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Advances in Brief |
1 Department of Pathology, Brigham and Womens Hospital, 2 Harvard Medical School, and 3 Childrens Hospital Informatics Program, Childrens Hospital Boston, Boston, Massachusetts; 4 Bioinformatics, SRA Division, ITC-irst, and 5 IRST Istituto per la Ricerca Scientifica e Tecnologica, Povo (Trento), Italy; and Departments of 6 Pathology and 7 Urology, University of Michigan School of Medicine, Ann Arbor, Michigan
| ABSTRACT |
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| Introduction |
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| Materials and Methods |
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Immunoblot Analyses.
Washed cells were homogenized in lysis buffer containing 50 mmol/L Tris-HCl (pH 7.4), 1% NP40 (Sigma), and complete proteinase inhibitor mixture (Roche, Nutley, NJ). Protein concentrations were determined with the Bradford assay (Bio-Rad, Hercules, CA). Protein extracts were mixed with SDS sample buffer and electrophoresed in 10% SDS-polyacrylamide gels under reducing conditions. The separated proteins were transferred onto nitrocellulose membranes (Amersham Pharmacia Biotech, Piscataway, NJ), which were incubated for 1 hour in blocking buffer (TBS with 0.1% Tween and 5% nonfat dry milk). The blots were incubated in blocking buffer with either affinity-purified JAGGED1 goat polyclonal antibody (AF1277, R&D Systems, Minneapolis, MN) at a 1 µg/ml concentration in blocking buffer overnight at 4°C or rabbit anti-JAGGED1 (H-114, Santa Cruz Biotechnology, Santa Cruz, CA) at 1:200 for 1 hour. After washing three times with TBS with 0.1% Tween buffer, the membrane was incubated with horseradish peroxidase-linked rabbit antigoat IgG antibody (Zymed, South San Francisco, CA) or goat antirabbit antibody (DAKO USA, Carpinteria, CA) at a 1:5,000 dilution for 1 hour at 25°C. The signals were visualized with the enhanced chemiluminescence detection system (Amersham Pharmacia Biotech) and autoradiography. Some blots were restained with rabbit antiprostate-specific antigen antibody (DAKO USA) for 2 hours or with rabbit anti-ßtubulin antibody (1:1,000 dilution; Santa Cruz Biotechnology).
Patient Population, Tissue Collection, and Tissue Microarray Construction.
Samples from 236 patients with benign, high-grade prostatic intraepithelial neoplasia and localized and metastatic prostate cancer were obtained from the rapid autopsy program and the radical prostatectomy series, respectively, of the University of Michigan Prostate Cancer SPORE Tissue Bank and assembled on tissue microarrays as described previously (6
, 7)
. A subset of 95 men with clinically localized prostate cancer was evaluated for associations between JAGGED1 expression levels and tumor recurrence (as judged by a rise in prostate-specific antigen level). A total of 1,247 tissue microarray cores were evaluated.
Immunohistochemical Analysis.
Immunohistochemistry was done on 5-µm sections prepared from paraffin-embedded tissue microarrays. Slides were successively soaked in xylene; passed through graded alcohols; washed in distilled water; pretreated with 10 mmol/L citrate (pH 6.0; Zymed) in a steam pressure cooker (Decloaking Chamber, BioCare Medical, Walnut Creek, CA); and washed again in distilled water. All additional steps were done at 25°C in a hydrated chamber. Slides were pretreated with Peroxidase Block (DAKO USA) for 5 minutes, blocked with 20% goat serum for 20 minutes, and treated with rabbit anti-JAGGED1 antibody (H-114, Santa Cruz Biotechnology) at 1:50 in DAKO diluent for 1 hour. After washing in 50 mmol/L Tris-Cl (pH 7.4), antirabbit horseradish peroxidase-conjugated antibody (Envision detection kit, DAKO) was applied for 30 minutes. After additional washing, immunoperoxidase staining was developed with a DAB chromogen kit (DAKO). Slides were counterstained with hematoxylin.
Semiautomated Quantitative Image Analysis of JAGGED1.
Evaluation of JAGGED1 immunohistochemical staining was done with the Chromavision (Chromavision Medical Systems, Inc., San Juan Capistrano, CA) Automated Cellular Imaging System (ACIS II), an upgraded version of the previously described ACIS System (8)
. The system combines automated microscopy with computerized image analysis to generate a continuous immunohistochemical staining score between 0 to 255 intensity units. Each tissue microarray core was reviewed to ensure that intensity measurements were taken from diagnostic regions (benign, high-grade prostatic intraepithelial neoplasia, or cancer) and that staining scores obtained from nonrepresentative regions were excluded. Images of all tissue microarray cores used in this analysis, including those stained for JAGGED1, can be viewed at a supplementary web site.
Statistical Analysis.
