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Advances in Brief |
Department of Pathobiological Sciences, School of Veterinary Medicine, University of Wisconsin-Madison, Madison, Wisconsin 53706 [P. J. G., P. S. N., E. P. S.]; Department of Surgery, Medical College of Wisconsin, Milwaukee, Wisconsin 53226 [P. J. G., M. J. D.]; and Department of Pathology, Dartmouth Medical School, Hanover, New Hampshire 03755 [D. S. L.]
| ABSTRACT |
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| Introduction |
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1 in 10,000 people/year in the United States, and is the fifth leading cause of cancer death, with a 3% 5-year survival rate after diagnosis (1)
. Radiation and chemotherapy have proven ineffective as cures, and surgical resection of the tumor(s) and surrounding tissue provides a 5-year survival of only 20%. Poor survival after diagnosis can be attributed both to lack of early detection and the frequent metastasis of primary neoplasms into lymph nodes and organs surrounding the pancreas, including liver and stomach. To establish more effective treatment for pancreatic cancer, it is imperative to understand the molecular events leading to the onset and progression of this disease. Activating mutation of the Kras oncogene is the most frequent genetic alteration associated with pancreatic cancer, having been identified in up to 90% of all pancreatic adenocarcinomas (2
, 3)
. Ras is a farnesylated, membrane-bound, monomeric G-protein that is active when bound to GTP. Ras proteins are involved in a variety of cell signaling pathways that are linked to mitogenic signaling and cellular differentiation. Kras can be activated by a point mutation at codons 12, 13, or 61 (2
, 3)
. These mutations essentially "lock" ras into its active state (bound to GTP), causing constitutive activation of downstream signaling cascades. In human pancreatic adenocarcinoma, an amino acid substitution of either val or asp in place of gly of Kras codon 12 (KrasV12G or KrasD12G) are identified most commonly. To explore the mechanistic relationship between expression of mutant Kras and exocrine pancreatic cancer, we generated transgenic mice carrying an Ela5
-KrasD12G transgene, which targets the Kras codon 12 aspartate mutant to pancreatic acinar cells. Most human pancreatic neoplasms have a ductal morphology (3)
, but transgene targeting strategies have not been developed that are specific for pancreatic ductal epithelium (4)
. However, several reports using both in vitro and in vivo experimental approaches suggest that injured or transformed acinar cells may assume a ductal phenotype (4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
. This information encouraged us to target mutant Kras using the well-characterized acinar cell-specific Ela enhancer/promoter. | Materials and Methods |
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190 bp) were considered positive for the transgene. Mice carrying a CK19-hPAP transgene [CK19-hPAP; TgN(Ck19ALPP)6Eps] were described previously (4)
. This transgene targets hPAP to CK19-expressing cells, including pancreatic ductal epithelial but not acinar cells. Treatment with 0.17 mg/ml BCIP (Sigma, St. Louis, MO) substrate overnight at 37°C yields a blue reaction product over the hPAP-expressing cells. Bitransgenic mice were generated by crossing two separate lines of mice. All of the mice were housed in Association for Assessment and Accreditation of Laboratory Animal Care-accredited facilities and used in accordance with the NIH Guide for the Care and Use of Laboratory Animals. The Ela-KrasG12D transgenic lineage 13665 has been assigned the following genetic designation: TgN(Ela1KRASG12D)9EPS.
Microscopic Analysis and Immunohistochemistry.
Mice were administered 200 mg/kg body weight BrdUrd (Sigma) via i.p. injection, then euthanized 12 h later and examined for gross abnormalities. Tissues were fixed in Carnoys fixative, paraffin-embedded, sectioned, mounted on a slide, and stained with H&E or AB/PAS for microscopic examination. Unstained sections were used for labeling with antibodies or for hPAP staining. Immunohistochemistry followed standard procedures (4)
, with overnight exposure at room temperature to primary antibody diluted in 0.5% nonfat milk. The mouse monoclonal anti-Kras (Santa Cruz Biotech, Santa Cruz, CA) was diluted 1:20. The rat monoclonal anti-BrdUrd (Accurate Scientific, Westbury, NY) was diluted 1:40. The rat monoclonal anti-CK19 (TROMA 3; a gift of Dr. Rolf Kemler, Max Planck Institute, Freiburg, Germany) was diluted 1:100. Irrelevant primary antibodies of the same species were used as controls. Sections next were incubated sequentially with species-specific link antibody (BioGenex, San Ramon, CA), peroxidase enzyme label (BioGenex), and diaminobenzidine (Sigma), then stained with hematoxylin (Polysciences, Inc., Warrington, PA) or nuclear fast red (PolyScientific, Bay Shore, NY), dehydrated, and mounted under a glass coverslip.
