Protein phosphatase 2A-B55δ enhances chemotherapy sensitivity of human hepatocellular carcinoma under the regulation of microRNA-133b

Background Hepatocellular carcinoma (HCC) remains a major public health problem worldwide. The identification of effective chemotherapeutic targets for advanced HCC patients is urgently required. In this study, we investigated the role of protein phosphatase 2A-B55δ subunit (PP2A-B55δ, encoded by the PPP2R2D gene) and related mechanisms affecting chemotherapy sensitivity of HCC. Methods Experimental approaches for measuring the levels of PPP2R2D mRNA and B55δ protein in HCC included bioinformatics analyses, quantitative real-time polymerase chain reaction (qRT-PCR), western blotting (WB), immunofluorescence and immunohistochemistry assays. Cell cycle, migration, colony formation, apoptosis, and cell proliferation assays in stable PPP2R2D-knockdown and -overexpression cell lines in vitro, and tumorigenicity assays in vivo, were performed to explore the function of B55δ in cisplatin (cDDP) chemotherapy of HCC. Bioinformatics prediction, luciferase reporter assays, qRT-PCR, WB, and cell cycle analyses were used to reveal the regulatory relationship between microRNA-133b (miR-133b) and PPP2R2D expression. miR-133b mimic and inhibitor were used to elucidate the regulatory mechanism. Results Our studies showed that PPP2R2D expression was down-regulated in both HCC tumors and HCC cell lines. Treatment with cDDP increased the amount of B55δ protein. Artificially increasing the expression of B55δ counteracted cyclin-dependent kinase 1 activation, modulated transitions of the cell cycle, and increased the suppressive effect of cDDP on cell migration, colony formation, apoptosis, and proliferation in vitro and tumor growth in vivo, thus enhancing therapeutic efficiency. In contrast, knockdown of B55δ partially inhibited the effect of cDDP chemotherapy. miR-133b was shown to regulate PPP2R2D expression by binding to the 3’-untranslated region of PPP2R2D mRNA. The miR-133b/PPP2R2D signaling pathway affects the effectiveness of cDDP chemotherapy. Conclusions PP2A-B55δ, regulated by miR-133b, enhances the sensitivity of HCC to cDDP chemotherapy. Our data indicate that PP2A-B55δ might be a novel and attractive target for increasing chemotherapy sensitivity of HCC. Electronic supplementary material The online version of this article (doi:10.1186/s13046-016-0341-z) contains supplementary material, which is available to authorized users.


Background
According to global cancer statistics, about 782,500 new liver cancer cases occurred worldwide in 2012, together with about 745,500 deaths [1]. Seventy to 90 % of primary liver cancers are hepatocellular carcinoma (HCC). Since patients are asymptomatic at the early stages of the disease, HCC is mostly diagnosed at an advanced stage [2]. Moreover, the effectiveness of anti-cancer treatment varies considerably among different HCC patients. Therefore, it is necessary to identify targets for enhancing the sensitivity to chemotherapeutic management of HCC.
In recent years, a growing number of studies have shown that protein phosphatase 2A (PP2A) is an important tumor suppressor. As a crucial member of the serine/ threonine protein phosphatase family widely expressed in eukaryotic cells, PP2A is involved in the regulation of the signal transduction, cell cycle, proliferation, differentiation, apoptosis, and other processes [3]. PP2A-B55δ subunit, encoded by the PPP2R2D gene, is one of four isoforms (α, β, γ, and δ) of the PP2A B55 regulatory subunit family [4]. The interaction between B55δ and cyclin-dependent kinase 1 (CDK1) is reported to play a critical role in cell cycle progression [5]. However, it is still unclear whether B55δ enhances chemotherapy sensitivity of HCC cells by regulating the cell cycle.
MicroRNAs (miRNAs) are small non-coding RNAs that regulate gene expression either through mRNA degradation or translational repression [6]. The interaction with the 3'-untranslated region (3'UTR) of the targeted mRNAs via base pairing is thought to be the main mechanism of miRNA function [7]. As nodes of signaling networks, miR-NAs play a role in the regulation of metabolic homeostasis and cancer development [8][9][10]. Recent studies suggest a number of clinically significant miRNAs that may target PP2A [11]. In view of the lack of conclusive information on the miRNA regulation of PPP2R2D, this study aimed to characterize the functional role of miRNA targeting of PPP2R2D in the chemotherapy of HCC.
As a key drug in the treatment of advanced HCC [12], cisplatin (cDDP) was selected as a representative chemotherapeutic drug of HCC in this study. We explored the role of PP2A-B55δ both in regulating the cell cycle, migration, colony formation, apoptosis, and proliferation of human hepatoblastoma HepG2 cells and in tumor growth in xenograft mice in the presence of cDDP, and we investigated the details of the microRNA-133b (miR-133b)/PPP2R2D signaling pathway. We concluded that PP2A-B55δ, under the regulation of miR-133b, could serve as a promising target for increasing chemotherapy sensitivity of HCC.
Quantitative real-time polymerase chain reaction (qRT-PCR) Total RNA was extracted using TRIzol® Reagent (Ambion, TX, USA) and reverse-transcribed into cDNA using Pri-meScript™ RT reagent kit (TaKaRa, Otsu, Japan). qRT-PCR was performed with SYBR® Premix Ex Taq™ II kit (TaKaRa) in a CFX96 Touch™ Real-Time PCR Detection System (Bio-Rad, CA, USA) using the primers (Sangon Biotech, Shanghai, China) shown in Additional file 1: Table S1. Cycling conditions were 95°C for 30 s, 40 cycles of 95°C for 5 s, and 60°C for 34 s. The mRNA levels of genes were evaluated using the 2 -△△Ct relative quantification method. ACTB (encoding β-actin) was used as a reference control. Quantitative analysis of miRNA expression was performed with the Bulge-Loop™ hsa-miR-133b qRT-PCR primer set (Ribobio, Guangzhou, China). U6 snRNA was used as a reference control.

