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The Journal of Clinical Endocrinology & Metabolism Vol. 84, No. 6 2086-2092
Copyright © 1999 by The Endocrine Society


Original Studies

Laminin Receptors in Differentiated Thyroid Tumors: Restricted Expression of the 67-Kilodalton Laminin Receptor in Follicular Carcinoma Cells1

Nunzia Montuori, Frank Müller, Stefano De Riu, Gianfranco Fenzi, Mark E. Sobel, Guido Rossi and Mario Vitale

Centro di Endocrinologia ed Oncologia Sperimentale, Consiglio Nazionale delle Ricerche (G.R.), Dipartimento di Biologia e Patologia Cellulare e Molecolare (N.M., G.R., M.V.), Dipartimento di Endocrinologia ed Oncologia Molecolare e Clinica (F.M., S.D.R., G.F.F.), Università Federico II, 80131 Naples, Italy; and the Molecular Pathology Section, Laboratory of Pathology, National Cancer Institute, National Institutes of Health (M.E.S.), Bethesda, Maryland 20892

Address all correspondence and requests for reprints to: Nunzia Montuori, M.D., Dipartimento di Biologia e Patologia Cellulare e Molecolare, via S. Pansini 5, 80131 Naples, Italy. E-mail: mavitale{at}cds.unina.it


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The expression of integrin laminin receptors was investigated in normal thyroid primary cultures; immortalized normal thyroid cells (TAD-2); papillary (NPA), follicular (WRO), and anaplastic (ARO) thyroid tumor cell lines; seven thyroid tumors (four papillary and three follicular carcinomas); and normal thyroid glands. The expression of {alpha}1ß1, {alpha}2ß1, {alpha}3ß1, {alpha}6ß1, and {alpha}6ß4 was found in all tumor specimens and in tumor cell lines, whereas normal thyroid cells and TAD-2 cells lacked the expression of {alpha}6ß4. Despite the presence of several integrin laminin receptors, adhesion of TAD-2, NPA, and ARO cells to immobilized laminin-1 was poor, whereas WRO cells and follicular carcinoma-derived cells displayed a strong adhesion. Indeed, WRO and follicular carcinoma-derived cells showed expression of a nonintegrin laminin receptor, the 67-kDa high affinity laminin receptor (67LR). TAD-2, NPA, and ARO cells as well as nodular goiter, toxic adenoma, follicular adenoma, and papillary carcinoma-derived cells did not express the 67LR. Adhesion of WRO and follicular carcinoma-derived cells to laminin-1 was specifically inhibited by a recombinant polypeptide containing laminin-binding domains of 67LR, demonstrating that this receptor confers to follicular carcinoma cells attachment capacity to laminin. Moreover, tissue specimens from follicular carcinomas expressed the 67LR, whereas follicular adenomas and normal thyroid tissues were negative. In thyroid tumors, integrin receptors, although abundant, participate weakly in adhesion to laminin. The expression in follicular carcinoma cells of a functional, high affinity 67LR together with nonfunctional integrin LM receptors could be responsible for the tendency of follicular carcinoma cells to metastasize by mediating stable contacts with basal membranes.


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
THE BASEMENT membrane is a multicomponent structure that plays a fundamental role in maintaining orderly tissue organization and constitutes a natural support for epithelial and endothelial cells. Laminins (LMs), a group of glycoproteins with a complex heterotrimeric structure, are major components of the basement membrane of epithelia and endothelia. In these basal laminae, LMs are represented mainly by LM-1/EHS ({alpha}1ß1{gamma}1), LM-2/merosin ({alpha}2ß1{gamma}1), and LM-5/kalinin ({alpha}3ß3{gamma}2). Epithelial and endothelial cells adhere to the basement membrane mostly through integrins, heterodimeric transmembrane proteins present on the cell surface. Integrins are characterized by a common ß-chain associated with one of the variant {alpha}-chains conferring the ligand specificity for proteins of the extracellular matrix, such as collagen, LM (LM), fibronectin, and vitronectin (1). Each integrin is a receptor for one or more extracellular matrix components. Both integrin expression and binding specificity are cell type related (2) and undergo modifications upon differentiation, transformation, and cytokine induction (3, 4).

