
[Cancer Research 61, 1727-1732, February 15, 2001]
© 2001 American Association for Cancer Research
Up-Regulation of Vascular Endothelial Growth Factor in Breast Cancer Cells by the Heregulin-ß1-activated p38 Signaling Pathway Enhances Endothelial Cell Migration1
Shunbin Xiong,
Rebecca Grijalva,
Lianglin Zhang,
Nina T. Nguyen,
Peter W. Pisters,
Raphael E. Pollock and
Dihua Yu2
Department of Surgical Oncology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030
 |
ABSTRACT
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Heregulin (HRG) belongs to a family of polypeptide growth factors that
bind to receptor tyrosine kinases ErbB3 and ErbB4. HRG binding induces
ErbB3 and ErbB4 heterodimerization with ErbB2, activating downstream
signal transduction. Vascular endothelial growth factor (VEGF) is a
primary regulator of physiological angiogenesis and is a major mediator
of pathological angiogenesis, such as tumor-associated
neovascularization. In this study, we demonstrate that HRG-ß1
increased secretion of VEGF from breast cancer cells in a time- and
dosage-dependent manner and that this increase resulted from
up-regulation of VEGF mRNA expression via transcriptional activation of
the VEGF promoter. Deletion and mutational analysis revealed that a
CA-rich upstream HRG response element located between
nucleotide-2249 and -2242 in the VEGF promoter mediated
HRG-induced transcriptional up-regulation of VEGF. While investigating
the downstream signaling pathways involved in HRG-mediated
up-regulation of VEGF, we found that HRG activated extracellular
signal-regulated protein kinases, Akt kinase, and p38
mitogen-activated protein kinase (MAPK). However, only the specific
inhibitor of p38 MAPK (SB203580), not extracellular signal-regulated
kinase inhibitor PD98059 nor the inhibitor of phosphatidylinositol
3-kinase-Akt pathway (Wortmannin), blocked the up-regulation of VEGF by
HRG. The HRG-stimulated secretion of VEGF from breast cancer cells
resulted in increased migration of murine lung endothelial
cells, an activity that was inhibited by either VEGF-neutralizing
antibody or SB203580. These results show that HRG can activate p38 MAPK
to enhance VEGF transcription via an upstream HRG response element,
leading to increased VEGF secretion and angiogenic response in breast
cancer cells.
 |
INTRODUCTION
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VEGF3
, also known as vascular permeability factor, is an important stimulator
of angiogenesis. Normal levels and appropriately timed expression of
VEGF are essential for normal development of the vascular system
(1, 2, 3)
. VEGF-induced angiogenesis is also essential for
the growth of solid tumors (4, 5, 6)
. VEGF is highly
expressed in solid tumors and is required for the maintenance of tumor
blood vessels. Withdrawal of VEGF causes tumor regression
(7, 8, 9)
. Recently, VEGF was recognized as a survival factor
for endothelial cells (10)
. VEGF expression is regulated
by many growth factors and cytokines, such as insulin-like growth
factor (11)
, interleukin-6 (12)
, transforming
growth factor-ß (13)
, basic fibroblast growth factor,
epidermal growth factor, and platelet-derived growth factor
(14)
. VEGF expression is increased by hypoxia (4
, 15)
and inhibited by p53 (16)
. It is conceivable
that the expression and function of VEGF are regulated by many cellular
factors during tumor progression. Revealing these factors and their
mechanisms of action will enable us to better alter the detrimental
consequence of VEGF.
HRG, also named neu differentiation factor (17)
,
neuregulin (18)
, AchR-inducing activity (19)
,
and glial growth factor (20)
, is a member of the epidermal
growth factor-like growth factor family. HRGs are ligands of
ErbB3 and/or ErbB4, which belong to the ErbB family of receptor
tyrosine kinases. The binding of HRG to its receptors induces either
ErbB3 or ErbB4 to form homodimers or to form heterodimers with ErbB2,
thus triggering diverse signaling cascades (21)
. HRGs can
induce a variety of cellular responses in different cell types,
including proliferation, differentiation, survival, apoptosis,
migration, and aggregation (22, 23, 24, 25, 26)
. Data from
HRG gene knockout mice demonstrated that HRG is
essential for the early development of the heart and central nervous
system (27)
. HRG is also known to be involved in breast
cancer metastasis and in ErbB2-related and hormone-independent breast
cancer progression (28
, 29)
. HRG has been shown to
regulate invasive and metastasis-related properties in breast cancer
cell lines (30)
. However, the role of HRG in breast cancer
metastasis remains elusive.
