Article | Open | Published:

Complete Acid Ceramidase ablation prevents cancer-initiating cell formation in melanoma cells

Scientific Reportsvolume 7, Article number: 7411 (2017) | Download Citation


Acid ceramidase (AC) is a lysosomal cysteine hydrolase that catalyzes the conversion of ceramide into fatty acid and sphingosine. This reaction lowers intracellular ceramide levels and concomitantly generates sphingosine used for sphingosine-1-phosphate (S1P) production. Since increases in ceramide and consequent decreases of S1P reduce proliferation of various cancers, AC might offer a new target for anti-tumor therapy. Here we used CrispR-Cas9-mediated gene editing to delete the gene encoding for AC, ASAH1, in human A375 melanoma cells. ASAH1-null clones show significantly greater accumulation of long-chain saturated ceramides that are substrate for AC. As seen with administration of exogenous ceramide, AC ablation blocks cell cycle progression and accelerates senescence. Importantly, ASAH1-null cells also lose the ability to form cancer-initiating cells and to undergo self-renewal, which is suggestive of a key role for AC in maintaining malignancy and self-renewal of invasive melanoma cells. The results suggest that AC inhibitors might find therapeutic use as adjuvant therapy for advanced melanoma.


Acid ceramidase (N-acylsphingosine deacylase, #EC; AC) is a lysosomal cysteine hydrolase encoded by the ASAH1 gene, which catalyzes the conversion of ceramide into fatty acid and sphingosine1. This reaction lowers intracellular ceramide levels and concomitantly generates the substrate needed for sphingosine-1-phosphate (S1P) production by sphingosine kinases1. Ceramide and S1P serve important, but often opposing, functions in normal and cancer cell signaling: most notably, ceramide decreases whereas S1P increases the proliferation of a variety of cancer cells in cultures2,3,4. Thus, maintaining a dynamic equilibrium between the intracellular levels of ceramide and those of S1P, a primary function of intracellular AC activity, has emerged as a potential objective for cancer therapy5, 6. Three complementary lines of evidence support this idea. First, ASAH1 transcription is abnormally elevated in various cancers including melanoma, glioma and prostate cancer3, 5, 7,8,9. This upward regulation is thought to confer resistance to apoptosis and stimulate proliferation and invasiveness of cancer cells7, 10, 11. Indeed, it has been suggested that the cytotoxic actions of certain drugs (e.g. dacarbazine, anthracyclines) depend on the ability of these agents to increase the intracellular levels of ceramide12,13,14. Second, pharmacological inhibition of AC activity sensitizes prostate cancer cells to the effects of radiation15 and fenretinide16, promotes Fas-induced apoptosis in head-and-neck cancer17, increases daunorubicin cytotoxicity in hepatoma cells18 and enhances cytotoxicity of several classes of chemotherapeutic drugs in colon cancer19 and melanoma cells5, 8. Finally, siRNA-guided silencing of the ASAH1 gene reduces hepatocellular carcinoma growth in vivo 18 and synergizes with silencing of Akt to enhance death in a variety of cancer cell lines in vitro 20, 21.

In addition to these roles in apoptosis and chemoresistance, ceramide is also implicated in the regulation of cellular senescence. The levels of this lipid molecule are significantly elevated in senescent cells and application of its cell-permeant analog C6 accelerates senescence in colon adenocarcinoma and lung cancer cells13, 22. Ceramide is also involved in the control of stem-cell differentiation and embryo development23. Mutant mice in which ASAH1 is deleted by homologous recombination do not survive beyond the embryonic 2-cell stage and undergo apoptotic cell death, while treatment with exogenous S1P rescues embryonic AC-null stem cells and permits their survival24.

The role of AC in balancing ceramide and sphingosine/S1P levels is reasonably well established. The consequences of the long-term suppression of this balance by removal of AC are unknown, because all experiments conducted thus far have relied upon gene silencing or pharmacological approaches that do not achieve complete and prolonged AC suppression19, 20, 25. To overcome this limitation, in the present study we used CrispR/Cas9-mediated gene editing to remove the ASAH1 gene and its protein product from A375 melanoma cells, which are known for their high invasiveness and self-renewal capabilities26.

Materials and Methods

Cell cultures

Human epithelial melanoma A375 cells were purchased from American Type Culture Collection (Manassas, VA) and cultured in Dulbecco’s Modified Eagle’s Medium (DMEM) supplemented with 10% fetal bovine serum (FBS), 2 mM L-glutamine and antibiotics (penicillin, streptomycin) at 37 °C and 5% CO2.

Crisp/Cas9 design, transfection, and transduction–A

CrispR/Cas9 gRNA targeting ASAH1 exon 6 –ATAAATACATTCGTGCCAAGTGG - was designed and cloned into pKLV-U6gRNA(BbsI)-PGKpuro2ABFP (#50946Addgene, MA, USA) following a standard protocol27. This protocol provides experimentally derived guidelines to select the target sites and evaluate cleavage efficiency and off-target activity. Transduction was performed using HIV-1 packaging and Vescicular Stomatitis virus pseudotyped envelope. This vector contains Blue Fluorescent Protein (BFP) and, as outlined above, gRNA targeting exon 6. We have used a multiplicity of infection (MOI) of 1, as described28. The A375 cell line was first transduced with the lentiviral vector. Three days after transduction, A375 cells were sequentially diluted in 96-well plates to isolate clones expressing BFP and gRNA. BFP-positive clones were further transfected with a U6Ex6pspCAS9-GFP plasmid (#48138 Addgene, MA, USA) bearing a gRNA targeting exon 2 – GGACTAAGGCGACGCAACTC - using JetPEI reagent (Polypus transfectionTM, Illkrich, France) and following manufacturer’s instructions. After 48 h, the cells were sorted by flow cytometry. Deletions and cleavage activity were monitored by nested PCR, 5 days after sorting, using two primer pairs as follows: forward out ACTTTGAAATCCAACCCG, forward in GGAGGAAACACAGCCGCTT, reverse in CCACCACCTGCATAATTTTT, reverse out. CGAAGAGGTTGCTGAATT. Off-target activity was measured in 293 T using Surveyor Nuclease Assay (IDT, Coralville, Iowa, USA) following the manufacturer’s protocol. The phenotype recovery of ASAH1-null cells was assessed using a commercially available plasmid containing the ASAH1 cDNA under control of the CMV promoter (#RG212434 Origene, Rockville, MD). Transfection efficiency was approximately 50%, as assessed by FACS analysis.

