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Cancer Biology, Immunology, Cytokines |
Urology Research and Gene Therapy Laboratory, Departments of Urology [G. N. T., I. K., U. E. S.] and Pathology [R. M.], University of Berne, CH-3010 Berne, Switzerland; Molecular Urology and Therapeutics, Department of Urology, University of Virginia Health Science Center, Charlottesville, Virginia 22908 [R. A. S., L. W. K. C.]; and Basic Sciences, Dental Branch, University of Texas Health Science Center, Houston, Texas 77030 [R. E. D., J. A. K., C. M. F. C.]
| ABSTRACT |
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vß3 cell surface integrin heterodimer. OPN has been associated with malignant transformation as well as being ligand to the CD44 receptor. Polyclonal antibodies to human OPN (hOPN) were prepared, and specificity was shown by preabsorption with recombinant hOPN. The stimulatory effect of hOPN protein and the inhibitory effect of hOPN antibody on human prostate cancer cell lines LNCaP and C4-2 were assessed by induction or inhibition of anchorage-independent growth, respectively. Expression of hOPN mRNA in prostate cancer cell lines and human prostate cancer tissue specimens were measured by mRNA blot analysis. Protein expression was assessed by immunohistochemistry in human prostate cancer specimens and by Western blot analysis in prostate cancer cell lines. hOPN stimulated anchorage-independent growth of the human prostate cancer cell lines LNCaP and C4-2 in vitro. Antibodies to hOPN inhibited the growth-stimulatory effect by endogenous OPN, which can be overcome by the addition of exogenous hOPN. hOPN mRNA and protein are expressed in human prostate cancer cell lines in vitro and in clinical human prostate cancer specimens. These findings taken together suggest that OPN may act as a paracrine and autocrine mediator of prostate cancer growth and progression. | INTRODUCTION |
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Extracellular matrix has been demonstrated to play a critical role in tumor cell growth, adhesion, migration, and metastasis. Although the role of the extracellular matrix and its intracellular signaling through integrin heterodimers remain to be defined, interactions between bone matrix proteins and prostate cancer cells are likely to be the key determinants regulating prostate tumor cell behavior. The expression of bone matrix proteins is not restricted to bone tissue. One of these noncollagenous bone matrix proteins, OPN,4
a highly posttranslationally modified glycoprotein, contains the cell attachment amino acid sequence RGD (arginine-glycine-aspartic acid), which binds to the
vß3 integrin heterodimer (6
, 7)
. In the bone, osteoclast activity is increased as a consequence of the interaction between OPN and the osteoclast cell surface integrins. OPN is also involved in regulating bone formation and remodeling of mineralized tissues. OPN demonstrates multiple interactions with Ca2+. Furthermore, OPN recruits and stimulates macrophages and lymphocytes as part of a nonspecific response to microbial infections, inhibits and disrupts the growth of calcium oxalate crystals, affects nitric oxide production, and is involved in mediating cell migration (8
, 9)
. Recently, OPN has been reported to be a ligand of the CD44 receptor (10)
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OPN has been shown to be overexpressed in human cancers (11, 12, 13) , and OPN overexpression confers malignant transformation and was observed frequently in a variety of tumorigenic human cell lines (12, 13, 14) . Consistent with these observations, serum levels of OPN were substantially elevated in patients with metastatic cancer (15) . Ha-ras-transfected NIH 3T3 fibroblasts, which are tumorigenic and metastatic in contrast to untransformed fibroblasts, express increased levels of OPN. When Ha-ras-transfected fibroblasts were transfected with an antisense osteopontin RNA, their tumorigenic and malignant growth were reduced significantly (16) . In human esophageal cancer, ras-regulated gene products, OPN and cathepsin L, were shown to be associated with tumor invasion and metastasis (17) . We previously reported, in a preliminary finding on the potential role of bone matrix proteins such as OPN, on the progression and dissemination of prostate cancer (18) .