HRG has also been implicated in the regulation of gene expression. HRG
was reported to stimulate AchR and utrophin gene expression in muscle
cells via GA-binding proteins by 23 fold compared with that in
the absence of HRG (31, 32, 33, 34, 35)
. HRG also up-regulated AchR
gene expression about 3-fold in p-19 teratocarcinoma cells and breast
cancer cells through Sp1-containing complex (36)
. The
mechanisms of HRG-induced transcriptional regulation in these studies
remain unclear. After studying the role of HRG and ErbB2 in breast
cancer progression and metastasis, we found that HRG up-regulated VEGF
secretion from breast cancer cell lines through transcriptional
up-regulation and that it required activation of the p38 MAPK signaling
pathway. Furthermore, HRG-ß1-induced VEGF secretion enhanced mouse
endothelial cell migration. Thus, transcriptional up-regulation of VEGF
via activation of the p38 MAPK pathway may be one of the mechanisms
that contribute to HRG-induced breast cancer metastasis.
 |
MATERIALS AND METHODS
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Cell Culture and Transfection.
Breast cancer cell lines were cultured in DMEM/F12 containing 10%
fetal bovine serum (Life Technologies, Inc., Grand Island, NY).
Transient transfection was performed following the manufacturers
instruction for LipofectAmine (Life Technologies, Inc.). Briefly, cells
were seeded in 6-well plates overnight. Luciferase reporter gene (3
µg/well) and pCMV-ß-gal plasmid (0.2 µg/well), used
as an internal control, were mixed in 100 µl of OPTI-MEM
medium, to which 10 µl of diluted LipofectAmine was added. The
mixture was incubated for 30 min at room temperature. Then, 800 µl of
OPTI-MEM was added to the mixture, which was transferred onto the cells
for 34 h. Cells were incubated in serum-free DMEM/F12 media overnight
and then cultured in fresh medium containing 10 ng/ml HRG (Neomarker,
Fremont, CA) for 24 h. Cell lysates were prepared, and luciferase
and ß-gal activities were assayed using a luciferase assay kit
(Promega, Madison, WI).
Luciferase Reporter and HRE Mutants.
VEGF promoter luciferase reporter constructs were prepared as described
previously (16)
. The uHRE mutant was generated by PCR
mutation. The upstream primers for the uHRE mutant were as follows: WT,
AAGGTACCGCTTATGGGGGTGGGGGGTGCCT; uHRE mutant,
AAGGTACCGCTTATGGGGGTAAGGGGTGCCT. The
downstream primer was TGCACTAGTCCTGTCTCCACCAC. The PCR product was
recovered and cloned back to full-length VEGF promoter reporter plasmid
via Acc65I/SpeI sites. The mutation was confirmed by
sequence analysis.
Generation of Stable Cell Lines Expressing EGFld of HRG.
The cDNA fragment of the EGFld (37)
was generated by PCR
using the following primers: 5' primer,
CGGGATCCGGGGACAAGCCATCTTGTAAAAT; 3' primer,
AGCGGCCGCCTTCTGGTACAGCTCCTCCG. The EGFld was cloned in pSecTag2B vector
(Invitrogen, Carlsbad, CA). Both the EGFld expression plasmid and the
pSecTag2B vector were transfected into MCF7 cells. The stable
transfectants were selected by Zeocin (Invitrogen).
Western Blot Analysis.
Cells were starved in serum-free medium overnight before HRG treatment.
Cells were then incubated either with 10 ng/ml HRG for different times
(12, 24, or 48 h) or for 24 h with various concentrations of
HRG (1, 2, 5, or 10 ng/ml). The CM were collected and concentrated by
Centricon (Amicon, Inc., Beverly, MA). To examine signaling pathway
involvement, cells were treated with 10 ng/ml HRG for 10, 30, or 60
min, and cell lysates were prepared as described previously
(25)
. The proteins from the CM or cell lysates were then
separated by 10% SDS-PAGE, transferred to a nitrocellulose membrane
(Bio-Rad, Hercules, CA), and probed by monoclonal VEGF antibody (R&D
Systems, Minneapolis, MN) or specific antibodies against phosphorylated
ERK, Akt, and p38 MAPK (New England Biolabs, Inc., Beverly, MA).
