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Carcinogenesis |
Department of Molecular Genetics, Biochemistry, and Microbiology [S. J. E., J. B. H., I. O., T. D.], Division of Comparative Pathology [G. P. B.], and Department of Environmental Health [P. S. G.], University of Cincinnati, Cincinnati, Ohio 45267
| ABSTRACT |
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| INTRODUCTION |
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716 mouse model of small intestinal cancer has been shown to increase adenoma size and promote progression to invasive carcinoma (9)
. Finally, SMAD3-deficient mice bred onto a 129 background have been shown to develop metastatic colon cancer (10)
. The multifunctional nature of the TGF-ß family suggests several potential mechanisms by which defects in the TGF-ß pathway may contribute to tumorigenesis. A commonly held view is that TGF-ß1 prohibits tumor cell proliferation because TGF-ß1 inhibits epithelial cell growth in vitro. TGF-ß1 promotes remodeling of the extracellular matrix, which may mediate tumor cell-matrix interactions and epithelial cell differentiation (11) . In addition, TGF-ß1 is a potent regulator of immune and inflammatory cells (12, 13, 14, 15) . By regulating immune cell function, it is thought that TGF-ß1 reduces local production of growth factors and tissue damage induced by free radicals (16 , 17) . Consequently, growth control, regulation of epithelial cell differentiation and cell matrix interaction, and protection from genetic damage caused by inflammatory cells could all be significant in the initiation, promotion, or progression of colon cancer.
A mixed strain (129S6 x CF-1) of Rag2-/- mice, which lack both B and T cells, develops an inflammation-associated hyperplasia specific to the cecum and colon shortly after weaning. We examined the role of TGF-ß1 in suppressing intestinal cancer by introducing a Tgfb1 null mutation into this strain of mouse. Because immunocompetent Tgfb1-/- mice die at
3 weeks of age due to organ failure resulting from a multifocal inflammatory disease (12
, 13)
, placement of the Tgfb1 null allele on an immunodeficient background permits the Tgfb1-/- mice to live to adulthood (18)
so that tumorigenesis can be followed. Tgfb1-/- Rag2-/- mice rapidly develop carcinoma. By 5 months of age, all Tgfb1-/- Rag2-/- mice exhibit multiple carcinomas in the cecum and colon. In contrast, ceca and cola from nearly all Tgfb1+/+ and Tgfb1+/- Rag2- /- mice remain hyperplastic, suggesting that inflammation-associated hyperplasia in the absence of TGF-ß1 predisposes to cancer. No differences in inflammation, cell proliferation, or apoptosis were found among hyperplastic tissues from Tgfb1+/+, Tgfb1+ /-, and Tgfb-/- Rag2- /- mice. This suggests a critical role for TGF-ß1 in nonproliferative aspects of crypt epithelial tissue integrity early in tumorigenesis, and it implies that other TGF-ß ligands mediate suppressive activities later in tumorigenesis.
| MATERIALS AND METHODS |
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Histology and Immunostaining.
The cecum and colon were dissected free from mesenchyme, opened longitudinally, and flushed of contents. After examining the luminal surface and scoring for tumors, half of the cecum and colon was frozen in liquid nitrogen and stored at -80°C. The remaining tissue was immersion fixed in 4% phosphate-buffered formalin and embedded in paraffin. A minimum of two H&E-stained sections from the cecum and colon of each mouse was evaluated by a single observer (G. P. B.), who was unaware of the genotypes of the mice from which the samples were taken. Disease stage was based upon the most severe lesion (hyperplasia, adenoma, or carcinoma) present within each sample. In addition, characterization and severity of lesions were corroborated in a blind fashion by comparative pathologists at two other institutions.
For APC and ß-catenin immunostaining, deparaffinized, 5-µm sections were submerged in 0.1 M sodium citrate (pH 6.0), heated in a microwave at full power for 5 min, and cooled to room temperature. The sections were washed in PBS and incubated with a rabbit polyclonal antibody directed against either the COOH terminus of the APC protein (sc-896 diluted 1:200; Santa Cruz Biotechnology, Santa Cruz, CA) or the ß-catenin protein (C-2206 diluted 1:500; Sigma Chemical Co., St. Louis, MO). The primary antibody was detected with the Vectastain Rabbit ABC kit (Vector Laboratories, Burlingame, CA). Final staining was developed with 3,3-diaminobenzidine, and sections were counterstained with aqueous hematoxylin.
