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[Cancer Research 60, 510-516, February 1, 2000]
© 2000 American Association for Cancer Research


Advances in Brief

Expression of a Highly Conserved Protein, p27BBP, during the Progression of Human Colorectal Cancer1

Francesca Sanvito2, Federica Vivoli, Stefania Gambini, Graziella Santambrogio, Marco Catena, Edi Viale, Fabrizio Veglia, Alessandra Donadini, Stefano Biffo and Pier Carlo Marchisio

San Raffaele Scientific Institute, 20132 Milan [F. S., F. Vi., S. G., G. S., M. C., E. V., F. Ve., A. D., P. C. M.], and Department of Medical Sciences, University of Eastern Piedmont, 28100 Novara [S. B.], Italy


    ABSTRACT
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
The highly conserved protein p27BBP is a cytoplasmic interactor of integrin ß4 expressed in epithelia. p27BBP is found in two pools: one nuclear pool enriched in the perinucleolar region, and one cytoplasmic pool. Deletion of p27BBP in yeast is lethal as a result of loss of the ribosomal 60S subunit. The aim of this study was to investigate the distribution of p27BBP in gut epithelium and its behavior during progression of human colorectal carcinomas. Results indicated that p27BBP is high in rapidly cycling cells and decreased in villous cells committed to apoptotic cell death. In dysplastic adenomas and carcinomas, p27BBP displayed a large increase of its nucleolar component that was superimposable to argyrophylic nucleolar organizing region-associated proteins and was associated with the nuclear matrix. Western blotting confirmed increased p27BBP in dysplastic adenomas and in carcinomas. In particular, p27BBP increased progressively from adenomas to carcinomas and, in the latter, was related to the tumor stage. The overexpression of p27BBP corresponded to mRNA up-regulation in carcinomas, supporting the idea of transcriptional or post-transcriptional regulation of its expression. Results suggested that p27BBP alterations are an early event in the transition from benign to malignant colorectal phenotypes and provide a novel tool in surgical pathology.


    Introduction
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Malignant transformation is the result of a multistep process whereby genetic alterations progressively impair the control of cell growth and behavior (1) . Tumor progression has been studied more deeply in colorectal cancers than in other tumor types, and studies of oncogene expression and genetic instability have provided a wealth of biological data that represent useful hallmarks for its diagnosis and therapy.

Prominent nuclear changes, including changes in size and shape, enlarged nucleoli, and abnormal heterochromatin distribution, traditionally are recorded by pathologists during diagnostic procedures. Indeed, nuclear changes reflect the relationships between extracellular matrix, cell adhesion, cytoskeleton, and nuclear matrix (2 , 3) that are in a broad network of events that control gene expression and contribute to cancer evolution (4) .

Recently, a highly conserved protein, p27BBP, which interacts with the cytodomain of integrin subunit ß4, was identified and cloned (5) . Characterization studies showed that p27BBP was expressed ubiquitously, but the highest levels were found in renewing epithelia, including the intestinal mucosa. Biochemical and morphological analyses showed that p27BBP was found in both the cytoplasm of epithelial cells, in association with intermediate filaments associated with adhesion structures, and the nucleus, as a nuclear matrix-associated protein accumulating in the nucleolus (6) . The latter location was also found in non-epithelial cells that do not express ß4. Depletion of the p27BBP homologue in the budding yeast, Saccharomyces cerevisiae, caused cells to arrest in G1 as a result of reduced levels of free 60S ribosomal subunits, indicating that this molecule is essential for cell growth. The effects of this loss of yeast p27BBP were reversed by transfection with the human gene (6) . These data strongly suggested that p27BBP has a very conserved function in ribosome biogenesis and became linked to epithelial adhesion much later in evolution.

Because of its nucleolar location and its putative adhesion role involving {alpha}6ß4, we assumed that p27BBP might represent a link between the environment of epithelial cells, e.g., the basement membrane, and the nuclear machinery controlling ribosome assembly and that this connection might be altered in colorectal neoplasias, where transformed cells lose proper relationship with their environment and concurrently proliferate and migrate. Indeed, biological connections between cell adhesion and altered nuclear signaling have been described in the E-cadherin, ß-catenin, LEF-1 signaling pathway (7) , and nucleolar alterations have also been described in colorectal carcinomas (8 , 9) . Therefore, we studied the expression of p27BBP in a group of controlled colorectal neoplasias.