Protein signals were detected using the enhanced chemiluminescence
detection system (Amersham, Corp., Arlington Heights, IL). Horseradish
peroxidase-conjugated antibody against mouse or rabbit IgG (Jackson
ImmunoResearch Laboratories) was used as a secondary antibody.
Northern Blot Analysis.
SKBr3 and MCF7 cells were starved overnight and incubated with 10 ng/ml
HRG for 2, 6, or 24 h. For chemical inhibitor treatment assays,
cells were incubated for 1 h with 5 µg/ml ActD, 50 µg/ml CMX,
20 µM PD98059, 100 nM Wortmannin, or 10
µM SB203580 (Calbiochem, San Diego, CA) and then treated
with HRG (10 ng/ml) for 6 h. Total RNA was extracted from cells
using Ultraspec RNA reagent (Biotecx Laboratories, Inc., Houston, TX)
and separated by electrophoresis in 1% denaturing formaldehyde-agarose
gel. The RNA was transferred to Hybond-N+ nylon
membrane (Amersham) overnight. The membrane was UV cross-linked with a
UV Stratalinker 1800 (Stratagene, San Diego, CA). The membranes were
prehybridized and hybridized with VEGF-specific and
glyceraldehyde-3-phosphate dehydrogenase-specific cDNA probes
(16)
at 68°C in PerfectHyb plus hybridization buffer
(Sigma Chemical Co., St. Louis, MO), washed, and analyzed using a
PhosphoImager (Molecular Dynamics, Sunnyvale, CA).
Endothelial Cell Migration Assay.
Endothelial cell migration was assayed in 24-well,
6.5-mm-internal-diameter Transwell cluster plates (8.0-µm pores;
Costar Corp., Cambridge, MA) using MluE cells (American Type Culture
Collection, Rockville, MD) and CM of HRG-treated and untreated SKBr3
cells. The CM were prepared by incubating SKBr3 cells with 10 ng/ml HRG
in the presence or absence of 0.5 µM SB203580. Three
thousand MluE cells were suspended in 0.1 ml of serum-free DMEM/F12
with 0.1% BSA and loaded into the 0.1 mg/ml gelatin-coated upper
chamber of a Transwell cluster plate. The lower chamber of the
Transwell plate was filled with the 600-µl CM or CM neutralized with
anti-VEGF polyclonal antibody (50 pg/ml, mixed and stored at 4°C
overnight; Santa Cruz Biotechnology, Santa Cruz, CA). A solution of
DMEM/F12 plus 0.1% BSA was used as a negative control. The assay was
allowed to proceed for 5.5 h at 37°C, after which the Transwell
filters were fixed with methanol and stained with Giemsa (LabChem Inc.,
Pittsburgh, PA). The cells on the upper surface of the filter were
removed by wiping with a cotton swab, and cell migration was determined
by counting the number of cells/high-power field (x200) that had
migrated to the lower side of the filter. Five high-power fields/filter
and triplicate filters/sample were counted. Assays were repeated at
least twice. The difference in migration rates was analyzed using the
two-tailed Student t test.
 |
RESULTS
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Increase of VEGF Secretion in Breast Cancer Cells by HRG-ß1.
Previous studies (25
, 30)
have shown that HRG can regulate
metastasis and invasion-related properties in breast cancer cells. It
is well known that angiogenesis is essential for tumor metastasis and
invasion and that VEGF is a major proangiogenic factor in tumor and
normal tissues (1, 2, 3, 4, 5, 6)
. Therefore, we investigated whether
HRG-ß1 regulates VEGF secretion in breast cancer cell lines. Six
breast cancer cell lines were treated with or without 10 ng/ml
recombinant HRG-ß1. CM were collected, and the levels of VEGF in CM
were detected by Western blot analysis using anti-VEGF antibody.