BrdUrd and TUNEL Analyses.
For detection of proliferating cells, mice received i.p. injections of 120 µg of BrdUrd/g of body weight 1 h before sacrifice. Mice were prepared for histology as described above. Deparaffinized sections were pretreated with 2 N HCl (for 20 min at 37° C), neutralized with 1% boric acid buffer (for 1 min at 37°C), and treated with trypsin (1 mg/ml each of trypsin and CaCl2 in 50 mM Tris, pH 7.5, for 3 min at 37°C). After trypsinization, the sections were washed in PBS and incubated with anti-BrdUrd (BU-33 diluted 1:1000; Sigma). The primary antibody was detected using the Vectastain Mouse ABC kit. Final immunostaining was developed with 3,3-diaminobenzidine, and sections were counterstained with aqueous hematoxylin. Three x40 microscope fields from each section were photographed, and epithelial cells were scored for positive BrdUrd staining.
For identification of apoptotic cells, TUNEL was performed on tissue sections using the fluorescein-based In Situ Cell Death Detection kit (Boehringer Mannheim, Indianapolis, IN) according to the manufacturers instructions. Nuclei were counterstained with 5 µg/ml of bisbenzimide in PBS for 5 min at room temperature. Three x40 microscope fields from each section were photographed, and cells were scored for positive TUNEL fluorescence.
Detection of MPO and NOS Activities.
For measuring MPO activity, frozen cecum was homogenized in 10 volumes of 0.2 M phosphate buffer (pH 7.4) and microcentrifuged at 14,000 rpm for 15 min at 4°C. The supernatant was discarded, and the pellet was homogenized in 1 ml of 0.05 M potassium phosphate buffer (pH 6.0) containing 0.5% (w/v) hexadecyltrimethylammonium bromide. The resuspended pellet was microcentrifuged at 14,000 rpm for 15 min at 4°C, and the supernatant was collected. MPO activity was determined using a 3,3',5,5'-tetramethylbenzidine liquid substrate system (Sigma). The enzymatic reaction was stopped with 0.5 M H2SO4 after a 30-min incubation at room temperature. The yellow color was read at 450 nm. MPO activity in the samples was calculated from a standard curve generated with purified MPO. For measurement of NOS activity, cecal homogenates were assayed for the ability to convert [3H]arginine to [3H]citrulline using the NOS Detect Assay kit (Stratagene, La Jolla, CA) according to the manufacturers instructions. Protein concentrations of homogenates in both assays were determined using the Micro BCA Protein Assay kit (Pierce, Rockford, IL).
Microsatellite Analysis.
DNA was isolated from excised, individual polyps by digestion with 300 µg/ml of proteinase K in lysis buffer [50 mM KCl, 10m M Tris (pH 8.3), 0.45% NP40, 0.45% Tween 20, and 1 mM EDTA]. Primer sets representing eight different chromosomes (DXMit99, D3Mit22, D4Mit37, D5Mit48, D6Mit14, D11Mit4, D16Mit4, and D17Mit93) were purchased from Research Genetics (Huntsville, AL). Primers used to amplify across the (GT)3 repeat of the Tgfbr2 gene were: forward, 5' -AAATTCCCAGCTTCTGGCTC-3'; and reverse, 5' -TTCTGGAATCTTCTCCTGGG-3'. All PCR amplifications were performed using one 32P end-labeled primer and one unlabeled primer. Cycling conditions for PCR were: 95°C for 90 s, followed by 35 cycles of 57°C for 50 s, 72°C for 90 s, and 95°C for 30 s. Amplified products were separated on a urea-formamide 8% polyacrylamide gel. Gels were exposed to film at -80°C for 12 h.