RNA isolation, cDNA synthesis and real-time quantitative PCR

Total RNA was extracted 17 days after sorting, using the RNeasy Mini Kit (Qiagen, Venlo, Netherlands) following manufacturer’s protocol. Samples were treated with DNase supplied in the kit and cDNA synthesis was performed using 100 ng of purified RNA and the Pico PCR cDNA Synthesis Kit (Clonetech, Mountain View, CA), according to the provided protocol. First-strand cDNA was amplified using the iQ SYBR Green SuperMix (Life Technologies, Carlsbad, CA). ASAH1 primer sequence: forward AGTTGCGTCGCCTTAGTCCT; reverse TGCACCTCTGTACGTTGGTC. Quantitative PCR was performed in a 96-well PCR plate and run at 95 °C for 10 min followed by 40 cycles, each cycle consisting of 15 sec at 95 °C and 1 min at 60 °C, using a CFX96 Thermal Cycler (Touch™ Real-Time detection System, BioRad). Primers used to monitor expression of senescence-related genes were obtained from BioRad, those to detect apoptosis were from Qiagen (RT² Profiler PCR Array System - PAHS-012A). Data analysis was performed to determine relative gene expression and stability compared to two different housekeeping genes (glyceraldehyde 3-phosphate dehydrogenase, GAPDH and hypoxanthine-guanine phosphoribosyltransferase, HPRT) and using the on-line software developed by BioRad and Qiagen. Briefly, relative expression of genes of interest was calculated by the equation 2-ΔCt, where ΔCt was calculated by subtracting the Ct value of the geometric mean of the housekeeping genes from the Ct value for the genes of interest. Real Time reactions to evaluate the stem-cell profile were performed using the following primers:


Immunocytochemistry, senescence and apoptosis assays

Cells (104/well) were seeded, 10 days after sorting, on glass chamber slides. Fixed in 4% paraformaldehyde for 10 min and permeabilized in 0.1% Triton × 100-PBS for 15 min. After blocking with 5% goat serum in 0.1% Triton × 100-PBS for 1 h, cells were incubated with anti-AC primary antibody (1:200, Sigma-Aldrich, Saint Louis, Missouri) overnight at 4 °C. Bound primary antibodies were detected with the avidin-biotin complex detection system (AbCam, Cambridge, UK). Nuclei were stained with haematoxylin (Diapath, Martinengo, Italy).

To assess senescence, 17 days after sorting, cells were washed in phosphate-buffered saline (PBS), fixed with 2% paraformaldehyde at room temperature for 5 min and again washed with PBS. Cells were then incubated with fresh senescence-associated stain solution [1 mg/mL 5-bromo-4-chloro-3-indolyl P3-D-galactoside (X-Gal), 40 mM citric acid/sodium phosphate pH 6.0, 5 mM potassium ferrocyanide, 150 mM NaCl, 2 mM MgCl2] at 37 °C and in the absence of CO2. Staining was detectable from 2–4 h and maximal in 12–16 h. To detect apoptotic bodies, the terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) method was utilized with an ApoMark DNA Fragmentation Detection Kit (Funakoshi, Tokyo, Japan). Images were collected with a Zeiss LSM 800 confocal microscope with a 60X magnification and 1.4 numerical aperture objective lens.

Flow cytometry: senescence, apoptosis, and cell cycle assay

A typical marker of apoptosis-mediated cellular self-destruction is the activation of nucleases that eventually degrade the nuclear DNA into fragments of approximately 200 base pairs in length29. The presence of such laddered DNA was investigated by labeling the DNA strand breaks using APO-BrdU™ TUNEL Assay Kit (Invitrogen, Waltham, MA). Senescence was studied by flow cytometry, performed 20 days after CRISPR/Cas9 ablation, using a fluoreporter lacZ/Galactosidase quantitation Kit (Life Technologies), which stains the cells with a β–galactosidase substrate that is hydrolyzed to a blue fluorescent compound in senescent cells. A375 cells treated with scrambled gRNA and empty plasmid backbone were used as controls. Cell cycle assays were performed using a Cyflow CUBE 8 Sorter (Partec, Kobe, Japan). Briefly, 17 days after the CRISPR/Cas9 ablation, A375 cells were detached from 6-well plates by tripsin treatment, pelleted by centrifugation at 300xg for 5 min and washed in PBS. The cells were then fixed in cold 70% ethanol at 4 °C for 30 min, washed twice with PBS, pelleted again and treated with RNase (100 μg/mL) and propidium iodide (50 μg/mL). Data were analyzed using the FSC Express 4 software (DeNovo™ Software, Glendale, CA).

Cell invasion assay and soft agar assay

Invasion assays were performed using Bio Coat Matrigel invasion chambers (BD Biosciences, Franklin Lakes, USA). Cells were trypsinized, resuspended in serum-free medium DMEM and counted by Trypan-blue exclusion method. An equal number of live cells were then plated in the bottom chamber containing 10% FBS as chemoattractant and incubated at 37 °C for 48 h. Invading cells were fixed in methanol and stained with 0.2% crystal violet. After drying overnight, cells were counted using the ImagePro 6.2 software (Media Cybernetics, Warrendale, PA). Soft agar assays were performed as described30, in parallel with the invasion assay. Briefly, 3 × 104/well cells were seeded in triplicate into 6-well plates, stained with 0.2% crystal violet and counted one week later using the ImageJ software ( These experiments were assessed 30 days after CRISPR/Cas9 ablation.

Proliferation assay

A375 cells (104/well), 17 days after CRISPR/Cas9 ablation, were seeded in 96-well plates with 0,1 mL complete DMEM and allowed to adhere overnight. WST-1 [3-(4,5-dimethyl-2-thiazolyl)-2,5-diphenyl-2H-tetrazolium bromide, 10 µl] buffer from Quick Cell Proliferation Assay Kit (Biovision, San Francisco, California) was added to each well and incubated at 37 °C for 1 h. Absorbance (420 nm) was measured with a μQUANT multiplate reader (Bio-Tek Instruments, Bejing, China).