In this communication, we have extended our previous report on the potential role of bone matrix proteins such as OPN on the progression and dissemination of prostate cancer. We have evaluated the role of OPN in human prostate cancer progression and metastasis. We have demonstrated the value of characterizing in detail the phenotypic and genotypic alterations in LNCaP lineage-related cell models of prostate cancer progression and their utility to define clinical prostate cancer. Herein we provide the experimental evidence that OPN overexpression is associated with human prostate cancer progression. We conclude that OPN may confer selective growth and malignant potential to prostate tumor cells in situ.
| MATERIALS AND METHODS |
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Purification of hOPN.
hOPN was extracted and purified as published previously (21)
. In brief, human milk was extracted in guanidine-HCl/EDTA and was fractionated by DEAE-cellulose chromatography, eluted with 50 mM NaCl dissolved in 7 M urea (pH 4.0). A single hOPN band, migrating at Mr 60,000 and yielding a symmetrical peak on gel filtration on Sephacryl S-300, was detected.
Preparation of hOPN Antibody.
hOPN purified from human milk was used as an antigen to raise hOPN polyclonal antibodies in a goat (Bethyl Laboratories, Montgomery, TX). One hundred µg of purified hOPN was injected s.c. once every 2 weeks, with the initial immunization in complete Freunds adjuvant and subsequent immunizations in incomplete Freunds adjuvant. Bleeds were taken prior to the first immunization and 7 days after each injection. Antibody titer was assessed using an ELISA. Goat anti-hOPN antibody was affinity-purified by using recombinant hOPN on an affinity column. Affinity-purified hOPN polyclonal antibodies were used for immunostaining.
Tissue Sampling.
Radical prostatectomy specimens for routine histological examination were fixed in 4% paraformaldehyde and 5 mM MgCl2. Six-µm, paraffin-embedded tumor sections were cut and stained with H&E. Tumors were evaluated, staged, and graded by a pathologist (R. M.). Specimens from pTURP were processed in a similar manner. Sections containing normal prostate cancer, BPH, high-grade PIN, and prostate cancer were cut and used for immunohistochemical staining. Thirty-one radical prostatectomy specimens and 8 pTURP specimens were evaluated. Tumor tissue samples for RNA blot analysis were resected and snap frozen from radical prostatectomy specimens by the pathologist. BPH and tumor tissues from TURP or pTURP were immediately snap frozen. Normal prostate tissues were obtained from organ donors according to the institutional guidelines and with approval of the University Ethical Committee. All tissues were stored at -80°C until further processing.
Immunohistochemical Staining of OPN.
Immunohistochemical staining was performed on deparaffinized human prostate cancer tissue sections. Specimens were washed three times in PBS, preincubated with donkey serum 1:20 to block nonspecific activity, and then incubated with an affinity column-purified, polyclonal, goat-specific primary antibody against hOPN. The specificity of the hOPN antibody was tested by preabsorption of column chromatographically purified hOPN before immunostaining of a positive control (human bone tissue; Fig. 3, a and b
). Preimmunization serum of the same animal was used as a negative control for hOPN, and human bone tissue sections served as positive control. After 3 x PBS wash preincubation with donkey serum 1:20, the tissue specimen was incubated with the secondary antibody donkey anti-goat (alkaline phosphatase) 1:50. After three PBS washes, the alkaline phosphatase substrate (Vector Red; Vector Laboratories, Inc., Burlingame, CA) was added, incubated, and washed. Slides were then stained in filtered hematoxylin, dehydrated (80% ethanol, 95% ethanol, absolute ethanol, and xylene), and mounted with Permount (Fisher Scientific Corp., Fair Lawn, NJ). Although immunostaining for OPN in cultured prostatic cancer cell lines was uniform, multifocal OPN staining was commonly observed in clinical specimens with multifocal disease. Staining for OPN was rated as follows: -, negative staining; (+), slight staining; +, positive focal staining; and ++, strong focal staining. Only positive and strong focal staining were considered as positive staining for OPN.
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3T3 CM was prepared as follows. Cells in 7080% confluent culture were downshifted to serum-free T-medium containing 2% TCM, a serum-free defined medium supplement only. After 48 h, CM was removed and lyophilized, and protein concentrations in the CM were determined using a protein assay (Bio-Rad Laboratories, Richmond, CA); they ranged from 70100% of control (T-medium and 2% TCM; 1.3 mg/ml). Samples were then reconstituted in T-medium to 2x concentration and then filtered (0.2 µm; Nalge Co., Rochester, NY).
After incubation with EDTA, MgCl2 and CaCl2 were supplemented, and the cells were resuspended in 0.3% agarose containing T-medium supplemented with 2% TCM and plated on a 12-well plate (Costar, Cambridge, MA) containing 0.6% agarose as a bottom layer. The cover layer, consisting of T-medium and 2% TCM, was changed weekly. Colonies larger than 0.1 mm were scored 46 weeks after plating.
