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[Cancer Research 61, 2154-2161, March 1, 2001]
© 2001 American Association for Cancer Research


Tumor Biology

HuR, a RNA Stability Factor, Is Expressed in Malignant Brain Tumors and Binds to Adenine- and Uridine-rich Elements within the 3' Untranslated Regions of Cytokine and Angiogenic Factor mRNAs1

L. Burt Nabors, G. Yancey Gillespie, Lualhati Harkins and Peter H. King2

Departments of Neurology [L. B. N., P. H. K.], Neurosurgery [G. Y. G.], and Physiology and Biophysics [P. H. K.], University of Alabama at Birmingham, Birmingham, Alabama 35233-7340, and Birmingham Veterans Affairs Medical Center [L. B. N., L. H., P. H. K.], Birmingham, Alabama


    ABSTRACT
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Tumors of the central nervous system (CNS) often have sustained expression of labile genes, including angiogenic growth factors and immunosuppressive cytokines, which promote tumor progression. Stabilization of the RNA transcripts for these genes, such as vascular endothelial growth factor (VEGF), is an important molecular pathway for this up-regulation. HuR, a member of the Elav family of RNA-binding proteins, has been implicated in this pathway through its binding to adenine and uridine (AU)-rich stability elements (ARE) located in the 3' untranslated regions (3'-UTRs) of the mRNA. Whereas three of the Elav family members (Hel-N1, HuC, and HuD) are restricted to young and mature neurons, HuR is more broadly expressed, including proliferating cells of the developing CNS. Because RNA stabilization of labile genes may promote tumor growth, we analyzed and compared the expression pattern of HuR in 35 freshly resected and cultured CNS tumors to determine whether there was any correlation with tumor grade or histological type. We found that HuR mRNA was consistently expressed in all of the tumors, regardless of cell origin or degree of malignancy. Using a novel HuR-specific polyclonal antibody, we found that strong HuR protein expression was limited to high-grade malignancies (glioblastoma multiforme and medulloblastoma). Within the glioblastoma multiforme, prominent HuR expression was also detected in perinecrotic areas in which angiogenic growth factors are up-regulated. To further define its role as a potential RNA stabilizer, we analyzed whether HuR could bind to the stability motifs within the 3'-UTRs of cytokines and growth factors linked to brain tumor progression. We used a novel ELISA-based RNA binding assay and focused on the 3'-UTRs of angiogenic factors VEGF, COX-2, and (interleukin) IL-8 as well as the immunomodulating factors IL-6, transforming growth factor (TGF) and tumor necrosis factor (TNF)-{alpha} as potential RNA ligands. Our results indicated overall a very high binding affinity to these RNA targets. A comparison of these ligands revealed a hierarchy of binding affinities with the angiogenic factors, and TGF-ß showing the highest (Kd of 1.8–3.4 nM), and TNF-{alpha} the lowest (Kd of 18.3 nM). The expression pattern of HuR, coupled with the RNA binding data, strongly suggests a role for this protein in the posttranscriptional regulation of these genes in CNS tumors.


    INTRODUCTION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Posttranscriptional regulation is emerging as an important control point for gene expression in tumors. Many growth factors and cytokines integral to tumor proliferation and angiogenesis have ARE3 within the 3'-UTR that govern transcript half-life (1 , 2) . Modulation of RNA stability can have a significant impact on mRNA abundance and subsequent protein expression (3) . In malignant gliomas, for example, stabilization of VEGF mRNA is a major pathway for its up-regulation in the hypoxic state (4 , 5) . Because of this adaptive mechanism, the tumor can then sustain growth by forming new blood vessels. In another example, stabilization of autocrine-produced TNF-{alpha} mRNA in epithelial cancer cells may contribute to the acquired resistance of these cells to the cytolytic effects of exogenous TNF-{alpha} (6) . Recently, HuR, a member of the Elav family of RNA-binding proteins, has been identified as a potential trans-acting factor in RNA stabilization. This observation stems from two lines of evidence. First, members of the Elav family have a strong binding affinity to AREs (7 , 8) . Second, the overexpression of HuR, in certain cell systems, has led to the stabilization of c-fos and VEGF transcripts that contain AREs in their 3'-UTR (9, 10, 11) . A recent study of cyclin A and B1 regulation linked HuR with the RNA stabilization of these genes and enhanced tumor proliferation (12) . The potential role of HuR as a stabilizer of growth-related mRNAs is consistent with its strong expression pattern in proliferating cells of the developing CNS (13) . As demonstrated in mutational studies in Drosophila, moreover, the Elav family is essential for the normal growth and development of the CNS (14 , 15) . Aberrant RNA stabilization of growth-related genes, however, may promote the uncontrolled growth of a CNS tumor. We were, therefore, interested in determining whether the expression pattern of HuR in primary brain tumors correlated with histological type or grade. To further delineate the potential role of HuR in posttranscriptional gene regulation in brain tumors, we then selected angiogenic and cytokine genes that are up-regulated in CNS tumors and determined whether HuR could bind to their 3'-UTRs.