Our study showed that the nuclear matrix-associated p27BBP is overexpressed in colorectal neoplasms and is particularly high in carcinomas. The mRNA that codes for p27BBP is also up-regulated in carcinomas versus normal mucosa, but to date, no gross alteration of its gene has been detected.

Although the molecular mechanisms underlying its overexpression are still largely unknown, our data suggest that changes in p27BBP expression may play a role in the processes governing colorectal malignant transformation. In addition, p27BBP could represent a useful marker for diagnostic purposes.


    Materials and Methods
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Normal and Pathological Tissues.
Normal and pathological tissues were obtained from the Pathology Department after surgery. For immunohistochemistry, specimens were embedded immediately in OCT 4583 (Miles Scientific, Naperville, IL) and frozen in liquid nitrogen-cooled methylbutane (BDH Italia, Milano, Italy); for molecular and biochemical analysis, they were frozen directly in liquid nitrogen. The specimens were subjected to standard pathological classification according to both the tumor-node-metastasis system (International Union Against Cancer) and the modified Astler-Coller classification (Table 1)Citation .


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Table 1 Classification of samples in this study

 
Antibodies.
The rabbit polyclonal antiserum against the COOH-terminal peptide of p27BBP has been described previously (5 , 6) . Mouse antihuman integrin ß4 monoclonal antibody (clone 3E1) was purchased from Chemicon International Inc. (Temecula, CA), and the secondary antibodies, goat antirabbit biotin-conjugated IgGs and goat antimouse biotin-conjugated IgG1, were purchased from Vector Laboratories Inc., and from Amersham-Pharmacia, respectively. Rabbit anti-{alpha}, -{gamma} smooth, -{gamma} cytoplasmic actins (AAL20) antiserum was a generous gift from G. Gabbiani, University of Geneva, Geneva, Switzerland. Goat anti-lactate dehydrogenase polyclonal antibody and antigoat horseradish peroxidase-conjugated IgG were purchased from Chemicon International Inc., and Santa Cruz Biotechnology, respectively.

Immunohistochemical and Histochemical Staining.
Five-µm cryosections were collected on polylysine-coated slides and fixed in 3% paraformaldehyde in PBS for 10 min at room temperature. Sections were treated with 0.5% Triton X-100 for 10 min, followed by 0.3% hydrogen peroxide in PBS for 30 min, and then blocked with normal goat serum for 70 min and incubated for 2 h at room temperature with the anti-p27BBP antibody at a 1:200 dilution. After being washed with PBS and incubated for 80 min at room temperature with the biotin-conjugated secondary antirabbit at a 1:200 dilution, the sections were labeled using the avidin-biotin amplification method (ABC kit Vectastain; Vector Laboratories) and revealed by horseradish peroxidase, using 3,3'-diaminobenzidine as chromogen (Biogenex, San Ramon, CA). The slides were slightly counterstained with Harris’ hematoxylin. Staining for ß4 integrin was performed according to the above procedure, except for the treatment with Triton X-100. Anti-ß4 monoclonal antibody was used at a 1:200 dilution, labeled with the biotin-conjugated antimouse IgG1 at a 1:100 dilution, and revealed by three-amino-9-ethylcarbazole.

Silver staining was performed on cryosections fixed in a methanol-acetic acid (3:1, v/v) solution for 30 min at 4°C. The sections were treated for 30 min at room temperature with the following mixture: 2 volumes of 50% silver nitrate and 1 volume of formic acid-jelly mixture (2% of gelatin in 1% aqueous formic acid). The sections then were washed in hot distilled water. The specimens were treated briefly with thiosulfate, washed with distilled water, and counterstained with methyl green.

