
[Cancer Research 60, 6482-6487, November 15, 2000]
© 2000 American Association for Cancer Research
Induction of Mammary Differentiation by Mammary-derived Growth Inhibitor-related Gene That Interacts with an
-3 Fatty Acid on Growth Inhibition of Breast Cancer Cells1
Mingsheng Wang,
Yiliang E. Liu,
Jian Ni,
Banu Aygun,
Itzhak D. Goldberg and
Y. Eric Shi2
Departments of Radiation Oncology [M. W., Y. E. L., I. D. G., Y. E. S.] and Pediatrics [B. A.], Long Island Jewish Medical Center, The Long Island Campus for The Albert Einstein College of Medicine, New Hyde Park, New York 11040, and Human Genome Sciences, Inc., Rockville, Maryland 20850-3338 [J. N.]
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ABSTRACT
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We previously identified and characterized a novel tumor growth
inhibitor and a fatty acid-binding protein in human mammary gland and
named it the mammary-derived growth inhibitor-related gene
(MRG). Here, the effects of MRG on mammary gland differentiation
and its interaction with
-3 polyunsaturated fatty acids (
-3
PUFAs) on growth inhibition were investigated. MRG protein
expression was associated with human mammary gland differentiation,
with the highest expression observed in the differentiated alveolar
mammary epithelial cells from the lactating gland. Overexpression of
MRG in human breast cancer cells induced differentiation with changes
in cellular morphology and a significant increase in the production of
lipid droplets. Treatment of mouse mammary gland in organ culture with
MRG protein resulted in a differentiated morphology and stimulation of
ß-casein expression. Treatment of human breast cancer cells with the
-3 PUFA docosahexaenoic acid resulted in a differential
growth inhibition proportional to their MRG expression. MRG-transfected
cells or MRG protein treated cells were much more sensitive to
docosahexaenoic acid-induced growth inhibition than MRG-negative or
untreated control cells. Our results suggest that MRG is a candidate
mediator of the differentiating effect of pregnancy on breast
epithelial cells and may play a major role in
-3 PUFA-mediated tumor
suppression.
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INTRODUCTION
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MRG3
has been cloned in normal human mammary gland by differential cDNA
sequencing aimed at the identification of growth inhibitory factors of
the normal mammary gland (1)
. The sequence of MRG was
found to be identical to the recently identified human B-FABP (Ref.
2
). FABPs constitute a well-established family of
cytoplasmic hydrophobic ligand-binding proteins and are thought to be
involved in lipid metabolism by binding and transporting long-chain
fatty acids intracellularly. However, other studies have implicated
different roles for FABPs in cell signaling, growth inhibition, and
differentiation (3, 4, 5, 6)
. In particular, H-FABP, also known
as MDGI, is abundantly expressed in differentiated lactating mammary
gland and has been shown to inhibit growth of breast cancer cells
(7, 8, 9)
. Among several subtypes of FABPs, only MRG/B-FABP
and the previously identified H-FABP/MDGI have tumor-suppressing
activity against breast cancer (2)
. These include the loss
of MDGI (10)
and MRG expression (1)
during
breast cancer progression, an inhibitory effect on proliferation of
breast cancer cells (1
, 7, 8, 9, 10)
, and suppression of breast
tumor growth in the mammary fat pad nude mouse model (1
, 11)
. In addition, the expression of both MRG (1)
and MDGI (6)
was mainly detected in myocardium, brain, and
skeletal muscle, which are associated with an irreversibly postmitotic
and terminally differentiated status of cells.
