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1 Department of Cancer Biology and 2 Department of Medicine, Division of Dermatology, Vanderbilt University, Nashville, Tennessee; and 3 Merck Research Laboratories, Rahway, New Jersey
| ABSTRACT |
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| INTRODUCTION |
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One MMP family member, MMP-3 (stromelysin-1/E.C.3.4.24.17), is a key candidate for regulating tumor and host interactions during tumorigenesis. MMP-3, an extracellularly secreted enzyme, is overexpressed in a wide variety of tumor types (6) . It is found almost exclusively in the tumor stroma, and its widespread expression is not surprising because MMP-3 can be generated by fibroblasts, endothelial cells, and cells of immune lineage (7) . Unlike tumors derived from glandular epithelium, tumors derived from squamous epithelium also express MMP-3 in the malignant epithelial cells in tumors that show an invasive phenotype and an advanced disease progression (6 , 8, 9, 10, 11, 12) . MMP-3 has wide substrate specificity for various extracellular matrix components, targeting most proteins and proteoglycans except the fibrillar collagens (6 , 13) . Nonmatrix substrates identified also include other proteases, growth factors, and cellular adhesion molecules, such as pro-MMPs, plasminogen, heparin bindingepidermal growth factor, pro-interleukin 1ß (IL-1ß), insulin-like growth factor binding protein-3, and E-cadherin (4 , 5) . The variety of potential substrates coupled with the widespread distribution suggests that MMP-3 could have extensive effects on tumor progression. Despite the absence of MMP-3 expression by glandular epithelium itself, the stromally localized MMP-3 has been shown to influence mammary tumorigenesis. Transgenic mice overexpressing MMP-3 in mammary epithelium develop hyperplasia and invasive carcinoma (14) . Our understanding of the role of MMP-3 in normal and pathologic processes has been considerably aided with the development of the MMP-3 null mouse (15) . As with most MMP-deficient mice, the MMP-3 null mouse is fertile and viable. Use of these mice has revealed diverse roles for MMP-3 (e.g., in wound repair, adipocyte differentiation, aneurysm formation, and immune-mediated tissue injury; refs. 16, 17, 18, 19, 20 ).
Murine models of chemically induced squamous cell carcinoma (SCC) have been instrumental in defining key events occurring throughout tumor progression. We previously have shown that MMP-3 is expressed in the stromal component of benign and early-stage SCC and that the malignant epithelial cells acquire MMP-3 expression concomitant with progression to the metastatic spindle cell phenotype of SCC (21) . This pattern of expression is consistent with that observed in human SCC, in which MMP-3 expression levels are correlative with disease progression, and tumor expression of MMP-3 is associated with invasive SCC (6 , 8, 9, 10, 11, 12) . Because of the correlation between disease progression and elevated levels of MMP-3, as well as the acquisition of tumor expression of MMP-3 with an invasive phenotype, we hypothesized that MMP-3 plays a causal role in SCC progression and particularly in generating a metastatic phenotype. To test this hypothesis, MMP-3 null and wild-type animals were subjected to standard chemical-induced SCC procedures, and the responses were compared.
| MATERIALS AND METHODS |
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Histopathologic Analysis.
H&E staining was performed on paraffin-embedded sections (5 µm) as described previously (21)
. The sections were examined in a blinded manner by two observers (L.E.K. through the Vanderbilt University Skin Diseases Research Core Center and H.C.C.) for evidence of tumor promotion ("dark cells"), presence of atypia and invasion, and evaluation of the likely biological aggressiveness of the tumors [epithelioid SCC versus spindle cell-type SCC (SpSCC)]. These data were recorded for subsequent statistical analysis of the data after unblinding. Areas of fibrosis were determined on paraffin-embedded sections stained with trichrome by Gomoris method.
Immunohistochemistry.
