
[Cancer Research 60, 5571-5577, October 1, 2000]
© 2000 American Association for Cancer Research
The CaM Kinase, Pnck, Is Spatially and Temporally Regulated during Murine Mammary Gland Development and May Identify an Epithelial Cell Subtype Involved in Breast Cancer1
Heather Perry Gardner,
Seung I. Ha,
Carol Reynolds and
Lewis A. Chodosh2
Department of Molecular and Cellular Engineering [H. P. G., S. I. H., L. A. C.] and Division of Endocrinology [L. A. C.], Diabetes and Metabolism, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104-6160, and Department of Laboratory Medicine and Pathology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905 [C. R.]
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ABSTRACT
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While screening for protein kinases expressed in the murine mammary
gland, we identified previously a Ca2+/calmodulin-dependent
kinase, Pnck, that is most closely related to CaMKI. In
this report, we show that Pnck is temporally regulated
during murine mammary development with highest levels of expression
observed late in pregnancy, concomitant with the decreased cellular
proliferation and terminal differentiation of the mammary epithelium.
Consistent with this finding, Pnck is up-regulated in
confluent mammary epithelial cells and is down-regulated as
serum-starved cells are stimulated to reenter the cell cycle. In the
mammary gland, Pnck is expressed in an
epithelial-specific and markedly heterogeneous manner, suggesting that
the expression of this kinase may be restricted to a particular mammary
epithelial cell type. Potentially related to its heterogeneous
in vivo expression pattern, Pnck
expression is oncogene-associated in murine epithelial cell lines
derived from mammary tumors arising in different transgenic mouse
models of breast cancer; cell lines derived from mammary tumors
initiated by c-myc or int-2/Fgf3 express
Pnck, whereas cell lines initiated by neu
or H-ras do not. In an analogous manner, expression of
the human homologue of Pnck is restricted to a subset of
human breast cancer cell lines. Moreover, PNCK was found
to be highly overexpressed in a subset of human primary human breast
cancers compared with benign mammary tissue. Together, our data suggest
that Pnck may play a role in mammary development, and that
expression of this kinase may be restricted to a mammary epithelial
cell type that is transformed in a subset of human breast cancers.
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INTRODUCTION
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A womans lifetime risk of developing breast cancer is
intrinsically related to reproductive events, particularly those that
affect the differentiated state of the breast. Results from both human
epidemiology and animal model systems indicate that an early first
full-term pregnancy results in a permanent change in the breast that
confers a decreased risk for the subsequent development of breast
cancer (1, 2, 3, 4)
. The findings that aborted pregnancies, the
majority of which occur prior to the third trimester, are not
protective against breast cancer and that lactation has only a minimal
protective effect compared with full-term pregnancy suggest that
parity-induced protection against breast cancer results from
physiological changes that occur late in pregnancy (5
, 6)
.
As a consequence, the protective effect of parity has been hypothesized
to result from the impact of terminal differentiation on the
susceptibility of the mammary epithelium to carcinogenesis (2
, 3)
. Nevertheless, the molecular and cellular basis for this
phenomenon is unknown. As such, understanding the developmental changes
that occur in the breast late in pregnancy is essential for
understanding the protected state of the breast associated with parity.
In an attempt to better understand the relationship between development
and carcinogenesis in the breast, we previously carried out a screen
designed to identify protein kinases that are expressed in the murine
mammary gland during development and in mammary tumor cell lines
(7, 8, 9, 10)
. This resulted in the identification of the novel
serine/threonine kinase,
Pnck,3
so named to reflect its temporally and spatially regulated pattern of
expression in the mammary gland as described in this report.
Pnck is a member of the CaM-dependent family of protein
kinases and is most closely related to CaMKI (9)
. However,
no significant homology is detected between Pnck and members of the CaM
kinase family outside of the highly conserved catalytic and regulatory
domains, suggesting that Pnck may have functions unique to this family
of molecules.
Ca2+ is a key intracellular signaling molecule
that exerts some of its effects by binding to calmodulin and activating
CaM kinases. Calmodulin, in turn, has been implicated in development.
