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Cell and Tumor Biology |
1 Third Department of Internal Medicine, 2 Department of Surgical Pathology, and 3 Department of Surgery, Kansai Medical University, Osaka, Japan
Requests for reprints: Koichi Matsuzaki, Third Department of Internal Medicine, Kansai Medical University, 10-15 Fumizonocho, Moriguchi, Osaka 570-8506, Japan. Phone: 81-6-6992-1000, ext. 45207; Fax: 81-6-6996-4874; E-mail: matsuzak{at}takii.kmu.ac.jp
| Abstract |
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Key Words: colorectal carcinogenesis TGF-ß Smad JNK TGF-ß receptor
| Introduction |
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Progress over the past several years has disclosed some details of how TGF-ß elicits its responses. TGF-ß signaling is initiated when this ligand induces formation of a heteromeric complex composed of TGF-ß receptor type I (TßRI) and type II (TßRII; ref. 4). This allows TßRII to phosphorylate TßRI, which then transmits the signal through phosphorylation of receptor-regulated Smads such as Smad2 and Smad3 (5). Both of those Smads are directly phosphorylated at COOH-terminal SXS regions by TßRI and then undergo formation of heteromeric complexes with Smad4 (6). Activated Smad complexes then are translocated into the nucleus, where they regulate expression of target genes both by direct DNA binding and through interaction with other transcription factors, coactivators, and corepressors (7). Smads contain two highly conserved domains, the Mad homology 1 (MH1) and 2 (MH2) domains, which are connected by interposed linker regions (8). Although their MH1 domains can interact with DNA, the MH2 domains are endowed with transcriptional activation properties (6).
The TßRI/Smad pathway is widely represented in most cell types and tissues studied to date, and additional pathways are activated following cell stimulation by TGF-ß in specific contexts. The most prominent pathways are mediated by the mitogen-activated protein kinase (MAPK) family, which consists of the extracellular signal-regulated protein kinase pathway and two stress-activated protein kinase pathways: c-Jun NH2-terminal kinase (JNK) and p38 pathways (9). TGF-ß induces activation of MAPK pathways through the upstream mediators Ras, RhoA, PP2A, and TGF-ß-activated kinase 1 (10). To investigate the roles of Smad2 and Smad3 phosphorylation in TGF-ß signal transduction, we developed four types of polyclonal antibodies (Abs) in our laboratory that specifically recognized the phosphorylated linker regions and the phosphorylated COOH-terminal SXS regions in Smad2 and Smad3 (11).4 Studies using the Abs showed that TGF-ß signal phosphorylated Smad2 and Smad3 not only at COOH-terminal SXS regions but also at linker regions. Smad2 or Smad3 phosphorylated at linker regions or COOH-terminal regions existed as separate molecules with different functions and transmitted distinct signals. In particular, JNK and/or p38 MAPK activated on TGF-ß treatment could directly phosphorylate Smad2 and Smad3 at linker regions. Moreover, TGF-ß treatment led to an increase in plasminogen activator inhibitor type 1 transcriptional activity through pSmad3L (11).
Whereas JNK signals can modify TßRI-mediated signaling in vitro, proof has been lacking that this event occurs in vivo. Additionally, the cellular distribution of phosphorylated Smad2 and Smad3 has not been studied in human tissues. Without Abs to selectively distinguish phosphorylation sites in Smad2 and Smad3, determination of phosphorylation sites and investigation of their distinct phosphorylated domain-mediated signals in vivo has been difficult. Using domain-specific phospho-Smad2/3 Abs, we carried out the present study to elucidate how pSmad2/3-mediated signals changed during human colorectal carcinogenesis. Our results indicated that JNK activation occurred during progression to malignancy, accompanied by apparent Smad2/3 phosphorylation at linker regions in situ. Moreover, JNK in cancerous tissues could directly phosphorylate Smad2 and Smad3 at linker regions. In particular, Smad3 phosphorylated at the linker region was localized predominantly to cell nuclei in actively growing Ki-67-immunoreactive adenocarcinoma with distant metastasis. Collectively, Smad2 and Smad3 phosphorylation at linker regions could play an important role in transmitting JNK-mediated signals in human sporadic colorectal cancer.