Western blotting (WB) analysis
Cells were lysed in whole-cell lysate buffer. For phosphorylated protein, 1 % phosphatase inhibitor cocktail was added to the whole-cell lysate buffer. Protein lysates were resolved by 10 % or 12 % sodium dodecyl sulfatepolyacrylamide gel electrophoresis (SDS-PAGE), and then transferred to poly vinylidene fluoride (PVDF) membranes (Pall, NY, USA). After blocking with 5 % nonfat milk, the membranes were incubated with primary antibodies overnight at 4°C, and then incubated with the corresponding secondary antibodies at room temperature for 1 h. Protein bands were visualized with an enhanced chemiluminescence kit (Pierce, IL, USA). The blot intensities of each band were analyzed by Ima-geJ software (NIH, MD, USA). GAPDH was used as a loading control.

PP2A activity assay
A Serine/Threonine Phosphatase Assay System (Promega, WI, USA) was used for measuring PP2A activities. Following the instruction manual, collected cell lysates were centrifuged at 1 × 10 5 g for 1 h at 4°C in phosphatase storage buffer. Sephadex® G-25 spin columns were used to remove endogenous phosphate. The treated lysates were added to a mixture containing PP2A reaction buffer and phosphopeptide, and then incubated for 1 h at 37°C. The reaction was stopped with molybdate dye/ additive mixture. The optical density (OD) of the samples was read using a Multiskan™ FC microplate photometer (Thermo) at 600 nm. PP2A activity was measured in three parallel experiments.

Immunofluorescence assay
The cells, seeded on coverslips in 12-well plates, were fixed with freshly-prepared 4 % paraformaldehyde and permeabilized with 0.5 % Triton X-100. After blocking with phosphate-buffered saline (PBS) containing 1 % BSA, the cells were treated with primary antibody overnight and incubated with fluorescent secondary antibody for 1 h in the dark. After extensive washing, cell nuclei were counterstained with 4, 6-diamidino-2-phenylindole (DAPI) for 1 min. The cells were photographed using a confocal microscope (Olympus, Tokyo, Japan). Three independent assays were conducted; representative images are shown.

Establishment of stable PPP2R2D-overexpression cell lines
PPP2R2D full-length coding sequence (2R2Dc) was obtained using the primers shown in Additional file 1: Table S1 and incorporated into retroviral vector pBabepuro (a kind gift from Dr. Wen Chen) to construct the pBabe-2R2Dc recombinant plasmid. HEK-293T cells were co-transfected with retroviral plasmid (pBabe or pBabe-2R2Dc) and pCL-Ampho vector in a ratio of 1:1. HepG2 cells were then infected with retroviruses produced by HEK-293T cells. The established cell lines (HepG2-pBabe and HepG2-2R2Dc) were screened with 0.6 μg/ml puromycin.

