Suppressor of Ty homolog-5, a novel tumor-specific human telomerase reverse transcriptase promoter-binding protein and activator in colon cancer cells.

The human telomerase reverse transcriptase (hTERT) promoter promotes differential hTERT gene expression in tumor cells and normal cells. However, information on the mechanisms underlying the differential hTERT transcription and induction of telomerase activity in tumor cells is limited. In the present study, suppressor of Ty homolog-5 (SPT5), a protein encoded by the SUPT5H gene, was identified as a novel tumor-specific hTERT promoter-binding protein and activator in colon cancer cells. We verified the tumor-specific binding activity of SPT5 to the hTERT promoter in vitro and in vivo and detected high expression levels of SUPT5H in colorectal cancer cell lines and primary human colorectal cancer tissues. SUPT5H was more highly expressed in colorectal cancer cases with distant metastasis than in cases without distant metastasis. Inhibition of endogenous SUPT5H expression by SUPT5H gene-specific short hairpin RNAs effectively attenuated hTERT promoter-driven green fluorescent protein (GFP) expression, whereas no detectable effects on CMV promoter-driven GFP expression in the same cells were observed. In addition, inhibition of SUPT5H expression not only effectively repressed telomerase activity, accelerated telomere shortening, and promoted cell senescence in colon cancer cells, but also suppressed cancer cell growth and migration. Our results demonstrated that SPT5 contributes to the up-regulation of hTERT expression and tumor development, and SUPT5H may potentially be used as a novel tumor biomarker and/or cancer therapeutic target.


INTRODUCTION
The human telomerase holoenzyme comprises a telomerase reverse transcriptase (hTERT), telomerase RNA component, and telomerase accessory proteins [1,2]. As the core catalytic subunit of telomerase holoenzyme, hTERT synthesizes telomeric DNA repeats onto the ends of chromosomes to maintain chromosomal integrity and stability [3]. With the exception of stem and germ cells and other highly proliferating cells, telomerase is continuously repressed in most normal somatic tissues. In contrast, 70%-90% of cancer cells stably express this enzyme, which is reactivated during malignant transformation [4,5]. In human cancer, expression of telomerase is positively correlated with tumor aggressiveness and metastatic potential [6][7][8][9][10]. There is a striking correlation between the presence of hTERT mRNA and telomerase activity [11], suggesting that hTERT expression is regulated by changes in the rate of transcription. Diverse transcription factors critically control the process of its transcription. Lack of hTERT expression in normal cells may be due to one or more repressors. Several transcription factors, including oncogene products (e.g., c-Myc) and tumor suppressor gene products (e.g., WT1 and p53), control hTERT transcription when overexpressed [12], although its role in inducing hTERT activation during carcinogenesis remains elusive.
We speculate that some transcription factors existing in human colon cancer cells differentially or specifically bind to the hTERT promoter to facilitate hTERT expression and promote tumorigenesis and development. The present study provides evidence that the suppressor of Ty homolog-5 (SPT5), a protein encoded by the SUPT5H gene, is a novel tumor-specific hTERT promoter-binding protein in colon cancer cells. Our results demonstrate that SPT5 contributes to the upregulation of hTERT expression and tumor development, and SUPT5H maybe a novel tumor biomarker or a cancer therapeutic target.

Detection and identification of tumor-specific hTERT promoter-binding proteins
The streptavidin-agarose bead pull-down assay is a reliable approach for the detection of DNAbinding proteins such as transactivators, coactivators, and mediators. We designed and synthesized a 438-bp 5′-biotinylated double-stranded oligonucleotide DNA probe corresponding to the 5′-flanking sequence of the hTERT gene from −378 to +60. Nuclear proteins were extracted from a normal colon epithelial cell line (CCD 841 CoN) and colon cancer cell line (RKO), respectively. The hTERT promoter probe was incubated with nuclear proteins and streptavidin-agarose beads to pull down DNA-bound proteins by centrifugation, which is mainly based on the high binding affinity of biotinylated DNA to streptavidin-agarose beads. hTERT promoter-binding proteins were separated by 12% SDS-PAGE and stained with Comassie brilliant blue, as shown in Figure 1. 5 pairs of discrepant sections were cut out and digested. The peptide mixture was extracted and analyzed using an MDLC system coupled with a Thermo Finnigan 2-D linear ion trap mass spectrometer. By peptide mapping using internet-based proteomics tools, we identified one candidate tumor-specific hTERT promoter-binding protein is transcription elongation factor SPT5, which is a protein encoded by the SUPT5H gene.

