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Carcinogenesis |
Results in Impairment of Wound Healing and Enhancement of Tumor Formation in Mouse Skin Carcinogenesis1
Department of Animal Resource Sciences, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo 113-8657, Japan [K. C., T. Ha., T. Hi.]; Department of Cancer Cell Research, Institute of Medical Science, The University of Tokyo, Tokyo 108-8639, Japan [C. K.]; Mitsubishi Kagaku Institute of Life Sciences, Tokyo 194-8511, Japan [K. Nakam.]; RIKEN Center for Developmental Biology, Hyogo 650-0047, Japan [K. Nakao]; Department of Molecular and Cellular Biology, Kobe University Graduate School of Medicine, Hyogo 650-0017, Japan [A. A.]; National Institute of Basic Biology, Aichi 444-8585, Japan [M. K.]; and Gifu University, Gifu 501-1193, Japan [T. K.]
| ABSTRACT |
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to evaluate its significance in epithelial organization and tumor formation. The PKC
-deficient mice exhibited increased susceptibility to tumor formation in two-stage skin carcinogenesis by single application of 7,12-dimethylbenz(a)anthracene (DMBA) for tumor initiation and repeated applications of 12-O-tetradecanoylphorbol-13-acetate (TPA) for tumor promotion. The tumor formation was not enhanced by DMBA or TPA treatment alone, suggesting that PKC
suppresses tumor promotion. Epidermal hyperplasia induced by topical TPA treatment was prolonged in the mutant mice. The enhanced tumor formation may be closely associated with the prolonged hyperplasia induced by topical TPA treatment. In the mutant mice, after inflicting injury by punch biopsy, wound healing on the dorsal skin, particularly reepithelialization, was significantly delayed and impaired in structure. Impairment of epithelial regeneration in wound healing indicates a possibility that PKC
plays a role in maintenance of epithelial architecture. Homeostasis in epithelial tissues mediated by PKC
is important for tumor formation in vivo. We propose that PKC
is involved in tumor formation modulated by regulation of proliferation and remodeling of epithelial cells in vivo. | INTRODUCTION |
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, ßI, ßII, and
isoforms are activated by intracellular transducers Ca2+ and DG, the latter of which is produced by phospholipase C. The novel PKC
,
,
, and
isoforms are activated by DG in the absence of Ca2+. The atypical PKC
and
isoforms are not activated by Ca2+ or DG. The expression pattern of the isoforms depends on the tissue, cell type, and differentiation state. Potent mouse skin tumor promoters, such as phorbol diester TPA, strongly bind to and activate PKCs by substituting for DG, indicating that PKC isoforms may be causally involved in tumor formation.
Of these isoforms, PKC
was originally cloned from skin cDNA libraries (4
, 5)
and is expressed predominantly in epithelial tissues (6)
. In the skin, it is localized in the epidermal granular layer (6
, 7)
. Overexpression of PKC
induces differentiation of human keratinocytes (8)
. PKC
is activated specifically by CS that is produced in the granular layer of the epidermis (9)
. Furthermore, CS induces cell differentiation in mouse and human keratinocytes in culture (10
, 11)
, induces scaling in the mouse epidermis (12
, 13)
, and inhibits tumor promotion in mouse skin carcinogenesis (13)
. These observations imply that PKC
plays roles in epidermal differentiation and tumor formation. However, multiple isoforms of PKC are expressed simultaneously in epidermal keratinocytes, and a specific function of these isoforms in vivo remains unclear.
To clarify functions of a protein in vivo, one of the promising strategies is gene targeting in ES cells and subsequent generation of knockout mice (14)
. Some PKC knockout mice exhibited impairment of a variety of cell functions, especially in the central nervous system and immune systems (15, 16, 17, 18, 19, 20, 21)
. PKC
-null mice show deficits in spatial and contextual learning (15)
. Disruption of PKC
induces supersensitivity of
-aminobutyric acid receptors to ethanol and allosteric modulators (16)
. PKCß-null mice develop an immunodeficiency characterized by impaired humoral immune responses (17)
. PKC
-null mice show deficits in T-cell activation (18)
. Disruption of PKC
prevents B-cell tolerance and proliferation (19
, 20)
. PKC
-null mice show phenotypic alterations in secondary lymphoid organs (21)
. PKC
-null mice show enhanced insulin signaling through phosphatidylinositol 3'-kinase in muscles (22)
. However, no report is available on PKC
or on tumor formation in these knockout mice with PKC isoforms.
