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[Cancer Research 66, 9691-9697, October 1, 2006]
© 2006 American Association for Cancer Research


Experimental Therapeutics, Molecular Targets, and Chemical Biology

The COOH-Terminal Globular Domain of Fibrinogen {gamma} Chain Suppresses Angiogenesis and Tumor Growth

Nobuaki Akakura1, Case Hoogland1, Yoko K. Takada1, Jun Saegusa1, Xiaojing Ye1, Fu-Tong Liu1, Anthony Tze-Wai Cheung2 and Yoshikazu Takada1

Departments of 1 Dermatology and 2 Medical Pathology and Laboratory Medicine, University of California-Davis Medical Center, Sacramento, California

Requests for reprints: Yoshikazu Takada, Department of Dermatology, University of California-Davis Medical Center, Research III Suite 3300, 4645 Second Avenue, Sacramento, CA 95817. Phone: 916-734-7443; Fax: 916-734-7505; E-mail: ytakada{at}ucdavis.edu.


    Abstract
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fibrinogen is a major plasma protein (350 kDa) that induces proliferative signals by serving as a scaffold to support the binding of growth factors and to promote the cellular responses of adhesion, proliferation, and migration during wound healing, angiogenesis, and tumor growth. Fibrin(ogen) degradation products generated during fibrinolysis are implicated in tissue injury. The fibrinogen {gamma} chain has a COOH-terminal globular domain ({gamma}C, residues 151-411 of the {gamma} chain, 30 kDa) to which several integrin cell adhesion receptors (e.g., platelet {alpha}IIbß3, endothelial {alpha}vß3, and leukocyte {alpha}Mß2) bind. Integrins play a critical role in signal transduction from fibrin(ogen). We found that {gamma}C and its truncation mutant (designated {gamma}C399tr), with a deletion of the COOH-terminal 12 residues, induced apoptosis of endothelial cells and blocked tube formation of endothelial cells. DLD-1 human colon cancer cells that secrete {gamma}C or {gamma}C399tr grew at similar levels in vitro but grew much slower in vivo than mock-transfected cells. The recombinant purified {gamma}C399tr fragment markedly suppressed tumor growth, development of intratumoral vasculature, and tumor metastasis in vivo in the highly metastatic Met-1 breast cancer model. The determinant responsible for binding to endothelial cells is cryptic in native fibrinogen but is exposed in {gamma}C and {gamma}C399tr. These results suggest that fibrinogen has a novel cryptic determinant, which can exert apoptosis-inducing activity on endothelial cells when exposed, and polypeptides containing this determinant have therapeutic potential. (Cancer Res 2006; 66(19): 9691-7)


    Introduction
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fibrinogen is a major plasma protein (350 kDa) that plays an important role in blood clotting, cellular and matrix interactions, inflammation, wound healing, and neoplasia (1). It has been established that fibrinogen induces proliferative signals by serving as a scaffold to support the binding of growth factors and to promote the cellular responses of adhesion, proliferation, and migration during wound healing, angiogenesis, and tumor growth (1). On the other hand, fibrin(ogen) degradation products (FDP) generated during fibrinolysis are implicated in tissue injury associated with the adult respiratory distress syndrome, disseminated intravascular coagulation, and septic shock (2). Plasma concentrations of FDP are markedly elevated in these disorders (3, 4). Activation of fibrinolysis and the resulting generation of FDPs contribute to lung vascular injury (5). It has been reported that fragment D, a major FDP, detaches bovine aorta endothelial (BAE) monolayers from the substratum (6) and increases calf pulmonary aortic endothelial (CPAE) monolayer permeability to 125I-albumin (7). However, the basis of how FDPs induce the vascular injury is unclear.