Thyroid follicular cells are polarized epithelial cells whose ß1 integrin expression is restricted to {alpha}3ß1 at the basal site of the cell membrane in vivo, whereas cultured thyrocytes also express {alpha}2ß1 (4, 5, 6). Upon neoplastic transformation, follicular organization is disrupted, integrin expression is changed, and polarized distribution is lost (7). Thyroid carcinomas display aberrant expression of all {alpha}1ß1-{alpha}6ß1 integrins as well as of {alpha}6ß4, the major LM receptor in squamous and columnar epithelia that is involved also in hemidesmosome assembly (8).

Besides integrins, other nonintegrin LM receptors are present in epithelial cells. Among the several nonintegrin LM receptors, the 67-kDa high affinity LM receptor (67LR) is responsible for high affinity interactions (Kd = 10-9 mol/L) between cells and LM-1 (9, 10). The 67LR, which has been purified from several cell lines as well as from normal and neoplastic tissues, is poorly expressed in normal tissues and benign tumors, whereas its expression is dramatically increased in metastatic cancer cells (11). The 67LR expressed on the cell surface derives from posttranslational modifications of a 37-kDa cytosolic precursor (37 LRP) (12, 13). Two LM-1-binding domains have been localized on 37LRP (14, 15, 16), peptide G (residues 161–180), and peptide 11 (residues 205–229).

In this study we investigated the expression and function of integrin LM receptors and 67LR in differentiated thyroid carcinomas and in some thyroid carcinoma cell lines. We found that only follicular carcinoma-derived cells express the 67LR, by which cells attach to LM-1.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Tissues and cell cultures

Fresh tissues specimens from normal thyroid gland, nodular goiters, toxic adenomas, Hurthle cell adenomas, follicular carcinomas, and papillary carcinomas were obtained from patients undergoing thyroidectomy. Diagnosis was confirmed by histology. Within a few hours after surgery, tissues were minced and digested with type IV collagenase (Sigma Chemical Co., St. Louis, MO), 1.25 mg/mL in 0.5% BSA in DMEM-Ham’s F-12 medium (BSA-F12), for 8–10 h at 8 C under rotation. Cells were centrifuged at 150 x g for 5 min, washed twice in BSA-F12 medium, and immediately analyzed by flow cytometry or alternatively cultured in vitro. An immortalized human fetal thyroid cell line, obtained by simian virus 40 infection (TAD-2), was donated by Dr. T. F. Davies, Mount Sinai Hospital (New York, NY); thyroid papillary NPA, follicular WRO, and anaplastic ARO carcinoma cell lines were donated by Dr. G. J. F. Juillard, University of California (Los Angeles, CA). All cell lines and primary cultures were cultured in a 5% CO2 atmosphere at 37 C in RPMI medium supplemented with 10% FCS. Medium was changed every 3–4 days. Cells to be examined were detached by 0.5 mmol/L ethylenediamine tetraacetate (EDTA) in calcium- and magnesium-free phosphate-buffered saline with (trypsin/PBS) or without (EDTA/PBS) 0.05% trypsin. Trypsin does not affect integrins because these molecules do not possess trypsin-sensitive sites (3).

Reagents

Monoclonal antibodies (MoAbs) against integrin subunits were purchased or donated: anti-ß1: A1A5, Dr. M. E. Hemler (Boston, MA); anti-{alpha}1: TS2/7, Dr. F. Sanchez-Madrid (Madrid, Spain); anti-{alpha}2: 10G11, Dr. A. E. G. Kr. von dem Borne (Amsterdam, The Netherlands); anti-{alpha}3: J143, Dr. L. J. Old (New York, NY); anti-{alpha}6: GoH3, Dr. A. Sonnenberg (Amsterdam, The Netherlands); and anti-ß4: 3E1 Telios (San Diego, CA). Fluorescein-conjugated goat antimouse IgG was purchased from Ortho (Raritan, NJ).