Validation of SPT5 as a tumor-specific hTERT promoter-binding protein
ChIP is generally employed to determine specific interactions between a particular protein and DNA in vivo. We adopted this technique to verify the specific binding of the SPT5 protein to the hTERT promoter. A specific antibody against SPT5 was used to precipitate chromatin and normal IgG was used as negative control. After PCR amplification, the products were separated by gel electrophoresis. ChIP analysis showed distinct DNA bands in the SPT5-antibody immunoprecipitated samples of the colon cancer cell lines, SW620, HT29, Colo320, RKO, and HCE8693, while no DNA bands were observed in normal colon epithelial cell line, CCD 841 CoN ( Figure 2). These results indicate that the SPT5 protein directly and specifically binds to the hTERT promoter region in colon cancer cell lines.
SUPT5H and hTERT expression in human colon cancer cell lines SUPT5H was highly expressed in the nuclei of human colon cancer cell lines, RKO and HT29, but nearly silenced in the normal colon epithelial cell line, CCD 841 CoN ( Figure 3A). Meanwhile hTERT mRNA was also highly expressed in these colon cancer cell lines compared with the normal colon epithelial cell line ( Figure 3B).

Positive correlation between SUPT5H and hTERT mRNA expression in 150 cases of colorectal cancer tissues
Real-time RT-PCR was used to compare the expression level of SUPT5H and hTERT mRNA between colorectal cancer tissues and case-matched normal colorectal tissues of 150 primary colorectal cancer patients. The results showed that SUPT5H and hTERT mRNA expression levels in cancer tissues were both significantly higher than those in case-matched normal colorectal tissues (p < 0.05; Figure 3C). Furthermore, as shown in Table 1, the results of the chi-square test and Spearman's correlation (rho = 0.726) indicated a statistically significant correlation between the levels of mRNA expression of SUPT5H and hTERT (p < 0.05).

Correlation between SUPT5H protein expression and clinicopathological features in 100 primary colorectal cancer patients
We further investigated SUPT5H protein expression in 10 cases of normal colon mucosa tissues and 100 cases of colorectal cancer tissues by immunohistochemistry. SUPT5H was expressed at a much higher level in the nucleus and cytoplasm of colorectal cancer tissues than in normal colon mucosa tissues ( Figure 3D). Table 2 shows that the high level of expression of SUPT5H in colorectal cancer cases was significantly correlated with distant metastasis (p < 0.05).

Inhibition of SPT5 expression by shRNA in RKO and HT29 cells
The expression of SPT5 protein in colon cancer cells (RKO, HT29) was suppressed by SUPT5H-specific shRNA. Western blot analysis was employed to confirm the effectiveness of inhibition. RKO-shSNC and HT29-shSNC were used as negative controls. Three clones of RKO (shSUPT5H-1, shSUPT5H-2, and shSUPT5H-3) and three clones of HT29 (shSUPT5H-1, shSUPT5H-2, and shSUPT5H-3), which had lower expression levels of the SPT5 protein in the nuclei than that observed in the negative control and wild-type cells, were adopted for further investigation ( Figure 4A).