The fibrinogen {gamma} chain has a conserved globular domain at the COOH terminus (30 kDa, residue 151-411, designated {gamma}C). According to the crystal structure of the human {gamma}C domain (8), {gamma}C has a COOH-terminal fibrin-polymerization domain, a single calcium-binding site and a deep binding pocket. Integrins are a family of cell adhesion receptors that recognize extracellular matrix ligands, including fibrin(ogen) and cell surface ligands (9). Integrins are transmembrane {alpha}ß heterodimers, and at least 18{alpha} and 8ß subunits are known (10). It has been well established that integrins transduce signals inside the cells on ligand binding, and integrin functions are regulated by the signals from inside the cells (9). {gamma}C is a major integrin-binding site of fibrinogen. Integrin {alpha}IIbß3 in platelets, {alpha}vß3 in endothelial cells, and {alpha}Mß2 in leukocytes recognize {gamma}C and play an important role in thrombus formation, angiogenesis, and inflammation, respectively. We have published that {gamma}C and its truncation mutant {gamma}C399tr (residues 251-411 and 251-399 of the fibrinogen {gamma} chain, respectively) bind to integrin {alpha}vß3 in an cation-dependent manner (11, 12). Although these fragments do not have an RGD motif, a prototype integrin recognition sequence, RGD peptide blocked {alpha}vß3 binding to these fragments (11, 12). Fragment D consists of COOH-terminal portions of {alpha}, ß, and {gamma} chains of fibrinogen.

In the present study, we discovered that {gamma}C and {gamma}C399tr induced apoptosis of endothelial cells in vitro and blocked tube formation of endothelial cells on Matrigel in vitro, whereas native fibrinogen and fragment D did not induce apoptosis of endothelial cells. Cancer cells that secrete {gamma}C or {gamma}C399tr grew much slower in vivo than control mock-transfected cells. Further, the recombinant soluble {gamma}C399tr suppressed the tumor growth, intratumoral vasculature development, and metastasis in vivo. We provide evidence that the determinant that is involved in endothelial apoptosis is cryptic in fragment D and native fibrinogen but is exposed in {gamma}C and {gamma}C399tr. These results suggest that polypeptides that have the apoptosis-inducing determinant have therapeutic potential as an antiangiogenic agent.


    Materials and Methods
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
Fibrinogen fragments. Human fibrinogen was purchased from Enzyme Research Laboratories (South Bend, IN). Fragment D was prepared as described previously (7). The {gamma}C and {gamma}C399tr fragments were produced in Escherichia coli using the pET21a(+) vector as an insoluble protein and were refolded as described previously (12). Purified proteins have >90% purity in SDS-PAGE. Endotoxin was removed from the purified protein by using the Detoxi-Gel endotoxin removing gel (Pierce Biotechnology, Rockford, IL). We confirmed that the protein sample is endotoxin-free by using an endotoxin detection kit.

Synthesis of recombinant soluble {alpha}vß3. We used recombinant soluble {alpha}vß3 (constructs were provided by T. Springer, Center for Blood Research, Boston, MA; ref. 13) for binding assays. We generated Chinese hamster ovary (CHO) cells that stably express soluble {alpha}vß3 and purified the secreted protein in serum-free medium by Ni-NTA affinity chromatography using a 6-His tag at the COOH terminus of the protein.

Site-directed mutagenesis. Site-directed mutagenesis was carried out using a modified Quick Change method (14). The presence of the mutations was verified by DNA sequencing. We generated the {gamma}C399tr mutant, in which residues 400 to 411 of {gamma}C are deleted by the insertion of the stop codon at position 400 (12).

Analysis of apoptosis. Apoptosis was measured by using the Annexin V-FITC Apoptosis Detection kit (BD PharMingen, San Diego, CA). Cells were seeded in wells of six-well tissue culture plates (1 x 106 per well) in the presence of fibrinogen or its fragments (10-20 µg/mL) and cultured in 5% CO2 incubator at 37°C for 24 hours. Cells were harvested by incubating with trypsin-EDTA (5 minutes at 37°C). After a trypsin inhibitor was added, cells were washed with PBS, and Annexin V-FITC (5 µL) and propidium iodide (PI) solutions (5 µL in 100 µL) were then added. After 15 minutes of incubation at room temperature, Annexin V-FITC bound to cells was analyzed by flow cytometry.