Tumor-sphere formation assay

Tumor spheres are solid and spherical formations derived from proliferation of one cancer initiating cell. Tumor-spheres are easily distinguishable from single or aggregated cells. To determine the ability to form tumor-spheres, cells (200/well) were kept for one week in DMEM (10%FBS, high glucose 4.5 g/l,Thermo Fisher, MA, UK) and then cultured in the presence of serum-free DMEM F12, under non-adherent conditions by precoating the 96-well plates with 2% 2-hydroxyethyl methacrylate (poly-HEMA, Sigma). This experiment was started after 30 weeks the CRISPR/Cas9 ablation.

Lipid extraction

Lipids were extracted according to Bligh and Dyer31. Samples were transferred to glass vials and liquid-liquid extraction was performed using a chloroform:methanol mixture (1:2 v/v, 2 mL) with final 0.1% trifluoroacetic acid (TFA), and spiked with internal standards (i.s.). After mixing for 30 s, chloroform (0.6 mL) and water (0.6 mL) were sequentially added and the samples were vortexed after each addition. The samples were centrifuged after 20 days the RT-PCR screening, for 15 min at 3,500xg at 4 °C. After centrifugation, the aqueous (upper) and organic (lower) phases were separated by a protein disk. The organic phase was transferred to glass vials. The aqueous fraction was extracted again with chloroform (1 mL). Both organic phases were pooled, dried under N2 and residues were dissolved in methanol/chloroform (9:1 v/v; 0.1 mL) and transferred to glass vials for analyses. LC-MS analyses - Samples were analyzed by LC-MS using an Acquity UPLC system coupled with Xevo triple-quadrupole mass spectrometer (Waters) as previously described32.

Statistical analysis

GraphPad Prism software V5.03 (GraphPad Software, Inc., USA) was used for statistical analysis. Data were analyzed using the Student’s t-test or 2-way ANOVA for multiple comparisons. Differences between groups were considered statistically significant at values of p < 0.05. Results are expressed as mean ± S.E.M of at least 3 independent experiments.


CrispR/Cas9 deletion of the ASAH1 gene

We used the CrispR/Cas9 system to delete the ASAH1 gene in A375 melanoma cells. In its standard application, this technique disrupts coding sequences by targeting one critical site in a gene of interest27. Here, to ensure total removal of ASAH1, we targeted two sites in parallel and selected clones for double cuts and consequent deletion events. We designed gRNAs to guide Cas9 towards two critical exons of the ASAH1 gene. Figure 1A illustrates the structure of this gene and a schematic summary of guides predicted using an online tool ( Among hundreds available, two guides were chosen based on their anticipated high selectivity and low off-target activity. Figure 1B shows the nested PCR products obtained from various clones of A375 cells: 16 such clones displayed deletion in homozygosis and were used for further experiments (see, for example, clones f, g, h, i, Fig. 1B ). Clones that showed deletion in heterozygosis were discarded (e.g., clones c and d, Fig. 1B). A surveyor nuclease assay was performed on two loci (Fig. 1A) to identify off-target activity: no cuts were detected, indicating that neither site was affected by cleavage (Fig. 1C). RT-PCR analyses of ASAH1-null clones, collected five days after gene editing, confirmed that ASAH1 was no longer transcribed (Fig. 1D).

Figure 1
Figure 1

Deletion of the ASAH1 gene in A375 melanoma cells. (A) Schematic structure of the ASAH1 gene. Red bars indicate gRNA recognition sites, arrows indicate the annealing of nested PCR primers. Predicted guide score and possible off-target sites are also shown. (B) Nested PCR analysis of the ASAH1 gene showing events ofdeletion in heterozygosis (a, b, c, e), in homozygosis (f, g, h, i). (C) Surveyor Nuclease Assay on two loci indicated in panel (A) demonstrating the lack of detectable off-target activities of the guides utilized in the present study. (D) RT-PCR analysis shows lack of ASAH1 transcription in deleted clones. ASAH1 transcripts are still present in clones with single insertion/deletion (InDel) mutations (c).

CrispR/Cas9 ablation of the AC protein

Next, we assessed the effect of CrispR/Cas9 gene editing on AC protein levels. Five days after editing, A375 cells were either fixed with paraformaldehyde or lysed, and the presence of AC was assessed by immunocytochemistry or Western blot, respectively. The results show that AC expression was intact in naïve and scramble-treated cells, but was suppressed in ASAH1-null cells (Fig. 2A,B).

Figure 2
Figure 2

AC deletion in A375 melanoma cells. (A) Immunocytochemical analysis showing AC expression in control scramble-treated (left) and ASAH1-null (right) A375 cells. (B) Western blot analyses demonstrate the presence of AC in control scramble-treated but not in ASAH1-null cells. Arrow indicates AC. ß-actin was used as loading control.

AC ablation blocks G1/S cell cycle progression

The cell-permeant ceramide analog C6 causes cell cycle arrest in G1/S by up-regulating in a dose-dependent manner the kinase inhibitor p27and by modulating retinoblastoma (Rb) protein function during G2/M progression33. We assessed the impact of AC ablation on the cell cycle using flow cytometry. As shown in Fig. 3A,B, only 2% of ASAH1-null cells entered the G2 phase, compared to 25% scramble-treated control cells. The remaining ASAH1-null cells were found in G1 (63%) or S (35%) phase. The finding that 98% of ASAH1-null cells are slower in completing the cell cycle confirms the key role of AC in regulating cell cycle progression.

Figure 3
Figure 3

AC deletion stops G1-S cell cycle progression. (A) Cell cycle progression was assessed using propidium iodide and flow cytometry analysis. Dot plots show different distribution between G1, S and G2 phases in control (scramble-treated, top) versus ASAH1-null cells (bottom). (B) Statistical analysis of the cell cycle distribution was performed using the Student’s t test; *p < 0.05, ** p < 0,01,***p < 0.001,. Experiments were performed 17 days after CRISPR/Cas9 ablation.

AC ablation promotes senescence

Exogenous C6 accelerates senescence in human fibroblasts34. Flow cytometry experiments in ASAH1-null cells confirmed this finding and showed that approximately 38% of the cells were positive to β-galactosidase versus 18% scramble-treated control cells (Fig. 4A,B). Similarly, ASAH1 deletion was accompanied by the appearance of a phenotype characterized by senescence-like cell morphology and accumulation of senescence-associated β-galactosidase (Fig. 4C). Furthermore RT-PCR quantification of 20 mRNAs encoding for genes involved in the induction of senescence (S. Table 1) revealed profound changes (Fig. 4D) in the expression of micropthalmia-associated transcription factor (MITF), which controls the DNA damage response and a lineage-specific senescence program in melanoma35, and CHK1, which impacts various stages of the cell cycle, including the S phase, the G2/M transition and the M phase36.

