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Overproduction of Hyaluronan by Expression of the Hyaluronan Synthase Has2 Enhances Anchorage-independent Growth and Tumorigenicity¹

The Burnham Institute, La Jolla, California 92037

	ABSTRACT

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

 
Hyaluronan (HA) has long been implicated in malignant transformation and tumor progression. However, due to the lack of molecular tools to directly manipulate production of HA, which does not require a core protein for its synthesis, our understanding of the role of HA in tumor cells has been largely circumstantial. In this study, we genetically manipulated the production of HA by transfection of a mammalian HA synthase Has2 into human HT1080 cells and examined the malignant phenotype of transfected cells. We found that increased production of HA promotes anchorage-independent growth and tumorigenicity of the cells. Has2-transfected cells formed greater numbers of colonies in semisolid medium. Tumors in nude mice derived from Has2-transfected cells grew more rapidly and were 2–4 times larger than those derived from control cells at termination of experiments. Histological and biochemical analyses of tumors revealed no significant differences in cell density and tissue structures between them, indicating that the larger size of the tumors was due to enhanced cell proliferation, not to increased accumulation of tumor stroma or increased angiogenesis. These results demonstrate that HA production by tumor cells per se promotes proliferation of these cells in tissues and provides direct evidence for the role of HA in tumorigenicity.

	INTRODUCTION

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The ECM⁴ is one of the crucial environmental elements that affects tumor cell behavior. ECM serves as a scaffold to which tumor cells adhere and migrate. ECM is also thought to act as a reservoir of growth factors and cytokines that are potentially beneficial to malignant cells (1) . HA is a large glycosaminoglycan containing repeating disaccharide units of N-acetylglucosamine and glucuronic acid residues. Several studies have shown that HA plays significant roles in matrix assembly, cell proliferation, and migration (2, 3, 4, 5) . Spatiotemporal distribution of HA during embryogenesis and wound healing indicates that HA plays important roles in tissue remodeling processes (6 , 7) .

There is increasing evidence that HA plays significant roles in tumor progression (8, 9, 10, 11) . HA is present in a greater amounts in a variety of tumor tissues than in normal counterparts, including colon cancer (12) , breast cancer (13, 14, 15) , glioma (16) , lung carcinoma (17) , and Wilm’s tumor (18) . It has also been shown that high HA production correlates with invasive and metastatic activities of tumors (19, 20, 21, 22, 23) . HA is also implicated in tumor angiogenesis (9) . These observations suggest that increased levels of HA may provide an environment facilitating various aspects of tumor progression.

Despite this wealth of data, whether increased cellular HA production has direct effects on tumor cell proliferation has not been addressed because HA, which does not contain any protein components, cannot be directly manipulated by molecular biological techniques. Cloning of mammalian HA synthases by our and other laboratories now allows genetic manipulation of the cellular HA production. Here, we show that increased production of HA directed by human HA synthase Has2 (24) promotes anchorage-independent growth and tumorigenicity of human HT1080 cells. These changes toward a more malignant phenotype did not, however, accompany increased growth rate of cells in monolayers, suggesting that the HA exerts its growth-promoting effect mainly in a three dimensional environment. These results provide the first evidence for a direct relationship between cell-autonomous HA production and malignant transformation.

	MATERIALS AND METHODS

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

 
Materials.
The CellPhect transfection kit and the HA Test HA assay kit were purchased from Pharmacia (Piscataway, NJ). Polyclonal antihuman factor VIII antibody and MU were obtained from Sigma Chemical Co. (St. Louis, MO). BCA Protein Assay Reagent kit and Vectastain ABC kit were purchased from Pierce (Rockford, IL) and Vector Laboratories (Burlingame, CA), respectively. Monoclonal antibody 12CA1 against the influenza virus hemagglutinin epitope was purchased from Boehringer Mannheim (Indianapolis, IN). Type I collagen was purchased from Collagen Corp. (Palo Alto, CA), and bovine plasma fibronectin was a kind gift from Dr. E. Ruoslahti (The Burnham Institute, La Jolla, CA).