It is well established that
-3 PUFAs, primarily DHA and EPA in fish
oil, suppress mammary tumorigenesis in vivo and breast
cancer cell proliferation in vitro (12, 13, 14, 15, 16, 17, 18, 19, 20, 21)
. As
a member of FABP, it has been reported that
-3 PUFA DHA is the
physiological ligand for mouse MRG (B-FABP), based on its high binding
affinity (Kd = 10
nM; Ref. 22
). We have demonstrated
that the gene encoding MRG has a strong tumor suppressor activity
(1)
. The magnitude of the tumor-suppressing activity of
MRG on mammary tumor is comparable to that observed previously for
Rb and p53 (23)
. In the current
study, we investigated the effects of MRG on mammary differentiation
and its interaction with DHA on the growth of breast cancer cells. Our
data suggest that MRG is a differentiation factor for breast epithelial
cells and that it may play a major role in DHA-mediated growth
suppression of breast cancer cells.
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MATERIALS AND METHODS
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Cell Culture.
Human breast cancer cell lines MDA-MB-231, MDA-MB-436, and MDA-MB-468
were maintained in DMEM containing 5% FCS.
Preparation of Anti-MRG Antibody.
A peptide sequence corresponding to amino acids 4357 (1)
was chosen for developing of the antibody because of its unique
sequence for MRG. The peptide synthesis, purification, conjugation, and
immunization of rabbits were conducted as we described previously
(24)
. For final purification, a MRG peptide
affinity column was made by conjugating 20 mg of MRG peptide to 5 ml of
Aminolink resin (Pierce Chemical Co.), using sodium cyanoborohydride
(Sigma).
Immunohistochemical Staining.
As we described previously (1
, 25)
, deparaffinized,
rehydrated, and acid-treated human breast sections (5 µm thick) were
treated with H2O2 and
trypsin, and blocked with normal goat serum. Sections were incubated
with a specific anti-MRG polyclonal antibody (1 µg/ml) at 4°C
overnight, followed by incubation with biotin-conjugated secondary
antirabbit antibodies (DAKO). The colorimetric detection was performed
using a standard indirect streptavidin-biotin immunoreaction method
with DAKOs Universal LSAB Kit according to the manufacturers
instructions. There were some variations in staining intensity for MRG
expression among the specimens. The negative cases were confirmed with
at least two independent experiments. All stainings were reviewed by
two pathologists.
Preparation of MRGp.
The full-length MRG was amplified using standard PCR techniques with
primers corresponding to the 5' and 3' sequences of the gene (5'
primer, GGATCCCGTGGAGGCTTTCTGT; 3' primer,
GGTACCCCAGGGACATTTTTA). The amplified fragment was gel-purified,
and the DNA sequence was confirmed. As we described previously
(24)
, a baculovirus expression vector, pA2-GP, was used to
transform Sf9 cells. The purification of MRGp was performed as follows:
(a) Medium supernatant, adjusted to pH 5.5, was first
applied to tandem Poros HS/HQ columns (PerSeptive Biosystems)
preequilibrated with 50 mM NaOAc (pH 5.5).
(b) MRGp, collected in the flowthrough fraction, was
adjusted to pH 8.0 and reapplied to the tandem Poros HS/HQ column
preequilibrated with 20 mM Tris-HCl (pH 8.0).
(c) MRGp, collected in the flowthrough fraction, was
concentrated 50-fold, using a Filtron 3000
Mr cutoff tangential-flow system and
then separated on a Superdex-75 size-exclusion column equilibrated with
10 mM NaOAc (pH 6.5). (d) Pooled MRGp
fractions were applied to a hydroxyapatite column equilibrated with 10
mM NaOAc (pH 6.5); the weakly bound MRGp was
eluted with 7.5 mM
K2HPO4 (pH 6.8).
(e) MRGp fractions were then separated on a Superdex-75
size-exclusion column equilibrated with 65 mM
Na2HPO4, 100
mM NaCl (pH 7.2). MRGp fractions were pooled and
found to be >98% pure by SDS-PAGE with an endotoxin level <0.5
endotoxin units/mg. Purified MRGp was identified as a single
band at 18 kDa in the SDS-PAGE by silver staining. The protein was
analyzed for glycosylation by determining the monosaccharide content in
a purified preparation, and the N-linked sugar chains were confirmed.