Figure 4
Figure 4

AC deletion accelerates senescence. (A) Flow cytometry of senescence-associated β-galactosidase on control (scramble-treated, left) and ASAH1-null A375 cells. (B) Number of β-gal positive cells in the experiments illustrated in (A). Results are expressed as mean ± SEM, n = 3, **p < 0,01, Student’s t test. (C) β-galactosidase (β-gal) staining of control (scramble-treated, left) andASAH1-null A375 cells (right). (D) Real-Time PCR of key genes involved in senescence and cell cycle progression in control (scramble-treated) or ASAH1-null cells. Results are expressed as mean ± SEM, n = 3, with each experiment performed in technical and biological triplicates: experiments were performed using three replicates each and repeated three times, *p < 0.05, **p < 0,01,***p < 0.001, Student’s t test. Experiments were performed 20 days after CRISPR/Cas9 ablation.

AC ablation causes apoptosis

In alternative to senescence, treatment with exogenous ceramide can also promote apoptosis33, 37. This finding was confirmed in ASAH1-null cultures by fluorescence microscopy, which showed early blebbing of nuclei (Fig. 5A), as well as by immunocytochemistry studies, where extensive presence of apoptotic bodies was detected in these cultures (Fig. 5B). Flow cytometry experiments revealed higher apoptosis in ASAH1-null cells, 22% of which stained for ApoBRdU compared to 3% scramble-treated control cells (Fig. 5C–E). The impact of AC deletion on apoptosis was confirmed by RT-PCR analysis of a panel of 89 genes involved in this process as well as in cell cycle control (S. Table 1). As shown in Fig. 5D, ASAH1 deletion significantly down-regulated key genes implicated in cell cycle progression and cell survival. Among the surveyed genes, a significant reduction in expression was observed with TRAF2 (p < 0.012), MYC (p < 0.048) and CYCLIN D1 (p < 0.044), with a trend of reduction for AKT1 (not statistically significant). In contrast, the ceramide activated proapoptotic factor BAX 38 was upregulated by ASAH1 deletion (p < 0.028). No significant changes were seen in the remaining gene transcripts profiled in this experiment (S. Table 1).

Figure 5
Figure 5

AC deletion causes apoptosis. (A) ApoBRDU nuclear staining in ASAH1-null (left) and control (scramble-treated) cells (right). (B) Immunostaining show the presence of apoptotic bodies in A375 ASAH1-null but not in control (scramble-treated). (C) Flow cytometry analysis after ApoBRDU staining shows increased apoptotic events in ASAH1-null cells after 10 days in culture. (D) Real-Time PCR quantification of gene transcripts related to apoptosis in ASAH1-null and control cells. Results are expressed as mean ± SEM, n = 3, with each experiment performed in technical and biological triplicates: experiments were performed using three replicates each and repeated three times. *p < 0.05, **p < 0,01,***p < 0.001, Student’s t test. (E) Statistical analysis of positive marked nuclei after ApoBRDU staining, results are expressed as mean ± SEM, n = 3, with each experiment performed in technical and biological triplicates: experiments were performed using three replicates each and repeated three times. *p < 0.05, **p < 0,01,***p < 0.001, Student’s t test. Experiments were performed 17 days after CRISPR/Cas9 ablation.

AC ablation prevents tumor cancer-initiating cell formation and self-renewal

Cancer-initiating cells contribute in important ways to the heterogeneity and tumorigenesis of melanoma39, but the possible role of AC in the proliferation and differentiation of this subpopulation of cells is still unclear24. To address this question, we tested the ability of ASAH1-null cells to aggregate into tumor spheroids when cultured in poly-HEMA-coated plates40. The results show that scramble-treated control cells form a substantial number of spheroids, whereas ASAH1-null cells completely lack this capacity (Fig. 6A,B). To test the ability of ASAH1-null cells to undergo self-renewal, we repeated the experiment seeding individual cells in complete DMEM after poly-HEMA selection. Control A375 cells colonized an average of 28 wells, whereas virtually no wells were colonized by the ASAH1-null clones (Fig. 6C). Finally, we used RT-PCR to evaluate possible changes in melanoma markers induced by ASAH1 deletion. No alterations were seen in the levels of SOX2, CD133, CD166, ALDH1A1 and ABC. By contrast, profound downregulations were observed with CD271 (7 folds), SOX10 (5 folds) and ALDH1A3 (16 folds) (Fig. 6D). SOX10 expression is controlled by MITF 41, which was also found to be downregulated (Fig. 4D).

Figure 6
Figure 6

AC deletion suppresses cancer-initiating cell formation and self-renewal. (A) Cancer-initiating cell formation on Poly-HEMA-coated plates and vitality assays in control (scramble-treated, left) and ASAH1-null A375 cells (right). (B) Viability of cells in Poly-HEMA plates. *p < 0.05, ** p < 0,01,***p < 0.001; Student’s t test. (C) Self-renewal assay in control (scramble-treated) and ASAH1-null A375 cells: no wells were colonized by ASAH1-null cells indicating suppression of self-renewal capabilities. *p < 0.05, ** p < 0,01,***p < 0.001, Student’s t test. (C) Real-time PCR showing downregulation of SOX10, which is consistent with the observed downregulation of MITF. Two crucial genes related to cancer initiating cells formation and metabolism of xenobiotics were downregulated, CD271 and also ALDH1A3. Results are expressed as mean ± SEM, n = 3, with each experiment performed in technical and biological triplicates: experiments were performed using three replicates each and repeated three times. *p < 0.05, **p < 0,01,***p < 0.001, Student’s t test. Poly-HEMA and self-renewal experiments were performed after 30 days the CRISPR/Cas9 ablation. RNA extraction for Real-Time PCR was performed 35 days after CRISPR/Cas9 ablation.

AC ablation causes growth arrest and decreases malignancy

Proliferation assays showed that ASAH1-null cells have a slower replication rate compared to naïve or scrambled-transfected cells (Fig. 7A,D). Moreover, ASAH1-null cells showed a markedly reduced ability to invade (Fig. 7B), and to form colonies in soft agar (p < 0.01, Fig. 7C). The results suggest that ASAH1 and its encoded AC protein are crucial to maintain cancer cell malignancy.

