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Tumor Biology |
Departments of Biochemistry [V. V. G., V. V. M., S. L. D., T. P. Q.], Physiology [O. V. G., V. H. H.], and Veterinary Biomedical Sciences [J. R. T., V. H. H.], University of Missouri, Columbia, Missouri 65211; Harry S. Truman Memorial Veterans Hospital [V. V. G., O. V. G., S. L. D.], Columbia, Missouri 65201; Sidney Kimmel Cancer Center and Metastat, Inc. [G. V. G.], San Diego, California 92121; and Departments of Internal Medicine and Urology [K. J. P.], University of Michigan, Ann Arbor, Michigan 48109
| ABSTRACT |
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| INTRODUCTION |
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Neoplastic cell heterotypic adhesion to the microvascular endothelium, resulting in tumor cell arrest in the vasculature of a target organ, is an essential early step in hematogenous cancer spread (5) . Recent observations, suggesting that only endothelium-attached malignant cells are capable of giving rise to hematogenous cancer metastases, strongly support this idea (8) . Moreover, a possible role for tumor-endothelial cell interactions in defining tissue specificity of breast and prostate cancer metastasis was recently revealed (9 , 10) .
Homotypic tumor cell adhesion (aggregation) leads to the formation of multicellular malignant cell aggregates. Because multicellular clumps could be trapped in small capillaries, the role for homotypic aggregation was postulated within the mechanical trapping theory of cancer metastasis (11) . Early pioneering works from the groups of Drs. Isaiah Fidler, Reuben Lotan, Garth Nicolson, and Avraham Raz (12, 13, 14) , as well as our previous results (6 , 15) , demonstrated that cancer cells with high metastatic potential exhibit a superior ability to form homotypic aggregates compared with their low metastatic counterparts. In several different types of cancer, the in vivo selection of tumor cells for high metastatic potential resulted in a selection of malignant cells exhibiting increased homotypic aggregation properties (6 , 12) . In addition, cancer cell lines selected in vitro for enhanced homotypic aggregation kinetics demonstrated significantly higher in vivo experimental metastatic potential than parental cells (14) . To date, metastatic cancer cell heterotypic and homotypic adhesion have been largely studied as two independent unrelated processes. Here, we demonstrate in in vitro, ex vivo, and in vivo experiments that these two processes appear to be linked together. Furthermore, it appears that in both breast and prostate cancer, heterotypic and homotypic adhesion mediated largely by similar molecular mechanisms, specifically by interactions between tumor-associated T3 glycoantigen (3) and galectin family proteins. The results presented in this article suggest that hematogenous cancer metastases could originate from multicellular aggregates formed at the sites of primary tumor cell attachment to the vascular wall. We identify interactions between T antigen and galectin-3 as one of the major pathways for mediating heterotypic and homotypic cancer cell adhesion and promoting metastatic cell clonogenic survival and growth.
| MATERIALS AND METHODS |
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Cell Lines and Cultures.
The MDA-MB-435 human breast carcinoma cell line was provided by Dr. Janet Price (M. D. Anderson Cancer Center, Houston, TX). The DU-145 human prostate carcinoma cells were from American Type Culture Collection (Manassas, VA). The RPMI 1640 supplemented with L-glutamine, 10% FBS, sodium pyruvate, and nonessential amino acids was used for tumor cell lines. Immediately before adhesion experiments, cancer cells were prelabeled for 5 min with 3 µg/ml solution of acridine orange in RPMI 1640, rinsed three times with serum-free RPMI 1640, dissociated from plastic using a nonenzymatic cell dissociation reagent (Sigma), and pipetted to produce a single cell suspension. To remove any remaining cell clumps, tumor cell suspension was filtered through a 20-µm nylon mesh and adjusted to contain 5 x 104 cell/ml. A fresh neoplastic cell suspension was prepared before every injection.