Cell cycle analysis
Cells were collected, fixed in 70 % ice-cold ethanol, incubated with RNase, and dyed with propidium iodide (PI). Flow cytometry (FCM, Beckman, CA, USA) was used to analyze DNA content. The data were analyzed using ModFit LT 3.1 (Verity Software House, ME, USA) and cell cycle distribution was calculated. Each experiment was repeated at least three times.

Cell migration assay
The migratory ability of cells was evaluated using 6.5 mm Transwell chambers with 8.0 μm pore polycarbonate membrane insert (Corning, NY, USA). Cells prepared in FBS-free medium were seeded onto the upper chambers, and medium with 10 % FBS was added to the bottom chambers as a chemoattractant. cDDP was given to the cells 30 min later. After 12 h, migrated cells located on the lower surface of chambers were fixed and stained with crystal violet. The cells were photographed using an inverted microscope and counted in 10 randomly selected fields at a 200× magnification using Image Pro-Plus software 6.0 (IPP 6.0, Media Cybernetics, MD, USA). The assay was carried out three times.

Cell colony formation assay
To evaluate the self-renewal capacity of different cell types, 800 cells were seeded in 6-well plates. After 24 h, cells were treated with cDDP for 12 h and maintained in culture for another 6 days. On day 7, the cells were fixed, stained, and drained for taking photographs. The colony formation areas were calculated by ImageJ. The assay was carried out in triplicate.

Apoptosis assay
The Annexin V-FITC Apoptosis Detection kit (Beyotime) was used for apoptosis assays. Briefly, cells were harvested, resuspended in Annexin V-FITC binding buffer, and stained with Annexin V-FITC and PI in the dark. Cells were then analyzed by FCM. FlowJo v.7.6.5 (FlowJo, OR, USA) was used to analyze the data. The experiment was repeated three times separately.
In vivo xenograft studies BALB/c nude mice (5-7 weeks old) were obtained from the Xiamen University Laboratory Animal Center (Xiamen, China). All experimental procedures were approved by the Experimental Animal Ethics Committee of Xiamen University. The mice were randomly allocated to four groups: pBabe-Ctrl group, 2R2Dc-Ctrl group, pBabe-cDDP group, and 2R2Dc-cDDP group (n = 6 in each group). A total of 5 × 10 6 cells (HepG2-pBabe or HepG2-2R2Dc) were suspended in PBS with matrigel (BD Biosciences, CA, USA) in a 1:1 ratio. These cell suspensions were subcutaneously inoculated into the right flank of each mouse, and the tumors were allowed to grow for a week. Tumor width (w) and length (l) and body weights were measured every other day. Tumor volume (V) was calculated using the formula: V = (w 2 × l)/2. A week later, the mice in the 2R2Dc-cDDP group or the pBabe-cDDP group were injected with 1 mg/kg body weight cDDP via tail vein every other day for three times, respectively. All mice were sacrificed and tumors were excised on day 14. Tumor weight was recorded, and tumor tissues were subjected to immunohistochemistry (IHC), WB, and qRT-PCR assays.

Immunohistochemistry (IHC)
The dissected tumor tissues were fixed, embedded in paraffin, and serially sectioned at 4 μm thickness. Sections were dewaxed, rehydrated, and antigen retrieved. UltraSensitive™ SP (Mouse/Rabbit) IHC Kit (Maixin Biotech, Fuzhou, China) was used according to the manufacturer's instructions. Sections were incubated with primary antibodies overnight followed by a secondary antibody. Next, sections were stained with 3, 3'-diaminobenzidine, counterstained with hematoxylin, and dehydrated through graded ethanol solutions. Finally, sections were photographed using a microscope and analyzed using IPP 6.0.

