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Experimental Therapeutics |
Cancer Research Campaign Centre for Cancer Therapeutics [I. H., F. D., P. W., P. A. C.] and Confocal Microscope Facility [D. R.], Institute of Cancer Research, Sutton, Surrey SM2 5NG, United Kingdom
| ABSTRACT |
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| INTRODUCTION |
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Mutation and activation of Ki-ras occurs in
30% of all colon cancers, and certain mutations are associated with a poorer outcome (11)
. In addition, constitutive activation of ERK-1/2 is common in colon cancers, and inhibitors of the Ras/Raf/MEK/ERK signaling pathway effectively inhibit the growth of colon cancer cells in vitro and in vivo (12
, 13)
. Given that 17AAG depletes c-Raf-1 and inhibits ERK-1/2 phosphorylation, we hypothesized that 17AAG could be an effective anticancer agent against colon cancer, among other tumor types. Indeed, we have recently demonstrated that 17AAG inhibits the growth of human ovarian and human colon carcinomas in vitro and delayed the growth of two colon cancer xenograft lines in vivo (3)
.
Inhibition of signal transduction by agents such as 17AAG could potentially result in cytostasis or cell death, and the balance of these biological fates could influence patient treatment strategy and clinical outcome. For example, a cytostatic response would require a chronic administration schedule, as is used for various signal transduction inhibitors (e.g., Ref. 13 ), whereas a cell-killing effect might allow a more intermittent dosing regimen. Moreover, understanding the molecular basis of these responses to 17AAG might provide pharmacodynamic end points and the identification of factors that could lead to a selection of patients most likely to be responsive to the drug. Although we have previously shown that 17AAG is active against colon cancer in vitro and in vivo, the signaling pathways affected by 17AAG in colon cancer are not well understood and the ability of this agent to induce apoptosis has not been determined in any tumor model. This present study is the first to show that in human colon adenocarcinoma cells, 17AAG depletes c-Raf-1 and inhibits ERK-1/2 phosphorylation, as has been described for other tumor types (3 , 6 , 10) . Moreover, we also demonstrate that treatment of human colon adenocarcinoma cells with 17AAG results in depletion of N-ras, Ki-ras, and c-Akt together with inhibition of c-Akt phosphorylation. Furthermore, we show that 17AAG treatment results in both cytostasis and apoptosis to an extent depending on the particular colon cancer cell line, and we identify factors that may influence and regulate these responses.
| MATERIALS AND METHODS |
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Analysis of Protein.
Cells were resuspended in lysis buffer [150 mM NaCl, 50 mM Tris-HCl (pH 8.0), 0.2% (w/v) SDS, 0.2% (v/v) NP40, 1% (v/v) glycerol, 1 mM EDTA, 0.5 mM sodium orthovanadate, 10 mM sodium PPi, 100 mM NaF, and 1x protease inhibitors (Complete Mini; Roche Diagnostics, Indianapolis, IN)] and an equal volume of 80 mM Tris-HCl containing 6 mM MgCl2. An aliquot was removed for protein estimation by Lowry assay (Bio-Rad, Hercules, CA). Equal amounts of protein and Rainbow molecular weight markers (Amersham Pharmacia Biotech, Amersham, United Kingdom) were separated by electrophoresis through polyacrylamide gels and electrotransferred to Hybond-C nitrocellulose (Amersham Pharmacia Biotech). Immunoblots were blocked with 5% nonfat milk in TBST1 [10 mM Tris-HCl (pH 7.6), 142 mM NaCl, 0.1% Tween-20] and then incubated with 0.4 µg/ml each of anti-c-Raf-1 rabbit polyclonal antibody, anti-Bag-1 rabbit polyclonal antibody (Santa Cruz Biotechnology Biotech, Santa Cruz Biotechnology, CA), anti-N-ras mouse monoclonal antibody, and anti-Ki-ras mouse monoclonal antibody (Oncogene Research, Cambridge, MA); 1 µg/ml each of anti-ERK-1/2 rabbit