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Department of Radiation Oncology and Comprehensive Cancer Center, University of Michigan, Ann Arbor, Michigan
| ABSTRACT |
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5ß1 with plasma fibronectin causes the constitutive invasiveness of human prostate cancer cells. Inhibition of this process reduces tumorigenesis and prevents metastasis and recurrence. In this study, naturally serum-free basement membranes were used as invasion substrates. Immunoassays were used to compare the roles of
5ß1 and
4ß1 fibronectin receptors in regulating matrix metalloproteinase (MMP)-1dependent invasion by human breast cancer and mammary epithelial cells. We found that a peptide consisting of fibronectin PHSRN sequence, Ac-PHSRN-NH2, induces
5ß1-mediated invasion of basement membranes in vitro by human breast cancer and mammary epithelial cells. PHSRN-induced invasion requires interstitial collagenase MMP-1 activity and is suppressed by an equimolar concentration of a peptide consisting of the LDV sequence of the fibronectin connecting segment, Ac-LHGPEILDVPST-NH2, in mammary epithelial cells, but not in breast cancer cells. This sequence interacts with
4ß1, an integrin that is often down-regulated in breast cancer cells. Immunoblotting shows that the PHSRN peptide stimulates MMP-1 production by serum-free human breast cancer and mammary epithelial cells and that the LDV peptide represses PHSRN-stimulated MMP-1 production only in mammary epithelial cells. Furthermore, PHSRN stimulates MMP-1 activity in breast cancer cells and mammary epithelial cells with a time course that closely parallels invasion induction. Thus, down-regulation of surface
4ß1 during oncogenic transformation may be crucial for establishment of the
5ß1-induced, MMP-1dependent invasive phenotype of breast cancer cells. | INTRODUCTION |
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/ß heterodimeric receptors that mediate cellmatrix and cellcell interactions and have important functions in cell migration, survival, and differentiation (reviewed in refs. 1
and 2
). In addition to functioning in cellular adhesion to the extracellular matrix, integrins are known to mediate many diverse processes involving cell migration and invasion. For example, the
5ß1 fibronectin receptor has been shown to play a key role in wound healing by mediating invasion of the provisional matrix by fibroblasts, endothelial cells, and keratinocytes to accomplish angiogenesis and re-epithelialization (3
, 4)
. Also, integrins have been shown to function in the progression of a variety of cancers (reviewed in ref. 5
).
One very important way that integrins can contribute to cancer progression is to mediate cancer cell invasion, thus causing metastasis. For example, we have shown that the interaction of plasma fibronectin (pFn) with
5ß1 integrin induces human prostate cancer cell invasion (6, 7, 8)
by using the naturally serum-free (SF), selectively permeable (9)
basement membranes of sea urchin embryos [sea urchin embryo basement membranes with extracellular matrix (SU-ECM)] as in vitro invasion substrates (10)
. Even in the presence of serum, SU-ECM have been shown to be free of background invasion by unstimulated normal cells (3
, 6
, 10)
, which can be observed when artificial or reconstituted basement membranes are used (11)
. Also, these basement membranes are similar to those of mammals, both structurally and functionally (12, 13, 14)
. Because they are naturally SF, we used SU-ECM to identify PHSRN as the specific sequence of pFn that interacts with
5ß1 to stimulate invasion by human prostate cancer cells and to show that inhibition of pFn-induced invasion reduces tumorigenesis and prevents metastasis and recurrence in both rat and human preclinical models of prostate cancer (6
, 7)
.
Because fibronectin is found throughout the body, the proper regulation of
5ß1-mediated collagenase expression, and hence invasion, is very important. This is accomplished by another integrin fibronectin receptor,
4ß1. When fibronectin is intact,
4ß1 integrin interacts with the LDV sequence of the fibronectin connecting segment, LHGPEILDVPST, to repress
5ß1-mediated interstitial collagenase expression in adherent fibroblasts (15)
. Fragmentation of fibronectin by plasmin has been shown to de-repress
5ß1-mediated invasion during wound healing (16
, 17)
; thus, an important attribute of
5ß1-induced invasion in normal cells is its regulation by
4ß1 integrin.