RT-PCR/RFLP Analysis and Sequencing of PCR Product.
Fresh or frozen tissue was homogenized in TRIzol (Invitrogen, Carlsbad, CA) at about 0.1 g/ml. RNA was isolated and cDNA prepared according to the manufacturers instructions. cDNA from each sample was amplified via PCR using two specific primers: 5'-CATTGCACTGTACTCCTCTTGACCTG-3' and 5'-ACTGAATATAAACTTGTGGTAGTTGGACCT-3'. The 5' primer included a single nucleotide substitution that introduced a BstNI restriction endonuclease site and contained sequences that included codon 12. The 3' primer was designed to complement sequences in the second exon to distinguish amplified genomic DNA and cDNA. The PCR conditions were as follows: 95°C for 5 min, 3545 cycles of 95°C for 30 s, 54°C for 1 min, and 72°C for 45 s, and a 5 min cycle at 72°C. PCR product was incubated with BstNI restriction enzyme. Fragments were analyzed on 6% polyacrylamide gels stained with ethidium bromide. For some samples, product was sequenced using an ABI 310 sequencer. Primers for ß-actin (5'-GGCATCGTGATGGACTCCG-3' and 5'-GCTGGAAGGTGGACAGCGA-3') were used to evaluate the relative quantity of RNA from most samples.
LCM RT-PCR/RFLP Analysis.
Pancreatic tissues from Ela-Kras mice were fixed, cut into 510 µm sections, and mounted on plain glass slides. The slides were stained with H&E and dehydrated in graded alcohols and xylene. LCM was performed on the stained sections using a PixCell II laser capture microscope (Arcturus Engineering Inc., Mountain View, CA). RNA was isolated by incubating the tissue section in 10 µl guanidine isothiocyanate buffer [5.25 M guanidinium isothiocyanate, 50 mM Tris-Cl (pH 6.4), 20 mM EDTA, 1% Triton X-100, and 0.1 M ß-mercaptoethanol] on the cap, fitting a microfuge tube over the cap, and incubating at 42°C for 3060 min. RNA was extracted with chloroform and precipitated twice. cDNA was prepared and amplified via PCR as described above.
| Results and Discussion |
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A striking finding in older transgenic mice was the consistent development of acinar-to-ductal metaplasia. A few acinar lesions in mice 618 months of age displayed morphological changes suggesting acquisition of a ductular phenotype. These transitional structures were composed of heterogeneous cells that ranged from acinar-like (with basal nucleus and zymogen granules) to duct-like (smaller, with a central nucleus; Fig. 1F
), and that occasionally displayed dark purple staining in apical cytoplasm when treated with AB/PAS (Fig. 1F)
. Acinar to ductal metaplasia also was suggested by analysis of hsEla-KrasG12D/CK19-hPAP bitransgenic mice. CK19-hPAP is expressed in simple epithelium, including pancreatic ductal epithelium, but not in acinar cells (Fig. 1G
; Ref. 4
). Pancreases from bitransgenic mice displayed multifocal areas of abnormal hPAP staining relative to mice carrying only the CK19-hPAP (Fig. 1H)
. Hyperplastic acini and tubular complexes, together with some adjacent normal-appearing acini, exhibited variably intense hPAP staining. This finding indicated activation of CK19 expression in these cells despite their apparent acinar cell origin and morphology. Epithelial structures with distinct lumens and reduced acinar cell differentiation displayed the highest level of staining (Fig. 1, I and J)
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BrdUrd labeling index (representing the fraction of cells undergoing DNA synthesis) was increased slightly in morphologically normal acinar cells of Ela-KrasG12D transgenic mice compared to nontransgenic control mice (Table 1)
. Labeling index was increased even more in both hyperplastic acini and tubular complexes.