Western Blot and Fractionation Analysis.
Total protein extracts were obtained by homogenizing tissues in boiling lysis buffer (2.5% SDS in 0.125 M Tris-HCl, pH 6.8), boiled 20 min, sonicated, and centrifuged at 14,000 rpm. All samples were resuspended in Laemmli buffer, and equal amounts of protein (30 µg) were electrophoresed on a denaturing 12% SDS-acrylamide gel and transferred to Immobilon P membranes (Millipore). Filters were blotted with the rabbit anti-p27BBP antiserum, at a 1:1000 dilution, and then with horseradish peroxidase-conjugated protein A (Amersham Pharmacia Biotech). Specific bands were revealed by enhanced chemiluminescence (ECL Western blotting analysis system; Amersham Pharmacia Biotech). Filters were stripped in 0.3 M NaOH for 5 min; reblotted with the rabbit antiactins (AAL20), diluted 1:1000; and revealed as described.

Subcellular fractionation for nuclei and cytoplasm was performed on the HT-29 colorectal adenocarcinoma-derived cell line (ATCC no. HTB-38) and normal fibroblasts, isolated from human foreskin (generous gift of E. Bianchi, San Raffaele Scientific Institute, Milan, Italy). Cells were washed with PBS and lysed by incubation with STM buffer (250 mM sucrose, 10 mM Tris, pH 8, 10 mM MgCl2, 10 µg/ml aprotinin) at 4°C. Cells were disrupted with 40 strokes in a Dounce homogenizer and centrifuged at 500 x g. The pellet (nuclear fraction) was resuspended, sonicated in lysis buffer containing 2.5% SDS, and cleared by centrifugation. Fractions (20 µg) were analyzed for p27BBP and lactate dehydrogenase by 12% SDS-PAGE.

Isolation of RNA and Northern Blot Hybridization.
Total cellular RNA was isolated from snap-frozen human tissues, homogenized in guanidinium thiocyanate solution and extracted in phenol-chloroform. Ten µg of denatured total RNA samples were run on a 1% denaturing agarose gel and transferred to Hybond-N filters (Amersham Pharmacia Biotech). Hybridization was carried out with 1 x 106 cpm of random primer-labeled full-length p27BBP cDNA probe in 50% formamide at 42°C. The expression of the p27BBP transcripts was quantified by densitometric analysis of X-ray films (Kodak) and normalized for human glyceraldehyde-3-phosphate dehydrogenase mRNA.

Southern Blotting.
The human 745-nucleotide cDNA encompassing the entire p27BBP open reading frame was labeled with [32P]dCTP and used as probe (Prime-a-Gene Labeling System; Promega). Five µg of high-molecular weight DNA derived from tumor tissues of 28 patients were digested with PstI and BamHI and then run on a 0.8% agarose gel, followed by transfer to a nylon membrane (Hybond-N+; Amersham). The membrane was sequentially hybridized with a cDNA probe at 65°C for 16 h in 0.25 M sodium phosphate buffer (pH 6.8; made by diluting a stock containing 2 M NaH2PO4 and 2 M Na2HPO4), containing 7% SDS, and 200 µg/ml denatured sonicated salmon sperm DNA. After hybridization, the membrane was washed once in 2x SSPE3 -0.1% SDS for 20 min at room temperature and then, for high stringency, washed sequentially with 1x SSPE-0.1% SDS, 0.5x SSPE-0.1% SDS, and 0.1x SSPE-0.1% SDS for 20 min at 65°C.


    Results
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
Distribution of p27BBP in Normal Gut Mucosa.
To study the distribution of p27BBP in murine and human intestinal mucosa, immunohistochemical analysis was performed on 5-µm cryosections, using a rabbit antiserum against the COOH terminus of p27BBP (Ref. 5 and Fig. 1Citation ).



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Fig. 1. Immunolocalization of p27BBP in murine and human gut. A, in a mouse intestinal villus, p27BBP is particularly enriched in the crypt cells and decreases in cells moving toward the tip. B–E, 5-fold magnification of framed areas in A. Arrows point to p27BBP staining in nuclei of epithelial cells surrounding the central core of the villous. F and G, consecutive adjacent transversal sections from human colon stained with anti-p27BBP (F) and with pre-adsorbed antiserum (G). H, in a longitudinal section of a human colonic gland and surrounding tissue, p27BBP is far more easily detectable in epithelial than in stromal cells. Bars: F and G, 30 µm; H, 50 µm.