For example, point mutations in the Drosophila calmodulin
gene result in defects in development including pupal lethality and
ectopic wing vein formation (11)
. Furthermore, calmodulin
expression is regulated during cardiac development, and overexpression
of calmodulin in murine cardiomyocytes results in cardiomyocyte
hypertrophy (12)
. Like calmodulin, CaM kinases have been
proposed to play diverse roles in development including CaMKIV in
T-cell maturation and CaMKII in cell cycle regulation
(13, 14, 15, 16)
. However, developmental roles for multifunctional
CaM kinases, including CaMKI, have not been defined.
We previously characterized the temporal and spatial patterns of
Pnck expression during murine development (9)
.
In murine embryos, Pnck expression is highest in developing
brain, bone, and gastrointestinal tract. In adult mice, high levels of
Pnck expression are found in the brain, uterus, ovary, and
testis. Interestingly, within several tissues Pnck
expression is limited to particular epithelial or stromal compartments,
and within these compartments, Pnck expression is further
restricted to a subset of cells (9)
. As such, the
tissue-specific and spatially restricted patterns of Pnck
expression suggest that this kinase may be involved in a variety of
developmental processes.
In this report, we demonstrate that the CaM kinase, Pnck, is
spatially and temporally regulated during murine mammary development
with highest levels of expression observed late in pregnancy as
alveolar epithelial cells exit the cell cycle and undergo terminal
differentiation. Potentially related to this temporal pattern of
expression, Pnck is up-regulated in confluent mammary
epithelial cells and down-regulated as serum-starved cells are
stimulated to reenter the cell cycle. We further show that
Pnck expression in the mammary gland is restricted to a
subset of epithelial cells during development and that Pnck
is expressed in an oncogene-associated manner in cell lines derived
from murine mammary tumors with defined initiating events. Similarly,
expression of the human homologue of Pnck is restricted to a
subset of human breast tumor cell lines and is highly overexpressed in
a subset of primary human breast cancers. Taken together, our data
suggest that Pnck may be expressed within a mammary
epithelial cell type that is involved in differentiation as well as
transformation.
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MATERIALS AND METHODS
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Animal and Tissue Preparation.
FVB mice were housed under barrier conditions with a 12-h light/dark
cycle. After sacrifice at the indicated developmental time points, the
#3, 4, and 5 mammary glands were harvested. For RNA analysis, the lymph
node embedded in mammary gland #4 was removed prior to harvest. Timed
matings were set up such that all mice were sacrificed at
16 weeks
of age for comparison to adult nulliparous females. Day 0.5 postcoitus
was defined as noon of the day on which a vaginal plug was observed.
Time points at day 2 and day 7 of regression were obtained after
removing pups at day 9 of lactation. Time points at day 28 of
regression were obtained after 21 days of lactation. Tissues from 10 to
20 mice were pooled for each developmental time point. Tissues used for
RNA analysis were snap frozen on dry ice. Tissues used for in
situ hybridization analysis were embedded in OCT compound.
Tissue Culture.
Murine cells were cultured in DMEM medium supplemented with 10%
bovine calf serum, 2 mM L-glutamine, 100
units/ml penicillin, and 100 µg/ml streptomycin. Human cell line
lines were cultured in the same medium with the addition of 5 µg/ml
insulin. Transformed murine mammary epithelial cell lines were derived
from tumors or hyperplastic lesions that arose in transgenic mice
engineered to express different oncogenes under the control of the MMTV
long terminal repeat. Cell lines from MMTV-c-myc,
MMTV-int-2/Fgf3, MMTV-neu/NT, or
MMTV-H-ras transgenic mice have been described previously
(17)
. NIH 3T3, NMuMG, and CL-S1 murine cells, as well as
human breast tumor cell lines, were obtained from American Type Culture
Cells. HC11 cells were the kind gift of Jeff Rosen (Baylor
College of Medicine, Houston, TX).
Actively growing cells were harvested at
70% confluence. Confluent
cells were refed daily and harvested 3 days after confluence. For serum
starvation experiments, subconfluent cells were maintained in 0.1%
serum for 2 days prior to refeeding in 10% bovine calf serum and
harvested at the indicated time points.
RNA Analysis.
RNA was prepared by homogenization of snap-frozen tissue samples or
tissue culture cells in guanidinium isothiocyanate supplemented with 7
µl/ml 2-mercaptoethanol, followed by ultracentrifugation through
cesium chloride as described previously (18
, 19)
. Poly(A)+ RNA
was selected using oligo(dT) cellulose (Pharmacia). For Northern
hybridization analysis, RNA was separated on a 1% LE agarose gel and
passively transferred to a Gene Screen membrane (DuPont NEN).