Cell Morphology on Matrigel.
Cell morphology was determined using Matrigel-coated wells. Briefly,
6-well culture plates were coated with growth factor-reduced Matrigel
(Collaborative Research) at 0.5 ml/well. Cells were then cultured in
the coated wells with DMEM containing 5% fetal bovine serum.
The cell morphology was observed under the microscope after 4 days.
Detection of Cytoplasmic Lipids in Breast Cancer Cells.
Lipid accumulation was detected by oil red O-isopropanol
staining as described previously (26)
. The cells were
cultured on either Matrigel-coated plates or regular uncoated plates.
After 4 days, the cells were fixed by 10% formaldehyde and subjected
to oil red O-isopropanol staining. Accumulated lipids in the
cells were stained red, and nuclei were stained blue by hematoxylin.
Three independent observers counted the positive cells, and each
observer randomly counted three fields (x40). The numbers represent
the average percentage of lipid accumulate cells from nine fields
(x40).
Western Analysis.
Western blot analysis was conducted as we described previously
(24)
. Briefly, the blot was incubated with anti-MRG
primary antibody (1:800 dilution) overnight at 4°C, and then
incubated with goat antirabbit IgG-horseradish peroxidase (1:6000
dilution) for 1 h, washed, and visualized by chemiluminescence.
Mammary Gland Organ Culture.
Whole second thoracic mammary glands were removed from 7- and
10-week-old virgin female mice (FVB/n background) as described
previously (27)
. The glands were cultured in medium 199
containing 5% FCS, with medium changed every 2 days. The medium was
supplemented with following components from Clonetics: bovine pituitary
extract (52 µg/ml), insulin (5 µg/ml), epidermal growth
factor (10 ng/ml), and hydrocortisone (1 µg/ml).
In Vitro Assay for Cell Growth.
Cells were seeded in triplicate at 3000 cells/well (24-well plate) in 1
ml of DMEM-5% serum. For treatments with DHA or MRGp, cells were
cultured in DMEM-1% serum. Cell growth was measured using the
CellTiter 96 Aqueous Nonradioactive Cell Proliferation Assay Kit
(Promega Corporation, Madison, WI).
Statistical Analysis.
Values were expressed as means ± SD. Statistical
comparisons were made using the two-tailed Students t
test.
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RESULTS
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Association of MRG Expression with Mammary Gland Lactation.
In an attempt to evaluate the potential biological significance of MRG
on the differentiation and lactation of the human mammary gland, we
studied MRG protein expression in formalin-fixed, paraffin-embedded
clinical human biopsy specimens from normal breast reduction
mammoplasty specimens, lactating mammary glands, and malignant breast
carcinomas.
Fig. 1
shows a representative immunohistochemical staining for MRG. The
terminally differentiated lactating mammary gland is characterized by
ducts branching into distended and large lipid-rich active secretory
lobuloalveolar structures. An increase in cell volume as a result of
cytoplasmic vacuolation and the presence of secretory vesicles
containing milk proteins was clearly noted in the lactating gland (Fig. 1B)
. We found strongly positive MRG protein staining in the
alveolar mammary epithelial cells from the lactating mammary gland
(Fig. 1C)
. The expression of MRG protein was clearly
detectable in the alveolar epithelial cells in all five lactating
mammary glands. In contrast, either no detectable MRG protein staining
or very weak MRG protein expression was visualized in eight of the
nonpregnant normal breast reduction mammoplasty specimens from
nulliparous women (Fig. 1D)
. Expression of MRG protein was
absent in all 10 cases of malignant breast carcinomas (Fig. 1E)
.

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Fig. 1. Analysis of MRG protein expression on human breast
tissues by immunohistochemical staining. Sections in
panels A and B were
stained with H&E with no immunohistochemical staining. Sections in
panels CE were stained immunohistochemically, with
brown indicating MRG protein expression in mammary
epithelial cells. All sections in CE were also
counterstained lightly with hematoxylin for viewing non-MRG-stained
cells. A, epithelial cells in normal nonlactating
lobules from a normal breast reduction mammoplasty specimen (x40).