Transient transfection and luciferase reporter assay
The PPP2R2D 3'UTR fragment was amplified using the primers shown in Additional file 1: Table S1, ligated into the pGL3-control luciferase reporter vector (pGL3c, a kind gift from Dr. Shimei Zhuang, Sun Yat-sen University, China), and confirmed by sequencing. Transfection was performed in 96-well plates using Lipofectamine® 2000 transfection reagent (Invitrogen, CA, USA) according to the standard protocol. Briefly, cells were co-transfected with 50 ng pRL-TK vector and 200 ng of either pGL3c or pGL3c-2R2D-3'UTR for 4 h. After treatment with cDDP for 6 h, cells were analyzed using Dual Luciferase® reporter assay system (Promega). The luciferase activities were normalized against the activity of pGL3c.

miRNA mimic or inhibitor transfection
Cells were transfected with miRNA mimic or inhibitor (Ribobio) according to the manufacturer's instructions. Briefly, cells were plated in 6-well plates and grown to 70 % confluence. For each well, 50 nM miR-133b mimic or 100 nM inhibitor in riboFECT™ CP Buffer (Ribobio) was mixed gently with riboFECT™ CP Reagent and added to the cells for 12 h.

Statistics
Statistical analyses were carried out using the Statistical Package for Social Sciences (SPSS) version 16.0 (SPSS, IL, USA). All data were expressed as mean ± standard deviation (SD). The statistical significance was determined using two-tailed unpaired Student's t-test for the comparison of two groups and using one-way analysis of variance (ANOVA) for the comparison of multiple groups, following which the statistical significance was determined by Dunnett's t-test. Correlation between variables was evaluated with Pearson's correlation for normal distribution or Spearman's correlation for non-normal distribution. A P < 0.05 was considered statistically significant.

PPP2R2D is down-regulated in HCC
In order to investigate the association between PPP2R2D expression and HCC, we analyzed the published microarray datasets available from GEO database. In two different HCC cohorts (Accession No.: GSE59259 and GSE6764) [14,15], the tumor tissues exhibited relatively low PPP2R2D expression levels (Fig. 1a). In addition, Kaplan-Meier survival curves shown in Fig. 1b indicated that the 5-year overall survival rates of HCC patients (Accession No.: GSE54236) [16] with low PPP2R2D expression was lower than that with high PPP2R2D expression.
We further evaluate PPP2R2D mRNA and B55δ protein in two normal hepatic cell lines and six HCC cell lines by qRT-PCR and WB. The data showed that the levels of PPP2R2D mRNA and B55δ protein were significantly suppressed in all HCC cell lines compared with normal hepatic cell lines (Fig. 1c-d). Taken together, the expression of PPP2R2D was down-regulated in HCC tissues and cells, indicating that PPP2R2D might act as a tumor suppressor in the chemotherapy of HCC.

The expression of B55δ is increased by cDDP in HepG2 cells
In order to explore the functional role of PPP2R2D in the chemotherapy of HCC, HepG2 cells were chosen as a sensitive model because of its lower expression of PPP2R2D compared to other HCC cell lines (Fig. 1c-d).
We used cDDP, an accepted anti-tumor agent [17], investigating B55δ expression in HepG2 cells in response to chemotherapy. PP2A activity was increased by cDDP in a concentration-and time-dependent manner (Fig. 2a). As shown in Fig. 2b, cDDP significantly up-regulated the mRNA level of PPP2R2D and PPP2R2A, but not of PPP2R1A, PPP2CA, or PPP2R5C. cDDP increased only the expression of B55δ protein, not of the other subunits of PP2A (Fig. 2c). Immunofluorescence analysis also revealed that B55δ was more strongly expressed following cDDP treatment (Fig. 2d). Additionally, the protein levels of B55δ were increased in cDDP-treated Fig. 1 PPP2R2D is down-regulated in HCC. a PPP2R2D expression levels in two cohorts of HCC patients [14,15]. The mRNA microarray data were obtained from GEO database (Accession No.: GSE59259 and GSE6764, *P < 0.05). b Kaplan-Meier analysis showing overall survival of HCC patients [16] with two different levels of PPP2R2D expression (Accession No.: GSE54236, PPP2R2D expression was treated as a binary variable divided into high or low expression according to the median, Log-rank, *P < 0.05). c PPP2R2D mRNA and (d) B55δ protein levels were evaluated in normal hepatic cell lines and HCC cell lines. The data shown in the bar graph are the mean ± SD of three independent experiments. *P < 0.01 as compared with L02 cells; # P < 0.01 as compared with QSG7701 cells cells in a concentration-and time-dependent manner (Fig. 2e). Thus, our findings suggested that cDDP increased the amount of B55δ in HepG2 cells.