Although still expressing abundant surface
5ß1, metastatic prostate and breast cancer cells have low levels of surface
4ß1, relative to prostate and mammary epithelial cells (18
, 19)
. Loss of surface
4ß1, which can result from oncogene overexpression in transformed mammary epithelial cells (19)
, causes constitutive invasiveness in the presence of the abundant pFn of blood, lymph, and interstitial fluid (20
, 21)
. Because of its importance in breast cancer cell invasion and metastasis, we undertook this study to define the receptorligand interaction responsible for the invasive phenotype of metastatic breast cancer cells and to assess the role of interstitial collagenase matrix metalloproteinase (MMP)-1 in basement membrane invasion in vitro.
| MATERIALS AND METHODS |
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Peptide Synthesis.
NH2-terminal acetylated, COOH-terminal amidated PHSRN and LDV peptides (Ac-PHSRN-NH2 andAc-LHGPEILDVPST-NH2), their randomized sequence controls (Ac-HSPNR-NH2 and Ac-PGVLSEHPTLID-NH2), RGD peptide (Ac-GRGDSP-NH2), and VKNEED peptide (Ac-VKNEED-NH2) were synthesized using Fmoc/t-butyl-9-fluorenylmethoxycarbonyl/t-butyl protection strategies (24)
at 25- and 100-µm scales on a Ranin Symphony peptide synthesizer. COOH-terminally amidated peptides were synthesized on Rink resin. Anhydrous trifluoroacetic acid was used to remove side chain protecting groups and to cleave peptides from the resin support. Peptides were precipitated with diethylether, purified by preparative high-performance liquid chromatography, and lyophilized. Peptide purities were assessed by reverse-phase high-performance liquid chromatography and found to be 95% for Ac-PHSRN-NH2, 97% for Ac-HSPNR-NH2, 93% for Ac-LHGPEILDVPST-NH2, 92% for Ac-PGVLSEHPTLID-NH2, 95% for Ac-GRGDSP-NH2, and 91% for Ac-VKNEED-NH2 (data not shown). Peptide structures were confirmed by mass spectrometry and amino acid analysis (data not shown) using standard methods (24)
. Residual trifluoroacetic acid was removed by gel permeation chromatography on Sephadex G-10 in 1 N acetic acid. Peptides were lyophilized and stored in the presence of a desiccant at 30°C until solubilization in phosphate-buffered saline at 1 mg/mL at the time of use.
Antibodies Used in Invasion Assays.
P1D6 anti-
5ß1 or P1B5 anti-
3ß1 integrin function-blocking monoclonal antibodies (mAbs) (25
, 26)
, from Oncogene Research Products (Boston, MA), were prebound to suspended cells in SF or fetal calf serum (FCS)-containing media on ice for 30 minutes at 10 to 300 µg/mL before 10-fold dilution in the appropriate medium and placement on SU-ECM. P1H4 and P4C2 function-blocking anti-
4ß1 integrin mAbs (27
, 28) , from Chemicon International (Temecula, CA), were prebound to cells, and the cells were used in invasion assays as described above. Function-blocking antiMMP-1 (COMY-4A2), antiMMP-2 (CA-4001), and antiMMP-9 (GE-213) mAbs (29, 30, 31)
from Chemicon International were prebound to cells, and the cells used in invasion assays as described above. Isotype control antibodies were as follows: IgM (BD Biosciences PharMingen, San Diego, CA); and IgG1 and IgG3 (Sigma, St. Louis, MO). All isotype control antibodies were prebound to cells, and the cells were used in invasion assays as described above.
Invasion Assays.
Preparation of SU-ECM and in vitro SU-ECM invasion assays were performed with or without added FCS, as described previously (3
, 6
, 10)
. Plasma fibronectin-depleted (pFn) FCS was made using gelatin affinity chromatography, as described previously (6
, 19
, 21)
. Single-cell suspensions were made with 0.25% trypsin/EDTA (Gibco Life Technologies, Inc., Grand Island, NY). Cell suspensions were rinsed by pelleting and resuspension in the appropriate medium before placement on SU-ECM invasion substrates. Invasion percentages and cellular viabilities were scored as described previously (3
, 6
, 10
, 19)
. Peptides were added to the invasion assays by prebinding to suspended, rinsed cells for 5 minutes at room temperature. For assays demonstrating antiMMP-1 inhibition of PHSRN-induced invasion, the concentration of Ac-PHSRN-NH2 in the assay medium was 1 µg/mL. Antibodies were prebound to suspended cells, as described above. Each invasion percentage is the ratio of the total number of single cells located in the interior, blastocoelic cavities of the SU-ECM substrates to the total number of single cells adhering to both their exterior and interior surfaces, and is the result of three to four independent determinations involving the scoring of the positions of all individual cells adhering to the SU-ECM invasion substrates.