Stable Transfectants.
A human fibrosarcoma cell line HT1080 was obtained from American Type Culture Collection (Manassas, VA) and maintained in MEM supplemented with 10% FCS, 2 mM glutamine, 100 unit/ml penicillin, and 100 µg/ml streptomycin (growth medium). For isolation of stable transfectants, subconfluent cultures of HT1080 cells in 10-cm culture dishes were transfected with 10 mg of pHAStagC or an insertless pcDNA3 using the CellPhect transfection kit and selected in the presence of 500 µg/ml G418. pHAStagC contains a full-length human Has2 cDNA tagged with the influenza hemagglutinin epitope sequence at its COOH terminus (24) . From each transfection experiment, 10 G418-resistant colonies were picked with cloning rings. The expression of Has2 was examined by immunoblotting with 12CA1 antibody against the influenza hemagglutinin epitope, as described previously (24) . Three Has2 transfectant clones and two control clones were randomly selected for these studies.

Assay of HA Production.
The HA production of transfectant clones into culture supernatants was measured by the Pharmacia HA Test as described previously (24) . Briefly, 1 x 10⁵ cells were plated in a 35-mm wells in growth medium. Eighteen h after plating, cells were fed with fresh medium and cultured for another 24 h, and their culture supernatants were collected for HA assay. For inhibition of HA production, cells were pretreated with 0.05 mM or 0.1 mM MU for 3 days before the assay. MU was dissolved in small volumes of DMSO and added to culture medium. The final concentration of DMSO was 0.1%. Pretreated cells were then used in the standard HA production assay in the presence of MU. Control cultures were treated with 0.1% DMSO only.

Adhesion Assays.
Wells of 96-well plates (non-tissue culture-treated; Flow Laboratories, McLean, VA) were coated with 10 µg/ml type I collagen or fibronectin at room temperature for 4 h. After washing, wells were blocked with 3 mg/ml BSA in PBS for 1 h. Cells (2.5 x 10⁴/well) suspended in MEM containing 1 mg/ml BSA were plated into each well and incubated under 5% CO₂ at 37°C for 30 min. Wells were gently washed twice with PBS to remove nonattached cells. Attached cells were fixed with methanol and stained with 0.5% toluidine blue in 3% formaldehyde for 1 h. After washing with PBS, stained cells were solubilized with 1% SDS in 0.3% NaOH, and the A₅₉₀ of each sample was measured on a spectrophotometer.

Growth in Monolayers.
Has2- and control-transfected HT1080 cells were plated in 35-mm wells of six-well culture plates at 5 x 10⁴ cells/well in the growth medium. Because plating efficiencies of all these transfectants were shown to be the same, no adjustment was made in terms of numbers of cells plated. At 1, 2, 3, and 4 days after plating, cells in triplicate wells were trypsinized and counted on a hemocytometer. For inhibition of HA synthesis, cells were pretreated with 0.1 mM MU-0.1% DMSO or 0.1% DMSO alone as described above, and the growth assay was performed in medium containing MU-DMSO or DMSO alone.

Anchorage Independence.
Has2- and control-transfected HT1080 cells were suspended in 2 ml of growth medium containing 0.4% (w/v) low melting temperature agarose and plated onto a layer of 0.53% agar prepared in growth medium in a 60-mm dish. Dishes in triplicate were incubated at 37°C under 5% CO₂, and the number of colonies consisting of more than 30 cells was determined for each dish at 10 days after plating. For inhibition of HA synthesis, cells were pretreated with 0.1 mM MU as described above and plated on agarose plates containing 0.1 mM MU. As a control, cells were pretreated with 0.1% DMSO only and tested on agarose plates containing 0.1% DMSO.