SUPT5H-specfic shRNA
To investigate the role of SPT5 protein in the regulation of hTERT promoter-driven GFP expression, SUPT5H-specific shRNA transfected cells, negative control cells, and wild-type cells were adopted, as previously mentioned. The results showed that inhibition of SPT5 expression by SUPT5H-specific shRNA attenuated hTERT promoter-driven GFP expression in RKO and HT29 cells transfected with hTERT promoterdriven GFP vector, whereas no obvious effect on CMV promoter-driven GFP expression was observed (Figures 4B). Representative graphs of fluorescenceactivated cell sorting (FACS) were shown in Supplemental Figure 1. These results indicated that SPT5 is essential for hTERT promoter activity and SUPT5H transcriptionally activated hTERT promoter-driven gene expression in human colon cancer cells.

The effects of SUPT5H protein expression on telomerase activity and telomere length
We measured the telomerase activity and telomere length of wild-type cells, negative control cells (shNSC), and SUPT5H-specific shRNA transfected cells from normal colon epithelial cell line (CCD 841 CoN) and colon cancer cell line (RKO), respectively. The hTERT promoter probe was incubated with the nuclear proteins and streptavidin-agarose beads to pull down DNA-bound proteins by centrifugation. hTERT promoterbinding proteins were separated by 12% SDS-PAGE and stained with Comassie brilliant blue. By comparing the gel lanes, significantly discrepant sections were identified, cut horizontally, and digested. The peptide mixture was extracted and analyzed by using an MDLC system coupled with a Thermo Finnigan 2-D linear ion trap mass spectrometer. By peptide mapping using an internet-based proteomics tool, we identified the candidate tumor-specific hTERT promoter-binding protein as a transcription elongation factor, SPT5. The SDS-PAGE image shows the hTERT promoter-binding proteins. The arrow indicates the tumor cell-selective hTERT promoter-binding protein.
(shSUPT5H). A highly attenuated telomerase activity and shortened telomere length were detected in HT29-shSUPT5H-1 and RKO-shSUPT5H-1 cells treated with SUPT5H-specific shRNA compared to that observed in wild-type HT29, RKO and negative control cells, though the difference of shortened telomere length between RKO-shSUPT5H-1 cells and shNSC cells could not reach statistical significance (p < 0.05; Figures 5).

Inhibition of SUPT5H expression not only promoted cell senescence in colon cancer cells, but also effectively suppressed cancer cell growth and migration
Increased activity for senescence-associated β-galactosidase is one of the characteristic phenotypes of senescent cells. We investigated whether suppression binding of SPT5 protein to the hTERT promoter. A specific antibody against SPT5 was used to precipitate chromatin, and normal IgG was used as negative control. The ChIP assay generated significant DNA bands in the SPT5-antibody immunoprecipitated samples of various colon cancer cell lines (SW620, HT29, Colo320, RKO, and HCE8693). No DNA bands were observed in the normal colon epithelial cell line (CCD 841 CoN).

Figure 3: Expression of SUPT5H mRNA and protein levels and hTERT mRNA in human colorectal cancer. A. Western
blot was used to detect the expression of SPT5 protein in the nucleus of human colon cancer cell lines (RKO, HT29) and normal colon epithelial cell line (CCD 841 CoN). The results show that SUPT5H protein highly expressed in colon cancer cell lines, but almost silenced in normal colon epithelial cell line. B. hTERT mRNA was also highly expressed in these colon cancer cell lines compared with the normal colon epithelial cell line. C. The level of SUPT5H and hTERT mRNAexpression in 100 human colorectal cancer tissues was significantly higher than that in case-matched normal tissues. The measurements represent the means ± SD of triplicate experiments. *p < 0.05. D. Representative immunohistochemistry results show that SPT5 protein was highly expressed in the nucleus and cytoplasm of primary colorectal cancer tissues compared with that in case-matched normal tissues. Magnification, × 400. www.impactjournals.com/oncotarget of SUPT5H expression would be sufficient to induce premature senescence by assessing the number of senescence-associated β-galactosidase-stained cells. A higher number of senescent cells was observed in SUPT5H-knockdown cells (shSUPT5H) compared to that observed in wild-type cells or negative control cells (shNSC) ( Figure 6A). These findings indicated that suppression of SUPT5H expression induces senescence of colon cancer cells.
Stable SUPT5H-suppressed clones (shSUPT5H) were used to investigate the effects of SUPT5H expression on the proliferation of colon cancer cells. Colony formation assays showed that the inhibition of SUPT5H expression effectively suppressed the colony formation efficiency of transfected cells in both monolayer cultures ( Figure 6B) and soft agar ( Figure 6C), compared to that observed in wild-type cells and negative control cells (p < 0.05). To determine the effects of SUPT5H expression on the migration of colon cancer cells, a wound-healing assay was performed. shSUPT5H cells spent a significantly longer time (>48 h) to close a scratch wound than wild-type cells and negative control cells (shNSC) (Figure 7), suggesting that SUPT5H promotes the proliferation of colon cancer cells.