Human bone marrow endothelial cell line HBMEC-60 was provided by Dr. C. Ellen van der Schoot (University of Amsterdam, Amsterdam, the Netherlands). This cell line was developed by immortalization of HBMECs originally isolated from adult human bone marrow using the amphotrophic helper-free retrovirus pLXSN16 E6/E7 (16) . The HBMEC-60 cells were shown to maintain their normal phenotype and adhesive properties, specifically the ability to bind hematopoietic progenitor cells (16) . The basal Medium 200 (Cascade Biologics, Portland, OR) supplemented with 20% FBS and low-serum growth supplement containing hydrocortisone, human fibroblast growth factor, heparin, and human epidermal growth factor was used for HBMEC-60.
In Vitro Parallel Flow Chamber Assay.
The adhesion of MDA-MB-435 and DU-145 cells to HBMECs was studied in an in vitro parallel plate laminar flow chamber as follows. HBMEC-60 was grown until 100% confluent in 35-mm tissue culture dishes coated with poly-L-lysine (10 µg/ml) overnight at 4°C. The endothelial cells were exposed to increasing wall shear stress levels in an 100-µm thick parallel plate flow chamber (Glycotech, Rockville, MD) by perfusing warm media (RPMI containing 0.75 mM Ca2+ and Mg2+ and 0.2% HSA) through a precision syringe infusion/withdrawal pump KDS210 (KD Scientific, New Hope, PA). Next, a single cell suspension of MDA-MB-435 or DU-145 cells (5 x 104 cells/ml) was perfused for a 15-min period. Tumor cell interactions with HBMECs were observed using an inverted phase contrast microscope Diavert (Leitz Wetzlar, Wetzlar, Germany) and video recorded for subsequent offline frame-by-frame analysis.
Perfused Porcine Dura Mater Model.
The dura mater corresponding to one hemisphere was collected from 912 month-old mature male (for prostate cancer experiments) or female (for breast cancer experiments) Yucatan miniature swine within 1530 min after animals sacrifice and immediately placed on ice in a porcine Krebs solution (Krebs physiological salt supplemented with 1.0 mg/ml porcine albumin). The collected dura was dissected to allow for a flattening onto Sylgard-coated 100-mm dish and transferred onto the fluorescent video microscope stage. One of the branches of a Median Meningeal artery (typically 300400 µm inside diameter) was cannulated using a pipette manufactured from 1-mm outer diameter borosilicate glass capillary with a 90-µm opening at the tip.
Dura mater vasculature was perfused at 30 µl/min first with porcine Krebs solution for 20 min, then with 0.3 µg/ml acridine orange solution in RPMI 1640 supplemented with 10% FBS and 1.0 mg/ml porcine albumin for an additional 40 min to visualize the perfused vascular tree. Immediately before injection, the DU-145 or MDA-MB-435 cells, prelabeled for 5 min with 3 µg/ml acridine orange solution in RPMI 1640, were dissociated from plastic and pipetted to produce a single cell suspension.
A single tumor cell suspension (5 x 104 cells/ml) was injected into the system using a chromatography injector with all Teflon-vetted parts and a 250-µl loop. Tumor cell adhesive interactions with dura microvasculature were monitored using a video microscopy system, assembled on the basis of a fixed stage fluorescent microscope Laborlux 8 (Leitz Wetzlar), equipped with a 75-W illuminator and FITC and Rhodamine filter cubes. Video images were acquired with a high sensitivity solid-state CCD video camera (COHU, Inc., San Diego, CA) and recorded at 30 frames/second.
In Vivo MDA-MB-435 Breast Carcinoma Cell Adhesion to Mouse Lung Microvasculature.
Six-week-old CB-17/ICR-SCID female mice (Harlan Sprague Dawley) were injected in the tail vein with a single cell suspension of acridine orange-labeled human carcinoma cells (2 x 106). Three h after injection, the animals were euthanized, lungs removed, and examined under a fluorescent microscope Laborlux 8 (Leitz Wetzlar), equipped with a 75-W illuminator and FITC and Rhodamine filter cubes. Video images were acquired with a high sensitivity solid-state CCD video camera (COHU, Inc.) and recorded at 30 frames/second.
