The basic helix-loop-helix transcription factor NeuroD1 has been implicated in the neurogenesis and early differentiation of pancreatic endocrine cells. However, its function in relation to cancer has been poorly examined. In this study, we found that NeuroD1 is involved in the tumorigenesis of neuroblastoma. NeuroD1 was strongly expressed in a hyperplastic region comprising neuroblasts in the celiac sympathetic ganglion of 2-week-old MYCN transgenic (Tg) mice and was consistently expressed in the subsequently generated neuroblastoma tissue. NeuroD1 knockdown by short hairpin RNA (shRNA) resulted in motility inhibition of the human neuroblastoma cell lines, and this effect was reversed by shRNA-resistant NeuroD1. The motility inhibition by NeuroD1 knockdown was associated with induction of Slit2 expression, and knockdown of Slit2 could restore cell motility. Consistent with this finding, shRNA-resistant NeuroD1 suppressed Slit2 expression. NeuroD1 directly bound to the first and second E-box of the Slit2 promoter region. Moreover, we found that the growth of tumor spheres, established from neuroblastoma cell lines in MYCN Tg mice, was suppressed by NeuroD1 suppression. The functions identified for NeuroD1 in cell motility and tumor sphere growth may suggest a link between NeuroD1 and the tumorigenesis of neuroblastoma. Indeed, tumor formation of tumor sphere–derived cells was significantly suppressed by NeuroD1 knockdown. These data are relevant to the clinical features of human neuroblastoma: high NeuroD1 expression was closely associated with poor prognosis. Our findings establish the critical role of the neuronal differentiation factor NeuroD1 in neuroblastoma as well as its functional relationship with the neuronal repellent factor Slit2. Cancer Res; 71(8); 2938–48. ©2011 AACR.

NeuroD1 is a basic helix-loop-helix (bHLH) transcription factor. NeuroD1-deficient mice die as a consequence of severe hyperglycemia within 5 days of birth (1). This is attributed to differentiation deficit and death of β cells in the pancreas during embryogenesis (1). In addition, NeuroD1 is involved in neurogenesis. It can convert embryonic epidermal cells into fully differentiated neurons in Xenopus and promotes premature cell-cycle exit and differentiation of neural precursor cells (2). By crossing NeuroD1-deficient mice with either transgenic mice expressing NeuroD1 in β cells or (mammalian atonal homolog) MATH-deficient mice, Miyata and colleagues as well as Schwab and colleagues demonstrated that NeuroD1 deletion in the central nervous system leads to depletion of the cerebellar granule cells and loss of the dentate gyrus in the hippocampus (3, 4). Furthermore, NeuroD1 is involved in the differentiation of peripheral neurons. Thus, NeuroD1-deficient mice exhibit neuronal cell loss in the inner ear (5, 6). In the retina of NeuroD1-deficient mice, amacrine cell differentiation is perturbed and the number of bipolar interneurons decreases (7). Furthermore, it has recently been reported that NeuroD1 plays an essential role in the maintenance of neural precursor cells in adult neurogenesis: inducible stem cell–specific deletion of NeuroD1 causes fewer newborn neurons in the hippocampus and the olfactory bulb (8, 9).

Neuroblastoma (NB) is the most common extracranial pediatric solid tumor and is derived from the sympathetic neuron lineage of neural crest cells (10). A hierarchical expression of regulatory molecules, such as Sox2, BMP, Mash1, Phox2B, and Hand2, determines the fate of neural crest cells and their further differentiation to form sympathetic neurons (11). The molecular mechanism of the normal development of sympathetic neurons may influence the biology of NB. For example, the homeodomain DNA-binding transcription factor Phox2B is mutated in familial and sporadic forms of NB (12). Phox2B mutations predispose to NB by promoting the proliferation and dedifferentiation of cells in the sympathoadrenergic lineage (13). Phox2B induction in a NB cell line downregulates expression of the homeobox protein Msx1, whereas Msx1 upregulates expression of Notch3 and Hey1 and downregulates NeuroD1 expression (14). The bHLH transcription factor Hand2, the proto-oncogene MYCN, and tyrosine hydroxylase, which is essential for catecholamine metabolism, are expressed in proliferating precursors of sympathetic neurons (15). MYCN gene amplification is often observed in NB, and it is the strongest prognostic factor of NB (16). Furthermore, the bHLH transcription factor Mash1-deficient mice lose sympathetic neurons (17). Mash1 is expressed in multipotent neuron progenitors immediately after expression of neural stem cells during postnatal hippocampus granule neurogenesis, whereas NeuroD1 is expressed in more differentiated progenitors (18). Mash1 is expressed mostly in poorly differentiated neuroendocrine carcinoma, whereas NeuroD1 is expressed in well-differentiated neuroendocrine carcinoma (19).

Weiss and colleagues generated MYCN transgenic (Tg) mice, in which MYCN expression is targeted to the sympathetic neuron lineage by the rat tyrosine hydroxylase (20). These mice develop NB in the celiac sympathetic ganglion, which has histology indistinguishable from that of human NB (20). In particular, hemizygous mice develop tumors with a stepwise increase of the frequency of MYCN amplification (21). Therefore, this model mimics human NB development. Moreover, this model demonstrates a marked increase of neuroblast hyperplasia at approximately 2 weeks after birth that is hypothesized to represent a precancerous lesion (21).

In spite of the accumulating evidence showing the critical roles of NeuroD1 in neurogenesis, its involvement in cancer development has not been fully explored. As NB tumorigenesis is closely related to the normal development of the sympathetic neuron lineage, we hypothesized that NeuroD1 could be an important regulator of NB. To examine this hypothesis, we used MYCN hemizygous mice and found that NeuroD1 plays a critical role in NB tumorigenesis.

RT-PCR

Thermal conditions for PCR included 28–35 cycles of denaturing at 94°C for 30 seconds, annealing at 55–56°C for 30 seconds, and elongation at 72°C for 30 seconds. The primers used and the expected product sizes are listed in Supplementary Table SI. Detection of NeuroD1 and Slit2 was performed by using the TaqMan Gene Expression Assays kit (Applied Biosystems) according to the manufacturer's instructions. The assay ID for NeuroD1 is Hs00159598_m1 and that for Slit2 is Hs00191193_m1.

