Cancer Research Cancer Epigenetics  Genetics and Biology of Brain Cancer
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online

[Cancer Research 59, 1552-1561, April 1, 1999]
© 1999 American Association for Cancer Research

This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Baruch, A.
Right arrow Articles by Wreschner, D. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Baruch, A.
Right arrow Articles by Wreschner, D. H.
[Cancer Research 59, 1552-1561, April 1, 1999]
© 1999 American Association for Cancer Research


Molecular Biology and Genetics

The Breast Cancer-associated MUC1 Gene Generates Both a Receptor and Its Cognate Binding Protein1

Amos Baruch2, Mor-li Hartmann2, Merav Yoeli, Yair Adereth, Shulamit Greenstein, Yona Stadler, Yehuda Skornik, Joseph Zaretsky, Nechama I. Smorodinsky, Iafa Keydar and Daniel H. Wreschner3

Department of Cell Research and Immunology, The George S. Wise Faculty of Life Sciences, Tel Aviv University, Ramat Aviv 69978 [A. B., M-l. H., M. Y., Y. A., S. G., J. Z., N. I. S., I. K., D. H. W.], and Department of Surgery A, Tel Aviv Medical Center [Y. St., Y. Sk.], Israel


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
MUC1 proteins, some of which contain a mucin-like domain and others lacking this region, can be generated from the human breast cancer-associated MUC1 gene by alternative splicing. The MUC1/Y isoform is devoid of the mucin domain and is a cell membrane protein that undergoes transphosphorylation on both serine and tyrosine residues. We have identified cognate binding proteins that specifically interact with the extracellular domain of MUC1/Y. Coimmunoprecipitation analyses clearly revealed the presence of complexes composed of MUC1/Y and its cognate binding proteins in primary breast tumor tissue. MUC1/Y-expressing mammary tumor cells can be specifically targeted, in vivo, with the labeled cognate binding protein. The kD of MUC1/Y for its binding proteins was estimated as 1.2 nM. The MUC1/Y binding proteins are also derived from the MUC1 gene and represent the secreted mucin-like polymorphic MUC1 proteins MUC1/SEC and MUC1/REP, which contain a tandem repeat array. Whereas nonposttranslationally modified MUC1/Y bound efficiently to MUC1/SEC, the latter mucin-like protein had to be posttranslationally modified in a cell-type specific manner to bind MUC1/Y. The interaction of MUC1/Y with MUC1/SEC has important biological functional correlates: (a) it induces MUC1/Y phosphorylation; and (b) it has a pronounced effect on cell morphology. These findings suggest that MUC1/Y and MUC1/SEC form an active receptor/cognate binding protein complex that can elicit cellular responses. The proteins comprising this complex are, thus, generated by alternative splicing from one and the same gene, namely the MUC1 gene.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Characterization of tumor markers, as that of proteins highly expressed in malignant cells, is of prime importance in understanding the mechanisms underlying cancer initiation and progression. Breast cancer is the most prevalent cancer among women in the Western world, and the recently discovered breast cancer susceptibility genes BRCA1 and BRCA2 undoubtedly play important roles in the oncogenesis of familial breast cancer, which represent, at the most, about 10% of all cases (1) . The most extensively used tumor markers for monitoring the disease status of all breast cancer patients are, however, the protein products of the MUC1 gene, the expression of which is dramatically increased in breast cancer cells (see Refs. 2, 3, 4, 5, 6, 7, 8, 9) .

The best characterized MUC1 gene product, MUC1/REP (variously referred to as episialin, PEM, H23Ag, EMA, CA15–3, MCA, and others), is a polymorphic, type 1 transmembrane mucin-like protein (Fig. 1)Citation that contains a large extracellular domain, primarily consisting of a 20-amino acid repeat motif as well as a transmembrane domain and a 72-amino acid cytoplasmic tail (10, 11, 12, 13) . During its biosynthesis, the MUC1/REP protein is modified to a large extent, and a considerable number of O-linked sugar moieties confer mucin-like characteristics on the mature protein (14) . Soon after translation, the MUC1/REP protein undergoes a proteolytic cleavage event, generating two cleavage products (15) . These form a tight heterodimer complex that is composed of the large repeat array-containing (+ repeat) extracellular domain, linked by noncovalent, SDS-sensitive bonds to the much smaller protein molecule, which includes the cytoplasmic and transmembrane domains. The MUC1/REP extracellular domain (+ repeat) can be shed from the cell by an as yet obscure mechanism (16) .



View larger version (32K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 1. Schematic illustration of MUC1 isoforms. A, MUC1 cDNA isoforms. The tandem repeat array is depicted by the barred region. The regions coding for the signal peptide (SP), transmembrane domain (TM), and cytoplasmic domain (CYT) have the same shadings in the various forms. k, KpnI sites that distinguish the various MUC1 cDNA forms; SD, splice donor sites in the MUC1/Y form; S.A., splice acceptor sites in the MUC1/Y form. B, MUC1 protein isoforms. Regions common to the various MUC1 isoforms have the same shadings. N, the amino termini of the proteins; C, the carboxyl termini of the proteins. Other abbreviations are as in the legend to A. The proteolytic cleavage site in the MUC1/REP protein is indicated by the open arrow. Cleavage bisects the protein into the large repeat array-containing extracellular domain and the smaller proteolytic cleavage product (25–30 kDa, the heterogeneity of which is due to N-linked glycosylations), which contains the cytoplasmic domain.

 
We previously identified an additional MUC1(+ repeat) protein, MUC1/SEC, that is also secreted from the cell (10) . The MUC1/SEC protein has an extracellular domain that is identical to that present in MUC1/REP. However, it is devoid of a hydrophobic region that can anchor the protein to the cell membrane and is, therefore, secreted from the cell (Fig. 1)Citation . By using mAbs4 that are specific to the MUC1/SEC protein, it was shown that this protein isoform is also present in the serum of breast cancer patients (17) . Thus, both the MUC1/SEC protein and the MUC1/REP extracellular cleavage product can be secreted from breast cancer cells.

The repeat array-containing mucin-like MUC1 proteins play a distinctive role in reducing cell-cell and cell-extracellular matrix interactions, and it has been postulated that they may be involved in the metastatic spread of cancer cells from the initial tumor site (18, 19, 20) . Using knockout mice, it was also demonstrated that MUC1 expression enhances tumor initiation and progression, suggesting that the MUC1 gene products are in some way involved in the oncogenetic process (21) .

In recent years, there is a growing body of evidence that mucin-like proteins not only passively mediate cellular processes but that they also have an active signaling function. It is well documented now that endothelium mucin-like molecules (e.g., CD34, GlyCAM1, PSGL1, and MadCAM1) are actively involved in lymphocyte trafficking and can transfer signals to the cell nucleus on binding to their ligands/counter receptors. These recent findings place mucin proteins, in general, and the mucin-like MUC1 proteins, in particular, in a different light and raise the intriguing possibility that the MUC1 proteins may also participate in receptor/ligand interactions.

We recently identified a supplementary and unique MUC1 isoform, MUC1/Y (22) , which is generated by differential splicing. Although MUC1/Y is a transmembrane protein that shares identical transmembrane and cytoplasmic domains with the MUC1/REP protein, it contains neither the repeat array domain nor its flanking region and, hence, is devoid of the hallmark mucin-like features (Fig. 1)Citation . By using antibodies specifically directed against MUC1/Y, it was clearly shown that the MUC1/Y protein is expressed by various human secretory epithelial tumors, but is not detectable in the adjacent normal tissue(22, 23, 24) . Moreover, the involvement of the MUC1/Y protein in the oncogenetic process was established by demonstrating its potential to enhance tumor initiation and progression in vivo (24) .

Previously reported results have demonstrated that MUC1/Y undergoes tyrosine and serine phosphorylation and can potentially bind second messenger proteins, such as GRB2, thereby initiating a signaling cascade (25) . The MUC1/Y membrane-located protein, thus, has features reminiscent of receptor molecules.

In the present study, we describe the identification of cognate binding proteins for the MUC1/Y protein. We show that the secreted mucin-like MUC1 protein, namely MUC1/SEC, interacts with the MUC1/Y protein. Coimmunoprecipitation analyses clearly revealed the presence of these complexes in primary BT tissue, thus, underscoring their in vivo significance to breast cancer. Evidence is presented that the interaction of MUC1/Y with MUC1/SEC induces the phosphorylation of the MUC1/Y protein and profoundly affects cell morphology. These findings suggest that the interaction of the two proteins MUC1/SEC and MUC1/Y, both generated from the same MUC1 locus, represents a bona fide receptor/cognate binding protein interaction that can elicit biological functions. Furthermore, using purified MUC1/SEC as a probe, we were able to target MUC1/Y-expressing tumor cells within the intact animal, thereby suggesting the clinical use of this interaction.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
PKA catalytic subunit and protease factor Xa were purchased from Boehringer Mannheim. [{gamma}-32P]ATP, 125I conjugated Bolton-Hunter reagent, [32P]Pi, goat antimouse antibody conjugated to horseradish peroxidase, and goat antirabbit antibody conjugated to horseradish peroxidase were purchased from Amersham Corp. Ni+2 Agarose Ni-NTA was purchased from Qiagen, Inc. Imidazole was purchased from Sigma Chemical Co. Affigel-10 was purchased from Bio-Rad.