A recombinant polypeptide was produced for competition experiments and for the production of anti-67LR antibodies. Briefly, complementary DNA coding for the 67LR cytosolic precursor 37LRP (9, 10) was cloned into the pTrcHis B expression vector (Invitrogen, San Diego CA) and expressed in TOP-10 bacteria (Invitrogen). The recombinant 37LRP (r37LRP), containing both LM-binding domains of 67LR (15, 16), was purified on nickel affinity columns, according to the procedures specified by Invitrogen, dialyzed in 50 mmol/L Tris (pH 7.5)-0.1% Triton X-100, and adjusted at a concentration of 1 mg/mL. An antiserum was produced as previously described by rabbit immunization with SDS-PAGE-electroeluted r37LRP (9). Anti-r37LRP antibody was affinity purified by r37LRP-conjugated Affigel 10 resin according to a previously described procedure (9). The affinity-purified polyclonal antibody reacted with both 37LRP and 67LR from whole cell lysates in immunoblots and was able to immunoprecipitate 67LR from surface-labeled cell lysates.

Flow cytometric analysis

Cell suspensions obtained by collagenase digestion were centrifuged at 150 x g for 5 min and washed once in 0.5% BSA in PBS (BSA/PBS), and erythrocytes were lysed with a NH4Cl solution (Ortho-mune lysing reagent, Ortho), washed twice in BSA/PBS, and filtered through a nylon mesh to remove clumps. Analysis of integrin expression in monodispersed cell suspensions from thyroid carcinomas was performed as previously described (5). Briefly, single cell suspensions obtained from collagenase-treated carcinoma cells from subconfluent cultures were incubated with specific MoAb for 1 h at 4 C in BSA/PBS, washed in the same buffer, and incubated again with the secondary fluorescein-conjugated antibody for 30 min at 4 C. Cells were resuspended in PBS and analyzed by flow cytometry using a FACScan (Becton Dickinson and Co., Mountain View, CA). Nonspecific mouse Igs of the same isotype of MoAbs were used as controls. The expression of each integrin subunit was represented as: relative fluorescence index = experimental mean fluorescence/control mean fluorescence.

Cell attachment assay to LM

The assay was performed in 96-well flat-bottomed microtiter plates (Costar, Cambridge, MA). The wells were filled with 100 µL of the appropriate dilution in PBS of LM-1/EHS (Collaborative Research, Bedford, MA), and after overnight incubation at 4 C, the plates were washed with PBS, filled with 100 µL 1% heat-denatured BSA, and incubated for 1 h at room temperature. The plates were then washed and filled again with 100 µL/well PBS, 0.9 mmol/L CaCl2, and 0.5 mmol/L MgCl2 containing 5 x 104 cells obtained by EDTA/PBS incubation from subconfluent cultures. After 30 min at 37 C, plates were gently washed three times with PBS, and attached cells were fixed with 3% paraformaldehyde for 10 min followed by 2% methanol for 10 min and finally stained with 0.5% crystal violet in 20% methanol. After 10 min, the plates were washed with tap water, the stain was eluted with a solution of 0.1 mol/L sodium citrate, pH 4.2, in 50% ethanol, and the absorbance at 540 nm was measured by a spectrophotometer.

In the adhesion inhibition assay, 5 x 104 cells/well were coincubated with 10 µg r37LRP in plates previously coated with 0.5 µg LM-1. All experiments were performed in quadruplicate. Results are presented as the mean ± SD.

Western blot

Cells grown to near confluence in 100-mm dishes were incubated for 10 min at 4 C in 1 mL lysis buffer [50 mmol/L Tris (pH 7.4), 0.5% Nonidet P-40, and 0.01% SDS] containing protease inhibitors. Cell lysates were collected by scraping and centrifuged at 12,000 x g for 5 min at 4 C. Frozen tissue specimens derived from normal thyroid gland, follicular adenomas, and follicular carcinomas were homogenized by Polytron (Brinkmann Instruments, Inc., Westbury, NY) in lysis buffer containing protease inhibitors. Tissue homogenates were incubated for 20 min at 4 C and centrifuged at 20,000 rpm for 30 min at 4 C. The protein concentration in cell lysates and in clarified tissue extracts was determined, and 30 µg total protein were incubated for 5 min at 90 C in Laemmli sample buffer. Cell lysates and clarified tissue extracts were electrophoresed on 10% SDS-polyacrylamide gels under reducing conditions (17). Gels were electroblotted, and the membranes were blocked with 5% nonfat dry milk, 1% ovalbumin, 5% FCS, and 7.5% glycine. After three washes, the membranes were incubated overnight at 4 C with polyclonal affinity-purified anti-67LR antibody in PBS. After three washes, filters were incubated for 30 min at room temperature with horseradish peroxidase-conjugated goat antirabbit antibody (Bio-Rad Laboratories, Inc., Richmond CA) diluted 1:2000 in PBS. The membranes were then washed as described above and stained using an enhanced chemiluminescence system (Amersham, Aylesbury, UK).

