according to our
previous reports (27, 28). Briefly, the cells were seeded into 96-well
plates at a density of 1 x 104 cells/100 µl/well
for 24 h. The medium was replaced by serum-free DMEM for 24
h, and then antisense ODNs or control ODNs were added to the medium to
reach a final concentration of 10 µM. Media with fresh
ODNs were replaced daily.
Uptake of antisense ODNs into the cells
To examine whether ODNs will enter the cells, fluorescein
isothiocyanate (FITC)-labeled phosphorothioate activin A antisense ODNs
was exposed to the cells as described above. FITC-labeled ODNs were
obtained from Nisshin Seifun, Inc. (Kanagawa, Japan). Twenty-four hours
after the administration of FITC-labeled ODNs, the cells were washed
thoroughly with PBS to eliminate extracellular ODNs and subjected to
both phase-contrast and fluorescence microscopic observation.
Proliferation of HLF cells
The effect of exogenous activin A administration on HLF cell
proliferation was studied by
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT)
assay (29). The effects on HLF cell proliferation after antisense or
control ODNs, follistatin, TGFß1, or additional activin A
administration were measured by cell counting. Follistatin, activin,
and TGFß1 were added to reach a final concentration of 2
nM, 1 nM, and 0.1 nM, respectively,
in the serum-free medium with 1% BSA. The cells were harvested every
24 h, and the numbers of viable cells were counted in triplicate.
Cell viability was routinely assessed by trypan blue dye exclusion
test, and it was constantly more than 90% in all the
experiments.
Statistical analysis
All values are expressed as mean ± SD.
Statistical significance (defined as P < 0.01) was
evaluated using Duncans multiple comparisons test.
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Results
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Effect of exogenous activin A on HLF cell proliferation
Primary cultures of rat hepatocytes express activin ßA mRNA and
are growth inhibited by exogenous administration of activin A (6, 11).
Because not all hepatocellular carcinoma cell lines are growth
inhibited by activin A (10), we first examined whether HLF cells are
responsive to activin A. The MTT assay was used to evaluate the effect
of exogenous activin A administration on HLF cells growing in
logarithmic phase. As shown in Fig. 1
, activin clearly limits HLF cell proliferation in a dose-dependent
manner. The maximal effect was obtained by 1 nM of activin
A, which correspond to a 25% blockage of the rate of cell
proliferation compared with untreated cells.

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Figure 1. Dose-response relationship for activin A-induced
changes in HLF cell growth. HLF cells were incubated for 5 days in DMEM
containing 10% FBS in the presence of various concentrations of
activin A. Cell growth was measured by MTT assay and is shown as
percentage of cells cultured without activin A. Values are expressed as
the mean ± SD from quadricate determinations.
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Expression of endogenous activin A by HLF cells
Activin ßA mRNA is expressed in normal rat liver tissue,
suggesting a local production of activin A (11). However, a previous
study of several hepatocellular carcinoma cell lines (HepG2, HLE, and
PLC/PRF/5) indicated that no detectable activin A was produced by these
cells (10). To investigate whether HLF cells express endogenous activin
A, cells were grown to 70 or 100% confluency and incubated 24 h
in serum-free DMEM before being harvested. Proteins were
immunoprecipitated and analyzed by Western blotting using an
antiactivin ßA antibody. As shown in Fig. 2A
, the ßA monomer was clearly
detectable in HLF cells, suggesting the presence of endogenously
produced activin ßA protein in these cells. Activin A expression
increased when cells were grown to confluency, consistent with a role
of activin in cell proliferation inhibition. This result may explain a
previous report that exogenous activin A did not show effects at high
density in HepG2 cells (10). Additional proteins of higher molecular
weights were also detected by antiactivin ßA antibody in 100%
confluent HLF cells. These bands were removed by the immunogen peptide
(lane 3) and probably correspond to unprocessed ßA precursor.
Additionally, expression of activin ßA monomer was compared between
noncirrhotic human liver and HLF cells. As shown in Fig. 2B
, the signal
of the ßA monomer was easily detectable in normal liver tissue and of
similar size to that from HLF cells.