HRG-ß1 increased VEGF secretion dramatically in SKBr3, MCF-7, and
MDA-MB-468 cell lines and slightly in the MDA-MB-435 cell line (Fig. 1A)
. However, MDA-MB-453 and BT-483 cell lines did not show
significant VEGF induction by HRG-ß1 (Fig. 1A)
. Further
study of MCF-7 and SKBr3 cells indicated that the VEGF secretion
induced by HRG-ß1 was dosage- and time-dependent (Fig. 1B)
. The HRG-ß1-mediated VEGF induction appeared with 1
ng/ml HRG and occurred as early as 12 h at the 10 ng/ml HRG
concentration. Similar data were obtained from MCF7 cells, but the
induction was greater in the SKBr3 cell line than in the MCF7 cell
line. The VEGF signal was detectable in both MCF7 and SKBr3 cells
without HRG-ß1 treatment, suggesting that both cell lines secreted
basal levels of VEGF (Fig. 1B
, Lane 1).

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Fig. 1. HRG up-regulates VEGF secretions from various breast
cancer cell lines. CM were collected from serum-starved breast cancer
cells treated with various dosages of HRG-ß1 for various times.
Western blot analysis was performed as described in "Materials and
Methods." A, up-regulation of VEGF in multiple breast
cancer cell lines treated with 10 ng/ml recombinant HRG-ß1 for
24 h. B, HRG-ß1 up-regulation of VEGF secretion
in MCF7 and SKBr3 cells is concentration- and time-dependent. CM were
collected from MCF7 and SKBr3 cells treated with 0, 1, 2, or 10 ng/ml
HRG for 24 h or with 10 ng/ml HRG-ß1 for 0, 12, 24, or 48 h.
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Induction of VEGF mRNA Expression by HRG-ß1.
To test whether increased VEGF secretion occurs through mRNA
up-regulation, Northern blot analysis was performed on HRG-ß1-treated
and untreated MCF-7 and SKBr3 cells using a labeled VEGF probe. As
shown in Fig. 2A
, the VEGF mRNA level increased in a time-dependent manner
in both the SKBr3 and the MCF7 cell lines after 10 ng/ml of HRG-ß1
treatment. The VEGF mRNA induction appeared as soon as 2 h after
HRG-ß1 treatment, continuously increased up to 6 h, and then
decreased at the 24-h time point. Compared with levels in untreated
cells, the level of VEGF mRNA induction by HRG-ß1 at 6 h were
2.4 and 2.7 times higher in MCF7 and SKBr3 cell lines, respectively.
The HT1080 cell line, which was used as a positive control, showed a
much higher level of basal VEGF signal. VEGF mRNA expression was
further induced by 12-O-tetradecanoyl-phorbol-13-acetate
about 3-fold more than the level in untreated cells.

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Fig. 2. VEGF mRNA up-regulation by HRG-ß1 is time-dependent
through transcription regulation. A, Northern
blot analysis of VEGF mRNA in MCF7 and SKBr3 cells treated with 10
ng/ml HRG for 2, 6, or 24 h and in HT1080 cells treated with 100
ng/ml 12-O-tetradecanoyl-phorbol-13-acetate for 2 h. B, Northern blot analysis of VEGF mRNA in SKBr3 cells
pretreated with either 5 µg/ml ActD or 50 µg/ml CMX for 1 h
and then incubated with 10 ng/ml HRG-ß1 for 6 h. Total RNA (20
µg) was separated on 1% denaturing formaldehyde-agarose gel, and
Northern blot analysis was performed. C, HRG-ß1
activates VEGF-luciferase activity. VEGF full-length luciferase
reporter and internal control CMV-ß-gal plasmids were
transfected either in SKBr3 cells and incubated with 10 ng/ml HRG for
24 h after transfection or in MCF7 stable transfectants that
constitutively expressed and secreted EGFld. Luciferase and
ß-galactosidase activities in cell lysates were then tested.
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We next examined whether VEGF mRNA up-regulation by HRG-ß1 is because
of increased transcription or increased RNA stability and sought to
determine whether nascent RNA or protein synthesis is required for
HRG-ß1-mediated VEGF mRNA up-regulation. To this end, we pretreated
SKBr3 cells with 5 µg/ml ActD, a RNA synthesis inhibitor, or 25
µg/ml CMX, a protein synthesis inhibitor, for 1 h before
HRG-ß1 was added to the culture medium. ActD completely abolished
HRG-ß1-induced VEGF up-regulation, whereas CMX had no effect on VEGF
induction by HRG-ß1 (Fig. 2B)
. This finding suggests that
HRG-induced VEGF up-regulation requires new RNA synthesis but not new
protein synthesis. Because the induction of VEGF by HRG-ß1 requires
new RNA synthesis, it most likely occurs through transcriptional
up-regulation. Furthermore, because VEGF induction by HRG-ß1 is
independent of protein synthesis, it is probably mediated by the
activation of existing transcription factor(s) through translocation or
modification, such as phosphorylation of transcription factor(s).