In the present study, to obtain further insight into the role of PKC
in tumorigenesis of epithelial cells, we generated mice that lack this enzyme and subjected them to tumor formation in two-stage skin carcinogenesis. Furthermore, we examined the wound healing process after skin injury to analyze maintenance of epithelial tissue architecture.
| MATERIALS AND METHODS |
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-deficient Mice.
gene (Prkch) is a unigene, containing 14 exons spanning 197 kb at 62 Mb distal from the centromere of chromosome 12 (Ensembl gene ID, ENSMUG21108), in which exon 9 encodes the ATP-binding site essential for enzymatic activity. Genomic DNA clones including exons 59 from nucleotide numbers 614-1279 of PKC
cDNA were isolated previously (23)
. The targeting vector was constructed using the following fragments (Fig. 1A)
. Experiments were carried out with strict adherence to guidelines for minimizing distress in experimental animals.
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RT-PCR.
RNAs containing poly(A) were isolated from the epidermis of newborn mice. Reverse transcription was performed using an oligo(dT) primer. The resulting cDNA was used as a template for PCR using 20 cycles. The following primer sets were used, and the sizes of each amplicon are also indicated: (a) PKC
, 5'-GTCCTACCCCAAATCCTTG-3' and 5'-TACTGCACTTTGCAAGATTGGGTGC-3' (GenBank accession number M25811, nucleotide numbers 19202271), 352 bp; (b) PKCßI/II, 5'-AAACATCTGGGATGGGGTGACAACCAAG-3' and 5'-CTTGCGTTCGAGTTTCTCCCAGTCAATATAC-3' (accession number X53532, nucleotide numbers 15191881), 363 bp; (c) PKC
, 5'-GCAACTGGAAATCCGGGCTCCTACGTCGG-3' and 5'-CCTCAAACTTCTGGAGGAGGCTGCAGTTGTC-3' (accession number L28035, nucleotide numbers 819-1246), 428 bp; (d) PKC
, 5'-AAGGACATCATGGAGAAGCTATTCGAGAGGG-3' and 5'-AATGTCCAGGAATTGCTCAAACTTGGG-3' (accession number X60304, nucleotide numbers 17332035), 303 bp; (e) PKC
, 5'-GACCTTGGTGTTACTCCAGACAAAATCACC-3' and 5'-CAAGCGTTTGGCCTGGCCTGGCCGGACTTCC-3' (accession number AF028009, nucleotide numbers 922-1219), 298 bp; (f) PKC
, 5'-GAAGTCGTCTACCCCACCTGGCTCCATGAAG-3' and 5'-GAGTTGCAATTCCGGTGACACATAGGAAAAG-3' (accession number D90402, nucleotide numbers 17672108), 342 bp encoded in exons 1214 of Prkch; (g) PKC
, 5'-GTGAGAGGAGACATCCGCCAGCATCCTTTGTTTCG-3' and 5'-GGAGCAAATGAGAGTCTCCATCCCTGGG-3' (accession number D11091, nucleotide numbers 19582209), 252 bp; (h) PKC
, 5'-CATCACGGACAACCCTGACATGAACAC-3' and 5'-CACGGACTCCTCAGCAGACAGCAGAAGTGGG-3' (accession number M94632, nucleotide numbers 13821408), 418 bp; and (i) PKC
, 5'-CACCAGGGAGAGTGGTAAAGCGTCGTCCAG-3' and 5'-GGTCAGGATTGTCAGAGCTCCCAACG-3' (accession number D28577, nucleotide numbers 720-1396), 677 bp.
Immunoblotting.
The epidermis was prepared from frozen back skin (26)
. Epidermal extracts were subjected to SDS-PAGE, and the separated proteins were electrically blotted onto a nitrocellulose membrane. PKC
was detected using a rabbit antibody that recognizes the NH2 terminus (27)
or the COOH terminus (Santa Cruz Biotechnology, Santa Cruz, CA) of PKC
.
Carcinogenesis Experiments.
Female 6-week-old mice were used. All animals were housed under a 12-h light/12-h dark cycle in a controlled atmosphere. The dorsal skin was shaved 1 week before DMBA treatment, and appropriate chemicals dissolved in 0.2 ml of acetone were applied to the shaved area. Eighteen mice from each group (Table 1)
were used for the two-stage carcinogenesis protocol described previously (13)
. DMBA (100 µg) was applied topically as an initiator 1 week before promotion. TPA (10 µg) was repeatedly applied once a week for 20 weeks.
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Wound Healing Analysis.