| Materials and Methods |
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This study was approved by the Ethics Committee of Kansai Medical University. Seventeen men and 14 women, ages 47 to 88 years at diagnosis, were included in the advanced cancer group, whereas 9 men and 2 women, ages 52 to 78 years at diagnosis, constituted the adenoma group. Colorectal adenomas included tumors with mild (n = 2), moderate (n = 7), and severe (n = 2) atypia. Colorectal cancers included tumors classified histologically as well-differentiated adenocarcinoma (n = 20), moderately differentiated adenocarcinoma (n = 10), and mucinous adenocarcinoma (n = 1). Sites of cancers included ascending colon (n = 2), transverse colon (n = 3), descending colon (n = 2), sigmoid colon (n = 10), and rectum (n = 14). Cancers were staged at the time of surgery by standard criteria for tumor-nodes-metastasisbased staging using the unified international colorectal cancer staging classification (13).
Reverse Transcription-PCR. Isolation of RNA, RT, and PCR for TßRII, Smad2, and Smad4 was done in accordance with the manufacturer's protocol (Toyobo, Osaka, Japan). Two sets of primers were used based on the TßRII mRNA sequence (Genbank accession no. M85079). We designed one pair of primers (TßRII1) to contain the (A)10 microsatellite sequence -between nucleotides 709 and 718 (14). The other primer (TßRII2) was designed to contain the (GT)3 microsatellite sequence between nucleotides 1,931 and 1,936 (15). To detect any mutations of Smad2 and Smad4 genes in their MH2 domains (16, 17), other primers were designed based on their mRNA sequences (Genbank accession nos. AF027964 and NM005359). The primer sequences were as follows: TßRII1 forward (405/422) 5'-CGGAATTCGCATGAAGGACAACGTGTTG-3' and TßRII1 reverse (795/812) 5'-ATAGAATTCGAGCTATTTGGTAGTGTTTAGGGA-3', TßRII2 forward (1,792/1,811) 5'-AAGGATCCATCCATCCCACCGCACGTTCAG-3' and TßRII2 reverse (2,019/2,042) 5'-ATACTCGAGGTCAGGATTGCTGGTGTT-3', Smad2 forward (961/979), 5'-GAATTCGGTTGGAGAAACCTTCCAT-3' and Smad2 reverse (1,495/1,510), 5'-GAACTCGAGTTATGACATGCTTGAG-3', and Smad4 forward (1,149/1,167) 5'-GGATCCAATGAGCTTGCATTCCAGC-3' and Smad4 reverse (1,924/1,943) 5'-TTTTGTAGTCCACCATCCTG-3'.
Domain-Specific Abs against the Phosphorylated Smad2 and Smad3. Polyclonal anti-phospho-Smad2 and anti-phospho-Smad3 Abs [
pSmad2L (Ser249/254),
pSmad2C (Ser465/467),
pSmad3L (Ser207/212), and
pSmad3C (Ser423/425)] were raised against the phosphorylated linker regions and COOH-terminal regions of Smad2 and Smad3 by immunization of rabbits with synthetic peptides.4 The relevant antisera were affinity purified with the phosphorylated peptides.