To further determine whether HRG-ß1-mediated VEGF up-regulation
occurs through transactivation of the VEGF promoter, the full-length
VEGF promoter was fused to the luciferase reporter gene, which was
transfected into SKBr3 cells. HRG-ß1 treatment increased the
luciferase activity driven by full-length VEGF promoter by
approximately 2-fold. In addition, the CMV-driven EGFld of HRG was
transfected into MCF7 cells from which stable transfectants that
constitutively expressed and secreted EGFld of HRG were generated. When
the full-length VEGF promoter-luciferase reporter gene was transfected
into these HRG EGFld stable transfectants, the luciferase activity was
2.4 times higher than that in the control cells (Fig. 2C)
.
The fold of induction of promoter activity is comparable with the fold
of induction of VEGF mRNA observed in Northern blot analysis (Fig. 2, A and B)
and is consistent with HRG-ß1-mediated
transcriptional up-regulation of other target genes reported previously
(31, 32, 33, 34, 35, 36)
. These data demonstrate that VEGF up-regulation
by HRG-ß1 occurs through transcriptional up-regulation of VEGF
promoter activity. Because the VEGF promoter was activated both by the
recombinant full-length extracellular domain of HRG-ß1 and by the
EGFld of HRG-ß1 in MCF7 cells, the posttranslational modification of
HRG-ß1 may not be required for VEGF up-regulation in SKBr3 and MCF7
cell lines, and the EGFld of HRG-ß1 must be sufficient to induce VEGF
transcriptional up-regulation.
Activation of VEGF Promoter Activity by HRG-ß1 via Upstream
CA-rich HRE.
To determine the HRE in the VEGF promoter, 5'-VEGF promoter deletion
constructs were fused to the luciferase reporter gene and were
transfected into either HRG-ß1-treated SKBr3 cells or MCF7 HRG-ß1
EGFld stable transfectants. Luciferase assays showed that the
functional HRE responsible for VEGF up-regulation was located in the
region between nt -2352 and -780 (uHRE; Fig. 3A
). Two types of HREs have been reported in muscle cells
(31, 32, 33, 34, 35)
and in T47D breast cancer cells
(36)
, and both types of HRE sequences are in the nt -2352
to -780 region of the VEGF promoter. On the basis of the previous
report on T47D breast cancer cells (36)
, we reasoned that
CA-rich HRE may mediate VEGF up-regulation in breast cancer cells. When
the CA-rich uHRE sequence within the nt -2352 to -780 region was
mutated from CCACCCCC to TTACCCCC, the VEGF
promoter activation in SKBr3 by HRG-ß1 was reduced to an
almost basal level (Fig. 3B
, Lane 6). Similar
data were also obtained when the WT and MUT constructs were transfected
into MCF7 cells expressing HRG EGFld (data not shown). Thus, this
CA-rich uHRE was functionally required for VEGF up-regulation by
HRG-ß1 in both MCF7 and SKBr3 breast cancer cells. Although two
additional CA-rich consensus HRE sequences, middle HRE and downstream
HRE, are located downstream of uHRE, they do not seem to mediate VEGF
up-regulation by HRG-ß1. Thus, although HRE consensus sequence is
required, the HRE consensus sequence alone might not be sufficient to
mediate induction of VEGF in SKBr3 cells by HRG-ß1. HRE function
probably requires neighboring sequences and may be cell-type dependent.

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Fig. 3. Identification of HRE in VEGF promoter. SKBr3 cells or
MCF7 stable transfectants were transfected with full-length luciferase
reporter, 1.7-luc, WT, and MUT VEGF promoter-driven reporter plasmids,
in which the complementary uHRE sequence was mutated from ccCCACCCCCaca
in WT to ccTTACCCCCaca in MUT, together with
cmv-ß-gal. SKBr3 cells were then incubated with 10 ng/ml HRG for
24 h, and luciferase and ß-galactosidase activities from
transfected cells were measured.