Mice were anesthetized, and their dorsal skins were shaved and cleansed with 70% ethanol. Two full-thickness excisions were obtained from the back of each mouse using a punch biopsy instrument with 2-mm inner diameter by a previously reported method (28)
, with a slight modification. The wounds were left open and monitored daily. Complete healing was determined based on the following criteria: full closure; colorless reepithelialization; and smooth surface of both healed wounds in the mouse.
| RESULTS |
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Targeting.
By immunoblotting, an 80-kDa band corresponding to the native PKC
was clearly detected in epidermal proteins from wild-type and Prkch+/- mice, but not from Prkch-/- mice (Fig. 1D)
. In these mutant mice, significant accumulation of flanking molecules of PKC
was not detected. In addition, expression levels of other PKC isoforms in the epidermis of Prkch-/- mice were determined by RT-PCR and found not to be significantly different from those of the wild-type mice (Fig. 1E)
.
Ninety-six percent of Prkch-/- mice with a mixed background of 129/SvJ and C57BL/6J were alive, developed, appeared healthy, and of comparable weight with wild-type littermates. However, 3.8% of the Prkch-/- mice showed fatal abnormalities, including a lower body weight at one-third that of normal mice and defective eyelid opening at around 2 weeks of age (data not shown). These phenotypes emerged unpredictably in each Prkch-/- mouse. Wild-type and Prkch+/- mice did not exhibit these phenotypes in breeding. These results may suggest that some genes associated with PKC
functions exist in genetic combinations of 129/SvJ and C57BL/6J.
When interbred, Prkch-/- mice produced normal-sized litters that suckled normally and were weaned without difficulty. No difference in apparent behavior in breeding, feeding, and social activity among the three genotypes was observed. The oldest Prkch-/- mice were more than 30 months of age and appeared indistinguishable from their wild-type littermates.
Tumor Formation.
To examine the potential effect of PKC
disruption on tumor formation, we performed two-stage skin carcinogenesis. In Prkch-/- mice, tumors appeared at 8 weeks of promotion and then increased continuously in number (Fig. 2)
. The incidence of tumor-bearing mice reached 78% and 4.3 tumors/mouse at 20 weeks of promotion (Table 1)
. In wild-type and Prkch+/- mice, tumors appeared around 10 weeks of promotion, and lower incidences (22% and 17%, respectively) and fewer tumors (0.39 and 0.28 tumor/mouse, respectively) were observed at 20 weeks. All tumors were papillomas. Evidently, Prkch-/- mice were significantly more susceptible to skin tumor formation than the wild-type and Prkch+/- mice (P < 0.02).
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functions as a negative regulator of the promotion stage.
Moreover, repeated treatments with DMBA (100 µg) at 4-week intervals induced tumor formation at 20 weeks at an incidence of 39% and 0.61 tumor/mouse in Prkch-/- mice, 44% and 0.67 tumor/mouse in Prkch+/- mice, and 39% and 1.1 tumor/mouse in wild-type mice. There were no significant differences (P > 0.3) among the three genotypes. These data suggest that PKC
is not involved in mutational events in the epidermis.
Epidermal Hyperplasia.
We examined epidermal hyperplasia to determine the potential effect of PKC
disruption on keratinocyte proliferation in vivo. A single topical application of TPA at 10 µg induced formation of 40-µm-thick hyperplastic epidermis on day 2 in all genotypes (Fig. 3)
. The epidermal thickness returned to the basal level of 15 µm within 7 days in wild-type mice. However, in Prkch-/- mice, hyperplasia lasted up to 10 days. On day 7, basal layer cells highly expressed PCNA. These data suggest that PKC
functions as a negative regulator of keratinocyte proliferation in the epidermis in vivo.
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disruption on the wound healing process were examined. In this study, we used congenic mice backcrossed with C57BL/6J for eight generations. In wild-type and Prkch+/- mice, contraction of the wound completed around day 5, reepithelialization proceeded, and complete healing with a smooth surface required around 11 and 9 days in the male and female groups, respectively (Table 2)
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regulates growth of keratinocytes in remodeling of epithelial tissues during the wound-healing process.
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| DISCUSSION |
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has little effect on the viability, development, and fertility of a mouse, although a fatal abnormal phenotype is observed very rarely. In the epidermis, although the expression levels of other PKC isoforms are not changed, a possibility of compensation of PKC
functions by other isoforms cannot be excluded. Because gene targeting results in loss of function, the apparent resulting normal phenotype in a knockout mouse may imply that a backup system may function for homeostasis in an animal. Existence of multiple PKC isoforms within a cell could be important in regulation of a lipid-dependent signal transduction (29)
. This hypothesis may be tested by generating multiple deletions. For example, to study the epidermis, it is now possible to generate mice that are doubly or more multiply deficient in PKC
,
,
,
, and
isoforms, which are expressed in squamous cells.