 
Staining was generally detected in mouse small intestine epithelial and stromal cells, but not in smooth muscle cells (Fig. 1, A–ECitation ). This pattern was also observed elsewhere in the mouse as well as human gut (not shown) and was specifically localized in the nucleolus. The same staining was also found in human colonic epithelium (Fig. 1, F and H)Citation , and was abolished by incubating the sections with rabbit pre-immune serum or with the anti-p27BBP antiserum pre-adsorbed with the recombinant protein (Fig. 1G)Citation . Some cytoplasmic staining was preserved, particularly in goblet cells, and was attributed to background unspecific reaction (Fig. 1, F–HCitation ).

In gut epithelial cells, p27BBP was concentrated in one or more regularly shaped, small nucleolar dots, whereas in stromal cells, p27BBP usually was in a single, barely visible dot (Fig. 1, A, F, and H)Citation . The signal generated by p27BBP was enriched in rapidly cycling crypt cells and decreased in the villus, where shedding of cells undergoing apoptosis occurs progressively (10) . In human colonic epithelium, p27BBP was likewise observed in the nuclei of glandular crypt cells but was mostly decreased in cells moving toward the surface [Fig. 2A, B, and CCitation (*)].



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Fig. 2. Immunolocalization of p27BBP in human colorectal neoplasias and their normal mucosa. A and B, in normal colonic gland tissue, p27BBP is localized as 1–2 nucleolar dots per cells. C, transition zone between anaplastic glands of an adenocarcinoma of colon (arrowhead) and the normal colonic epithelium (*). Transformed cells exhibit a nuclear accumulation of p27BBP compared with their normal counterparts. D, in dysplastic cells of a tubulo-villous adenoma, p27BBP-forming dots range in number from 3 to 5 compared with the 1–2 of the normal cells in A and B. E–I, p27BBP is altered in transformed cells of adenocarcinomas at different stages and redistributes with chromosomes at mitosis (arrows). Bars: A, B, and D–I, 20 µm; C, 30 µm.

 
The distribution and cellular localization of p27BBP confirmed our previous observations made in in vitro cells (5 , 6) . Overall, it indicated an accumulation of p27BBP in epithelial cells, with a predominant distribution in the rapidly cycling population and a progressive disappearance in those cells committed to apoptosis.

Distribution of p27BBP and ß4 in Adenomas and Carcinomas.
Distribution of p27BBP in normal intestinal epithelium prompted us to investigate its expression in 9 colorectal adenomas and 48 carcinomas by immunohistochemistry.

In all cases of tubulo-villous adenomas, irrespective of their degree of dysplasia, p27BBP was localized in the nucleus as regularly shaped, intensely stained multiple dots (Fig. 2D)Citation . This pattern was detected in most dysplastic cells, but some were similar to frankly malignant cells as described below.

In all carcinoma cells [Fig. 2, CCitation (arrowhead), E–I], p27BBP always appeared enriched in large, irregularly shaped dots; some had aberrantly large accumulations of p27BBP that may reflect polyploidy or any cell atypia and may redistribute with chromosomes at mitosis (Fig. 2, E, G, and HCitation , indicated by arrows). In contrast, the p27BBP content in stromal cells was much lower and occasionally was structured in tiny dots (Fig. 2CCitation versus Fig. 1HCitation ).

The expression of ß4 was investigated in most samples by immunohistochemistry, and showed a change during malignant transformation. In normal colorectal glands, ß4 was located basally in contact with the basement membrane and facing the stroma (Fig. 3A)Citation . In adenomatous dysplastic cells, ß4 was redistributed pericellularly but was still present at the basal aspect (Fig. 3B)Citation . The distribution and the intensity of immunostaining for ß4 was heterogeneous in colorectal tumors. In moderately differentiated cancers, ß4 expression at the carcinoma-stroma boundary was weak and discontinuous and clearly associated with a subverted redistribution within the cell membrane. The same phenomenon was observed in poorly differentiated tumors in association with a strong and diffuse pericellular and cytoplasmic positivity (Fig. 3, C and D)Citation .



