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Endocrinological Oncology |
Vincent T. Lombardi Cancer Center, Georgetown University, Washington, D.C. 20007
Address all correspondence and requests for reprints to: Dr. Kevin J. Cullen, Division of Medical Oncology, Georgetown University Medical Center, 3800 Reservoir Road NW, Washington, D.C. 20007. E-mail: cullenk{at}gunet.georgetown.edu
| Abstract |
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ST-3 mRNA expression was also seen in most colon cancer cell lines, again matching reports of IGF-II gene expression. As the two proteins are known to play an important role during fetal growth and development, their coexpression in fibroblasts from malignant tumors of ectodermal (breast cancer) and mesodermal (sarcoma) origin and in epithelial cells of endodermal origin (colon cancer) implies a more primitive cellular phenotype. The regained ability to express such developmentally regulated proteins might, therefore, be a more general marker indicating a fetal-type phenotype of cells in a malignant tumor.
| Introduction |
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MMPs comprise a family of nine highly homologous Zn2+-binding endopeptidases that collectively degrade most extracellular matrix and basement membrane components. They have been divided into three subclasses with respect to their specific substrates: collagenases, stromelysins (STs), and gelatinases (9, 10, 11). Several strong lines of evidence support the idea that MMPs play a major role in local tissue remodeling at all stages of human life: during embryonal development, in wound healing, in degenerative processes, but also in locally invasive growth of malignant tumors (12, 13, 14). The importance of MMPs in tumor invasion and metastasis has been well established in a number of in vitro and in vivo assays. Liotta et al. demonstrated that normal mouse cells are unable to degrade ECM components, whereas several cell lines derived from mouse tumors can solubilize specific substrates to varying degrees (15). Furthermore, it was shown that MMP inhibitors can actually block tumor invasion in some in vitro models (16, 17, 18).
Recently, a new member of the MMP family has been identified. ST-3 was first found in mesenchymal limb-bud cells and stroma around invasive breast tumors. It shares many features with the two previously described STs (19). Although ST-3 has been shown to be a powerful endopeptidase with a limited substrate specificity (20) and to possess the general properties of a weak metalloproteinase (21), no specific ECM-related substrate has been determined to date. Nevertheless, the ST-3 gene was expressed in almost all invasive breast carcinomas, in a number of breast cancer metastases, and in some types of in situ breast carcinomas that are known to have high tendency of becoming invasive (22). In these studies, in situ hybridization assays and immunohistochemistry were performed on tissue sections of the malignant tumor only.
Insulin-like growth factor II (IGF-II) is a 7.5-kDa peptide that is expressed in breast cancers and other malignancies. We have previously shown that, like ST-3, IGF-II is expressed in the stroma of tumors, rather than in tumor epithelium itself (23). Recently, we demonstrated that only fibroblasts derived from the stroma of malignant breast tumors [tumor-derived fibroblasts (TF)] express IGF-II, whereas the fibroblasts taken from areas of normal breast in the same patient [peripheral fibroblasts (PF)] do not (24). Both IGF-II and ST-3 are developmentally regulated proteins and are physiologically expressed during fetal development (19, 25). Both are expressed in fibroblasts immediately adjacent to the stromal-epithelial border of malignant breast tumors, and both are thought to be associated with increased tissue remodeling and invasiveness (26, 27, 28).
In this study, we investigated whether ST-3 and IGF-II are coexpressed in cancers arising in tissues derived from each of the three embryonic progenitor tissues: ectoderm, mesoderm, and endoderm.
First, we examined stromal and epithelial cells derived from breast (ectodermal) cancers. We analyzed matched sets of TF, fibroblasts from macroscopically normal breast tissue adjacent to the malignant tumor (PF), and fibroblasts from overlying breast skin (SKF) in each of six patients with invasive breast tumors. A panel of breast tumor epithelial cell lines was also examined for ST-3 messenger ribonucleic acid (mRNA) expression. IGF-II and ST-3 protein expression were analyzed by immunohistochemistry in tumor sections. Similar analyses were performed in sarcomas, which are cancers of mesodermal origin. Finally, we examined ST-3 mRNA expression in a panel of colon cancer (endodermal) cell lines.