    MATERIALS AND METHODS
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
Tissues and Cell Lines.
Paraffin-embedded surgical samples of human tissues were obtained from the University of Alabama Tissue Procurement Office. Cryopreserved fresh tissue samples were provided by the Division of Neurosurgery Tissue Bank, University of Alabama. These latter tissues were collected aseptically from surgically resected brain tumors that were determined to be unnecessary for diagnosis. Tissues were debrided of blood and necrotic material, subdivided into 100–200-mg portions and snap-frozen until used. All of the samples were encoded to prevent patient identification. Tumors were graded according to the criteria established by WHO. Low-grade astrocytomas, including pilocytic astrocytomas, are considered grades I and II, whereas GBM is grade IV. Normal brain tissue was obtained at autopsy. Glioma cell lines included D54 MG, U105 MG, U87 MG, U373 MG, D65 MG, and U251 MG (16, 17, 18) . Astrocytes cultured from human epilepsy patients and the small-cell lung cancer cell line, NCI-N417, were used as controls. Glioma cells were cultured in DMEM mixed 1:1 with Ham’s nutrient mixture F-12 (DMEM/F12) supplemented to 2 mM with L-glutamine.

Preparation of Recombinant Proteins.
The cDNA for HuR was subcloned into the pGEX-5X-1 vector (Amersham Pharmacia Biotech, Piscataway, NJ) in frame with the GST tag and verified by sequence and restriction analysis. The plasmid was transformed into the BL21 strain of Escherichia coli and induced as described previously (19) . The protein was purified using a glutathione-Sepharose column based on the manufacturer’s specifications (Amersham Pharmacia Biotech). The protein was dialyzed extensively in PBS and quantified by the DC protein assay (Bio-Rad, Hercules, CA) using BSA as a standard. The biosynthesis of recombinant proteins HuC, HuD, Hel-N1, and HuR using the histidine tag have been reported previously (19) .

RPA.
The HuR riboprobe template was obtained by subcloning a PstI/SacI digestion fragment of the HuR cDNA (U38175; nucleotide 159–416; Ref. 8 ) into Bluescript SK (Stratagene, La Jolla, CA). Hel-N1, HuC, and HuD templates were used as described previously (20) . The GAPDH gene was used as an internal standard for comparison purposes. Riboprobes were synthesized with [{alpha}-32P]UTP as described previously (20) . RNA hybridizations and RNase digestions were carried out as described previously (20 , 21) . To quantify RNA levels, test and control bands were evaluated by phosphorimaging (Molecular Dynamics, Sunneyvale, CA).

Preparation of Polyclonal Antibodies to HuR.
Rabbit polyclonal antibodies to HuR were prepared commercially (Genosys, The Woodlands, TX). Animals were immunized with a synthetic peptide to the HuR NH2 terminus containing the initial 15 amino acid residues (MSNGYEDHMAEDCRG). This region of HuR diverges significantly from the other human homologues of Elav (HuC, HuD, and Hel-N1; Ref. 22 ). Serum was affinity-purified on a HuR NH2 terminus peptide column, concentrated, and then stored in 50% glycerol.

