
Clinical Cancer Research Vol. 6, 2735-2740, July 2000
© 2000 American Association for Cancer Research
Molecular Oncology, Markers, Clinical Correlates |
Regulation of Disease-Progression Genes in Human Gastric Carcinoma Cells by Interleukin 81
Yasuhiko Kitadai2,
Ken Haruma,
Naofumi Mukaida,
Yasukazu Ohmoto,
Norimasa Matsutani,
Wataru Yasui,
Shigeru Yamamoto,
Koji Sumii,
Goro Kajiyama,
Isaiah J. Fidler and
Eiichi Tahara
First Departments of Internal Medicine [Y. K., K. H., N. M., S. Y., K. S., G. K.] and Pathology [W. Y., E. T.], Hiroshima University School of Medicine, Hiroshima 734-8551, Japan; Department of Molecular Oncology, Cancer Research Institute, Kanazawa University, Kanazawa 920-0934, Japan [N. M.]; Cellular Technology Institute, Otsuka Pharmaceutical Company, Ltd., Tokushima 771-01, Japan [Y. O.]; and Department of Cancer Biology, The University of Texas M. D. Anderson Cancer Center, Houston, Texas 77030 [I. J. F.]
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ABSTRACT
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The
expression of interleukin 8 (IL-8) by human gastric carcinomas directly
correlates with tumor vascularity and disease progression. To determine
whether IL-8 can act in an autocrine manner to regulate the expression
of other disease-progression genes, we examined the expression of IL-8
receptors IL-8RA (CXCR1) and IL-8RB (CXCR2) in six different human
gastric carcinoma cell lines and 38 surgical specimens of human gastric
carcinomas. All of the gastric carcinoma cell lines expressed mRNA and
protein for IL-8RA and IL-8RB protein. In all surgical specimens, the
majority of the tumor cells and small vessel endothelial cells stained
positive for IL-8RA and IL-8RB protein. In vitro
treatment of human gastric cancer MKN-1 cells with exogenous IL-8
enhanced the expression of epidermal growth factor receptor, type
IV collagenase (metalloproteinase-9), vascular endothelial growth
factor, and IL-8 mRNA. In contrast, treatment with exogenous IL-8
decreased expression of E-cadherin mRNA. IL-8 treatment increased
invasive capacity of MKN-1 cells, which was associated with activity of
metalloproteinase-9. Collectively, these results demonstrate that human
gastric carcinoma cells express receptors for IL-8 and that IL-8 may
play a role in the progressive growth of human gastric carcinoma by
autocrine/paracrine mechanisms.
 |
INTRODUCTION
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IL3
-8, a
member of the CXC chemokine family, was initially shown to be a
chemoattractant for neutrophils and lymphocytes (1
, 2)
.
Subsequent studies revealed that IL-8 can also induce haptotatic
migration of tumor cells (3)
, proliferation of
keratinocytes and melanoma cells (4
, 5)
, and angiogenesis
(6
, 7)
. Indeed, human recombinant IL-8 has been shown to
induce proliferation and migration of human umbilical vein endothelial
cells, and its stimulation of vascularization in the rat cornea assay
(7)
has led to its implication in the induction of
angiogenesis in such diverse diseases as psoriasis (8)
,
rheumatoid arthritis (9)
, idiopathic pulmonary fibrosis
(10)
, and some neoplasms (11
, 12)
. We have
recently reported that most gastric cancer cell lines express IL-8 mRNA
and protein (11)
. Gastric cancer cells in surgical
specimens of human gastric carcinomas overexpress IL-8 compared with
corresponding normal mucosa, and the IL-8 mRNA level directly
correlated with the vascularity of the tumors (11)
.
Furthermore, transfection of gastric carcinoma cells with the
IL-8 gene enhanced their tumorigenic and angiogenic
potential in the gastric wall of nude mouse (12)
.