| Materials and Methods |
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Breast fibroblast cell lines were provided by Dr. Helene Smith, Geraldine Brush Cancer Center (San Francisco, CA), and had been established from surgical specimens of breast cancer patients as previously described (24). In each patient, fresh tissue samples were obtained from three specific locations: from the malignant tumor itself (TF), from macroscopically unaffected breast tissue adjacent to the tumor (PF), and from overlying breast skin (SKF). Sarcoma RNA samples were provided by Drs. Dennis Slamon and Peter Reissman, University of California (Los Angeles, CA). All fibroblasts were cultured in DMEM-Hams F-12 (Biofluids, Rockville, MD) containing 10% FCS, 2 mmol/L L-glutamine (Life Technologies, Gaithersburg, MD), and 50 µg/L gentamicin (Life Technologies). The epithelial breast cancer cell lines were purchased from the American Type Culture Collection (Rockville, MD; BT-474; MCF-7; MDA-MB-175, -231, -452, and -468; SK BR-3; T47D; and ZR-75B) or were provided by the Lombardi Cancer Center Tissue Core Facility (Washington DC). The igf-II-transfected MCF-7 breast cancer cell line clone 8 was previously established in our laboratory (28). Epithelial cell lines were maintained in FCS (10%) and L-glutamine-enriched Improved Minimal Essential Medium (Biofluids). Total RNA from epithelial colon cancer cell lines (HCT15, VACO 330, SW 48, SW 480, LS 180, Colo 201, Colo 205, WiDr, and CaCo2) and from the colon fibroblast cell line LCC-C8 were provided by Dr. S. Evans, Lombardi Cancer Center.
Extraction of total RNA
All cells were washed with iced PBS three times, harvested in GIT buffer (4 mol/L guanidine isothiocyanate, 25 mmol/L sodium acetate, pH 6.0, and 8 µL/mL ß-mercaptoethanol), and immediately frozen in liquid nitrogen until RNA extraction. The frozen cell lysates were then thawed, layered on top of a CsCl cushion (5.7 mol/L CsCl and 25 mmol/L sodium acetate, pH 6.0), and ultracentrifuged at 35,000 rpm for 16 h as previously described (29). The RNA pellet was ethanol precipitated, washed, resuspended in H2O, and stored at -20 C. All RNA samples were loaded onto denaturing 1% agarose minigels that contained 7.2% formaldehyde and subjected to electrophoresis to check quantity and integrity. RNA concentrations were determined by spectrophotometry.
Ribonuclease (RNase) protection assays
A 783-bp ST-3 complementary DNA was a gift from Dr. P. Chambon, INSERM, Institut de Chimie Biologique (Strasbourg, France). It was cloned into a pBluescript SK+ vector. Linearization with StuI resulted in a 255-bp fragment, and 234 bp were protected after RNase treatment. The IGF-II fragment, subcloned into a pBluescript SK+ plasmid, was provided by Dr. G. Bell, University of Chicago (Chicago, IL). Linearization with StuI yielded a 324-bp probe, and a 300-bp fragment was detectable in RNase protection assays. A 36B4-encoding fragment, inserted into a pGEM4 vector, was used as loading control, and a sequence of 200-bp was protected. RNase protection assays were performed as previously described (23). The gel was exposed to autoradiography film at -80 C for 24 days. Developed films were scanned, and the signal intensities of ST-3, IGF-II, and 36B4 bands were quantified by densitometry using NIH 1.59 software (NIH, Bethesda, MD).
Immunohistochemistry
ST-3 was immunodetected with a polyclonal rabbit antihuman antiserum (Ab 349), provided by Dr. P. Basset. The polyclonal anti-human IGF-II antibody was provided by Drs. R. Sportsman and J. Heisserman, Lilly Research Laboratories (Indianapolis, IN). The primary antibodies were detected with an alkaline phosphatase-linked secondary antibody according to the manufacturers protocol (StrAvi-SuperSensitivity system, BioGenex, San Ramon, CA). In brief, tumor tissue samples were fixed in neutral buffered formalin. Five-micron sections from paraffin-embedded blocks of tumor tissues were deparaffinized and rehydrated. After blocking nonspecific binding with goat serum, the tissue sections were incubated with the primary antibody (Ab 349) at a dilution of 1:1500 or with the IGF-II antibody at a dilution of 1:1600 in PBS with 1% BSA and 0.1% acetic acid in a humidified chamber for 16 h at 4 C. The slides were then washed in PBS twice for 5 min each time. The primary antibody was detected by a 5-min incubation with a biotin-conjugated secondary antibody at 37 C. After two additional washing steps with PBS at 37 C for 5 min each, the tissue sections were covered with a film of alkaline phosphatase-labeled streptavidin and incubated at 37 C for another 5 min. After two additional washing steps, the immune reaction was visualized by the addition of Fast Red. The color reaction was controlled under the light microscope to prevent overstaining. The reaction was stopped by dipping the slides in phosphate-buffered saline. All slides were counterstained with hematoxylin and wet-mounted.