PKC has been suggested to play essential roles in tumor formation in mouse multiple-stage skin carcinogenesis, which is one of the most studied in vivo approaches in experimental cancer research (reviewed in Refs. 30
and 31
). The initiation is attributed to defined molecular events such as mutations of specific genes, e.g., c-H-ras (32
, 33)
, whereas the promotion stage is attributed to long-term modulation of intracellular signal processing through activation of PKC by tumor promoters and progression to malignant conversion of tumors (31
, 34)
. In transgenic mice with PKCßII and
isoforms, sensitivities to colon carcinogenesis and epidermal carcinoma formation, respectively, increase (35
, 36)
. However, transgenic mice with PKC
are resistant to tumor promotion (37)
. These findings, together with those for the PKC
knockout mice in this study, indicate that functions of PKC isoforms vary in tumor formation.
Previous reports suggest that PKC
is involved in differentiation of epithelial cells and that its activation is specifically mediated by CS in vitro and in vivo. Although repeated applications of CS to the skin stimulate terminal differentiation of the epidermis in vivo (12
, 13)
, we found that the PKC
-deficient mice respond to CS in the form of scaling induction (data not shown), indicating that not only PKC
but also other isoforms respond to the differentiation-associated lipid. In fact, CS activates PKC
as well as PKC
in a cell-free system (10)
. In the PKC
knockout mice, signal transduction on terminal differentiation may be mediated by PKC
.
The prolonged epidermal hyperplasia in the PKC
-deficient mice induced by TPA treatment may be closely associated with increased tumor formation. Overexpression of PKC
inhibits cell growth in culture due to blockage of cell cycle progression from G1 to S phase (38
, 39)
. Furthermore, PKC
phosphorylates p21, an inhibitor of cyclin-dependent protein kinase, and inhibits cyclin-dependent protein kinase 2, resulting in inhibition of cell cycle progression of keratinocytes in culture (40)
. However, in TPA-treated epidermis, lack of PKC
did not affect inductions of ornithine decarboxylase and c-Jun (data not shown), which are thought to be important in tumor promotion. In addition, there was no significant difference in phosphorylations of mitogen-activated protein kinases, extracellular signal-regulated kinase 1/2, and p38 (data not shown). PKC
might function as an inhibitor of cell cycle machinery in vivo, rather than as a signaling molecule in gene expression through the mitogen-activated protein kinase pathway.
Disruption of PKC
impaired epithelial regeneration during cutaneous wound repair. Wound healing is a complex process requiring the collaborative functions of many different tissues and cells, including those involved in inflammation and regeneration of defective cells, and finally resulting in remodeling (reviewed in Ref. 41
). One of the mechanisms underlying all of these process is the actions of various growth factors. Epidermal growth factor is known to stimulate migration and proliferation of keratinocytes, whereas transforming growth factor ß inhibits their growth. However, no significant differences in mRNA levels of epidermal growth factor and transforming growth factor ß1 in the skin were observed between wild-type and PKC
mutant mice (data not shown). Some recent works using knockout mice clearly showed importance of inflammation in wound healing (42, 43, 44)
. Additional studies are required to clarify whether PKC
is involved in the production of and/or response to inflammatory cytokines in epithelial regeneration.
Most human cancers originate from epithelial tissues. Studies using epithelial tissues of animal models are important in understanding human carcinogenesis. PKC
knockout mice can be useful tools for this purpose. Additional studies are necessary to elucidate molecular and cellular mechanisms by which PKC
, as well as other PKC isoforms, proliferation, differentiation, and carcinogenesis of epithelial cells are regulated.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by a Grant-in-Aid for Scientific Research on Priority Areas (C) from the Ministry of Education, Culture, Sports, Science and Technology of Japan and by a grant from Japan Health Sciences Foundation. ![]()
2 To whom requests for reprints should be addressed, at Department of Animal Resource Sciences, Graduate School of Agricultural and Life Sciences, The University of Tokyo, Tokyo 113-8657, Japan. Phone/Fax: 81-3-5841-8152; E-mail: acchida{at}mail.ecc.u-tokyo.ac.jp ![]()
3 The abbreviations used are: PKC, protein kinase C; DG, diacylglycerol; TPA, 12-O-tetradecanoylphorbol-13-acetate; CS, cholesterol sulfate; DMBA, 7,12-dimethylbenz(a)anthracene; RT-PCR, reverse transcription-PCR; PCNA, proliferating cell nuclear antigen; ES, embryonic stem. ![]()
Received 9/16/02. Accepted 3/12/03.
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