Five-micrometer paraformaldehyde-fixed paraffin-embedded sections were analyzed by immunohistochemistry as described previously (22)
. Papillomas induced by DMBA-TPA treatment or stage-matched MNNG-induced SCC and/or SpSCC were evaluated. The following primary antibodies were used: rabbit polyclonal anti-keratin 5 (1:1000; Covance Research Products Inc., Denver, PA), rabbit polyclonal anti-keratin 6 (1:1000; Covance Research Products Inc.), mouse ascites anti-pankeratin (1:400; Sigma-Aldrich Corp., St. Louis, MO), mouse monoclonal anti-proliferating cell nuclear antigen (PCNA; 1:400; Zymed Laboratories, San Francisco, CA), rat monoclonal anti-platelet/endothelial cell adhesion molecule (PECAM)/CD31 (1:100; PharMingen, San Diego, CA), rat monoclonal antineutrophil (1:200; Serotec Inc., Raleigh, NC), rat monoclonal anti-F4/80 (1:200; Serotec Inc., Raleigh, NC), and rat monoclonal anti-CD3
(1:200; Santa Cruz Biotechnology, Santa Cruz, CA). Negative controls were performed using appropriate species- and isotype-matched immunoglobulins. Sections then were incubated with appropriate secondary antibody (Vector Laboratories, Burlingame, CA), and antibody binding was detected using ABC Elite Method (Vector Laboratories) with diaminobenzidine as the substrate. Sections were counterstained with hematoxylin to visualize cells. The Mouse Pathology and Immunostaining Core, Vanderbilt University Medical Center (Nashville, TN) performed the immunohistochemical analysis for keratin 10 and keratin 14. Sections stained with keratin 5, keratin 6, keratin 10, keratin 14, or pankeratin were evaluated for presence or absence of antigen. In the case of PCNA immunostaining, an average of 1000 nuclei were evaluated for six to eight stage-matched tumors per experimental group. Quantitation of PECAM/CD-31 immunostaining was performed morphometrically using Image Pro-Plus software (Media Cybernetics Inc., Silver Spring, MD) to determine the area of positive staining for six to eight stage-matched tumors per experimental group. Counting multiple arbitrary areas defined by Metamorph Imaging System (Universal Imaging Corporation, Downingtown, PA) of six to eight stage-matched tumors per experimental group was done to assess neutrophil and CD3
immunostainings.
Apoptosis Analysis.
Terminal deoxynucleotidyl transferase-mediated nick end labeling (TUNEL) was performed on paraformaldehyde-fixed, paraffin-embedded sections (5 µm) using the Apo-Tag Kit (Intergen, Purchase, NY) according to manufacturers directions. Papillomas induced by DMBA-TPA treatment or stage-matched MNNG-induced SCC were evaluated. Antibody binding was detected using ABC Elite Method (Vector Laboratories) with diaminobenzidine as the substrate, and sections were counterstained with contrast green to visualize cells. An average of 1500 nuclei were evaluated for TUNEL positivity for six to eight stage-matched tumors per experimental group.
Statistical Analysis.
Kaplan-Maier plots were analyzed using the log-rank test. Tumor growth patterns were derived from the change in total tumor volume (mm3) for each tumor measured weekly from each tumors onset as described previously (22)
. The linear range was defined as the rate between first appearance of tumors and the week at which the first plateau of each curve was reached. Immunohistochemical results were analyzed by a nonparametric (Mann-Whitney) method when indicated. All of the statistical analyses were performed using Statview software (SAS Institute, Cary, NC). We examined sex as a source of variation for certain statistical models (i.e., tumor onset, tumor frequency, and tumor growth) and noted no differences between sexes. As such, all of the statistical analyses shown were done on all of the samples with genotype as the major source of variation and are not matched according to sex differences.
| RESULTS |
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All of the mice subjected to MNNG treatment developed papillomas irrespective of their MMP-3 status. Papillomas began to appear at week 18 in wild-type mice and at week 19 in MMP-3 null mice (Fig. 1A)
. All of the wild-type and MMP-3 null mice had tumors by weeks 26 and 29, respectively, and the overall tumor latency did not significantly differ between the two experimental groups (log-rank test, P = NS). Furthermore, by week 26 of MNNG treatment, the average number of tumors per mouse was statistically higher in wild-type than in MMP-3 null animals (Fig. 1B)
. However, when papillomas are separated from carcinomas, by the end of the study wild-type animals had significantly more papillomas per mouse than did MMP-3 null counterparts (wild-type mice 2.85 ± 2.25 papillomas/mouse versus MMP-3 null 1.21 ± 1.03 papillomas/mouse; P
0.046), whereas wild-type animals had a trend toward the development of fewer carcinomas than did MMP-3 null animals (wild-type mice 1.0 ± 0.85 carcinomas/mouse versus MMP-3 null 1.55 ± 0.61 carcinomas/mouse; P = NS).
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Absence of MMP-3 Is Correlated with a Reduction in Leukocyte Infiltration.