Immunohistochemical Analyses. After fixation in 3% formalin for 2 to 3 days, human colorectal tissues were dehydrated through graded alcohol series, embedded in paraffin, and sectioned at a thickness of 4 µm. Paraffin sections then were deparaffinized in xylene and rehydrated. Nonenzymatic antigen retrieval was done by heating sections to 121°C in 0.01 mol/L sodium citrate buffer (pH 6.0) for 10 minutes. After cooling, sections were rinsed in TBS containing 0.1% Tween 20 (TBST) and incubated in methanol-3% H22 for 30 minutes to quench endogenous peroxidase activity. After rinsing with TBST, sections were incubated with primary Abs for 1 hour at room temperature in a humid chamber. Primary Abs used in this study included mouse monoclonal Ab anti-Ki-67 (0.8 µg/mL, DAKO, Glostrup, Denmark), anti-pSmad2L (0.5 µg/mL), anti-pSmad2C (0.5 µg/mL), anti-pSmad3L (1 µg/mL), and anti-pSmad3C (1 µg/mL). Anti-pSmad3C Abcross-reacted weakly with COOH-terminally phosphorylated Smad2. To block binding of anti-pSmad3C Ab to phosphorylated domains in Smad2, anti-pSmad3C Ab was adsorbed with 1 µg/mL COOH-terminally phosphorylated Smad2 peptide.4 After sections were rinsed in TBST, they were incubated with peroxidase-labeled polymer conjugated to goat anti-mouse or anti-rabbit immunoglobulin (DAKO) for 1 hour at room temperature. Finally, the sections were developed with 3,3'-diaminobenzidine (Vector Laboratories, Burlingame, CA), counterstained with Mayer's hematoxylin (Merck, Darmstadt, Germany), and mounted under coverslips.
Immunoprecipitation and Immunoblotting. Frozen tissues were extracted with TNE buffer [10 mmol/L Tris-HCl (pH 7.5), 150 mmol/L NaCl, 1 mmol/L EDTA, 1% NP40, 100 mmol/L phenylmethylsulfonyl fluoride]. Cell extracts were subjected to immunoprecipitation with monoclonal anti-Smad2/3 Ab (BD Transduction Laboratories, Lexington, KY) followed by adsorption to protein G-Sepharose (Pharmacia, Peapack, NJ) for 1 hour. After washing thrice with TNE buffer, the immunoprecipitates were separated by 7.5% SDS-PAGE and transferred to a nitrocellulose membrane (Pharmacia). After the membranes were blocked overnight in TBST containing 5% bovine serum albumin (Nakarai, Kyoto, Japan), they were incubated with the indicated primary Abs for 1 hour at room temperature. Extent of phosphorylation of Smad2 and Smad3 was determined using each anti-pSmad2/3 Ab (11). Immunoblotting of total cell extracts was carried out using rabbit polyclonal anti-pJNK1/2 Ab (Cell Signaling Technology, Beverly, MA), anti-pp38 MAPK Ab (Promega, Madison, WI), anti-JNK1/2 Ab (Cell Signaling Technology), and anti-p38 MAPK Ab (Cell Signaling Technology). After the membranes were rinsed in TBST, they were incubated with horseradish peroxidaseconjugated anti-rabbit polyclonal Ab for 1 hour at room temperature. Proteins were detected by enhanced chemiluminescence (Pharmacia) and autoradiography. Densities of immunoreactive bands were measured using a densitometer (LKB, Bromma, Sweden).
In vitro Kinase Assay. Bacterial expression and purification of GST-Smad2 and GST-Smad3 were carried out according to the manufacturer's instructions (Amersham Biosciences, Piscataway, NJ). Endogenous kinases were isolated from the protein extracts using anti-pJNK1/2 Ab (Promega). Immune complexes collected with protein G-Sepharose were washed with kinase assay buffer [25 mmol/L Tris-HCl (pH 7.5), 5 mmol/L ß-glycerophosphate, 2 mmol/L DTT, 0.1 mmol/L Na3VO4, 10 mmol/L MgCl2]. Pellets were resuspended in kinase assay buffer supplemented with100 µmol/L ATP and 2 µg of bacterially expressed GST-Smad2 or GST-Smad3. Assays were carried out at 30°C for 30 minutes and then were stopped by addition of Laemmli sample buffer. Phosphorylation sites in Smad2 and Smad3 were determined by immunoblotting using each anti-pSmad2/3 Ab.