We measured caspase-3/caspase-7 activities by using Apo-One homogeneous caspase-3/caspase-7 assay (Promega, Madison WI). Briefly, cells plated in wells of 96-well tissue culture plates at a density of 2.0 x 104 per well were lysed with an equal volume of lysis buffer containing the caspase substrate, Z-DEVD-R100, and incubated at room temperature for 1 hour. The fluorescence from each well was measured at an excitation wavelength of 498 nm and an emission wavelength of 521 nm using a Wallac 1420 multilabel counter (PerkinElmer, Wellesley, MA).

Cell proliferation. Cells were plated in wells of 96-well tissue culture plates (5 x 104 per well) and cultured in the presence of 10 to 20 µg/mL fibrinogen or its fragments. Cell growth was measured by the 3-(4-5-dimethylthiazol-2-yl)-5-(3-carboxymethoxyphenyl)-2-(4-sulfophenyl)-2H-tetrazolium salt (MTS) assay. CellTiter 96 aqueous one solution (20 µL) cell proliferation assay kit (Promega) was added to 100 µL medium in the 96-well culture plate and incubated at 37°C in a humidified chamber for 2 to 3 hours. The absorbance was read at 490 nm using the Bio-Tek fluorescent microplate reader (Bio-Tek Instruments, Inc., Randburg, South Africa). Each sample was measured in triplicate.

Tube formation on Matrigel. Wells of 96-well FluoroNunc black plates were coated with 50 µL Matrigel basement membrane matrix (BD Bioscience, San Jose, CA) and allowed to gel at 37°C for 30 minutes. Endothelial cells growing on the tissue culture plastic were trypsinized, washed, and added to the matrix-coated wells at 2 x 104 per well. Unless otherwise noted, plating was done in fully supplemented growth medium: DMEM plus 10% FCS for CPAE and M-131 plus microvascular growth supplement (Cascade Biologics, Portland, OR) for human microvascular endothelial cells (HMVEC). Cells were incubated for 24 hours in the presence of fibrinogen fragments. To enhance images, calcein AM (Invitrogen, Carlsbad, CA) was added to the medium (10 µg/mL) and incubated for 15 minutes at 37°C. Digital images were taken by using a fluorescent microscope and analyzed by using ImageJ.

Activation of caspase-3 during tube formation in HMVEC. Sixteen-well chamber slides were coated with Matrigel (50 µL/well) at 37°C. HMVECs (4 x 104 per well) were added to the well and incubated for 8 hours in the presence of fibrinogen or its fragments at 30 µg/mL in the medium (100 µL/well). Cells were fixed with 2% paraformaldehyde and permeabilized with 0.5% Triton X-100. The cells were then treated with bovine serum albumin (BSA) and then incubated with Alexa 488–labeled antibody specific to cleaved caspase-3 (green; Cell Signaling, Danvers, MA) overnight at 4°C. Nuclei were stained with 4',6-diamidino-2-phenylindole (blue). Cells were observed under fluorescent microscope.

Generation of DLD-1 colon carcinoma cells that secrete {gamma}C or {gamma}C399tr. We engineered DLD-1 human colon carcinoma cells to secrete {gamma}C or {gamma}C399tr by transfecting the pSecTag construct encoding {gamma}C or {gamma}C399tr. Control DLD-1 cells were transfected with vector only. These cells were selected for zeocin resistance (designated {gamma}C-DLD-1, {gamma}C399tr-DLD-1, and mock-DLD-1, respectively). We inserted the 6-His and S tags in the KpnI/BamHI site in pSecTag vector (between the IgG{kappa} secretory signal and the NH2 terminus of the {gamma}C or {gamma}C399tr). The expression of {gamma}C or {gamma}C399tr in DLD-1 cells was tested by staining with FITC-labeled anti-6-His tag antibody. Briefly, we incubated the cells with Brefeldin A (Sigma-Aldrich, St. Louis, MO) that blocks transport of proteins from the endoplasmic reticulum to the Golgi apparatus at 10 µg/mL medium for 8 to 16 hours. Cells were washed with PBS and fixed with 3.7% formaldehyde for 20 minutes at room temperature. Cells were incubated with FITC-labeled anti-S tag antibody and observed under fluorescent microscope. We found that most of the {gamma}C or {gamma}C399tr DLD-1 cells were positive, but nontransfected or mock-transfected DLD-1 cells were not (data not shown). These cells were s.c. injected into severe combined immunodeficient (SCID) mice (one million cells per mouse) without further cloning or enrichment. The tumor growth was monitored using caliper, and tumor volume (v) was calculated as v = 0.4 (a x b2), where a is a maximum tumor diameter and b is a diameter at 90° to a.