Potential roles for MMP-3 in immune cell function can be surmised from a variety of data. For example, a number of identified MMP-3 substrates are known as regulators of immune cell function (4
, 5)
. We also have shown previously that MMP-3 null animals have a reduction in infiltrating monocytes in a murine-herniated disk model (23)
. We investigated whether macrophage infiltration was altered in size-matched papillomas from MMP-3 null and wild-type animals. All of the papillomas from wild-type animals had macrophages associated with the tumor stromal boundary (10 of 10 tumors; Fig. 5A
). In contrast, no macrophages were detected in a majority of papillomas from MMP-3 null animals (six of eight tumors; Fig. 5B
), with a minority of papillomas having a modest number of associated macrophages (two of eight tumors; Fig. 5C
). We extended this observation by asking whether MMP-3 deficiency globally affected the tumor presence of other immune cell types. Neutrophils were significantly fewer in number in MMP-3 null tumors as compared with wild-type tumors (Fig. 5D)
. This overall reduction in neutrophil infiltration was maintained in MMP-3 null tumors of advanced, spindle cell-type progression. Examination of CD3
-positive T cells revealed similar levels were present in wild-type and MMP-3 null tumors (Fig. 5E)
. Collectively, these results suggest that MMP-3 expression is closely associated with the ability of macrophages and neutrophils to infiltrate the tumor.
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| DISCUSSION |
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In contrast to the findings in the present study, Sternlicht et al. (14) have shown overexpression of MMP-3 to be protumorigenic in mammary epithelium. MMP-3 targeted to murine mammary epithelium (WAPMMP-3) in a CD-1 background acts as a tumor promoter, and a small percentage of these mice develop invasive carcinoma (14) . However, work from our laboratory previously has shown a protective role for MMP-3 in breast tumorigenesis. In this system, MMP-3 was targeted to breast epithelium of C57Bl/6xDBA mice using the mouse mammary tumor virus promoter and tumors induced by DMBA treatment (26) . Mouse mammary tumor virusMMP-3 mice did not develop spontaneous mammary tumors and had reduced tumor incidence compared with nontransgenic controls when treated with DMBA, which correlated with enhanced apoptosis in response to loss of cell to matrix attachment (26) . The difference in tumorigenic response between the two mammary-targeted MMP-3 transgenic models seems to be related to a difference in the genetic background of the mice because backcrossing the mouse mammary tumor virusMMP-3 mice from a C57Bl/6xDBA background into a CD-1 genetic background also resulted in mice that spontaneously developed mammary tumors.4 Thus, the major difference in the two models, which correlates with either an overall antitumorigenic or a protumorigenic MMP-3dependent effect, is the method of oncogenic activation: whether the means of generating tumors relies on chemically induced protocols or the genetic background of the mice.
MMP-3 expression correlated with slower-growing tumors and reduced nuclear presence of PCNA, which suggests that lack of MMP-3 expression conferred a selective proliferative advantage. One molecule of singular importance to tumor growth early in tumorigenesis is transforming growth factor ß (TGF-ß; ref. 27 ). MMP-3 can modulate TGF-ß1 signaling pathways either by enhancing bioavailability or activity (28, 29, 30, 31) . TGF-ß engagement with its receptor, TGF-ßR, at the cell surface results in activation of this receptor tyrosine kinase and phosphorylation of receptor-associated transcription factors, the Smads (27) . Activation of Smads through phosphorylation results in the translocation of these molecules to the nucleus, where they participate in regulating gene expression. To determine whether TGF-ß signaling was altered in MMP-3 null mice, we examined papillomas for the presence of nuclear phospho-Smad2. Overall, papillomas from MMP-3 null and wild-type animals were similarly positive for nuclear phospho-Smad2.5 Skin from MMP-3 null mice also treated with TPA, a potent inducer of MMP-3 expression, did not show a reduction in active TGF-ß.6 Thus, TGF-ß signaling seems to be intact whether in the presence or absence of MMP-3.
Tumors originating on MMP-3 null animals had a reduction in the number of infiltrating neutrophils and macrophages. Neutrophils and macrophages are important effectors of innate host defense and also regulate adaptive immune functions through the release of cytokines and chemokines. Leukocyte infiltration has long been recognized as a host defense response during tumorigenesis, although tumor-associated neutrophils and monocytes provide a rich source of growth factors and angiogenic factors, which could benefit tumors that have developed resistance to host immune surveillance properties (32, 33, 34) . Immune cell infiltration is thought to precede and influence the "angiogenic switch" necessary to produce a new blood supply (35) . MMP-3 null tumors did have a reduction in blood vessel density. Thus, one protumorigenic effect associated with MMP-3 expression, as well as possibly associated with immune cell presence, is angiogenesis. Interestingly, male mice null for MMP-8, an MMP mainly expressed by neutrophils, also are more sensitive to skin carcinomas, and this effect is correlative with an early deficiency of neutrophil influx (36) . The association between MMP-3 levels and leukocyte infiltration and/or function is evident in a number of model systems. We have shown previously in a murine herniated disk model that chondrocytes derived from MMP-3 mice had a reduced ability to chemoattract macrophages (23) . Neutrophil infiltration also was severely reduced in MMP-3 null animals and protective against IgG-dependent lung injury (20) . Thus, regulation of immune cell infiltration may be a global function regulated by MMP-3.