Knockdown of PPP2R2D partially reverses the sensitivity of HepG2 cells to cDDP
To elucidate the crucial role that B55δ plays in sensitizing HepG2 cells to anti-cancer treatment, PPP2R2D was knocked down. Approximately 50 % knockdown of PPP2R2D mRNA level was achieved in HepG2-sh2R2D cells as compared with HepG2-shGFP cells, which resulted in a 2-fold decrease of B55δ protein without alteration of other PP2A subunits (Additional file 2: Figure  S1A-B). G1 phase cell numbers were mildly decreased by sh2R2D ("Ctrl" in Fig. 3a). The migratory ability and self-renewal capacity of HepG2-sh2R2D cells were both higher than those of HepG2-shGFP cells ("Ctrl" in Fig. 3b-c). There was no apparent difference between two established stable cell lines in apoptosis rate ("Ctrl" in Fig. 3d). However, knockdown of PPP2R2D significantly reversed G1 phase cell cycle arrest, migratory inhibition, cell colony area reduction, and apoptosis induced by cDDP (Fig. 3a-d). After treatment with cDDP, cell growth inhibition rate of HepG2-sh2R2D cells was also markedly lower than that of HepG2-shGFP cells (Fig. 3e). In addition, knockdown of PPP2R2D significantly decreased the PP2A activity after treatment with cDDP (Fig. 3f ), which correspondingly influenced the levels of p-CDK1 and cell cycle-related proteins Cyclin B1 and Cyclin E1 (Fig. 3g). The apoptosis-related proteins (Bcl-2, Bax, and cleaved Caspase-3) were in perfect agreement with the FCM results (Fig. 3h). Based on these results, we concluded that knockdown of PPP2R2D partially reversed the sensitivity of HepG2 cells to cDDP.

Overexpression of B55δ sensitizes HepG2 cells to cDDP
We further established stable cell lines of HepG2 overexpressing B55δ and confirmed the overexpression at both the mRNA and protein levels (Additional file 2: Figure S1C-D). G1 phase cell numbers of HepG2-2R2Dc cells were a little more than those of HepG2-pBabe cells ("Ctrl" in Fig. 4a). The migratory ability and self-renewal capacity were inhibited by overexpression of B55δ ("Ctrl" in Fig. 4b-c). Also, there was no apparent difference between apoptosis rates of the two stable cell lines ("Ctrl" in Fig. 4d). Overexpression of B55δ remarkably exacerbated G1 phase arrest, migratory inhibition, colony area reduction, and apoptosis induced by cDDP ( Fig. 4a-d). In addition, the proliferation of HepG2-2R2Dc cells was inhibited more than that of HepG2-pBabe cells after treatment with cDDP (Fig. 4e). As shown in Fig. 4f, the level of PP2A activity in HepG2-2R2Dc cells with cDDP treatment was higher than that in HepG2-pBabe cells, which correspondingly influenced the phosphorylation level of CDK1 ("p-CDK1" in Fig. 4g). The expression levels of cell cycle-related proteins and apoptosis-related proteins were consistent with FCM analysis (Fig. 4g-h). To sum up, overexpression of B55δ sensitized HepG2 cells to cDDP, so B55δ seems to play an important role in the chemotherapy of HCC.