B, epithelial cells in lactating lobules from a needle
biopsy specimen (x40). The differentiated lactating mammary epithelial
cells have much diluted cytoplasm containing large lipid-rich secretory
vacuoles (arrow). C, epithelial cells
from lactating lobules showed very strong MRG staining (x10). The
specimen was from a 32-year-old lactating woman. The presence of
vesicles containing milk protein (arrow) was noted. A
serial slide from the same block was also incubated with nonimmunized
control IgG, and no detectable background staining was observed at the
same conditions as for the anti-MRG antibody. D,
negative staining of normal lobular epithelial cells from a 25-year-old
nulliparous woman with breast reduction mammoplasty (x10).
E, negative staining of MRG in a highly infiltrating
breast carcinoma (x10). A total of 23 clinical breast specimens were
analyzed: 5 of 5 lactating samples were strongly positive; 10 of 10
infiltrating breast cancer samples were negative; 5 of 8 normal breast
reduction mammoplasty samples were negative, and the remaining 3 normal
breast samples were weakly positive.
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Expression and Purification of MRGp.
Active MRGp is required to test its function on mammary epithelial
cells. We expressed and purified MRGp prepared from
baculovirus-infected Sf9 cells (see "Materials and Methods"). When
analyzed by SDS-PAGE, the purified protein showed a single band at
molecular mass of 18 kDa (Fig. 2A)
. The purified 18-kDa protein was confirmed as MRG by
Western blot using a specific anti-MRG antibody (Fig. 2B)
.

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Fig. 2. Purity and immunoreactivity of the purified MRGp.
A, SDS-PAGE of purified MRGp. Lane 1,
molecular mass markers; Lane 2, MRGp (50 ng). The
homogeneity of the purified MRGp was revealed by silver staining.
B, immunoblot with a specific anti-MRG antibody. The gel
contained 30 ng of MRGp.
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Induction of Differentiation of Breast Cancer Cells.
To investigate whether the high level of MRG expression in the
lactating alveolar mammary epithelial is an instigator or merely a
by-product of mammary gland differentiation leading to milk production,
we investigated whether overexpression of the MRG gene could induce
differentiation. We transfected MDA-MB-231 human breast cancer cells
with full-length MRG cDNA and established several MRG-expressing clones
(MRG-231 clones; Ref. 1
). Fig. 3A
shows the MRG protein expression in MRG-231-10 and
MRG-231-6 cells, two MRG-positive clones, but not in parental
MDA-MB-231 and neo-231-1 MRG-negative cells.

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Fig. 3. Analysis of MRG expression and cell morphology.
A, Western blot analysis of MRG protein expression.
Total protein was isolated and normalized, and 25 µg of total
cellular protein were subjected to Western analysis with a specific MRG
antibody. Lane 1, 60 ng of purified recombinant MRG
protein; Lane 2, MRG-231-10; Lane 3,
MRG-231-6; Lane 4, parental MDA-MB-231; Lane
5, neo-231-1. For morphology analysis, cells were culture on
Matrigel-coated chamber slides for 6 days. B, MRG-231-10
cells were aggregated and formed spheroids. C, neo-231-1
cells had spreading morphology.
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It is well established that the extracellular matrix is required for
normal functional differentiation of mammary epithelia. Striking
changes in cell morphology were observed when MRG-231 cells were
cultured in the Matrigel-coated dish. MRG-231-10 cells were aggregated
to form spheroids on a reconstituted basement membrane gel (Fig. 3B)
, a typical differentiated phenotype for mammary
epithelial cells (28)
. In contrast, neo-231-1 cells showed
considerable heterogeneity in cell size, and many cells had
"fibroblast-like" spreading morphology (Fig. 3C)
.