polyclonal antibody, anti-phospho-ERK-1/2 rabbit polyclonal antibody, anti-c-Akt rabbit polyclonal antibody, and anti-phospho-c-Akt Ser-473 mouse monoclonal antibody (New England Biolabs, Beverly, MA); 0.5 µg/ml anti-phospho-ERK-1/2 mouse monoclonal antibody (Sigma-Aldrich, St. Louis, MO); 20 µg/ml anti-GAPDH mouse monoclonal antibody (Chemicon, Temecula, CA); 0.5 µg/ml anti-Bad mouse monoclonal antibody (Transduction Labs, Lexington, KY); 2 µg/ml anti-PARP mouse monoclonal antibody (Clontech, Palo Alto, CA); 1 µg/ml anti-caspase 3 rabbit monoclonal antibody; a 1:1000 dilution of anti-Bax rabbit polyclonal antibody (BD PharMingen, San Diego, CA); and a 1:70 dilution of anti-Bcl-2 mouse monoclonal antibody (Dako, Ely, United Kingdom) diluted in 5% milk powder in TBST1. Specific antigen-antibody interactions were detected with horseradish peroxidase-conjugated goat antimouse or antirabbit IgG and enhanced chemiluminescence Western blotting detection reagents (Amersham Pharmacia Biotech).
Immunoprecipitation.
Cell lysates were precleared by addition of 10 µl of 4 mg/ml protein G-Sepharose beads (Sigma-Aldrich) for 1 h at 4°C. Phospho-Bad was immunoprecipitated from 7 mg of protein in lysis buffer with 1:200 dilution of a rabbit polyclonal antibody specific to Ser-136 phospho-Bad or a 1:200 dilution of a rabbit polyclonal antibody specific to Ser-112 phospho-Bad (New England Biolabs, Beverly, MA). The antibody-antigen complex was recovered by the addition of 20 µl of protein G-Sepharose to the cell lysate and incubation for 1 h at 4°C. The beads were washed twice with TBST2 [10 mM Tris-HCl (pH 7.5), 100 mM NaCl, 0.05% Tween 20], then once with TBST2 and once with 0.05 M Tris-HCl (pH 6.8). Immunoprecipitated phospho-Bad was detected by Western blotting with an antibody that recognizes phosphorylated and nonphosphorylated Bad as described earlier.
Morphological and Cell Cycle Analysis.
Cells were grown and treated in 24-well plates on 13-mm glass coverslips and fixed for 1 h at room temperature in 4% p-formaldehyde in PBS. Fixed cells were permeabilized with 0.5% Triton X-100 for 10 min and incubated with 10 µg/ml RNase A and 1 µg/ml propidium iodide for 15 min at 37°C; the coverslips were then mounted in VectaSheild (Vectorlabs, Peterborough, United Kingdom). Images were collected using a Leica SP confocal microscope (Leica, Milton Keynes, United Kingdom).
DNA histograms were generated by fluorescence-activated cell sorting analysis. Cells (1 x 106) were washed in PBS and fixed in 70% ethanol for 30 min at 4°C. The fixed cells were washed once with PBS, resuspended in PBS containing 100 µg/ml RNase A and 40 µg/ml propidium iodide, and incubated for 30 min at 37°C. All samples were analyzed on an Ortho Cytoron Absolute flow cytometer (Ortho Clinical Diagnostics, Amersham, United Kingdom). Data were analyzed and histograms plotted using winMDI version 2.5 flow cytometry application software (Scripps Institute, La Jolla, CA).
| RESULTS |
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The cell lines were treated with a range of 17AAG concentrations for 24 h, followed by incubation in the absence of drug. This allowed analysis of molecular response and recovery to the drug. Fig. 1
shows dose-response data for the four colon cancer cell lines. The IC50 values for adherent cell viability at 72 h, calculated from three independent experiments, were 0.2 µM (HT29), 0.8 µM (HCT116), 0.9 µM (KM12), and 46 µM (HCT15). There was evidence that geldanamycin and 17AAG are substrates for efflux by P-glycoprotein. This may potentially be a contributing factor to the high IC50 value observed for HCT15 cells because these have a MDR phenotype (3)
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12 times the IC50 for viability at 72 h. For all subsequent experiments, we used the pharmacologically relevant isoeffective doses of 0.5 µM for HT29, 1 µM for HCT116 and KM12, and 50 µM for HCT15 cells.