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Requirement of the p38 MAPK Pathway for the VEGF Up-Regulation
by HRG-ß1.
HRG-ß1 is a ligand for ErbB3 and ErbB4 membrane receptor tyrosine
kinases and can activate multiple signaling pathways in a variety of
cell types (25
, 38
, 39)
. To determine which
HRG-ß1-activated signaling pathways in SKBr3 cells might contribute
to HRG-ß1-mediated VEGF up-regulation, Western blot analysis was
performed on HRG-ß1-treated and untreated SKBr3 cells using
antibodies recognizing phosphorylated and activated ERK, Akt, and p38
MAPK (Fig. 4A)
. HRG-ß1 effectively activated the MAP/ERK kinase
pathway, the PI-3K/Akt pathway, and the p38 MAPK pathway in SKBr3
cells. Interestingly, the p38 MAPK pathway was only transiently
activated by HRG-ß1. Considering that the VEGF mRNA signal was
induced by HRG-ß1 as early as 2 h after treatment, further
increasing up to 6 h, and later decreasing at 24 h, it would
be intriguing to determine whether HRG-ß1-induced VEGF up-regulation
requires the p38 MAPK pathway. Addition of the p38 MAPK
pathway-specific inhibitor SB203580 to SKBr3 and MCF7 cells before
HRG-ß1 treatment completely abolished the induction of VEGF secretion
from these two cell lines (Fig. 4B
, Lanes 7 and
8). In contrast, neither the MAP/ERK kinase pathway
inhibitor (PD98059) nor the PI-3K/Akt pathway inhibitor (Wortmannin)
effectively inhibited HRG-ß1-mediated VEGF induction (Fig. 4B
, Lanes 36), although PD98059 and Wortmannin
effectively inhibited ERK1/2 activation and Akt activation,
respectively (data not shown). Additionally, HRG-ß1-mediated
up-regulation of VEGF mRNA was also blocked by SB203580 (Fig. 4C
, Lanes 7 and 8), whereas neither
PD98059 nor Wortmannin abolished VEGF mRNA up-regulation by HRG-ß1
(Fig. 4C
, Lanes 36). Therefore, both Western
and Northern blot analyses demonstrated that HRG-ß1-mediated
activation of the p38 MAPK pathway is required for VEGF up-regulation.

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Fig. 4. The p38 MAPK kinase pathway is required for the induction
of VEGF secretion by HRG-ß1. A, multiple signal
pathways were activated by HRG-ß1 in SKBr3 cells. SKBr3 cells were
treated by HRG-ß1 for 10, 30, or 60 min. Cell lysates were prepared,
and Western blots were performed with antibodies against phosphorylated
ERK (p-ERK), phosphorylated Akt (p-AKT),
and phosphorylated p38 MAPK (p-p38). The ERK, Akt, and
p-38 protein levels were determined by Western blot using respective
antibodies. B and C, MCF7 or SKBr3 cells
were incubated with or without 20 µM PD98059, 0.1
µM Wortmannin, or 10 µM SB203580. HRG (10
ng/ml) was added to the media, CM were collected after 24 h for
Western blot analysis of VEGF secretion, and total RNA was prepared
from cells for Northern blot analysis of VEGF mRNA after 6 h of
HRG-ß1 treatment.
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Increased Endothelial Cell Migration by HRG-ß1-mediated VEGF
Secretion.