Intravital microscopy of Met-1 cells. Thirteen nude mice were used in this study with eight mice serving as experimental mice treated via i.p. injection of {gamma}C399tr and five mice serving as nontreated controls. Each mouse was s.c. transplanted with a small piece of the Met-1 metastatic mammary tumor, either on one side or both sides of the trunk, following a procedure that has been approved by the University of California, Davis Animal Use and Care Committee. All experimental mice were injected with {gamma}C399tr (150 µg/d/mouse) everyday, except weekends for a total of 4 weeks. Starting from the day after tumor transplantation, the size of all tumors, in both the experimental mice and control mice, was measured via caliper 5 days weekly, Monday to Friday, but not on weekends. Individual growth curves were plotted using the measurements (see Fig. 4A). At the end of 4 weeks (28 days) post-tumor transplantation, all the animals were sacrificed. The lungs of all the experimental animals as well as the controls were scored for pulmonary metastasis via x10 magnification gross analysis.


Figure 4
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Figure 4. {gamma}C399tr suppressed tumor growth, angiogenic (microcirculatory) development, and metastasis of the highly metastatic Met-1 tumors in nude mice. A, the growth of the Met-1 tumor in nude mice. The Met-1 tumor was implanted on day 0, and injection of {gamma}C399tr or PBS started on day 1. Arrows, the day {gamma}C399tr or PBS was injected (150 µg/d/mouse). The data show that {gamma}C399tr suppressed the growth of the Met-1 tumor in vivo. B, intratumoral angiogenic development in the Met-1 tumor from mice treated with {gamma}C399tr. a, angiogenic vessels inside the Met-1 tumor from a mouse that is not treated with {gamma}C399tr. Note the vessel density and the extremely tortuous nature of these intratumoral angiogenic vessels (tortuosity index, 0.39 ± 0.05) in control mouse. b, a typical view of intratumoral angiogenic vessels in Met-1 tumors under {gamma}C399tr infusion treatment. Vessel in view is partially damaged (arrows) and there is a stagnation of flow. c and d, typical intratumoral angiogenic vessel in Met-1 tumor treated with the {gamma}C399tr infusion. The tumor is sparsely vascularized and the vessels are not tortuous (tortuosity index, 0.81 ± 0.11). These features differ significantly from nontreated controls. e, this area of the tumor is necrotic and the vasculature is damaged in Met-1 tumor treated with the {gamma}C399tr infusion.

 
The intratumoral angiogenic Met-1 metastatic tumors were studied using computer-assisted intravital microscopy. On the last day of the study, all the animals were anesthetized and the respective tumors were exposed via a midline incision (15). Using computer-assisted intravital microscopy, videotapes were made of the intratumoral microcirculation of the tumors. The videotapes were analyzed and quantified for angiogenic characteristics (vessel density distribution, total length of angiogenic vessel per field, and vessel tortuosity), using imaging software developed in house. The angiogenic variables were correlated with the growth curve and metastatic outcome in the same animal. A tortuosity index (the ratio between meandering path of the vessel between the two points and the straight-line distance) was used to quantify the degree of curvature of the intratumoral vessels. Theoretically, the tortuosity index for a straight line is close to 1 (0.7-0.9) and for a very curved line is close to 0.1 (0.1-0.6). The tortuosity index of the intratumoral vessel in Met-1 treated with {gamma}C399tr lies in the 0.6 to 0.7 range, whereas the nontreated control lies in the 0.3 to 0.4 range.