RNA interference

Nontargeting short hairpin RNA (shRNA; Sigma) and specific shRNA for human NeuroD1 (Sigma), mouse NeuroD1 (Open Biosystems), and human Slit2 (Open Biosystems) were used. The shRNA sequences are listed in Supplementary Table SII. Together with the lentivirus packaging plasmids psPAX2 (Addgene plasmid 12260) and pMD2.G (Addgene plasmid 12259), all plasmids were cotransfected into HEK293T cells to produce infectious virus particles. The titer was evaluated by using a QuickTiter Lentivirus Titer kit (Cell Biolabs). Approximately 2.5 × 109/mL virus particles were obtained. NB cells were infected in the presence of 8 μg/mL polybrene (Sigma). For the infection of tumor sphere cells, virus particles were concentrated by PEG-it Virus Precipitation Solution (System Biosciences) and suspended in a sphere growth medium without polybrene.

Plasmids

A human NeuroD1 cDNA clone was amplified from human HEK293 cell cDNA with attB-flanked primers. For shRNA-resistant expression constructs, the shRNA-targeting site on the cDNA was mutated at 6 nucleotides without affecting the amino acid sequence. Thereafter, following the instructions of Invitrogen Gateway Technology and using the ClonaseII Kit, the mutated NeuroD1 cDNA was inserted into the gateway destination vector CSII-CMV-RfA-IRES2-Venus (RIKEN BioResource Center, Ibaraki, Japan), which is a lentivirus-based cDNA over-expression vector. CSII-CMV-Venus (RIKEN) was used as the negative control.

Histochemistry and Western blot analysis

Tissues were fixed in 4% paraformaldehyde, dehydrated, and embedded in paraffin according to the standard procedure. Then, 5-μm sections were stained with hematoxylin and eosin stain or incubated with anti-NeuroD1 polyclonal antibody (Cell Signaling Technology), which was diluted at a concentration of 1:50 in 3% normal goat serum for 2 hours at room temperature, and then incubated with biotin goat anti-rabbit secondary antibody (1:50; BD Pharmingen) for 30 minutes at room temperature. For Western blot analysis, anti-NeuroD1 (1:500; Santa Cruz Biotechnology), anti-Slit2 (1:500; Millipore), and anti-β-actin (1:10,000; Sigma) antibodies were used.

ChIP assay

SH-SY5Y cells were cross-linked by 1% formaldehyde, and the reaction was quenched with 0.125 mol/L glycine. Cells were harvested by using PBS containing phenylmethylsulfonylfluoride (PMSF) followed by homogenization with hypotonic buffer. Then, DNA was digested to 150 to 900-bp fragments with micrococcal nuclease (New England Biolabs). The pellet obtained was resuspended in 300 μL of lysis buffer containing propidium iodide and sonicated. The lysates were centrifuged, and the supernatants obtained were diluted with dilution buffer. Furthermore, these lysates were incubated with control Immunoglobulin G1 (IgG1) antibody (R&D Systems) or anti-NeuroD1 (Santa Cruz Biotechnology) accompanied by rotation for 4 hours at 4°C this was followed by the addition of 15 μL of protein G Sepharose (GE Healthcare) and rotation for 1 hour at 4°C. The precipitants obtained were washed, eluted with elution buffer, and subjected to PCR. The chromatin immunoprecipitation (ChIP) primer sequences are listed in Supplementary Table SI.

Wound-healing assay and Boyden chamber assay

A total of 2 × 105 cells were plated in a 6-well plate, and, 24 hours later, infected with virus. For the wound-healing assay, another 48 hours later, a scratch on the confluent monolayers of cells was made using a plastic pipette tip. The cell-migration area was calculated by using Metamorph 6.1 software (Molecular Devices), and it was represented as the change in length (μm). For the Boyden chamber assay, cells were harvested 48 hours after virus infection and counted. Transwell plates (pore size: 8 μm; Corning) were used. The undersurface of the chamber was coated with 10 μg/mL collagen I (Upstate Biotechnology). Virus-infected cells were seeded in the upper chamber (4 × 104 per well) with 1% bovine serum albumin. Thereafter, 10% FBS was added to the lower chamber. Cells were allowed to migrate for 6 hours. Nonmigrated cells in the upper chamber were removed by using a swab. Migrated cells attached to the lower side of chamber were stained with 4′,6-diamidino-2-phenylindole and counted in 4 randomly selected fields. Then, 4 fields at 100 times the magnitude per sample were selected. The experiment was performed twice, with each sample in triplicate.

Animals

The MYCN Tg mice (20) were maintained in our animal facility, where they were housed under a controlled environment and provided with standard nourishment and water. Tumor tissues from hemizygous MYCN Tg mice were dissected, minced, and then inoculated subcutaneously into 1-month-old 129/SVJ wild-type (WT) mice (the mouse strain of MYCN Tg mice). After approximately 15 such serial passages, a more invasive tumor was obtained. This constituted our allograft model in the present study. This study was approved by the Animal Care and Use Committee of Nagoya University Graduate School of Medicine, Nagoya, Japan.

Tumor sphere culture and allograft tumorigenesis

A 0.5-cm3 tumor tissue was dissected and washed several times with Hanks' balanced salt solution (HBSS). After thorough mincing, cells were digested with 0.25% trypsin (5 mL) at 37°C for 10 minutes. The same volume of trypsin inhibitor (Sigma) was used to stop the digestion. After centrifuging and washing with HBSS, the tissue pellet was mixed with 5 mL HBSS and allowed to react for 10 minutes. Thereafter, the supernatant was carefully transferred to a new tube and centrifuged. The cell pellet was suspended in a growth medium for stem cells [Dulbecco's modified Eagle Medium (DMEM):F12K 1:1, epidermal growth factor 10 ng/mL, basic fibroblast growth factor 15 ng/mL) and seeded onto a 10-cm petri dish. The medium was changed 24 hours later to remove dead cells. Approximately 2 days later, tumor spheres were recognized. These tumor spheres were digested with trypsin and broken down into single cells and were passed through fresh culture every 3–4 days. For the allograft tumorigenesis experiment, 1 × 104 shRNA-treated cells mixed with 30% Matrigel (BD Biosciences) were subcutaneously inoculated into 1-month-old 129/SVJ WT mice. Eighteen days later, the tumors were dissected and weighed.