We examined whether MRG-induced morphological changes are consistent
with differentiation. Because the maturation of breast cells is
characterized by the presence of lipid droplets that are milk
components, we examined lipid accumulation in MRG-231 cells compared
with the control cells. Droplets containing neutral lipid were readily
detectable in MRG-231-6 clones cultured in the uncoated culture plates;
in contrast, no obvious lipid droplet could be observed in the
neo-231-1 cells. When the lipid-producing cells were counted, 2 and 5%
of MRG-231-6 and MRG-231-10 cells, respectively, produced lipid
droplets, but virtually no lipid-producing cells were observed in
MDA-MB-231 and neo-231-1 cells. When the cells were cultured in the
Matrigel-coated plates, a significant increase in lipid accumulation
was observed in both MRG-231 cells and MRG-negative control cells.
Representative samples of lipid staining in MRG-231-6 and neo-231-1
cells are shown in Fig. 4
. Fifteen percent of MRG-231-6 and 21% of MRG-231-10 cells produced
lipid droplets, but only 4% of MDA-MB-231 cells and 3% of neo-231-1
contained lipid droplets, which were much smaller in size than those of
MRG-positive cells (Table 1)
.

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Fig. 4. Stimulation of lipid accumulation by MRG. Cells were
cultured on Matrigel-coated dishes for 4 days. A, a
representative field for MRG-231-10 cells (x40). B, a
representative field for neo-231-1 cells (x40). Darker
areas indicate lipid staining.
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Table 1 Effects of MRG on the lipid accumulation of MDA-MB-231 cells
Cells were cultured either on Matrigel-coated plates or uncoated plates
for 4 days, fixed, and subjected to oil red O-isopropanol
staining. All slides were also counterstained lightly with hematoxylin
for viewing nuclei. The positive cells were counted randomly in three
fields (x40), with each field containing 150 cells. Three observers
counted a total of 1350 cells. The numbers represent the average
percentage ± SE of lipid accumulated cells from nine
fields.
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Induction of Differentiation of Mouse Mammary Gland by MRGp.
Tissue-specific expression of milk protein in mammary epithelial cells
depends on contact with stromal cells and matrix proteins. To further
confirm the differentiating effect of MRG on mammary gland, we used
whole-organ culture of mouse mammary glands to study whether MRGp can
regulate milk protein ß-casein. The glands from virgin mice were
cultured for 6 days with or without 50 nM MRGp. In mammary
gland development, the alveolar buds represent a developmental pathway
that eventually leads to secretory alveoli during functional
differentiation. Histological examination of MRGp-treated glands
revealed the appearance of secretory active alveoli with enlarged
luminal spaces and the induction of lipid accumulation (Fig. 5, A and B)
. Consistent with these changes, which
are characteristic for the differentiated phenotype, functional
differentiation with stimulation of ß-casein was also observed.
Although no detectable ß-casein mRNA was observed in control mammary
glands, expression of ß-casein mRNA was significantly increased in
MRGp-treated glands (Fig. 5, C and D)
. Therefore,
treatment of mouse mammary gland in organ culture with MRGp resulted in
a histologically differentiated phenotype as well as functional
differentiation.

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Fig. 5. Effects of MRGp on mammary gland morphology and ß-casein
expression. Second pairs of mouse whole thoracic mammary glands
were cultured for 6 days with or without 50 nM MRGp in
medium supplemented with bovine pituitary extract, insulin, epidermal
growth factor, and hydrocortisone as described in "Materials and
Methods." Fresh medium containing MRGp was added every 2 days. Half
of the gland was subjected to fixing, sectioning, and histological
analysis (A and B), and the other half
was subjected to RNA extraction for Northern analysis of ß-casein
expression (C and D). Mammary gland
histological analysis: A, control (x20);
B, MRGp-treated (x20). The fat droplets accumulated in
MRGp-treated alveolar epithelial cells were observed
(arrows). Expression of ß-casein mRNA
(C) was analyzed by Northern blot and normalized by
visualization of ribosomal bands (D). Lane
1, mammary gland from pregnant mouse as a positive control for
ß-casein; Lanes 2 and 3, MRGp-treated
mammary glands in organ culture; Lanes 4 and
5, control untreated glands in organ culture. Mammary
glands in Lanes 2 and 4 were derived from
a 10-week-old virgin mouse; mammary glands in Lanes 3
and 5 were derived from a 7-week-old virgin mouse.