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The effect of 17AAG on other key signaling molecules was also determined. Fig. 2C
illustrates the response of HCT116 at 24 and 48 h as an example; the data are summarized for all cell lines in Table 1
. Although very reproducible for a given protein within each cell line, the kinetics of molecular response and recovery were different between cell lines and also between individual proteins. Expression of a control protein, GAPDH, was unaffected in all cells. Ki-ras expression was decreased in all of the cell lines, and this was maintained for 3 days. A similar pattern of N-ras depletion was detected in all cell lines, except that HCT116 cells recovered normal N-ras levels at 72 h. We could not extend this observation to Ha-ras because we were unable to obtain a specific Ha-ras antibody of sufficient quality for protein analysis (data not shown). ERK-1/2 protein expression was decreased in HT29 and KM12 cells, but to a lesser extent and at a slower rate than c-Raf-1 and Ras. ERK-1/2 was depleted only marginally by 17AAG treatment of HCT116 cells and was not affected in HCT15 cells. Phosphorylation of ERK-1/2 rapidly decreased to undetectable levels in all of the cell lines tested and recovered at 48 h in HCT116 and at 72 h in HCT15 cells. c-Akt, which functions downstream in the PI3 kinase pathway, was also extensively depleted in all of the cell lines, but recovered after 72 h in HCT116, KM12, and HCT15 cells. Constitutive phosphorylation of c-Akt on Thr-308 could not be detected by Western blotting or immunoprecipitation (data not shown). Constitutive phosphorylation of Ser-473 could be detected reliably only in KM12 cells, and this was inhibited by 17AAG treatment (Fig. 2D)
. Overall, the results clearly show that 17AAG affects several important players in oncogenic signal transduction, resulting in the inhibition of both the Ras
ERK pathway and the PI3 kinase pathway in human colorectal cancer cells.
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50% of PARP was cleaved. In contrast, PARP was present almost exclusively in the cleaved form in the floating population following 17AAG treatment of HCT116 cells and was increased in the floating population following treatment of HT29 cells (Fig. 5A)
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Murine Bad is phosphorylated on Ser-112 and Ser-136 by mitochondria-anchored protein kinase A, c-Akt, c-Raf-1, and Rsk-1 (17
, 19, 20, 21, 22)
. Phosphorylation of Bad results in sequestration by 14-3-3 proteins, blocking the proapoptotic function of Bad (17)
. Dephosphorylated Bad induces apoptosis by binding to and inhibiting the antiapoptotic effects of Bcl-2 (17)
. Phosphorylated Bad was immunoprecipitated with antibodies specific for the phosphoserine-112 or phosphoserine-136 sites. However, we could not detect any significant changes in phosphorylation at either site following treatment of HCT116 or KM12 cells with 17AAG (Fig. 5D)
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| DISCUSSION |
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We demonstrated a range of clear and readily replicated effects on important oncogenic proteins, the precise details of which varied in a reproducible manner between different colon cancer cell lines. We confirmed the depletion of c-Raf-1 and inhibition of ERK-1/2 phosphorylation seen previously with 17AAG (3
, 10)
. We have also demonstrated here that c-Akt levels are depleted and c-Akt phosphorylation is inhibited by 17AAG. c-Akt is pivotal in a number of survival pathways, including the PI3 kinase pathway and signaling through nuclear factor-
B (23)
. Our observation is consistent with c-Akt depletion in DLD-1 human colon cancer cells by the related ansamycin, herbimycin A (24)
. Interestingly, we also noted that Ki-ras and N-ras were depleted by 17AAG, an effect not apparently reported previously for this drug class. Depletion of Ki-ras may be particularly important in colorectal cancer where Ki-ras gene mutations are common and associated with poor outcome (11)
. Concentrations required to deplete these key signaling molecules were close to the IC50 doses for adherent cell viability at 72 h. Thus, 17AAG has wide-ranging effects on key oncogenic signaling components that regulate both proliferation and survival at doses that are pharmacologically relevant.