Cell culture

SH-SY5Y cells were obtained from the American Type Culture Collection. IMR32 cells were procured from RIKEN. We monitored the morphology of these cells by microscopic examination and confirmed that their morphology was the same as that of the original cells. In addition to cell growth and morphology, we also confirmed that IMR32 cells strongly expressed MYCN whereas SH-SY5Y cells did not. No further validation was performed during these experiments. Stable NeuroD1-knockdown SH-SY5Y cells were maintained in DMEM with 10% FBS and 1 μg/mL puromycin (InvivoGen).

Data analysis

Results are expressed as the mean ± SD. Statistical significance was evaluated by Student's t test.

NeuroD1 is expressed in the hyperplastic region of sympathetic ganglions

We examined the NeuroD1 expression profile during the tumorigenesis of NB in MYCN Tg mice. As previously reported (21), we found that neuroblast hyperplasia occurred in the celiac sympathetic ganglions approximately 2 weeks after birth in MYCN Tg mice but not in WT mice [Fig. 1A (a and b)]. There were several loci of neuroblast hyperplasia in a ganglion [Fig. 1A (b)]. Because the incidence of hyperplasia correlates with the incidence of tumor formation in MYCN Tg mice, neuroblast hyperplasia is considered to be the precancerous status of NB (21). We found that ganglion cells of WT mice, at 2 weeks after birth, showed only low-level expression of NeuroD1 [Fig. 1A (c)]. Surprisingly, NeuroD1 was strongly expressed in the hyperplastic loci in MYCN Tg mice [Fig. 1A (d), arrowheads], whereas only low-level expression of NeuroD1 was detected in the surrounding ganglion cells [Fig. 1A (d)]. The expression was strong in the majority of hyperplastic cells but not necessarily in all cells [Fig. 1A (d)]. We confirmed the presence of NeuroD1 mRNA expression in the hyperplastic ganglions of MYCN Tg mice by using RT-PCR, but the expression in WT ganglion was below the detection threshold (Fig. 1B). Furthermore, we found that there was continued NeuroD1 expression in advanced cancerous tissues of NB derived from MYCN Tg mice (Fig. 1C). Interestingly, NeuroD1 expression was not homogenous, but rather a portion of the total cancer cells strongly expressed it (Fig. 1C).

Figure 1.

Expression of NeuroD1 in the mouse hyperplastic ganglion and tumor. A, the celiac sympathetic ganglions from 2-week-old WT (a) and MYCN hemizygote (b) mice. Normal ganglion cells show large nuclei (arrowheads in a). Neuroblast hyperplasia appears as clusters of basophilic, small round neuroblasts (arrowheads in b). c and d, immunochemical staining of NeuroD1 in 2-week-old WT (c) and MYCN hemizygote mice (d). Arrowheads in d indicate hyperplastic regions. B, RT-PCR for NeuroD1 expression in ganglions. C, immunochemical staining of NeuroD1 in tumor. Cells strongly expressing NeuroD1 are indicated by arrowheads. D, immunochemical staining for NeuroD1 at day 0 in WT (a) and MYCN hemizygote (b) mice. Black arrowheads indicate hyperplastic regions, and white ones indicate immature ganglion cells. Scale bar, 100 μm. GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Figure 1.

Expression of NeuroD1 in the mouse hyperplastic ganglion and tumor. A, the celiac sympathetic ganglions from 2-week-old WT (a) and MYCN hemizygote (b) mice. Normal ganglion cells show large nuclei (arrowheads in a). Neuroblast hyperplasia appears as clusters of basophilic, small round neuroblasts (arrowheads in b). c and d, immunochemical staining of NeuroD1 in 2-week-old WT (c) and MYCN hemizygote mice (d). Arrowheads in d indicate hyperplastic regions. B, RT-PCR for NeuroD1 expression in ganglions. C, immunochemical staining of NeuroD1 in tumor. Cells strongly expressing NeuroD1 are indicated by arrowheads. D, immunochemical staining for NeuroD1 at day 0 in WT (a) and MYCN hemizygote (b) mice. Black arrowheads indicate hyperplastic regions, and white ones indicate immature ganglion cells. Scale bar, 100 μm. GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Close modal

Hyperplasia in WT mice usually regresses approximately 2 weeks after birth (21). Therefore, we subsequently questioned whether hyperplasia in WT mice at an early age could also express NeuroD1. We found neuroblast hyperplastic regions in the celiac sympathetic ganglions at day 0 after birth in both WT and MYCN Tg mice, as previously reported [Fig. 1D (a and b); ref. 21]. While there was low-level expression of NeuroD1 in immature ganglion cells in both genotypes [Fig. 1D (a and b, white arrowheads], NeuroD1 expression was barely detectable in neuroblast hyperplastic regions at this age [Fig. 1D (a and b), black arrowheads]. These results indicate that the hyperplasia at 2 weeks in MYCN Tg mice is different from that at day 0 in both WT and MYCN Tg mice. Thus, NeuroD1 expression is switched on in hyperplastic regions in MYCN Tg mice during the first 2 weeks after birth.