| RESULTS |
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97% 129S6 and
3% CF-1) spontaneously develop mucosal hyperplasia of the cecum and colon. This hyperplasia can develop as early as 1 week after weaning and is independent of the Tgfb1 genotype of the mouse. Hyperplasia first appears in the body and base of the cecum and eventually disseminates to the distal colon. Hyperplastic ceca and cola contain thickened folds of intestinal wall, which appear as a collection of broad, sessile polyps. As many as 32 polyps may be present within affected tissues. Hyperplastic regions are characterized by elongated crypts with reduced numbers of goblet cells. Crypt organization is maintained (Fig. 1, AC)
-deficient mice (21, 22, 23)
. The inflammation is also strain specific because it was not detected in Rag2-/- mice on non-129 backgrounds (data not shown; Refs. 20
and 23
).
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Adenoma and Carcinoma Develop Rapidly in Tgfb1-/- Rag2- /- Mice.
The development of adenoma and carcinoma in Tgfb1-/- Rag2- /- mice occurs at a significantly earlier age and a higher frequency than in Tgfb1+/+or Tgfb1+/- Rag2-/- mice (Fig. 2)
. At 3 months of age, 27% (4 of 15) of Tgfb1-/- Rag2- /- mice presented with adenoma or carcinoma, whereas none of the Tgfb1+/+ Rag2-/- (0 of 15) mice exhibited adenoma or carcinoma (Fig. 2A)
. At 6 months of age, 100% (9 of 9) of Tgfb1-/- Rag2- /- mice displayed cancer in the cecum and colon, whereas only 20% (1 of 5) of Tgfb1+/+ Rag2- /- and 43% (3 of 7) of Tgfb1+/- Rag2-/- presented with carcinoma. Consequently, decreasing expression of Tgfb1 increases the frequency with which hyperplasia progresses to adenoma and carcinoma. The rapid loss of normal mucosal architecture in the absence of TGF-ß1 suggests a role for TGF-ß1 in maintaining or restoring normal mucosal integrity after insult. This model provides a unique opportunity to investigate the specific role of TGF-ß1 at this critical transition in the development of colon cancer.
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APC and ß-catenin Proteins Are Present in Neoplastic Tumors from Tgfb1-/- Rag2-/- Mice.
Mutations in the APC gene have been found in most (> 95%) human sporadic and inherited colon cancers (30
, 31)
. The majority of these mutations result in a truncated mRNA and immunohistochemically undetectable protein (32
, 33)
. Similarly, tumors in the ApcMin mouse also exhibit loss of immunohistochemically detectable APC (34, 35, 36)
. Loss of functional APC within intestinal epithelium is thought to lead to dysregulation of cell differentiation and proliferation through a mechanism involving ß -catenin (37)
. ß-Catenin influences cell behavior directly by binding to E-cadherin at the cell surface (38)
and indirectly by binding members of the TCF/LEF family of transcription factors prior to translocating to the nucleus (39)
. In the absence of functional APC, ß-catenin is lost from its normal location at the cell membrane and is distributed throughout the cytoplasm and nucleus (40
, 41)
.
We examined the possibility that APC levels might be reduced or absent in the epithelium of these tissues or that ß-catenin may be inappropriately distributed in epithelial cells. Immunostaining with an antibody directed against the COOH terminus of APC detects protein in epithelial cells at the luminal edge of hyperplastic crypts in Tgfb1-/- Rag2- /- (Fig. 6A)
and throughout epithelial cells of neoplastic cecal tumors from Tgfb1-/- Rag2- /- mice (Fig. 6B)
. In hyperplastic ceca from Tgfb1-/- Rag2-/- mice, positive immunostaining for ß-catenin is located in the peripheral cytoplasm and at intercellular junctions but not in the nucleus of mucosal epithelial cells (Fig. 6C)
. In epithelial cells of the neoplastic tumors, cytoplasmic staining is slightly more diffuse, whereas nuclear staining remains absent (Fig. 6D)
. Therefore, a deficiency in TGF-ß1 does not result in a redistribution of ß -catenin to the nucleus as occurs in the absence of APC, suggesting that the tumor-suppressive effects of TGF-ß1 do not act through the antiproliferative mechanisms attributed to APC.