Hybridization was performed as described using a random primed,
32P-labeled cDNA probe encompassing nucleotides
13551529 of c-myc (GenBank accession no. X01023),
nucleotides 589-1287 of cytokeratin 18 (GenBank accession
no. M11686), or a 1.2-kb fragment containing the entire open reading
frame of cyclin D3 (19)
. RNase protection
analysis was performed as described (19)
. Body-labeled
antisense riboprobes were generated using
[
-32P]UTP and the Promega in
vitro transcription system with T7 polymerase in combination with
linearized plasmids containing nucleotides 11421241 of
ß-actin (GenBank accession no. X03672),
nucleotides 911-1056 of Gapdh (GenBank accession no.
M32599), nucleotides 13211509 of murine Pnck (GenBank
accession no. AF181984), or a region of human PNCK
corresponding to nucleotides 538842 of murine Pnck.
Riboprobes were hybridized with RNA samples overnight at 58°C in 50%
formamide/100 mM PIPES (pH 6.7). Hybridized
samples were digested with RNase A and T1, purified, electrophoresed on
a 6% denaturing polyacrylamide gel, and subjected to autoradiography
(XAR-5). ß-actin or Gapdh antisense
riboprobes were added to each reaction as an internal control. As a
negative control, riboprobes were hybridized with tRNA and processed in
parallel.
In Situ Hybridization.
In situ hybridization was performed as described
(19)
. Antisense and sense riboprobes were synthesized with
the Promega in vitro transcription system using
[35S]UTP and [35S]CTP
from the T7 and SP6 RNA polymerase promoters of a PCR template
containing sequences corresponding to nucleotides 11351509 of
Pnck. Exposure times were 7 weeks in all cases.
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RESULTS
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Temporal Pattern of Pnck Expression during Mammary
Development.
In the course of screening for protein kinases with a potential role in
mammary development and carcinogenesis, we isolated a CaM kinase family
member, Pnck, from the mammary glands of mice undergoing
early postlactational involution (7
, 9)
. To begin to
investigate the potential role of Pnck in mammary
development, we examined the temporal profile of Pnck
expression during the postnatal development of the murine mammary gland
(Fig. 1)
. Pnck expression was normalized to
ß-actin expression to control for dilutional
effects resulting from the massive increases in milk protein gene
expression that occur during late pregnancy and lactation (Refs.
7
, 19,
and 20
; Fig. 1B
). As
verified by quantitative in situ hybridization analysis,
normalization of gene expression to ß-actin
expression provides a more accurate assessment of changes in gene
expression on a per cell basis than normalization solely to the amount
of RNA assayed (Fig. 2)
.4

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Fig. 1. Temporal regulation of Pnck expression
during murine mammary gland development. A, RNase
protection analysis of Pnck mRNA expression during
postnatal murine mammary gland development. Forty µg of total RNA
isolated from mammary glands at the indicated developmental time points
were hybridized to 32P-labeled antisense riboprobes
specific for the 3' untranslated region of Pnck or for
ß-actin. B,
phosphorimager quantitation of RNase protection analysis in
A. Pnck expression was quantitated and
normalized to ß-actin expression to
correct for dilutional effects of large scale increases in milk protein
gene expression during late pregnancy and lactation. Expression levels
are shown relative to 16-week-old adult virgin animals.
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Fig. 2. Spatial regulation of Pnck expression in
the mammary gland. In situ hybridization analysis of
Pnck expression in the mammary gland during development.
Bright-field (left panels) and dark-field (right
panels) photomicrographs of mammary gland sections hybridized
with an 35S-labeled Pnck-specific antisense
riboprobe. No signal over background was detected in serial sections
hybridized with the corresponding sense probe. Exposure times were
identical for all dark-field photomicrographs to illustrate changes in
Pnck expression during pregnancy and lactation.
Arrows, Pnck-expressing epithelial cells.
al, alveoli; d, duct; lo,
alveolar lobule; st, adipose stroma; teb,
terminal end bud. x300.
