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The Journal of Clinical Endocrinology & Metabolism Vol. 86, No. 9 4504-4511
Copyright © 2001 by The Endocrine Society


Other Original Articles

Interaction of IGF-Binding Protein-Related Protein 1 with a Novel Protein, Neuroendocrine Differentiation Factor, Results in Neuroendocrine Differentiation of Prostate Cancer Cells

Elizabeth M. Wilson, Youngman Oh, Vivian Hwa and Ron G. Rosenfeld

Department of Pediatrics, Oregon Health Sciences University, Portland, Oregon 97201

Address all correspondence and requests for reprints to: Ron G. Rosenfeld, M.D., Department of Pediatrics, Oregon Health Sciences University, 3181 SW Sam Jackson Park Road, Portland, Oregon 97201. E-mail: rosenfer{at}ohsu.edu

Abstract

Neuroendocrine cells have been implicated in many cancers, including small cell lung, cervical, breast, and prostate carcinomas. The increase in neuroendocrine cell number in prostate cancer has been reported to correlate with poor prognosis, progressive tumors, and androgen insensitivity. The mechanisms involved in this differentiation remain unknown. IGF-binding protein-related protein 1 is a member of the IGF-binding protein superfamily and has recently been shown to exhibit differentiation and tumor suppression activity in prostate cancer cell lines stably overexpressing IGF-binding protein-related protein 1. From a yeast two-hybrid screen, a novel IGF-binding protein-related protein 1-interacting protein was identified. Immunocytochemical techniques indicate that this protein, 25.1, and intracellular IGF-binding protein-related protein 1 colocalize in the nucleus. When 25.1 is transiently expressed in a stable prostate cancer cell line overexpressing IGF-binding protein-related protein 1, cells assume a neuritic-like morphology with long dendritic-like processes and express the neuroendocrine markers chromogranin A and neuron-specific enolase. We propose that 25.1 (neuroendocrine differentiation factor) together with IGF-binding protein-related protein 1 can induce neuroendocrine cell differentiation in prostate cancer cells.

IN PATIENTS WITH prostate cancer, an increase in the neuroendocrine (NE) cell population correlates with an advanced prostate cancer that is androgen insensitive and, consequently, resistant to traditional modes of chemotherapy. NE cells have morphological similarities to neuronal cells and may secrete various bioactive neuropeptides, including bombesin, serotonin, TSH-like peptide, PTH-like peptide, and calcitonin-like peptide (1, 2). NE cells are, therefore, hypothesized to exert paracrine effects on the proliferation of neighboring cancer cells. In addition to the neuropeptides, NE cells secrete specific neuronal markers, such as chromogranin A (CgA) and neuron-specific enolase.

The progenitor of NE cells in prostate carcinoma appears to be an epithelial stem cell, based partly on the observation that there are basal, luminal, and intermediate NE cells types (3, 4). The mechanism(s) by which differentiation into NE cells occurs, however, is not well understood. Studies using xenograft models (5) as well as the androgen-sensitive human prostate cancer cell line, LNCaP (6), indicate that androgen withdrawal can induce NE differentiation. Further, in LNCaP cells, NE differentiation can be induced by epidermal growth factor (7) and IL-6 (8). The signaling pathway requires a functional ErbB2 (9) and activation of MAPK via elevation of cAMP (7). In support of these observations, treatment of cells with cAMP analogs, which activate cAMP-dependent protein kinase (PKA), induced NE differentiation (7, 10, 11), thus confirming one pathway involved in NE differentiation. The downstream effectors of this process, however, have not been identified either in vivo or in vitro.

Recently, a human prostate cancer cell line overexpressing IGF-binding protein-related protein 1 (IGFBP-rP1) was described as presenting NE-like cell morphology (12). The cDNA for IGFBP-rP1, a member of the IGFBP superfamily with significant N-terminal similarity to the IGFBPs (13), was first identified and cloned from normal leptomeningial cells (14). The biological function of IGFBP-rP1 is unknown, but it is capable of binding IGFs and insulin with low affinity (15, 16) and has also been implicated in senescence and tumor suppression (12, 17). Stable transfection of the cDNA for IGFBP-rP1 into malignant prostate epithelial cells results in decreased cell growth, increased apoptosis, poor growth in soft agar, and suppression of tumor formation in nude athymic mice (12).