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Fig. 3. Expression of ß4 integrin subunit in human colorectal neoplasias and their normal mucosa. A, ß4 integrin is present in normal epithelium ß4 lines, the basal pole of normal cells, clearly demarcating the boundary between epithelium and stroma. B, in adenomas, ß4 immunoreactivity becomes redistributed along the whole surface of dysplastic cells. ß4 expression at carcinoma-stroma interface is weak and discontinuous (C) or is completely lost and associated with a strong cytoplasmic and cell membrane positivity (D). Bar, 30 µm.

 
Data indicated that distribution of both p27BBP and ß4 was altered in adenomas and carcinomas. A large increase in the p27BBP dot number and size as well as in the staining intensity pattern allowed easy distinction of transformed versus normal cells and also occasional micrometastatic foci; we suggest the use of p27BBP immune reagents as potential tools for fine surgical pathology. These observations support the idea that a quantitative relationship exists between p27BBP and ß4 even if the fine molecular details are only partially clarified.

p27BBP Distribution Is Similar to That of AgNORs and Is Associated with the Nuclear Matrix.
The cellular localization of p27BBP was strongly reminiscent of a group of nucleolar proteins, AgNORs, that are selectively stained by silver methods and specifically associated with transcriptionally active sites of ribosomal DNA. Sections from colorectal carcinomas (Fig. 4, C and D)Citation or the associated normal mucosa (Fig. 4, A and B)Citation were stained using the silver-staining technique, revealing brown nuclear AgNOR dots. In both normal (Fig. 4B)Citation and neoplastic (Fig. 4D)Citation cells, AgNORs were localized in the nucleus in a pattern similar to that shown by p27BBP antibodies (Fig. 4, A and C)Citation .



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Fig. 4. p27BBP distribution is similar to that of AgNORs and is associated with the nuclear matrix. Localization of p27BBP in normal colonic epithelium (A) and adenocarcinoma (C) is similar to that obtained for AgNORs (B, normal gland; D, transformed gland). p27BBP distribution in transformed cells (E) is retained in the nucleus, acquiring a relaxed appearance after treatment to uncover the nuclear matrix (F). Bar, 20 µm.

 
Because in cultured cell lines a major portion of p27BBP is associated with the nuclear matrix (6) , normal and carcinoma samples were treated to uncover the nuclear matrix, as described previously (11) , and p27BBP was analyzed by immunohistochemistry. In conditions where most soluble proteins and DNA were removed, p27BBP staining was retained in the nucleus in a relaxed, filamentous-like appearance (Fig. 4, E and F)Citation , thus suggesting that the abnormally accumulated protein in transformed cells is associated with the nuclear matrix.

Taken together, these data indicate that p27BBP may also be part of a complex involved in 60S ribosomal subunit assembly in in situ tumor cells, as was shown previously in cultured neoplastic cells (6) . The accumulation of p27BBP may also modify the process of ribosomal assembly in transformed cells of solid tumors.

p27BBP Is Overexpressed in Adenomas and Carcinomas.
As suggested by immunohistochemistry and to quantify the accumulation of p27BBP in carcinoma cells, protein levels were analyzed by Western blot for 34 carcinomas and 8 tubulo-villous adenomas. In the latter, paired analysis of blotted samples (ratio of normal mucosa versus dysplastic adenomatous sample, ± SE) yielded 3.33 ± 0.56, which roughly matched the immunohistochemical data.

In 30 carcinomas, densitometric analysis of paired blotted samples (ratio of normal mucosa versus dysplastic adenomatous sample, ± SE) gave a rough increase of 5.6 ± 0.9. From this group, four cases did not show any increase but rather a slight decrease in p27BBP expression (0.8 ± 0.1).

The biochemical analysis showed a progressive increase of p27BBP from normal mucosa to dysplastic adenomas and carcinomas (Fig. 5A)Citation . Moreover, p27BBP accumulated in carcinomas proportionally to the Astler-Coller modified Duke’s malignancy stages (Fig. 5B)Citation .