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Interaction of the
-3 PUFA DHA and MRG on Cell Growth.
Because MRG is a fatty acid-binding protein with the highest binding
affinity to the
-3 PUFA DHA, we were interested in studying whether
the growth-suppressing effect of DHA is mediated in part by MRG. We
first studied the effects of DHA on MRG-negative MDA-MB-231 cells. The
cells were treated with DHA at doses of 2, 4, 6, 8, and 12 µg/ml for
4 days, with fresh DHA added every 2 days. A very narrow dose-dependent
growth inhibition was observed for DHA (Fig. 6A)
. Although no significant growth inhibition was observed
for DHA at a dose of 2 µg/ml, 71 and 92% growth inhibition was
observed at doses of 8 and 12 µg/ml, respectively. We therefore chose
the noninhibiting DHA dose of 2 µg/ml to test its growth-regulatory
effect on MRG-positive versus MRG-negative cells. As
demonstrated in Fig. 6B
, when the cells were treated with 2
µg/ml DHA, 55 and 47% growth inhibition was observed in MRG-231-6
and MRG-231-10 MRG-transfected cells, respectively. However, no growth
inhibition was observed in MRG-negative parental MDA-MB-231 cells and
neo-231-1 cells. We also studied the effect of the
-6 fatty acid
linoleic acid on the growth of MDA-MB-231 cells. At the same conditions
as for the
-3 fatty acid DHA, no significant growth effect was
observed at the similar dose range between 4 to 20 µg/ml (data not
shown).

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Fig. 6. Differential growth inhibition by DHA on MRG-positive and
MRG-negative breast cancer cells. Cells were cultured in DMEM
containing 1% FCS and treated with DHA at different concentrations for
4 days. Medium containing fresh DHA was added every 2 days. Cell growth
was measured as described in "Materials and Methods."
A, dose-response curve of DHA on MDA-MB-231 cells.
B, effect of DHA on MRG-positive and -negative cells.
The cells were treated (filled columns) or not treated
(open columns) with 2 µg/ml DHA. All values were
normalized to the percentage of untreated control cells, which was
taken as 100%. The numbers in both A and
B represent the means of three cultures;
bars, SE.
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To further confirm the synergistic interaction of MRG expression and
DHA on growth inhibition, we treated MRG-negative MDA-MB-436 and
MDA-MB-468 cells with DHA and MRGp. MRGp treatment induced
dose-dependent growth inhibition in MDA-MB-436 breast cancer cells
(Fig. 7A)
. Although no significant growth inhibition was observed
when the MRGp dose was <50 nM, 10 and 14%
growth inhibition was observed when cells were treated with 50 and 80
nM MRGp, respectively. At 150
nM MRGp, growth was inhibited 58%. A submaximal
MRG dose of 80 nM was used to test the
interaction between MRG and DHA. Treatment of MDA-MB-436 (Fig. 7B)
and MDA-MB-468 (Fig. 7C)
cells with 80
nM MRGp resulted in either a slight inhibition or
a slight stimulation of cell growth, respectively. When the cells were
treated with MRGp together with DHA, a significant synergistic growth
inhibition was observed. The growth of MDA-MB-436 cells was inhibited
by 63% when the cells were treated with DHA and MRGp, compared with
18% inhibition with DHA alone. Similarly, the growth of MDA-MB-468
cells was inhibited by 80% with DHA and MRGp, compared with 22%
inhibition with DHA alone.