Homotypic Aggregation Assay.
The effect of various concentrations (01.0 mM) of the lactulosyl-L-leucine and lactitol-L-leucine on DU-145 prostate carcinoma cell spontaneous aggregation was assessed using a homotypic aggregation assay as previously described (6
, 13)
.
Clonogenic Survival and Clonogenic Growth.
The MDA-MB-435 and DU-145 cells, grown until 5060% confluent, were harvested using a nonenzymatic cell dissociation reagent as described above and plated at low density in quadruplicate (100 and 200 viable cells/well) in a 24-well culture plate without (control) or in the presence of compounds tested. Only cells with a viability of
95% were used. Seven days later, the cells were fixed with 1% formaldehyde in PBS, stained with hematoxylin, and colonies of >10 cells were scored.
Immunofluorescence and Laser Confocal Scanning Microscopy.
The analysis of a galectin-3 cellular distribution was performed exactly as described previously (10
, 17
, 18)
. The rat anti-galectin-3 and goat Texas Red-conjugated antirat antibodies were used to visualize galectin-3 by laser scanning confocal microscopy performed on a Bio-Rad MRC 600 confocal system. Z stacks were prepared with 0.5-µm increments and analyzed in orthogonal projections (Y-Z and X-Z sections) using the MetaMorph Imaging System software (Universal Imaging, Hallis, NH). On selected orthogonal plans, to illustrate a gradient of intracellular galectin-3 expression, different colors were assigned to the areas expressing different fluorescence intensities associated with anti-galectin-3 antibody binding (purple, blue, green, yellow, and red from lowest to highest) using a Pseudocolor function of the MetaMorph Imaging System software.
The immunofluorescent analysis of the galectin-3 cell surface expression on live, nonfixed, and nonpermeabilized endothelial or neoplastic cells after a 45-min incubation at 37°C without (control) or with 1 mg/ml (final concentration) bovine fetuin or ASF or 0.5 mg/ml (final concentration) HSA or T-HSA was performed exactly as described previously (10) . The computer-assisted morphometric analysis was performed using the MetaMorph Imaging System software.
| RESULTS |
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Both ex vivo (Fig. 1, E and F)
and in vivo (Fig. 1G)
homotypic cancer cell aggregates reside frequently in microvessels exceeding significantly the size of the aggregates. This suggests that heterotypic adhesion to the endothelium rather than mechanical trapping is responsible for their arrest in the microcirculation. However, in some instances, it is possible that aggregates may detach and become blood borne once again, in which case one can reasonably envision their additional entrapment in small capillaries. In addition, we cannot completely rule out a multicellular neoplastic cell aggregation resulting from homotypic interactions between two or more floating tumor cells, which could lead, presumably, to mechanical lodging of such aggregates in blood microvessels as well. However, we demonstrate here (Fig. 2)
that multiple circulating cancer cells, even while in a very close proximity to each other, can pass freely through a very narrow capillary network without forming multicellular clumps and being trapped (Fig. 2A)
. These same cells do form homotypic aggregates and become permanently lodged when halted by another single cancer cell stably adhered to the microvessel wall (Fig. 2, BE)
. Once again, in this example, stable heterotypic tumor-endothelial cell adhesion precedes homotypic aggregate formation and permanent neoplastic cell arrest in the microcirculation.