Cells.
MUC1/Y transfectants were generated by cotransfecting an expression plasmid harboring MUC1/Y cDNA with the G418-resistant plasmid (pSV2 neo) into 3T3 ras-transformed fibroblasts or HBL100 human epithelial breast cells (24) . MUC1/REP and MUC/SEC stable DA3 transfectants were generated by cotransfecting an expression plasmid harboring MUC1/SEC-(DA3/SEC) or MUC1/REP-(DA3/TM) cDNA, together with pSV2 neo, into the DA3 mouse mammary-transformed epithelial cell line (24) . MUC1/Y + MUC1/REP and MUC1/Y + MUC1/SEC double transfectants were generated by transfecting 3T3 mouse fibroblasts (or DA3) together with the pSV2 neo plasmid. T47D-Cl11, T47D-Cl10, T47D-Cl8, are cloned cell lines derived from a human mammary adenocarcinoma.

cDNA Constructs.
An expression vector harboring the MUC1/Y extracellular domain cDNA was generated by using the pET16b expression system (Novagene). MUC1/Y extracellular fragment (nucleotides 127–526; numbering as in Ref. 22 ) was PCR amplified, using the full-length MUC1/Y cDNA as template. The downstream primer was designed to contain a sequence coding for a PKA phosphorylation site. The 453 bp PCR product was ligated into predigested pET16b vector, using upstream NdeI and downstream BamHI restriction sites. BL21-competent bacteria were transformed with the MUC1/Y extracellular domain expressing plasmid by electroporation. The generation of expression vectors harboring either the full-length transmembrane MUC1/REP, MUC1/SEC, or the novel MUC1/Y cDNA driven by the HMG CoA reductase promoter (expression vector pCL642) has been described (22) .

Antibodies.
Western blot and coimmunoprecipitation analyses were performed with: (a) mAbs (H23 mAb) that recognize an epitope contained within the tandem repeat domain of the MUC1/REP protein (26) ; (b) a polyclonal antibody directed against the MUC1 cytoplasmic domain; (c) an affinity-purified polyclonal antibody (designated anti-MUC1/Yex) prepared by injecting rabbits with the MUC1/Y extracellular domain synthesized as a recombinant protein using the pET expression system according to the protocol described below; and (d) unique mAbs, designated 6E6, which specifically recognize an epitope present within the MUC1/Y extracellular domain and do not interact with any other MUC1 isoform.

Purification and Labeling of the Recombinant MUC1/Y Extracellular Domain.
N-terminal histidine-tagged recombinant MUC1/Yex protein was generated and purified as described (24) . For 32P labeling and factor Xa digestion of the recombinant MUC1/Y extracellular domain, 5 µg of the purified recombinant protein were incubated with 3 units of PKA, 2 units of factor Xa, and 150 µCi of [{gamma}-32P]ATP in labeling buffer [20 mM Tris-HCl (pH 8.0), 100 mM NaCl, 2 mM CaCl2, 5 mM MgCl2, and 2 mM DTT] for 5 h at 30°C. The labeling mixture was then loaded onto a 5-ml Sephadex G-50 colum prequilibrated with Buffer E [20 mM Tris-HCl (pH 7.4), 50 mM NaCl, 1% Triton X-100, 5 mM MgCl2, and 50 µg/ml BSA], and fractions were eluted against the same buffer.

Gel Overlay Assay.
The following procedure is a modification of the previously described assay (27) . The 32P-labeled purified MUC1/Y extracellular domain (described above) was used as a probe for the screening of proteins present in primary human BT tissue lysates, human breast tumor cell line lysates, and human breast tumor-conditioned media. Samples were separated on 6% SDS-PAGE, and the gels were subsequently washed against protein renaturation buffer [50 mM Tris-HCl (pH7.4), 2.5% Triton X-100, and 0.1% CHAPS) at 25°C with agitation for 3 h and with several changes. Gels were incubated with the probe at a final concentration of 106 cpm/ml in probe buffer (50 mM Tris-HCl, 100 mM NaCl, 2.5% Triton X-100, 0.1% CHAPS, and 4 mM MgCl2) for 16 h at 4°C, followed by washing of the gel in probe buffer for 32 h with several changes.

Preparation of Conditioned Media.
DA3 MUC1 transfectants were grown to subconfluency in a 75-cm2 dish (Costar) in DMEM medium containing 10% FCS. Cells were then washed once with serum-free medium and incubated for 3 h in a serum-free medium. The medium was removed and replaced with fresh serum-free medium, and the cells were reincubated against this medium for 72 h. The conditioned medium was cleared from the cells, filtered through a 0.2 micron filter, and used directly or concentrated 100-fold in an ultrafiltration cell through a 3 kDa or 100 kDa cutoff Centriprep membrane (Amicon).

Purification and Labeling of MUC1/SEC.
MUC1/SEC was purified from conditioned medium of DA3/SEC transfectants by affinity chromatography. A 500-ml volume of conditioned medium was passed through a 5-ml H-23 antirepeat mAb affinity column (1 mg of antibodies/ml Affigel-10 beads). The column was washed extensively with PBS containing 0.05% Tween 20, followed by elution with 3.5 M sodium thiocyanate (pH 4.5). Peak fractions containing purified MUC1/SEC (assayed by dot blot) were pooled and immediately transferred through a Sephadex G-50 column pre-equilibrated with 10 mM HEPES and 30 mM NaCl. Purified MUC1/SEC (2 µg) was incubated with 125I conjugated Bolton-Hunter reagent (200 microcurie) for 15 min on ice. The reaction was terminated by the addition of glycine to a final concentration of 0.2 M, and the solution was run on a Sephadex G-50 gel to remove free iodine.

Cell Binding Assay.
Ras-transformed 3T3 cells or their MUC1/Y-expressing transfectants were harvested using 10 mM EDTA, and 106 cells were incubated with 5 nM125I-labeled purified MUC1/SEC (specific activity, 120 Ci/mmol) diluted in serum-free DMEM for 3 h at 4°C with gentle shaking. Unbound protein was removed by spinning cells through a prechilled binding oil column. Bound protein, as well as the unbound fraction, was counted in a gamma counter.

32P Metabolic Labeling of Cells.
Cells were incubated overnight in phosphate-free medium supplemented with 10% FCS that had been dialyzed against saline. The following day, radioactive carrier-free inorganic phosphate was added to a final concentration of 1 mCi/ml, and incubation was continued for another 8 h. Thirty minutes before harvesting, the cells were treated with the tyrosine phosphatase inhibitors sodium orthovanadate and hydrogen peroxide (200 µM; Ref. 28 ) or with conditioned medium prepared from DA3 MUC1/SEC transfectants, as described above.

Western Blot Analyses.
Cell lysates were prepared by adding lysis buffer [50 mM NaCl, 20 mM Hepes (pH 7.4), 1 mM EGTA, 1 mM MgCl2, 10 µg/ml leupeptin, 1 mM phenylmethylsulfonyl fluoride, 1% Triton X-100, 1 mM NaVO4, and 100 mM NaF] to cell pellets, followed by vortex mixing and sonication (3 x 10 s bursts, using a Branson sonicator). Cell debris was removed by centrifugation at 12,000 x g for 10 min. All procedures were performed on ice or at 4°C. Protein samples were denatured by boiling in SDS buffer containing mercaptoethanol and analyzed on SDS-PAGE. The gel was electrotransferred for 2 h at 0.5 Amps to nitrocellulose filter papers that were blocked in PBS containing 5% skimmed milk and 0.1% Brij, followed by incubation with primary antibody overnight at 4°C. The filters were washed in PBS containing 0.1% Brij and then incubated with a secondary antimouse antibody or antirabbit antibodies conjugated to horseradish peroxidase, followed by enhanced chemiluminescence detection (Amersham Corp.).

Immunoprecipitations.
Cell lysates prepared as described above were precleared by incubating proteinA-agarose bound to normal serum antibodies for 2 h at 4°C. Supernatants were then added to proteinA-agarose antibody complexes and incubated for 2 h at 4°C. The immunocomplexes were washed four times with cell lysis buffer, and 2 x SDS sample buffer was added.

In Vivo Targeting of MUC1/Y-expressing Cells.
DA3 mouse mammary carcinoma transfectants (105 cells) were injected into the mammary pads of BALB/c mice to produce mammary tumors. Three weeks later, purified 125I-labeled, MUC1/SEC (8 x 105 cpm) was injected into the tail vein of each mouse. The animals were sacrificed 5 days later and were exposed to imager analyses; subsequently, the tumors were excised and counted in a gamma counter.


    RESULTS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
Identification of Proteins That Bind to the MUC1/Y Extracellular Domain.
Present studies, as well as recently published results, demonstrate that human breast and ovarian cancer cells express a MUC1 membrane protein isoform, MUC1/Y, which has receptor-like characteristics (22, 23, 24, 25 , 29) . We, therefore, investigated whether the MUC1/Y protein has a cognate binding protein. Our defined objectives were: (a) to isolate and characterize this putative protein; (b) to investigate whether this binding could regulate MUC1/Y signaling function; (c) to analyze the binding sites responsible for the interaction of MUC1/Y with its cognate binding proteins; and (d) to assess whether the binding proteins could be used to target MUC1/Y-expressing breast cancer cells in the clinical setting.