RNA Blot Analysis.
Total cellular RNA was extracted from cells (LNCaP, C4-2, DU145, PC-3, NbE1.4, and 3T3) and from snap frozen, pestle-ground human tissue samples by the RNAzolB method (Biotech Laboratories, Inc., Houston, TX.), a single step purification protocol. Thirty µg of RNA, as determined by absorbency at 260 nm, were subjected to RNA blot analysis by electrophoresis in a 0.9% agarose gel containing 2 M formaldehyde. RNAs were transferred by capillary blotting onto Zetaprobe membrane (Bio-Rad, Richmond, Calif.) using 1x TAE buffer. RNAs were cross-linked to the membranes by UV exposure using a stratalinker (Stratagene, La Jolla, Calif.) at 1500 mJ and prehybridized in hybridization buffer (10% dextran sulfate, 1% SSC, 1 M NaCl, and 20 µg/ml salmon sperm DNA from Amersham, Inc., Arlington Hts. IL). The solution hybridization was performed by incubation at 65°C overnight by exposing the membranes to a 32P-labeled OPN or GAPDH cDNA (loading control) probe, having specific activity >1 x 108 dpm/µg. After hybridization, the membranes were washed in 2x SSC at room temperature for 30 min, then washed under highly stringent conditions (twice for 30 min in 2x SSC/1% SDS, then once for 30 min in 0.5x SSC/1% SDS) at 65°C. Autoradiograms were prepared by exposing Kodak X-Omat AR films to the membrane at -80°C with intensifying screens. Autoradiograms of RNA blot analysis for OPN and GAPDH were analyzed, and OPN values were normalized to GAPDH by means of an AMBIS Molecular Dynamics Imaging System (Molecular Dynamics, Sunnyvale, CA).
Western Blot Analysis.
Recombinant hOPN (20 µg) and cell lysate samples (20 µg) were run on 10% SDS-polyacrylamide gels and transferred onto nitrocellulose paper by electrophoresis. After blocking with PBST (PBS with 0.1% Tween 20), the blots were incubated with the indicated primary antibody (hOPN-AB) at a dilution of 1:250 at 4°C for 12 h. The blots were then washed three times with PBST buffer and incubated with the secondary streptavidin peroxidase-conjugated antibody for 1 h at room temperature. After being washed three times, the protein bands were detected by enhanced chemiluminescence (Amersham, Inc.).
Intracellular Quantification of OPN by Flow Cytometry.
Cells (1 x 106) were harvested and washed with 1x PBS and then fixed with 2% paraformaldeyhe at 4°C for 30 min. After fixation, cells were washed twice in ice cold permeabilization buffer [PB: PBS (pH 7.4), 0.1% saponin, and 0.1% BSA] and incubated with goat anti-OPN in PB (1:250) for 30 min on ice. Negative control antibody consisted of normal goat serum (Sigma) used at a dilution of 1:250. Cells were collected by centrifugation, washed twice with cold PB buffer, and incubated with secondary rabbit anti-goat FITC (1:500) in PB for 30 min on ice. Cells were collected by centrifugation, washed twice with cold PB buffer, resuspended in cold PBS, and analyzed on a FACScan flow cytometer (Becton Dickson). Results are expressed as a ratio of mean channel fluorescence of test antibody to that of negative control serum. Mean channel fluorescence of the control antibody is defined as 1.0. Upon the addition of OPN antibody, the mean channel fluorescence shifted to the right, an indication of increasing fluorescence intensity. The ratios were calculated and represent a semiquantitative estimation of OPN protein content in the cells.
Statistical Analysis.
For statistical analysis of soft agar colony-forming activity, a one-sided Students t test with unequal variances was used (SPSS).