Surface biotinylation of intact cells and immunoprecipitation

TAD-2 and WRO cells grown to near confluence in 100-mm dishes were washed three times with PBS containing Ca2+ and Mg2+ and incubated for 1 h at room temperature with 0.5 mg/mL NHS-LC-biotin (Pierce Chemical Co., Rockford, IL) in PBS. Labeling medium was then removed, and the reaction was stopped by the addition of 50 mg/mL glycine in PBS for 10 min at room temperature. Surface-labeled cells were washed three times with cold PBS and lysed in 1 mL lysis buffer containing protease inhibitors. A total of 100 µg protein were incubated for 2 h at 4 C with 1 µg polyclonal affinity-purified anti-67LR antibody or 1 µg control rabbit IgG and then with 100 µL 25% protein A-Sepharose (Pharmacia Biotech, Uppsala, Sweden) for 2 h at 4 C. Immune complexes were washed five times with lysis buffer, eluted in 40 µL Laemmli sample buffer for 5 min at 90 C, and loaded on a 10% SDS-polyacrylamide gel in reducing conditions. The biotin-labeled antibody-reacting proteins were detected, after electroblotting of the gel, by incubation with horseradish peroxidase-conjugated streptavidin using an enhanced chemiluminescence kit.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Expression of integrin LM receptors

The presence of 5 integrin LM receptors ({alpha}1ß1, {alpha}2ß1, {alpha}3ß1, {alpha}6ß1, and {alpha}6ß4) was investigated by flow cytofluorometry with specific MoAbs in 4 papillary and 3 follicular carcinomas obtained at surgery (Fig. 1AGo). The analysis showed that all subunits were present, although each displayed a different intensity of fluorescence. ß1, {alpha}3, and ß4 were the most fluorescent ones, thus confirming the complex integrin expression profile of tumor cells (7). Thyrocytes from follicular carcinoma displayed the same integrin profile as papillary tumors, with bright fluorescence of all 5 receptors. The expression of integrin LM receptors was also investigated in 15 normal thyroid specimens obtained from the controlateral lobes of carcinomas (Fig. 1BGo). As previously shown (5, 6), the majority of the cells showed only the expression of the ß1- and {alpha}3-subunits, whereas only few cells (<3%) also expressed the subunits {alpha}1 and {alpha}6 (fluorescence of these few cells is not reported in the diagram). As expected by the absence of the {alpha}6-chain, ß4 was undetectable in these cells.



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Figure 1. A, Expression of subunits of integrin LM receptors in 4 thyroid papillary (P1–P4) and 3 follicular (F1–F3) carcinomas. The relative amount of each integrin subunit was measured by flow cytometry with a specific monoclonal antibody in single cell suspensions obtained from collagenase digestion of tumor specimens. The expression of each integrin subunit was represented as the relative fluorescence index = experimental mean fluorescence/control mean fluorescence. B, Average expression of integrin subunits in follicular cells from 15 normal glands (normal) and the carcinomas reported in A (carcinomas). {square}, ß1; , {alpha}1; , {alpha}2; , {alpha}3; , {alpha}6; {blacksquare}, ß4.