In Vivo Tumor Growth.
Six-week-old female BALB/c nu/nu mice were given bilateral s.c. injections of transfected and control cells in both flanks. Each injection consists of 2 x 10⁶ cells in 200 µl of PBS. Growth of the tumors was evaluated by calculating tumor volume from the width and length of palpable tumor according to the following formula: volume = (width)² x length/2 (25) . When the first sign of distress was observed in any mouse in the experiment (which usually occurred at 2–3 weeks after inoculation for Has2-transfected cells), all mice in the experiment were euthanized, and their tumors were excised for examination. Wet weight of tumor tissues free of attached nontumor tissues was measured immediately after excision. Some of the tumors were fixed in 4% paraformaldehyde and embedded in paraffin. Sections from these tissues were examined by H&E staining and by immunohistochemistry with anti-factor VIII antibody. Immunohistochemistry was performed with the ABC method as described previously (26) . For measurement of DNA content, tumor tissues were homogenized using a Polytron homogenizer, followed by sonication for 30 s, and DNA content was measured by the Hoechst 33258 method according to Labarca and Paigen (27) with salmon sperm DNA as a standard.

	RESULTS

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

 
Transfection of Has2 cDNA into HT1080 Cells.
Human fibrosarcoma HT1080 cells were transfected with pHAStagC (24) , which is a pcDNA3-based expression vector containing human Has2 cDNA tagged with the influenza hemagglutinin sequence recognized by the 12CA5 monoclonal antibody (28) . After G418 selection, several resistant colonies were randomly isolated and established as stable cell lines. For generation of control cell lines, HT1080 cells were transfected with pcDNA3 without an insert. Here, two Has2-transfected cell lines (designated as Has2–1 and Has2–2) and two control cell lines (designated as Cont-1 and Cont-2) were used.

Expression of Has2 in transfectants was examined by immunoblotting with the 12CA5 monoclonal antibody, which recognizes the hemagglutinin tag attached to the COOH terminus of Has2. As shown in Fig. 1A , a M_r 75,000 band reactive to 12CA5 was detected in all Has2-transfected clones. We previously showed that, in transfected human 293 cells, the Has2 protein is present in both the membrane and soluble fractions (24) . This observation was also the case in HT1080 transfectants. Small quantities of Has2 were detected in the soluble fraction (Fig. 1A, Lanes 3 and 4) , whereas the majority of the protein was in the membrane fraction (Lanes 1 and 2).

View larger version (26K): [in this window] [in a new window] [Download PPT slide]   Fig. 1. Expression of Has2 and production of HA in HT1080 transfectants. A, expression of recombinant Has2 protein in transfectants. HT1080 cells were transfected with pHAStagC, and stable transfectants were established after selection with G418. Membrane (Lanes 1 and 2) and cytosolic (Lanes 3 and 4) fractions were prepared from transfectants and immunoblotted with antihemagglutinin monoclonal antibody 12CA5 as described previously 24 . Two transfected lines, Has2-1 (Lanes 1 and 3) and Has2-2 (Lanes 2 and 4), are shown. Arrowheads, Has2. Weak bands around Mr 43,000 (*) are nonspecific bands reacting with secondary antibodies. B, overproduction of HA in Has2 transfectants. Cells were cultured in 35-mm wells, and total amounts of hyaluronan secreted into culture supernatants during a 24-h period were quantitated as described in "Materials and Methods." Columns, means of triplicate determinations; bars, SD.

	HA Production in Transfected Cells.

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

	Adhesion and Growth in Monolayers.

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

 
We first examined whether overproduction of HA affects adhesive properties of HT1080 cells. As shown in Fig. 2 , no significant differences were found with regard to the adhesion to fibronectin and type I collagen between Has2-transfectants and control cells. We have also examined the plating efficiency on tissue culture plastic using regular culture medium containing 10% FCS. We found no differences in plating efficiency between Has2-transfected and control transfected cells (data not shown). These results demonstrate that general adhesive properties of HT1080 cells are not affected by overproduction of HA.

View larger version (39K): [in this window] [in a new window] [Download PPT slide]   Fig. 2. Adhesion of Has2-transfectants to substrates of fibronectin (A) and type I collagen (B). Cell adhesion was quantitated by staining attached cells with toluidine blue as described in "Materials and Methods." Columns, means (n = 5) of A590 values; bars, SD.