Figure 7
Figure 7

AC deletion causes growth arrest and decreases malignancy. (A) Proliferation assay in control (scramble-treated) and ASAH1-null A375 cells. Results are expressed as mean ± SEM, n = 12, *p < 0.05, **p < 0,01,***p < 0.001, Student’s t test.(B) Invasion assay showing ASAH1-null cells that have decreased ability to invade using fetal bovine serum as chemoattractant. Results are expressed as mean ± SEM, n = 12, *P < 0.05, **p < 0,01,***P < 0.001; Student’s t test. (C) Soft Agar assay showing a marked reduction in colony formation of ASAH1-null compared to control cells (solid bar: scramble treated; empty bar: naïve). Results are expressed as mean ± SEM, n = 10, with each experiment performed in two independent groups of cells. *p < 0.05, ** p < 0,01,***p < 0.001, Student’s t test. (D) Images taken 10 days after treatment demonstrating growth reduction in ASAH1-null cells (left) compared to control scramble-treated cells (right). Cell invasion and soft-agar assays were assessed 30 days after RT-PCR screening. Proliferation was evaluated 17 days after ASAH1 gene ablation.

AC ablation alters ceramide levels

We used a targeted lipidomics approach32 to assess the impact of AC deletion on the sphingolipidome of A375 cells. Compared to control cells (naïve or scramble-treated), all ASAH1-null clones showed significantly greater accumulation of long-chain saturated ceramides (C14:0, C16:0 and C18:0 ceramides, Fig. 8A), which are preferred substrates for AC activity. By contrast, no significant differences were seen in longer-chain saturated or unsaturated ceramides that are not cleaved by AC (C24:0 and C24:1). The levels of dihydroceramides [cer(d18:0/16:0)] were not affected, whereas slight non-significant increases were noted in the levels of sphingosine, possibly due to compensative effects by other enzymes19. An increase in the accumulation of sphingomyelins and hexosylceramides containing 18:0 ceramide chain was also observed (Fig. 8B).

Figure 8
Figure 8

AC deletion alters the sphingolipidome of A375 melanoma cells. (A) Levels of medium-chain ceramides (C14:0, C16:0 and C18:0), dihydroceramides and sphingosine in various clones of control and ASAH1-null cells. (B) Levels of sphingomyelins and glucosylceramides in the same clones. Results are expressed as mean ± SEM (n = 3), with each experiment performed in two independent groups of cells. *p < 0.05, **p < 0.01, one-way ANOVA followed by Tukey’s test. Experiments were performed on pellets obtained 20 days after ASAH1 ablation and repeated three times.

AC recovery partially restores the A735 phenotype

Lastly, ASAH1-null cells were transfected with a plasmid containing the ASAH1 cDNA. ASAH1 transfection partially restored expression of many genes altered by CRISPR-mediated ASAH1 ablation (Fig. 9A). In addition, ASAH1 transfection increased self-renewal capability of ASAH1-null cells (Fig. 9B) and partially rescued them from G1/S blockade (Fig. 9C).

Figure 9
Figure 9

AC transfection partially restores phenotype in AC-null A735 cells. (A) Real-Time PCR performed 2 days after transfection with pASAH1 shows, as expected, a strong over-expression of ASAH1 and a complete recovery of ALDH1A3, BAX, CD271, MITF and MYC expression. AKT, CCD1, SOX10 and TRAF showed partial expression recovery. No difference was observed in CHECK1 expression. Results are expressed as mean ± SEM, n = 3, with each experiment performed in technical and biological triplicates: experiments were performed using three replicates each and repeated three times. *p < 0.05, ** p < 0,01, ***p < 0.001, Student’s t test. (B) Self-renewal assay in control (scramble-treated), ASAH1-null transfected with pASAH1 and ASAH1-null A375 cells show a recovery of self-renewal capabilities of ASAH1-null cells transfected with ASAH-1 cDNA. Results are expressed as mean ± SEM, n = 3, with each experiment performed in technical and biological triplicates: experiments were performed using three replicates each and repeated three times. *p < 0.05, ** p < 0,01,***p < 0.001, Student’s t test. (C) The rescue of cell cycle progression was assessed using propidium iodide and flow cytometry analysis. Dot plots show different distribution between G1, S and G2 phases in control (scramble-treated ASAH1-null cells) versus ASAH1-null cells transfected with pASAH1. *p < 0.05, **p < 0,01,***p < 0.001, Student’s t test. Recovery assays were performed on cells that were frozen at −80° in FBS and DMSO, 30 days after the CRISPR/Cas9 ablation.


The present study provides the first detailed description of the impact exerted by complete depletion of the ASAH1 gene, encoding for the lipid amidase AC, in a human melanoma cell line. Previous studies using pharmacological or gene-silencing approaches have linked lowered AC activity to increased apoptosis, senescence and cell growth arrest2, 25. However, in these studies complete and permanent AC suppression was never achieved, and the roles of this enzyme in controlling the fate of melanoma cells remain therefore unclear. Here, we used the CrispR/Cas9 system to generate A375 melanoma cells in which AC is totally and stably depleted by a large deletion event in its encoding ASAH1 gene. The results show that AC ablation perturbs ceramide metabolism and directs A375 cells toward either apoptosis or senescence. Importantly, our findings indicate for the first time that AC deletion deprives A375 cells of the ability to form tumor-initiating cells and causes a dramatic reduction in self-renewal, a result that points to AC blockade as a potential therapeutic option for the treatment of metastatic melanoma, in which cancer initiating cells are thought to play an obligatory role39, 42. These findings are also independently supported by a recent study showing that prostate cancer cells, with lowered levels of AC, are less prone to proliferate and metastasize in vivo 43. To confirm this evidence, the upregulation of AC was related to the escape process from radiotherapy-induced apoptosis of prostate cancer cells44.