NeuroD1 is involved in cell motility

The in vivo expression profile suggests a possible involvement of NeuroD1 in NB tumorigenesis or development. To examine this hypothesis, we investigated the role of NeuroD1 in NB cells. In the MYCN amplified cell line IMR32, NeuroD1 expression was significantly suppressed by 2 shRNAs acting against human NeuroD1 that were transiently expressed via a lentivirus expression system (Fig. 2A). Although there was no difference in cell growth between the control shRNA and NeuroD1 shRNA-treated cells, we found that NeuroD1 shRNAs inhibited cell motility in a scratch assay (Fig. 2A). Furthermore, we found that SH-SY5Y cells, a human NB cell line without MYCN amplification, showed a high level of NeuroD1 expression (Fig. 2B; Supplementary Fig. S1). In addition, NeuroD1 shRNA effectively suppressed NeuroD1 expression (Fig. 2B) and inhibited cell motility in a scratch assay [Fig. 2C (a and b)]. In support of these data, we report that a Boyden chamber cell migration assay showed NeuroD1 shRNA-mediated inhibition [Fig. 2C (c)].

Figure 2.

Transient knockdown of NeuroD1 leads to motility inhibition of IMR32 cells and SH-SY5Y cells. A, a quantitative RT-PCR showed significant decrease in NeuroD1 expression by 2 lentivirus-based shRNAs against NeuroD1 in IMR32 cells (left). Directional cell migration of IMR32 cells was evaluated by wound-healing assay (right). B, RT-PCR and quantitative PCR results showing efficient knockdown of NeuroD1 by the 2 shRNAs in SH-SY5Y cells. C, a and b, directional cell migration of SH-SY5Y cells was evaluated by wound-healing assay. c, migration of SH-SY5Y cells was evaluated by the Boyden chamber assay. *, P < 0.05; **, P < 0.01; ***, P < 0.001 (Student's t test). GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Figure 2.

Transient knockdown of NeuroD1 leads to motility inhibition of IMR32 cells and SH-SY5Y cells. A, a quantitative RT-PCR showed significant decrease in NeuroD1 expression by 2 lentivirus-based shRNAs against NeuroD1 in IMR32 cells (left). Directional cell migration of IMR32 cells was evaluated by wound-healing assay (right). B, RT-PCR and quantitative PCR results showing efficient knockdown of NeuroD1 by the 2 shRNAs in SH-SY5Y cells. C, a and b, directional cell migration of SH-SY5Y cells was evaluated by wound-healing assay. c, migration of SH-SY5Y cells was evaluated by the Boyden chamber assay. *, P < 0.05; **, P < 0.01; ***, P < 0.001 (Student's t test). GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Close modal

Next, we established cells in which NeuroD1 shRNA or control shRNA was stably expressed, such that we could perform rescue experiments and analyze the underlying molecular mechanism. The established NeuroD1-knockdown cells showed a significantly suppressed expression of NeuroD1 (Fig. 3A). The NeuroD1 shRNA-treated cells became round, which was strikingly different from that of the shape of parent cells (Fig. 3B). However, data obtained with regard to cell growth and cell-cycle analyses showed that cell growth was comparable between the control shRNA cells and NeuroD1 shRNA-treated cells (Supplementary Fig. S2). As expected, a scratch assay revealed that NeuroD1 shRNA-treated cells showed less motility (Fig. 3C). This inhibition was observed up to 72 hours after scratch (Supplementary Fig. S3). This phenomenon was attributed to the knockdown of NeuroD1 expression, because the shRNA-resistant NeuroD1 expression reversed the NeuroD1 shRNA-induced suppression of cell motility (Fig. 3D).

Figure 3.

Stable knockdown of NeuroD1 leads to motility inhibition. A, the whole-cell extract of SH-SY5Y stably expressing control shRNA (conshRNA) or NeuroD1 shRNA-2 was subjected to Western blot analysis. B, phase-contrast photographs showing the shape change induced by NeuroD1 knockdown. Insets show higher magnification. C, wound-healing assay of SH-SY5Y cells stably expressing conshRNA or NeuroD1 shRNA-2. D, shRNA-resistant human NeuroD1 restores the motility of NeuroD1 shRNA SH-SY5Y cells. Cells indicated as 1 and 2 in D were treated as follows: 1, NeuroD1 shRNA-2 and CMV-Venus plasmid; 2, NeuroD1 shRNA-2 and hNeuroD1-Venus plasmid. Scale bar, 50 μm. * P < 0.05, *** P < 0.001 (Student's t-test).

Figure 3.

Stable knockdown of NeuroD1 leads to motility inhibition. A, the whole-cell extract of SH-SY5Y stably expressing control shRNA (conshRNA) or NeuroD1 shRNA-2 was subjected to Western blot analysis. B, phase-contrast photographs showing the shape change induced by NeuroD1 knockdown. Insets show higher magnification. C, wound-healing assay of SH-SY5Y cells stably expressing conshRNA or NeuroD1 shRNA-2. D, shRNA-resistant human NeuroD1 restores the motility of NeuroD1 shRNA SH-SY5Y cells. Cells indicated as 1 and 2 in D were treated as follows: 1, NeuroD1 shRNA-2 and CMV-Venus plasmid; 2, NeuroD1 shRNA-2 and hNeuroD1-Venus plasmid. Scale bar, 50 μm. * P < 0.05, *** P < 0.001 (Student's t-test).

Close modal

NeuroD1 downregulates Slit2 expression

What is the underlying mechanism? Coincidentally, we found that Slit2 mRNA expression was induced by knockdown of NeuroD1 expression in both IMR32 cells and SH-SY5Y cells (Fig. 4A). Consistent with this finding, SH-SY5Y cells stably expressing NeuroD1 shRNA were found to express the Slit2 protein at a much higher level than cells expressing the control shRNA (Fig. 4B). It is of importance that shRNA-resistant NeuroD1 expression in the NeuroD1 shRNA-treated cells significantly suppressed Slit2 protein expression (Fig. 4B).

Figure 4.

Reverse expression of NeuroD1 and Slit2. A, the RT-PCR results indicate the inverse relationship between NeuroD1 and Slit2 expression. a, IMR32 cells; b, SH-SY5Y cells. B, Western blot analysis for Slit2 and NeuroD1 expression in NeuroD1-knockdown cells. A lentivirus-based vector expressing shRNA-resistant human NeuroD1 cDNA, but not control vector, suppressed Slit2 expression in NeuroD1-knockdown cells. C, E-boxes in the promoter region of the Slit2 gene. There are 6 E-boxes (1–6) in the promoter region. ChIP 1–3, the primer location for the ChIP assay. D, for primers for the E-boxes, the DNA fragment was coprecipitated with anti-NeuroD1 antibody. GAPDH, glyceraldehyde 3-phosphate dehydrogenase. * P < 0.05, ** P < 0.01 (Student's t-test).