To determine whether IL-8 can interact with gastric cancer cells in an
autocrine manner, we examined the presence and level of two distinct
human IL-8 receptors: IL-8RA (CXCR1) and IL-8RB (CXCR2) (13
, 14)
. The deduced amino acid sequences of both receptors predict
that they belong to a family of seven transmembrane G protein-coupled
receptors (15)
. IL-8RA and IL-8RB bind to IL-8 with high
affinity, although IL-8RB also binds to melanocyte growth-stimulatory
activity and neutrophil-activating peptide 2 (16)
. IHC
analyses revealed that both IL-8 receptors are expressed on the surface
of human carcinoma cells (17
, 18)
, but the role of these
receptors in cancer progression remains unknown.
In this study, we examined the expression of IL-8RA and RB in human
gastric carcinoma cell lines and surgical specimens. We also examined
the effects of IL-8 on the expression of disease-progression genes by
treating gastric carcinoma cell lines with recombinant IL-8. Our
studies clearly demonstrate that gastric carcinoma cells express both
IL-8RA and IL-8RB and that the IL-8 receptor system may play a role in
the processes of invasion and metastasis.
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MATERIALS AND METHODS
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Cell Cultures and Tumor Tissues.
Six cell lines established from human gastric carcinomas were
maintained in RPMI 1640 (Nissui Co., Ltd., Tokyo, Japan) with 10%
fetal bovine serum (M. A. Bioproducts, Inc., Walkersville, MD). The
TMK-1 cell line (poorly differentiated adenocarcinoma) was established
in our laboratory (19)
. The other five gastric carcinoma
cell lines (MKN-1, adenosquamous carcinoma; MKN-7, MKN-28, and MKN-74,
well-differentiated adenocarcinomas; and MKN-45, poorly differentiated
adenocarcinoma) were provided by Dr. T. Suzuki (Fukushima Medical
College, Fukushima, Japan).
A total of 38 cases of gastric carcinoma, all assessed by Hiroshima
University School of Medicine, were examined. The definition of stage
grouping and the histological classification were made according to the
criteria of the Japanese Research Society for Gastric Cancer
(20)
.
RT-PCR.
Total RNA was extracted from human gastric carcinoma cell lines using
RNAzol B (Cinna/Biotex, Houston, TX) according to the manufacturers
instructions. Two pairs of oligomers were synthesized based on the
reported sequences of human IL-8 receptors (5'-CATGTCAAATATTACAGATCC-3'
and 5'-TACTTGTTGAGTGTCTCAGTTT-3' for IL-8RA and
5'-CATGGAGAGTGACAGCTTTGA-3' and 5'-ACTTGTTGATTTCCAGGGATT-3' for IL-8RB)
(13
, 14)
. RT-PCR was performed using the obtained RNA and
the oligomers as templates and primers, respectively (21)
.
The cDNA was amplified by 30 PCR cycles, and the thermal cycle profile
was: denaturation for 2 min at 94°C, annealing for 2 min at 55°C,
and extension for 3 min at 72°C. After the reaction, the mixtures
were loaded onto a 5% nondenaturing polyacrylamide gel in
Tris-borate-EDTA buffer. RT-PCR reaction without the reverse
transcriptase showed no specific band.
IL-8 Treatment of Gastric Carcinoma Cells.
After 24 h of serum starvation, 10 ng/ml IL-8 (Otsuka, Tokushima,
Japan) was added to the cultures. The six gastric carcinoma cells were
treated for 0 (control), 3, and 24 h. Five micrograms of
polyadenylated RNA were subjected to Northern blot analysis.
Northern Blot Analysis.
Polyadenylated mRNA was extracted from gastric carcinoma cell lines and
surgical specimens using the FastTrack mRNA isolation kit (Invitrogen
Co., San Diego, CA). mRNA was electrophoresed on a 1% denaturing
formaldehyde/agarose gel, electrotransferred at 0.6 A to a
GeneScreen nylon membrane (DuPont Co., Boston, MA), and UV
cross-linked with 120,000 mJ/cm2 using a UV
Stratalinker 1800 (Stratagene, La Jolla, CA). Hybridizations were
performed as described previously (22)
. Nylon filters were
washed at 65°C with 30 mM NaCl, 3 mM sodium
citrate (pH 7.2), and 0.1% SDS (w/v).