To identify molecules that can interact with MUC1/Y and may regulate its function, a recombinant histidine-tagged MUC1/Y extracellular domain (Yex) was expressed in bacteria and purified to homogeneity. A protein kinase A (PKA) phosphorylation site was inserted at the COOH terminus of the recombinant protein, thus, enabling efficient labeling using PKA and [{gamma}- 32P]ATP of the MUC1/Y extracellular domain (Fig. 2ACitation , Lane a, black arrow). The histidine tail could then be cleaved with factor Xa protease (Fig. 2ACitation , Lane b, open arrow). Conditioned media from breast tumor cell lines were analyzed using the 32P-labeled extracellular domain (Yex*) of the MUC1/Y protein as a probe in a receptor gel overlay assay. This analysis revealed the presence of high molecular weight (>200 kDa) reacting bands in the conditioned media of the breast tumor cell lines (Fig. 2B, a)Citation . The histidine-tailed Yex* probe did not react with these bands (Fig. 2B, b)Citation , probably due to allosteric interference. Competition experiments with a 200-fold excess of unlabeled Yex in relation to the labeled Yex probe abolished binding (Fig. 2B, c)Citation , thereby confirming specificity.



View larger version (45K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 2. Gel overlay assay using the labeled MUC1/Y extracellular domain (Yex*). A, BL21 bacteria were transformed with the pET 16b expression vector harboring the MUC1/Y extracellular domain (Yex) cDNA. The recombinant MUC1/Y contained 10 histidine residues (Hisx10) at its NH2 terminus and a PKA phosphorylation site composed of four amino acids (RRAS, the serine residue within this sequence is phosphorylated by PKA) at its COOH terminus. Purified Yex protein was 32P-labeled in the presence of PKA (Lane 1, black arrow) and digested with factor Xa protease (Lane 2, white arrow). Labeled proteins were analyzed on SDS-PAGE (12.5%) and an X-ray film exposed to the gel. B, Amicon-concentrated conditioned media (C.M.) were prepared from T-80 breast cancer cells (Lane 1), Cl10 breast cancer cells (Lane 2), and Cl11 breast cancer cells, and the proteins were analyzed by SDS-PAGE (6%). Proteins were renatured on gel and incubated with factor Xa digested Yex* probe (a; Yex*), nondigested Yex* probe (b; H/Yex*), or Xa digested Yex* probe in the presence of 100-fold nonlabeled Xa-digested Yex protein (c; Yex* + Xa + competitor). Each gel was washed extensively, vacuum dried, and exposed to X-ray film. C, protein lysate from Cl11 breast cancer cells (Lane 1) and Amicon-concentrated conditioned media (C.M.) from Cl10 (Lane 2), Cl11 (Lane 3), and Cl8 (Lane 4) breast cancer cell lines were analyzed by SDS-PAGE (6%). Proteins were renatured on gel and incubated with factor Xa-digested Yex* probe (a; Yex* + Xa) or transferred and immunoblotted with H23 mAbs that recognize an epitope contained within the tandem repeat (b). D, protein lysates from human primary breast cancer tissues (Lanes 1 and 2) were analyzed by SDS-PAGE (6%). Proteins were either (a) renatured on gel and incubated with factor Xa digested Yex* probe (Yex* + Xa), or (b) transferred and immunoblotted with H23 antibodies that recognize an epitope contained within the tandem repeat.

 
Initial analysis of these results showed that the band pattern observed in the gel overlay assay was very similar to the expression patterns previously described for the polymorphic MUC1(+ repeat) isoforms. To clarify whether the proteins specifically recognizing and binding the Yex* probe are indeed the MUC1(+ repeat) proteins, two identical gels were prepared: one was used for a gel overlay assay, and the other for immunoblotting with H23 antirepeat array antibodies. There was a striking correlation between the pattern of bands obtained in the immunoblotting experiment and that seen in the gel overlay (Fig. 2C)Citation . For example, probing with the antirepeat mAbs demonstrated that the Cl11 and Cl8 cell lines (clonal derivatives of the T47D breast cancer cell line) are heterozygous and express two different-sized MUC1/REP alleles (Fig. 2C, a and bCitation , Lanes 3 and 4, respectively), whereas the T47D/Cl10 cell line abnormally expresses three alleles (Fig. 2C, a and bCitation , Lane 2). This pattern tallies with the pattern observed in the receptor gel overlay assay. Of note, when the Cl11 breast cancer cell line whole lysate was examined, only the mature MUC1(+ repeat) proteins bound the labeled MUC1/Y probe, whereas the immunoreactive immature MUC1(+ repeat) proteins were completely nonreactive in the receptor gel overlay asssay (Fig. 2C, a and bCitation , Lane 1). This indicates that posttranslational modifications within the MUC1(+ repeat) isoforms may be required for the interaction with Yex. To exclude the possibility that binding to Yex is a cell line artifact, lysates prepared from primary human tumor tissue were analyzed, using the gel overlay assay. Identical results to those seen with in vitro grown breast cancer cells were obtained (Fig. 2D, a and b)Citation . Coomassie blue staining of a gel run in parallel demonstrated very low protein concentrations in the high molecular weight binding region. Conversely, many low molecular weight Coomassie-stained bands that did not react with the Yex* probe were visible (data not shown).

The MUC1/SEC Protein Binds to the Extracellular Domain of the MUC1/Y Protein.
MUC1-reacting bands were present not only in the cell lysates (Fig. 2C, a and b Lane 1)Citation , but also in the conditioned media. This suggests that the MUC1/Y extracellular domain interacts with the extracellular cleavage product of the MUC1/REP proteins and/or the secreted MUC1(+ repeat) isoforms, namely MUC1/SEC (Fig. 1B)Citation . To investigate these possibilities, stable DA3 mouse mammary carcinoma cell transfectants, expressing the MUC1/REP or MUC1/SEC proteins, were analyzed by Yex gel overlay assay. Both MUC1 isoforms bound the Yex probe (Fig. 3A)Citation . The Yex binding pattern correlates precisely with the expression patterns of MUC1/SEC and the MUC1/REP extracellular cleavage product both at the protein and at the RNA level (Fig. 3, B and C)Citation . The binding site for the extracellular domain of MUC1/Y is, thus, common to both MUC1/SEC and the MUC1/REP extracellular cleavage product (Fig. 1B)Citation . By performing the receptor gel overlay assay with different concentrations of labeled Yex, the kD value of MUC1/Y binding for MUC1/SEC was estimated as 1.2 nM, indicating a high affinity between the interacting proteins.



View larger version (28K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 3. The MUC1/Y extracellular domain interacts with both secreted MUC1/SEC and transmembrane MUC1/REP expressed by DA3 mouse mammary epithelial carcinoma transfectants. Protein lysates from DA3 mouse mammary epithelial carcinoma cells transfected with the cDNA coding for neomycin (G418)-resistance (Lane 1), cotransfected with both the G418-resistant cDNA and the MUC1/SEC cDNA (Lane 2), or cotransfected with both G418-resistant cDNA and the MUC1/REP cDNA (Lane 3) were analyzed by SDS-PAGE (6%). Proteins were renatured on gel and incubated with factor Xa digested Yex* probe (A) or transferred and immunoblotted with H23 antibodies that recognize an epitope contained within the tandem repeat (B). C and D, total RNA samples (corresponding to the transfectants analyzed in A and B) were analyzed by agarose gel electrophoresis and stained with ethidium bromide (D) or Northern blotted and analyzed with a cDNA probe complementary to the tandem 60-bp repeat sequence (C).

 
Before the renaturation of the proteins present in the conditioned media for the receptor gel overlay assay, the sample had been treated with SDS sample buffer, either in the presence or absence of mercaptoethanol. It is, thus, likely that the binding between the MUC1/Y probe and the renatured MUC1(+ repeat) proteins is a direct interaction and does not require the participation of additional molecules.

To demonstrate direct binding of MUC1/SEC to MUC1/Y-expressing cells, the MUC1/SEC protein, derived from conditioned medium of MUC1/SEC-transfected DA3 cells, was purified to apparent homogeneity, as assayed by silver staining (Fig. 4A)Citation , radioactively iodinated (Fig. 4B)Citation , and applied either to stable MUC1/Y-expressing ras-transformed 3T3 transfectants (3T3sub5/Y) or, as a control, to the parental cells that do not express the MUC1/Y protein (3T3sub5). Significant MUC1/SEC binding was observed to the MUC1/Y-expressing cells; only background levels of radiolabeled MUC1/SEC were associated with the control cells (Fig. 4C)Citation .