Figure 4.

Reverse expression of NeuroD1 and Slit2. A, the RT-PCR results indicate the inverse relationship between NeuroD1 and Slit2 expression. a, IMR32 cells; b, SH-SY5Y cells. B, Western blot analysis for Slit2 and NeuroD1 expression in NeuroD1-knockdown cells. A lentivirus-based vector expressing shRNA-resistant human NeuroD1 cDNA, but not control vector, suppressed Slit2 expression in NeuroD1-knockdown cells. C, E-boxes in the promoter region of the Slit2 gene. There are 6 E-boxes (1–6) in the promoter region. ChIP 1–3, the primer location for the ChIP assay. D, for primers for the E-boxes, the DNA fragment was coprecipitated with anti-NeuroD1 antibody. GAPDH, glyceraldehyde 3-phosphate dehydrogenase. * P < 0.05, ** P < 0.01 (Student's t-test).

Close modal

It is known that NeuroD1 is a transcription factor that binds to the E-box in the regulatory region of target genes (22). Therefore, in the next step, we explored whether NeuroD1 was recruited to the regulatory region of the human Slit2 gene. There are 6 E-box stretches surrounding the Slit2 gene (Fig. 4C). A ChIP assay revealed that NeuroD1 directly bound to the first and second E-box but not to the other E-boxes (Fig. 4D).

NeuroD1 knockdown led to the inhibition of cell motility and an increase in Slit2 expression and therefore Slit2 might possibly be involved in cell motility. To test this hypothesis, we knocked down Slit2 expression in the cells expressing NeuroD1 shRNA. shRNAs functioning against human Slit2 efficiently suppressed Slit2 expression in NeuroD1 shRNA-treated cells (Fig. 5A). These double-knockdown cells restored cell motility (Fig. 5B and C), and this supports the hypothesis that NeuroD1 promotes cell motility by suppressing Slit2 expression. When we knocked down only Slit2 expression in SH-SY5Y cells, cell motility was enhanced (Supplementary Fig. S4).

Figure 5.

Slit2 knockdown restores the motility of NeuroD1-knockdown cells. Cells were treated with the following plasmids: 1, conshRNA plasmid; 2, conshRNA and NeuroD1 shRNA-2 plasmid; 3, NeruoD1 shRNA-2 and Slit2 shRNA-1 plasmid; 4, NeuroD1 shRNA-2 and Slit2 shRNA-2 plasmid. A, RT-PCR showing that NeuroD1-knockdown upregulates Slit2 (lane 2); this Slit2 expression is sufficiently suppressed by Slit2 shRNA (lanes 3 and 4). B and C, wound-healing assay data show that NeuroD1 knockdown inhibits cell motility whereas double knockdown of NeuroD1 and Slit2 restores the motility. ***, P < 0.001 (Student's t test). GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Figure 5.

Slit2 knockdown restores the motility of NeuroD1-knockdown cells. Cells were treated with the following plasmids: 1, conshRNA plasmid; 2, conshRNA and NeuroD1 shRNA-2 plasmid; 3, NeruoD1 shRNA-2 and Slit2 shRNA-1 plasmid; 4, NeuroD1 shRNA-2 and Slit2 shRNA-2 plasmid. A, RT-PCR showing that NeuroD1-knockdown upregulates Slit2 (lane 2); this Slit2 expression is sufficiently suppressed by Slit2 shRNA (lanes 3 and 4). B and C, wound-healing assay data show that NeuroD1 knockdown inhibits cell motility whereas double knockdown of NeuroD1 and Slit2 restores the motility. ***, P < 0.001 (Student's t test). GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Close modal

NeruoD1 knockdown suppresses tumor sphere growth and tumor growth

To further examine the functional relevance of NeuroD1 to tumorigenesis, we knocked down NeuroD1 expression in tumor spheres established from NB tumor tissue derived from MYCN Tg mice. We examined 2 shRNAs against mouse NeuroD1. They efficiently suppressed NeuroD1 expression in tumor spheres after infection via a lentiviral system (Fig. 6A). Control shRNA-expressing tumor spheres showed a tightly packed shape and thus the interface between cells was nearly invisible (Fig. 6A). In contrast, cell–cell contact in the NeuroD1-knockdown tumor spheres appeared loose (Fig. 6A). Furthermore, NeuroD1 shRNAs strongly suppressed the growth of tumor spheres (Fig. 6B). Effects of NeuroD1 on sphere self-renewal ability are shown in Figure 6C. Primary and secondary sphere-formation ability was impaired after NeuroD1 knockdown when evaluated by sphere number (Fig. 6C). In addition, NeuroD1 knockdown spheres were smaller (Fig. 6C).

Figure 6.

NeruoD1 knockdown suppresses tumor sphere growth and tumor growth. A, tumor sphere cells derived from NB tumors of MYCN Tg mice were infected with lentivirus expressing shRNA (photographs were taken 4 days after virus infection). RT-PCR shows efficient knockdown of NeuroD1expression by shRNAs. B, tumor sphere cells were completely dissociated into single cells by trypsin treatment and were infected with lentivirus expressing NeuroD1 shRNA or control shRNA. Cells were then cultured for 4 days (images indicated by an “a”). Cells were dissociated again and were further cultured for 4 days (images indicated by a “b”) to form tumor spheres so that the ability of sphere formation and sphere growth could be evaluated. C, self-renewal ability of tumor spheres. An equal number (1 × 104) of sphere cells were cultured for 4 days, and the sphere number was counted for each generation. Furthermore, sphere size is shown for the first generation. The results for the second generation were similar (data not shown). D, an equal number (1 × 104) of control or NeuroD1 shRNA-infected sphere cells were subcutaneously injected into 129/SVJ WT mice (n = 5 for conshRNA and shRNA-1 treated group, n = 2 for shRNA-2 treated group). The tumors generated were removed and weighed 18 days after inoculation. Scale bar, 200 μm. *, P < 0.05; **, P < 0.01; ***, P < 0.001 (Student's t test). GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Figure 6.