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Pnck mRNA expression levels were found to be low and
relatively constant in nulliparous animals between 2 and 16 weeks of
age, a period that encompasses ductal morphogenesis (Fig. 1)
. In
contrast, a 2-fold up-regulation of Pnck expression was
observed early in pregnancy as compared with age-matched nulliparous
animals. Pnck expression remained elevated during
mid-pregnancy and attained maximal levels of expression (5-fold) late
in pregnancy, concomitant with the cessation of proliferation and
terminal differentiation of the alveolar epithelium. Pnck
expression levels returned to baseline during lactation and early
postlactational regression. Notably, steady-state levels of
Pnck mRNA were higher in the mammary glands of parous
animals after 4 weeks of postlactational involution as compared with
age-matched nulliparous animals.
Heterogeneous Expression of Pnck in the Mammary
Epithelium.
To determine whether pregnancy-induced changes in Pnck mRNA
expression levels represent global changes in expression throughout the
mammary gland or changes within a subpopulation of cells, in
situ hybridization analysis was performed (Fig. 2)
. Consistent
with our RNase protection results, in situ hybridization
confirmed that Pnck expression peaks late in pregnancy.
Furthermore, throughout postnatal development Pnck
expression was detected only in the mammary epithelium and was
strikingly heterogeneous during pregnancy, with highly expressing cells
located adjacent to cells in which Pnck expression was low
or undetectable. The spatial heterogeneity of Pnck
expression was most marked during late pregnancy, at which time only a
small fraction of epithelial cells was observed to express
Pnck at high levels. The heterogeneous spatial pattern of
Pnck expression differs from that observed for other protein
kinases that we have examined, as well as for genes such as
cytokeratin 18, Gapdh, and ß-actin
(7)
.
Pnck Expression in Vitro.
The observation that Pnck expression peaks late in pregnancy
as alveolar epithelial cells exit the cell cycle and undergo terminal
differentiation suggested that Pnck mRNA expression may be
inversely related to mammary epithelial proliferation. To investigate
this possibility, Pnck mRNA levels were analyzed in actively
proliferating or confluent mammary epithelial cell lines (Fig. 3A)
. This analysis revealed that steady-state levels of
Pnck mRNA were an average of 3.7-fold higher in confluent
cells compared with actively proliferating cells (Students
t test, P < 0.01). To distinguish
whether this increase in Pnck expression was attributable to
decreased proliferation or to the establishment of cell-cell contacts
in confluent cells, Pnck expression levels were analyzed in
subconfluent serum-starved mammary epithelial cells as they reentered
the cell cycle after refeeding (Fig. 3B)
. Consistent with
the up-regulation of Pnck expression observed in confluent
cells, refeeding of serum-starved cells resulted in a rapid decrease in
Pnck expression that began within 1 h and reached a
nadir at 4 h after refeeding. Identical results were observed in a
second mammary epithelial cell line (data not shown).

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Fig. 3. Proliferation-dependent expression of Pnck.
A, RNase protection analysis of Pnck
expression in actively growing versus confluent cells.
32P-labeled antisense riboprobes specific for
Pnck or Gapdh were hybridized with 30
µg of total RNA isolated from the indicated cell lines while either
actively growing (Act) or 3 days after confluence
(Con). B, RNase protection
analysis of Pnck expression in serum-starved 16MB9a
cells at the indicated times after refeeding. Thirty µg of total RNA
isolated from cells at each time point were hybridized with
32P-labeled antisense riboprobes specific for
Pnck or ß-actin.
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Pnck Expression in Transgenic Mammary Tumor Cell
Lines.
To begin to examine the potential role of Pnck in
mammary tumorigenesis and to investigate the hypothesis that
Pnck is expressed in an epithelial cell subtype in the
mammary gland, Pnck mRNA expression was examined in a panel
of mammary epithelial cell lines derived from independent
adenocarcinomas arising in MMTV transgenic mice expressing either the
neu/NT, c-myc, H-ras, or
int-2/Fgf3 oncogenes in the mammary epithelium
(Ref. 17
; Fig. 4
). All cell lines were proliferating at similar rates when harvested as
evidenced by their similar levels of cyclin D3 mRNA
expression. Pnck expression was not detected in NIH 3T3
fibroblasts, consistent with its epithelial-specific pattern of
expression in the mammary gland in vivo. Interestingly,
Pnck was expressed in all seven cell lines derived from
mammary tumors or hyperplasias arising in
MMTV-c-myc and MMTV-int-2/Fgf3
transgenic mice. In contrast, Pnck expression was
undetectable in the eight cell lines derived from mammary tumors
arising in MMTV-neu and MMTV-H-ras transgenic
mice, despite the fact that RNase protection analysis was performed
using poly(A)+ RNA. Similarly, Pnck
expression was not detected in any of the three nontransformed mammary
epithelial cell lines examined including confluent or differentiating
HC11 cells (Fig. 4
and data not shown). Analysis of the expression of
40 other protein kinases identified in our screen indicated that this
particular oncogene-associated pattern of expression is unique to
Pnck (7
, 20)
. Of note, Pnck
expression did not appear to correlate with absolute levels of either
endogenous c-myc or c-myc transgene expression
(Fig. 4)
. This observation suggests that the oncogene-restricted
pattern of Pnck expression may not be the result of
c-myc-induced activation of Pnck transcription.