Immunocytochemistry.
Tissue sections from tumor samples (obtained at the time of tumor biopsy or resection) were fixed in 10% buffered formalin, processed, and embedded in paraffin. Sections were cut at 8 µm and dried overnight in a 50°C oven. Sections were deparaffinized in xylene and dehydrated through a series of alcohols and hydrated in water. Sections were pretreated with pepsin (2.5 mg/ml; Biogenex Laboratories, San Ramon, CA) at 37°C for 4 min and were rinsed with distilled water. Sections underwent epitope recovery using a modified protocol for Antigen Retrieval Citra Buffer (Biogenex Laboratories, San Ramon, CA). Briefly, citra buffer was prewarmed to 80°C in microwave oven. Sections were incubated in prewarmed buffer immersed in a 48°C water bath for 150 min. Sections were rinsed and blocked with 3% hydrogen peroxide (Sigma, St. Louis, MO). Sections were rinsed with Tris buffer (pH 7.6) and blocked with FC receptor block (Innovex Bioscience, Richmond, CA) for 15 min at room temperature. Purified rabbit anti-HuR antibody was applied at 1:80 dilution and incubated in the refrigerator (at 2–8°C) overnight. Sections were incubated with horseradish peroxidase-enhancing wash buffer (Innovex Bioscience). Detection and amplification of signal was achieved using Non-biotin Amplification Kit (Zymed Laboratories, South San Francisco, CA). Signal was developed using liquid DAB (Innovex Bioscience), counterstained with hematoxylin I (Richard-Allan Scientific, Kalamazoo, MI), and rinsed with tap water. Sections were dehydrated through a series of alcohols into xylene and mounted with Secure Mount (Biosciences, Inc, Swedesboro, NJ).

ELISA-based RNA-binding Assay.
The 3'-UTR riboprobe templates of the following growth factors and cytokines (accession number; nucleotide sequence) were obtained by reverse transcription-PCR from the U251 malignant glioma cell line: VEGF (Y08736; 1282–1913), COX-2 (U04636; 6904–7483), IL-6 (M54894; 691-1102), IL-8 (M28130; 3389–4198), TGF-ß (M60315; 1697–2859), and TNF-{alpha} (M10988; 795-1565). PCR products were cloned into pCR2.1-TOPO (Invitrogen, Carlsbad, CA). All of the clones were verified by restriction mapping and sequence analysis. Biotinylated riboprobes were synthesized as described previously (23) . All of the probes were verified by visualization on an ethidium-stained polyacrylamide gel. Riboprobe concentrations were determined using Ribogreen RNA Quantitation reagent (Molecular Probes, Eugene, OR) in a fluorometer. The ELISA-based RNA binding assay has been described previously (23) . Briefly, 500 ng of recombinant GST-HuR fusion protein was plated in a volume of 50 µl into individual ELISA wells and allowed to adsorb overnight. On the following day, the plates were washed, and biotinylated riboprobes were added at various amounts (range, 0.1–3.0 pmol) to 50 µl of RNA-binding buffer (25 mM HEPES, 0.5 mM EGTA, 100 mM NaCl, 0.5 mM DTT, 4 mM MgCl2, 20 mM KCl, 0.05% NP40, 0.5 mg/ml yeast tRNA, 0.05 mg/ml poly(A) RNA, 0.4 mM VRC, and 5% glycerol) and placed in the ELISA well for 30 min at room temperature. After extensive plate washing, a streptavidin-alkaline phosphatase conjugate was added and allowed to incubate for 30 min at room temperature. The plates were then developed with a p-nitrophenyl phosphate (Sigma, St. Louis, MO) solution, and the absorbance was determined at 405 nm. These values (in arbitrary units) were plotted against RNA concentrations, and binding curves were estimated with DeltaGraph software (SSPS, Chicago, IL). At first approximation, the probes were in excess of the protein, and affinity constants were estimated from the curves.