    Results
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
{gamma}C induced, but native fibrinogen or fragment D did not induce, apoptosis of endothelial cells. We determined the effect of fibrinogen, fragment D, and {gamma}C on the proliferation of CPAE cells. The isolated recombinant {gamma}C effectively blocked proliferation of CPAE (Fig. 1A and B ) and BAE (data not shown) cells in tissue culture at concentrations of <10 µg/mL, whereas native fibrinogen and fragment D did not have a noticeable effect at the same concentrations. We showed that the effect of {gamma}C is due to induction of apoptosis, as evidenced by the detection of apoptotic cells by fluorescence-labeled Annexin V (Fig. 1C) and presence of activated caspase-3/caspase-7 (Fig. 1D) in {gamma}C-treated cells.


Figure 1
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Figure 1. {gamma}C-induced apoptosis in endothelial cells. A, effect of fibrinogen fragments on the proliferation of CPAE cells. CPAE cells were cultured in the presence of BSA (100 µg/mL), native human fibrinogen (Fg; 10 µg/mL), fragment D (10 µg/mL), or {gamma}C (10 µg/mL) for 48 hours. {gamma}C, but not other proteins, significantly affected the growth of CPAE cells. B, effect of fibrinogen fragment concentrations on the proliferation of CPAE cells. CPAE cells cultured in the presence of fibrinogen, fragment D, or {gamma}C at the indicated concentrations for 24 hours. Cell proliferation was measured using the MTS assay. Similar results were obtained when cell numbers were determined (data not shown). C, time course of Annexin V binding to CPAE cells during {gamma}C treatment. CPAE cells were cultured in the presence of {gamma}C (10 µg/mL) for the indicated time and then stained with Annexin V-FITC and PI. The data suggest that {gamma}C induces Annexin V binding in a time-dependent manner. D, time course of caspase-3/caspase-7 activation by {gamma}C in CPAE cells. CPAE cells were cultured in the presence of {gamma}C (bullet, 10 µg/mL; {circ}, 1 µg/mL) for the indicated time and caspase-3/caspase-7 activities in the cell lysates were measured. The data suggest that {gamma}C activates caspase-3/caspase-7 in CPAE cells in a time-dependent manner.

 
{gamma}C also blocked tube formation from HMVEC in Matrigel (Fig. 2A and B ), although it did not induce apoptosis in these cells grown in tissue culture flasks (data not shown). {gamma}C induced caspase-3 activation in 8 hours in these cells in Matrigel (Fig. 2C). These results suggest that the human endothelial cells used are resistant to {gamma}C-induced apoptosis in tissue culture but become sensitive to {gamma}C during tube formation. In contrast, {gamma}C did not affect the proliferation of CHO cells, HaCaT cells (transformed keratinocytes), primary human keratinocytes, or DLD-1 human colon carcinoma cells (data not shown). These results suggest that the {gamma}C-induced apoptosis is specific to endothelial cells among the several cell types tested.


Figure 2
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Figure 2. Effect of {gamma}C and {gamma}C399tr on tube formation by endothelial cells. A, tube formation by HMVEC on Matrigel. Wells of 96-well black plates were coated with Matrigel basement membrane matrix and allowed to gel. HMVECs growing on tissue culture plastic were trypsinized, washed, and added to the matrix-coated wells at 2 x 104 per well. HMVECs were incubated for 24 hours in the presence of fibrinogen or its fragments (30 µg/mL each). B, quantification of the tube formation by HMVEC. The areas occupied by tubes were determined by using ImageJ from digital images taken by using fluorescent microscope. Columns, mean of three independent experiments; bars, SD. Statistical analysis was done by t test. {gamma}C and {gamma}C399tr significantly suppressed tube formation (P = 0.0001 in both cases). C, {gamma}C and {gamma}C399tr induced activation of caspase-3 during tube formation in HMVEC. Sixteen well chamber slides were coated with Matrigel (50 µL/well) at 37°C. HMVECs (4 x 104 per well) were added to the wells and incubated for 8 hours in the presence of fibrinogen or its fragments in the medium at 30 µg/mL. Cells were fixed, permeabilized, and stained for activated caspase-3 (green) and nuclei (blue).