Fluorescence-Activated Cell Sorting.
Fluorescence-activated cell sorting of SUM-52 PE and MCF-10A cells was performed as described previously (19)
, using anti-integrin
4 antibody (catalog no. 12077-012; Gibco) or anti-integrin
5 antibody (catalog no. CP12L; Oncogene Research Products) followed by fluorescein-conjugated donkey antimouse IgG (1:100; Chemicon International). Negative controls contained cells bound to fluorescein-conjugated donkey antimouse IgG without primary antibody.
SDS-PAGE and Immunoblotting.
Each sample contained 2 x 106 adherent cells treated with the appropriate peptides for 16 hours at 37°C. The treatment groups were as follows: SF medium only; SF medium + Ac-PHSRN-NH2; SF medium + Ac-LHGPEILDVPST-NH2; SF medium + Ac-PHSRN-NH2 + Ac-LHGPEILDVPST-NH2; and SF medium + Ac-PHSRN-NH2 + Ac-PGVLSEHPTLID-NH2. All cells were rinsed, and 5 mL of fresh SF medium were added to each sample before peptide addition. Samples were treated as follows: 1 µg of Ac-PHSRN-NH2 per 20,000 cells (100 µg for 2 x 106 cells in 5 mL of medium); 2.5 µg of Ac-LHGPEILDVPST-NH2 per 20,000 cells; 1 µg of Ac-PHSRN-NH2 and 2.5 µg of Ac-LHGPEILDVPST-NH2 per 20,000 cells; or 1 µg of Ac-PHSRN-NH2 and 2.5 µg of Ac-PGVLSEHPTLID-NH2 per 20,000 cells.
SUM-52 PE, SUM-149 PT, and MCF-10A cells were rinsed with PBS and lysed in ice-cold buffer [50 mmol/L Tris-HCI (pH 7.5), 150 mmol/L NaCl, 2 mmol/L EGTA, and 1% Triton X-100] containing protease inhibitors (1x complete protease inhibitor mixture; Roche, Indianapolis, IN). The lysate was collected and centrifuged at 12,000 x g for 10 minutes at 4°C, and the resulting pellet was resuspended in SDS sample buffer [2% SDS, 62.5 mmol/L Tris-HCI (pH 6.8), and 10% glycerol]. The amounts of protein were measured for each sample using the Bio-Rad protein assay kit (catalog no. 500-0006; Bio-Rad, Richmond, CA) with albumin standards. Before electrophoresis, samples were brought to 5% (v/v) 2-mercaptoethanol and boiled for 5 minutes.
To verify a rapid increase in latent and activated MMP-1 secreted into the SF medium after Ac-PHSRN-NH2 treatment, adherent cultures of 2 x 106 SUM-52 PE or SUM-149 PT breast cancer cells and 2 x 106 MCF-10A mammary epithelial cells in SF medium were treated with 1 µg of Ac-PHSRN-NH2 per 20,000 cells (100 µg in 5 mL of medium) for periods of time ranging from 1 hour to 6 hours. Media were collected and concentrated 50-fold using centrifugal filter devices (Amicon Ultra PL-10 device; 10,000 nominal molecular weight limit; Millipore, Bedford, MA), according to the manufacturers instructions. The quantitative consistency of the volume reduction was verified by using a micropipetting device for all media assayed.
For cell lysates, 30 µg of total protein per sample in SDS buffer were resolved on 10% polyacrylamide gels using a mini-PROTEAN II Electrophoresis Cell (Bio-Rad, Hercules, CA). Separated proteins were transferred onto polyvinylidene difluoride membranes (Milllipore) using the submarine electrophoretic transfer unit in the same apparatus. Varying amounts (10, 5, 2.5, and 1.25 ng) of recombinant MMP-1 (catalog no. CC1031; Chemicon International) were combined with cytoskeletal actin and loaded on the same gel for generation of standard curves. Membranes were blocked for 1 hour in 0.1% (v/v) Tween 20 in PBS (PBS-T) containing 5% (w/v) nonfat dry milk and then incubated for 1 hour at room temperature with antiMMP-1 mAb (clone COMY-4A2; Chemicon International) at a 1:5,000 dilution in blocking solution.