    RESULTS AND DISCUSSION
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 
The HuR Gene, in Contrast to the Neuronal-associated Elav Homologues, Is Ubiquitously Expressed in Primary CNS Tumors.
Twenty-nine surgical samples of primary brain tumors and six cultured glioma cell lines were evaluated for expression of HuR using a RPA as described previously (20) . We analyzed a diversity of tumor types reflecting different cell lineages and degrees of invasiveness. Tumors were selected based on either being aggressively infiltrative into brain (GBM and medulloblastoma), low infiltrative capacity (pilocytic and low-grade astrocytoma) or generally confined extra-axial masses (meningioma). We also evaluated tumors capable of differentiating down glial (GBM, pilocytic astrocytoma, and ependymoma), neuroglial (medulloblastoma), or arachnoidal lineage (meningioma). As shown in Fig. 1Citation , we detected nearly universal expression of HuR in primary brain tumors and cultured tumor cells, regardless of cell origin or degree of invasiveness. The only sample in which HuR was absent also had a weak GAPDH signal (Fig. 1Citation , Gb, Lane 9). Densitometric analysis of the bands, compared with the internal control GAPDH, indicated that the highest HuR expression was observed in meningiomas, suggesting that elevated RNA levels did not correlate with higher-grade malignancies (Fig. 2)Citation . This observation, however, is based on the assumption that GAPDH is equally expressed among tumors. The other samples, including GBMs and medulloblastomas, had lower but similar HuR RNA levels. The ubiquitous expression pattern is consistent with previous observations for HuR in lung cancer (24) . Because the neuronal-associated homologues of the Elav family, including Hel-N1, HuC, and HuD, are restricted to neurons and neuroendocrine tumors (20 , 21 , 25 , 26) , we were interested in comparing the relative expression patterns of these homologues to that of HuR in brain tumors of different cell origins. We quantified the RNA level of each family member within a tumor sample and expressed the value as a percentage of total Elav RNA expression for that sample (Fig. 3)Citation . Because tissue samples were limited, we analyzed only those with sufficient RNA to test all four of the Elav members. Thus, the percentage values shown in Fig. 3BCitation indicate relative rather than absolute expression levels. Representative RPAs for each family member with different tumor samples are shown (Fig. 3A)Citation . Three protected bands were consistently observed with HuC and are most likely attributable to alternative splicing (22) . As shown in Fig. 3BCitation , cells of glial or arachnoidal lineage, including primary astrocytes, malignant glioma cell lines, and meningiomas, had nearly exclusive expression of HuR. One of the cell lines (D54 MG) and two meningioma samples expressed low levels of Hel-N1 but none of the other neuronal-associated homologues. The data, therefore, indicate that these glial and arachnoidal tumor types have the capability of expressing neuroendocrine markers. The GBM samples, on the other hand, had expression of all of the three neuronal-associated members, with HuR predominating. Because GBMs are highly invasive, some of the biopsy specimens may have contained normal cortex, thus accounting for detection of the neuronal-associated homologues. To help discern this possibility, we compared the relative Elav expression patterns between normal cortex (Fc and Oc) and the tumor samples. The expression patterns of the Elav members in Fc and Oc, with HuC showing the highest and HuR the lowest relative RNA levels, corresponded well with previous in situ hybridization studies in mouse brain (27) . The predominant expression of HuR in all of the GBMs is, therefore, reflective of tumor-specific expression and not normal brain tissue [compare HuR levels in GBM (Fig. 1Citation , Gb, Lanes 1–7) to Fc and Oc controls]. In four of the GBM samples (Lanes 3, 5, 6, and 7), all of the three neuronal-associated homologues were detected, with HuC and HuD levels being comparatively higher than that for Hel-N1. This suggested the possibility that these specimens contained variable numbers of neuroglial cells. In samples 2 and 4, however, neither Hel-N1 nor HuD was detected, indicating selective expression of some neuronal-associated markers with these GBM tumor specimens. The two pilocytic astrocytomas, considered lower-grade glial tumors, contained reduced HuR levels relative to the GBMs but higher levels than did cortex (Fig. 1Citation , PA, samples 1–2). The presence of all of the three neuronal-associated homologues in pilocytic astrocytoma, with a pattern similar to Fc and Oc, suggests that these specimens may also have included normal neuroglial elements. The predominance of HuD expression, coupled with low HuC expression, was also observed in two of the three ependymomas (Fig. 1Citation , EP, Lanes 2 and 3), indicating that this tumor type also has the capacity to express neuronal-associated markers.