Angiogenesis is critical for tumor growth and metastasis. VEGF is a
well-known stimulator of angiogenesis (10)
. Because
HRG-ß1 increases VEGF secretion from MCF7 and SKBr3 cells, we sought
to determine whether VEGF up-regulation by HRG-ß1 might increase
endothelial cell migration, which is an indicator of angiogenic
response. CM were collected from SKBr3 cells treated with or without
HRG-ß1 in the presence or absence of SB203580, added with or without
VEGF antibody, and used to stimulate MluE cell migration in endothelial
cell migration assays. Incubation of MluE cells with the CM from
HRG-ß1-treated SKBr3 cells increased the number of migrated MluE
cells by about 2-fold that of the level in untreated cells (Fig. 5
, Lanes 1 and 2). Because VEGF antibody (50 pg/ml)
inhibited the migration of MluE cells in CM from HRG-ß1-treated SKBr3
cells, whereas nonspecific IgG had no effect (Fig. 5
, Lanes
36), this HRG-ß1-mediated increase of migration is most likely
because of VEGF in the CM. Notably, VEGF antibody reduced the basal
level of cell migration by inhibiting the basal level of VEGF in the CM
(Fig. 5
, Lanes 1, 3, and 5). MluE cell
migration was reduced in CM collected from SKBr3 cells that were
pretreated with 0.5 µM SB203580, an inhibitor
of the p38 MAPK pathway, before the cells were activated by HRG-ß1
(Fig. 5
, compare Lanes 2 and 8), although
SB203580 had no effect on MluE basal level migration (Fig. 5
,
Lanes 1 and 7). Furthermore, addition of VEGF
antibody (50 ng/ml) to CM from SKBr3 cells that were pretreated with
SB203580 and then stimulated with HRG-ß1 further decreased
migration of MluE cells to below the basal level (Fig. 5
,
Lanes 1, 9, and 10), whereas the
control IgG had no similar effect (Fig. 5
, Lane 11 and
12). The data suggest that combination of VEGF antibody and
SB203580 has an additive inhibitory effect to block endothelial
migration induced by HRG-ß1-mediated VEGF secretion.

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Fig. 5. Endothelial cell migration was increased in CM from
HRG-treated cells. CM from SKBr3 cells were prepared as indicated at
the bottom of the figure and in "Materials and
Methods." MluE cells were suspended in SKBr3 cell CM with or without
0.1 ml of 50 pg/ml anti-VEGF antibody (Ab) or IgG. The
endothelial cell migration assay was performed as described in
"Materials and Methods," and the difference in migration rates was
analyzed using the two-tailed Student t test. *,
P < 0.01; **,
P < 0.05.
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 |
DISCUSSION
|
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The data given here provide clear evidence that secretion of VEGF
from MCF7 and SKBr3 breast cancer cell lines was induced by HRG-ß1 in
a time- and dosage-dependent manner and that this induction was because
of up-regulation of VEGF mRNA. Notably, the secretion of VEGF protein
was increased after 24 h, whereas the induction of VEGF mRNA was
increased to peak levels by 6 h but decreased by 24 h. This
result may partly be because of the time delays for either protein
synthesis or protein secretion. Blockade of HRG-ß1-induced VEGF
up-regulation by ActD pretreatment and analyses of VEGF promoter
activity by HRG-ß1 treatment indicated that the induction of VEGF
secretion by HRG-ß1 occurred through transcriptional up-regulation of
VEGF. The HRG-ß1-mediated 23-fold of induction for VEGF is
consistent with previous reports on HRG-induced transcriptional
up-regulation of other target genes (31, 32, 33, 34, 35, 36)
. The uHRE in
the VEGF promoter responsible for HRG-ß1-mediated transcriptional
up-regulation is identical to a previously reported HRE
(36)
. It is interesting that not every CA-rich HRE is
functional; the middle HRE and downstream HRE consensus sequences
located downstream of uHRE did not seem to mediate VEGF up-regulation
by HRG-ß1. These data suggest that the functionality of CA-rich HRE
sequences may require other factor(s) or some neighboring element(s).
HRG-ß1-induced VEGF up-regulation does not require protein synthesis,
suggesting that it may be mediated by activation of certain existing
transcription factor(s) by posttranslational modification or
relocation. Previous reports indicated that protein phosphorylation is
required for HRG-induced transcriptional up-regulation of AchR
(36)
and that protein-tyrosine phosphatase has the same
response element as neuregulin (a member of the HRG family) response
element (33)
. These findings are reasonable given that
HRGs can bind to ErbB3 or ErbB4 to activate signal cascades, at least
partly, by inducing protein phosphorylations that lead to various
cellular responses. Consistent with this notion, HRG-ß1-activated p38
MAPK signal pathway is shown here to be required for up-regulation of
VEGF in SKBr3 and MCF7 cells, although HRG-ß1 activated multiple
pathways in these cells. Currently, we are trying to identify the
transcription factor(s) that are phosphorylated by HRG-ß1-activated
p38 MAPK and to decipher the regulatory mechanisms of the VEGF promoter
(direct or indirect activation or derepression) by phosphorylated
transcription factor(s). It is likely that the transcription factor(s)
mediating induction by HRG may vary for different promoters in
different cell types. Because HRG function is mediated by signaling
pathways, it is possible that different signal pathways can be
activated in different cell types in response to the HRG signal.