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Figure 2. Expression of endogenous activin A by HLF cells
and liver tissue. HLF cells were grown to 70% or 100% confluency.
Cells were incubated 24 h in DMEM without serum, then collected,
lysed, immunoprecipitated, and analyzed by Western blotting with
antiactivin ßA antibody (panel A). Noncirrhotic human liver tissue
was compared with 100% confluent HLF cells (panel B). All the samples
were adjusted to constant amounts of protein by Bradford assay. Twenty
micrograms of immunogen peptide were added to 100% confluent sample
before immunoprecipitation as a control (panel A, lane 3). Apparent
molecular weights are indicated in the figures.
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Length of ODNs
The effects of five kinds of activin A antisense ODNs (15, 17, 20,
22 and 24-mers) and PBS-treated HLF cells (PBS) were assessed. The
results obtained at 72 h after ODN treatment are shown in Fig. 3
. The sequence of the ODNs used was that
of a 5'-untranslated region of the activin ßA mRNA. Of these, the
15-mer ODNs showed the greatest effect (40.9 ± 2.38) and
increased cell numbers (P < 0.01) more than did the
other ODNs. This result is consistent with our previous study on
matrilysin antisense ODNs (28). Therefore, the 15-mer ODN (AS1) was
used for subsequent experiments. Similar results were also obtained
with ODNs from the 3'-untranslated region of the activin ßA
(AS2).

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Figure 3. Determination of the appropriate length of activin
A antisense ODNs. HLF cells were seeded in 96-well plates at a density
of 1 x 104 cells per 100 µl/well in DMEM with 10%
FBS to culture for 24 h and replaced with serum-free DMEM. After
24 h incubation, 10 µM of activin A antisense ODNs
with 15, 17, 20, 22, and 24-base length were administered (PBS in the
figure indicates PBS-treated wells). Media were changed daily together
with the oligomers. Cells were counted 72 h after the first
administration. Values are the mean ± SD from
triplicate determinations. The asterisk indicates a
statistically significant difference (P < 0.01)
between 15-mer ODNs given cells and the other cells.
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Uptake of antisense ODNs into the HLF cells
To ensure that ODN penetration into the cell was not an issue
(30), we followed the cellular localization of FITC-labeled ODNs. We
have previously observed that amounts of phosphorothioate ODNs
incorporated into the cells increased linearly within 24 h (28).
Therefore, FITC luminescence was examined 24 h after
administration of the ODNs. FITC-labeled ODNs were successfully
incorporated into more than 80% of HLF cells in all wells examined in
three independent experiments. As shown in Fig. 4
, FITC-labeled ODNs accumulated in the
nucleus as well as the cytoplasm. Similar results were obtained with
FITC-labeled control ODNs (data not shown).

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Figure 4. Uptake of antisense ODNs into HLF cells. HLF cells
were seeded in 96-well plates at density of 1 x 104
cells/100 µl/well in DMEM with 10% FBS to culture for 24 h and
replaced with serum-free DMEM. After 24 h incubation, FITC-labeled
AS1 was administered to a final concentration of 10 µM.
Both the phase-contrast photomicrograph (A) and the fluorescence
photomicrograph (B) of the same HLF cells demonstrate that FITC-labeled
AS1 are accumulated in the nucleus as well as the cytoplasm.
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Effect of antisense ODNs on activin A mRNA expression
Activin ßA mRNA expression in HLF cells and the effect of
antisense ODNs on this expression were examined. Neither Northern
blotting analysis nor ribonuclease protection assays were successful in
detecting activin ßA mRNA expression. Therefore, we used RT-cPCR to
evaluate mRNA expression. As shown in Fig. 5
, activin ßA mRNA expression was
suppressed to 1 x 10-7 to 10-6
M in both AS1- and AS2-treated cells, compared from 1
x 10-5 M in control ODN-treated cells, 1
h after administration of the ODNs. To confirm that the amplified DNA
is derived from activin ßA mRNA, the nucleotide sequence of the PCR
product was determined by direct sequencing. Furthermore, to exclude
the possibility of genomic DNA contamination, RNA samples were also
amplified by PCR without RT that showed no notable band (data
not shown).