As expected from prior work19, AC ablation causes substantial changes in the cellular sphingolipidome. We found that ASAH1-null cells accumulate abnormally high levels of ceramides that are preferred substrates for AC (C14:0, C16:0 and C18:0). By contrast, no differences were seen in longer-chain saturated or unsaturated ceramides that are not recognized by this enzyme (e.g. 24:0 and 24:1). While substantial, ceramide changes following complete AC ablation were comparable to those observed in A375 cells treated with pharmacological inhibitors such as ARN08019 or ARN149888 in which blockade of AC activity was only partial. There are two non-exclusive explanations for this finding. The first is that adaptive alterations in sphingolipid metabolism, e.g. in de novo synthesis of ceramides, might compensate for the complete removal of AC. A second possibility is that different cell states might be associated with different levels of ceramide accumulation. Consistent with this view, we found that AC ablation forces A375 cells toward three mutually exclusive fates – apoptosis, senescence or growth arrest – which are represented in the same clones but are likely to be associated with distinct ceramide concentrations. The lipid profile of each clone would represent the algebraic summation of the profiles associated with each of those states.

Our results show that AC ablation strongly perturbs the rate of proliferation, growth and invasiveness of A375 cells. These alterations are accompanied by marked transcriptional changes in genes involved in those processes. As illustrated in Fig. 10, ceramide is connected to those genes through a network of interactions that can influence cellular fate in profound ways. Previous pharmacological and gene-silencing experiments have suggested that AC participates in the control of cancer cell proliferation and malignancy45, 46. In the present report, the complete suppression of AC expression was found to cause a stronger reduction in proliferation and invasion capabilities compared to previous studies20. As described, the cell-permeant ceramide analog C6 causes cell cycle arrest in the G1/S phase25. We found the same phenomenon in ASAH1-null cells, of which only 4% enter the G2 phase, compared to 25% in control cells. The mechanism underlying this effect is unknown, but is likely to involve the downregulation of MYC, CDK1, CHK1 and AKT. These genes are part of a regulatory network that is critical for G1/S transition and for coordinating S-G2-M progression36. MYC and AKT are also directly regulated by ceramide (Fig. 10), which suppresses their activity47, 48. Because AKT also regulates autophagy and AC over-expression increases this process, in concert with lysosomal density49 it is tempting to speculate that ASAH1-null cells may display a decreased degree of autophagy and might be therefore less prone to the “insult-ready” phenotype described by Liu et al.49.

Figure 10
Figure 10

Regulation of cell fate by ceramide. Hypothetic model showing potential interactions of ceramide with various factors involved in cell cycle, stemness, senescence and apoptosis.

Ceramide plays a crucial role in the regulation of apoptosis49. Consistent to this view, we found that 22% of ASAH1-null cells undergo apoptosis within the first week in culture. As this experiment was conducted on clonal populations, it suggests that cells derived from the same clone react differently to the absence of AC. It is possible, indeed, that AC ablation may lead to stochastic perturbations in lipid profile, which might lead to different cell fates. Testing this hypothesis will require additional experimentations. RT-PCR studies elucidated the activation of various pathways involved in the regulation of apoptosis. The pro-apoptotic factor BAX, which is induced by ceramide38, is upregulated in ASAH1-null cells. As shown in Fig. 10, BAX interacts with BCL2, interfering with the pro-survival pathway regulated by this factor50. This interaction leads to a cascade of events in which cytochrome c is released from mitochondria due to a loss in membrane potential51. On the other hand, the anti-apoptotic factor TRAF2 is downregulated following AC ablation. TRAF2 interacts with TNF receptors and functions as a mediator of the anti-apoptotic signals emanated from these receptors52. TRAF2 downregulation might activate NF-kB and pro-inflammatory events of TNF-α53.

Ceramide levels increase when cells enter senescence22. We observed that the fraction of ASAH1-null cells that did not become apoptotic (38%) were positive to the senescence-associated marker ß-galactosidase54. This was accompanied by a profound downregulation of MITF, a transcription factor that controls melanocyte differentiation and development55. Decreased MITF expression has been described in senescent melanocytes and its downregulation has been shown to promote senescence in melanoma cells56.

The most surprising and, possibly, most important finding of the present study is that cancer-initiating cell generation is virtually abolished in ASAH1-null cells. This striking effect is associated with a marked suppression of two stemness markers, CD271 and SOX10, the latter of which is also known to enhance MITF transcription57. These results suggest that AC blockade interferes with self-renewal and cancer-initiating cell generation in the highly invasive A375 melanoma cell line. Downregulation of ALDH1A3, which encodes for the most abundant aldehyde dehydrogenase isoform present in melanoma, suggests a weakened response to detoxification58. ALDH1A3 is involved in cellular detoxification, differentiation and drug resistance through the oxidation of cellular aldehydes59. Moreover, ALDH1A3 is a marker of normal and malignant melanoma and a predictor of poor clinical outcome in this form of cancer58. The observed ablation of cancer-initiating cell formation and self-renewal appears, in conclusion, to be dependent on AC and suggests that AC inhibitors may find therapeutic use as adjuvant therapy in advanced melanoma.

Additional information

Publisher's note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.


  1. 1.

    Mao, C. & Obeid, L. M. Ceramidases: regulators of cellular responses mediated by ceramide, sphingosine, and sphingosine-1-phosphate. Biochim Biophys Acta 1781, 424–434 (2008).

  2. 2.

    Alphonse, G. et al. Ceramide induces activation of the mitochondrial/caspases pathway in Jurkat and SCC61 cells sensitive to gamma-radiation but activation of this sequence is defective in radioresistant SQ20B cells. Int J Radiat Biol 78, 821–835 (2002).

  3. 3.

    Abuhusain, H. J. et al. A metabolic shift favoring sphingosine 1-phosphate at the expense of ceramide controls glioblastoma angiogenesis. J Biol Chem 288, 37355–37364 (2013).

  4. 4.

    Beckham, T. H. et al. Acid ceramidase induces sphingosine kinase 1/S1P receptor 2-mediated activation of oncogenic Akt signaling. Oncogenesis 2, e49 (2013).

  5. 5.

    Bedia, C., Casas, J., Andrieu-Abadie, N., Fabrias, G. & Levade, T. Acid ceramidase expression modulates the sensitivity of A375 melanoma cells to dacarbazine. J Biol Chem 286, 28200–28209 (2011).

  6. 6.

    Beckham, T. H. et al. Acid ceramidase promotes nuclear export of PTEN through sphingosine 1-phosphate mediated Akt signaling. PLoS One 8, e76593 (2013).

  7. 7.

    Saad, A. F. et al. The functional effects of acid ceramidase overexpression in prostate cancer progression and resistance to chemotherapy. Cancer Biol Ther 6, 1455–1460 (2007).

  8. 8.

    Realini, N. et al. Acid Ceramidase in Melanoma: Expression, Localization and Effects of Pharmacological Inhibition. J Biol Chem (2015).