For the analysis of secreted MMP-1 levels by immunoblotting, identical volumes of concentrated media from PHSRN-treated and untreated cells were run on 10% polyacrylamide gels, as described above. Recombinant MMP-1 was diluted 3,000-fold and run in varying amounts on each gel as positive controls. Separated proteins were transferred onto polyvinylidene difluoride membranes as described above, and membranes were incubated overnight at 4°C with rabbit antiMMP-1 polyclonal antibody (catalog no. AB806, Chemicon International) at a dilution of 1:1,000 in Tris-buffered saline with 0.05% Tween 20.
After incubation with the primary antibody, all membranes were washed three times in PBS-T and incubated for 1 hour with goat antimouse IgG antibody conjugated to horseradish peroxidase (Jackson Immunoresearch Laboratories, West Grove, PA) at a dilution of 1:5,000 in blocking solution. The membranes were then washed three times in PBS-T and processed for detection by enhanced chemiluminescence ECL reagent (Amersham, Arlington Heights, IL). The amounts of MMP-1 and actin from the cell lysates were quantified using Quantity One software (Bio-Rad, Hercules, CA) by comparison with the recombinant MMP-1 and actin standard curves generated from the same blot. Then, the amount of MMP-1 was normalized to the amount of total cellular actin in each sample from cell lysates. In immunoblots used to compare MMP-1 levels in the media of PHSRN-treated and untreated cells, equal volumes of concentrated media were loaded without normalization of protein content.
Matrix Metalloproteinase-1 Activity Assay.
Adherent SUM-149 PT, SUM-52 PE, or MCF-10A cells were treated for various times with Ac-PHSRN-NH2 at a concentration of 1 µg per 20,000 cells in SF medium, and untreated controls were performed in parallel. Culture media were concentrated 10-fold by centrifugation through Centricon YM-10 filter units (Fisher Scientific Company, L.L.C., Pittsburgh, PA), according to the manufacturers instructions. The quantitative consistency of the volume reduction was verified by using a micropipetting device for all media assayed. MMP-1 activity was measured in concentrated media with the Biotrak MMP-1 activity assay system (Amersham Pharmacia Biotech Inc., Piscataway, NJ), according to the manufacturers instructions. The assays were read at 405 nm in a microtiter plate spectrophotometer (Dynatech Laboratories, Inc., Chantilly, VA). A standard curve was generated from a set of known aliquots of MMP-1 in the following concentration range: 0, 0.10, 0.20, 0.40, 0.80, and 1.60 ng/mL. Each time point was assayed at least three times in triplicate, and mean MMP-1 activities were determined with their first SDs. The results were analyzed using Students t test.
| RESULTS |
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5ß1 interacts with the RGD (8)
and VKNEED sequences of the fibronectin cell binding domain (33)
. Thus, the acetylated, amidated derivatives of these peptides were also tested for invasion induction. As shown in Fig. 1A
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Induction of Plasma Fibronectin-Dependent Invasion in Mammary Epithelial Cells by Anti-
4ß1 Antibody.
Because loss of surface
4ß1 causes a pFn-dependent, constitutively invasive phenotype in SUM-149 PT cells (19)
, we tested the whether blocking
4ß1 could render mammary epithelial cells invasive in the presence of serum. Levels of surface
5ß1 and
4ß1 are shown for mammary epithelial and breast cancer cells in Table 1
. Like HME, MCF-10A cells express relatively high levels of surface
5ß1 and
4ß1. In contrast, whereas SUM-52 PE and SUM-149 PT cells express abundant surface
5ß1, fluorescence-activated cell-sorting analysis shows that they express very low levels of
4ß1.
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4ß1 in repressing serum-induced invasion, HME and MCF-10A cells were treated with blocking anti-
4ß1 mAb before placement on SU-ECM invasion substrates. Fig. 2A
4ß1 mAb (27
, 28)
. Both P4C2 and P1H4 mAbs stimulated SU-ECM invasion by HME and MCF-10A cells in the presence of FCS, whereas their corresponding isotype control antibodies did not.