 
DLD-1 colon carcinoma cells engineered to secrete {gamma}C or {gamma}C399tr grew slower than nonsecreting control cells in SCID mice. We decided to test whether {gamma}C and {gamma}C399tr affect angiogenesis in vivo by using tumor xenograft models. It has been reported that platelets play a role in tumor growth (3, 4, 16, 17). Because platelet integrins {alpha}IIbß3 recognizes the COOH-terminal AGDV motif of {gamma}C, the binding of {gamma}C in vivo to this integrin potentially influences tumor growth in vivo. We thus generated the {gamma}C399tr mutant, in which the COOH-terminal 12 residues, including the AGDV motif, are deleted. We found that {gamma}C399tr induced apoptosis of BAE and CPAE cells (data not shown), blocked tube formation of HMVEC in Matrigel (Fig. 2A and B), and activated caspase-3 in Matrigel in these cells (Fig. 2C) to the extent similar to that of {gamma}C. These results suggest that the COOH-terminal 12 residues of {gamma}C are not critical for inducing endothelial apoptosis in vitro.

We first engineered DLD-1 cells to secrete {gamma}C or {gamma}C399tr by transfecting them with a pSecTag construct encoding {gamma}C or {gamma}C399tr (designated {gamma}C-DLD-1 and {gamma}C399tr-DLD-1, respectively). Control DLD-1 cells were transfected with the vector only (designated mock-DLD-1). We found that mock-DLD-1, {gamma}C-DLD-1, and {gamma}C399tr-DLD-1 cells grew at similar rates in tissue culture (Fig. 3A ), suggesting that the secretion of {gamma}C or {gamma}C399tr has a minor effect on the growth of DLD-1 cells in vitro. We s.c. injected the transfectants into SCID mice (one million cells per mouse) without further cloning or enrichment. We found that both {gamma}C-DLD-1 and {gamma}C399tr-DLD-1 cells grew much slower than mock-DLD-1 cells in SCID mice (Fig. 3B and C), suggesting that the secretion of {gamma}C and {gamma}C399tr affects tumor growth in vivo indirectly through blocking angiogenesis.


Figure 3
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Figure 3. Effects of {gamma}C and {gamma}C399tr on tumor growth in vivo. A, DLD-1 cells were engineered to secrete {gamma}C or {gamma}C399tr ({gamma}C-DLD-1 and {gamma}C399tr-DLD-1, respectively). Cells were plated to wells of 96-well tissue culture plates (1 x 104 per well) and grown in the medium supplemented with 10% fetal bovine serum for 48 hours and the rate of proliferation was measured by using the MTS assay. These cells grow in similar rates in vitro. B, {gamma}C-DLD-1 and {gamma}C399tr-DLD-1 grow slower than nonsecreting controls in vivo. Female SCID mice were s.c. injected with one million mock-DLD-1, {gamma}C-DLD-1, or {gamma}C399tr-DLD-1 cells (n = 6 for each group). Points, mean; bars, SD. Statistical analysis was done by two-way ANOVA using GraphPad Prism software. P < 0.05 for both {gamma}C-DLD-1 and {gamma}C399-DLD-1 cells. The data suggest that {gamma}C and {gamma}C399tr blocked the tumor growth in vivo. C, tumors excised from SCID mice on day 35. Note that tumors of {gamma}C-DLD-1 are smaller than controls. Three of six mice injected with {gamma}C-DLD-1 had little or no tumors.