No effects of SUPT5H expression on cell cycle and apoptosis
We also determined whether suppression of SUPT5H expression was correlated with cell cycle arrest and apoptosis. No effects of SUPT5H expression on cell cycle and apoptosis were observed (data not shown).

DISCUSSION
Telomerase activity has been detected in more than 85% of human tumors, whereas in normal human somatic cells, it is either undetectable or present at significantly low levels. Malignant transformation from mortal, normal cells to immortal, cancer cells is generally associated with the activation of telomerase and subsequent telomere maintenance [13]. Tumor cells do so by inducing telomerase activity through hTERT transcriptional upregulation and hTERT expression, resulting in telomerase activity. In the present study, we identified that the transcription elongation factor SPT5, which is a protein encoded by the SUPT5H gene, is a novel tumor-specific human telomerase reverse transcriptase promoter-binding protein and activator in colon cancer cells. In all domains of life, elongating RNA polymerases require the assistance of accessory factors to maintain and regulate their rates of processivity. Among these elongation factors, SPT5 is of particular interest because it is the only RNA pol II-associated factor known to be conserved in all three kingdoms of life (NusG in bacteria, RpoE in Archaea) [14]. In Archaea and eukaryotes, SPT5 associates with a second protein, SPT4. In addition to regulating elongation, the eukaryotic SPT4-SPT5 complex appears to couple chromatin modification states and RNA processing to transcription elongation [15].
The present study determined that SUPT5H expression was apparently up-regulated in human colorectal cancer cell lines and primary cancer tissues. SUPT5H mRNA expression was positively correlated with hTERT mRNA expression, and SUPT5H protein expression was correlated with frequent distant metastasis in colorectal cancer patients. Although no report has described SUPT5H overexpression in colorectal cancer and other types of cancer, a previous study has demonstrated that SUPT5H is essential for the growth and proliferation of HeLa cells, and SUPT5H knockdown causes senescence [16]. Recently, SPT5 was also validated as a novel modifier of ERa protein levels in breast cancer cells. In addition, ERa intensity decreased with SUPT5H knockdown [17]. SPT5 was also confirmed as a relevant target of BRCA1 interaction in breast cancer. The cancer-associated BRCT domain defects in BRCA1 that suppressed the phosphorylated RNA polymerase II (RNAP II) carboxy terminal domain (P-CTD) cleavage and lethality in yeast also suppressed the physical interaction of BRCA1 with human SPT5 in breast epithelial cells. Furthermore, enhanced P-CTD cleavage was observed in both yeast and human breast cells following UV-irradiation, indicating a conserved eukaryotic damage response. Therefore, the defects in this conserved BRCA1-dependent RNAP II cleavage and degradation pathway may be critical for the initiation of breast and/or ovarian cancer [18]. SPT5 mainly functions as an adaptor that mediates interaction of different factors with RNAP II [19]. Recruitment of SPT4-SPT5 to polymerase is mediated by a direct interaction between the RNAP II clamp domain and the SPT5 NGN domain [20]. Similar to the RNAP II CTD, SPT5 contains a series of short repeating sequence motifs at or near its C terminus, known as C-terminal repeats (CTR). The phosphorylation of SPT5 CTR and RNAP II CTR by P-TEFb complex, which is composed of CDK9 and cyclin-T (CCNT1 or CCNT2), is critical for SPT5 to exert its positive effect on transcription elongation [21]. Phosphorylated SPT5 CTR serves as a recruitment platform for the PAF complex, which recruits the other factors involved in chromatin modification and mRNA maturation [22][23][24]. A core promoter region of hTERT gene contains several putative transcription factor binding elements, including potential binding sites for Sp1, c-Myc, AP-2, AP-4, and NF-1 [25][26][27][28][29], which suggests that hTERT