 
Integrin expression was also measured in subconfluent cultures of normal thyroids, normal fetal thyroid cells immortalized by simian virus 40 infection (TAD-2), and three carcinoma cell lines (NPA, WRO, and ARO; Fig. 2Go). As reported (7), the expression of some integrins in normal thyrocytes increases in culture as they are regulated by cell to cell contact. Thus, ß1 and {alpha}3 fluorescence was higher in normal follicular cells from subconfluent primary cultures than in the uncultured cells shown in Fig. 1Go, and the {alpha}2-subunit was also present. In both normal thyroid cells and TAD-2 cells, ß1 and {alpha}3 were the more fluorescent subunits, {alpha}6 was only slightly detectable in TAD-2 and was absent in normal primary cultures, whereas ß4 was totally undetectable in both cells. In the three carcinoma cell lines, ß1 and {alpha}3 were again the more fluorescent chains, whereas {alpha}6 and ß4 ranged from weak staining in NPA and WRO to strong staining in ARO cells.



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Figure 2. Expression of subunits of integrin LM receptors in immortalized fetal thyroid (TAD-2), papillary (NPA), follicular (WRO), and anaplastic (ARO) carcinoma cell lines and in three subconfluent primary cultures of normal thyrocytes (NPC). Cells were harvested from subconfluent cultures. Bars represent averages of relative fluorescence index from four independent measurements. SDs lower than 5% are not reported. {square}, ß1; , {alpha}1; , {alpha}2; , {alpha}3; , {alpha}6; {blacksquare}, ß4.

 
Adhesion to LM

As the binding of integrin receptors to their ligands is cell type specific and is regulated by several factors at the posttranscriptional level, effective cell adhesion must be directly verified by adhesion assays. To investigate whether thyroid cells attached to immobilized LM-1, cell attachment assays were performed in 96-well flat-bottom microtiter plates coated with different concentrations of LM-1 (Fig. 3AGo). TAD-2, NPA, and ARO cells harvested by EDTA/PBS incubation from subconfluent cultures showed poor attachment to LM-1 even though several integrin LM receptors were expressed. On the contrary, the adhesion of WRO cells was remarkably higher and LM-1 concentration dependent.



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Figure 3. A, Cell attachment of thyroid cells from subconfluent cultures to LM-1. Microtiter wells were coated with LM-1 at the indicated concentrations and saturated with heat-denatured BSA. A total of 5 x 104 TAD-2 ({diamondsuit}), NPA ({circ}), WRO ({diamond}), and ARO (•) cells were harvested by EDTA/PBS incubation, added to the plates, and incubated at 37 C for 30 min. Attached cells were measured as described in Materials and Methods. Data are reported as the mean ± SD of quadruplicate experiments. B, Effect of trypsin on cell attachment of WRO cells to LM. Cells were harvested by EDTA/PBS incubation, then treated ({circ}) or untreated (•) with trypsin for 3 min at 37 C and washed to remove the trypsin. Cell attachment assay was then performed as described.

 
The effect of trypsin on cell adhesion to LM-1 was investigated in cells harvested by EDTA/PBS subsequently treated for 5 min at 37 C with trypsin containing PBS (Fig. 3BGo). Although the trypsin treatment had no effect on the adhesion of TAD-2, NPA, and ARO cells (not shown), WRO adhesion to LM-1 was remarkably reduced. The attachment of trypsin-treated WRO cells was particularly weak from 0.15–2.5 µg/mL LM-1. At higher LM-1 concentrations, adhesion of trypsin-treated cells remained constantly lower than that of untreated cells.

Expression of the 67LR in normal and tumor thyroid cell lines

As WRO cells showed a trypsin-sensitive adhesion to LM, and trypsin does not affect integrins (1), the potential involvement of a nonintegrin LM receptor was hypothesized. The expression of the metastasis-associated 67LR, which was extremely sensitive to trypsin treatment of cell surface (18), was investigated. ARO, NPA, TAD-2, and WRO cells were surface labeled with biotin, and the whole cell lysates were then immunoprecipitated with anti-67LR antibodies (Fig. 4Go). A single band with a molecular mass of 67 kDa was immunoprecipitated only from the WRO cell lysate (lane 8), whereas ARO, NPA, and TAD-2 cell lysates were negative (lanes 2, 4, and 6). Given its cytoplasmic localization, the 37LRP was not immunoprecipitated from surface-labeled cells (lanes 2 and 4).