NeruoD1 knockdown suppresses tumor sphere growth and tumor growth. A, tumor sphere cells derived from NB tumors of MYCN Tg mice were infected with lentivirus expressing shRNA (photographs were taken 4 days after virus infection). RT-PCR shows efficient knockdown of NeuroD1expression by shRNAs. B, tumor sphere cells were completely dissociated into single cells by trypsin treatment and were infected with lentivirus expressing NeuroD1 shRNA or control shRNA. Cells were then cultured for 4 days (images indicated by an “a”). Cells were dissociated again and were further cultured for 4 days (images indicated by a “b”) to form tumor spheres so that the ability of sphere formation and sphere growth could be evaluated. C, self-renewal ability of tumor spheres. An equal number (1 × 104) of sphere cells were cultured for 4 days, and the sphere number was counted for each generation. Furthermore, sphere size is shown for the first generation. The results for the second generation were similar (data not shown). D, an equal number (1 × 104) of control or NeuroD1 shRNA-infected sphere cells were subcutaneously injected into 129/SVJ WT mice (n = 5 for conshRNA and shRNA-1 treated group, n = 2 for shRNA-2 treated group). The tumors generated were removed and weighed 18 days after inoculation. Scale bar, 200 μm. *, P < 0.05; **, P < 0.01; ***, P < 0.001 (Student's t test). GAPDH, glyceraldehyde 3-phosphate dehydrogenase.

Close modal

The NeuroD1 functions, that is, cell motility and tumor sphere growth, revealed during this study further support the idea that NeuroD1 might be involved in NB tumor development. To examine this idea, we injected 1 × 104 cells from tumor spheres, which had been infected with lentivirus expressing either control shRNA or NeuroD1 shRNA, into 129/SVJ WT mice. Because control shRNA-treated mice died from their tumors at approximately 4 weeks, the deadline was set at 3 weeks in this experiment. We found that tumor sphere cells expressing NeuroD1 shRNA showed significantly less tumorigenic ability (Fig. 6D).

High NeuroD1 expression is closely associated with poor prognosis of human NB

Finally, we considered whether the data obtained were relevant to the clinical features of human NB. To examine this, we utilized the data of the AMC cohort study (23) and analyzed the overall and relapse-free survival probabilities with regard to the expression levels of NeuroD1 (2 probes). As shown in Figure 7A and B, high NeuroD1 expression was closely associated with poor prognosis of human NB in both of the probes tested.

Figure 7.

Kaplan–Meier analysis of the prognosis of NB patients in relation to NeruoD1 expression. A and B, Kaplan–Meier analysis of the AMC cohort (n = 88). Two probes (206282_at and 1556057_s_at) are available for NeuroD1 (A and B, respectively). C and D, effects of NeuroD1 on the survival of NB patients older than 1 year.

Figure 7.

Kaplan–Meier analysis of the prognosis of NB patients in relation to NeruoD1 expression. A and B, Kaplan–Meier analysis of the AMC cohort (n = 88). Two probes (206282_at and 1556057_s_at) are available for NeuroD1 (A and B, respectively). C and D, effects of NeuroD1 on the survival of NB patients older than 1 year.

Close modal

Furthermore, we stratified the samples by MYCN amplification and age because these are important prognosis factors for NB. With regard to the relationship between NeuroD1 expression and MYCN status on survival probability of patients, we could not draw a conclusion, probably because of the limited number of patients with amplified MYCN (data not shown). On the contrary, when we stratified the samples by age, we obtained a significant effect of the NeuroD1 expression on survival of patients older than 1 year with one probe (206282_at; Fig. 7C). For another probe (1556057_s_at), we observed the same tendency as noted for the first probe, although larger and more balanced samples are needed to obtain firm statistical results: the P values were 0.041, in overall survival probability, and 0.063, in relapse-free survival probability (Fig. 7D).

In this study, we have demonstrated that NeuroD1 is highly expressed in the neuroblast hyperplastic region, which is hypothesized to be a precancerous lesion of NB, suggesting that NeuroD1 is involved in NB tumorigenesis. Evidence in support of this hypothesis includes the fact that NeuroD1 knockdown led to suppression of NB cell motility and NB tumor sphere growth. Consequently, NeuroD1 knockdown suppressed in vivo tumor growth derived from tumor sphere cells. Consistent with these data, high expression of NeuroD1 was closely associated with poor prognosis of NB patients. Taken together, our data suggest that NeuroD1 plays a critical role in NB tumorigenesis.

Our results concur with the report by Revet and colleagues that inhibition of cell proliferation and anchorage-independent growth of a NB cell line by the Phox2B downstream target Msx1 is accompanied by downregulation of NeuroD1 (14). However, they found no significant difference in NeuroD1 expressions in NB and ganglioneuroma (differentiated benign tumor); this finding does not necessarily fit in with our results. Therefore, further studies are needed for understanding the roles of NeuroD1, particularly in terms of neural differentiation and NB tumorigenesis. In this context, it may be important to discuss the stemness of the neural progenitors and NB cells. NeuroD1 is expressed in proliferating neuronal progenitor cells not only during embryogenesis but also during adult neurogenesis. Its loss leads to a reduction in the number of differentiated neurons, such as cerebellar granule cells, the dentate gyrus cells, inner ear sensory neurons, amacrine cells, and newborn neurons in the adult hippocampus and olfactory bulb (4–10). In adult neurogenesis, the Wnt pathway activates β-catenin, which accumulates in the nucleus where it forms an activating complex with T-cell factor/lymphoid enhancer factor (TCF/LEF). The complex binds to the Sox/LEF element located in the promoter region of the NeuroD1 gene and activates the transcription of NeuroD1. Thereafter, the neurogenesis process begins in the neural progenitor cells (9, 10). NeuroD1 may preserve the stemness of the neural progenitor cells, that is, it may promote self-renewal and differentiation. Furthermore, our findings showing its involvement in NB tumorigenesis support this idea. Interestingly, NeuroD1 was heterogeneously expressed, that is, it was not expressed in all the cells, and it was expressed in hyperplastic regions of 2-week-old MYCN Tg mice and NB tumors of MYCN Tg mice. Furthermore, NeuroD1 knockdown led to growth suppression of tumor spheres and in vivo tumors derived from tumor sphere cells. Considering that tumor-initiating cells are enriched in tumor spheres (24), it is conceivable that NeuroD1 is involved in the stemness property of NB cells. In line with this idea, NeuroD1 expression was induced in hyperplatic regions of MYCN Tg mice during the first 2 weeks after birth, thus suggesting that dynamic molecular events occur in these regions and lead to NB development.