View larger version (19K): [in this window] [in a new window] [Download PPT slide]   Fig. 3. Growth of Has2-transfected cells in monolayer cultures. Cells were plated in 35-mm wells in six-well tissue culture plates at 5 x 104 cells/well and cultured in growth medium. At time points indicated in the figure, duplicate wells were trypsinized, and cell numbers were counted using a hemacytometer.

	Overproduction of HA Makes Cells More Anchorage Independent.

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

View larger version (46K): [in this window] [in a new window] [Download PPT slide]   Fig. 4. Anchorage-independent growth of Has2-transfected cells in soft agar. A, Has2- and control-transfected cells were examined by the soft agar assay as described in "Materials and Methods." Dishes in triplicate were incubated at 37°C under 5% CO2, and the number of colonies consisting of more than 30 cells was determined for each dish at 10 days after plating. Columns, mean numbers of colonies; bars, SD. Experiments were repeated three times with similar results. B, phase contrast micrographs of colonies of Has2- and control-transfected cells in soft agar. Has2, Has2-transfected HT 1080 cells (clone Has2-1); Cont, control-transfected HT1080 cells (clone Cont-1).

View larger version (22K): [in this window] [in a new window] [Download PPT slide]   Fig. 5. Effects of chemical inhibition of HA synthesis on anchorage-independent growth of Has2-transfected cells. A, treatment with 0.1 mM MU reduces HA production. HA production was assayed as described above in the presence of 0.1 mM MU dissolved in 0.1% DMSO () or 0.1% DMSO alone (). B, treatment with 0.1 mM MU does not adversely affect the growth of cells in monolayers. Growth assay was performed in wells of 24-well tissue culture plates with Cont-1 cells in the presence of 0.05 mM and 0.1 mM MU in 0.1% DMSO or 0.1% DMSO alone. , 0.05 mM MU in 0.1% DMSO; , 0.1 mM MU in 0.1% DMSO; , 0.1% DMSO alone. C, enhanced anchorage independence of Has2-transfected cells was abolished by suppression of HA synthesis. Soft agar assays were performed in the presence of 0.1 mM MU in 0.1% DMSO () or 0.1% DMSO alone (). This result demonstrates that increased anchorage independence observed in Has2 transfectants is due to enzymatic activity of Has2 protein rather than to any unrelated activity of Has2 protein. Columns and data points, mean numbers of colonies in soft agar; bars, SD.

	HA Overproduction Increases Tumorigenicity in Vivo.

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The in vitro assays described above suggest that tumorigenicity in vivo may also be promoted by HA overproduction. To examine this possibility, we performed tumorigenesis assays in nude mice. We found that Has2-transfected cells are more tumorigenic than control HT1080 clones (Fig. 6) . Has2-transfected cells grew more rapidly, and differences in tumor size between Has2 transfectants and control cells increased as tumor size increased (Fig. 6A) . By the termination of experiments, Has2 transfectants had formed tumors 3–4-fold larger than those derived from control cells (Fig. 6, B and C) .

View larger version (18K): [in this window] [in a new window] [Download PPT slide]   Fig. 6. Enhanced tumorigenicity of Has2-transfected cells. In vivo tumor growth assays in nude mice were performed as described in "Materials and Methods." A, time course of tumor growth. Growth of the tumors was evaluated by measuring tumor volume from the width and length of a palpable tumor as described in "Materials and Methods." Cells examined in this experiment were: , parental HT1080; •, Has2-1; , Has2-2. Data points, mean tumor volumes from four (parental HT1080) or five (Has2-1 and Has2-2) animals. B and C, tumor weights at termination of experiments. Results of two separate experiments (B and C) are shown. All animals involved in each experiment were sacrificed when the sign of distress was observed in any one animal in the experiment, which occurred at day 16 in B and day 13 in C. Columns, mean tumor weights per animal (i.e., the sum of tumor weights in both flanks) for each cell line; bars, SD. Numbers of animals examined were four for parental HT1080 and five for Has2-1 and Has2-2 in B and four for each cell line in C.