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Figure 4. Surface biotinylation of ARO, NPA, TAD-2, and WRO cells and immunoprecipitation with anti-67LR antibody. Molecular mass markers are shown on the left. Lanes 1 and 2, ARO cells; lanes 3 and 4, NPA cells; lanes 4 and 5, TAD-2 cells; lanes 7 and 8, WRO cells. Immunoprecipitations with anti-67LR antibody are shown in lanes 2, 4, 6, and 8; control immunoprecipitations with nonimmune rabbit Igs are shown in lanes 1, 3, 5, and 7.

 
67LR mediates WRO cell adhesion to LM

The role of 67LR in mediating WRO cells adhesion to LM-1 was investigated by an attachment-inhibition assay performed in the presence of soluble r37LRP, a recombinant polypeptide containing LM-binding domains of the mature 67LR (Fig. 5Go). As expected (18), the adhesion of WRO cells to LM-1 was dramatically reduced by trypsin treatment of the cells, showing a 64% inhibition of cell attachment. In the presence of soluble r37LRP, the adhesion of WRO cells to LM was strongly inhibited, showing an inhibition of cell adhesion corresponding to 76.3% inhibition of the trypsin-sensitive cell adhesion.



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Figure 5. Inhibition of cell attachment to LM-1 by r37LRP, a precursor polypeptide containing the 67LR LM-binding domains. Microtiter wells were coated with 0.5 µg LM-1 and saturated with BSA. EDTA/PBS-harvested WRO cells were added to the plates together with PBS alone (A) or 10 µg r37LRP (C). In B, cells were treated with trypsin for 3 min before addition to the plates. Cell attachment assay was then performed as described.

 
Expression of the 67LR in normal and neoplastic thyroid cells

The expression of 67LR was investigated by Western blot in cell lysates from normal and carcinoma thyroid cells in primary culture (Fig. 6Go). Expression of the 67LR was found only in follicular carcinoma cells (lane 5). As expected, all cultured cells expressed the 37-kDa 37LRP. Indeed, in primary cultures from nodular goiter (lane 1), toxic adenoma (lane 2), benign adenoma with Hurthle cells (lane 3 and 4), and papillary carcinoma (lane 6), only cytoplasmic 37LRP was present. As a positive control, the lysate of WRO cells is shown in lane 7. Only bands corresponding to 37LRP and 67LR were competed out by the addition of soluble r37LRP to the immunoblot reaction (not shown).



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Figure 6. Western blot of thyroid primary cells with anti-67 LR antibodies. Molecular mass markers are shown on the left. Lane 1, Nodular goiter cell lysate; lane 2, toxic adenoma cell lysate; lanes 3 and 4, Hurthle adenoma cell lysates; lane 5, follicular carcinoma cell lysate; lane 6, papillary carcinoma cell lysate; lane 7, WRO cell lysate.

 
To confirm the data obtained with primary cell cultures, the expression of 67LR was investigated by Western blot in protein extracts from frozen normal and tumor thyroid tissue specimens (Fig. 7Go). Normal thyroid tissues (lanes 1–3) and follicular adenomas (lanes 4–6) were negative. All three follicular carcinomas analyzed showed 67LR expression (lanes 7–9), although at different levels. Note that the 67LR migrates like a doublet band, as previously described (19, 20). Variability in the relative amount of each component of the doublet could be due to differences in posttranslational modification of the protein.



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Figure 7. Western blot of normal and tumor thyroid tissue extracts with anti-67LR antibodies. Molecular mass markers are shown on the left. Lanes 1–3, Normal thyroid tissue extracts; lanes 4–6, follicular adenoma tissue extracts; lanes 7–9, follicular carcinoma tissue extracts.

 
Adhesion to LM of normal and transformed thyroid cells in primary cultures

To investigate whether thyroid cells in primary culture attached to immobilized LM-1, a cell attachment assay was performed with cells derived from nodular goiter, toxic adenoma, papillary carcinoma, and follicular carcinoma primary cultures (Fig. 8Go). Cells harvested by EDTA/PBS incubation from subconfluent cultures were plated in 96-well flat-bottom microtiter plates coated with 0.5 µg LM-1. Among all thyroid cells tested, only follicular carcinoma-derived cells were able to attach to LM, thus confirming the observations in WRO cells.