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Fig. 4. Pnck expression in nontransformed and
transformed murine mammary epithelial cell lines. Transformed cell
lines were derived from mammary adenocarcinomas arising in MMTV
transgenic mice expressing the int-2/Fgf3,
c-myc, neu, or H-ras
oncogenes in the mammary gland (17)
. RNase protection
analysis was performed on 6 µg of poly(A)+ RNA isolated
from actively growing murine cell lines hybridized with a
32P-labeled antisense riboprobe specific for the 3'
untranslated region of Pnck (top panel).
Northern analysis was performed on 6 µg of poly(A)+ RNA
using 32P-labeled cDNA probes specific for
c-myc (middle panel) or cyclin
D3 (bottom panel). Note, the upper band observed
in MMTV-c-myc-derived cell lines
corresponds to c-myc transgene expression. The
poly(A)+ RNA beneath the 28S rRNA band is shown as a
loading control. Cell lines are: NIH-3T3 fibroblast, nontransformed
(Non-Tx): Lane 1, NMuMG, Lane
2, HC11, and Lane 3, CL-S1.
MMTV-int-2/Fgf3: Lane 4, HBI2; and
Lane 5, 1128. MMTV-c-myc: Lane
6, 8MA1a; Lane 7, MBp6; Lane 8,
M1011; Lane 9, M158; and Lane 10, 16MB9a.
MMTV-neu: Lane 11, SMF; Lane
12, NaF; Lane 13, NF639; Lane 14,
NF11005; and Lane 15, NK-2. MMTV-H-ras:
Lane 16, AC816; Lane 17, AC711; and
Lane 18, AC236.
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PNCK Expression in Human Breast Tumor Cell
Lines and Primary Breast Tumors.
To further investigate the potential involvement of
Pnck, or a cell type in which Pnck is expressed,
in mammary carcinogenesis, we determined PNCK expression
levels in a panel of human breast cancer cell lines (Fig. 5)
. Similar to the wide range of Pnck expression observed in
the murine mammary epithelium and in murine mammary tumor cell lines,
PNCK expression was detected in only a subset of human
breast tumor cell lines. High levels of PNCK expression were
observed in 3 of 18 breast tumor cell lines. Eight cell lines expressed
low but detectable levels of PNCK, whereas no
PNCK expression was detected in the remaining seven cell
lines. As in murine mammary tumor cell lines, PNCK
expression levels did not correlate with c-MYC expression
(data not shown).

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Fig. 5. PNCK is expressed in a subset of human
breast tumor cell lines. RNase protection analysis of 30 µg of total
RNA isolated from actively growing human breast tumor cell lines
hybridized with a 32P-labeled antisense riboprobe specific
for PNCK or for ß-actin.
Cell lines are: Lane 1, 184B5; Lane 2, 2
MT-2; Lane 3, BT-20; Lane 4, BT-474;
Lane 5, BT-549; Lane 6, HBL-100;
Lane 7, MDA-MB-157; Lane 8, MDA-MB-231;
Lane 9, MDA-MB-361; Lane 10, MDA-MB-435;
Lane 11, MDA-MB-436; Lane 12, MDA-MB-453;
Lane 13, MDA-MB-468; Lane 14, SK-BR-3;
Lane 15, ZR-75-1; Lane 16, MCF-10;
Lane 17, MCF-10A; and Lane 18, Hs 578T.