 
{gamma}C399tr blocked the tumor growth, intratumoral vascularization, and metastasis of the highly metastatic Met-1 breast cancer in nude mice. We studied whether the recombinant {gamma}C399tr protein affects the tumor growth, intratumoral microcirculation, and metastasis in a xenograft model with the use of a breast cancer cell line, Met-1 (15, 18, 19), containing the polyoma virus middle T transgene, which forms highly vascularized tumors and metastasizes effectively in nude mice (15, 20). Histology and computer-assisted intravital microscopy showed that Met-1 exhibited high microvessel density and tortuosity. These indices of microvascular complexity correlated with the high Met-1 metastatic rate (15, 20). {gamma}C399tr (i.p. injection of 150 µg protein/mouse, once daily, 4-5 days weekly) markedly reduced the growth of the Met-1 tumor (Fig. 4A ), suggesting that {gamma}C399tr effectively blocked tumor growth. Intravital microscopic study (Fig. 4B) shows that the tumors from the {gamma}C399tr-injected mice are sparsely vascularized. The intratumoral microvessels in the {gamma}C399tr-injected mice are underdeveloped and nontortuous, whereas those in the tumors in the non-{gamma}C399tr-injected control mice were well developed, densely distributed, and tortuous. These results suggest that {gamma}C399tr directly affects angiogenic development and the development of the intratumoral microvasculature. Similar to previous studies, all of the control mice that were not treated with {gamma}C399tr (n = 5) had massive pulmonary metastasis (100%). In contrast, mice injected with {gamma}C399tr (n = 8) had much less metastasis: five of eight mice had no detectable metastasis, two had confined pulmonary metastasis, and one had discoloration (suspected metastasis) but was confirmed not to have any metastatic lesions based on histopathology. Occurrence of pulmonary metastasis in the treated mice differed significantly (P < 0.05) from the nontreated controls. These results suggest that {gamma}C399tr effectively blocked angiogenesis, leading to suppressed growth and diminished metastasis.

Endothelial cell-binding sites of {gamma}C are cryptic in native fibrinogen. Because {gamma}C and {gamma}C399tr induced, but native fibrinogen and fragment D did not induce, apoptosis in endothelial cells, fibrinogen and its fragments may have different abilities to bind to endothelial cells. We determined whether FITC-labeled fibrinogen and its fragments bind to endothelial cells using flow cytometry. We found that {gamma}C and {gamma}C399tr bound to CPAE cells, but native fibrinogen and fragment D did not (Fig. 5A ). This observation suggests that the determinant(s) in fibrinogen and fragment D that are involved in apoptosis of endothelial cells are cryptic but become exposed in {gamma}C and {gamma}C399tr. Integrin {alpha}vß3 is a major integrin in CPAE and BAE cells (21). We found that the {gamma}C bind to {alpha}vß3 on the cell surface, but native fibrinogen and fragment D did not (Fig. 5B). This result suggests that the binding site for {alpha}vß3 is cryptic in fibrinogen and fragment D but is exposed in {gamma}C and {gamma}C399tr and that it is likely that {alpha}vß3 is one of the {gamma}C/{gamma}C399tr-binding proteins on endothelial cells.


Figure 5
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Figure 5. Binding of fibrinogen fragments to endothelial cells. A, flow cytometric analysis of interactions between fibrinogen fragments and endothelial cells. CPAE cells were incubated with soluble FITC-labeled native fibrinogen, fragment D, {gamma}C, and {gamma}C399tr in the presence of 1 mmol/L MgCl2 for 30 minutes at room temperature. Cells were washed with ice-cold buffer and analyzed by flow cytometry. The data suggest that {gamma}C and {gamma}C399tr bind to CPAE cells, but native fibrinogen or fragment D shows little or no binding to CPAE cells. B, soluble native fibrinogen and fragment D does not bind to {alpha}vß3 on CHO cells, but the soluble isolated {gamma}C domain does. FITC-labeled native human fibrinogen, fragment D, and {gamma}C were incubated with cells expressing {alpha}vß33-CHO) or control CHO cells. Cells were washed with ice-cold buffer and analyzed in flow cytometry. The data suggest that {gamma}C binds to {alpha}vß3, but native fibrinogen and fragment D show little or no binding to {alpha}vß3.

 

    Discussion
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 
The present results establish that an isolated {gamma}C and {gamma}C399tr induced apoptosis of endothelial cells in vitro. Importantly, DLD-1 colon cancer cells that secrete these fibrinogen fragments grow slower than mock-transfected cells in SCID mice. Further, we showed that purified {gamma}C399tr protein suppressed the tumor growth, development of intratumoral vasculature, and metastasis in vivo in the Met-1 model. Because {gamma}C and {gamma}C399tr induced, but native fibrinogen or fragment D did not induce, apoptosis of endothelial cells, it is expected that the determinant involved in endothelial cell apoptosis is cryptic. We provided evidence that this is really the case. These results suggest that fibrinogen has a novel cryptic determinant, which can exert apoptosis-inducing activity on endothelial cells when exposed and that {gamma}C399tr has a therapeutic potential as an antiangiogenic agent.