In this report we introduce a novel protein, 25.1 [neuroendocrine differentiation factor (NEDF)], that interacts specifically with IGFBP-rP1 and leads to NE differentiation of the prostate cancer cell line overexpressing IGFBP-rP1 protein.

Materials and Methods

Materials and cell lines

Hs578T, MCF-7, and COS-7 cell lines (American Type Culture Collection, Manassas, VA) were maintained in DMEM-high glucose with 10% FCS. All tissue culture media are from Life Technologies, Inc.-BRL (Grand Island, NY) unless otherwise stated. human mammary epithelial cells (Clonetics, San Diego, CA) were maintained as recommended by the manufacturer. M12:pcDNA3.1 and M12:IGFBP-rP1 stable cell lines (gifts from Dr. Stephen Plymate, University of Washington, Seattle, WA) (12) were maintained in RPMI 1640 supplemented with 10 ng/ml epidermal growth factor, 0.02 mM dexamethasone, 5 µg/ml insulin, 5 µg/ml transferrin, 5% FCS, and 200 µg/ml G418 (Mediatech, Inc., Herndon, VA); supplements were purchased from Sigma-Aldrich Corp. (St. Louis, MO). Cell lines were incubated at 37 C in 5% CO2. The {alpha}-neuron-specific enolase and {alpha}-Cg A monoclonal antibodies were purchased from NeoMarkers, Inc. (Fremont, CA); {alpha}-hemagglutinin ({alpha}-HA) and {alpha}-M2 (against the FLAG epitope) monoclonal antibodies were obtained from Roche Molecular Biochemicals (Indianapolis, IN); normal rabbit IgG was purchased from Sigma-Aldrich Corp.

Yeast two-hybrid screen

Total RNA (5 µg) from MCF-7 breast cancer cells was employed to generate a cDNA library, using the Match Maker Yeast Two Hybrid cDNA Construction Kit (CLONTECH Laboratories, Inc., Palo Alto, CA). The bait was the full-length IGFBP-rP1 cDNA fused to the GAL4 DNA binding domain (Match Maker Yeast two-hybrid screening kit). Eighty-eight colonies were obtained from the initial screen, and of these, 65 were positive, with all 65 encoding the same cDNA. The cDNA contained approximately 650 bp, and a BLAST search of known databases (www.ncbi.nlm.nih.gov) indicated the sequence to be novel. The full-length clone, provisionally designated 25.1, was subsequently generated by rapid amplification of 5'-cDNA ends (Life Technologies, Inc.), and the resultant 850-bp cDNA was cloned and sequenced.

Northern blot

A multihuman tissue mRNA blot, containing 2 µg polyadenylase RNA/lane from the indicated tissue, was purchased from CLONTECH Laboratories, Inc. The 25.1 cDNA was radiolabeled with [{alpha}-32P]deoxy-CTP (NEN Life Science Products, Boston, MA), using a random DNA priming kit (Prime It, Stratagene, La Jolla, CA). The blot was hybridized with Rapid Hybridization Solution (Amersham Pharmacia Biotech, Piscataway, NJ) at 65 C overnight. The blot was washed as suggested by the manufacturer and exposed to BioMax MS film (Eastman Kodak Co., Rochester, NY).

Transient transfections

For transient transfections, pcDNA3.1 (Invitrogen, San Diego, CA)-based plasmids with the indicated cDNA were transiently transfected into the various mammalian cell lines using the Fugene 6 reagent (Roche Molecular Biochemicals) according to the manufacturer’s suggestions. Plasmid concentrations, in the case of single or dual transfections, were standardized with control vector, pcDNA3.1. For neuroendocrine differentiation studies, the transfections were performed in six-well dishes with a maximum of 8 µg/well plasmid DNA for 6–18 h and then trypsinized and seeded into new dishes for subsequent experiments.

Generation of polyclonal 25.1 antibody

The cDNA of 25.1 was C-terminally epitope tagged with the DNA sequence for the HA nanopeptide (amino acids YPYDVPDYA) using PCR amplification. The 25.1HA protein was expressed in Escherichia coli BL21 cells as a fusion protein with glutathione-S-transferase (GST Gene Fusion System, Pharmacia Biotech). Crude bacterial lysates containing the fusion protein were prepared by sonication, proteins were solubilized in the presence of 1% Triton-X, and a reducing agent, dithiothreitol, was added. The fusion protein was purified using a glutathione-Sepharose column. The 25.1HA-fused peptide was released by thrombin protease digestion (there is a thrombin protease site at the fusion junction).