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50 µm downstream of the constricted site in a wide part of the microvessel far exceeding the malignant cell size (Fig. 3)
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We next investigated how these processes may be mediated at the molecular level. We previously have reported that heterotypic and homotypic cancer cell adhesion appear to be mediated at least, in part, by similar molecular mechanisms, specifically by interactions between cancer-associated carbohydrate T antigen and ß-galactoside-binding galectin family proteins (9
, 10
, 17
, 18)
. The immunodominant portion of the T antigen, a simple mucin-type core 1 disaccharide Galß13GalNAc, which is masked covalently or structurally on most normal cells, is exposed and immunoreactive on the outer cell surfaces of most human carcinomas and T-cell lymphomas (21
, 22)
. This carbohydrate structure plays an important role in breast and prostate cancer cell adhesion to the endothelium and homotypic aggregation (10
, 17
, 18
, 23, 24, 25, 26)
. Here, we demonstrate that lactulosyl-L-leucine (23
, 26)
, which mimic T antigen (10)
but not lactitol-L-leucine (10)
, is capable of disrupting almost entirely the DU-145 human prostate carcinoma cell homotypic aggregation (Fig. 4A)
. This result indicates that, similarly to breast cancer, prostatic malignant cell homotypic aggregation appears to be largely T antigen mediated.
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This idea is consistent with T antigen interacting with galectin-3. Indeed, lactulosyl-L-leucine, which blocks galectin-3 specifically by mimicking T antigen (10)
, is capable of inhibiting significantly both incidence and number of spontaneous MDA-MB-435 breast cancer metastasis in vivo (Ref. 26
and Fig. 4D
) in nude mice experiments alone without any cytotoxic drugs. The lactulosyl-L-leucine effects on cancer cell clonogenic survival and growth could be explained at least, in part, through an inhibition by this carbohydrate-amino acid conjugate of ß-galactoside-binding lectin galectin-3. Several different groups demonstrated previously the role for this intriguing multifunctional protein in prostate cancer cell adhesion to bone marrow endothelium (9
, 10
, 17)
, homotypic cell adhesion (27)
, protection from apoptosis (28
, 29) , and MDA-MB-435 breast carcinoma cell anchorage-independent clonogenic growth (30)
. Recently, we have identified galectin-3 as a binding partner for the T antigen (10
, 17)
. The lactulosyl-L-leucine interacts specifically with galectin-3 by mimicking T antigen (10)
, thus affecting the functions of this ß-galactoside-binding lectin in tumor-endothelial cell heterotypic adhesion, breast and prostate cancer cell homotypic aggregation, and metastatic cell clonogenic survival and growth. Of note, another carbohydrate-based compound also targeting specifically galectin-3, modified citrus pectin developed by the group of Dr. A. Raz, was recently shown to inhibit tumor-endothelial cell adhesion and MDA-MB-435 breast cancer metastasis in vivo as well (31)
.
Consistent with its multiple functions, galectin-3 exhibits multidirectional intracellular trafficking upon various cellular processes. Previously, we reported that during cancer cell adhesion to the endothelia, the endothelium-expressed galectin-3 is clustering toward the sites of heterotypic contacts between endothelial and breast or prostate carcinoma cells (Refs. 10
, 17
and Fig. 5, CE, J, and L
, red arrows). Recently, Yu et al. (32)
documented the galectin-3 translocation to the perinuclear membranes in response to various apoptotic stimuli. Here, we demonstrate that in homotypic tumor cell aggregates, galectin-3 is clustering also toward the sites of cancer cell adhesion to each other (Fig. 5B, C, F, H, and K
, yellow arrows). In addition and perhaps most intriguing, within minutes of breast and prostate tumor cell interactions with endothelial monolayer, a massive nuclear trafficking of this carbohydrate binding protein occurs in cancer cells (Fig. 5, CF, and IL
, white arrows).
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However, what factors cause galectin-3 nuclear translocation remains unknown. Interestingly, this process appears to be specific to neoplastic cell heterotypic adhesion. Galectin-3 nuclear trafficking does not occur when cancer cell interacts with each other (Fig. 5, B and H)
. Although, it is also not clear to which of the multiple functions of this intriguing carbohydrate-binding protein this phenomenon is related, it certainly reflects complex signaling pathways triggered by tumor-endothelial cell interactions, which could be critically important in determining the fate of metastatic cancer cells in circulation.