View larger version (27K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 4. Purified MUC1/SEC protein binds to MUC1/Y expressing transfectants. A, MUC1/SEC protein was purified from serum-free conditioned medium derived from a stable DA3/SEC transfectant cell-line using a mAb antirepeat epitope affinity chromatography column as described in "Materials and Methods." The peak MUC1/SEC containing fractions were concentrated by lyophilization, analyzed on a 6% SDS-PAGE gel, and visualized by silver staining. B, the purified MUC1/SEC protein was then radioactively iodinated using the Bolton-Hunter reagent and added to 106 cells of either ras-transformed 3T3 fibroblasts (3T3sub5) or to a similar number of stable MUC1/Y transfectant cells generated from ras-transformed 3T3 fibroblasts (3T3sub5/Y). After a 2-h incubation with the cells at 4°C, the cell bound radioactivity was estimated by spinning the cells through a silicon/paraffin oil layer, followed by radioactivity counting of the cell pellet.

 
To assess whether the interaction between MUC1/SEC and MUC1/Y can occur within the intact animal, thus having the potential to be applied clinically, MUC1/Y-expressing DA3 transfectants (TY) and control DA3 cells transfected only with the neomycin-resistant gene (TN) were injected, respectively, into the left and right mammary pads of BALB/c mice to produce mammary tumors. Three weeks later, mice bearing apparent equal tumor masses received i.v. injections of 125I-labeled MUC/SEC, and 6 days later were subjected to imager analyses. Significant binding of labeled MUC1/SEC to MUC1/Y-bearing tumors was observed, whereas no binding to the parallel control tumor (of a similar mass) could be seen (Fig. 5 A)Citation . Gamma counter readings of dissected tumors confirmed imager analyses (Fig. 5B)Citation .



View larger version (23K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 5. In vivo targeting of MUC1/Y-expressing cells using labeled MUC1/SEC. MUC1/Y-expressing DA3-transfected cells (105) were injected into the right mammary pad (TY) of five BALB/c mice to produce mammary tumors. Control non-MUC1/Y-expressing DA3 cells were injected in the left mammary pad (TN). Three weeks later, purified 125I-labeled MUC1/SEC (8 x 105 cpm) was injected i.v. into each mouse. The mice were sacrificed 5 days later and exposed to imager analyses (A) or dissected for measurement of cpm/tumor mass (B). T, thyroid; L, liver.

 
To simulate as closely as possible the situation prevailing in vivo, stable double transfectants were generated expressing both the MUC1/REP and the MUC1/Y proteins or both the MUC1/SEC and the MUC1/Y proteins. Cell lysates prepared from these double transfectants were immunoprecipitated with antitandem-repeat array H23 antibodies [which recognize only the MUC1(+ repeat) proteins and do not react with the MUC1/Y protein], and subsequently immunoblotted with anti-MUC1/Yex polyclonal antibodies generated against the extracellular domain of MUC1/Y. This coimmunoprecipitation analysis demonstrated that MUC1/Y formed a complex with both MUC1/REP (Fig. 6ACitation , Lane 1) and MUC1/SEC (Fig. 6ACitation , Lane 5). Immunoprecipitation of cells expressing both MUC1/REP and MUC1/Y, using the H23 antirepeat mAb also revealed, as expected, the MUC1/REP cytoplasmic cleavage products (C.P. MUC1/REP). A control immunoprecipitation performed with mAbs (6E6) that specifically recognize the MUC1/Y isoform, and subsequent immunoblotting with anti-MUC1/Yex antibodies demonstrated the presence of the MUC1/Y protein (Fig. 6ACitation , Lanes 3 and 7). The coimmunoprecipitation analyses unequivocally showed that MUC1/Y can exist within the intact cell as a complex, in which it is bound to the repeat array-containing proteins.



View larger version (28K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 6. The repeat array-containing MUC1 proteins bind to MUC1/Y within the intact cell in both 3T3 transfectants and primary human BT tissue. A, stable double transfectants expressing both MUC1/REP and MUC1/Y (MUC1/REP + MUC1/Y) and MUC1/SEC and MUC1/Y (MUC1/SEC + MUC1/Y) were generated using 3T3 fibroblasts. Fresh cell lysates prepared from the (MUC1/REP + MUC1/Y) and (MUC1/SEC + MUC1/Y) double transfectants were immunoprecipitated (IP) using either antitandem repeat array antibodies that do not recognize the MUC1/Y protein (H23; Lanes 1 and 5), normal mouse serum (NMS; Lanes 2 and 6), or 6E6 mAbs that are uniquely reactive with the MUC1/Y protein (Lanes 3 and 7). The immunoprecipitates collected on Protein A-Sepharose beads, as well as the whole cell lysate (-; Lanes 4 and 8), were analyzed by 10% SDS-PAGE, followed by immunoblotting with affinity purified antibodies directed against the extracellular domain of MUC1/Y. Numbers to the right of the figure indicate the molecular mass in kDa. B, lysate prepared from human BT tissue was immunoprecipitated (IP) with antitandem repeat array antibodies (H23; Lane 1) that do not recognize the MUC1/Y protein, or with normal mouse serum (NMS; Lane2). The immunoprecipitates collected on protein A Agarose beads were analyzed by 10% SDS-PAGE, followed by immunoblotting with affinity-purified rabbit polyclonal antibodies directed against the extracellular domain of MUC1/Y. Both MUC1/Y and the cytoplasmic cleavage product of MUC1/REP (C.P. MUC1/REP) were visible after immunoprecipitation with the H-23 antitandem repeat array mAb (H23; Lane 1).

 
To investigate whether such complexes also exist in vivo, lysates prepared from primary BT tissue were subjected to a similar H23 antirepeat array antibody immunoprecipitation followed by immunoblot probing with anti-MUC1/Yex antibodies (Fig. 6B)Citation . This analysis clearly demonstrated that, within the primary BT tissue, MUC1/Y forms a complex with the MUC1(+ repeat) proteins.

MUC1/SEC and MUC1/Y Form a Receptor Complex That Alters Cellular Morphology and Initiates Cell Signaling.
Having demonstrated the specific interaction between MUC1/Y and the MUC1(+ repeat) isoforms, we proceeded to investigate the biological significance of this interaction. HBL100 normal breast epithelial cells transfected with the neomycin-resistant gene alone (NEO cells) or MUC1/Y-transfected HBL100 cells (Y cells) were incubated with MUC1/SEC containing conditioned media prepared from DA3 cell transfectants (Fig. 7)Citation . These experiments demonstrate that treatment with DA3/SEC-conditioned medium (Y cells + SEC C.M.) elicits a pronounced morphological change in the growth pattern of the HBL/Y cells (Fig. 7B)Citation . The cells assume an elongated shape, forming "Indian file" rows of cells circumscribing large lumens. In contrast, cells treated with the control medium (Y cells + DMEM) formed large clusters (Fig. 7A)Citation . The altered morphological pattern of cell growth was not observed when parental (non-MUC1/Y-transfected) neomycin-resistant HBL100 were used as target cells (NEO cells + SEC C.M; Fig. 7CCitation ), nor when the cells were treated with conditioned medium from DA3 cells transfected with the neomycin-resistant gene (data not shown). Significantly, the morphological change observed in DA3/SEC-conditioned medium-treated cells was reversed by the addition of a 100-fold-excess of the recombinant soluble MUC1/Y extracellular domain [Ycells + (SEC C.M + REC. Yex); Fig. 7DCitation ]. This probably saturated the soluble MUC1/SEC in solution, such that it could no longer exert its effect by binding to the MUC1/Y-expressing cells. Furthermore, depletion of the MUC1/SEC protein from the conditioned medium by passage through an antitandem-repeat array mAb affinity columns abrogated the morphological changes observed with the MUC1/SEC containing conditioned medium (Y cells + SEC depleted C.M; Fig. 7ECitation ). Collectively, these results demonstrate that the morphological changes in the growth pattern of the HBL/Y cells are attributable to the formation of the MUC1/Y-MUC1/SEC complex.



View larger version (82K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 7. MUC1/SEC containing conditioned medium induces a morphological change in HBL100 cell transfectants expressing MUC1/Y. Human mammary HBL100 cells transfected with either the MUC1/Y cDNA (A, B, D, and E; Ycells) or, as control, with the plasmid harboring the neomycin-resistant gene (C; NEOcells) were grown to 50% confluency in a 24-well dish. Cells were then serum-starved for 16 h. Subsequently, cells were treated with the following media: fresh serum-free medium (A; Ycells + DMEM), MUC1/SEC-containing conditioned medium derived from MUC1/SEC transfected DA3 cells [B (Ycells + SEC C.M.); C (NEOcells + SEC C. M.)], DA3 SEC C.M. saturated with an excess (200 µg/ml) of soluble recombinant MUC1/Yex [D; Ycells + (SEC C.M. + REC. Yex)], and SEC depleted DA3/SEC C.M. that was prepared by several passages through an H23 antirepeat mAb affinity column (E; Ycells + SEC depleted C.M.).