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Fig. 5. p27BBP expression analyzed by Western and Northern blotting. A, a progressive increase of p27BBP is observed from normal (N) mucosa to dysplastic adenomas (Ad) and carcinomas (Ca). B, p27BBP proportionally accumulates in carcinomas with the advancement of Astler-Coller modified Duke’s stage. C, p27BBP in nuclear (Nu) and cytoplasmic (Cyto) fractions. The cytoplasmic:nuclear ratio in HT-29 colorectal adenocarcinoma-derived cells is decreased compared with normal fibroblasts isolated from human foreskin. LDH, lactate dehydrogenase. D, in normal (N) and neoplastic (Ca) tissue, a 1100-bp transcript of p27BBP is detected and is highly increased in tumors compared with their normal counterparts. GADPH, glyceraldehyde-3-phosphate dehydrogenase.

 
Fractionation studies of the HT-29 colorectal adenocarcinoma-derived cell line and normal fibroblasts, isolated from human foreskin, were then performed to quantify the ratio of cytoplasmic to nuclear p27BBP. As expected, p27BBP was found in both the nuclear and the cytosolic fractions (5) ; densitometric analysis revealed that in primary fibroblasts, the cytoplasmic:nuclear ratio was >3, whereas in tumor-derived cells it was strongly decreased to ~1.5 (Fig. 5C)Citation .

These data demonstrate that the increased levels of p27BBP in dysplastic adenomas and carcinomas match the abnormal pattern observed in the nuclei of transformed cells. p27BBP accumulation may be detected in early precancerous lesions and markedly increases in carcinomas according to progression in Duke’s tumor stage, suggesting that the alteration of p27BBP is an early event in the process of transformation and might eventually be linked to other malignancy parameters. In addition, these results show that the ratio of cytoplasmic to nuclear p27BBP is altered in cancer cells.

p27BBP Is Up-Regulated at the Transcriptional Level.
To understand the mechanisms underlying the overexpression of p27BBP protein, its mRNA was investigated by Northern blotting in five carcinomas and their normal mucosa. The filters were hybridized with the human p27BBP cDNA probe, which revealed a 1100-bp transcript in both normal and neoplastic tissue. A significant up-regulation of p27BBP mRNA was observed in all cases of carcinomas analyzed (e.g., Fig. 5DCitation ) in which the transcript levels ranged between 2- and 11-fold those of the normal counterparts.

To establish whether the up-regulation of p27BBP resulted from rearrangement or amplification of its gene, 28 carcinoma cases were screened by Southern blot analysis. No obvious amplification of the gene was identified, as indicated by identical band patterns (not shown).

These results support the idea that the major mechanism responsible for p27BBP increase in adenomas and carcinomas stems from transcriptional regulation that may also involve increased messenger stability.


    Discussion
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 
This still-elusive protein, p27BBP, was discovered by a search of cytoplasmic interactors of the integrin subunit ß4 (5) and unexpectedly turned out to have a much broader significance and distribution. It was found that p27BBP has surprisingly high evolutionary sequence conservation and appeared far earlier than the relatively recent ß4 integrin. In addition, it is expressed by virtually all cells, apparently in a proliferation-dependent manner (5) . For these reasons, a search of its function was undertaken in budding yeast, where it was found to serve an essential function as a ribosomal assembly regulator (6) . In parallel, it was found that p27BBP has multiple locations that are consistent with both its cell adhesion-regulated role and a more fundamental nuclear function (6) . Independently, other groups have found and described this protein in other systems (12 , 13) .

Here we report that p27BBP is extraordinarily overexpressed in colorectal neoplasms and in notably higher concentrations in carcinomas. Its tissue and cellular distributions match those of AgNORs, and we suggest that p27BBP may indeed be one molecule responsible for AgNOR-based diagnostic procedures that have been related to malignancy by surgical pathologists (8) . The present availability of controlled reagents also allows immunochemical measurement of its expression by morphology and Western blotting; we therefore suggest that p27BBP may become one additional and powerful tool in the hands of surgical pathologists, particularly for the fine detection of micrometastases in lymph nodes. In addition, the mRNA coding for p27BBP is highly increased in tumor versus normal colorectal tissues, suggesting that malignancy is accompanied by an up-regulation of its genetic expression.