An influence of MMP-3 over immune cells is not surprising based on known proteolytic targets. A number of substrates known to modulate inflammation have been identified, including matrix, cytokines, chemokines, and adhesion factors such as osteopontin, tumor necrosis factor
(TNF-
), IL-1ß, L-selectin, monocyte chemoattractant protein-1 (MCP-1), MCP-2, MCP-3, MCP-4, and stromal cell-derived factor-1/CXC ligand 12 (37, 38, 39, 40, 41, 42)
. Although the molecular target of MMP-3 is not yet identified for the MMP-3dependent protective effect in SCC, two potential substrates have been examined in SCC progression. TNF-
is membrane attached and requires proteolysis for liberation before engagement with its receptor. Although TNF-
converting enzyme is thought to be the primary enzyme responsible for this event, MMP-3 is one of a number of metalloproteinases that can target TNF-
for cleavage (38
, 43)
. However, TNF-
null animals challenged with chemically induced SCC have a delay in onset and a large reduction in tumor incidence, which is not reflective of the MMP-3 null phenotype (44)
. We also have identified osteopontin as an MMP-3 substrate and have shown that the cleaved form of osteopontin acts as a more potent macrophage chemoattractant (37)
. Furthermore, we have shown that osteopontin null animals bear a strikingly similar phenotype to MMP-3 null animals when examined for chemically induced SCC tumorigenesis, namely, the reduction in tumor growth rates, the reduction in macrophage infiltration, and the enhanced progression to metastatic SpSCC (22)
. Thus, osteopontin is a potential substrate for MMP-3 that explains the antitumorigenic effect of MMP-3 null mice. However, the effect of MMP-3 is likely to represent the overall balance of conflicting or complementary responses generated by targeting a variety of divergent substrates.
Recent studies have expanded our current thinking about MMPs from submissive tools for bulk matrix clearance to them being major signaling players impacting every step of carcinogenesis (4 , 5) . Because of the wide substrate variability and complexity of carcinogenesis, MMP expression can have antitumorigenic and protumorigenic effects based on the cellular context. Our data support an antitumorigenic role for MMP-3 in SCC. Despite substantial preclinical data substantiating a proinvasive role of MMPs in tumorigenesis, recent clinical studies broadly targeting all of the MMP members have not proven fruitful (45) . The current study showing a protective role for MMP-3 would suggest that inhibiting MMP-3 activity could adversely affect the disease progression during SCC. MMP-3 presence is likely to be tumor promoting and tumor protective within the same tumor, and the consequence of inhibiting MMP-3 will depend on its relative contribution to these two opposing processes during each stage of tumor progression. Furthermore, there is substantial cross-talk between MMP family members; thus, regulation of one enzyme could impact other family members. Certain MMPs can regulate the activation of other family members, and the expression levels of MMP family members have been shown to increase as a possible compensatory mechanism on complete absence of an individual MMP member (4 , 5 , 46) . Thus, understanding the relative contributions of MMPs to antitumorigenic and protumorigenic processes, and in particular understanding the molecular mechanisms of the antitumorigenic MMP-dependent effects, could prove invaluable to the future application of MMP inhibitors to cancer therapy.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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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.
Note: H. C. Crawford is currently at the Department of Pharmacology, SUNY, Stonybrook, New York.
Requests for reprints: Lynn M. Matrisian, Vanderbilt University, Department of Cancer Biology, 771 PRB, 2220 Pierce Avenue, Nashville, TN 37232-6840. Phone: 615-322-0375; Fax: 615-936-2911; E-mail: Lynn.Matrisian{at}vanderbilt.edu
4 L. Matrisian and M. Henderson, unpublished results. ![]()
5 L. McCawley, unpublished observations. ![]()
6 H. Crawford and M. E. Barcellos-Hoff, unpublished observations. ![]()
Received 3/15/04. Revised 7/19/04. Accepted 7/23/04.
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