Slit proteins (Slit1–Slit3) are secreted as extracellular matrix-associated glycoproteins and function as ligands for the repulsive guidance receptor Roundabout (Robo1–Robo4) family. Slit2 is known to bind with the Robo 1 receptor and regulates the migration of neurons during development (25). In the present study, we found that NeuroD1 downregulated Slit2 expression and promoted cell motility whereas NeuroD1 knockdown upregulated Slit2 expression and inhibited cell motility. This is the first study to illustrate an inverse relationship between NeuroD1 and Slit2. Significantly, Slit2 knockdown in NeuroD1-knockdown cells restored cell motility. Therefore, Slit2 is, at least partly, involved in the NeuroD1-mediated regulation of cell motility. Cell motility is closely linked to tumor invasion and metastasis. Indeed, in our allograft NB model, we can find metastasized small tumors in the ipsilateral axillary lymph nodes usually at approximately 4 weeks after sphere cell inoculation (data not shown). Evidence in support of our findings includes the fact that Slit2 is considered a candidate tumor suppressor gene; it is frequently inactivated in various cancers due to hypermethylation of its promoter region and allelic loss. Slit2 has a close relationship with cell migration and growth in tumor development (26–29). However, we did not observe a significant relationship between Slit2 expression and NB patient survival (data not shown). This may suggest that Slit2 does not entirely account for the role of NeuroD1 in NB development, although it is an important player downstream from NeuroD1.

In summary, we found an inverse relationship between NeuroD1 and Slit2 expression. NeuroD1 promotes cell motility and growth of tumor spheres as well as in vivo tumor growth. NeuroD1-mediated cell motility is at least in part due to Slit2 suppression. Our findings highlight the close relation of early neurogenesis and NB tumorigenesis and provide candidate molecular targets for the development of NB therapy.

No potential conflicts of interest were disclosed.

We thank Motoshi Suzuki (Nagoya University) for instruction us in FACS analysis, Didier Trono from the Swiss Federal Institute of Technology (EPFL, Switzerland) for providing the Lentivirus Packaging and Production plasmids psPAX2 and pMD2.G, and Hiroyuki Miyoshi from the Subteam for Manipulation of Cell Fate, RIKEN BioResource Center (Japan), and Atsushi Miyawaki from RIKEN Brain Science Institute (Japan) for providing the cDNA expression vector CSII-CMV-RfA-IRES2-Venus and control vector CSII-CMV-Venus. We also thank Tomoko Masuoka and Misako Tanase for their technical assistance.

This work was supported in part by a Grant-in-Aid for Cancer Research (20-13) from the Ministry of Health, Labour and Welfare, Japan, to K. Kadomatsu, by Grants-in-Aid (22790311 to S. Kishida; 21790317 to Y. Murakami-Tonami) from the Ministry of Education, Culture, Sports, Science, and Technology (MEXT), Japan, by a Grant-in-Aid from the Ministry of Agriculture, Forestry and Fisheries, Japan, to K. Kadomatsu and A. Onishi, and by funds from the Global COE program of MEXT, Japan, to Nagoya University.

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.