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Fig. 1. Results of a RPA analyzing the expression of HuR in CNS tumors. Arrows, protected bands for HuR and GAPDH. Gb, GBM; Gc, glioma cell line; Ep, ependymoma; Md, medulloblastoma; Pa, pilocytic astrocytoma; Mn, meningioma; P, unprotected probes (HuR and GAPDH); C, control (NCI-N417). For the Gc samples: Lane 1, D54 MG; Lane 2, U105 MG; Lane 3, U87 MG; Lane 4, U373 MG; Lane 5, D65 MG; and Lane 6, U251 MG.

 


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Fig. 2. Analysis of HuR expression levels in various CNS tumors using densitometry. All of the values are expressed as a percentage of the internal GAPDH control. Gc, glioma cell line; Gb, GBM; Pa, pilocytic astrocytoma; Md, medulloblastoma; Mn, meningioma; Ep, ependymoma; Fc, frontal cortex; Oc, occipital cortex.

 


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Fig. 3. Comparison of RNA expression levels for all of the four Elav family members (Hel-N1, HuC, HuD, and HuR) in various CNS tumors and tissues. A, representative RPAs for each family member (and GAPDH control) as indicated. B, the relative RNA expression levels for each Elav family member in the tissue samples. Densitometric values for each member (and the GAPDH internal control) were determined by phosphorimaging and then summed to obtain a total Elav RNA expression value for the tissue sample. The relative Elav RNA expression for an individual family member represents the percentage of the total Elav RNA expression for that tissue sample. As, primary astrocyte in culture; Gc, glioma cell line; Mn, meningioma; Gb, GBM; Pa, pilocytic astrocytoma; Md, medulloblastoma; Ep, ependymoma; Fc, frontal cortex; Oc, occipital cortex.

 
In contrast to glial and arachnoidal tumors, the medulloblastoma tumor, which is capable of neuronal and/or glial differentiation, had predominant expression of the three neuronal-associated homologues (Fig. 3BCitation , MD, samples 1–5). The expression pattern of these homologues, however, substantially differed from normal cortical tissues. In sample 1, for example, Hel-N1 was the only neuronal homologue detected, similar to the glioma cell lines and meningiomas. On the basis of developmental studies in Xenopus and mouse, sole expression of this neuronal homologue reflects a very early stage of neuronal differentiation (27 , 28) . This expression pattern was also observed in the poorly neuroendocrine-differentiated variant of small-cell lung cancer (20) . In the other four medulloblastoma samples, HuD expression predominated (in contrast to HuC in normal cortex), suggesting more advanced neuronal maturation (13 , 20 , 27 , 28) . Higher levels of HuD have been correlated with favorable prognostic features in a study of neuroblastoma tumors (21) . Although the number of specimens investigated here were too few to establish definitive conclusions, the variable expression pattern of neuronal-associated Elav family members within medulloblastomas may be an important genetic footprint of tumor grade and prognosis.

In summary, all of the primary brain tumors expressed HuR RNA, with the highest levels detected in tumors of glial and arachnoid origin. HeL-N1, HuC, and HuD, on the other hand, were detected at the highest levels in medulloblastoma. The variable detection of these homologues in GBMs and ependymomas underscores the capacity of these tumors for expressing markers of neuronal differentiation.