Statistical analysis
Statistical calculations were made using Blaise Statistical Software (Blaise Scientific, St. Louis, MO).
| Results |
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| Discussion |
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In the present study we investigated coexpression of IGF-II and ST-3 in
tumors that are ultimately derived from each of the three primordial
germ layers. In breast cancer, IGF-II and ST-3 mRNA are confined to the
stromal component of the tumor. ST-3 mRNA expression in matching
fibroblast sets derived from three locations in breast cancer patients
demonstrate a distinctive pattern. All cell lines derived from
fibroblasts within the malignant breast tumor (TF) express easily
detectable levels of ST-3 mRNA. High levels of ST-3 mRNA are also
expressed by fibroblasts derived from overlying breast skin (SKF) of
the same patients. In contrast, most fibroblast cell lines established
from macroscopically unaffected breast tissue of the same individuals
(PF) express clearly less ST-3 message. Only one of six matched sets
varied from that pattern significantly. The ST-3 mRNA expression in the
fibroblast sets closely matches the pattern of IGF-II expression that
we previously reported in the same cells (24). There, too, IGF-II was
predominantly expressed in tumor fibroblasts and skin fibroblasts, with
little or no expression detected in fibroblasts from normal peripheral
breast tissue. The ST-3 mRNA expression data are matched by
immunohistochemical results, in which we detected ST-3 protein
exclusively in single, spindle cell-shaped, stromal cells in the
immediate neighborhood of invasive breast tumor epithelium (Fig. 4B
). A
strikingly similar pattern of protein expression can be seen for IGF-II
in Fig. 4A
, where detectable protein is confined to single stromal
cells in the close vicinity of malignant epithelium. We did not detect
any IGF-II or ST-3 protein expression in uninvolved stromal cells
distant from the malignant tumor, which correspond to the PF samples in
our RNase protection assays. These findings correspond well with those
of our previous study that analyzed IGF-II expression in a series of 80
invasive breast carcinomas. In that study we demonstrated stromal
expression of IGF-II in over 90% of the analyzed cases (31). Basset
et al. published similar findings for ST-3, demonstrating
expression of mRNA and protein in stromal fibroblasts immediately
adjacent to malignant epithelium (19).
In agreement with previous reports, we were unable to observe ST-3 mRNA
in any of the epithelial breast cancer cell lines analyzed (Fig. 3A
).
Again, this observation is analogous to the results IGF-II expression
in breast cancer epithelial cell lines, which, with few exceptions, do
not express IGF-II mRNA (23).
The patterns of ST-3 and IGF-II expression are not completely
identical, suggesting that the two genes are not directly coregulated.
Furthermore, IGF-II protein expression in igf-II-transfected
IGF-II receptor-positive MCF-7 epithelial breast cancer cells (clone 8)
is associated with phenotypic alterations, indicating an increased
potential for malignant progression and metastasis (28). However, ST-3
mRNA expression is not seen in these cells, indicating that ST-3
expression is not directly regulated by IGF-II (MCF-7 in Fig. 1
, top panel, lane 4, and clone 8 in Fig. 1
, bottom
panel, lane 12). These observations suggest that in breast cancer,
both ST-3 and IGF-II expressions are regulated by paracrine effects
from adjacent tumor epithelium, rather than by one protein (IGF-II)
stimulating the expression of the other (ST-3) within the same cell
through an autocrine mechanism. Basset et al. identified
growth factors that are able to stimulate ST-3 gene expression in fetal
fibroblasts (19). Among them, platelet-derived growth factor-B (PDGF-B)
is a likely candidate for a growth factor that might be involved in the
paracrine regulation of ST-3 gene expression. PDGF-B is expressed in
epithelial breast cancer cell lines such as MCF-7; however, these cells
lack PDGF receptors (32). Fibroblasts do not express the PDGF-B chain,
but possess PDGF cell surface receptors, thus making them a possible
target for paracrine PDGF action (33). Moreover, it has been
demonstrated that, like ST-3, IGF-II mRNA and protein expression in
fibroblasts are induced by PDGF (34, 35). Taken together, the previous
experiments suggest possible mutual stimulation of ST-3 and IGF-II gene
expression by PDGF via paracrine pathways. As both proteins are known
to play important roles during normal fetal growth and development (19, 36, 37), the expression of ST-3 and IGF-II by adult fibroblasts might
indicate a more primitive fetal-type behavior that has evolved under
the paracrine influence of adjacent tumor epithelium.