 
MUC1/SEC Binding Induces MUC1/Y Phosphorylation.
It was previously demonstrated that both serine and tyrosine residues present in the MUC1/Y cytoplasmic domain are phosphorylated by trans-acting kinases (25) . To analyze whether MUC1/SEC binding induces MUC1/Y phosphorylation, 32P-radioactively-labeled MUC1/Y transfectants, generated from ras-transformed 3T3 fibroblasts, were incubated with conditioned medium obtained from DA3/NEO (control transfectant) cells or MUC1/SEC-producing DA3 transfectants (Fig. 8)Citation . Immunoprecipitation of MUC1/Y with anticytoplasmic domain antibodies revealed that the addition of MUC1/SEC-containing medium (Fig. 8Citation , Lane 4), as opposed to the control conditioned medium (Fig. 8Citation , Lane 3), induced MUC1/Y phosphorylation. Phosphoamino acid analysis demonstrated the presence of phosphorylated MUC1/Y serine residues with lower levels of phosphotyrosine (data not shown).



View larger version (68K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 8. MUC1/SEC-containing conditioned medium induces MUC1/Y phosphorylation. Ras-transformed 3T3 fibroblast transfectants expressing the MUC1/Y protein were grown in a phosphate-free medium. The following day, radioactive carrier-free inorganic phosphate was added to the cells, and incubation was allowed to continue for another 8 h. Thirty minutes before harvesting, the cells were treated with 200 µM sodium vanadate and 200 µM hydrogen peroxide (vanadate; Lanes 1 and 2), serum-free conditioned medium containing the MUC1/SEC protein prepared from MUC1/SEC-expressing DA3 transfectants (sec C.M.; Lanes 4 and 5), or serum-free conditioned medium prepared from control, neomycin-resistant DA3 transfectants (neo C.M.; Lane 3). The cells were harvested, briefly washed with PBS, and cell lysates were prepared that were then immunoprecipitated (IP) with preimmune rabbit serum (NRS; Lanes 1 and 5) or with anticytoplasmic domain antisera (anti-cyt; Lanes 2, 3, and 4). Precipitated proteins were resolved on SDS-polyacrylamide (10%) gels and visualized by autoradiography. Arrowheads indicate the phosphate-labeled immunoprecipitated MUC1/Y proteins present in both the vanadate-treated cells and in the MUC1/SEC-treated cells. Numbers to the left of the figure indicate the molecular mass in kDa.

 
In summary, these results show that binding of MUC1/SEC to MUC1/Y not only induces an extensive change in the morphological growth pattern of the cells, but that this interaction leads also to a change in the phosphorylation status of the membrane-bound MUC1/Y protein.

Characterization of the MUC1/Y and MUC1/SEC Binding Sites.
Truncations, deletions, and point mutations of the bacterial recombinant MUC1/Y extracellular domain demonstrated that the MUC1/SEC binding site maps to the MUC1/Y 44 amino acids NH2-terminal to the transmembrane domain. Notably, this region shows similarity to the ligand binding sites of cytokine receptors (see Fig. 3Citation in Ref. 25 ). Deletion of both the decapeptide sequence INVHDVETQF and the pentapeptide INVHD (amino acids 112–121 and 112–116, respectively; numbering as in Ref. 22 ) abrogated all binding; Fig. 9ACitation ). Within this sequence, aspartic acid D116 is conserved in the mouse MUC1 homologue; in other species it is conservatively changed to glutamic acid (E). Mutation of this aspartic acid residue to alanine drastically reduced binding, whereas the D to E mutation had no effect. Significantly, the COOH-terminal region of the MUC1/Y extracellular domain contains the "signature" motif of serine, hydrophobic and acidic amino acid residues (ISDVS), which is found at an identical location in cytokine receptors (30) . All COOH-terminal truncations of the MUC1/Y extracellular domain completely abrogated MUC1/SEC binding (Fig. 9A)Citation .



View larger version (43K):
[in this window]
[in a new window]
[Download PPT slide]
 
Fig. 9. Characterization of MUC1/Y and MUC1/SEC binding sites. A, deletions, truncations, and mutations of the MUC1/Y extracellular domain were generated according to standard molecular biology protocols; all recombinant plasmids were sequence verified. The recombinant MUC1/Y proteins were synthesized and purified, and the mutant proteins were labeled and used in a receptor gel overlay (experimental procedures). The extent of MUC1/Yex binding to MUC1/SEC is summarized: N.E., upward and downward facing arrows designate no effect on binding, increased or decreased binding, respectively. B, MUC1/SEC expression (Western, as analyzed by H23 antirepeat mAbs) and MUC1/Y binding activity (Gel overlay) of MUC1/SEC produced in DA3 cells (DA3 Sec or WT Sec) or in HK293 (HK Sec) were analyzed. C, the MUC1/Y binding activity of DA3 produced MUC1/SEC that was truncated 26 amino acids from its COOH terminus ({Delta}26Sec) was also assessed.

 
The above experiments clearly show: (a) that the MUC1/Y region homologous to the cytokine receptor ligand-binding sequences is critical for MUC1/SEC binding; and (b) that MUC1/Y posttranslational modifications are not required for this interaction.

Bacterially generated recombinant MUC1/SEC was devoid of MUC1/Y binding activity (data not shown). This suggests that, in contrast to MUC1/Y, posttranslational modifications occurring on MUC1/SEC are integral components of the interaction. Moreover, synthesis in some cell lines (such as the kidney cell line HK293) led to significant levels of posttranslationally modified MUC1/SEC, which, nonetheless, were devoid of all MUC1/Y binding activity (Fig. 9B)Citation , indicating that cell-type-specific modifications are required to generate the MUC1/Y binding site within MUC1/SEC.

We do not as yet know whether N-linked or O-linked glycosylations occurring on the MUC1/SEC molecule are required for a productive interaction to proceed between the MUC1/SEC and MUC1/Y proteins; indeed, the possibility exists that a cell-type-specific glycosylation event occurring on MUC1/SEC is an essential requirement. Protease treatment of the MUC1/SEC protein did, however, abolish all binding activity, and the binding site, thus, obviously encompasses a protein component.

The notion that the tandem repeats contained within MUC1/SEC are not responsible for binding was supported by analyzing the effect of COOH-terminal truncations of the protein. Deletion of the COOH-terminal 26 amino acids abrogated all binding (Fig. 9C)Citation , thereby implicating that this region, when appropriately posttranslationally modified, contributes an essential component for the interaction with MUC1/Y.


    DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 
The MUC1 gene products are highly expressed by breast cancer cells and can, therefore, serve as ideal targets for cancer therapy (see Refs. 2, 3, 4, 5, 6, 7, 8, 9) . The recently discovered novel MUC1/Y isoform does not contain the heavily glycosylated tandem repeat array that endows MUC1 proteins with mucin-like features (22, 23, 24, 25 , 29) . It was, thus, of obvious interest to investigate the function of MUC1/Y because such information could lead to new approaches for cancer therapy.

Previously, we demonstrated that MUC1/Y can be transphosphorylated, within the intact cell, on tyrosine and serine residues within the cytoplasmic domain (25) . This finding, along with recent data demonstrating a specific interaction between the cytoplasmic domain of MUC1 and the adaptor protein GRB2, supports the notion that the MUC1 proteins may be involved in cell signaling (25 , 31) . Moreover, a marked homology between sequences within the extracellular region of MUC1/Y and cytokine receptor sequences involved in ligand binding led to the hypothesis that MUC1/Y functions in a similar manner to cytokine receptors and is regulated by a secreted ligand (25) .

We now demonstrate a specific interaction between the MUC1/Y transmembrane protein and the secreted MUC1(+ repeat) isoforms. Furthermore, we show here that the MUC1/SEC present in the conditioned medium forms an active receptor complex with MUC1/Y, resulting in the phosphorylation of MUC1/Y and a concomitant change in cellular morphology.

The morphological alterations we observed could be attributed to the presentation on the cell surface of the MUC1/SEC isoform via complex formation with the extracellular domain of the membrane-bound MUC1/Y molecule (18) . As MUC1/Y undergoes serine and tyrosine phosphorylation after MUC1/SEC binding, it is possible that the morphological change is driven by an additional mechanism that embraces cell signaling. To phosphorylate its own serine and tyrosine residues, MUC1/Y must recruit (as yet unidentified) transacting tyrosine and/or serine/threonine kinases. The regulatory controls determining the precise MUC1/Y serine/threonine and tyrosine phosphorylation patterns remain obscure and probably depend on the presence of specific transacting kinases present in the cytoplasmic milieu. In accordance with the recent finding that ß-catenin interacts with the cytoplasmic domain of MUC1 (32) , MUC1/Y could alter cellular morphology by serving as a link between the recruited transacting kinases and ß-catenin, thereby regulating catenin function (33 , 34) .

The novelty of our present findings is that the MUC1/SEC and MUC1/Y isoforms, which are both derived from the MUC1 gene, interact with each other, and in so doing generate a receptor complex capable of eliciting cellular responses. Strong evidence for this interaction is provided by published findings and our experimental data: (a) MUC1/SEC and MUC1/Y are generated from two different alternatively spliced mRNA species (10 , 17 , 22 , 29 , 35) ; (b) MUC1/SEC and MUC1/Y localize to different cellular compartments (the former is secreted from the cell, and the latter is membrane bound; Refs. 17 , 22 ); (c) coimmunoprecipitation analyses demonstrate, both in double transfectants and in primary BT tissue, the presence of MUC1/SEC and MUC1/Y complexes; and (d) this interaction elicits biological effects, as reflected by changes in cellular morphology and MUC1/Y phosphorylation status.