FDPs are implicated in tissue injury associated with the adult respiratory distress syndrome, disseminated intravascular coagulation, and septic shock (2), in which plasma concentrations of FDP are markedly elevated (3, 4). Activation of fibrinolysis and the resulting generation of FDPs contribute to lung vascular injury (5). Fragment D detaches BAE monolayers from the substratum (6) and increases CPAE monolayer permeability to 125I-albumin (7). Apparently, the cryptic determinant identified in the present study plays a role in vascular injury in such pathologic situations. It has also been reported that FDP-induced cell death of giant trophoblasts leads to embryonic lethality in thrombomodulin-deficient mice (22) and that low-molecular weight FDP suppressed the proliferation of cultured globular mesangial cells (23). It is interesting to study whether {gamma}C is involved in the antiproliferative effects induced by FDP in nonendothelial cells in future studies.

Integrins are candidate receptors involved in {gamma}C-induced endothelial apoptosis because several integrins bind to {gamma}C and because there is evidence that ligand binding to integrins can induce apoptosis. Indeed, snake venom echistatin induces apoptosis through intracellular signaling on binding to integrin {alpha}vß3 (24). In addition, the binding of several ligands to integrins activates mitogen-activated protein kinases (stress-activated c-Jun NH2-terminal kinase and p38) that are related to apoptosis (25, 26), in addition to extracellular signal-regulated kinase1/2 that is related to cell proliferation. By engineering DLD-1 cells to secrete {gamma}C or {gamma}C399tr, we showed that the deletion of the COOH-terminal domain did not affect the ability of {gamma}C to block the growth of DLD-1 cells in vivo. This suggests that the binding of platelet integrin {alpha}IIbß3 to the COOH-terminal AGDV motif is not important for the tumor-suppressive effect of {gamma}C or {gamma}C399tr. It has been reported that fibrin(ogen) is a physiologically relevant ligand for {alpha}Mß2, and integrin engagement of fibrin(ogen) is critical to leukocyte function in vivo (27). Because the {alpha}Mß2-binding site (e.g., the NRLSIGE sequence, residue 390-396 of {gamma}C) is exposed in {gamma}C399tr (28), we do not rule out the possibility that leukocytes are involved in suppressing tumor growth by {gamma}C399tr in vivo. Because {gamma}C does not expose the {alpha}Mß2-binding site (28), it is unlikely that {gamma}C requires leukocyte binding for blocking tumor growth in vivo.

We provided evidence that the binding site for {alpha}vß3, a major integrin in CPAE and BAE cells (21), is cryptic in fibrinogen and fragment D but is exposed in {gamma}C and {gamma}C399tr and that it is likely that {alpha}vß3 is one of the {gamma}C/{gamma}C399tr-binding proteins on endothelial cells. However, anti-{alpha}vß3, anti-ß1, and anti-ß3 antibodies did not block the binding of {gamma}C to CPAE cells (data not shown). This is possibly because {gamma}C or {gamma}C399tr is too small for antibodies to induce steric hindrance. In addition, antagonists to {alpha}vß3 (e.g., anti-{alpha}vß3 monoclonal antibodies) could not be used to test whether {alpha}vß3 is critical for {gamma}C-induced apoptosis because antagonists to {alpha}vß3 by themselves induce the apoptosis of endothelial cells (29). It is thus necessary to clarify whether integrins are involved in the {gamma}C-induced apoptotic process using integrin antagonists that do not induce apoptotic effects on endothelial cells in future studies.


    Acknowledgments
 
Grant support: NIH grants GM047157, CA113298, and CA093373-04/10 (Y. Takada).

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 Lan Yu for the help in animal studies.


    Footnotes
 
Note: The experiments using animals in this study have been approved by the Institutional Animal Use and Care Committee at University of California Davis and all experiments were done in accordance with relevant guidelines and regulations.

Received 5/ 9/06. Revised 6/30/06. Accepted 7/31/06.


    References
 Top
 Abstract
 Introduction
 Materials and Methods
 Results
 Discussion
 References
 

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