The cDNA probes used in these analyses were a 0.5-kb human IL-8 cDNA
probe, a 1.1-kb human type IV collagenase cDNA probe (kindly provided
by Dr. W. G. Stetler-Stevenson, NIH, Bethesda, MD), a 0.6-kb
mouse E-cadherin cDNA probe (kindly provided by Dr. M. Takeichi,
Kyoto University, Kyoto, Japan), a 2.4-kb human EGFR cDNA probe
(purchased from Health Science Research Resources Bank, Osaka,
Japan), and a 0.7-kb human VEGF cDNA probe (kindly provided by
Dr. M. Shibuya, University of Tokyo, Tokyo, Japan). The
ß-actin cDNA probe and glyceraldehyde-3-phosphate dehydrogenase cDNA
probes were purchased from Oncor, Inc. (Gaithersburg, MD) and Clontech
Inc. (Palo Alto, CA), respectively. Each cDNA fragment was purified by
agarose gel electrophoresis, recovered using GeneClean (BIO 101, Inc.,
La Jolla, CA), and radiolabeled using the random primer technique with
32P-labeled deoxyribonucleotide triphosphates
(23)
.
IHC Staining.
Archival paraffin blocks of 38 cases were available. Consecutive 4-µm
sections were cut from each study block. Sections were immunostained
for IL-8RA and RB. IHC staining was performed by the immunoperoxidase
technique with minor modifications (17
, 18) . IL-8RA- and
RB-specific antibodies (24)
, which were rabbit polyclonal
antibodies, were used at a 1:200 dilution. These antibodies react
specifically with cytoplasmic domains of IL-8RA and IL-8RB but do not
cross-react with each other. The specificity of the reaction was
determined as: (a) anti-IL-8RA and anti-IL-8RB antibodies
were absorbed at 4°C overnight with excess GST proteins fused with
extracellular domains of human IL-8RA and IL-8RB, respectively; and
(b) nonimmune rabbit IgG was used in the primary reaction.
Gelatin Zymogram.
TMK-1 and MKN-1 cells were incubated with 10 ng/ml IL-8 (Otsuka) for
24 h in serum-free conditions. A total of 15 µl of the culture
medium were applied to a 10% polyacrylamide gel containing 2 mg/ml
gelatin. After electrophoresis, the gel was washed with washing buffer
[50 mM Tris-HCl (pH 7.4) and 2.5% Triton X-100] at room
temperature for 30 min and then placed in incubation buffer [30
mM Tris-HCl (pH 7.4), 0.2 M NaCl, 10
mM CaCl2, and 0.02%
NaN3] at 37°C overnight. The gel was stained
with 0.02% Coomassie brilliant blue in 20% methanol and 10% acetic
acid and destained with 20% methanol and 10% acetic acid. Molecular
weights of the gelatinolytic bands were estimated using molecular
weight markers (Daiichi Pure Chemicals, Tokyo, Japan).
Invasion Assay.
Cultured cells were harvested by a brief exposure to 0.25%
trypsin at 37°C. After centrifugation, cells were resuspended in
medium and their invasive behavior was examined in an invasion chamber
(Becton Dickinson, Bedford, MA). Cell viability was evaluated with the
0.1% trypan blue exclusion method. Transwell cell culture chambers
with 8-mm diameter filters were used for this assay. The
Matrigel-coated filters were placed on Boyden chambers, and the cells
(5 x 105) suspended in RPMI medium were
placed in the upper chamber. RPMI containing recombinant IL-8 was
placed in the lower compartment of the Boyden chambers. The chambers
were incubated in 5% CO2 at 37°C, and the
cells in the lower compartment were counted hourly for 24 h. The
assays were performed in triplicate.
Statistical Analysis.