Polyclonal antibodies against 25.1 was generated in rabbits. Each of three New Zealand White female rabbits were sc injected with 100 µg purified protein mixed with an equal volume of Freund’s complete adjuvant (preimmune sera was collected 5 d before immunization). At 1-month intervals, two booster injections were preformed with the same concentration of protein in incomplete Freund’s adjuvant. The rabbits were killed 1 month after the last booster, and serum was collected from whole blood. A 25.1-cyanogen bromide-activated Sepharose column (Pharmacia Biotech) was employed to further purify the IgG fraction of specific anti-25.1 antibody.

Immunoprecipitation and Western immunoblot

Cells lysates for coimmunoprecipitation experiments were prepared by sonication, and insoluble material was removed by centrifugation. Protein complexes were immunoprecipitated (Ip) from total cell lysates with primary antibody [{alpha}-25.1 or {alpha}-IGFBP-rP1 polyclonal antibodies (18), normal rabbit IgG, or as indicated] preincubated with protein A-Sepharose beads (Amersham Pharmacia Biotech). The protein complexes were eluted from the beads by boiling in the presence of reducing SDS-PAGE sample buffer. In other experiments, total cell lysates were prepared in RIPA buffer [150 mM NaCl, 20 mM HEPES (pH 7.5), 1% Triton-100, 1% sodium deoxycholate, 0.1% SDS, and a cocktail of protease inhibitors]. Equal protein concentrations were resolved on SDS-PAGE, transferred to nitrocellulose membrane, and immunoblotted with the indicated antibody.

For Western immunoblots, proteins were separated on 12% SDS-PAGE and transferred to nitrocellulose membranes (Hybond ECL, Amersham Pharmacia Biotech). Membranes were blocked with 4% nonfat evaporated milk in Tris-buffered saline-0.1% Tween-20 and incubated with the indicated primary antibody. After overnight incubation at 4 C, blots were washed and incubated for 1 h at 22 C with a 1:3000 dilution of horseradish peroxidase-linked antirabbit IgG (or antimouse IgG) secondary antibodies. Specific proteins were detected with enhanced chemiluminescence reagents according to the manufacturer’s protocol (Renaissance, NEN Life Science Products).

Immunocytochemistry

For immunofluorescence studies, cells were grown in 24-well dishes for the indicated times and with the indicated treatments. The cells were fixed with 4% paraformaldehyde for 10 min at room temperature and permeabilized with 50% methanol/50% acetone for 1–2 min at room temperature. The cells were blocked in 0.25% normal goat serum in PBS and 0.1% Triton X-100. Incubations with the respective primary antibodies ({alpha}-25.1, {alpha}-HA, or {alpha}-IGFBP-rP1) were performed overnight at 4 C. Each well was rinsed three times in PBS, and cells incubated with fluorescent-conjugated secondary antibodies (goat antirabbit IgG or goat antimouse IgG conjugated to either fluorescein or Texas Red, Molecular Probes, Inc., Eugene, OR) and Hoechst stain (1 µg/ml) for 1–2 h at room temperature. Each well was washed three times with PBS and viewed under a Nikon inverted phase, fluorescent microscope with an analog camera (Nikon, Melville, NY).

Results

Identification of a novel IGFBP-rP1-interacting protein, 25.1

The yeast two-hybrid system was employed to identify IGFBP-rP1-interacting proteins. A cDNA library from MCF-7 breast cancer cells was screened, with IGFBP-rP1 cDNA as bait. One novel cDNA was subsequently identified and initially designated 25.1. The 850-bp cDNA encodes a peptide of 223 amino acids, which contains a putative nuclear localization (Fig. 1AGo). Hybridization of human multitissue Northern blots with the 25.1 cDNA indicates ubiquitous expression of 25.1 mRNAs, with three distinct transcripts (1.1, 3.4, and 8.5 kb; Fig. 1BGo). Expression of the three transcripts appears to be differentially regulated, with considerable tissue to tissue variability. The GenBank accession number for 25.1 (NEDF, see below) is AF219226.