Statistical Analysis. Statistical evaluation was done using the nonparametric Wilcoxon and Mann-Whitney U ranking tests. All values were based on two-tailed statistical analysis. The first test was used to evaluate significant differences in Smad2/3 phosphorylation between 31 paired primary adenocarcinomas and uninvolved normal colorectal mucosa from the same patients. The Mann-Whitney U test was used to test significant differences in Smad2/3 phosphorylation between 11 adenomas and uninvolved normal colorectal mucosa in the patients with colorectal cancer. P < 0.05 was considered significant.
| Results |
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pSmad2C and
pSmad3C). The phosphorylation level of Smad2C in adenocarcinoma was almost the same as that in normal epithelial cells, and pSmad2C was distributed evenly in the nuclei of the adenocarcinoma cells (Fig. 1B and C, left compared with right,
pSmad2C). However, nuclear pSmad3C immunostaining showed a scattered distribution throughout the adenocarcinoma specimen (Fig. 1B and C, left,
pSmad3C). In contrast to highly phosphorylated states of Smad2C and Smad3C, Smad2L and Smad3L showed little phosphorylation in normal colonic epithelial cells (Fig. 1B andC,right,
pSmad2L and
pSmad3L). However, both Smad2 and Smad3 were highly phosphorylated at linker regions in adenocarcinomas (Fig. 1B and C, left,
pSmad2L and
pSmad3L). Subcellular localization of pSmad3L was different from that of pSmad2L. Whereas pSmad2L remained in the cytoplasm of the adenocarcinoma, pSmad3L accumulated in tumor cell nuclei (Fig.1C, left,
pSmad2L and
pSmad3L).
Figure 1D illustrates the distribution of phosphorylated Smad2/3 molecules in a human colonic adenoma. As in normal epithelial cells, both Smad2 and Smad3 were phosphorylated at COOH-terminal regions and pSmad2C and pSmad3C were located predominantly in the nuclei of adenoma cells (Fig. 1D,
pSmad2C and
pSmad3C). Similarly, Smad2 and Smad3 were phosphorylated at linker regions in the adenoma (Fig. 1D,
pSmad2L and
pSmad3L). Their extent of phosphorylation in the adenoma was intermediate between those in normal epithelial cells and adenocarcinomas. Whereas pSmad2L was found mainly in the cytoplasm of the adenoma cells, pSmad3L accumulated in the nuclei of these cells.
To evaluate extent of phosphorylation of each domain in Smad2 and Smad3, we subjected the extracts from colorectal tumors and noninvolved normal mucosa to immunoblotting with domain-specific Abs against the phosphorylated Smads. The linker regions of Smad2 and Smad3 showed very little phosphorylation in normal mucosa, where the COOH-terminal regions of Smad2 and Smad3 were moderately phosphorylated (Fig. 2A). In contrast, Smad2 and Smad3 in adenocarcinomas were highly phosphorylated at linker regions. Although the extent of phosphorylation of Smad2C in adenocarcinomas was almost the same as that in normal mucosa, Smad3C showed somewhat less phosphorylation in primary invasive adenocarcinoma than in normal mucosa. Considering immunoblotting findings together with the results obtained from immunohistochemical analyses (Fig. 1B and C), Smad2 and Smad3 were constitutively phosphorylated at linker regions in adenocarcinomas.