| RESULTS |
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To demonstrate the presence of OPN in human tissues, we conducted immunohistochemical analysis of clinical specimens of prostate cancers obtained from radical prostectomy and transurethral resections. As a positive control and to demonstrate the specificity of the hOPN antibody, we stained normal human bone for OPN (Fig. 3a)
, which exhibited distinct staining of the reversal lines and osteocytes. Preabsorption of the hOPN antibody with affinity-purified hOPN abolished the immunostaining (Fig. 3b)
. Immunohistochemical staining of pathologically normal human prostate showed no immunostaining or only slight staining of the luminal surface of atrophic glands, a result in agreement with the lack of OPN in a normal rat prostatic epithelial cell line, NbE-1.4. Prostate cancer showed low staining intensity in low Gleason grade prostate cancer (Fig. 3c)
and more intense immunostaining in high Gleason grade (Fig. 3d)
and androgen-independent prostate cancer (Fig. 3e)
. BPH did not stain positive for hOPN antibody (Fig. 3f)
, which is in contrast to the mRNA blot analysis. BPH often has an inflammatory component that is associated with macrophages, which stain strongly positive for OPN, as shown in this TURP specimen (Fig. 3g)
. The results of the 39 prostate tumors are summarized in Table 1
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RNA blot analysis of tumor tissues demonstrated, with few exceptions, that OPN mRNA is widely expressed by prostate cancer specimens (Fig. 3i)
. Interestingly, tumor specimens derived from patients with distant metastasis (e.g., lymph node involvement and bone metastasis) showed higher levels of OPN mRNA expression. BPH specimens demonstrated OPN mRNA expression at a lower level.
| DISCUSSION |
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vß3 integrin isotype in cancer cells has been observed to transduce cell-matrix signaling that culminates in increased cell motility, invasion, angiogenesis, and the ability to proliferate under anchorage-independent conditions (24)
. In addition, the role of CD44 receptors in the mediation of metastatic processes via OPN remains to be determined (25)
. Prostate cancer cells commonly adhere to and proliferate in bone. These events are characterized by the induction of an osteoblastic reaction in the axial skeleton. The mechanisms underlying this preferential homing to the bone are unclear. Experimental data support several proposed mechanisms. For example, bone-derived growth factors have been identified and appear to play a key role in augumenting prostate cancer cell proliferation in the skeleton (1 , 5) . OPN has been shown in a previous study to recruit a quiescent human prostate epithelial cell population into proliferative phase (26) . OPN could also alter the tumor microenvironment and for example alter the local nitric oxide production by macrophages to favor tumor growth and androgen-independent progression. These results are expanded in the present study, where OPN may be the major soluble factor secreted by osteoblasts as well as prostate cancer cells that accounts for stimulated anchorage-independent growth of prostate cancer cells in vitro. In addition to OPN overexpression by prostate cancer cells, several other skeletal and matrix-associated proteins, such as bone morphogenetic proteins 2, 3, and 4 (27) and bone sialoprotein (28) , are also expressed by prostate cancer cells. It is conceivable that overexpressed skeletal and bone matrix-associated proteins may allow prostate cancer cells to gain adhesive, growth, and survival advantages that eventually progress to become androgen independent and metastatic with a predilection for spreading to the bone. In support of this concept, we observed for the first time that clinical prostate tumor specimens of high Gleason grade or metastatic specimens expressed high levels of OPN. Our results also support the notion that cultured prostate cancer cell lines with cell lineage relationship, such as LNCaP and C4-2 cells, provide efficient and reliable means to detect biomarkers, such as OPN, that may be associated with human prostate cancer progression.
In summary, OPN mRNA and protein are expressed in prostate cancer cell lines and human prostate cancer specimens. The malignant and metastatic phenotype seems to be correlated with elevated OPN expression. These findings suggest a paracrine and autocrine role of OPN in prostate cancer growth, invasion, and metastasis.
| FOOTNOTES |
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1 This work was supported by Swiss National Science Foundation Grant 32-43326.95 (to G. N. T.), NIH Grant AR39273 (to C. M. F. C.), and Public Health Service Grants CA-63341 and CA-64863 (to L. W. K. C.). ![]()
2 To whom requests for reprints should be addressed, at Department of Urology, Anna-Seiler-Haus, Inselspital, CH-3010 Bern, Switzerland. Phone: 41-31-632-36-41; Fax: 41-31-632-21-80. ![]()
3 Present address: Department of Biological Sciences, University of Delaware, Newark, DE 19716. ![]()
4 The abbreviations used are: OPN, osteopontin; hOPN, human OPN; pTURP, palliative transuretheral resection of the prostate; BPH, benign prostate hyperplasia; PIN, prostatic intraepithelial neoplasia; CM, conditioned medium; GAPDH, glyceraldehyde-3-phosphate dehydrogenase. ![]()
Received 12/ 7/98; revised 5/24/99; accepted 6/ 4/99.
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