expression is regulated by different factors in various cellular contexts. Different factors may be involved in hTERT promoter regulation in different tumor cell lineages. Recently, two E-boxes (CACGTG), as well as a novel element (MT-box) were also identified in the hTERT promoter in a number of differentiation systems [30]. However, due to lack of complete structural information, the detailed function of SPT5 in the hTERT transcriptional process has yet to be investigated. The future work will study that whether the known binding sites in the SUPT5H gene are also present in the hTERT promoter and how SPT4-SPT5 engages and modulates the properties of elongating RNAP II during hTERT transcription. shSUPT5H-3) and three clones of HT29 (shSUPT5H-1, shSUPT5H-2, shSUPT5H-3), which have lower expression level of SUPT5H protein than negative control (RKO-shSNC, HT29-shSNC) and wild-type cells (RKO, HT29), were used in further study. B. Inhibition of SUPT5H expression by SUPT5H-specific shRNA attenuated hTERT promoter-driven GFP expression in RKO (shSUPT5H-1, shSUPT5H-2, shSUPT5H-3) and HT29 (shSUPT5H-1, shSUPT5H-2, shSUPT5H-3) cells transfected with hTERT promoter-driven GFP vector, while had no obvious effect on CMV promoter-driven GFP expression. The measurements represent the means ± SD of three independent experiments. *p < 0.05. www.impactjournals.com/oncotarget Telomere attrition contributes to genomic instability and may thereby promote the development of malignant cell transformation. Furthermore, telomerase may exert functions beyond telomere lengthening during tumorigenesis [31,32]. hTERT has been found to take part in DNA repair and to protect cells from undergoing cell cycle arrest and/or apoptosis, thus rendering cancer cells resistance against chemotherapeutic agents and/or radiation therapy [33][34][35]. We hypothesized that repressing hTERT activity by virtue of suppressing the expression of SUPT5H may give rise to anti-tumor effect, which was confirmed by the findings of the present study. Since SUPT5H suppression inhibited the growth and migration colon cancer cells in addition to promote senescence, though no effects on cell cycle and apoptosis were observed. However we also believe that SUPT5H may play an important role in colorectal cancer development by affecting genes other than hTERT. Because previously SPT4-SPT5 has been implicated in transcription-coupled DNA repair [36][37][38], a function  that is executed as part of the RNAP II elongation complex. Immunoglobulin class switch recombination and somatic hypermutation also requires mammalian SPT4-SPT5 [39,40]. Mechanistically, SPT4-SPT5 facilitates the targeting of this pathway by specifically interacting with activation-induced cytidine deaminase (AID), a key enzyme that initiates these processes, which recruits this enzyme to transcription sites where RNAP II dwells (or stalls). AID does not directly interact with RNAP II, SPT4-SPT5 most likely functions as an adaptor between AID and the RNAP II apparatus. In addition, SPT4 mutations affect chromosome segregation [41], and SPT4-SPT5 is required to restrict the spread of the histone H3 variant Cse4 away from centromeres. Interestingly, ChIP studies show that SPT4-SPT5 can be found in the vicinity of centromeres, and that this localization does not depend upon RNAP II [42].
In summary, we have established that SPT5 is a novel tumor cell-specific hTERT promoter-binding protein in colon cancer cells. SUPT5H overexpression activated hTERT mRNA expression. Significant up-regulation of SUPT5H expression was observed in human colorectal cancer tissues, and inhibition of SUPT5H expression imparted an anti-tumor effect on colon cancer cells. SUPT5H may potentially serve as a biomarker for oncogenesis and development of human colorectal cancer. Further studies on the function of SUPT5H and transcriptional regulation of hTERT could lead to a better understanding of the complex regulation of human telomerase in normal and cancer cells, as well as identify new strategies for anti-cancer therapy.