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The heterogeneous pattern of Pnck expression observed
in vitro in both murine and human breast tumor cell lines
suggested the possibility that PNCK-expressing and
PNCK-nonexpressing breast tumor types might exist. To test
this hypothesis directly, we used RNase protection analysis to
quantitate PNCK mRNA expression levels in a panel of 23
primary human breast tumors. The resulting expression levels were
compared with PNCK expression levels in 12 benign breast
tissue samples (Fig. 6A)
. This analysis revealed two interesting aspects of the
pattern of PNCK expression in breast tumors compared with
benign tissue: (a) PNCK is expressed at
significantly higher levels in breast tumors compared with benign
tissue; and (b) PNCK expression in human tumors
is markedly heterogeneous.

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Fig. 6. PNCK is overexpressed in a subset of human
primary breast tumors. RNA was isolated from 12 benign breast tissue
samples and from 23 primary breast tumors obtained after surgery as
indicated. A, RNase protection analysis was performed
using 10 µg of total RNA hybridized with a 32P-labeled
antisense riboprobe specific for PNCK or for
ß-actin as indicated. Northern
hybridization analysis was performed on the same RNA samples using 3
µg of total RNA hybridized with a 32P-labeled cDNA probe
specific for cytokeratin 18 (CK18). The 28S rRNA band is
shown as a control for equal RNA loading. PNCK,
ß-actin, and CK18
expression levels were quantitated by phosphorimager analysis.
PNCK expression levels normalized to CK18
are shown for each sample. B, PNCK
expression levels in breast tumors compared with benign tissue.
PNCK expression levels for the samples shown in
A were normalized either to
ß-actin or to CK18, as
indicated. Normalized PNCK expression levels in benign
tissues was set equal to 1.0. The means of each distribution are shown.
Bars, SE. *, P = 0.01
for PNCK/ß-actin
expression in tumors compared with benign tissue. ,
P = 0.039 for PNCK/CK18
expression in tumors compared with benign tissue. C,
histogram of individual PNCK expression levels
normalized to CK18 for primary breast tumors and benign
breast tissue samples shown in A. PNCK
and cytokeratin 18 expression levels were quantitated by
phosphorimager analysis. PNCK expression for each sample
was normalized to CK18 expression and the average
expression in benign samples was set equal to 1.0. Values represent
fold changes relative to the mean
PNCK/CK18 expression level observed for
benign breast tissue. Bin sizes are 0.5 unit. Note that the mode for
both the tumor and the benign samples is the same.
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Statistical analysis of the above PNCK expression levels
indicated that when normalized to ß-actin
expression, PNCK expression in human primary breast cancers
is
5-fold higher than in benign breast tissue (Students
t test, P = 0.01; Fig. 6B
). However, because PncK expression in the
mammary gland is epithelial specific and because tumors typically have
a higher epithelial content than benign breast tissue, we also
normalized PNCK expression to expression of the
epithelial-specific marker, cytokeratin 18,
(CK18), to control for the increased epithelial cell content
of tumors (Fig. 6B)
. Strikingly, even after normalization to
CK18 expression, PNCK expression levels were
found to be three times higher in human primary breast tumors than in
benign tissue (t test, P = 0.039).
Formally, the increase in PNCK expression levels in breast
tumors compared with benign tissue could result either from increased
expression among all tumors or from increased expression in a subset of
tumors. In this regard, analysis of the distribution of PNCK
expression among the 23 ductal carcinomas studied revealed a wide range
of PNCK expression levels, in contrast to the relatively
similar levels of PNCK expression observed among benign
breast tissue samples. Notably, the mode for the benign and tumor
distributions was the same (Fig. 6, A and C)
.
Indeed, examination of the histogram representing
CK18-normalized PNCK expression levels revealed
that 8 of the 23 primary breast tumors analyzed express PNCK
at levels greater than 3 SDs above the mean observed for benign samples
(Fig. 6C)
. This difference is highly significant because no
tumors would have been predicted to express PNCK at these
levels if the distribution of PNCK expression in tumors was
similar to that observed in benign tissues. Even more strikingly, four
breast tumors were found to express PNCK at levels >10 SDs
above the mean observed for benign tissues. Together, these data
indicate that PNCK is overexpressed in human primary breast
cancers compared with benign tissue, and that this observed increase is
attributable to high levels of PNCK expression in a subset
of breast tumors.