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4ß1 that binds the LDV sequence (28
, 34)
to repress
5ß1-mediated MMP-1 expression (15)
, the P4C2 mAb was tested for its ability to stimulate SU-ECM invasion by HME and MCF-10A cells while the presence of FCS and/or pFn was varied systematically in the media of the invasion assays. Antibody prebinding occurred in either SF medium, FCS-containing medium, or pFn-depleted FCS-containing medium, as indicated. As shown for HME and MCF-10A in Fig. 2B
4ß1 mAb was unable to stimulate invasion in SF medium, but it stimulated invasion by HME and MCF-10A cells in FCS-containing medium. Also, P4C2-stimulated invasion was specifically dependent on pFn because no invasion occurred if P4C2-bound HME or MCF-10A cells were incubated on SU-ECM substrates in pFn FCS. The addition of 4 µg/mL pFn, the concentration found in 10% FCS (20
, 21)
, to medium containing pFn FCS (pFn FCS + pFn) restored the ability of the P4C2 mAb to stimulate HME and MCF-10A invasion. Also, the addition of 4 µg/mL pFn to SF medium (SF + pFn) was sufficient to permit P4C2-induced invasion. Thus, pFn appeared to be both necessary and sufficient for P4C2 anti-
4ß1induced invasion by both HME and MCF-10A cells.
Repression of PHSRN-Induced Invasion by the LDV Sequence.
An acetylated, amidated peptide containing the LDV sequence (Ac-LHGPEILDVPST-NH2) was tested for its ability to repress PHSRN-induced invasion by normal and neoplastic breast epithelial cells. Because a single copy of each sequence is found in the fibronectin monomer (32
, 34)
, the PHSRN and LDV peptides were tested at equimolar concentrations. Fig. 3A
shows that whereas PHSRN stimulated HME invasion of the SU-ECM, the presence of an equimolar concentration of the LDV peptide prevented PHSRN-induced invasion. Furthermore, inhibition was sequence specific because the scrambled LDV peptide (Ac-PGVLSEHPTLID-NH2) had no inhibitory effect on PHSRN-induced invasion. Analogous results were obtained for MCF-10A cells (Fig. 3B)
. Thus, the ability of the LDV peptide to inhibit PHSRN-induced HME and MCF-10A invasion is consistent with the expression of abundant surface
5ß1 and
4ß1 fibronectin receptors by these cells (ref. 19
and this study). In contrast, as shown in Fig. 3C and D
, the LDV peptide had no inhibitory effect on PHSRN-induced invasion by either SUM-149 PT or SUM-52 PE cells. The failure of the LDV sequence to inhibit PHSRN-induced SUM-149 PT and SUM-52 PE invasion is likewise consistent with the expression of surface
5ß1, but not
4ß1, by these breast cancer cell lines.
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5ß1-Mediated Invasion.
4ß1-induced invasion, whereas antiMMP-2 and antiMMP-9 mAbs had no significant effect (Fig. 4C)
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4ß1 receptor in fibroblasts (15)
. Moreover, consistent with the lack of surface
4ß1 expression in SUM-52 PE and SUM-149 PT cells, the LDV peptide had no inhibitory effect on PHSRN-induced MMP-1 accumulation in these breast cancer cells (Fig. 5B and C)
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2ß1 integrin collagen receptor to achieve activation and facilitate migration on collagen (35)
and would thus be detectable in cell lysates, MMP-1 should also be secreted into the media of adherent cell cultures treated with the PHSRN peptide. To test whether PHSRN treatment could cause a rapid increase in both the latent and activated forms of MMP-1 in the medium, adherent SF cultures of MCF-10A, SUM-52 PE, and SUM-149 PT cells were treated for 1 hour to 6 hours with the PHSRN peptide or were left untreated. All treated and untreated cultures were run in triplicate. Media from PHSRN-treated and untreated cultures were concentrated, and equal volumes of the concentrated media from each sample were analyzed by immunoblotting for the presence of MMP-1. As shown in Fig. 6A
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| DISCUSSION |
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5ß1-mediated invasion by normal and immortalized mammary epithelial cells, as well as by metastatic breast cancer cells. Although the intact fibronectin of serum does not induce mammary epithelial cell invasion, due to
4ß1 expression, invasion is induced if
4ß1 is inhibited with a blocking antibody. Furthermore,
4ß1 repression of
5ß1-mediated invasion occurs if PHSRN-treated mammary epithelial cells are also exposed to a peptide consisting of the LDV sequence (34)
of the fibronectin connecting segment. Moreover, in SF breast cancer cells lacking
4ß1 on their surfaces, the LDV peptide fails to repress PHSRN-induced invasion. These results are consistent with the down-regulation of
4ß1 on the surfaces of invasive breast cancer cells as well as in transformed mammary epithelial cells overexpressing the ERBB-2 oncogene (19)
and in prostate cancer cells (18)
. They suggest that
4ß1 functions to regulate
5ß1-mediated invasion and that the loss of surface
4ß1 may be an important event in the development of the invasive phenotype in cancer.