Overexpression of B55δ promotes the sensitivity of HCC xenograft tumors to cDDP
To confirm the tumor suppressive function of B55δ in vivo, tumorigenicity assays were performed. The data showed that B55δ overexpression reduced xenograft tumor growth (Fig. 5a). As shown in Fig. 5a-c, tumor volume, size, and weight of the 2R2Dc-cDDP group were significantly smaller than those of the pBabe-cDDP group. B55δ was up-regulated in the xenograft tumor tissues from the 2R2Dc-cDDP group (Fig. 5d-e). Furthermore, there was a down-regulation of Cyclin B1 and PCNA, and an up-regulation of Cyclin E1 in the 2R2Dc-cDDP group (Fig. 5d-e, Additional file 3: Figure S2). Figure 5e shows higher expression levels of Bax and cleaved Caspase-3 and a lower Bcl-2 level in the 2R2Dc-cDDP group. Taken together, in vivo data supported in vitro findings indicating that overexpression of B55δ increased the therapeutic susceptibility of HCC xenograft tumors to cDDP.
miR-133b regulates the expression of PPP2R2D by binding to its 3'UTR In order to explore the epigenetic mechanisms of B55δ up-regulation induced by cDDP, microRNA.org and Tar-getScan databases were used in combination to screen for miRNAs which might target PPP2R2D. As shown in Fig. 6a, miR-133b was found to bind to the 3'UTR of PPP2R2D. The predicted free energy of binding was -20.2 kcal/mol (Fig. 6b). Furthermore, the expression level of miR-133b was significantly up-regulated in all HCC cell lines compared with normal hepatic cell lines (Fig. 6c), and it was inversely related to the expression of PPP2R2D shown in Fig. 1c. Correlation analyses showed that the expression of miR-133b was negatively correlated with PPP2R2D and B55δ in vitro and in vivo (Fig. 6d-e, Additional file 4: Figure S3). Based on these data, we hypothesized that decreased miR-133b might take part in cDDP-induced up-regulation of B55δ by targeting its mRNA transcripts. To confirm this hypothesis, a luciferase reporter assay was employed. The results revealed that cDDP increased the luciferase activity of the reporter construct bearing the PPP2R2D 3'UTR (Fig. 6f ). Moreover, there was an apparent depletion of miR-133b, with a parallel elevation of PPP2R2D, induced by cDDP in a concentration-and time-dependent manner in HepG2 cells (Fig. 6g). In summary, cDDP might upregulate PPP2R2D through decreasing the promotion of its degradation or the inhibition of its translation by miR-133b acting on the 3'UTR.

miR-133b participates in cell cycle regulation by targeting PPP2R2D
To further verify the regulatory mechanism of miR-133b towards PPP2R2D, HepG2 cells were transfected with mimic negative control (miNC) or miR-133b mimic (133mi). The models were verified by qRT-PCR and WB. In response to 133mi, the levels of PPP2R2D mRNA and B55δ protein, not of the other PP2A subunits, were effectively suppressed (Additional file 5: Figure S4A-B, "Ctrl" in Fig. 7a-b). Moreover, 133mi reversed the up-regulation of PPP2R2D and B55δ induced by cDDP, and rescued G1 phase arrest (Fig. 7a-c). Also, inhibitor negative control (inNC) or miR-133b inhibitor (133in) was given to further confirm our results shown above. 133in enhanced the expression of PPP2R2D and B55δ, and accelerated G1 phase arrest (Additional file 5: Figure S4C-D, Fig. 7d-f). As a whole, our findings (See figure on previous page.) Fig. 3 B55δ knockdown partially reverses the sensitivity of HepG2 cells to cDDP. HepG2-shGFP and HepG2-sh2R2D cells were treated with or without 2.5 μg/ml cDDP for 12 h. a Cell cycle distribution was analyzed by FCM. b Cell migratory ability was detected by transwell migration assay. The migrated cells were photographed and counted (×200 magnification; scale bar, 100 μm). c Cell self-renewal capacity was measured by colony formation assay. d Cell apoptosis was detected by Annexin V-FITC assay and analyzed by FCM. e Cell growth inhibition rate of the two cells treated with 0-16 μg/ml cDDP for 24 h was analyzed using cell proliferation assay. f PP2A activity was determined by the Serine/ Threonine Phosphatase Assay System. g-h The expression of related proteins B55δ, p-CDK1, CDK1, Cyclin B1, Cyclin E1, Bcl-2, Bax, and cleaved Caspase-3 was determined by WB assays. Data shown are the mean ± SD of three independent assays. *P < 0.01 as compared with Ctrl group of HepG2-shGFP cells; # P < 0.01 as compared with cDDP group of HepG2-shGFP cells (See figure on previous page.) Fig. 4 Overexpression of B55δ sensitizes HepG2 cells to cDDP. HepG2-pBabe and HepG2-2R2Dc cells were treated with or without 2.5 μg/ml cDDP for 12 h. a Cell cycle distribution, (b) migratory ability, (c) self-renewal capacity, (d) cell apoptosis, and (f) PP2A activity were detected. e Cell growth inhibition rate of the two cells treated with 0-16 μg/ml cDDP for 24 h was analyzed. g-h Expression of B55δ, p-CDK1, CDK1, Cyclin B1, Cyclin E1, Bcl-2, Bax, and cleaved Caspase-3 was measured. Values shown are mean ± SD of three independent experiments. * P < 0.01 as compared with Ctrl group of HepG2-pBabe cells; # P < 0.01 as compared with cDDP group of HepG2-pBabe cells Fig. 5 Overexpression of B55δ promotes the sensitivity of HCC xenograft tumors to cDDP. Nude mice transplanted with HepG2-pBabe or HepG2-2R2Dc cells were injected with or without 1 mg/kg body weight cDDP every other day for 3 times. a Graph depicts the tumor volume of the four groups (pBabe-Ctrl, pBabe-cDDP, 2R2Dc-Ctrl, and 2R2Dc-cDDP). b Representative images of tumors excised from nude mice. c Scatter plot shows the tumor weights for the four groups. Values shown are mean ± SD of six different samples. *P < 0.01 as compared with pBabe-Ctrl group; # P < 0.01 as compared with pBabe-cDDP group. d IHC images of sections of tumors reveal the expression of B55δ, Cyclin B1, Cyclin E1, and PCNA (×1000 magnification; scale bar, 20 μm). e WB was performed to detect B55δ, Cyclin B1, Cyclin E1, PCNA, Bcl-2, Bax, and cleaved Caspase-3 protein levels in 12 representative tumor tissues (n = 3 in each group) provided a potential molecular mechanism leading to the up-regulation of B55δ by cDDP chemotherapy, involving the decrease of miR-133b.