	DISCUSSION

Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

This study provides the first direct evidence that genetic manipulation of HA synthesis enhances the malignant phenotype of tumor cells. We found that increased HA synthesis promoted colony formation in soft agar and tumor formation in nude mice. The increased tumor size in nude mice from Has2-transfectants was due not to accumulation of tumor stroma or increased angiogenesis. Therefore, these results indicate that the cell-autonomous production of HA enhances proliferation of tumor cells.

The cellular origin of HA in tumors can be parenchymal cancer cells and/or stromal cells (11) . Although there is strong evidence that some cancer cells stimulate adjacent noncancerous stromal cells to produce HA (10 , 31) , a number of tumor cells have been shown to produce greater amounts of HA than their benign counterparts (11 , 21 , 22 , 32) . At present, it is not well understood how these different mechanisms are involved in tumor progression. Our results demonstrate that increased HA production by cancer cells has enhancing effects on the growth of tumors in vivo. Whether increased HA production by stromal cells has similar effects on the growth of tumors is not known. With HA synthase genes and their cDNAs available, this problem can now be tested by generating transgenic mouse models in which HA synthases are overexpressed in stromal cells. It is possible that cancer cell- and stromal cell-derived HA are involved in different aspects of malignant transformation.

There are several ways that high levels of HA might promote anchorage-independent growth and tumorigenesis of cells. For example, increased amounts of HA may facilitate cell division. It has been shown that HA synthesis occurs during cell division (33 , 34) , and it is thought that HA synthesis is important for cell detachment that occurs during cell division. It is also possible that an HA-rich environment may provide hydrated spaces that facilitate the migration of cells following mitosis. It has been suggested that high levels of HA within the ECM cause tissue spaces to become highly hydrated and to expand because of increased osmotic pressure (35) . This expanded and water-enriched environment is thought to deform the compact, restrictive architecture of extracellular matrices and facilitate cell movement (8 , 10) . Thus HA-overproducing tumor cells might migrate outwardly more efficiently, resulting in faster expansion of the tumor mass. Alternatively, HA-mediated cell signaling might be responsible for increased tumorigenicity. It has been reported that binding of HA to its cell surface receptors leads to activation of intracellular signaling pathways (36, 37, 38, 39, 40) . Notably, an HA receptor, RHAMM, has been shown to be involved in a signaling pathway leading to H-ras-mediated malignant transformation of fibroblastic cells (38) .

This work establishes that cell-autonomous overproduction of HA enhances transformation of tumor cells, although further study will be required to elucidate its mechanism. Because tumorigenicity in nude mice is the experimental parameter closely correlated with malignancy at the clinical level, it will be interesting to determine whether levels of cellular HA might also correlate with the level of clinical malignancy. A recent report by Ropponen et al. (12) on the correlation between tumor HA levels and the prognosis of patients with colorectal cancer appears to be consistent with this notion.

	ACKNOWLEDGMENTS

 
We thank Dr. Minoru Fukuda for critical reading of this manuscript.

	FOOTNOTES

 
The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

¹ This work was supported by NIH Grants NS32717 and HD25938.

² Present address: Department of Geriatric Research, National Institute for Longevity Sciences, 36-3, Gengo, Morioka-cho, Ohbu 474, Aichi, Japan.

³ To whom requests for reprints should be addressed, at The Burnham Institute, 10901 North Torrey Pines Road, La Jolla, CA 92037. Phone: (619) 646-3124; Fax: (619) 646-3199; E-mail:yyamaguchi{at}:burnham-inst.org

⁴ The abbreviations used are: ECM, extracellular matrix; HA, hyaluronan; MU, 4-methylumbelliferone.

Received 9/ 2/98. Accepted 1/ 4/99.