| DISCUSSION |
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In addition to promoting cancer cell adhesion (10 , 17 , 18 , 26) , galectin-3 was directly implicated in malignant cell protection from apoptosis and clonogenic growth (28, 29, 30) . Thus, the galectin-3 involvement in T antigen-mediated cell-to-cell interactions provides a rationale for explaining the role for this line of intercellular communication in metastatic cell clonogenic survival and growth. Indeed, in several experimental systems, the expression of galectin-3 in cancer cells was associated with increased malignant and metastatic phenotype (37 , 38) . However, this ß-galactoside-binding lectin is not always abundantly expressed in tumor cells. For example, some prostate carcinoma cells such as LNCaP fail to express detectable galectin-3 levels (39 , 40) . This suggests that other than galectin-3 proteins, perhaps other galectin family members could potentially be involved in neoplastic cell ß-galactoside-mediated homotypic interactions.
The signaling pathways triggered by a T antigen engagement most likely depend on which glycoprotein or glycolipid this carbohydrate structure is expressed. For example, the hyaluronan receptor CD44 was identified recently as a major T antigen carrier in colon carcinoma cells (41) . The role for CD44 in tumor metastasis, specifically in homing of several different types of cancer to bone marrow as well as in mediating numerous major signaling pathways regulating cell growth, motility, and invasion, is well documented (42, 43, 44) . The function of this glycoprotein is most studied in a context of its interactions with hyaluronan, a ubiquitous component of the extracellular matrix, which also occurs transiently intracellularly. However, it would be of paramount interest to investigate if CD44-associated signaling pathways in metastatic cells could be activated by galectins through interactions with T antigen. In addition, several other mucin family members implicated in tumor cell adhesion and metastasis such as MUC1, CD146/MUC18/MCAM, or GPI-linked surface mucin CD24 could also be potentially involved in T antigen-mediated adhesion and signaling by expressing this mucin-type disaccharide (45) .
In summary, our results suggest that hematogenous cancer metastases could originate from multicellular aggregates formed at the sites of primary tumor cell attachment to the vascular wall resulting at least, in part, from ß-galactoside, specifically T antigen-mediated heterotypic and homotypic metastatic cell adhesive interactions. In addition to promoting blood-borne neoplastic cell arrest and retention in a microvasculature of a target organ, these interactions support metastatic cell clonogenic survival and growth, suggesting the involvement of major signaling pathways related to a regulation of cell growth and apoptosis. Unraveling such pathways would greatly enhance our understanding of molecular and cellular mechanisms underpinning tumor metastasis and identify new targets for developing efficient interventive cancer therapies.
| FOOTNOTES |
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1 This work was supported, in part, by NIH Grants P20 CA86290-01 (to V. V. G.), 1R43CA72284 and 1RO1CA89827-01 (to G. V. G.), T32 HL07094 (to O. V. G.), R37 HL-42528-13 and PO1 HL52490-06 (to V. H. H.), RO1 HL-36088-16 (to J. R. T.), P50 CA69568 (to K. J. P.), and DOE ER 62027 (to T. P. Q.). ![]()
2 To whom requests for reprints should be addressed, at Department of Biochemistry, University of Missouri, 117 Schweitzer Hall, Columbia, MO 65211. Phone: (573) 814-6000, ext. 3691; Fax: (573) 814-6551; E-mail: glinskiivl{at}missouri.edu ![]()
3 The abbreviations used are: T, Thomsen-Friedenreich; HUVEC, human umbilical vein endothelial cells; HBMEC, human bone marrow endothelial cell; HLMVEC, human lung microvascular endothelial cell; FBS, fetal bovine serum; ASF, asialofetuin; T-HSA, T antigen-human serum albumin conjugate; lactulosyl-L-leucine, N-(1-deoxy-4-O-(ß-D-galactopyranos-1-yl)-D-fructofuranos-1-yl)-(S)-2-amino-4-methylpentanoic acid; CCD, charge coupled device. ![]()
Received 12/20/02. Accepted 4/23/03.
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