Discussion
HCC is one of the most lethal forms of cancer in the world [18]. In recent years, molecule-targeted drugs, such as Sorafenib and Brivanib, have been developed for the treatment of liver cancer [19]. However, there are few drugs designed for HCC and most targeted therapeutic drugs are less effective [20]. cDDP is an old drug that is commonly used as a chemotherapeutic agent against advanced HCC [12]. However, the sensitivity to cDDP varies among HCC patients. Thus, the identification of effective targets for enhancing chemotherapeutic sensitivity is urgently required.
As a key tumor suppressor, PP2A has emerged as a novel target in alternative therapeutic strategies in many c The miR-133b expression in normal hepatic cell lines and HCC cell lines. *P < 0.01 as compared with L02 cells; # P < 0.01 as compared with QSG7701 cells. d Pearson's correlation analysis of miR-133b and PPP2R2D mRNA levels among HCC cell lines. e Spearman's correlation analysis of miR-133b and PPP2R2D mRNA levels in HCC xenograft tumors. f Luciferase activity of pGL3c-2R2D-3'UTR reporter gene in HepG2 cells treated with or without 2.5 μg/ml cDDP for 6 h. The data shown are the mean ± SD of three parallel samples, *P < 0.01. g miR-133b and PPP2R2D mRNA levels in HepG2 cells treated with 2.5 μg/ml cDDP for 0, 3, 6, or 12 h or treated with 0, 1, 2.5, or 4 μg/ml cDDP for 12 h. *P < 0.01 as compared with cDDP-untreated group (Ctrl) cancers [21][22][23]. Chien et al. reported that PP2A activation is crucial for deceleration of pancreatic tumorigenesis [24]. Furthermore, PP2A activation shows a promising anti-tumor effect in breast cancer [25]. Our previous studies have shown that the genetic variant -241 (-/G) (rs11453459) in the 5'-flanking region of PPP2R1A contributes to the decreased risk of HCC in a southern Chinese Han population [26]. Moreover, other studies have demonstrated that the regulation of regulatory B subunits of PP2A (PP2A-Bs), such as B55β and B56γ, play important roles in cancer development or treatment [27]. In the current study, PPP2R2D expression was found to be down-regulated in both HCC tumors and HCC cell lines. The difference in PPP2R2D expression between normal and tumor cells suggested it as a potential biomarker for HCC. Following treatment with cDDP, B55δ was increased. We hypothesize that increased B55δ enhances the sensitivity of HCC to cDDP chemotherapy. The current study conducted in stable PPP2R2D-knockdown and -overexpression cell lines Fig. 7 miR-133b participates in cell cycle regulation by targeting PPP2R2D. a-c After transfection with miNC or 133mi, HepG2 cells were treated with or without 2.5 μg/ml cDDP for 12 h. a miR-133b and PPP2R2D mRNA levels. b Protein levels of B55δ, Cyclin B1, and Cyclin E1. c Cell cycle distribution was analyzed by FCM. d-f HepG2 cells transfected with inNC or 133in were treated with or without cDDP. d qRT-PCR, e WB, and (f) FCM were conducted as before. The data are expressed as mean ± SD of three independent experiments. *P < 0.01 as compared with Ctrl group of miNC-or inNC-transfected HepG2 cells; # P < 0.01 as compared with cDDP group of miNC-or inNC-transfected HepG2 cells validated this conclusion. The results showed that knockdown of B55δ markedly decreased the effect of cDDP, while overexpression of B55δ promoted the chemosensitivity of HepG2 cells and that of HCC xenograft tumors. Thus, our study has shown for the first time that PP2A holoenzyme containing the B55δ subunit is a potential molecular target which might enhance chemotherapy sensitivity of HCC. Further exploitation of B55δ might help patients overcome insensitivity of anti-cancer agents and advance the development of tailor-made treatments for HCC.