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Fig. 7. Synergistic effects of MRGp and DHA on growth inhibition.
All cells were cultured in DMEM containing 1% FCS. A,
MDA-MB-436 cells were cultured with different doses of MRG for 4 days.
MDA-MB-436 (B) and MDA-MB-468 (C) cells
were treated with 80 nM MRGp, 2 µg/ml DHA, or MRGp plus
DHA (D + M) for 4 days. Medium containing
fresh MRGp and DHA was added every 2 days. All values were normalized
to the percentage of untreated control cells, which was taken as 100%.
The numbers in both represent the means of three cultures;
bars, SE. Statistical comparisons for both cell lines
treated with DHA and MRGp relative to the cells treated with DNA alone
indicated P < 0.001 for growth
inhibition.
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DISCUSSION
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MRG, identified and cloned by a differential cDNA sequencing
approach as a novel human breast cancer growth inhibitor
(1)
, has sequence identical to that of the recently
identified B-FABP (2)
. MRG/B-FABP has no sequence homology
to any of the hitherto known growth inhibitors. The exact function of
B-FABP has not been identified. Cellular fatty acid-binding proteins
are a highly conserved family of proteins involved in intracellular
fatty acid metabolism and trafficking. It has been suggested that in
brain and heart, B-FABP and H-FABP regulate the supply of fatty acids
to the mitochondria for ß-oxidation (29
, 30)
. The
mammary gland, however, is a highly lipogenic tissue, and fatty acids
are not likely to be a major fuel for its metabolism. Therefore,
MRG/B-FABP and MDGI/H-FABP could fulfill different functions in mammary
gland compared with brain and heart. We demonstrated that
(a) MRG expression was associated with human mammary gland
differentiation, with the highest expression in the terminally
differentiated alveolar mammary epithelial cells from the lactating
gland, and (b) that MRG induced differentiation of mammary
epithelial cells.
MRG protein expression was undetectable in breast carcinomas by
immunohistochemical staining, which is consistent with the previous
in situ hybridization data on the loss of MRG transcription
in breast carcinomas. Although in the previous in situ
hybridization analysis, MRG transcripts could be detected in the
epithelial cells from normal mammary glands (1)
, in the
current immunohistochemical analysis of MRG protein expression, MRG
protein staining was either very weak or undetectable in
nondifferentiated mammary glands from nulliparous women. This
discrepancy may reflect the different sensitivities of the more
sensitive in situ hybridization versus the less
sensitive immunohistochemical staining. Alternatively, the tested
different normal breast specimens may represent different stages of
differentiation. It is also possible that this discrepancy between the
in situ hybridization and immunohistochemical staining is
attributable to the fact that the message may not be translated.
Nevertheless, addition of MRGp to cultures of breast cancer cells and
to organ cultures of mouse mammary gland induced growth inhibition and
gland differentiation. Although the mechanism for cellular uptake of
MRGp is not clear, it is likely that MRGp diffuses through the membrane
because of its very hydrophobic and lipogenic nature. In fact, some
FABPs such as H-FABP (MDGI) can be secreted and detected in milk
(9)
.
In addition to the differentiating effect on mammary gland, the
expression of MRG also correlates with neuronal differentiation in many
parts of the mouse central nervous system (31
, 32)
.
Furthermore, blocking antibody for MRG/B-FABP can block glial cell
differentiation (31)
. MDGI/H-FABP protein has been
detected mainly in myocardium, skeletal and smooth muscle fibers, lipid
and steroid-synthesizing cells of adrenals, lactating mammary gland,
and terminally differentiated epithelia of the respiratory, intestinal,
and urogenital tracts (6)
. The results provide evidence
that expression of MDGI is associated with an irreversibly postmitotic
and terminally differentiated status of cells. Therefore, it seems
clear that a differentiation-associated function is a common property
of this structurally related subfamily of FABPs.