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Top ABSTRACT INTRODUCTION MATERIALS AND METHODS RESULTS HA Production in Transfected... Adhesion and Growth in... Overproduction of HA Makes... HA Overproduction Increases... DISCUSSION REFERENCES

 

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				A. G. Bharadwaj, J. L. Kovar, E. Loughman, C. Elowsky, G. G. Oakley, and M. A. Simpson Spontaneous Metastasis of Prostate Cancer Is Promoted by Excess Hyaluronan Synthesis and Processing Am. J. Pathol., March 1, 2009; 174(3): 1027 - 1036. [Abstract] [Full Text] [PDF]

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				L. Y. W. Bourguignon, E. Gilad, and K. Peyrollier Heregulin-mediated ErbB2-ERK Signaling Activates Hyaluronan Synthases Leading to CD44-dependent Ovarian Tumor Cell Growth and Migration J. Biol. Chem., July 6, 2007; 282(27): 19426 - 19441. [Abstract] [Full Text] [PDF]

				C. Ricciardelli, D. L. Russell, M. P. Ween, K. Mayne, S. Suwiwat, S. Byers, V. R. Marshall, W. D. Tilley, and D. J. Horsfall Formation of Hyaluronan- and Versican-rich Pericellular Matrix by Prostate Cancer Cells Promotes Cell Motility J. Biol. Chem., April 6, 2007; 282(14): 10814 - 10825. [Abstract] [Full Text] [PDF]

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				A. C. Cook, A. F. Chambers, E. A. Turley, and A. B. Tuck Osteopontin Induction of Hyaluronan Synthase 2 Expression Promotes Breast Cancer Malignancy J. Biol. Chem., August 25, 2006; 281(34): 24381 - 24389. [Abstract] [Full Text] [PDF]

				M. A. Simpson Concurrent Expression of Hyaluronan Biosynthetic and Processing Enzymes Promotes Growth and Vascularization of Prostate Tumors in Mice Am. J. Pathol., July 1, 2006; 169(1): 247 - 257. [Abstract] [Full Text] [PDF]

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				E. A. Marieb, A. Zoltan-Jones, R. Li, S. Misra, S. Ghatak, J. Cao, S. Zucker, and B. P. Toole Emmprin Promotes Anchorage-Independent Growth in Human Mammary Carcinoma Cells by Stimulating Hyaluronan Production Cancer Res., February 15, 2004; 64(4): 1229 - 1232. [Abstract] [Full Text] [PDF]

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				A. Zoltan-Jones, L. Huang, S. Ghatak, and B. P. Toole Elevated Hyaluronan Production Induces Mesenchymal and Transformed Properties in Epithelial Cells J. Biol. Chem., November 14, 2003; 278(46): 45801 - 45810. [Abstract] [Full Text] [PDF]

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				M. A. Simpson, C. M. Wilson, L. T. Furcht, A. P. Spicer, T. R. Oegema Jr., and J. B. McCarthy Manipulation of Hyaluronan Synthase Expression in Prostate Adenocarcinoma Cells Alters Pericellular Matrix Retention and Adhesion to Bone Marrow Endothelial Cells J. Biol. Chem., March 15, 2002; 277(12): 10050 - 10057. [Abstract] [Full Text] [PDF]

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				J. M. Karjalainen, R. H. Tammi, M. I. Tammi, M. J. Eskelinen, U. M. Agren, J. J. Parkkinen, E. M. Alhava, and V.-M. Kosma Reduced Level of CD44 and Hyaluronan Associated with Unfavorable Prognosis in Clinical Stage I Cutaneous Melanoma Am. J. Pathol., September 1, 2000; 157(3): 957 - 965. [Abstract] [Full Text] [PDF]

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				M. A. Anttila, R. H. Tammi, M. I. Tammi, K. J. Syrjänen, S. V. Saarikoski, and V.-M. Kosma High Levels of Stromal Hyaluronan Predict Poor Disease Outcome in Epithelial Ovarian Cancer Cancer Res., January 1, 2000; 60(1): 150 - 155. [Abstract] [Full Text]

				L. Huang, N. Grammatikakis, M. Yoneda, S. D. Banerjee, and B. P. Toole Molecular Characterization of a Novel Intracellular Hyaluronan-binding Protein J. Biol. Chem., September 15, 2000; 275(38): 29829 - 29839. [Abstract] [Full Text] [PDF]

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