Cell lines, tumor samples, and normal control tissues
Normal colon epithelial (CCD 841 CoN) cell line and colon cancer cell lines (RKO, HT29, HCE8693, SW620, Colo320) were used in the present study. CCD 841 CoN were cultured in ATCC-formulated Eagle's minimum essential medium supplemented with 10% fetal bovine serum. The colon cancer cell lines were maintained in RPMI 1640 or Dulbecco's modified Eagle's medium with 10% fetal bovine serum. All cells were incubated in a humidified incubator supplied with 5% carbon dioxide. mRNA was extracted from a total of 150 colorectal cancer tissue samples and case-matched normal colorectal tissue samples (from the same cases) from colorectal cancer patients. The other 100 paraffin blocks of colorectal cancer tissue samples that were derived from colorectal cancer patients were prepared for immunohistochemical analysis. All participating patients have not received preoperative chemotherapy and underwent surgery at the Sir Run Run Shaw Hospital (Hangzhou, Zhejiang, China). Ten normal colon mucosa biopsy samples obtained from the healthy volunteers were used as normal controls. The ethics committee of Sir Run Run Shaw Hospital, Zhejiang University approved this study.

Adenoviral vector
GFP-expressing adenoviruses controlled by hTERT or CMV promoter were prepared as described elsewhere [43]. Ad/CMV-GFP was used as the vector control. Adenoviral vector amplification, purification, titration, and quality testing were performed as previously reported [44]. Particle/infectious unit ratios were 100:1.

DNA-protein binding assay
Binding of nuclear protein extracts and hTERT promoter DNA was assayed by a streptavidin-agarose bead pull-down assay. Nuclear protein extracts were prepared. The biotin-labeled double-stranded oligonucleotide probes were synthesized based on the hTERT promoter sequences encompassing −378 to +60. Then, 1 mg of the nuclear proteins, 10 μg of the biotin-labeled DNA oligonucleotides, and 100 μL of streptavidin-agarose beads (Sigma, CA, USA) were added into an Eppendorf tube in sequence to form a mixture, which was then incubated at room temperature for 2 h with continuous shaking. The beads were then pelleted by centrifugation at 500 × g in a microcentrifuge for 1 minute and washed three times with cold phosphate-buffered saline (PBS). The bound proteins were eluted for further analysis.

Identification of hTERT promoter-binding proteins
The identification of hTERT promoter-binding proteins was performed as described elsewhere [45]. Briefly, the hTERT promoter-binding proteins were separated by 12% SDS-PAGE and stained with Comassie brilliant blue. Pairs of significantly distinct bands were cut out and digested. The peptide mixture from in-gel tryptic digestions was analyzed using an MDLC system (Michrom Bioresources Inc., Auburn, CA, USA) coupled with a Thermo Finnigan 2-D linear ion trap mass spectrometer (LTQ XL , Thermo Inc., San Jose, CA, USA). The raw MS spectra were created by using the TurboSEQUEST program in the BioWorks 3.3 software suite against the Human International Protein Index protein sequence database (IPI.Human.v3.63.fasta). The searched peptides and proteins were validated by PeptideProphet and ProteinProphet in the Trans-Proteomic Pipeline (TPP, v.4.2) using default parameters.