 |
DISCUSSION
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We have demonstrated that expression of the CaM kinase,
Pnck, is temporally and spatially regulated in the murine
mammary gland during postnatal development and that Pnck
expression is restricted to a subset of mammary epithelial cells both
in vivo and in vitro. Furthermore, our findings
that Pnck is up-regulated in serum-starved and confluent
cells suggest that the up-regulation of Pnck expression in
the mammary gland late in pregnancy may be related to the decreased
proliferation of mammary epithelial cells during this stage of
development. We have shown that Pnck is expressed in an
oncogene-associated manner in murine mammary tumor cell lines with
defined genetic initiating events, and that PNCK expression
is restricted to a subset of human breast tumor cell lines. Finally, we
have demonstrated that PNCK is overexpressed in human
primary breast cancers compared with benign breast tissue and that this
overexpression is restricted to a subset of human breast tumors. In
aggregate, our findings are consistent with the hypothesis that
PNCK expression is restricted to a subset of ductal
carcinomas in humans and suggest a role for PNCK, or a cell
type that expresses PNCK, in mammary carcinogenesis. Our
findings represent the first data implicating a CaM kinase in mammary
development or carcinogenesis.
Both calmodulin and CaM-dependent kinases have been reported previously
to be involved in cell cycle progression (21, 22, 23, 24, 25, 26)
. Our
data demonstrate that Pnck expression in vitro is
inversely correlated with cellular proliferation. Specifically,
decreasing the proliferative status of mammary epithelial cells
in vitro resulted in increased Pnck expression.
Interestingly, both the up-regulation of Pnck observed in
confluent cells and the down-regulation of Pnck observed as
serum-starved cells reenter the cell cycle are consistent with
Pnck expression patterns in the mammary gland during late
pregnancy. Although the up-regulation of Pnck observed
during late pregnancy could simply be an effect of decreased epithelial
proliferation, Pnck up-regulation could also be directly
involved in inhibiting cellular proliferation or contributing to the
exit of epithelial cells from the cell cycle prior to their terminal
differentiation. Nevertheless, although a role for Pnck in
cell cycle regulation is plausible, further work will be required to
establish this relationship.
The markedly heterogeneous spatial expression pattern that we have
observed for Pnck in the mammary gland is unusual compared
with other genes that we have investigated
(7)
.4
Moreover, the observation that
Pnck expression peaks late in pregnancy and remains
heterogeneous throughout pregnancy and lactation distinguishes
Pnck from milk protein genes and other markers of mammary
epithelial differentiation (27)
. Although the expression
patterns of milk protein genes such as
ß-casein, WAP, and
-lactalbumin are spatially heterogeneous
during the developmental stages at which they are initially induced,
each of these genes is expressed homogeneously throughout the mammary
epithelium when their expression peaks during lactation. These data
suggest that Pnck expression is not simply a marker for
terminally differentiated mammary epithelial cells. Indeed, the
down-regulation of Pnck expression in the mammary gland
during lactation is consistent with a model in which this kinase plays
a role in the process of differentiation but not in the maintenance of
the differentiated state per se.
At least two hypotheses could account for the heterogeneous pattern of
Pnck expression in mammary epithelial cells in
vivo and in vitro: (a) only a small
percentage of mammary epithelial cells may express Pnck at
any given time, but all cells may express Pnck at some time.
Such a model is consistent with genes whose expression is cell cycle
regulated but is inconsistent with our finding that multiple mammary
epithelial cell lines do not express Pnck; (b)
alternatively, we favor the hypothesis that Pnck expression
may identify an as yet undefined mammary epithelial cell type. This
hypothesis is consistent with our findings that Pnck
expression is detected within only a subset of cells in the mammary
epithelium in vivo, as well as within a subset of murine
breast cancer cell lines, human breast cancer cell lines, and primary
human breast cancers. Nevertheless, this hypothesis does not rule out
the possibility that Pnck expression may be modulated within
expressing cell types or that Pnck-expressing cell types may
only express Pnck during certain physiological states. In
aggregate, the expression patterns for Pnck described in
this report suggest that a Pnck-expressing cell type exists
that may have unique properties with respect to mammary development and
mammary epithelial transformation.