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Figure 8. Cell attachment of primary thyroid cells from subconfluent cultures to LM-1. Microtiter wells were coated with 0.5 µg LM-1 and saturated with heat-denatured BSA. A total of 5 x 104 nodular goiter-derived (G), toxic adenoma-derived (A), papillary carcinoma-derived (P), and follicular carcinoma-derived (F) primary cells were harvested by EDTA/PBS incubation, added to the plates in PBS alone (NG, TAd, P, and F) or with 10 µg r37LRP (F + r37LRP), and incubated at 37 C for 30 min. Attached cells were measured as described in Materials and Methods. Data are reported as the mean ± SD of quadruplicate experiments.

 
The role of 67LR in mediating the adhesion of follicular carcinoma-derived cells to LM-1 was confirmed by the strong inhibition of adhesion observed in the presence of 10 µg soluble r37LRP, a recombinant polypeptide containing both LM-binding domains of the 67LR (Fig. 8Go).


    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Differentiated thyroid carcinomas originating from follicular cells are classified as papillary and follicular types. Both of these tumor types display a low grade of malignancy and a relatively good prognosis, differing in this aspect from undifferentiated thyroid tumors. Although papillary lesions have little tendency to invade blood vessels, in follicular carcinoma, vessel and capsule invasion are frequent. Also for this reason, follicular cancers are more lethal than papillary tumors, and the mortality over 15 yr after diagnosis rises from 5–10% in papillary to 30–40% in follicular carcinomas (21). A recognized theory of tumor invasion holds that cancer cells interact with basement membranes through specific receptors and release proteases, facilitating penetration of the matrix by the tumor cells (22). Cancer cells come in contact with and permeabilize host basement membranes mostly by interaction of cell surface receptors with LM, the major component of basement membranes. The loss of pericellular LM has been found in several epithelial carcinomas. Immunohistological studies failed to show a discontinuation of the LM rim surrounding papillary carcinomas, whereas in some follicular carcinomas LM positivity appeared attenuated and sometimes was interrupted (23, 24). The potential involvement of integrin receptors that bind to LM during tumor progression has been the focus of recent studies. At least five different integrin receptors ({alpha}1ß1, {alpha}2ß1, {alpha}3ß1, {alpha}6ß1, and {alpha}6ß4) appear to bind purified EHS/LM-1 and to mediate cell adhesion to different LM isoforms. The {alpha}6ß4 heterodimer has been shown to mediate stable adhesion to LM-1, LM-2, and LM-5 (25). Certain integrins display cell type binding specificity, and in some instances, they appear to assume multiple functional states in the same cell. For example, {alpha}2ß1 is a receptor for both CoG and LM in melanoma and endothelial cells, but it binds only CoG in fibroblasts and platelets (2). More recently, it has been reported that the breast carcinoma cell line MDA-MB-435 expresses three potential integrin LM receptors ({alpha}2ß1, {alpha}3ß1, and {alpha}6ß1), but uses only {alpha}6ß1 to mediate adhesion and migration on LM (26). In contrast, although {alpha}3ß1 binds purified human and mouse LM-1 (A chain) and competes with {alpha}6ß1 for available sites (27), {alpha}3ß1-transfected K562 melanoma cells fail to bind to LM-1/EHS, but adhere to LM-2 (28). It is possible that either the activation state of the receptor can confer different ligand specificities or, alternatively, that different forms of the receptor exist (29). Changes in binding affinity can be rapidly triggered by different factors, and integrin receptors can be converted into a fully active form. This phenomenon is independent from de novo protein synthesis and appears to be induced by conformational changes in preexisting receptors (30). In the light of these data, the expression and function of integrin receptors need to be carefully evaluated before extrapolation to in vivo situations.