Chromatin immunoprecipitation (ChIP)
Chromatin immunoprecipitation was conducted using a ChIP Assay kit (Beyotime, catalog number P2078, Nanjing, China) according to manufacturer's instructions. Briefly, nuclear proteins were cross-linked to DNA by using 1% formaldehyde at 37°C for 10 min, and then quenched with 0.125 M glycine. The cells were washed twice in cold PBS, scraped and lysed in lysis buffer (1% SDS, 10 mM EDTA, 50 mM Tris (pH 8.1), with 1 mM phenylmethylsulfonyl fluoride) for 10 min at 4°C. The lysates were sonicated 4 times for 10 s each time (on ice, 10-s break, 40% amplitude; Sonics), and the debris was removed by centrifugation. The lysates were diluted to a ratio of 1:10 in ChIP dilution buffer [0.01% SDS, 1.1% Triton X-100, 1.2 mM EDTA, 167 mM NaCl, protease inhibitors, and 16.7 mM Tris-HCl (pH 8.1)]. Approximately 70 μL of protein A+G agarose/salmon sperm DNA was added to the remaining diluted lysate and rotated for 30 min at 4°C. The mixture was centrifuged at 1000 × g for 1 min at 4°C, and then the supernatant was transferred to a fresh centrifuge tube. Approximately 1 μg of the primary antibody (anti-SUPT5H antibody and non-immune rabbit IgG; Sigma) was added to the supernatant and rotated overnight at 4°C. Then, 60 μL of protein A+G agarose/salmon sperm DNA was added to the supernatant to allow precipitation of SUPT5H or IgG-associated genomic DNA fragments by rotating for 60 min at 4°C, followed by washing with different buffers as follows: low salt immune complex wash buffer, once; high salt immune complex wash buffer, once; LiCl immune complex wash buffer, once; and TE buffer, twice. Chromatin was extracted in an elution buffer (1% SDS and 0.1 M NaHCO3). The cross-linkages of the DNAprotein complexes were reversed at 65°C for 4 h. The DNA was finally extracted using the standard phenolchloroform method and subjected to PCR amplification using specific hTERT promoter primers. (5′-primer, −346 GCCGATTCGACCTCTCTCC −328 ; and 3′-primer, +234 AAGGTGAAGGGGCAGGAC +251 ). The resulting 232-bp product of the hTERT promoter was separated by 1.2% agarose gel electrophoresis.

Western blot analysis
Western blot analysis was performed with a specific antibody to SPT5 (sc-28678, Santa Cruz Biotechnology, Santa Cruz, CA, USA) or histone 3 (AH433, Beyotime, Nanjing, China). Detection was performed using an ECL kit (Pierce Chemical Co., Rockford, IL, USA), and the blots were developed using a Fujifilm Las-4000 Imaging System.

Reverse transcription quantitative real-time polymerase chain reaction (RT-qPCR)
cDNA synthesis was performed using SuperScript II reverse transcriptase (Invitrogen) with oligo(dT) and random hexamer primers (Invitrogen), according to the manufacturer's instructions. RT-qPCR for cDNA panels of the human multiple colorectal cancer tissues containing their case-matched normal colorectal tissues cDNA panels was performed by using SsoFast TM EvaGreen ® supermix with low ROX (Bio-Rad). GAPDH mRNA was also amplified as internal control. The sense and antisense primers used for SUPT5H were as follows: 5′-CCCAGCAGGCTACCAGAATA-3′ and 5′-ATGCCATCCTCACCATCAAT-3′, respectively. The sense and antisense primers used for hTERT were as follows: 5′-GCCTTCAAGAGCCACGTC-3′ and 5′-CCACGAACTGTCGCATGT-3′, respectively. The PCR conditions were as follows: a 2-min initial denaturation at 95°C, followed by 40 cycles of 95°C for 5 s and 60°C for 34 s, then 1 cycle of 95°C for 15 s, 60°C for 1 min, 95°C for 15 s and 60°C for 15 s. Tissue templates and internal controls were run in triplicate.