PP2A-B55δ is critical for the control of the entry into and exit from mitosis. On one hand, overexpression of B55δ blocks CDK1 activation and delays mitotic progression; on the other hand, depletion of B55δ accelerates entry into mitosis [28]. As an essential phosphatase, PP2A appears to act as a central modulator of phosphorylation to generate interphase and mitosis [29]. In our study, when B55δ was knocked down, CDK1 was partially increased, which reversed the G2/M reduction and G1 arrest induced by cDDP. In contrast, overexpression of B55δ held HepG2 cells in G1 phase by the phosphorylation of CDK1, increasing cDDP's suppression of cell migratory ability, self-renewal capacity, and proliferation. The activation of PP2A plays a key initiating role in various pathways that lead to apoptosis in cancer cells [30,31]. We also observed that overexpression of B55δ in the presence of cDDP resulted in down-regulation of the anti-apoptotic molecule Bcl-2 and up-regulation of pro-apoptotic molecules Bax and cleaved Caspase-3. Moreover, it was noteworthy that B55δ inhibited tumor growth while reducing the expression of the proliferationrelated protein PCNA. These observations shed light on the underlying molecular mechanism of B55δ in the regulation of the cell cycle, and confirm the pivotal role that B55δ plays in increasing the sensitivity to chemotherapy in HCC.
Our previous studies showed that the transcriptional activities of PPP2R2D and PPP2R1A were regulated by the polymorphism and methylation through genetic and epigenetic mechanisms [26,32]. To further investigate the miRNA-mediated epigenetic mechanisms of PPP2R2D up-regulation induced by cDDP, various approaches, including in silico analyses of putative mRNA/miRNA complexes, were applied. We confirmed for the first time that miR-133b regulates PPP2R2D post-transcriptional expression and translation by binding to complementary sequences of the 3'UTR of PPP2R2D mRNA. It has been postulated that miRNAs can function as either tumor suppressors or oncogenes by regulating protein- Fig. 8 Schematic representation depicting the regulation of PP2A-B55δ by miR-133b and its role in promoting chemotherapy sensitivity of HCC coding genes [33,34]. miR-133b has been revealed to be down-regulated in Parkinson disease, human nonsmall cell lung, bladder, gastric, and colorectal cancers [35][36][37][38][39]. In this study, miR-133b was up-regulated in HCC cell lines, with a corresponding down-regulation of PPP2R2D. Thus, we speculate miR-133b might act as an oncogenic miRNA (oncomiR) in HCC. Recently, miRNAs have been considered as good biomarkers for early diagnosis and therapy of HCC [33]. Inhibition of oncomiRs has been introduced as a novel therapeutic strategy for cancer treatment [40]. By mimicking or inhibiting miR-133b, our study elucidated the miR-133b/PPP2R2D signaling pathway involved in cDDP chemotherapy. Taken together, these results suggest that miR-133b may serve as a gene-specific biomarker for estimating the prognosis of HCC. It would be of great interest to further investigate the functional characterization and regulatory mechanism of miR-133b and its derepression of PP2A-B55δ synthesis and function in the chemotherapy of HCC in both animal models and clinical samples.