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Figure 5. Effect of activin A antisense ODNs on activin A
mRNA expression. Cells treated with 10 µM of either
activin A antisense ODNs or control ODNs were exposed to serum-free
DMEM. mRNA was extracted from 1 x 105 cells by the
procedure described at 1 h after each stimulation. cPCR was
performed using activin A-specific primer pairs. The PCR products were
electrophoresed on 8% polyacrylamide gel followed by staining with
ethidium bromide.
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Effect of antisense ODNs on activin A protein expression
To investigate whether activin ßA antisense ODNs suppress
activin A protein expression in HLF cells, cells were incubated in
serum-free conditions and treated with either PBS, control, or
antisense ODNs. Activin ßA protein expression was analyzed by Western
blotting. As previously observed (Fig. 2
, lane 2), the activin ßA
monomer was detected in nontreated HLF cells (Fig. 6A
, lane 1). It was also detected in
PBS-treated cells as shown in lane 2. Incubation of the cells with two
different control ODNs did not affect the level of ßA monomer protein
(Fig. 6A
, lanes 3 and 4). However, the levels of activin ßA monomer
are remarkably low when the cells are incubated with the two specific
antisense ODNs (AS1, lane 5; and AS2, lane 6). An additional level of
specificity was examined by testing the effects of the activin
antisense ODNs on the expression of the related proteins, TGFß1,
TGFß2, and TGFß3, as monitored by Western blotting. As shown in
Fig. 6B
, no change was observed in any of the TGFßs in response to
any of the ODN treatments. These results confirm the specificity of our
antisense ODNs and reaffirm the significance of their ability to block
activin ßA expression in HLF cells.

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Figure 6. Effect of activin A antisense ODNs on activin A
and TGFß1, -2, and -3 protein expression. HLF cells were seeded in
six-well plates at a density of 2 x 106cells per well
in DMEM with 10% FBS to culture for 24 h and then replaced with
serum-free DMEM. After 24 h incubation, 10 µM of
PBS, Ctr1, Ctr2, AS1, and AS2 were administered (lanes 26). Media
were changed every 6 h together with ODNs, and cells were
collected 24 h after the first administration. Amount of protein
loaded was adjusted by Bradford assay. Western blotting was carried out
using antiactivin ßA antibody (A) or anti-TGFß1, -2, or -3 antibody
(B), respectively.
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Effect of activin A antisense ODNs, follistatin, and TGFß1 on HLF
cell proliferation
To determine whether endogenous activin A regulates cell growth in
an autocrine manner, antisense ODNs were used to block activin A
production by HLF cells. Cell proliferation was then assessed by cell
number counting as shown in Fig. 7A
. The
number of cells after antisense ODN treatment (AS1, AS2) increased
2.1-fold in 24 h and 2.5-fold in 48 h. This increase was
significantly greater (P < 0.01) than that of the
control ODN-treated cells (Ctr1, Ctr2). These data suggest that local
activin A inhibits the proliferation of HLF cells in an autocrine
manner. Additionally, when HLF cells were treated with the activin
binding protein, follistatin, a similar increase in cell proliferation
was observed (Fig. 7A
).