HuR Is Expressed at the Protein Level in Highly Proliferative Brain Tumors.
The conserved RNA-binding domains within the Elav family have made it difficult to develop specific antibodies to individual members. The monoclonal antibody Mab16A11, e.g., immunoreacts with all of the three neuronal-associated homologues (29) . Polyclonal anti-Hu (or ANNA-1) serum from patients with paraneoplastic neurological disease, on the other hand, reacts with all of the four family members (19 , 24 , 27) . Thus, to analyze HuR protein expression in primary brain tumors, we developed an anti-HuR polyclonal rabbit antibody using a unique peptide sequence in the NH2 terminus of the protein. This portion of the Elav protein is the least conserved among the different family members (22) . We tested the monospecificity of this antibody by Western blot analysis using all of the four recombinant Elav proteins (Fig. 4)Citation . A reactive band was observed for HuR but not for the neuronal-associated members Hel-N1, HuC, or HuD (Fig. 4ACitation , upper panel). Preabsorption of the anti-HuR IgG with recombinant HuR abrogated this immunoreactivity (not shown). The blot was stripped and probed with biotinylated anti-Hu paraneoplastic IgG. Fig. 4ACitation , lower panel, demonstrates the typical immunoreactive pattern with all of the four family members (19) . We next tested the antibody by immunocytochemistry using U251 glioma cells in culture because this cell line robustly expressed HuR RNA (see Fig. 1BCitation : Gc, Lane 6). As shown in Fig. 4BCitation , left panel, there was intense staining, predominantly in the nucleus and to a lesser extent in the cytoplasm. This localization pattern has been observed with the neuronal-associated homologues, using either anti-Hu paraneoplastic serum or Mab16A11 (29, 30, 31) . Preabsorption of the antibody with recombinant HuR protein abolished the reactivity, underscoring the specificity of this immunostaining (Fig. 4BCitation , right panel). With this novel antibody, we then analyzed different primary brain tumors for HuR expression (summarized in Table 1Citation ). We chose immunocytochemistry rather than Western blot analysis to allow accurate localization of immunoreactivity within the tissue sample. The most striking finding was the intense staining of the high-grade tumors (GBMs and medulloblastomas) and the minimal reactivity in the low-grade tumors (pilocytic astrocytomas and meningiomas; Fig. 5Citation ). The predominant nuclear pattern of immunoreactivity in the GBMs and medulloblastomas was similar to that of U251 cells (Fig. 4B)Citation , and preabsorption of the antibody with recombinant HuR abrogated this reactivity as shown in Fig. 5Citation , the (-) panels. This pattern was consistently observed in all of the eight GBM tumors analyzed (see Table 1Citation ). Histologically, the GBM and medulloblastoma tumors demonstrated high cellular density with many mitotic figures. The association between HuR protein expression and cell proliferation was recently demonstrated in colorectal carcinoma cells in which reduced HuR expression levels (by transfection of antisense HuR) correlated with reduced tumor growth (12) . Reduced stabilization of cyclin A and B1 mRNAs was implicated in the altered growth phenotype. Another recent report of HuR expression in malignant lung tumors also indicated a correlation of HuR protein expression with degree of malignancy (32) .



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Fig. 4. Analysis of a novel, NH2 terminus-specific polyclonal anti-HuR antibody. A, Western blot of recombinant Elav proteins indicating that the anti-HuR IgG immunoreacts only with recombinant HuR and not with the neural-specific members, HeL-N1, HuC, or HuD (top panel). The same blot was stripped and probed with anti-Hu IgG showing immunoreactivity with all of the four family members (bottom panel). B, immuncytochemical analysis of U251 glioma cells in culture with the anti-HuR IgG indicating the immunoreactivity to be primarily nuclear in distribution [(+) panel]. The staining is abolished by preabsorbing the antibody with recombinant HuR [(-) panel].

 

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Table 1 Summary of anti-HuR immunostaining in primary brain tumors

 


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Fig. 5. Immunohistochemical anlaysis of primary brain tumors using the anti-HuR antibody. Prominent immunoreactivity [(+) panels] is seen in tumor cells of GBM (Gb) and medulloblastoma (Md). Insets, the predominant nuclear localization of HuR with lesser cytoplasmic staining. Reactivity within pilocytic astrocytoma (Pa) is seen only in cells that resemble reactive astrocytes rather than tumor cells. In meningioma (Mn), the staining is primarily limited to endothelial-like cells rather than tumor cells. The immunostaining is abolished by presabsorbing the serum with recombinant HuR [(-) panels]. Bar, 50 µm.