At the cellular level we showed that treatment of human colon cancer cells with 17AAG resulted in cytostasis and, with the exception of HCT116 cells, the accumulation of mitotic figures that was consistent with a G2-M cell cycle delay. This was confirmed by flow cytometry and was consistent with observations that herbimycin A and geldanamycin also induce G2-M arrest in a colon and an ovarian cancer cell line, respectively (25) . A recent study has proposed that herbimycin A induces a G1 cell cycle block that is dependent on the Rb gene product, whereas cells that lacked the Rb gene product became arrested at the G2-M phase of the cell cycle (26) . However, deletion or loss of expression of Rb is rare in colon cancer and overexpression is common (27) . Unlike the aforementioned study (26) , we detected G2-M arrest in three of the four cell lines (HT29, HCT15, and KM12) despite Rb expression in all of them (27 , 28) .
HCT116 cells did not experience G2-M arrest. In addition to expressing Rb protein, this cell line also has wild-type p53. Reduction of the ansamycin benzoquinone ring could yield reactive oxygen species that damage DNA. Therefore, p53 status may influence cell cycle arrest following 17AAG treatment. However, we could not detect induction of p53-responsive genes following 17AAG treatment of HCT116 cells (14) . Yeast mutants with a mutated heat shock transcription factor 1, which is responsive to Hsp90 inhibition, undergo G2-M arrest and have reduced levels of Hsp90 (29) . This effect was suppressed by Hsp90 expression, implying that Hsp90 or presumably a specific Hsp90 client was required for G2-M progression. This suggests that G2-M arrest is primarily the result of depletion of a key Hsp90 client, whereas the reasons for the absence of a G2-M block in HCT116 cells remain unclear.
In addition to cell cycle arrest, we also demonstrated, to our knowledge for the first time, that 17AAG induces apoptosis. This was shown by morphological analysis and confirmed by proteolytic cleavage of PARP and caspase 3. Of note, 17AAG induced apoptosis in HT29, HCT116, and HCT15 cells (although the kinetics were different in each case), but not in the KM12 line. KM12 and HCT116 cells had a similar IC50 for adherent cell viability, and there were no apparent differences in the client proteins depleted by 17AAG between the two cell lines. KM12 cells did undergo apoptosis in response to etoposide, a topoisomerase II inhibitor that produces DNA damage. Etoposide reportedly induces apoptosis through two proapoptotic proteins, Bax and Bak, or by activation of the Fas pathway (30, 31, 32) . Our observations suggest that although KM12 cells are competent to undergo apoptosis, 17AAG uses pathways different from those used by etoposide.
Induction of an heat shock factor-1-dependent stress response can protect cells from 17AAG (33) . We found that a short exposure of 45 min at 44°C resulted in a limited induction (2-fold) of Hsp70 in all four cell lines, whereas a milder heat shock of 24 h at 42°C resulted in induction of Hsp70 in KM12 cells alone.4 This suggests that active heat shock response in KM12 might be responsible for protecting the cells against the induction of apoptosis, but not cytostasis. However, in contrast to the primary cells analyzed by Bagatell et al. (33) , but in common with many cancer types (34) , all four colon cancer cell lines expressed considerable constitutive levels of Hsp70 that may mask any further induction by heat shock.