We, therefore, postulate that the binding of MUC1/SEC to MUC1/Y represents a bona fide receptor/cognate binding protein interaction, and propose a variation to the receptor-ligand interaction "canon," according to which the interacting membrane-bound receptor and soluble ligand proteins derive from different genes. Precedents for variations on this theme do exist. For example, both the ligand (or counter-receptor) and receptor can be bound to the membrane of different cells (36) or, as in the case of GDNF and Ret, a membrane glycosylphosphatidylinositol-linked cell surface receptor (GDNFR) bound to its cognate binding protein (GDNF-GDNFR) acts as the ligand for a different membrane receptor, Ret (37) . Perhaps most relevant to the findings described here is the unmasking of a ligand by thrombin cleavage of the thrombin receptor (38) . The new NH2-terminal amino acid sequence thereby formed represents a "tethered" ligand that then acts by intramolecular interactions with the thrombin receptor; thus, the receptor and its cognate binding protein/ligand reside in the one and same protein molecule and are derived from the same gene (38) . These examples highlight the difficulty in defining the terms "receptor" and "ligand" and in relating to "receptor-ligand" interactions in a simplistic fashion.

The results presented here suggest a mechanism whereby alternative splicing generates, from the one and same gene, both a membrane-bound receptor and its secreted, soluble cognate binding protein. Our findings, thus, imply that alternative splicing regulates both the relative levels of the cognate binding protein and receptor and the biological effects elicited by the interaction of these two isoforms. Indeed, some cells express the MUC1/Y protein in preference to the tandem repeat array-containing MUC1 isoforms and vice versa (24) . An individual cell may express both isoforms (data not shown), thereby suggesting the involvement of an autocrine mechanism in regulating the biological effects elicited by the interaction of the receptor with its cognate binding proteins. This does not exclude the possibility that paracrine mechanisms also apply.

Several molecules with mucin-like features have been shown recently to act as ligands. For example, P-selectin glycoprotein ligand-1 is a mucin-like glycoprotein that acts as the counter-receptor for P-selectin, but only following appropriate posttranslational modifications (39 , 40) . Similarly, the cognate binding proteins of MUC1/Y are mucin-like proteins that, to support binding, require posttranslational modification in a cell-type-specific manner. Our results suggest that the region COOH-terminal to the repeats, which undergoes extensive posttranslational modification, is a critical component for a productive interaction to proceed. Indeed, deletion of the COOH-terminal 26 amino acids from MUC1/SEC abolished all binding activity. It is noteworthy that the pentapeptide sequence "YYQEL" present in these COOH-terminal 26 amino acids is conserved in the mouse, hamster, guinea pig, rabbit, cow, gibbon, and human MUC1 homologues (41) . Cells transfected with constructs in which the two tyrosine residues were mutated to phenylalanine synthesized MUC1/SEC, which did not bind to MUC1/Y (data not shown). We do not know whether part or all of the MUC1/Y binding site resides in this 26 amino acid sequence. Alternatively, this stretch may be required for the correct targeting of the nascent protein to a specific cellular compartment, thereby permitting an essential and specific posttranslational modification to take place.

Having demonstrated the interaction of MUC1/Y with MUC1/SEC, we proceeded to investigate its possible clinical applications. Using purified labeled MUC1/SEC, we were able to efficiently target MUC1/Y-expressing tumors in mice. For several years, attempts have been made to target the MUC1/REP protein, using mAbs directed against the repeat array (42 , 43) . Two difficulties are inherent in this approach: (a) a lack of specificity due to an unstable pattern of modification within the repeat array region; and (b) the circulation of high levels of the soluble repeat array containing proteins that will sequester the injected antibodies. It is now clear that the use of naturally occurring molecules may be preferable for cell targeting; previous studies applying receptor-ligand interaction for gene delivery have proven successful (44) . MUC1/Y could serve as an ideal target for cancer treatment for the following reasons. First, MUC1/Y is expressed by breast and ovarian carcinoma cells and, in some cases, especially in ovarian carcinoma, is the only MUC1 isoform expressed (22 , 24) . Second, MUC1/Y, in contrast to MUC1/REP, does not undergo proteolytic cleavage and, thus, consists of a continuous extracellular domain that is not shed from the cell surface (22) . Finally, the MUC1/Y-MUC1/SEC interaction is a naturally occurring one, thereby circumventing the inherent difficulties in the use of nonself molecules for targeting. Our results indicate that it is not the repeat array region but the COOH-terminal portion of MUC1/SEC that is involved in MUC1/Y binding. Thus, a small, posttranslationally modified polypeptide sequence derived from the MUC1/SEC protein, which does not include the large repeat array, may lead to improved specificity in targeting MUC1/Y-expressing cancer cells both for diagnostic and therapeutic purposes.


    ACKNOWLEDGMENTS
 
The invaluable help of Matti Burstein with the cell culture work is greatly appreciated.


    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 Supported in part by the Israel Cancer Association, the Israel Cancer Research Fund, the Israel Academy of Sciences, the Israel Ministry of Science and Technology (to D. H. W.), the Simko Chair for Breast Cancer Research, the Federico Fund for Tel Aviv University, and the Barbara Friedman Fund (to I. K.). Back

2 These authors contributed equally to these studies. Back

3 To whom requests for reprints should be addressed, at Department of Cell Research and Immunology, The George S. Wise Faculty of Life Sciences, Tel Aviv University, Ramat Aviv 69978, Israel. Phone: 972-3-6407425; Fax: 972-3-6422046; E-mail: danielhw{at}post.tau.ac.il Back

4 The abbreviations used are: mAb, monoclonal antibody; BT, breast tumor; PKA, protein kinase A. Back

Received 10/19/98. Accepted 2/ 2/98.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS
 DISCUSSION
 REFERENCES
 