Patient information, including pretreatment prostate-specific antigen values, clinical and tumor stage, radical prostatectomy Gleason score, and surgical margin status, was prospectively collected and stored. After radical prostatectomy, patients were assessed annually for prostate-specific antigen recurrence-free survival with a cut point of >0.2 ng/ml to define biochemical evidence of micrometastatic recurrence or progression. Bivariate (univariate) analysis was done to examine the association of clinical and pathological parameters with JAGGED1 staining and recurrence-free survival. Cox proportional hazards regression models were used to analyze the relationship between recurrence-free survival and preoperative variables. A backward selection procedure was implemented to select the most parsimonious model. A 0.05 significance level was used for all decisions of significance. Analyses were run with SPSS 11.0.1 (SPSS, Inc., Chicago, IL). Kaplan-Meier analysis was used to establish prostate-specific antigen recurrence-free survival curves.
| Results and Discussion |
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Representative examples of staining for JAGGED1 in benign prostatic tissue, localized cancer, and metastatic tumor are shown in Fig. 2A
. Mean JAGGED1 staining intensity was increased significantly in clinically localized prostate cancer (score = 94.2; SE = 1.8) versus benign prostate tissue (score = 79.6; SE = 2.8; P < 0.001) and again in metastatic tumor (score = 127.5; SE = 4.6) as compared with either clinically localized prostate cancer (P <0.001) or benign prostate tissue (P < 0.000). There was no significant difference between the mean JAGGED1 staining between hormone naïve (score = 126.2; SE = 3.8) and hormone refractory metastatic prostate cancer (score = 129.1; SE = 9.7; P = 0.79). The data for mean intensity measurements is summarized with error bars with 95% confidence intervals in Fig. 2B
. The findings were unchanged when minimum or maximum staining intensities were evaluated. The tissue microarray (HTMA3) images are available on a supplementary web site.8
These data demonstrate an association between increased JAGGED1 expression and progression from localized to metastatic disease.
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JAGGED1 Expression in Other Cancers.
On the basis of these observations, we assessed JAGGED1 expression in other tumors with ONCOMINE II, a bioinformatics platform that provides a compendium of microarray data (9)
. We interrogated 90 cancer microarray data sets spanning 6,372 experiments for evidence of differential expression of JAGGED1 in benign and malignant tissues. In Supplemental Fig. 1
, differential expression of JAGGED1 mRNA is seen between benign prostatic tissue and localized prostate cancer (study 1) and primary prostate cancer and metastatic prostate cancer (study 3; refs. 6
, 10
). Significant differential expression of JAGGED1 was also noted in squamous cell lung carcinoma (study 5, P = 0.43 x 104) and carcinoid tumors (study 6, P = 9.9 x 107; ref. 11
). There was a trend toward differential JAGGED1 expression in fibroadenomas, pilocytic astrocytoma, and atypical teratoid/rhabdoid tumors, but it did not reach significance. Nevertheless, these microarray studies suggest a role of JAGGED1 in several human tumor types.
Our observations are significant in two ways. First, the correlation between high levels of JAGGED1 and an increased risk of prostate cancer recurrence after radical prostatectomy, independent of other pathological or clinical parameters, support the potential use of JAGGED1 as a prognostic marker in prostate cancer, a possibility that needs to be validated in a larger clinical cohort. Secondly, this study adds to other recent diverse data supporting a role for JAGGED1-NOTCH signaling in prostatic development and malignant transformation. NOTCH1 mRNA is highly expressed in human prostate cancer cell lines (12) and is markedly increased in metastatic disease in a SV40 large T antigen mouse model of prostate cancer (13) . Levels of JAGGED1 transcript are also increased in metastatic human tumors (6 , 14) and are modulated by androgen in the ventral prostate of orchiectomized rats (15) and in LNCaP cells (16) . Of additional interest, JAGGED1 and NOTCH2 extracellular domains accumulate in conditioned LNCaP media after androgen stimulation (3) . Shedding of these domains may occur during receptor activation, raising the interesting possibility that soluble JAGGED1 might be a useful biomarker in patients with prostate cancer. Consistent with this idea, JAGGED1, along with prostate-specific antigen, is among the top 15 most abundant proteins present in LNCaP-conditioned media (3) .
An evaluation of JAGGED1 gene expression using the ONCOMINE, a compendium of micorarray data, suggests that JAGGED1 expression is also high in a number of other cancers. Independent studies have shown high levels of JAGGED1 expression in cervical carcinoma (17) and in mesotheliomas versus primary mesothelial cultures (18) , suggesting potential diagnostic and prognostic utility in a broad range of tumors. JAGGED1/NOTCH1 signaling in some contexts promotes epithelial-mesenchymal transitions (5) , an activity which could explain the strong correlation between prostate cancer progression and JAGGED1 expression, which we report here. It will be of interest to investigate whether increased levels of JAGGED1 correlate with NOTCH receptor activation in prostate cancer and other tumor types and to determine whether such tumors are sensitive to inhibitors of NOTCH signaling. Conversely, other studies have suggested the existence of a "reverse" JAGGED1 signaling pathway that activates the transcription factor AP-1 (19) and contributes to transformation of RKE cells in culture (20) . Our findings lay the groundwork for exploration of the importance of canonical JAGGED1/NOTCH signaling and possible NOTCH-independent JAGGED1 signaling in prostate cancer.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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Note: M. Rubin and J. Aster share senior authorship. Supplementary data for this article may be found online at http://rubinlab.tch.harvard.edu/supplemental_data/JAGGED1/index.jsp and www.ONCOMINE.org.
Requests for reprints: Mark A. Rubin, Department of Pathology (Thorn 612C), Brigham and Womens Hospital/Harvard Medical School, 75 Francis Street, Boston, MA 02115. Phone (617) 525-6747; Fax: (617) 264-5169; E-mail: marubin{at}partners.org
8 http://rubinlab.tch.harvard.edu/supplemental_data/JAGGED1/index.jsp ![]()
Received 7/14/04. Accepted 8/12/04.
| REFERENCES |
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