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| DISCUSSION |
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Systematic evaluation of tumorigenesis in these mice indicates that the tumor-suppressor activity of TGF-ß1 is not directed at cell proliferation, suppression of inflammation, or maintenance of genetic stability. Comparison of hyperplastic mucosa among Tgfb1+/+, Tgfb1+ /-, and Tgfb1-/- Rag2- /- mice reveals similar increases in cell turnover rates and cell densities, as well as a similar distribution of proliferative cells along the crypt. This is in contrast to previous in vitro studies in which many epithelial cells are strongly growth inhibited by the addition of TGF-ß1 but it is consistent with the phenotype of the Tgf-b1 knockout mouse, which lacks any generalized epithelia hyperplasia in the absence of inflammation. The extent of inflammation in the ceca and cola of Tgfb1-/- Rag2- /- mice, as measured by levels of NOS and MPO, is not greater than in Tgfb1+/+ Rag2-/- mice. This implies that TGF-ß1 is not participating in suppressing granulocytic inflammation in the mouse intestine, despite ample in vitro and in vivo evidence showing that TGF-ß1 is a potent regulator of immune and inflammatory cells. Additionally, microsatellite instability is not detected in hyperplastic or tumor tissue from the cecum and colon of Tgfb1-/- Rag2- /- mice, thus arguing against a direct genome protective role for TGF-ß1.
The single difference detected in cecum and colon tumorigenesis in the absence of TGF-ß1 is the rapid loss of crypt and mucosal architecture in the presence of hyperplasia. Loss of crypt architecture is thought to be one of the earliest and most significant events in tumorigenesis (46) . Normal crypt division, which is infrequent in the adult cecum and colon, begins with epithelial budding at the base of a single crypt and proceeds by growth of an epithelial septum to yield two crypts (47) . Crypt division initiated by hyperplasia increases the number of crypts, which can distort the normal mucosal organization. In addition, the absolute number of proliferating cells in the cecum and colon is increased, despite the normal distribution and proportion of proliferating cells. This increases the population of cells at risk for acquiring changes that circumvent proliferation and differentiation controls. Further loss of mucosal organization can occur when crypt epithelial cells invaginate or evaginate in response to the cellular overcrowding of hyperplasia. Cells within these crypt branches are no longer subject to the same directional migration and extrusion as cells from the original crypt. Because most hyperplasia does not progress to adenoma, this implies that mechanisms must be in place to control the nature of crypt growth in response to insult and to maintain mucosal organization. Because the Tgfb1-/- Rag2- /- mice develop adenomas rapidly from hyperplastic tissue, these results indicate that TGF-ß1 is involved in maintaining mucosal organization after epithelial cell proliferation has been initiated. In support of this conclusion, Thorup (48) showed that chemically induced aberrant crypt foci in rat colon, which are thought to be the earliest detectable preneoplastic lesions, express reduced amounts of TGF-ß1, and Mikailowski et al. (49) showed that controlled release of TGF-ß1 into the peritoneum reduced the formation of these dysplastic foci.
One possible target of the TGF-ß1 tumor suppressor activity involves differentiation. TGF-ß1 is expressed as a gradient along the normal colon crypt. The differentiated epithelium of the luminal tips are associated with the highest levels of TGF-ß1, whereas the less differentiated, proliferating stem cells of the crypt base are associated with the lowest levels of TGF-ß1 (50 , 51) . In part because of this observation, a role for TGF-ß1 in maintaining crypt epithelial cells in a differentiated state has been proposed. However, unaffected crypts within hyperplastic ceca and cola in Tgfb1-/- Rag2- /- mice possess a normal epithelial cell profile consisting of well-differentiated columnar epithelium and mucin-producing goblet cells. Thus, any effect of TGF-ß1 on epithelial cell differentiation is not directed at establishing terminal differentiation.