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Figure 1. Identification and expression of the IGFBP-rP1-interacting protein, 25.1. A, The sequence of 25.1 cDNA. An open reading frame encodes a protein of 223 amino acid residues. A putative nuclear localization signal is indicated. The GenBank accession number is AF219226. B, Distribution of 25.1 mRNA in human tissues. A human multitissue polyadenylase RNA blot was probed with 25.1 cDNA. Lane 1, Spleen; lane 2, thymus; lane 3, prostate; lane 4, testis; lane 5, ovary; lane 6, small intestine; lane 7, colon; lane 8, peripheral blood leukocyte; lane 9, heart; lane 10, brain; lane 11, placenta; lane 12, lung; lane 13, liver; lane 14, skeletal muscle; lane 15, kidney; lane 16, pancreas. C, Expression of 25.1 protein in human mammary and prostate cells. Western immunoblot analysis was performed on total cell lysates collected from human mammary epithelial cells (Clonetics), breast cancer cells MCF-7 and Hs578T (American Type Culture Collection), and M12 prostate cancer cells stably transfected with control vector (M12:pcDNA3.1) (12 ) or with IGFBP-rP1 cDNA (M12: IGFBP-rP1) (12 ). Equal protein concentrations were resolved on SDS-PAGE, transferred to nitrocellulose membrane, and immunoblotted with 25.1 affinity-purified {alpha}-25.1 polyclonal antibody (1:3000 dilution).

 
Specific expression of 25.1 in cultured prostate and mammary cell lines, including both normal epithelial and cancer cells, indicated a low level of 25.1 mRNA expression, as transcripts were detectable by RT-PCR, but not by Northern blotting (data not shown). Protein expression of 25.1 was determined by generating a rabbit polyclonal antibody to Escherichia coli, expressed 25.1 protein, tagged at the carboxyl-terminus with the HA epitope. As indicated in Fig. 1CGo, the affinity-purified {alpha}-25.1 antibody recognizes E. coli-generated 25.1 (20 ng) as a single protein of 29 kDa, and baculovirus-generated 25.1 (cell lysate) as a doublet. In Western immunoblots of cell lysates from breast and prostate cancer cell lines, the 25.1 protein appears as a doublet of about 29 and 31 kDa (Fig. 1CGo). Immunoblotting with antibody preabsorbed with E. coli-generated 25.1 protein demonstrated both bands to be 25.1 specific (data not shown).

Interaction between IGFBP-rP1 and 25.1

Coimmunoprecipitation experiments were employed to confirm the interaction between IGFBP-rP1 and 25.1 (Fig. 2Go). To determine the specificity of coimmunoprecipitation, cell lysates from COS-7 cells cotransfected with both pcDNA3.1:25.1HA and pcDNA3.1:IGFBP-rP1FLAG were Ip with normal rabbit IgG or with {alpha}-25.1 and immunoblotted with {alpha}-M2 (anti-FLAG). As expected, FLAG-tagged IGFBP-rP1 protein coimmunoprecipitated only when {alpha}-25.1, but not normal rabbit IgG, was used for Ip (Fig. 2AGo).



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Figure 2. Coimmunoprecipitation and Western immunoblot analysis of IGFBP-rP1 and 25.1 interactions. A, COS-7 cells were transiently transfected with both pcDNA3.1:25.1HA and pcDNA3.1:IGFBP-rP1FLAG cDNAs, and cell lysates were collected as described in Materials and Methods. Ip was accomplished with the indicated polyclonal antibody, and precipitated complexes were immunoblotted with {alpha}-M2 (against the FLAG epitope). Lane a, Ip with normal rabbit IgG; lane b, Ip with {alpha}-25.1. B, COS-7 cells were transiently transfected with pcDNA3.1 (lane a), pcDNA3.1:25.1HA (lane b), pcDNA3.1:IGFBP-rP1FLAG (lane c), or both pcDNA3.1:25.1HA and pcDNA3.1:IGFBP-rP1FLAG (lane d). IGFBP-rP1–25.1 complexes were Ip from total cell lysates with either {alpha}-25.1 or {alpha}-IGFBP-rP1 polyclonal antibodies and immunoblotted with either {alpha}-M2 or {alpha}-HA, respectively, as indicated on the left of each blot. To demonstrate the efficiency of protein expression in the transient transfections performed, the respective cell lysates were Ip with {alpha}-IGFBP-rP1 and immunoblotted with {alpha}-M2 (lanes c' and d') or Ip with {alpha}-25.1 and immunoblotted with {alpha}-HA (lanes b' and d'), as indicated.