 
Extensive vascular proliferation and areas of necrosis typical for a GBM were also observed (Fig. 6)Citation . Interestingly, tumor cells adjacent to regions of necrosis showed intense staining. These regions, which are relatively hypoxic, have increased expression of angiogenic genes including VEGF, COX-2, and IL-8 (33, 34, 35) . The colocalization and up-regulation of HuR in these regions meshes with the previous observation in other tumor cells in which HuR participates in the hypoxia-induced stabilization and up-regulation of VEGF (9) . In contrast to the high-grade tumors, very little immunostaining was detected in low-grade astrocytoma and meningioma tumors. Those cells that were positive, moreover, were not the primary tumor and did not have a predominant nuclear pattern. In pilocytic astrocytoma, for example, the subset of cells that stained positive was morphologically different from the tumor cells. They demonstrated a plump cytoplasm where most of the immunostaining was localized. They resembled reactive astrocytes rather than neoplastic cells. In the meningioma tumor, the small subset of positively staining cells morphologically resembled endothelial cells rather than tumor cells. This pattern of low HuR immunoreactivity was observed in three of three low-grade astrocytomas and eight of nine meningiomas. The dissociation between HuR RNA and protein expression in low-grade brain tumors and normal brain has also been observed in normal, nonproliferating mouse tissues, suggesting that HuR is regulated at the translational level (27) . In summary, the correlation of HuR expression with highly proliferative CNS tumors meshes with other findings in other tumors and supports a role for HuR in the posttranscriptional regulation of gene expression in malignant brain tumors.



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Fig. 6. Immunohistochemical analysis of a GBM demonstrates intense HuR immunoreactivity in areas of tumor and endothelial proliferation (*) and adjacent to regions of tumor necrosis (N). Bar, 100 µm.

 
HuR Displays a Hierarchy of Binding Affinity for 3'-UTRs of Growth Factor and Cytokines Linked to Brain Tumor Progression and Angiogenesis.
In non-CNS tumor cells, HuR has been linked to the stabilization and up-regulation of VEGF and c-fos mRNAs through its interaction with AREs in the 3'-UTR (9, 10, 11) . Our observation that HuR is expressed in proliferating CNS tumors prompted us to determine whether HuR could bind to the 3'-UTRs of cytokine and growth factor mRNAs that have similar expression patterns. COX-2 and IL-8, for example, along with VEGF, are angiogenic genes with ARE-bearing 3'-UTRs that are up-regulated in perinecrotic regions within a GBM (33, 34, 35, 36) . To analyze this RNA binding, we used a novel, ELISA-based assay as described recently (23) . This assay permits rapid assessment and comparison of the relative binding affinity of HuR for different RNA ligands. The 3'-UTR probes are schematically diagrammed in Fig. 7ACitation and show the number and distribution of AREs (as defined by an AUUUA or AUUUUA motif). We used the VEGF regulatory sequence (VRS) within the VEGF 3'-UTR, which has previously been shown to bind HuR by gel-shift assay (9) . HuR had a high binding affinity to all of the three angiogenic factor 3'-UTRs (Fig. 7B)Citation . No binding was detected to the control transcript, pBSK, underscoring the specificity of this binding. The affinity to IL-8 (Kd of 1.8 nM) was slightly higher than for VEGF and COX-2 (Kd of 3.4 and 3.1 nM, respectively). As with VEGF, however, we analyzed only a segment of the entire 3'-UTR for COX-2, which is ~2.5 kb. The IL-8 3'-UTR was full length based on published sequence (37) . Both COX-2 and IL-8 have not previously been shown to bind HuR, although the 3'-UTR probes contained a similar number of AREs as that of VEGF (Fig. 7A)Citation . The colocalization of HuR with the angiogenic factor genes in GBM tumors, coupled with these high binding affinities, supports, but does not prove, a role for HuR in their posttranscriptional regulation. The relative hypoxia present in the perinecrotic tumor zones of the GBM raises the intriguing possibility that HuR may be involved in the hypoxia-induced stabilization of VEGF in GBM (as it is in other tumor cells; Refs. 4 , 5 , 9 , 35 , 38 ). Although posttranscriptional regulation of COX-2 is an important mechanism for its up-regulation in other tumors, the role for this pathway in COX-2 (and IL-8) expression in GBMs has not been elucidated (39, 40, 41) .



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Fig. 7. HuR binds with high affinity to the stability regions within the 3'-UTRs of cytokines and angiogenic growth factor mRNAs linked to glioma progression. A, a schematic drawing of the 3'-UTR probes analyzed using an ELISA-based RNA binding assay (23) . The number and relative distribution of AREs (as defined by an AUUUA or AUUUUA motif) within each probe is illustrated. B, the binding curves for angiogenic factor 3'-UTRs including VEGF, COX-2, and IL-8. A control riboprobe, pBSK, which has no AREs is shown as well. C, a representative binding curve for the immunomodulatory cytokines, TGF-ß, IL-6, and TNF-{alpha}. All of the binding experiments were repeated in triplicate.