The role of the increase in p27BBP in colorectal tumors and also in other tumor cell types4 may be interpreted as a simple consequence of increased protein synthesis in rapidly proliferating cells on the basis of its reported major role in ribosomal assembly (6) . However, its chromosomal location at 20q11.2 (14) , a site of high genetic instability in many cancer cell types (15, 16, 17) , suggests a more subtle role of the p27BBP gene in the progression of epithelial cancers. To date, however, we have not detected any obvious gene alterations that account for p27BBP overexpression. On the basis of its original identification as a molecular interactor of the cytodomain of ß4 (5) , p27BBP may be related to the interaction to the integrin {alpha}6ß4, whose surface expression is strongly subverted in colorectal as well as in epidermal carcinomas (18) . This phenomenon is more marked in poorly differentiated malignant tumors and also involves the accumulation of p27BBP in the nucleus. In addition, the association of increased {alpha}6ß4 and p27BBP levels with poor prognosis in colorectal carcinomas and evidence of the direct involvement of ß4 integrin in the aggressiveness of colorectal cancer cells have been reported previously (19, 20, 21) .

One further potential possibility is that p27BBP may be involved in the protection of colorectal tumor cells against apoptosis. To date, we do not have any precise indication except the observation that, in gut mucosa, p27BBP is high in nonapoptotic and rapidly proliferating crypt cells and is progressively down-regulated in the cells of the villus that are sloughed off in the lumen from gut epithelia as a consequence of apoptosis (10) . In contrast, p27BBP remains steadily overexpressed in these tumors where no apoptosis obviously occurs.

The overexpression of p27BBP is tumor-specific. In fact, stromal cells around the tumor did not show any difference from those surrounding normal mucosa. Moreover, the increased expression of p27BBP is a very early event in tumor progression: it is already clearly observed in adenomas, suggesting that p27BBP gene activation occurs concurrently with the early onset of transformation.

The involvement of p27BBP in tumor progression is unclear. This protein is a component of the nuclear matrix, which is connected to the cytoskeleton and is increasingly recognized as playing a major cell function in DNA transcription and/or replication, and RNA processing and transport (2) . Although it is definitely a nonribosomal protein, p27BBP is involved in the assembly of these organelles, where plays an essential role (6) , probably connected to those of proteins such as nucleolin, which is involved in chromatin decondensation (22) , or B23, which is involved in RNA transport (23) . The latter proteins have been recognized as part of the AgNOR complex (24) . Finally, only the nucleolar fraction of p27BBP undergoes major changes in tumors.

In summary, the results of the present study indicate that p27BBP is a nuclear matrix protein largely increased in precancerous and cancerous lesions of the human colon, where it accumulates in nucleoli and is likely to be involved in essential processes that govern cell growth and cancer evolution. It is also a major marker of transformed cells and may become a powerful tool for diagnostic purposes.


    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 These studies were supported by Grants 156/98 and 163/99 (to P. C. M.) from the Associazione Italiana per la Ricerca sul Cancro. Alessandra Donadini is a fellow of Dystrophic Epidermolysis Bullosa Research Association. Back

2 To whom requests for reprints should be addressed, at Istologia Molecolare, Department of Biological and Technological Research, San Raffaele Scientific Institute, Via Olgettina 58, 20132 Milan, Italy. Phone: 39-0226434857; Fax: 39-0226434855; E-mail: sanvito.francesca{at}hsr.it Back

3 The abbreviations used are: SSPE, saline-sodium phosphate-EDTA; AgNOR, argyrophylic nucleolar organizing region-associated protein. Back

4 P. Rosso, F. Sanvito, G. Cortesina, S. Biffo, and P. C. Marchisio, "Expression of p27BBP in head and neck cancer," manuscript in preparation. Back

Received 7/21/99. Accepted 12/15/99.


    REFERENCES
 Top
 ABSTRACT
 Introduction
 Materials and Methods
 Results
 Discussion
 REFERENCES
 

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