The significance of the differences in in vitro data were
analyzed by the unpaired Students t test (two-tailed).
 |
RESULTS
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Expression of IL-8 Receptors by Human Gastric Carcinoma Cell Lines
and Gastric Carcinoma Tissues.
The expression of IL-8 receptor mRNA by gastric carcinoma cell lines
was examined by RT-PCR analysis. Similar levels of transcript for
IL-8RA and IL-8RB mRNA were detected in all of the gastric carcinoma
cell lines (Fig. 1A
), whereas
IL-8 mRNA was expressed by five cell lines at various levels (Fig. 1B
). The expression of IL-8 receptors was confirmed at the
protein level by immunohistochemistry. Representative samples of the
MKN-1 cells, shown in Fig. 2, A and B
, reveal that both IL-8RA and IL-8RB
localized in the cell membrane. In some dividing cells,
immunoreactivity for the receptors was also detected in cytosol. The
expression of IL-8 receptors in 38 surgical specimens was examined by
immunohistochemistry. In all surgical specimens, the majority of the
tumor cells stained positive for IL-8RA and IL-8RB (representative
examples, Fig. 2, C and D
). Vascular endothelial
cells and neutrophils also stained positive for the receptors
(representative examples, Fig. 2, E and F
). Faint
immunoreactivity was also present in some fibroblasts and smooth muscle
cells (data not shown). Heterogeneous staining was observed in several
cases. Immunoreactivity of IL-8 receptors (A and
B) in cancer cells was more intense at the invasive edge,
where intense staining was found in cancer cells infiltrating lymphatic
vessels (Fig. 2E
).

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Fig. 1. A, expression of mRNA for
IL-8 receptor A and B by gastric carcinoma cell lines. RT-PCR was
performed using the RNA obtained as described in "Materials and
Methods." B, expression of IL-8 mRNA by
gastric carcinoma cell lines. Northern blot analysis was performed
by using 5 µg of polyadenylated selected RNA as described in
"Materials and Methods." A glyceraldehyde-3-phosphate dehydrogenase
probe was used as an internal control.
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Fig. 2. Immunohistochemistry to identify expression of
IL-8 receptor A (A, C, and
E) and IL-8 receptor B (B,
D, and F) in MKN-1 cells and surgical
specimens of human gastric carcinomas. Immunoreactivity for both IL-8RA
and IL-8RB was detected in the membrane and cytoplasm of MKN-1
cells (A and B) and in tumor cells in
surgical tissues (C and D). The staining
was more intense in cancer cells infiltrating lymphatic vessels
(E, arrowheads). IL-8 receptor
immunoreactivity was also present in vascular endothelial cells
(E and F).
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Effect of IL-8 on the Expression of Disease-Progression Genes in
Human Gastric Carcinoma Cell Lines.
It has been reported that IL-8 can up-regulate collagenase expression
in human cells (25)
and influence the biology of liver and
pancreas carcinoma cells (26)
. IL-8 acts as an autocrine
growth factor for liver and pancreas cancer (26)
and
melanoma cells (5)
, but not gastric cancer cells
(11)
. We next examined the effect of exogenous IL-8 on the
in vitro expression of disease-progression genes by gastric
carcinoma cell lines. The expression of mRNA was examined by Northern
blot analysis, and the expression level was quantified by densitometry
of autoradiograms. The data are summarized in Table 1
, and representative examples are shown
in Fig. 3A
. The expression of
IL-8 mRNA by all of the six cell lines was apparently induced by IL-8
itself at 3 h after treatment. The expression of EGFR and VEGF
mRNA by several cell lines was also increased at various levels. The
expression of a 92-kDa type IV collagenase (MMP-9) was constitutively
expressed by MKN-1 and MKN-7 cells and was increased by treatment with
IL-8. On the other hand, 3 h after exposure to exogenous IL-8, the
expression of E-cadherin mRNA in MKN-1 cells was transiently decreased
(Fig. 3A
). No expression of basic fibroblast growth factor
and 72-kDa type IV collagenase (MMP-2) mRNA was detected in control or
IL-8-treated cells (data not shown).