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To evaluate transgene expression, we identified Kras protein using immunohistochemistry, and mRNA using RT-PCR and subsequent DNA sequencing. The antibody was not specific for mutant Kras, and acinar cells in nontransgenic mice displayed faint cytoplasmic immunoreactivity (Fig. 1N)
. In transgenic mice, most acinar cells displayed strong immunoreactivity, indicating an increase in Kras protein, although cells in the same lobules displayed staining similar to that in nontransgenic mouse pancreas (Fig. 1O)
. Cells present in acinar lesions also displayed strong anti-Kras immunoreactivity. The presence of transgene product was confirmed by RT-PCR/RFLP analysis, which demonstrated both wild-type (endogenous) and mutant Kras transcripts in transgenic mouse pancreas (Fig. 2
, left). When sequenced, transcripts displayed the expected G to A transition in codon 12 (data not shown). We also examined transgene expression in the preinvasive ductal lesions. Most ductal lesions contained immunohistochemically detectable Kras (Fig. 1P)
, although only a subset of cells in each lesion was Kras positive (580% positive; mean 40%). RT-PCR/RFLP analysis performed on ductal lesion epithelium collected via LCM demonstrated the presence of transgene Kras transcript (Fig. 2
, right), indicating that transgene expression is not extinguished during lesion development. This finding, in turn, indicates that failure of lesions to progress to an invasive stage was not the result of loss of transgene expression.
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in acinar cells, tubular complexes developed that contained cells expressing ductal markers (13, 14, 15, 16)
. Ela-c-myc transgenic mice developed both acinar cell carcinomas and mixed acinar/ductal carcinomas, most likely as a result of metaplasia (17)
. These mixed neoplasms contained CK19 and AB/PAS-positive cells embedded within a dense stroma. However, unlike ductal lesions in hsEla-KrasG12D transgenic mice, Ela-c-myc neoplasms always contained a morphologically identifiable neoplastic acinar cell component (17)
. Our data indicate that targeting of KrasG12D to acinar cells also can initiate this metaplastic transition. These studies do not rule out the possibility that a nonacinar cell, such as an islet cell or multipotent stem cell present in adult pancreas, can serve as a progenitor for some ductal lesions. However, the finding of tubular complexes lined by both acinar and ductal cells suggests that acinar- or centroacinar-to-ductal metaplasia accounts for at least some of the ductal lesions observed. Unfortunately, it has not been possible to target transgenes specifically to pancreatic ductal epithelium. Thus, there remains an important need to express mutant Kras in pancreatic ductal epithelium to compare both the morphology and progression of resulting lesions with those described above. We have established a mouse model of mutant Kras-induced preinvasive pancreatic neoplasia with lesions composed entirely of cells with ductal phenotype. This model reproduces both the most commonly identified genetic alteration and the most frequent cellular histotype diagnosed in the human disease. In this model, KrasG12D is not sufficient to induce progression to the invasive stage of carcinoma; lesions appear to be arrested at the preinvasive stage despite confirmed Kras expression in at least some lesion epithelial cells. Consistent with this finding, Kras mutation has been proposed to be an early step in the development of human pancreatic adenocarcinoma (3 , 20) . Arrest at an early stage of tumor progression is a strength of the Ela-KrasG12D model; these mice will allow us to alter selectively the status of other genes implicated in the human disease and systematically define their ability to complement mutant Kras during pancreatic carcinogenesis in an intact animal.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by NIH Grants (RO1-CA76361) and American Cancer Society (DB-76; to E. P. S.), and funds from the Gieger Foundation (to P. J. G. and M. J. D). ![]()
2 Present address: Department of Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL 60611. ![]()
3 Present address: Department of Surgery, University of Arizona Health Sciences Center, Tucson, AZ 85724. ![]()
4 To whom requests for reprints should be addressed, at School of Veterinary Medicine, University of Wisconsin-Madison, 2015 Linden Drive, Madison, WI 53706. Phone: (608) 263-8870; Fax: (608) 265-8435; E-mail: sandgren{at}svm.vetmed.wisc.edu ![]()
5 The abbreviations used are: Ela, elastase; AB/PAS, alcian blue/periodic acid Schiffs; BrdUrd, bromodeoxyuridine; CK19, cytokeratin 19; hPAP, human placental alkaline phosphatase; BCIP, 5-bromo-4-chloro-3-indolyl phosphate; RT-PCR, reverse transcription-PCR; LCM, laser capture microdissection; NFR, nuclear fast red; CIS, carcinoma in situ. ![]()
Received 12/20/02. Accepted 3/18/03.
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