It is well established that the
-3 fatty acids DHA and EPA, found in
fish oil, have a suppressive effect on tumor growth and particularly on
mammary tumorigenesis. Epidemiological studies (33, 34, 35, 36, 37)
support a role for
-3 fatty acids as adjunct therapy in the
prevention and treatment of breast cancer. This protective effect of
-3 PUFAs can be demonstrated in animal models with
carcinogen-induced mammary tumors in mouse and rat and mammary
xenografts in nude mice (14, 15, 16, 17, 18, 19)
. Various mechanisms have
been proposed to explain the tumor-suppressive activity of
-3 PUFAs;
of special interest are alteration of the oxidative metabolism
of arachidonic acid via the cyclooxygenase pathway
(35)
and changes in lipoxygenase activity (reviewed
in Ref. 36
). Lipid peroxidation, the oxidation of
long-chain PUFAs, can produce an array of secondary products of lipid
oxidation that may possess cytostatic or cytolytic capacity. It has
been proposed that DHA and EPA can both directly and indirectly
modulate gene expression (38)
. The direct effects of DHA
and EPA are most probably mediated by their ability to bind to positive
and/or negative regulatory transcription factors, whereas the indirect
effects appear to be mediated through alterations in the generation of
intracellular lipid second messengers.
At present, the mechanisms by which DHA exerts its tumor suppressing
activity remain controversial and unknown. As a newly identified fatty
acid-binding protein and a growth differentiation factor for mammary
cells, we have demonstrated here that treatment of human breast cancer
cells with DHA resulted in differential growth inhibition proportional
to the MRG expression in the cells: MRG-positive cells or MRGp-treated
cells were much more sensitive to DHA-induced growth inhibition than
MRG-negative cells or control, untreated cells. Our data suggest that
the growth-suppressing activity of DHA on breast cancer cells may be
mediated in part by MRG and presumably by MRG-induced differentiation.
This hypothesis is also supported by a previous report that DHA has the
highest binding affinity for mouse B-FABP (MRG), suggesting that the
physiological ligand for MRG is the
-3 PUFA DHA (22)
.
The impact of pregnancy and lactation on breast cancer risk recently
has been of great interest in terms of breast cancer prevention. As
hormonally related processes, it is widely accepted that pregnancy at
an early age and breastfeeding reduce the risk of breast cancer
(39, 40, 41, 42)
. The possibility of preventing breast cancer by
manipulation of these processes with hormones or dietary factors such
as
-3 PUFAs that mimic the differentiating effect is a novel and
manipulable approach to breast cancer intervention and prevention.
However, little is known about the regional and developmental
expression of locally acting growth factors and differentiating factors
in the mammary epithelium during pregnancy and lactation. Within this
context, MRG could play a role in both mammary gland differentiation
and
-3 PUFA-mediated antitumor effect. The potential application of
MRG as a biomarker for mammary gland differentiation to assess the
efficiency of differentiation-based breast cancer chemoprevention and
to predict tumor-suppressive response to
-3 PUFAs warrants further
investigation.
 |
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 Grant DAMD17-99-1-9255 from
the United States Army Breast Cancer Research Program and Grant
C-015690 from the New York State Breast Cancer Research and Education
Fund. 
2 To whom requests for reprints should be
addressed, at Department of Radiation Oncology, Long Island Jewish
Medical Center, New Hyde Park, NY 11040. Phone: (718) 470-3086; Fax:
(718) 470-9756; E-mail: shi{at}lij.edu 
3 The abbreviations used are: MRG, mammary-derived
growth inhibitor-related gene; B-FABP, brain-type fatty acid-binding
protein; H-FABP, heart-derived FABP; MDGI, mammary-derived growth
inhibitor; PUFA, polyunsaturated fatty acid; DHA, docosahexaenoic acid;
EPA, eicosapentaenoic acid; MRGp, recombinant MRG protein. 
Received 3/29/00.
Accepted 9/20/00.
 |
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