Similar to Tgfb1-/- Rag2-/- mice, the earliest sign of disease described in the APC mouse model of intestinal cancer is mucosal dysplasia (35
, 52)
. Given the frequent mutations found in APC in human colon cancers and the large body of data implicating APC in regulation of epithelial interactions, we investigated the possibility that the absence of TGF-ß1 may affect epithelial cell function through APC. TGF-ß1 does not suppress intestinal cancer via regulation of APC levels because full-length APC was detected in epithelial cells of tumors in the Tgfb1-/- Rag2- /- mouse at levels comparable with controls. Although it cannot be ruled out that Apc has acquired point mutations in the tumors from Tgfb1-/- Rag2- /- mice, it seems unlikely because the majority of APC mutations in both humans and mice result in truncation of the protein product or loss of the wild-type allele. Additionally, we do not detect microsatellite instability in tumors from our mice, which suggests that the absence of TGF-ß1 does not invoke a mechanism that allows the rapid accumulation of gene mutations. The phenotype of the Apc
716/Smad4 compound heterozygous mouse also suggests that TGF-ß1 does not function directly through APC (9)
. If the two molecules acted in a hierarchical fashion, the compound heterozygotes would be expected to have the same phenotype as the Apc heterozygotes. The presence of larger, invasive tumors in the compound heterozygotes suggests that APC and TGF-ß1 act synergistically to protect against intestinal cancer. The detection of full-length APC in the intestinal tumors of SMAD3-deficient mice is consistent with these observations (10)
.
In conclusion, we present a mouse model of large intestinal cancer in which carcinoma develops from an inflammation-associated hyperplasia. We have demonstrated that TGF-ß1 suppresses intestinal cancer by preventing the early transition from an organized hyperplasia to dysplasia rather than by inhibiting epithelial cell proliferation, granulocyte-mediated inflammation, or genetic instability.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 This work was supported by Grants HD26471, ES05652, ES06096, ES07250, AR44059, and HL41496. ![]()
2 S. J. E. and J. B. H. contributed equally to this work. ![]()
3 To whom requests for reprints should be addressed, at Department of Molecular Genetics, Biochemistry, and Microbiology, 531 Bethesda Avenue, University of Cincinnati, Cincinnati, OH 45267-0524. E-mail: thomas.doetschman{at}uc.edu ![]()
4 The abbreviations used are: TGF, transforming growth factor; TGFBR, TGF-ß type II receptor; APC, adenomatous polyposis coli; BrdUrd, bromodeoxyuridine; TUNEL, terminal dUTP nick end labeling; MPO, myeloperoxidase; NOS, nitric oxide synthetase. ![]()
Received 2/ 3/99. Accepted 5/13/99.
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J. Lawler, W.-M. Miao, M. Duquette, N. Bouck, R. T. Bronson, and R. O. Hynes Thrombospondin-1 Gene Expression Affects Survival and Tumor Spectrum of p53-Deficient Mice Am. J. Pathol., November 1, 2001; 159(5): 1949 - 1956. [Abstract] [Full Text] [PDF] |
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S. Sturlan, G. Oberhuber, B. G. Beinhauer, B. Tichy, S. Kappel, J. Wang, and M. A. Rogy Interleukin-10-deficient mice and inflammatory bowel disease associated cancer development Carcinogenesis, April 1, 2001; 22(4): 665 - 671. [Abstract] [Full Text] [PDF] |
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R. T. Cormier and W. F. Dove Dnmt1N/+ Reduces the Net Growth Rate and Multiplicity of Intestinal Adenomas in C57BL/6-Multiple Intestinal Neoplasia (Min)/+ Mice Independently of p53 but Demonstrates Strong Synergy with the Modifier of Min 1AKR Resistance Allele Cancer Res., July 1, 2000; 60(14): 3965 - 3970. [Abstract] [Full Text] |
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M. A. Farmer, J. P. Sundberg, I. J. Bristol, G. A. Churchill, R. Li, C. O. Elson, and E. H. Leiter A major quantitative trait locus on chromosome 3 controls colitis severity in IL-10-deficient mice PNAS, November 20, 2001; 98(24): 13820 - 13825. [Abstract] [Full Text] [PDF] |
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