  9. 9.

    Seelan, R. S. et al. Human acid ceramidase is overexpressed but not mutated in prostate cancer. Genes Chromosomes Cancer 29, 137–146 (2000).

  10. 10.

    Park, J. H. & Schuchman, E. H. Acid ceramidase and human disease. Biochim Biophys Acta 1758, 2133–2138 (2006).

  11. 11.

    Zeidan, Y. H. et al. Molecular targeting of acid ceramidase: implications to cancer therapy. Curr Drug Targets 9, 653–661 (2008).

  12. 12.

    Hajj, C., Becker-Flegler, K. A. & Haimovitz-Friedman, A. Novel mechanisms of action of classical chemotherapeutic agents on sphingolipid pathways. Biol Chem 396, 669–679 (2015).

  13. 13.

    Galadari, S., Rahman, A., Pallichankandy, S. & Thayyullathil, F. Tumor suppressive functions of ceramide: evidence and mechanisms. Apoptosis 20, 689–711 (2015).

  14. 14.

    Dany, M. & Ogretmen, B. Ceramide induced mitophagy and tumor suppression. Biochim Biophys Acta 1853, 2834–2845 (2015).

  15. 15.

    Mahdy, A. E. et al. Acid ceramidase upregulation in prostate cancer cells confers resistance to radiation: AC inhibition, a potential radiosensitizer. Mol Ther 17, 430–438 (2009).

  16. 16.

    Gouaze-Andersson, V. et al. Inhibition of acid ceramidase by a 2-substituted aminoethanol amide synergistically sensitizes prostate cancer cells to N-(4-hydroxyphenyl) retinamide. Prostate 71, 1064–1073 (2011).

  17. 17.

    Elojeimy, S. et al. Role of acid ceramidase in resistance to FasL: therapeutic approaches based on acid ceramidase inhibitors and FasL gene therapy. Mol Ther 15, 1259–1263 (2007).

  18. 18.

    Morales, A. et al. Pharmacological inhibition or small interfering RNA targeting acid ceramidase sensitizes hepatoma cells to chemotherapy and reduces tumor growth in vivo. Oncogene 26, 905–916 (2007).

  19. 19.

    Realini, N. et al. Discovery of highly potent acid ceramidase inhibitors with in vitro tumor chemosensitizing activity. Sci Rep 3, 1035 (2013).

  20. 20.

    Berndt, N., Patel, R., Yang, H., Balasis, M. E. & Sebti, S. M. Akt2 and acid ceramidase cooperate to induce cell invasion and resistance to apoptosis. Cell Cycle 12, 2024–2032 (2013).

  21. 21.

    Feng, H. et al. EGFR phosphorylation of DCBLD2 recruits TRAF6 and stimulates AKT-promoted tumorigenesis. J Clin Invest 124, 3741–3756 (2014).

  22. 22.

    Venable, M. E., Lee, J. Y., Smyth, M. J., Bielawska, A. & Obeid, L. M. Role of ceramide in cellular senescence. J Biol Chem 270, 30701–30708 (1995).

  23. 23.

    Bieberich, E. Ceramide signaling in cancer and stem cells. Future Lipidol 3, 273–300 (2008).

  24. 24.

    Eliyahu, E., Park, J. H., Shtraizent, N., He, X. & Schuchman, E. H. Acid ceramidase is a novel factor required for early embryo survival. FASEB J 21, 1403–1409 (2007).

  25. 25.

    Hannun, Y. A. & Obeid, L. M. Principles of bioactive lipid signalling: lessons from sphingolipids. Nat Rev Mol Cell Biol 9, 139–150 (2008).

  26. 26.

    Santini, R. et al. SOX2 regulates self-renewal and tumorigenicity of human melanoma-initiating cells. Oncogene 33, 4697–4708 (2014).

  27. 27.

    Chen, X. et al. Dual sgRNA-directed gene knockout using CRISPR/Cas9 technology in Caenorhabditis elegans. Sci Rep 4, 7581 (2014).

  28. 28.

    Lai, M. et al. Gene editing of DNAH11 restores normal cilia motility in primary ciliary dyskinesia. J Med Genet 53, 242–249 (2016).

  29. 29.

    Ran, F. A. et al. Genome engineering using the CRISPR-Cas9 system. Nat Protoc 8, 2281–2308 (2013).

  30. 30.

    Chu, V. T. et al. Increasing the efficiency of homology-directed repair for CRISPR-Cas9-induced precise gene editing in mammalian cells. Nat Biotechnol 33, 543–548 (2015).

  31. 31.

    Bligh, E. G. & Dyer, W. J. A rapid method of total lipid extraction and purification. Can J Biochem Physiol 37, 911–917 (1959).

  32. 32.

    Basit, A., Piomelli, D. & Armirotti, A. Rapid evaluation of 25 key sphingolipids and phosphosphingolipids in human plasma by LC-MS/MS. Anal Bioanal Chem 407, 5189–5198 (2015).

  33. 33.

    Obeid, L. M., Linardic, C. M., Karolak, L. A. & Hannun, Y. A. Programmed cell death induced by ceramide. Science 259, 1769–1771 (1993).

  34. 34.

    Venable, M. E. & Yin, X. Ceramide induces endothelial cell senescence. Cell Biochem Funct 27, 547–551 (2009).

  35. 35.

    Wellbrock, C. et al. Oncogenic BRAF regulates melanoma proliferation through the lineage specific factor MITF. PLoS One 3, e2734 (2008).

  36. 36.

    Bartek, J. & Lukas, J. Mammalian G1- and S-phase checkpoints in response to DNA damage. Curr Opin Cell Biol 13, 738–747 (2001).

  37. 37.

    Astarita, G. et al. Methamphetamine accelerates cellular senescence through stimulation of de novo ceramide biosynthesis. PLoS One 10, e0116961 (2015).

  38. 38.

    Kim, R., Minami, K., Nishimoto, N. & Toge, T. Enhancement of antitumor effect by intratumoral administration of bax gene in combination with anticancer drugs in gastric cancer. Int J Oncol 18, 363–367 (2001).

  39. 39.

    Lee, N., Barthel, S. R. & Schatton, T. Melanoma stem cells and metastasis: mimicking hematopoietic cell trafficking? Lab Invest 94, 13–30 (2014).

  40. 40.