 
To further substantiate that IGFBP-rP1 and 25.1 interact, cell lysates from COS-7 cells transiently transfected with pcDNA3.1, pcDNA3.1:25.1HA, pcDNA3.1:IGFBP-rP1FLAG, or both pcDNA3.1:25.1HA and pcDNA3.1:IGFBP-rP1FLAG, were collected and analyzed (Fig. 2BGo). Expression of recombinant proteins in transiently transfected COS-7 cells was confirmed by Ip with {alpha}-IGFBP-rP1 antibody and immunoblotting with {alpha}-M2 (Fig. 2BGo, lanes c' and d', upper panel) or Ip with {alpha}-25.1 antibody and immunoblotting with {alpha}-HA (Fig. 2BGo, lanes b' and d', lower panel). Results indicate that coexpression of IGFBP-rP1FLAG and 25.1HA (lane d') was equivalent to the expression of either protein alone (lanes b' and c'). Cell lysates were then analyzed for the presence of IGFBP-rP1–25.1 complexes; {alpha}-IGFBP-rP1 antibody or {alpha}-25.1 antibody was used for Ip, and the precipitate was immunoblotted with {alpha}-HA or {alpha}-M2, respectively. In the absence of either IGFBP-rP1FLAG or 25.1HA recombinant proteins in the total cell extracts, specific immunoreactive bands were not detected with either {alpha}-M2 or {alpha}-HA antibodies (lane a). Endogenous IGFBP-rP1 permitted co-Ip of transiently expressed 25.1HA, detected with {alpha}-HA (lane b); endogenous 25.1 protein permitted coIp of transiently expressed IGFBP-rP1FLAG, detected with {alpha}-M2 (lane c); concurrent transient expression of 25.1HA and IGFBP-rP1FLAG permitted co-Ip of both 25.1HA and IGFBP-rP1FLAG by either antibody (lane d). Similar results were obtained in other cell lines (Hs578T or MCF-7 cells) transiently transfected with the same panel of plasmids (data not shown).

Interestingly, transiently expressed 25.1HA protein is detected as a doublet, consistent with the doublet protein bands corresponding to endogenous 25.1 (Fig. 1CGo). Furthermore, it appears that IGFBP-rP1, both endogenous and the recombinant FLAG-tagged protein, coprecipitates preferentially with the larger band of the 25.1 doublet.

Cellular localization of IGFBP-rP1 and 25.1

Immunofluorescent studies of endogenous 25.1 and IGFBP-rP1 proteins in mammary and prostate cells indicate that cellular localization of both proteins is predominantly nuclear (Fig. 3Go). The immunofluorescent signals were reduced to background when the respective antibodies were first preabsorbed with either 25.1HA protein or IGFBP-rP1FLAG protein (data not shown), indicating that localization was specific.



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Figure 3. Cellular localization of IGFBP-rP1 and 25.1 by immunocytochemistry. A, Endogenously expressed IGFBP-rP1 and 25.1 in Hs578T breast cancer cells and prostate cancer cells were detected with primary antibodies ({alpha}-IGFBP-rP1 polyclonal antibody or purified {alpha}-25.1 polyclonal antibody). The secondary antibody was goat antirabbit IgG, fluorescein-labeled antibody. Hs578T, magnification, x400. M12:pcDNA3.1 and M12: IGFBP-rP1, magnification, x200. B, Localization of transiently expressed 25.1HA. Hs578T breast cancer cells were transiently transfected with pcDNA3.1:25.1HA. After serum starvation for 18 h, the transfected cells were exposed to 10% serum, and at the indicated times, the cells were fixed for immunocytochemistry. Two antibodies were employed for the immunofluorescent studies: {alpha}-25.1 antibody, which detects both endogenous 25.1 and the transiently expressed 25.1HA protein; and {alpha}-HA antibody, which specifically detects only the transiently expressed 25.1HA protein.