  1. Szabo C. I., King M. C. Inherited breast and ovarian cancer. Hum. Mol. Genet., 4: 1811-1817, 1995.[Abstract]
  2. Burchell J., Gendler S., Tayor-Papadimitriou J., Girling A., Lewis A., Millis R., Lamport D. Development and characterization of breast cancer reactive monoclonal antibodies directed to the core protein of the human milk mucin. Cancer Res., 47: 5476-5482, 1987.[Abstract/Free Full Text]
  3. Ceriani R. L., Chan C. M., Baratta F. S., Ozzello L., DeRosa C. M., Habif D. V. Levels of expression of breast epithelial mucin detected by monoclonal antibody BrE-3 in breast cancer prognosis. Int. J. Cancer, 51: 343-354, 1992.[Medline]
  4. Laurence V., Forbes M. A., Cooper E. H. Use of mucin like cancer associated antigen (MCA) in the management of breast cancer. Br. J. Cancer, 63: 1000-1004, 1991.[Medline]
  5. Linsley P. S., Brown J. P., Magnani J. L., Horn D. Monoclonal antibodies reactive with mucin glycoproteins found in sera from breast cancer patients. Cancer Res., 48: 2138-2148, 1988.[Abstract/Free Full Text]
  6. MacLean G. D., Reddish M. A., Longenecker B. M. Prognostic significance of preimmunotherapy serum CA27.29 (MUC-1) mucin level after active specific immunotherapy of metastatic adenocarcinoma patients. J. Immunother., 20: 70-78, 1997.
  7. McGuckin M. A., Walsh M. D., Hohn B. G., Ward B. G., Wright R. G. Prognostic significance of MUC1 epithelial mucin expression in breast cancer. Hum. Pathol., 26: 432-439, 1995.[Medline]
  8. Muller-Brand J., Macke H. Clinical significance of the new tumor marker MCA in the follow-up of patients with mammary carcinoma. Int. J. Biol. Markers, 8: 130-132, 1993.[Medline]
  9. Xing P. X., Prenzoska J., Quelch K., McKenzie I. F. C. Second generation anti-MUC1 peptide monoclonal antibodies. Cancer Res., 52: 2310-2317, 1992.[Abstract/Free Full Text]
  10. Wreschner D. H., Hareuveni M., Tsarfaty I., Smorodinsky N., Horev J., Zaretsky J., Kotkes P., Weiss M., Lathe R., Dion A. S., Keydar I. Human epithelial tumor antigen cDNA sequences—differential splicing may generate multiple protein forms. Eur. J. Biochem., 189: 463-473, 1990.[Medline]
  11. Ligtenberg M. J. L., Vos H. L., Genissen A. M. C., Hilkens J. Episialin, a carcinoma associated mucin, is generated by a polymorphic gene encoding splice variants with alternative amino termini. J. Biol. Chem., 265: 15573-15578, 1990.
  12. Gendler S. J., Lancaster C. A., Taylor-Papadimitriou J., Duhig T., Peat N., Burcheli J., Pemberton L., Lalani E-N., Wilson D. Molecular cloning and expression of the human tumor associated polymorphic epithelial mucin PEM. J. Biol. Chem., 265: 15286-15293, 1990.[Abstract/Free Full Text]
  13. Abe M., Kufe D. Characterization of cis-acting elements regulating transcription of the human DF3 breast carcinoma-associated antigen (MUC1) gene. Proc. Natl. Acad. Sci. USA, 90: 282-286, 1993.[Abstract/Free Full Text]
  14. Hilkens J., Ligtenberg M. J-L., Vos H. L., Litvinov S. V. Cell membrane associated mucins and their adhesion modulating property. Trends Biochem. Sci., 17: 359-363, 1992.[Medline]
  15. Ligtenberg M. J. L., Kruijshaar L., Buijs F., Van Meijer M., Litvinov S. V., Hilkens J. Cell associated episialin is a complex containing two proteins derived from a common precursor. J. Biol. Chem., 267: 6171-6177, 1992.[Abstract/Free Full Text]
  16. Boshell M., Lanani E. N., Pemberton L., Burchell J., Gendler S., Taylor-Papadimitriou J. The product of the human MUC1 gene when secreted by mouse cells transfected with the full-length cDNA lacks the cytoplasmic tail. Biochem. Biophys. Res. Commun., 185: 1-8, 1992.[Medline]
  17. Smorodinsky N., Weiss M., Hartman M., Baruch A., Harness E., Yaakobovits M., Keydar I., Wreschner D. H. Detection of a secreted MUC1/SEC protein by MUC1/SEC specific monoclonal antibodies. Biochem. Biophys. Res. Commun., 228: 115-121, 1996.[Medline]
  18. Ligtenberg M. J., Buijs F., Vos H. L., Hilkens J. Suppression of cellular aggregation by high levels of episialin. Cancer Res., 52: 2318-2324, 1992.[Abstract/Free Full Text]
  19. Hartman M., Tsarfaty I., Hareuveni M., Keydar I., Wreschner D. H. Expression of breast cancer mucin, MUC1, alters cell adhesion and a MUC1 variant may act as a receptor molecule on breast cancer cells Ioanndou-Mouzaka L. Agnantis N. J. Karydas I. eds. . Senology: Proceedings of the 7th International Congress on Senology, : 379-383, Excerpta Medica Publishers Amsterdam 1992.
  20. Wesseling J., van der Valk S. W., Vos H. L., Sonnenberg A., Hilkens J. Episialin (MUC1) overexpression inhibits integrin-mediated cell adhesion to extracellular matrix components. J. Cell Biol., 129: 255-265, 1995.[Abstract/Free Full Text]
  21. Spicer A. P., Rowse G. J., Lidner T-K., Gendler S. J. Delayed mammary tumor progression in MUC-1 null mice. J. Biol. Chem., 270: 30093-30101, 1995.[Abstract/Free Full Text]
  22. Zrihan-Licht S., Vos H. L., Baruch A., Elroy-Stein O., Sagiv D., Keydar I., Hilkens J., Wreschner D. H. Characterization and molecular cloning of a novel MUC1 protein, devoid of tandem repeats, expressed in human breast cancer tissues. Eur. J. Biochem., 224: 787-795, 1994.[Medline]
  23. Hartman, M., Baruch, A., Ron, I., Adereth, Y., Yoeli, M., Sagi-Assif, O., Greenstein, S., Stadler, Y., Weiss, M., Harness, E., Yaakubovits, M., Keydar, I., Smorodinsky, N., and Wreschner D. H. The MUC1 isoform specific monoclonal antibody 6E6/2 detects preferential expression of the novel MUC1/Y protein in breast cancer and other epithelial malignancies. Int. J. Cancer, in press, 1999.
  24. Baruch A., Hartman M., Zrihan-Licht S., Greenstein S., Burstein M., Keydar I., Weiss M., Smorodinsky N., Wreschner D. H. Preferential expression of novel MUC1 tumor antigen isoforms in human epithelial tumors and their tumor potentiating function. Int. J. Cancer, 71: 741-749, 1997.[Medline]
  25. Zrihan-Licht S., Baruch A., Elroy-Stein O., Keydar I., Wreschner D. H. Tyrosine phosphorylation of the MUC1 breast cancer membrane proteins—cytokine receptor-like molecules. FEBS Lett., 356: 130-136, 1994.[Medline]
  26. Keydar I., Chou C. S., Hareuveni M., Tsarfaty I., Sahar E., Selzer G., Chaitchik S., Hizi A. Production and characterization of monoclonal antibodies identifying breast tumor associated antigens. Proc. Natl. Acad. Sci. USA, 86: 1362-1366, 1989.[Abstract/Free Full Text]
  27. Mehlman T., Burgess W. H. Detection and characterization of heparin-binding proteins with a gel overlay procedure. Anal. Biochem., 188: 59-163, 1990.
  28. Ruff S. J., Chen K., Cohen S. Peroxovanadate induces tyrosine phosphorylation of multiple signaling proteins in mouse liver and kidney. J. Biol. Chem., 272: 1263-1267, 1997.[Abstract/Free Full Text]
  29. Oosterkamp H. M., Scheiner L., Stefanova M. C., Lloyd K. O., Finstad C. Comparison of MUC1 mucin expression in epithelial and non-epithelial cancer cell lines and demonstration of a new short variant form. Int. J. Cancer, 72: 87-94, 1997.[Medline]
  30. Bazan F. Structural design and molecular evolution of a cytokine receptor superfamily. Proc. Natl. Acad. Sci. USA, 87: 6934-6938, 1990.[Abstract/Free Full Text]
  31. Pandey P., Kharbanda S., Kufe D. Association of the DF3/MUC1 breast cancer antigen with the Grb2 and the sos/ras exchange protein. Cancer Res., 55: 4000-4003, 1995.[Abstract/Free Full Text]
  32. Yamamoto M., Bharti A., Li Y., Kufe D. Interaction of the DF3/MUC1 breast carcinoma-associated antigen and ß-catenin in cell adhesion. J. Biol. Chem., 272: 12492-12494, 1997.[Abstract/Free Full Text]
  33. Aberle H., Schwarts H., Kemler R. Cadherin-catenin complex: protein interactions and their implications for cadherin function. J. Cell. Biochem., 61: 514-523, 1996.[Medline]
  34. Serres M., Grangeasse C., Haftek M., Durocher Y., Duclos B., Schmitt D. Hyperphosphorylation of ß-catenin on serine-threonine residues and loss of cell-cell contact induced by calyculin A and okadaic acid in human epidermal cells. Exp. Cell. Res., 231: 163-172, 1997.[Medline]
  35. Aplin J. D., Hey N. A., Li T. C. MUC1 as a cell surface and secretory component of endometrial epithelium: reduced levels in recurrent miscarriage. Am. J. Reprod. Immunol., 35: 261-266, 1996.
  36. Kramer H., Cagan R. L., Zipursky S. L. Interaction of sevenless membrane-bound ligand and the sevenless tyrosine kinase receptor. Nature (Lond.), 352: 207-212, 1991.[Medline]
  37. Jing S., Wen D., Yu Y., Holst P. L., Luo Y., Fang M., Tamir R., Antonio L., Hu Z., Cupples R., Louis J. C., Hu S., Altrock B. W., Fox G. M. GDNF-induced activation of the ret protein tyrosine kinase is mediated by GDNFR-{alpha}, a novel receptor for GDNF. Cell, 85: 1113-1124, 1996.[Medline]
  38. Vu T. K., Hung D. T., Wheaton V. I., Coughlin S. R. Molecular cloning of a functional receptor reveals a novel proteolytic mechanism of receptor activation. Cell, 64: 1057-1068, 1991.[Medline]
  39. Pouyani T., Seed B. PSGL-1 recognition of P-selectin is controlled by a tyrosine sulfation consensus at the PSGL-1 amino terminus. Cell, 83: 333-343, 1995.[Medline]
  40. Sako D., Comess K. M., Barone K. M., Camphausen R. T., Cumming D. A., Shaw G. D. A sulfated peptide segment at the amino terminus of PSGL-1 is critical for P-selectin binding. Cell, 83: 323-331, 1995.[Medline]
  41. Spicer A. P., Duhig T., Chilton B. S., Gendler S. J. Analysis of mammalian MUC1 genes reveals potential functionally important domains. Mamm. Genome, 6: 885-888, 1995.[Medline]
  42. Katayose Y., Kudo T., Suzuki M., Shinoda M., Saijyo S., Sakuri N., Saeki H., Fukuhara K., Imai K., Matsuno S. MUC1 specific targeting immunotherapy with bispecific antibodies: inhibition of xenografted human bile duct carcinoma growth. Cancer Res., 56: 4205-4212, 1996.[Abstract/Free Full Text]
  43. Kunkler R. B., Bishop M. C., Green D. J., Pimm M. V., Price M. R., Frier M. Targeting of bladder cancer with monoclonal antibody NCRC48—a possible approach for intravesical therapy. Br. J. Urol., 76: 81-86, 1995.[Medline]
  44. Kasahara N., Dozy A. M., Kan Y. W. Tissue-specific targeting of retroviral vectors through ligand-receptor interactions. Science (Washington DC), 266: 1373-1376, 1994.[Abstract/Free Full Text]



This article has been cited by other articles:


Home page
GlycobiologyHome page
Y. He, Y. Li, Z. Peng, H. Yu, X. Zhang, L. Chen, Q. Ji, W. Chen, and R. Wang
Role of N-glycosylation of the SEA module of rodent Muc3 in posttranslational processing of its carboxy-terminal domain
Glycobiology, October 1, 2009; 19(10): 1094 - 1102.
[Abstract] [Full Text] [PDF]