Although normal thyrocytes express only {alpha}3ß1in vivo, thyroid tumor cells displayed a more complex integrin profile. In tumor-derived cells in primary culture as well as in carcinoma cell lines, {alpha}1ß1, {alpha}2ß1, {alpha}3ß1, and {alpha}6ß1 integrin receptors were expressed. Also, {alpha}6ß4 was present at high levels in the specimen of papillary cancer and in ARO cells, whereas it was weakly expressed in NPA and WRO cells. In many cell types integrin expression can be regulated by a number of factors. Cytokines such as interleukin-1ß, tumor necrosis factor-{alpha}, and transforming growth factor-ß; cadherins in dermal keratinocytes; or cell to cell contact in normal thyrocytes in primary culture are all factors that can regulate integrin expression (31, 32, 33).

Despite the presence of several, highly expressed potential integrin LM receptors, the adhesion of TAD, NPA, and ARO cells to LM-1 was poor. Also, normal thyrocytes in primary culture, although expressing {alpha}2ß1 and {alpha}3ß1, attach very weakly to LM-1 (33). Among all thyroid cell lines tested, only the follicular carcinoma WRO cells were capable of a strong binding to LM-1. The trypsin sensitivity of WRO cell adhesion to LM suggested the involvement of nonintegrin LM receptors. Given the ability of follicular carcinoma cells to diffuse via blood-borne metastasis formation, our study next focused on the expression and function of the 67-kDa high affinity LM receptor. This nonintegrin LM receptor mediates a crucial step of the metastatic cascade: the attachment of cancer cells to LM-coated endothelial cells (15) and to the exposed LM of the subendothelial matrix (34). In a large variety of human cancers, particularly in breast and colon cancers, increased expression of the 67LR is a molecular marker of metastatic potential and aggressiveness (35). Increased expression of the 67LR is particularly critical for the success of hematogenous metastasis, and the 67LR is widely recognized as a metastasis-associated receptor (36).

Within thyroid cell lines, only the follicular carcinoma WRO expressed the 67LR. Among cells derived from different thyroid diseases, only those from follicular carcinoma displayed 67LR overexpression. As shown by competition experiments with the r37LRP, containing both LM-binding domains of the 67LR, this receptor was functionally active and was responsible for the strong adhesion to LM displayed by WRO cells and follicular carcinoma-derived cells. The expression of the 37LRP cytosolic precursor in cells derived from nonneoplastic thyroid diseases and papillary carcinomas is not inconsistent with their lack of adhesion to LM. The 37LRP is not exposed on the cell surface; thus, it does not act as a LM receptor. It is localized only in the cytoplasm, where it is posttranslationally modified into the mature surface 67LR, probably through dimerization of 37LRP molecules acylated by the fatty acids palmitate, oleate, and stearate (12, 13). These fatty acids are covalently associated via an ester or thioester linkage and are likely to be responsible for targeting the protein to the cell surface, where it can participate in the adhesion of cells to the extracellular matrix. In addition, the cytoplasmic 37LRP polypeptide may exert other functions; in particular, it has been shown to interact with ribosomes and play a role in polysome formation (37, 38).

A previous study performed only by immunohistochemistry on paraffin-embedded tissue sections reported the restricted expression of 67LR in thyroid carcinomas (39). In our study, Western blot analysis performed on extracts from frozen thyroid tissue specimens confirmed 67LR expression in follicular carcinomas, whereas it was absent in normal thyroid tissues and follicular adenomas. Thus, 67LR overexpression in follicular carcinomas could be a potentially useful tool to gain diagnostic information.

The restricted overexpression in follicular carcinoma cells of a functional 67LR together with nonfunctional integrin LM receptors suggests that the activities of various extracellular matrix receptors can be differentially modulated by cancer cells according to their invasive and metastatic potentials. The high affinity to LM of the 67LR could mediate stable contacts with basal membranes and be responsible for the tendency of follicular carcinoma cells to invade blood vessels and to disseminate via blood-borne metastasis.


    Footnotes
 
1 This work was supported in part by the Consiglio Nazionale delle Ricerche, Progetto A.C.R.O. (to G.R.), the Ministero dell’Università e della Ricerca Scientifica (fondi 40%), and the Associazione Italiana per la Ricerca sul Cancro (G.F.F., G.R.). Back

Received February 12, 1998.

Revised June 25, 1998.

Revised January 26, 1999.

Accepted February 18, 1999.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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