 
Whereas the binding affinities for the angiogenic factor transcripts were high, those of the immunomodulating cytokines, TGF-ß, TNF-{alpha}, and IL-6, were more variable. These autocrine factors play an important role in the interplay between the immune system and the brain tumor, and may confer a growth advantage to the tumor (42 , 43) . TGF-ß, e.g., had one of the highest affinities for HuR (Kd of 2.3 nM) whereas TNF-{alpha} and IL-6 had the lowest (18.3 and 10.6, respectively). TGF-ß had an ~8-fold higher-binding affinity for HuR than did TNF-{alpha}. The TGF-ß 3'-UTR also had the fewest AREs (six in total) which were dispersed over the entire probe, whereas the TNF-{alpha} had eight clustered AREs (Fig. 7A)Citation . This discrepancy in binding affinities suggests that optimal RNA binding may be related to other cis elements within the UTR or its secondary structure, rather than to the absolute number of AREs. The original RNA-binding studies with Hel-N1, using an immunoprecipitation technique, indicated that this family may have binding preferences for other U-rich motifs (7) . The TGF-ß 3'-UTR had many of these additional motifs (not shown). Additionally, the Elav proteins have three RNA recognition motifs, each of which may bind to a different RNA ligand (44) . The maximal saturation levels for each of the curves (including the angiogenic factor mRNAs), however, were similar, indicating that the RNA ligands were likely binding to the same site, but with different affinities. Qualitatively, HuR and other members of the Elav family have been shown to bind a number of 3' UTRs using different assays (7 , 8 , 25 , 26 , 45, 46, 47, 48) . The ELISA-based RNA binding assay, although still in vitro, permits a rapid comparison of binding affinities with different RNA ligands (23) . The hierarchy of affinities observed here suggests that ARE-bearing 3'-UTRs are not alike with respect to HuR binding. Specificity of HuR binding, therefore, may partly be dictated by these affinity differences.

Our results indicate that: (a) HuR, unlike the neuronal-associated Elav homologues, is ubiquitously expressed in tumors of the CNS at the RNA level; (b) HuR protein is strongly expressed in highly proliferative tumors including GBMs and medulloblastomas in contrast to weak expression in low-grade brain tumors; (c) intense HuR immunoreactivity was observed in perinecrotic regions within the GBMs in which angiogenic growth factors are up-regulated; and (d) HuR can bind with high affinity to the 3'-UTRs of critical cytokine and growth factor mRNAs involved in CNS tumor proliferation and angiogenesis, suggesting a posttranscriptional regulatory role for this protein in malignant brain tumors.


    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 a Department of Veterans Affairs VISN 7 Career Development Award (to L. B. N.), by American Cancer Society RPG-97-111-01-CCE (to P. H. K.) and IR6-60-001-41 (to L. B. N.), by NIH CA71933 (to G. Y. G.), and grants from the Pediatric Brain Tumor Foundation of the United States and from JCR Biopharmaceutical, Inc. Generous support provided by the Judge Richard Holmes Brain Tumor Research Fund. Back

2 To whom requests for reprints should be addressed, at Department of Neurology, University of Alabama at Birmingham, 1235 Jefferson Tower, Birmingham, AL 35233-7340. Phone: (205) 975-8116; Fax: (205) 934-0928. Back

3 The abbreviations used are: AU, adenine and uridine; ARE, AU-rich element; CNS, central nervous system; UTR, untranslated region; GBM, glioblastoma multiforme; VEGF, vascular endothelial growth factor; TNF, tumor necrosis factor; GAPDH, glyceraldehyde-3 phosphate dehydrogenase; TGF, transforming growth factor; IL, interleukin; GST, glutathione S-transferase; RPA, RNase protection assay; Fc, frontal cortex; Oc, occipital cortex; Kd, dissociation constant. Back

Received 6/14/00. Accepted 1/ 4/01.


    REFERENCES
 Top
 ABSTRACT
 INTRODUCTION
 MATERIALS AND METHODS
 RESULTS AND DISCUSSION
 REFERENCES
 

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