The antiapoptotic Bag-1 protein binds Hsp70, whereas the proapoptotic Bad protein is a substrate of c-Akt and a number of other survival signaling pathways (17, 18, 19, 20, 21, 22) . Both of these proteins can also bind the antiapoptotic Bcl-2 protein and will influence its ability to block the action of proapoptotic proteins such as Bax (17) . Compared with the other cell lines, KM12 cells had barely detectable expression of Bax, but exhibited a clear and reproducibly higher level of Bag-1. We hypothesized that given the depletion of the key signaling molecules that phosphorylate and regulate Bad, a consequence of 17AAG treatment should be dephosphorylation of Bad and the induction of apoptosis (17 , 19, 20, 21, 22) . However, we saw no change in Bad phosphorylation. One explanation could be that Bad phosphorylation is maintained by a kinase unaffected by Hsp90 inhibition. Alternatively, the phosphatase required for Bad dephosphorylation may be depleted as an Hsp90 client. There is a precedent for this: calcineurin, a phosphatase that can induce apoptosis by dephosphorylating Bad, is also an Hsp90 client (7 , 35) . Signaling through c-Akt also blocks apoptosis induced by overexpression of a variety of proapoptotic proteins, including Bax, Bak, and Bik, and can protect cells from apoptotic stimuli in the absence of Bad expression (36) . In addition, c-Akt phosphorylates and inactivates caspase 9, a key apoptotic protease required for initiating the cascade of proteases (37) . Studies using gene transfer approaches are now necessary to further investigate whether Bax or Bag-1 can influence the apoptotic response to 17AAG. A more comprehensive analysis should also include the proapoptotic Bak protein and the Fas pathway, both of which may be activated following treatment with chemotherapeutic agents.
As discussed earlier, treatment with 17AAG results in the accumulation of mitotic figures. This could be attributable to prevention of Cdk activation via inhibition of ERK1/2 and PI3 kinase signal transduction pathways or alternatively may relate to the fact that tubulin is an Hsp90 client (8) . Interestingly, analysis of drug activity alone or correlation of drug activity with array analysis of gene expression across the NCI panel of 60 tumor lines results in geldanamycin clustering in the same hierarchical node as tubulin inhibitors (38) . COMPARE analysis of the NCI cell line panel data also suggests that geldanamycin and 17AAG share similarities with paclitaxel and vincristine (maximum COMPARE values of 0.712 and 0.639, respectively, for paclitaxel and 0.698 and 0.599, respectively, for vincristine).5 These agents affect the mitotic spindle and, interestingly, their cytotoxicity is enhanced by Bax expression (39) . This raises the interesting possibility that the cellular outcome of 17AAG treatment involves either (a) cytostasis resulting from inhibition of the growth factor receptor Ras/Raf/MEK/ERK pathway or (b) apoptosis induced by the interruption of survival signaling pathways through c-Akt or by direct or indirect interference with the mitotic spindle.
Understanding the basis of the antitumor activity of 17AAG may be critical for its optimal evaluation and use in patients and for development of novel Hsp90 inhibitors. At the moment, the story is far from complete in terms of how the molecular and cellular effects of 17AAG reported here and elsewhere could be applied in the treatment of colorectal and other tumors. Some possibilities are, however, beginning to emerge. In some ways 17AAG is a unique anticancer agent that apparently has a single primary molecular target (6) , but whose action results in effects on several important oncogenic proteins. For example, here we show evidence for inhibition of signaling through both the Ras/Raf/MEK/ERK and PI3 kinase/PDK/Akt pathways. The complexity of the response at the cellular and molecular level, demonstrated here by protein analysis and also by gene expression profiling (14) , makes it difficult to predict at present how generally applicable our observations would be to different tumor types. We and others have demonstrated that 17AAG can deplete c-Raf-1 in ovarian, breast, and colon cancer cell lines and inhibit ERK-1/2 phosphorylation in breast and colon cancer cell lines (3 , 10) . It is likely that many of the individual proteins depleted by 17AAG and the signaling pathways inhibited will be similar across different cell types, albeit with differences in concentration dependence. However, events further downstream of this protein depletion will depend on how reliant the particular cell is on the proteins that are depleted by 17AAG and also on the expression profile of cell cycle control and pro- and antiapoptotic proteins within that cell type. For example, effects on Ki-ras signaling may be important in colorectal cancer, and depletion of erbB2 may be crucial in breast cancer.