 
Hs578T cells stained with {alpha}-IGFBP-rP1 showed a punctate nuclear distribution of the protein (Fig. 3AGo). In prostate cells overexpressing IGFBP-rP1 (M12:IGFBP-rP1) and in prostate cells expressing very little secreted IGFBP-rP1 (M12:pcDNA3.1), nuclear distribution was again noted (Fig. 3AGo). Similar to IGFBP-rP1, the signal for 25.1 was nuclear and punctate (Fig. 3AGo). No cytoplasmic staining was detectable, and 25.1 protein was not detected by immunoblotting techniques in conditioned medium from any breast or prostate cell line tested to date. To further substantiate that 25.1 can translocate to the nucleus, Hs578T cells, an E-nonresponsive breast cancer cell line, were transiently transfected with pcDNA3.1:25.1HA, and trafficking of 25.1HA protein was followed. Immunofluorescence of these transfected cells showed that transiently expressed 25.1HA protein clearly translocates to the nucleus, as demonstrated with both {alpha}-HA and {alpha}-25.1 antibodies (Fig. 3BGo). At 0 h, only endogenous 25.1 was detectable with {alpha}-25.1 antibody (secondary antibody was goat antirabbit IgG conjugated to fluorescein) and was localized to the nucleus. The transiently expressed 25.1HA protein, was detectable at 6 h, and by 12 h had clearly translocated from the cytoplasm to the nucleus ({alpha}-HA, with goat antimouse IgG conjugated to Texas Red as the secondary antibody).

Overexpression of IGFBP-rP1 and 25.1 in prostate cancer cells induces neuroendocrine differentiation

To investigate the biological role of 25.1, we used the prostate epithelial cancer cell line, M12, stably overexpressing IGFBP-rP1 (M12:IGFBP-rP1) (12). In comparison to wild-type M12 cells or to M12 cells stably transfected with vector alone, M12:IGFBP-rP1 cells have been shown to acquire an elongated morphology with multiple projections (12). When grown in defined medium, they displayed a significantly reduced growth rate compared with that of the parental cell line transfected with vector, pcDNA3.1 (M12:pcDNA3.1). Recent data further demonstrated that in nude athymic mice, the IGFBP-rP1-overexpressing stable cells have significantly reduced tumorigenic potential compared with control transfected cells (12).

The mechanism for these morphological and biological changes in M12:IGFBP-rP1 stable cells is unclear, but could involve an interaction between IGFBP-rP1 and endogenous 25.1. To investigate this possibility, M12:pcDNA3.1 and M12:IGFBP-rP1 cells were transiently transfected with 25.1HA cDNA and examined by immunofluorescence (Fig. 4AGo). M12:pcDNA cells overexpressing 25.1HA protein demonstrated minimal morphological changes. In contrast, M12:IGFBP-rP1 cells exhibited further changes when overexpressing 25.1HA protein. Long, dendritic-like processes developed, and cells assumed a neuritic appearance, suggesting that M12:IGFBP-rP1 had further differentiated into neuroendocrine-like cells upon transient overexpression of the 25.1 protein.



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Figure 4. NE-like phenotype of M12:IGFBP-rP1 prostate cancer cell transiently expressing 25.1HA. A, Endogenous 25.1 and transiently expressed 25.1HA were examined by immunofluorescence with either purified {alpha}-25.1 polyclonal antibody or {alpha}-HA mouse monoclonal antibody, respectively. Magnification, x400. B, Transient transfection of pcDNA3.1:GFP into M12: IGFBP-rP1. Magnification, x200.

 
Distribution of the overexpressed 25.1 protein was diffuse throughout the well differentiated cells, even into the dendritic arms. The effect on cell morphology appears to be due specifically to overexpression of 25.1, as transient transfections with green fluorescent protein (GFP) cDNA resulted in no morphological changes, although GFP was similarly detectable throughout the cell (Fig. 4BGo). This phenomenon thus appears to require both IGFBP-rP1 and 25.1 to be present and to be overexpressed.

To determine whether M12:IGFBP-rP1 cells transiently transfected with 25.1 cDNA are phenotypically NE cells, they were examined for expression of the NE cell marker CgA. In immunofluorescent studies employing anti-CgA monoclonal antibodies, only cells overexpressing 25.1 were also positive for CgA (Fig. 5Go). Similar results were obtained with the NE marker, neuron-specific enolase (data not shown).