Therefore, the downstream transcription factor(s) activated by HRG-ß1
may vary in different cell types for different target genes.
HRG induction of gene up-regulation is generally weak in that all of
the previous reports and our current study showed only 23-fold
induction of promoter activities for every induced promoter examined in
stable transfectants or under transient transfection conditions.
Notably, the p38 MAPK pathway was only transiently activated by
HRG-ß1 for less than 30 min, whereas ERK1/2 and PI-3K/Akt activations
were prolonged. This transient activation of p38 MAPK may be one of the
reasons for weak induction of VEGF promoter activities. Because
previous reports did not identify the signal pathway(s) mediating
HRG-induced gene up-regulation, it is not clear whether the p38 MAPK
pathway may be a common pathway for gene up-regulation by HRG-ß1.
Although HRG-induced gene regulation is relatively weak, HRG-mediated
transcriptional up-regulation is essential for development and normal
cellular functions (27
, 37)
. In addition, HRG-ß1 was
shown to increase motility of MCF7 cells by 23-fold through
up-regulation of autocrine motility factor (40)
. In
particular, VEGF induction by HRG-ß1 reported here may contribute to
breast cancer angiogenesis, given that the VEGF expression level is
tightly controlled (1, 2, 3)
. In support of this notion, our
data from endothelial cell migration assays demonstrated that the
HRG-ß1-mediated increase of VEGF secretion leads to increased
migration ability of endothelial cells, which is an important indicator
of angiogenic response.
Our study shows for the first time that activation of the p38 MAPK
pathway by HRG-ß1 leads to transcriptional up-regulation of VEGF in
breast cancer cells via uHRE in the VEGF promoter. In addition, we have
demonstrated that VEGF antibody and p38 MAPK inhibitor SB203580 each
can inhibit endothelial cell migration induced by HRG-ß1-mediated
VEGF secretion. Furthermore, the combination of VEGF antibody and
SB203580 has an additive inhibitory effect to block endothelial cell
migration induced by HRG-ß1-mediated VEGF secretion. These promising
results reveal the potential of using VEGF antibody in combination with
chemical inhibitors of the p38 MAPK to inhibit HRG-ß1-mediated tumor
angiogenesis in breast cancers.
 |
ACKNOWLEDGMENTS
|
|---|
We thank Dr. Jun Yao, Dr. Ming Tan, Lan Li, and Ping Li for
helpful discussions and technical suggestions.
 |
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 by Grants P30-CA16672 (Cancer Center
Core Grant) and 2RO1-CA60448 (to D. Y.) from the NIH; DAMD17-98-2-8338
and DAMD17-99-1-9271 (both to D. Y.) from the United States Army
Research and Material Command; and The University of Texas M. D.
Anderson Breast Cancer Basic Research Program Fund (to D. Y.). 
2 To whom requests for reprints should be
addressed, at Department of Surgical Oncology, Box 107, The University
of Texas M. D. Anderson Cancer Center, 1515 Holcombe Blvd., Houston,
TX 77030. Phone: (713) 792-3636; Fax: (713) 794-4830. 
3 The abbreviations used are: VEGF, vascular
endothelial growth factor; HRG, heregulin; nt, nucleotide; AchR,
acetylcholine receptor; MAPK, mitogen-activated protein kinase;
DMEM/F12, 1:1 mixture of Dulbeccos modified essential medium and
Hams F12 nutrient mixture; CMV, cytomegalovirus; HRE, heregulin
response element; uHRE, upstream heregulin response element; WT,
wild-type; MUT, mutant; EGFld, epidermal growth factor-like domain; CM,
conditioned media; ERK, extracellular signal-regulated kinase; ActD,
actinomycin D; CMX, cycloheximide; MluE, murine lung endothelial;
PI-3K, phosphatidylinositol 3-kinase. 
Received 7/28/00.
Accepted 12/13/00.
 |
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