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JNK in Human Colorectal Adenocarcinoma Directly Phosphorylates Smad2/3 at Linker Regions. We reported previously that Ser249/254 in Smad2 and Ser207/212 in Smad3, which anti-pSmad2L Ab and anti-pSmad3L Ab recognized, respectively, servedas substrates for JNK and/or p38 MAPK in vitro after TGF-ß treatment (11).4 Accordingly, we further investigated the phosphorylation states of JNK1/2 and p38 MAPK in the process of human colorectal carcinogenesis. We subjected the extracts from colorectal tumors and uninvolved normal mucosa to immunoblotting with Abs specific for phosphorylated JNK1/2 and p38 MAPK. The phosphorylation of JNK1, but not JNK2, was increased 2.4-fold in late-stage invasive and metastatic cancers compared with normal mucosa (Fig. 3A and B). In contrast, the degree of p38 MAPK phosphorylation in cancerous tissues was almost the same as that in uninvolved mucosa (Fig. 3A and C). Because the profiles of Smad2 and Smad3 phosphorylation in specimens representing stages in human colorectal carcinogenesis resembled those of JNK1 activation, these events may be causally linked.
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Growing Ki-67-Immunoreactive Adenocarcinoma with Distant Metastasis Shows pSmad3L Localization Exclusively in Cell Nuclei. We finally investigated the relationship between pSmad3L and cellular proliferation in primary invasive adenocarcinoma with distant metastasis. To assess the proliferative states of adenocarcinoma, nuclear expression of proliferation-associated antigen Ki-67 was examined immunohistochemically. Figure 5 shows pSmad3L distribution and Ki-67 expression in primary invasive adenocarcinoma and uninvolved colonic mucosa from patient 29 in Table 1. Smad3L was only minimally phosphorylated in normal colonic epithelial cells (Fig. 5A); scattered pSmad3L-immunoreactive cells were essentially confined to the proliferative compartments in the basal third of the mucosal crypts (Fig. 5B). Throughout the glands formed by the adenocarcinoma, pSmad3L was significantly more abundant than in normal glands. Smad3L occasionally showed phosphorylation in inflammatory cells within mucosal connective tissue. Glands showing highly phosphorylated Smad3L were evenly distributed in the adenocarcinoma. Expression of Ki-67 was low in the normal mucosa. In particular, the superficial epithelium failed to show any Ki-67 expression. In parallel with the distribution of pSmad3L-immunoreactive cells, scattered Ki-67-immunoreactive cells were confined to the basal third of crypts. Colonic adenocarcinoma showed a higher frequency of expression of Ki-67, but this still was patchy. A significant positive relationship was evident between pSmad3L distribution and Ki-67 expression, although the constitutive distribution of pSmad3L was greater than that of Ki-67.
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| Discussion |
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TGF-ß inhibited growth of a rat intestinal epithelial cell line (22) and was found to directly induce apoptotic cell death (23). In an investigation of ligand-receptor interactions in normal colorectal epithelial cells, we reported previously that both TßRI and TßRII were strongly expressed in human normal colorectal epithelial cells (24). In situ hybridization and immunohistochemistry to detect the ligand suggested that TGF-ß is produced by and is present within human colorectal epithelial cells (24, 25). Taken together with our current findings that both pSmad2C and pSmad3C were located predominantly in the nuclei of normal colorectal epithelial cells, TGF-ß in normal colorectal epithelial cells mainly transmits autocrine signals through pSmad2/3C mediated by TßRI. In most normal epithelial cell types, TGF-ß arrests cell cycle progression in the G1 phase by up-regulating expression of cyclin-dependent kinase inhibitors p21WAF1/CIP1 and/or p15INK4B (26, 27). TGF-ß also induces expression of death-associated protein kinase as an immediate-early response by the cells in which it induces apoptosis (28). The death-associated protein kinase promoter is activated by TGF-ß through the action of Smad2, Smad3, and Smad4. Induction of both cyclin-dependent kinase inhibitors and death-associated protein kinase expression requires COOH-terminal phosphorylation of Smad2 and Smad3 (2830). Thus, pSmad2/3C-mediated signaling seems to take part in growth inhibition and apoptosis in normal colorectal epithelial cells.