Home page
GlycobiologyHome page
S. J Storr, L. Royle, C. J Chapman, U. M A. Hamid, J. F Robertson, A. Murray, R. A Dwek, and P. M Rudd
The O-linked glycosylation of secretory/shed MUC1 from an advanced breast cancer patient's serum
Glycobiology, June 1, 2008; 18(6): 456 - 462.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
D. B. Rubinstein, M. Karmely, R. Ziv, I. Benhar, O. Leitner, S. Baron, B.-Z. Katz, and D. H. Wreschner
MUC1/X Protein Immunization Enhances cDNA Immunization in Generating Anti-MUC1 {alpha}/{beta} Junction Antibodies that Target Malignant Cells
Cancer Res., December 1, 2006; 66(23): 11247 - 11253.
[Abstract] [Full Text] [PDF]


Home page
J BiochemHome page
T. Fukuzawa and S. Hirose
Multiple Processing of Ig-Hepta/GPR116, a G Protein-Coupled Receptor with Immunoglobulin (Ig)-Like Repeats, and Generation of EGF2-Like Fragment
J. Biochem., September 1, 2006; 140(3): 445 - 452.
[Abstract] [Full Text] [PDF]


Home page
J DAIRY SCIHome page
C. Liu, A. K. Erickson, and D. R. Henning
Distribution and Carbohydrate Structures of High Molecular Weight Glycoproteins, MUC1 and MUCX, in Bovine Milk
J Dairy Sci, December 1, 2005; 88(12): 4288 - 4294.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
F. Levitin, O. Stern, M. Weiss, C. Gil-Henn, R. Ziv, Z. Prokocimer, N. I. Smorodinsky, D. B. Rubinstein, and D. H. Wreschner
The MUC1 SEA Module Is a Self-cleaving Domain
J. Biol. Chem., September 30, 2005; 280(39): 33374 - 33386.
[Abstract] [Full Text] [PDF]


Home page
Int ImmunolHome page
B. Agrawal and B. M. Longenecker
MUC1 mucin-mediated regulation of human T cells
Int. Immunol., April 1, 2005; 17(4): 391 - 399.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
F. Levitin, A. Baruch, M. Weiss, K. Stiegman, M.-l. Hartmann, M. Yoeli-Lerner, R. Ziv, S. Zrihan-Licht, S. Shina, A. Gat, et al.
A Novel Protein Derived from the MUC1 Gene by Alternative Splicing and Frameshifting
J. Biol. Chem., March 18, 2005; 280(11): 10655 - 10663.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
E. P. Lillehoj, H. Kim, E. Y. Chun, and K. C. Kim
Pseudomonas aeruginosa stimulates phosphorylation of the airway epithelial membrane glycoprotein Muc1 and activates MAP kinase
Am J Physiol Lung Cell Mol Physiol, October 1, 2004; 287(4): L809 - L815.
[Abstract] [Full Text] [PDF]


Home page
J. Immunol.Home page
J. F. Grosso, L. M. Herbert, J. L. Owen, and D. M. Lopez
MUC1/sec-Expressing Tumors Are Rejected In Vivo by a T Cell-Dependent Mechanism and Secrete High Levels of CCL2
J. Immunol., August 1, 2004; 173(3): 1721 - 1730.
[Abstract] [Full Text] [PDF]


Home page
J. Biol. Chem.Home page
T. Maeda, M. Inoue, S. Koshiba, T. Yabuki, M. Aoki, E. Nunokawa, E. Seki, T. Matsuda, Y. Motoda, A. Kobayashi, et al.
Solution Structure of the SEA Domain from the Murine Homologue of Ovarian Cancer Antigen CA125 (MUC16)
J. Biol. Chem., March 26, 2004; 279(13): 13174 - 13182.
[Abstract] [Full Text] [PDF]


Home page
Cancer Res.Home page
K. G. Kohlgraf, A. J. Gawron, M. Higashi, J. L. Meza, M. D. Burdick, S. Kitajima, D. L. Kelly, T. C. Caffrey, and M. A. Hollingsworth
Contribution of the MUC1 Tandem Repeat and Cytoplasmic Tail to Invasive and Metastatic Properties of a Pancreatic Cancer Cell Line
Cancer Res., August 15, 2003; 63(16): 5011 - 5020.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Gastrointest. Liver Physiol.Home page
A. M. Hinojosa-Kurtzberg, M. E. V. Johansson, C. S. Madsen, G. C. Hansson, and S. J. Gendler
Novel MUC1 splice variants contribute to mucin overexpression in CFTR-deficient mice
Am J Physiol Gastrointest Liver Physiol, May 1, 2003; 284(5): G853 - G862.
[Abstract] [Full Text] [PDF]


Home page
J. Leukoc. Biol.Home page
M. Wykes, K. P. A. MacDonald, M. Tran, R. J. Quin, P. X. Xing, S. J. Gendler, D. N. J. Hart, and M. A. McGuckin
MUC1 epithelial mucin (CD227) is expressed by activated dendritic cells
J. Leukoc. Biol., October 1, 2002; 72(4): 692 - 701.
[Abstract] [Full Text] [PDF]


Home page
J. Histochem. Cytochem.Home page
B. Liu, J. R. Lague, D. P. Nunes, P. Toselli, F. G. Oppenheim, R. V. Soares, R. F. Troxler, and G. D. Offner
Expression of Membrane-associated Mucins MUC1 and MUC4 in Major Human Salivary Glands
J. Histochem. Cytochem., June 1, 2002; 50(6): 811 - 820.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
D. Meerzaman, P. S. Shapiro, and K. C. Kim
Involvement of the MAP kinase ERK2 in MUC1 mucin signaling
Am J Physiol Lung Cell Mol Physiol, July 1, 2001; 281(1): L86 - L91.
[Abstract] [Full Text] [PDF]


Home page
Mol Hum ReprodHome page
F. E. Franke, S. Kraus, C. Eiermann, K. Pauls, E.-N. Lalani, and M. Bergmann
MUC1 in normal and impaired spermatogenesis
Mol. Hum. Reprod., June 1, 2001; 7(6): 505 - 512.
[Abstract] [Full Text] [PDF]


Home page
Biol. Reprod.Home page
C. J.P. Jones, M. Elena Ortíz, H. B. Croxatto, A. Manzur, G. Slevin, and J. D. Aplin
Muc1 and Glycan Expression in the Oviduct and Endometrium of a New World Monkey, Cebus apella
Biol Reprod, May 1, 2001; 64(5): 1535 - 1544.
[Abstract] [Full Text]


Home page
Biol. Reprod.Home page
M. Meseguer, J. D. Aplin, P. Caballero-Campo, J. E. O'Connor, J. C. Martín, J. Remohí, A. Pellicer, and C. Simón
Human Endometrial Mucin MUC1 Is Up-Regulated by Progesterone and Down-Regulated In Vitro by the Human Blastocyst
Biol Reprod, February 1, 2001; 64(2): 590 - 601.
[Abstract] [Full Text]


Home page
ADRHome page
G.D. Offner and R.F. Troxler
Heterogeneity of High-molecular-weight Human Salivary Mucins
Advances in Dental Research, December 1, 2000; 14(1): 69 - 75.
[Abstract] [PDF]


Home page
BloodHome page
S. P. Treon, P. Maimonis, D. Bua, G. Young, N. Raje, J. Mollick, D. Chauhan, Y.-T. Tai, T. Hideshima, Y. Shima, et al.
Elevated soluble MUC1 levels and decreased anti-MUC1 antibody levels in patients with multiple myeloma
Blood, November 1, 2000; 96(9): 3147 - 3153.
[Abstract] [Full Text] [PDF]


Home page
BloodHome page
V. G. Dyomin, N. Palanisamy, K. O. Lloyd, K. Dyomina, S. C. Jhanwar, J. Houldsworth, and R. S. K. Chaganti
MUC1 is activated in a B-cell lymphoma by the t(1;14)(q21;q32) translocation and is rearranged and amplified in B-cell lymphoma subsets
Blood, April 15, 2000; 95(8): 2666 - 2671.
[Abstract] [Full Text] [PDF]


Home page
Am. J. Physiol. Lung Cell. Mol. Physiol.Home page
E. P. Lillehoj, B. T. Kim, and K. C. Kim
Identification of Pseudomonas aeruginosa flagellin as an adhesin for Muc1 mucin
Am J Physiol Lung Cell Mol Physiol, April 1, 2002; 282(4): L751 - L756.
[Abstract] [Full Text] [PDF]


This Article
Right arrow Abstract Freely available
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Baruch, A.
Right arrow Articles by Wreschner, D. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Baruch, A.
Right arrow Articles by Wreschner, D. H.


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
Cancer Research Clinical Cancer Research
Cancer Epidemiology Biomarkers & Prevention Molecular Cancer Therapeutics
Molecular Cancer Research Cancer Prevention Research
Cancer Prevention Journals Portal Cancer Reviews Online
Annual Meeting Education Book Meeting Abstracts Online