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Figure 5. Chromogranin staining of M12: IGFBP-rP1 transiently expressing 25.1.M12: IGFBP-rP1 cells were transiently transfected with 25.1HA cDNA. After 72 h, the cells were fixed with paraformaldehyde and immunostained with both the neuroendocrine marker {alpha}-CgA monoclonal antibody and {alpha}-25.1 polyclonal antibody.

 
Discussion

Cellular differentiation involves a cascade of events that results in changes in cellular morphology and a reduced rate of proliferation. The M12:IGFBP-rP1 prostate cancer cells stably overexpressing IGFBP-rP1 exhibit many of the early stages of NE differentiation. Employing a yeast two-hybrid screen, we have now identified a novel IGFBP-rP1-interacting protein, 25.1, which mediates the conversion to a prostate neuroendocrine cell phenotype. On this basis, we propose the designation of 25.1 as NEDF.

Endogenous NEDF/25.1 appears to be expressed in mammalian cells as a doublet of 29 and approximately 31 kDa. The same doublet was detected when HA-tagged NEDF/25.1 cDNA was transiently expressed in mammalian cells, but not when expressed in E. coli, suggesting posttranslational modification of NEDF/25.1 in mammalian systems. The nature of the modification is unknown. In baculovirus, NEDFFLAG was also expressed as a doublet, although the larger of the two protein bands differed from that observed in the mammalian system. This would be consistent with the different posttranslational modification machinery between insect and mammalian systems.

Interactions between IGFBP-rP1 and NEDF/25.1 were readily demonstrable by coimmunoprecipitation. The interaction was specific, and when both IGFBP-rP1FLAG and NEDF/25.1HA proteins were overexpressed, a 3-fold increase in the IGFBP-rP1FLAG- NEDF/25.1HA complex was detected in cell lysates immunoprecipitated with {alpha}-IGFBP-rP1 antibody. Surprisingly, a similar increase was not observed when immunoprecipitating with {alpha}-25.1 antibody, and, in fact, there appeard to be a decrease in detectable IGFBP-rP1FLAG- NEDF/25.1HA complexes. It is not clear why this is the case, although it is possible that the polyclonal antibody generated against the recombinant NEDF/25.1HA protein can disrupt IGFBP-rP1-NEDF/25.1HA interactions. Not all the expressed recombinant proteins (<50% by densitometric determination) participate in the interaction, suggesting that other parameters, such as correct cellular colocalization of the two proteins, are involved. Optimal interaction may also be a regulated process (see below). Interestingly, IGFBP-rP1 (native and transiently expressed FLAG-tagged protein) appears to interact preferentially with the larger, presumably posttranslationally modified, form of NEDF/25.1.

The potential biological effect of interactions between IGFBP-rP1 and NEDF was observed in M12 prostate cancer cells. Overexpression of both IGFBP-rP1 and NEDF results in NE terminal differentiation of M12 cells, with many features characteristic of neuronal cells, including dendritic arms that promote cell to cell contact and the presence of neuron-specific markers, such as CgA and neuron-specific enolase. The mechanism(s) by which IGFBP-rP1 and NEDF interact in this cell background to promote NE differentiation is unclear. Both proteins localize to the nucleus, although IGFBP-rP1 is also clearly a secreted protein (15). Newly synthesized NEDF protein is immediately targeted to the nucleus. In contrast, the sequence of events leading to nuclear localization of IGFBP-rP1 is unclear and may include initial secretion of IGFBP-rP1 into the extracellular milieu, with subsequent uptake and transport to the nucleus. However, the fact that secreted IGFBP-rP1 is not detectable in some cells, such as M12:pcDNA3.1 and MCF-7 cells, suggests that another mechanism(s) for nuclear targeting of IGFBP-rP1 exists. Analysis of the amino acid sequences of IGFBP-rP1 and NEDF proteins suggest the presence of putative nuclear localization signals (K89SRKRRKGK97 in IGFBP-rP1; K45RSVKDAAKK54 in NEDF). Whether these are functional nuclear localization signal sequences has yet to be demonstrated. The colocalization of IGFBP-rP1 and NEDF in the nucleus provides opportunities for the two proteins to interact. Further investigations are necessary to determine whether the interaction is a regulated process that results in NE differentiation.