We also found, through the use of blocking antiMMP-1, antiMMP-2, and antiMMP-9 mAbs, that PHSRN- and serum-induced invasion of basement membranes by mammary epithelial cells and breast cancer cells appears to be a MMP-1dependent process. Consistent with the apparent dependence of invasion on MMP-1, it was also observed that PHSRN treatment induces a rapid increase in both cell-associated and secreted MMP-1 protein, as well as in MMP-1 activity in the medium. Furthermore, PHSRN-induced MMP-1 accumulation in mammary epithelial cells, but not in breast cancer cells, is prevented by the LDV peptide ligand of
4ß1 integrin. Also, the rapid increase in PHSRN-induced MMP-1 activity closely parallels that of basement membrane invasion. A similarly rapid induction of MMP-1 expression has also been observed in osteoblasts treated with platelet-derived growth factor (37)
. Thus, MMP-1 may play an important role in
5ß1-mediated invasion in breast cancer cells, and its up-regulation is likely a consequence of reduced levels of surface
4ß1 fibronectin receptor relative to mammary epithelial cells. Because reduced levels of surface
4ß1 integrin also give rise to
5ß1-mediated, serum-dependent invasiveness in prostate cancer (6)
, this could be a general mechanism contributing to metastasis.
MMPs carry out most of the connective tissue destruction associated with cancer invasion and metastasis (reviewed in ref. 38 ). Zymography, immunoblotting, and immunohistochemistry have demonstrated increased levels of MMPs and MMP activities in human breast cancer, relative to normal breast tissues (39) . However, the role of interstitial collagenases in tumor invasion and metastasis has only recently been appreciated. It has been suggested that collagenase expression is a marker for tumor progression in breast cancer, as well as in many other types of cancers (40 , 41) . Zymography of human breast carcinomas and normal breast tissues has also shown significant MMP-1 levels in most invasive cancers, in contrast to normal breast tissues (42) . Immunohistochemistry of sectioned, invasive breast tumors and their surrounding tissues has also shown a significant correlation of MMP-1 expression with tumor stage (39) . Furthermore, in most invasive breast carcinomas, in situ hybridization has demonstrated high levels of MMP-1 transcripts in both breast cancer cells and stromal cells at their invasive fronts (43) . In fact, MMP-1 is also up-regulated in human breast cancer cells cocultured with fibroblasts (44) , suggesting that direct interactions between these two cell types can lead to increased collagenase expression in breast cancer. In contrast, although MMP-2 transcripts have been found at high levels in invasive breast carcinomas, MMP-2 mRNA is also up-regulated in preinvasive lesions, suggesting that MMP-1 is specifically up-regulated as breast cancers become invasive (43) . Interestingly, it has also been shown that interstitial collagenase also cleaves entactin, thus contributing directly to the degradation of basement membrane and hence potentially contributing to the transiting of epithelial barriers by tumor cells (45) , in addition to stromal proteolysis.
In other cancers, such as colon and esophageal cancers, immunohistochemical detection of MMP-1 expression is also associated with increased invasive potential and poor prognosis (46 , 47) . Moreover, increased MMP-1 expression in tumor cells is significantly correlated with the depth of tumor invasion, angiogenesis, lymphangiogenesis, and the presence of local and distant metastases (48) . Also, a transcription-enhancing point mutation in the MMP-1 gene promoter, which correlates with MMP-1 overexpression in tumor cells, is associated with increased malignancy in breast and lung cancer (49 , 50) . Thus, whereas many MMPs contribute to tumor angiogenesis and metastasis, interstitial collagenase may be critical for the development of the invasive phenotype during cancer progression.
| 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: Y. Jia is currently in the Laboratory of Pathology, Center for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland. S. Ethier is currently in the Barbara Ann Karmanos Cancer Institute, Wayne State University, Detroit, Michigan.
Requests for reprints: Donna L. Livant, Department of Radiation Oncology, Room 3007, 1331 East Ann Street Building, Ann Arbor, MI 48109-0582. Phone: 734-764-0313; Fax: 734-763-1581; E-mail: dlivant{at}umich.edu
Received 1/ 9/04. Revised 8/24/04. Accepted 9/29/04.
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