Our current findings highlighted a significant increase in JNK-dependent pSmad2/3L as the process of neoplasia progressed from normal colorectal epithelial cells to invasive adenocarcinoma with distant metastasis. In addition, nuclear pSmad3L showed a positive correlation with Ki-67 expression, a proliferative marker. These results confirm and extend previous findings that JNK activation is involved in proliferation of rat intestinal neoplasia (31). Because JNK-dependent Smad3L phosphorylation promotes nuclear accumulation of Smad3, reduction of pSmad3C could be explained by reduced accessibility of Smad3 to TßRI (11). Accordingly, an increase in pSmad3L during colorectal carcinogenesis (Fig. 2D) could lead to the observed decrease in pSmad3C (Fig. 2E), resulting in desensitization of the cell to TGF-ß tumor suppressor activity (11). Moreover, TGF-ß treatment caused to an increase in plasminogen activator inhibitor type 1 transcriptional activity through pSmad3L (11). Because plasminogen activator inhibitor type 1 conducts the cells to migration and invasion by blocking cellular adhesion and by promoting basement membrane degradation, stimulation of plasminogen activator inhibitor type 1 production might lead to an increase in invasive capacity of cancer cells (32). In support of this role of pSmad3L, late-stage cancer with deep invasion and/or metastasis typically was characterized by high phosphorylation of Smad3L. Collectively, the change of phosphorylation sites in Smad2/3 from COOH-terminal regions to linker regions is one of the major mechanisms for the complex transition of TGF-ß signaling during human colorectal carcinogenesis.
Few pSmad2/3L-positive epithelial cells could be seen in normal epithelial crypts. Adenomas showed degree of linker phosphorylation that was a few times greater than in normal mucosa (i.e., a pSmad2/3L signal intensity intermediate between those typical of normal epithelial cells and adenocarcinomas). Taken together with the high degree of pSmad2/3L in primary invasive adenocarcinoma, our results suggest that the linker phosphorylation develops relatively late in the evolution of colorectal tumors accompanied by persistent JNK activity.
Because K-ras mutations have been detected in both adenoma and carcinoma (1) and JNK can be activated through ras (33), increased JNK-dependent phosphorylation of Smad2/3L observed in colorectal tumors may be a direct consequence of the K-ras mutation. However, the degree of the linker phosphorylation in individual tumors did not reflect the presence of K-ras mutation. Thus, only 47% of tumors studied harbored mutations of K-ras (data not shown), whereas all adenomas and adenocarcinomas examined displayed elevated JNK-dependent phosphorylation of Smad2/3L. Several pathways including Src are responsible for activation of JNK during colorectal carcinogenesis (34, 35).
Because TGF-ß signaling participates in the physiology of normal epithelial cells, unraveling the molecular mechanisms of TGF-ß signal leading to pathogenesis of human cancer is critical to development of new therapies (36, 37). In addition to continued molecular studies in vitro, investigations need to be extended to more complex in vivo models (2). The present work represents such application of studies on TGF-ß signaling in vitro to one in vivo situation, resected human tissues. In the process of human colorectal carcinogenesis, pSmad3C, which favors tumor suppressor activity of TGF-ß, was found to decrease, whereas JNK tended to induce the phosphorylation of Smad2/3L. From the view point of TGF-ß signaling, a key therapeutic challenge in cancer would be restoration of the lost tumor suppressor function observed in normal colorectal epithelial cells at the expense of oncogenic effects that would lead to more aggressive adenocarcinoma (36). Specific inhibitors of the JNK-mediated Smad2/3L pathway might prove useful in this respect. Investigation concerning the distribution of pSmad2/3L in a given specimen would be needed to predict potential response to molecularly targeted therapy for human sporadic colorectal cancer.
| Acknowledgments |
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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.
We thank Dr. R. Derynck (University of California at San Francisco, San Francisco, CA) for providing the cDNAs encoding human Smad2 and Smad3.
| Footnotes |
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Received 6/22/04. Revised 10/ 4/04. Accepted 10/27/04.
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