    Ozsvari, B., Lamb, R. & Lisanti, M. P. Repurposing of FDA-approved drugs against cancer - focus on metastasis. Aging (Albany NY) 8, 567–568 (2016).

  41. 41.

    Potterf, S. B., Furumura, M., Dunn, K. J., Arnheiter, H. & Pavan, W. J. Transcription factor hierarchy in Waardenburg syndrome: regulation of MITF expression by SOX10 and PAX3. Hum Genet 107, 1–6 (2000).

  42. 42.

    Boiko, A. D. et al. Human melanoma-initiating cells express neural crest nerve growth factor receptor CD271. Nature 466, 133–137 (2010).

  43. 43.

    Camacho, L. et al. Acid ceramidase as a therapeutic target in metastatic prostate cancer. J Lipid Res 54, 1207–1220 (2013).

  44. 44.

    Cheng, J. C. et al. Radiation-induced acid ceramidase confers prostate cancer resistance and tumor relapse. The Journal of clinical investigation 123, 4344–4358 (2013).

  45. 45.

    Li, C. M. et al. Insertional mutagenesis of the mouse acid ceramidase gene leads to early embryonic lethality in homozygotes and progressive lipid storage disease in heterozygotes. Genomics 79, 218–224 (2002).

  46. 46.

    Roh, J. L., Park, J. Y., Kim, E. H. & Jang, H. J. Targeting acid ceramidase sensitises head and neck cancer to cisplatin. Eur J Cancer 52, 163–172 (2016).

  47. 47.

    Stratford, S., Hoehn, K. L., Liu, F. & Summers, S. A. Regulation of insulin action by ceramide: dual mechanisms linking ceramide accumulation to the inhibition of Akt/protein kinase B. J Biol Chem 279, 36608–36615 (2004).

  48. 48.

    Sultan, I. et al. Regulation of the sphingosine-recycling pathway for ceramide generation by oxidative stress, and its role in controlling c-Myc/Max function. Biochem J 393, 513–521 (2006).

  49. 49.

    Turner, L. S. et al. Autophagy is increased in prostate cancer cells overexpressing acid ceramidase and enhances resistance to C6 ceramide. Prostate Cancer Prostatic Dis 14, 30–37 (2011).

  50. 50.

    Teni, T., Pawar, S., Sanghvi, V. & Saranath, D. Expression of bcl-2 and bax in chewing tobacco-induced oral cancers and oral lesions from India. Pathol Oncol Res 8, 109–114 (2002).

  51. 51.

    Heise, T. et al. The La protein counteracts cisplatin-induced cell death by stimulating protein synthesis of anti-apoptotic factor Bcl2. Oncotarget (2016).

  52. 52.

    Borghi, A., Verstrepen, L. & Beyaert, R. TRAF2 multitasking in TNF receptor-induced signaling to NF-kappaB, MAP kinases and cell death. Biochem Pharmacol (2016).

  53. 53.

    Zhang, L. et al. TRAF2 exerts opposing effects on basal and TNFalpha-induced activation of the classic IKK complex in hematopoietic cells in mice. J Cell Sci 129, 1455–1467 (2016).

  54. 54.

    Lee, B. Y. et al. Senescence-associated beta-galactosidase is lysosomal beta-galactosidase. Aging Cell 5, 187–195 (2006).

  55. 55.

    Levy, C., Khaled, M. & Fisher, D. E. MITF: master regulator of melanocyte development and melanoma oncogene. Trends Mol Med 12, 406–414 (2006).

  56. 56.

    Giuliano, S. et al. Microphthalmia-associated transcription factor controls the DNA damage response and a lineage-specific senescence program in melanomas. Cancer Res 70, 3813–3822 (2010).

  57. 57.

    Bondurand, N. et al. Interaction among SOX10, PAX3 and MITF, three genes altered in Waardenburg syndrome. Hum Mol Genet 9, 1907–1917 (2000).

  58. 58.

    Luo, Y. et al. ALDH1A isozymes are markers of human melanoma stem cells and potential therapeutic targets. Stem Cells 30, 2100–2113 (2012).

  59. 59.

    Shao, C. et al. Essential role of aldehyde dehydrogenase 1A3 for the maintenance of non-small cell lung cancer stem cells is associated with the STAT3 pathway. Clin Cancer Res 20, 4154–4166 (2014).

Download references

Author information


  1. Drug Discovery and Development, Istituto Italiano di Tecnologia, Genova, 16163, Italy

    • Michele Lai
    •  & Natalia Realini
  2. Pisa Science Foundation, Pisa, 56121, Italy

    • Michele Lai
    • , Marco La Ferla
    •  & Chiara Maria Mazzanti
  3. Retrovirus Center and Virology Section, Department of Translational Research, University of Pisa, Pisa, Italy

    • Michele Lai
    • , Ilaria Passalacqua
    • , Giulia Matteoli
    •  & Mauro Pistello
  4. Departments of Anatomy and Neurobiology, Pharmacology and Biological Chemistry, University of California, Irvine, CA, 92617, USA

    • Michele Lai
    •  & Daniele Piomelli
  5. Department of Dermatology, University of California, Irvine, California, 92868, USA

    • Anand Ganesan


  1. Search for Michele Lai in:

  2. Search for Natalia Realini in:

  3. Search for Marco La Ferla in:

  4. Search for Ilaria Passalacqua in:

  5. Search for Giulia Matteoli in:

  6. Search for Anand Ganesan in:

  7. Search for Mauro Pistello in:

  8. Search for Chiara Maria Mazzanti in:

  9. Search for Daniele Piomelli in:


M. Lai and D. Piomelli ideated the project and wrote the manuscript. N. Realini carried out lipidomic analyses and analyzed the data shown in Figure 8. I. Passalacqua, M. La Ferla and Giulia Matteoli helped with cell biology and FACS analyses, providing the data shown in Figures 3 and 7. A. Ganesan and M. Pistello reviewed the manuscript. C.M. Mazzanti coordinated the experiments on cancer biology and helped with trascriptomic profiles.

Competing Interests

The authors declare that they have no competing interests.

Corresponding authors

Correspondence to Chiara Maria Mazzanti or Daniele Piomelli.

Electronic supplementary material

About this article

Publication history





Further reading


By submitting a comment you agree to abide by our Terms and Community Guidelines. If you find something abusive or that does not comply with our terms or guidelines please flag it as inappropriate.