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Table 1 Effect of IL-8 on the expression of the
disease-progression genes in human gastric carcinomas
The numbers shown are the densitometric quantitation of the ratios of
the area between the specific transcripts and the ß-actin transcript
after treatment with IL-8, compared in each case with the respective
control (the value for untreated cells with IL-8) defined as 1.0.
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Fig. 3. Effect of IL-8 on the expression of the
disease-progression genes in human gastric carcinomas.
A, Northern blot analysis. Five micrograms of
polyadenylated-selected RNA was subjected to Northern blot analysis, as
described in "Materials and Methods". The signal intensity was
measured by densitometric scanning. A ß-actin probe was applied as an
internal control. B, gelatin zymogram. The media were
collected and subjected to zymography, as described in "Materials and
Methods." Collagenase activity in conditioned media from MKN-1 cells
was apparently increased by treatment with IL-8.
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Effect of IL-8 on Invasion of Gastric Carcinoma Cells.
We next analyzed whether the increased expression of MMP-9 mRNA by IL-8
treatment correlated with collagenase type IV activity and an increase
in penetration through reconstituted basement membranes. We used the
two representative cell lines, MKN-1 and TMK-1, for this experiment
because enhanced expression of MMP-9 mRNA by IL-8 was observed in MKN-1
but not TMK-1. These cell lines were assayed for their potential to
penetrate filters coated with Matrigel (Table 2)
. Treatment with IL-8 did not affect
invasion of TMK-1 cells. In contrast, treatment with IL-8 significantly
increased collagenase type IV activity (Fig. 3B
) and the
number of invading MKN-1 cells, agreeing with the above data that
treatment with exogenous IL-8 increased collagenase type IV mRNA
expression in MKN-1 but not TMK-1 cells (Fig. 3A
).
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Table 2 Effect of IL-8 on migration through
Matrigel-coated filters
Transwell cell culture chambers with 8-mm diameter filters were used
for this assay. The Matrigel-coated filters were placed on Boyden
chambers, and cells (1 x 105) suspended in serum-free
RPMI medium were placed in the upper chamber. RPMI containing
recombinant IL-8 was placed in the lower compartment of the Boyden
chambers. The cells in the lower compartment were counted after 24 h. Values are mean ± SD of triplicate cultures. This is one
representative experiment of three.
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DISCUSSION
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In the present study, we examined the expression of IL-8 receptors
in human gastric carcinomas. Both IL-8RA and IL-8RB were constitutively
expressed by all human gastric cancer cell lines examined. IHC analysis
of surgical specimens of human gastric carcinomas showed that IL-8
receptors were expressed by tumor cells, microvascular endothelial
cells, and inflammatory cells. IL-8 is expressed by a variety of
malignant tumor cells, including pancreas (26)
, lung
(27)
, prostate (28)
, bladder
(29)
, head and neck squamous carcinomas (30)
,
and melanoma (5)
. IL-8 produced by lung carcinoma cells
has actually been shown to stimulate angiogenesis (27
, 31)
. More recently, IL-8 has been shown to act as an autocrine
growth stimulator for lung (32)
, liver, and pancreatic
carcinomas (26)
, and melanoma cells (5
, 33)
.
Our recent data have revealed that IL-8 mRNA levels in gastric
carcinoma tissues directly correlated with tumor vascularity
(11)
, and transfection of the IL-8 gene into gastric
carcinoma cells enhanced tumorigenicity and angiogenesis after
implantation of these cells into the gastric wall (orthotopic site) of
nude mice (12)
. Collectively, these data suggest that IL-8
is an important regulator of angiogenesis in gastric carcinoma.
The IL-8 receptors IL-8RA and IL-8RB bind IL-8 with high affinity and
act via G proteins through the phospholipase C pathway, which induces
the release of intracellular calcium and the activation of protein
kinase C (13)
. The affinity of IL-8 for the IL-8RB
(kDa = 0.0310.133 nM) is two to five times greater
than the affinity for IL-8RA (kDa = 0.0960.168; Ref.