All of the cell lines examined to date demonstrate the presence of both nuclear IGFBP-rP1 and NEDF. It is therefore intriguing that the distinctive morphological effects of NE differentiation were observed only in M12:IGFBP-rP1 cells, not in control M12:pcDNA3.1 cells, COS-7 cells, or the breast cancer cell lines Hs578T and MCF-7 (data not shown). Hs578T cells, in particular, secrete IGFBP-rP1 protein at levels at least equivalent to those seen in CM of M12:IGFBP-rP1 cells (Wilson, E. M., unpublished). We, therefore, speculate that in M12:IGFBP-rP1 cells, an interaction is specifically triggered between IGFBP-rP1 and a limited amount of endogenous NEDF, resulting in growth suppression and partial activation of the differentiation pathway. The transient overexpression of NEDF further amplifies terminal NE differentiation in these prostate cells. Hence, the presence of both IGFBP-rP1 and NEDF appears to result in synergistic activation of NE differentiation. As both IGFBP-rP1 and NEDF can be found in the nucleus, it is possible that the resulting complex could be involved in transcriptional regulation of the genes necessary for NE differentiation. It is of note that several of the high affinity IGF binders, the IGFBPs, which share the amino-terminal motif found in the IGFBP-rPs, have also been shown to translocate to the nucleus (19, 20, 21, 22).

The morphological effects of transiently overexpressing NEDF/25.1 in M12:IGFBP-rP1 could also be a result of indirect effects. For example, excess NEDF/25.1 in the cytoplasm may perturb the stability of proteins involved in modulating signaling pathways critical for determination of cell morphology, such as the focal adhesion kinase pathways (23); it is noted that excess cytoplasmic GFP does not cause the same effect. Excess NEDF/25.1 in cytoplasm of other cell lines tested, including Hs578T cells, does not generate the same morphological changes. Simultaneously, it remains unclear why NE differentiation of M12 cells requires both overexpression of NEDF and IGFBP-rP1. Clearly, the specificity and mechanism(s) of NEDF NE differentiation action warrant further investigation.

It has been proposed that all three cell types comprising the prostate epithelium (epithelial, basal, and neuroendocrine cells) have a common endodermal origin. Alternative models suggest a neurogenic origin for prostatic NE cells. An increase in NE cell number in prostatic tumors has been shown to correlate with progressive cancer, poor prognosis, and androgen insensitivity (1). A transgenic mouse model, generated using the mouse cryptdin-2 gene to direct expression of simian virus 40 T antigen in a subset of prostatic NE cells, resulted in a 100% incidence of metastatic prostate cancer independent of androgen activity (24). Terminal NE differentiation has been induced in two prostatic cell lines, LNCaP and PC-3M, by increasing intracellular levels of cAMP, possibly signaling through the MAPK pathway (7, 10, 11, 25). In our studies in prostatic M12 cells stably transfected with IGFBP-rP1, coexpression of NEDF resulted in pronounced NE differentiation, with the characteristic morphological changes and positive staining for neuron-specific markers. Further studies will be required to determine whether the IGFBP-rP1-NEDF pathway is involved in cAMP-stimulated NE differentiation. It is of interest that NE cells have been noted in many other cancers, such as lung, breast, and cervical (1), and IGFBP-rP1-NEDF/25.1 interactions in these systems need to be further investigated. Given the striking effects of IGFBP-rP1 in prostate cancer (12) and the identification of a novel interacting protein involved in the neuroendocrine differentiation of prostate cancer cells, new insights concerning the pathophysiology, diagnosis, and treatment of prostate cancer should emerge.

Acknowledgments

Footnotes

This work was supported by NIH Grants CA-58110 and DK-51513 and U.S. Army Grants DAMD 17-96-2604 and DAMD 17-97-17204.

Abbreviations: CgA, Chromogranin A; GFP, green fluorescent protein; IGFBP-rP1, IGF-binding protein-related protein 1; HA, hemagglutinin; Ip, immunoprecipitated, immunoprecipitation; NE, neuroendocrine; NEDF, neuroendocrine differentiation factor.

Received August 7, 2000.

Accepted May 15, 2001.

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