1.
Naya
FJ
,
Huang
H-P
,
Qiu
Y
,
Mutoh
H
,
DeMayo
FJ
,
Leiter
AB
, et al
Diabetes, defective pancreatic morphogenesis, and abnormal enteroendocrine differentiation in BETA2/NeuroD-deficient mice
.
Genes Dev
1997
;
11
:
2323
34
.
2.
Lee
JE
,
Hollenberg
SM
,
Snider
L
,
Turner
DL
,
Lipnick
N
,
Weintraub
H
. 
Conversion of Xenopus ectoderm into neurons by NeuroD, a basic helix-loop-helix protein
.
Science
1995
;
268
:
836
44
.
3.
Miyata
T
,
Maeda
T
,
Lee
JE
. 
NeuroD is required for differentiation of the granule cells in the cerebellum and hippocampus
.
Genes Dev
1999
;
13
:
1647
52
.
4.
Schwab
MH
,
Bartholomae
A
,
Heimrich
B
,
Feldmeyer
D
,
Druffel-Augustin
S
,
Goebbels
S
, et al
Neuronal basic helix-loop-helix proteins (NEX and BETA2/Neuro D) regulate terminal granule cell differentiation in the hippocampus
.
J Neurosci
2000
;
20
:
3714
24
.
5.
Kim
WY
,
Fritzsch
B
,
Serls
A
,
Bakel
LA
,
Huang
EJ
,
Reichardt
LF
, et al
NeuroD-null mice are deaf due to a severe loss of the inner ear sensory neurons during development
.
Development
2001
;
128
:
417
26
.
6.
Liu
M
,
Pereira
FA
,
Price
SD
,
Chu
M-j
,
Shope
C
,
Himes
D
, et al
Essential role of BETA2/NeuroD1 in development of the vestibular and auditory systems
.
Genes Dev
2000
;
14
:
2839
54
.
7.
Morrow
EM
,
Furukawa
T
,
Lee
JE
,
Cepko
CL
. 
NeuroD regulates multiple functions in the developing neural retina in rodent
.
Development
1999
;
126
:
23
36
.
8.
Kuwabara
T
,
Hsieh
J
,
Muotri
A
,
Yeo
G
,
Warashina
M
,
Lie
DC
, et al
Wnt-mediated activation of NeuroD1 and retro-elements during adult neurogenesis
.
Nat Neurosci
2009
;
12
:
1097
105
.
9.
Gao
Z
,
Ure
K
,
Ables
JL
,
Lagace
DC
,
Nave
K-A
,
Goebbels
S
, et al
Neurod1 is essential for the survival and maturation of adult-born neurons
.
Nat Neurosci
2009
;
12
:
1090
2
.
10.
Nakagawara
A
,
Ohira
M
. 
Comprehensive genomics linking between neural development and cancer: neuroblastoma as a model
.
Cancer Lett
2004
;
204
:
213
24
.
11.
Howard
MJ
. 
Mechanisms and perspectives on differentiation of autonomic neurons
.
Dev Biol
2005
;
277
:
271
86
.
12.
Raabe
EH
,
Laudenslager
M
,
Winter
C
,
Wasserman
N
,
Cole
K
,
LaQuaglia
M
, et al
Prevalence and functional consequence of PHOX2B mutations in neuroblastoma
.
Oncogene
2007
;
27
:
469
76
.
13.
Reiff
T
,
Tsarovina
K
,
Majdazari
A
,
Schmidt
M
,
del Pino
I
,
Rohrer
H
. 
Neuroblastoma Phox2b variants stimulate proliferation and dedifferentiation of immature sympathetic neurons
.
J Neurosci
2010
;
30
:
905
15
.
14.
Revet
I
,
Huizenga
G
,
Chan
A
,
Koster
J
,
Volckmann
R
,
van Sluis
P
, et al
The MSX1 homeobox transcription factor is a downstream target of PHOX2B and activates the Delta-Notch pathway in neuroblastoma
.
Exp Cell Res
2008
;
314
:
707
19
.
15.
Jögi
A
,
Øra
I
,
Nilsson
H
,
Poellinger
L
,
Axelson
H
,
Påhlman
S
. 
Hypoxia-induced dedifferentiation in neuroblastoma cells
.
Cancer Lett
2003
;
197
:
145
50
.
16.
Brodeur
GM
. 
Neuroblastoma: biological insights into a clinical enigma
.
Nat Rev Cancer
2003
;
3
:
203
16
.
17.
Guillemot
F
,
Lo
L-C
,
Johnson
JE
,
Auerbach
A
,
Anderson
DJ
,
Joyner
AL
. 
Mammalian achaete-scute homolog 1 is required for the early development of olfactory and autonomic neurons
.
Cell
1993
;
75
:
463
76
.
18.
Roybon
L
,
Hjalt
T
,
Stott
S
,
Guillemot
F
,
Li
J-Y
,
Brundin
P
. 
Neurogenin2 directs granule neuroblast production and amplification while NeuroD1 specifies neuronal fate during hippocampal neurogenesis
.
PLoS One
2009
;
4
:
e4779
.
19.
Shida
T
,
Furuya
M
,
Kishimoto
T
,
Nikaido
T
,
Tanizawa
T
,
Koda
K
, et al
The expression of NeuroD and mASH1 in the gastroenteropancreatic neuroendocrine tumors
.
Mod Pathol
2008
;
21
:
1363
70
.
20.
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
.
21.
Hansford
LM
,
Thomas
WD
,
Keating
JM
,
Burkhart
CA
,
Peaston
AE
,
Norris
MD
, et al
Mechanisms of embryonal tumor initiation: distinct roles for MycN expression and MYCN amplification
.
Proc Natl Acad Sci U S A
2004
;
101
:
12664
9
.
22.
Naya
FJ
,
Stellrecht
CM
,
Tsai
MJ
. 
Tissue-specific regulation of the insulin gene by a novel basic helix-loop-helix transcription factor
.
Genes Dev
1995
;
9
:
1009
19
.
23.
Huang
S
,
Laoukili
J
,
Epping
MT
,
Koster
J
,
Hölzel
M
,
Westerman
BA
, et al
ZNF423 is critically required for retinoic acid-induced differentiation and is a marker of neuroblastoma outcome
.
Cancer Cell
2009
;
15
:
328
40
.
24.
Hansford
LM
,
McKee
AE
,
Zhang
L
,
George
RE
,
Gerstle
JT
,
Thorner
PS
, et al
Neuroblastoma cells isolated from bone marrow metastases contain a naturally enriched tumor-initiating cell
.
Cancer Res
2007
;
67
:
11234
43
.
25.
Wong
K
,
Ren
X-R
,
Huang
Y-Z
,
Xie
Y
,
Liu
G
,
Saito
H
, et al
Signal transduction in neuronal migration: roles of GTPase activating proteins and the small GTPase Cdc42 in the Slit-Robo pathway
.
Cell
2001
;
107
:
209
21
.
26.
Prasad
A
,
Paruchuri
V
,
Preet
A
,
Latif
F
,
Ganju
RK
. 
Slit-2 induces a tumor-suppressive effect by regulating β-catenin in breast cancer cells
.
J Biol Chem
2008
;
283
:
26624
33
.
27.
Tseng
R-C
,
Lee
S-H
,
Hsu
H-S
,
Chen
B-H
,
Tsai
W-C
,
Tzao
C
, et al
Slit2 attenuation during lung cancer progression deregulates {beta}-catenin and e-cadherin and associates with poor prognosis
.
Cancer Res
2010
;
70
:
543
51
.
28.
Mertsch
S
,
Schmitz
N
,
Jeibmann
A
,
Geng
J-G
,
Paulus
W
,
Senner
V
. 
Slit2 involvement in glioma cell migration is mediated by Robo1 receptor
.
J Neurooncol
2008
;
87
:
1
7
.
29.
Kim
HK
,
Zhang
H
,
Li
H
,
Wu
T-T
,
Swisher
S
,
He
D
, et al
Slit2 inhibits growth and metastasis of fibrosarcoma and squamous cell carcinoma
.
Neoplasia
2008
;
10
:
1411
20
.

Supplementary data