16
). Microvessel endothelial cells in human head and neck
squamous cell carcinomas have been shown to express IL-8RA and IL-8RB
(17)
, as do inflammatory cells, keratinocytes, smooth
muscle cells, and fibroblasts (24)
. Differential
expression of the two receptors on SVECs and LVECs was reported for
human breast carcinoma tissues (18)
. Whereas IL-8RB was
expressed prominently on both SVECs and LVECs, IL-8RA was present in
only 25% of the SVECs and 14% of the LVECs (18)
. Our
demonstration that microvessel endothelial cells in human gastric
carcinomas express both IL-8 receptors expand these observations and
suggest that IL-8, indeed, plays a role in angiogenesis of these
cancers.
The metastatic potential of neoplasms has been correlated with the
expression level of several independent genes that regulate, among
others, cell growth, angiogenesis, invasion, motility, and adhesion
(34)
. Our study revealed that treatment of MKN-1 cells
with IL-8 enhanced the expression of EGFR (proliferation), IL-8, and
VEGF (angiogenesis), and collagenase type IV (invasion), whereas the
expression of E-cadherin (cohesion) was decreased (Fig. 3A
).
Furthermore, IL-8 increased MMP-9 activity (Fig. 3B
) and
invasion through Matrigel of some, but not all, gastric carcinoma cells
(Table 2)
.
The growth and spread of tumor cells depends on adequate
vasculature (35, 36, 37)
. Invasion of the host stroma and
degradation of the blood vessel basement membrane are necessary for
metastasis (38
, 39)
. The expression of E-cadherin, which
is directly related to cell-to-cell cohesion, is inversely correlated
with progression and metastasis (40)
. Thus, a simultaneous
increase in the expression of EGFR (growth), VEGF (angiogenesis), and
type IV collagenase (invasion) and decrease in the expression of
E-cadherin (adhesion) should enhance metastatic potential of cancer
cells. IL-8RA and IL-8RB expression was similar on the gastric
carcinoma cell lines examined, however, response to IL-8 was different
among these cell lines. In contrast to MKN-1 cells, the expression of
disease-progression genes (except IL-8) by TMK-1 cells was not affected
by treatment with IL-8 (Fig. 3)
. To elucidate the mechanism of
differential response to IL-8 by these two cell lines and which
receptor is more responsible for the behavior, additional studies
concerning signal transduction of IL-8 receptors using several cell
lines are necessary.
In summary, gastric carcinoma cells express both IL-8 and its
receptors. The IL-8 receptor system regulates expression of
disease-progression genes in human gastric cancer cells and may be
involved in cancer metastasis and, hence, should be a target for
therapy.
 |
ACKNOWLEDGMENTS
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We thank Walter Pagel for critical editorial comments and Lola
López for expert assistance in the preparation of this
manuscript.
 |
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.
1 Supported in part by Grants-in-Aid for Cancer
Research from the Ministry of Education, Science, Sports and
Culture, Japan and from the Ministry of Health and Welfare of Japan (to
Y. K. and K. H., Grant 10-13); and by Cancer Center Support Core
Grant CA16672 and Grant R35-CA42107 (to I. J. F.) from the National
Cancer Institute, NIH. 
2 To whom requests for reprints should be
addressed, at First Department of Internal Medicine, Hiroshima
University School of Medicine, 1-2-3 Kasumi, Minami-ku, Hiroshima
734-8551, Japan. 
3 The abbreviations used are: IL, interleukin;
EGFR, epidermal growth factor receptor; VEGF, vascular endothelial
growth factor; MMP, metalloproteinase; RT-PCR, reverse
transcription-PCR; IHC, immunohistochemical; SVEC, small vessel
endothelial cell; LVEC, large VEC. 
Received 8/23/99;
revised 3/17/00;
accepted 3/27/00.
 |
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