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Figure 7. Effect of antisense ODNs, follistatin, TGFß, or
exogenous activin A on HLF cell proliferation. HLF cells were seeded in
96-well plates at a density of 1 x 104 cells/100
µl/well in DMEM with 10% FBS to culture for 24 h and replaced
with serum-free DMEM. After 24 h incubation, 10 µM
of activin A antisense ODNs (open circle, AS1; and
closed circle, AS2), or control ODNs (open
triangle, Ctr1; and closed square, Ctr2) were
administered (0 h). To confirm the specificity of the ODNs, 2
nM of follistatin, 1 nM of activin A, or 0.1
nM of TGFß1 was added to AS1 (panel B), or AS2 (panel C).
Media were changed daily together with ODNs. Viable cell number was
counted daily by trypan blue dye exclusion method. Values were the
mean ± SD from triplicate determinations. Single
administration of AS1, AS2, or follistatin demonstrated significant
increase compared with controls.
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To further test the specificity of the antisense ODNs, we
examined whether exogenous activin or TGFß could reverse the effects
of antisense treatment (Fig. 7
, B and C). We demonstrated that 1
nM exogenous activin or 0.1 nM TGFß1
completely reversed the effects of the two antisense ODNs (AS1 and AS2)
on cell proliferation. These results indicate that the activin and
TGFß signaling pathways are not compromised by the treatment with
antisense ODNs. The addition of 2 nM follistatin did not
induce extra growth stimulation, probably a reflection of the complete
suppression of the production of activin by the antisense ODNs.
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Discussion
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Gene expression can be specifically suppressed by delivery of
antisense ODNs (31). However, a high level of specificity is sometimes
difficult to achieve for the ODNs (18). In this study, we designed two
antisense ODNs that specifically hybridize to sequences in the
5'-untranslated region and in the 3'-untranslated region of the activin
ßA mRNA. Each sequence was carefully analyzed for its sequence
similarity/dissimilarity and hybridizability against other published
gene sequences to maximize sequence specificity. Hybridizability (
G)
is based on the nearest neighbor calculation of the free hybridization
energy between the antisense sequences and all other published gene
sequences in the GenBank database (22). Therefore, both antisense ODNs
(AS1 and AS2) were highly specific to activin ßA mRNA, but not to all
other published nucleotide sequences including the members of TGFß
superfamily (as summarized in Table 1
).
We first selected different ODNs with a variety of lengths and showed
that the 15-mer antisense ODNs were most potent (Fig. 3
). We also
confirmed the uptake of the ODNs into the cells (Fig. 4
). RT-cPCR and
Western blotting demonstrated that activin ßA expression was reduced
significantly by ODNs at both the mRNA and protein levels (Figs. 5
and 6
) indicating the ability of this approach to reduce activin ßA
expression in HLF cells.
We demonstrated in this study that activin A is locally produced
by HLF cells. In addition, we showed that this endogenous activin A is
capable of inhibiting cell proliferation in these cells. Previous
studies used follistatin to block the antiproliferative effect of
activin on hepatocytes (11, 16). Indeed, intraportal or intravenous
administration of follistatin has been shown to accelerate DNA
synthesis of the rat liver after hepatectomy (32, 33). However, it is
known that follistatin also binds to the cell surface of hepatocytes
(10, 34) and could exert separate effects on its own. Therefore, it may
be possible that the proliferative effect of follistatin observed is
due not only to inactivation of activin but also to the effect of
follistatin itself. Moreover, it remains unclear whether follistatin
binds to other members of the TGFß superfamily (35). Therefore,
follistatin might not be the best tool to study the antiproliferative
effects of activin. As an alternative to follistatin, we developed a
technique using antisense ODNs to investigate the effect of specific
inhibition of activin A expression in HLF cells. Using this approach we
found that HLF proliferation was significantly increased by blocking
endogenous activin A production. Our data revealed the existence of an
autocrine loop of activin in HLF cells and indicate that this autocrine
activin A appears to be a major factor accounting for the growth
inhibition of HLF cells. Further, by comparing the effects of
follistatin and antisense ODNs on HLF cell proliferation, we were able
to confirm that follistatin indeed worked as an inhibitor of the
autocrine effects of activin on cell proliferation.
Recently, new members of activin ß-subunits were cloned from a liver
cDNA library (1, 3). Although the roles of ßC- and ßE-subunits have
yet to be determined, it has been shown that both subunits are
expressed in the liver (36, 37, 38). Further, activin ßC mRNA expression
was shown to decrease as early as 6 h after 70% hepatectomy in
mice and rats, which is slower than the sharp drop observed in the
ßA-subunit (39, 40). Interestingly, ßC mRNA expression was
continuously suppressed until 24 h (39) or 48 h (40), whereas
ßA mRNA expression begins to increase by 12 h. It is feasible
that the rapid decrease of endogenous activin A after hepatectomy might
contribute to the events supporting proliferation of hepatocytes, and
activin ßC expression might play a role in terminating liver
regeneration.
Given that normal human liver tissue produces activin A (Fig. 2B
), our
results raise an intriguing possibility that blockage of autocrine
activin A in normal liver would effectively accelerate hepatocyte
proliferation. Treatments that block activin A activity, such as
activin A antisense ODNs or follistatin, have potential possibility to
be used for liver failure caused by fulminant hepatitis or excessive
hepatectomy by means of increasing the liver tissue. For instance,
preoperative enlargement of the remnant liver may enable extensive
hepatectomy to be safely performed. Antisense ODNs could be
therapeutically effective because the agent is biologically labile and
exerts only transient effects, which should not result in hepatomegaly.
Our antisense technology provides a potential possibility both as an
investigative tool and as a therapeutic agent.
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Acknowledgments
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The authors are thankful to Joan Vaughan for the preparation and
purification of the antiactivin ßA antibody and to D. Hyndman
(Advanced Gene Computing Technologies, Irvine, CA) for technical
support. We also thank E. Wiater for critical reading of this
manuscript.
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Footnotes
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1 This work was supported by NIH Grant HD-13527, the Kleberg
Foundation, the Adler Foundation, and the Foundation for Medical
Research, Inc. 
2 Supported by the Yoshida Scholarship Foundation. 
3 Former Fellow of the Adler Foundation and currently a Medical
Research Council Scholar. 
4 Foundation for Medical Research, Inc., Senior
Investigator. 
Received September 10, 1998.
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