In addition to the molecular parameters described above, previous studies showed that cellular response can be affected by expression of drug-metabolizing and -transport proteins, namely DT-diaphorase and P-glycoprotein (3) . Expression profiling revealed that levels of the target Hsp90ß mRNA and protein are influenced by 17AAG treatment (14) . In some cells, e.g., HCT116, 17AAG induces Hsp90ß expression, whereas Hsp90ß is decreased in other cell lines, such as HT29. Thus the molecular pharmacology of 17AAG is complex, and gene transfer studies are under way in our laboratory to elucidate the most important determinants of response in various tumor types. Each of the four colon cell lines had a unique gene expression profile in response to 17AAG (14) . Understanding the key elements in the overall relationship between molecular and cellular response across colon and other tumor types may be helped by more extensive expression profiling experiments following 17AAG treatment, coupled with correlation of client proteins depleted and the biological consequences of 17AAG treatment.
Despite the potential complexities of the molecular pharmacology of 17AAG, we have shown here for the first time that both cytostatic and apoptotic events can be induced at concentrations close to the IC50 of the drug in human colon cancer cells and indeed at concentrations that are achieved in animal models and in plasma of patients treated in the Phase I trial.6 Both cytostatic and apoptotic outcomes could contribute to any therapeutic effects that may be achieved with 17AAG in the clinic, and their relative involvement could impact on the optimal scheduling, e.g., chronic dosing to maintain a cytostatic response or intermittent dosing to achieve tumor regression through apoptosis. However, normal tissue tolerance will also impact on the clinical schedule. Should our observations of apoptotic and cytostatic outcomes prove relevant in the clinic, the use of existing assays for these effects might be possible. Apoptotic and cytostatic responses have been assessed in situ following treatment of breast cancer (40) . However, performing frequent or repeat biopsies may prove to be impractical in colon and several other cancers, and the development of surgically noninvasive assays (e.g., based on magnetic resonance or positron emission tomography technology) would be preferable. An alternative to direct assays of cytostasis versus apoptosis would be to use individual molecular markers that are predictive of these cellular consequences in response to 17AAG. These may be defined by extending the present analysis at the protein level. Expression profiling with correlation to biological outcome may allow the identification of single genes or clusters of markers that could be used to screen pretreatment biopsies for prediction of the type of response (14) .
In conclusion, cytostatic versus apoptotic responses to 17AAG may vary in individual tumors, and a more detailed understanding of the mechanisms involved may provide molecular determinants that could be useful in the clinic. Our results also point to molecular mechanisms that can be pursued by gene transfer strategies to determine causation (particularly the involvement of Bax and Bag-1) and highlight parameters that might be analyzed in tumor biopsies taken during ongoing Phase I and any future Phase II studies.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Cancer Research Campaign funding is gratefully acknowledged by P. C. and P. W. (Grant SP2330); P. W. is a Cancer Research Campaign Life Fellow. I. H. is supported by Ligue Nationale Contre Le Cancer and the Haddow Fund of the Institute of Cancer Research. ![]()
2 To whom requests for reprints should be addressed, at E Block, CRC Centre for Cancer Therapeutics, Institute of Cancer Research, 15 Cotswold Road, Sutton, Surrey SM2 5NG, United Kingdom. Phone: 44 208 722 4301; Fax: 44 208 642 1140; E-mail: paulw{at}icr.ac.uk ![]()
3 The abbreviations used are: Hsp, heat shock protein; 17AAG, 17-allylamino-17-demethoxygeldanamycin; NCI, National Cancer Institute; CRC, Cancer Research Campaign; ERK, extracellular signal-regulated kinase; MEK, MAP/ERK kinase; TBST, Tris-buffered saline-Tween; GAPDH, glyceraldehyde-3-phosphate dehydrogenase; PARP, poly(ADP) ribose polymerase; PI3 kinase, phosphatidylinositol-3'-kinase. ![]()
4 P. A. Clarke and F. DiStefano, unpublished observations. ![]()
5 P. A. Clarke, unpublished observations, based on data at http://dtp.nci.nih.gov. ![]()
6 F. Raynaud, CRC Center for Cancer Therapeutics, personal communication. ![]()
Received 9/19/00. Accepted 3/15/01.
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