Potentially related to the expression of Pnck in a
mammary epithelial cell subtype, Pnck expression was found
to be restricted to cell lines derived from murine mammary tumors
initiated by the oncogenes c-myc or int-2/Fgf3 as
compared with those initiated by an activated form of neu or
by H-ras. Although such oncogene-associated patterns of
expression are unusual, we and others have reported genes whose
patterns of expression are the inverse of that observed for
Pnck (7
, 17
, 28)
. Previous reports have
demonstrated that murine mammary tumors induced by the expression of
H-ras, c-myc, neu, or
int-2/Fgf3 each have histological patterns that are highly
specific for the inducing oncogene (29
, 30)
. These
morphological differences have been hypothesized to result either from
the activation of unique downstream pathways or from the preferential
transformation of different epithelial cell types by these oncogenes
(17)
. Although c-myc or
int-2/Fgf3 could directly up-regulate Pnck
expression, the lack of correlation between Pnck
expression and c-myc expression in mammary tumor cell lines,
along with the punctate expression of Pnck in vivo, raises
the possibility that the oncogene-associated expression of Pnckmay be more likely to result from the preferential transformation
of a Pnck-expressing cell type by c-myc.
Experiments are currently under way to directly address these and other
potential explanations.
Superficially, our finding that one-third of human primary breast
tumors overexpress PNCK compared with benign tissue seems
inconsistent given the data presented in this report demonstrating an
inverse correlation between Pnck expression and cellular
proliferation. However, because negative regulators of the cell cycle
are commonly up-regulated in tumors, it is possible that the observed
up-regulation of PNCK in human tumors is a consequence of
intact cell cycle checkpoints functioning to retard tumor growth. That
is, if PNCK plays a negative role in cell cycle progression,
the up-regulation of PNCK in breast tumors may be a result
of the transformation process rather than an indication that PNCK plays
a causal role in tumorigenesis.
We have hypothesized that Pnck expression is restricted to a
mammary epithelial cell type that is transformed in a subset of breast
cancers. This hypothesis is consistent with our findings that
expression of the human homologue of Pnck is restricted to a
subset of human breast tumor cell lines and is highly overexpressed in
a subset of human breast tumors since these results could reflect the
selection and enrichment of a particular epithelial cell type.
Alternately, it is possible that PNCK expression in these
cell lines and primary tumors does not correlate with a particular
epithelial cell type or with a particular initiating genetic event.
However, given the restricted pattern of Pnck expression in
the mammary epithelium in vivo, along with the
oncogene-associated pattern of Pnck expression in murine
mammary tumor cell lines, we favor the hypothesis that selective
expression of PNCK in human tumors is not random but rather
reflects differences in the events that led to their transformation.
Because tailoring specific therapeutic regimens to individual cancers
bearing distinct molecular profiles may enhance the efficacy of breast
cancer treatments, it will be important to evaluate the biological
significance of the differential expression of PNCK in human
breast cancers. For instance, it is possible that
PNCK-overexpressing tumors may behave differently
than other breast tumors and may thereby be associated with a different
prognosis. Ultimately, the identification of either additional genes
involved in breast cancer or genetic markers that identify different
molecular subtypes of breast cancers will be invaluable both in
improving our understanding of the pathogenesis of breast cancer and in
promoting more effective treatments.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Keith Mintzer and Douglas Stairs for assistance with
cell culture experiments and members of the Chodosh laboratory for
helpful discussions and critical reading of the 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 research was supported by the Elsa U.
Pardee Foundation, Grant RPG-99-259-01-DDC from the American Cancer
Society, NIH Grants CA83849, CA71513, and CA78410 from the National
Cancer Institute, and United States Army Breast Cancer Research Program
Grants DAMD17-96-1-6112 (to H. P. G.), DAMD17-98-1-8226,
DAMD-99-1-9463, and DAMD-99-1-9349. 
2 To whom requests for reprints should be
addressed, at 612 Biomedical Research Building II/III, University of
Pennsylvania School of Medicine, 421 Curie Boulevard, Philadelphia, PA
19104-6160. Phone: (215) 898-1321; Fax: (215) 573-6725; E-mail: chodosh{at}mail.med.upenn.edu 
3 The abbreviations used are: Pnck, pregnancy
up-regulated nonubiquitous CaM kinase; CaM,
Ca2+/calmodulin; MMTV, mouse mammary tumor virus. 
4 J. Hartman, unpublished results. 
Received 2/14/00.
Accepted 7/31/00.
 |
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