The observation that ST-3 message and protein are present in sarcomas
implies a different model in tumors of mesenchymal origin; in these
tumors, ST-3 gene and protein expression are present in malignant
stromal cells in the absence of adjacent epithelium. In agreement with
previous work by Basset et al., who described ST-3 mRNA
expression in fetal fibroblasts, it is possible that in sarcomas the
malignant transformation of adult stromal cells is associated with
regression to a fetal-type protein expression pattern. ST-3 expression
in these cells would, therefore, be the result of some sort of
reversion to a more primitive phenotype that is necessary for tissue
remodeling and, therefore, normal and essential in fetal development.
When ST-3 and IGF-II gene expressions were compared, we found that the
amounts of expression correlated in most sarcomas (in 20 of 26);
sarcomas that expressed high levels of IGF-II mRNA expressed similarly
high levels of ST-3 mRNA, and tissues with low IGF-II mRNA expression
usually expressed low levels of ST-3 mRNA (P < 0.05,
by
2 test).
In contrast to the finding in breast cancer and in sarcomas, where ST-3
expression is limited to stromal cells, we were able to detect ST-3
mRNA in five of eight malignant colon cancer cell lines using the
sensitive and very specific RNase protection assay. An epithelial cell
line derived from a benign colon adenoma (VACO 330) and the
tumor-derived colon fibroblast cell line LCC-C8 both expressed low, but
detectable, ST-3 message. Interestingly, two of the three ST-3
mRNA-negative cell lines (Colo 201 and Colo 205) had been established
from ascites fluid of patients with colon carcinomas (Table 1
). All other epithelial colon cancer cell lines were
derived from primary tumors, where they had presumably remained under
the continuous influence of paracrine stromal-epithelial
interactions.
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The finding of ST-3 gene expression in colon cell lines reveals another parallel to IGF-II expression; in the normal gastrointestinal tract, IGF-II gene expression is high during fetal development and low in the adult (40). However, unlike epithelial breast cancer cell lines, virtually all colon carcinoma cell lines express significant amounts of IGF-II mRNA and protein (37, 41). This finding may indicate a different mechanism of gene regulation in these endodermally derived tumors.
Furthermore, two types of clones with a different tumorigenic potentials in nude mice have recently been isolated from a human colon carcinoma cell line (SSW 613-S); tumorigenic clones produced high levels of IGF-II, whereas nontumorigenic clones produced little IGF-II (42). We conclude that the finding of both ST-3 and IGF-II mRNA in malignant colon cell lines might infer that they represent markers of a more primitive phenotype of malignant colon epithelium. In addition, the observation of ST-3 mRNA in colon cell lines makes ST-3 a more ubiquitously expressed gene than previously described (43).
Taken together, the data presented in this study support the hypothesis that in malignant tumors the coexpression of ST-3 and IGF-II, two developmentally regulated proteins that are physiologically expressed during fetal growth and development, is associated with the regression to a more primitive, fetal-type phenotype. The combined expression of these two proteins could serve to enhance tumor growth and facilitate tumor invasion. Further studies will examine the consequence of this phenotypic change and the mechanisms by which both proteins might contribute to tumor progression.
Colon adenoma and adenocarcinoma cell lines are listed in order of decreasing level of differentiation based upon Dukes stage, morphology, tumorigenic potential, monolayer polarity, alkaline phosphatase expression, and carcino embryonic antigen production (35).
| Footnotes |
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Received January 7, 1997.
Revised March 4, 1997.
Accepted March 10, 1997.
| References |
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