Immunohistochemistry
The ChemMate EnVision Detection Kit (Dako, Carpinteria, CA, USA) and paraffin blocks of colorectal cancer tissue samples and normal colon mucosa biopsy samples were used for immunohistochemical analysis. Briefly, the paraffin-embedded samples were deparaffinized in xylene and dehydrated with ethanol. For antigen retrieval, the paraffin-embedded sections were placed in 0.01 M sodium citrate buffer (pH 6.0) and subjected to pressure cooker treatment for 5 min at full pressure. After cooling to room temperature, the sections were incubated with 3% hydrogen peroxide to block endogenous peroxidase activity. Then, nonspecific antigens were blocked with 10% goat serum (100 μL goat serum in 900 μL PBS) at room temperature for 30 min. The sections were incubated with the primary antibody (1:200 dilution) overnight at 4°C. The primary antibody used in the present study was a rabbit polyclonal antibody against the human SUPT5H protein (HPA029273, Sigma, CA, USA). Then, the ChemMate EnVision/ HRP, Rabbit/Mouse (ENV) reagent was applied to the sections, followed by application of ChemMate DAB+ Chromogen, which was included in the kit. The sections were counterstained with hematoxylin for 3 min and then were rinsed, dehydrated, and covered with a glass slip.

FACS analysis
Cells were collected and suspended in cold PBS at a density of approximately 1 × 10 6 cells/mL, followed by analysis using a FACSCalibur TM flow cytometer (BD Biosciences) and CellQuest TM Pro software (BD Biosciences). The percentage of GFP-positive cells was calculated.

Telomerase activity assay
Telomerase activity of stable SUPT5H-suppressed clones, negative control clones, and wild-type cells were analyzed by photometric enzyme immunoassay for quantitative determination utilizing the telomeric repeat amplification protocol with a TeloTAGGG telomerase PCR enzyme-linked immunosorbent assay plus kit (12013789001, Roche Applied Science), following the manufacturer's instruction.

Telomere length assay
Telomere length of stable SUPT5H-suppressed clones, negative control clones, and wild-type cells were measured by using a nonradioactive chemiluminescence assay that utilized Southern blot analysis of terminal restriction fragments obtained by digestion of genomic DNA with frequently cutting restriction enzymes (HinfI/ RsaI) with a TeloTAGGG telomere PCR length assay kit (12209136001, Roche Applied Science), following the manufacturer's instructions. Telomeric smears were developed using a Fujifilm Las-4000 Imaging System.
For the soft agar assay, ~500 cells were suspended in a medium containing 0.3% low-melt agarose, seeded into a 6-well plate overlaid with 0.5% low-melt agarose, and allowed to grow for 2 weeks at 37°C in 5% CO 2 . Colonies containing >50 cells were counted under a microscope. Three wells were analyzed for each experiment.

Wound-healing assay
Cell migration assay was performed using woundhealing assay. Stably transfected cells were cultured in 35-mm dishes until confluency. The cell layers were carefully wounded using a 10-μL sterile tip across each well, creating a cell-free area, and washed twice with fresh medium. Images of the same microscopic field were captured at various time points (0, 12, 24, and 48 h).

Senescence assay
Senescence assay was performed with a senescence β-galactosidase staining kit (#9860, Cell Signaling Technology, Inc.) following the manufacturer's instructions. Sub-confluent cells were washed once with 2 mL of PBS per 35-mm dish to sufficiently cover the cells for 30 s. Approximately 1 mL of a fixative solution per 35-mm dish was added to submerge the cells and then incubated at room temperature for 15 min. The cells were washed twice with 2 mL of PBS per 35-mm dish. Approximately 1 mL of a β-galactosidase staining solution per 35-mm dish was added. The plates were incubated at 37°C overnight in a dry incubator (no CO 2 ). The stained cells were observed under a microscope (200 × total magnification) to detect the development of a blue stain. The experiments were performed in triplicate.

Cell cycle and apoptosis analyses
Cell cycle distribution and the percentage of apoptosis were determined by flow cytometry as described elsewhere [46].

Statistical analyses
The results were expressed as the mean ± SD. Statistical analysis was performed by using SPSS 11.0 for Windows (SPSS Inc., Chicago, IL, USA). The chi-square test was used to analyze the association of SUPT5H expression with the different clinicopathological parameters, and Correlation coefficients between SUPT5H and hTERT mRNA expression were tested by using Spearman's rho. P < 0.05 was considered statistically significant.