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Experimental Therapeutics, Preclinical Pharmacology |
Departments of Otolaryngology-Head and Neck Surgery [M. P. P., T. N., G. H. Y.] and Radiation Oncology [H. K.] and Department of Medicine, Division of Hematology/Oncology [J. F. E.], Wayne State University and Karmanos Cancer Institute, Detroit, Michigan 48201, and Department of Pathology, Wayne State University, Detroit, Michigan 48201 [F. L.]
| ABSTRACT |
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Experimental Design: The effects of TXT on a spontaneous murine salivary carcinoma were determined. Proliferation, cell cycle regulation, connexin43 expression, gap-junctional intercellular communication, apoptosis, and Fas receptor (FasR) expression were measured.
Results: We characterized a spontaneous mouse salivary gland carcinoma (SGC1). SGC1 is a poorly differentiated carcinoma that originated from the parotid gland of a BALB/c mouse. SGC1 cells were cultured and found to be immortal past 30 passages. Initially, cells formed tumor nodules in severe combined immunodeficient (SCID) mice. Afterward, SGC1 cells that were subcultured from SCID tumors readily formed colonies in soft agar and were highly tumorigenic in SCID mice and immune-competent BALB/c hosts. Dose response for TXT with respect to growth suppression, G2-M cell cycle arrest, and apoptosis was found. Induction of apoptosis by TXT coincided with an increase in cell surface FasR expression. Up-regulation of FasR with lower doses of TXT rendered cells susceptible to FasR agonist antibody-mediated apoptosis. In the absence of TXT, anti-FasR antibodies were completely without effect, suggesting that TXT is critical for priming apoptosis mediated through the Fas pathway. In addition, gap-junctional intercellular communication was augmented by TXT in SGC1 cells concomitant with increased connexin43 expression and membrane localization.
Conclusions: We have identified several novel targets of TXT that contribute to its antitumor activity in poorly differentiated salivary gland carcinoma. These results suggest that TXT may be appropriate for additional in vivo studies and clinical trials in patients with salivary cancers.
| INTRODUCTION |
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The use of chemotherapy for recurrent and/or unresectable salivary gland carcinoma has been tested. Cisplatin, doxorubicin, and 5-fluorouracil are active agents against malignant salivary gland tumors (6 , 7) . Combination chemotherapy including the aforementioned drugs with mitomycin C, cyclophosphamide, methotrexate, bleomycin, paclitaxel, vincristine, and vinorelbine has also demonstrated a tumor response (6, 7, 8, 9, 10) . TXT3 is a newer taxane that has not been tested in salivary gland cancers. TXT has significant antitumor effects, and it is currently being tested in patients with head and neck squamous cell carcinoma (11, 12, 13) . TXT is an antimicrotubulin agent that promotes tubulin assembly, inhibits depolymerization, acts as a mitotic spindle poison, and induces mitotic block in proliferating cells (14) . TXT induces G2-M arrest and p53-independent apoptosis in various cancer cell lines. However, the antitumor effects of TXT in a salivary gland cancer model have not been evaluated. Therefore, we measured the effects of TXT on proliferation, cell cycle progression, Cx43 expression, GJIC, apoptosis, and FasR expression in a novel salivary gland cancer model.
| MATERIALS AND METHODS |
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Immunohistochemistry.
The primary tumor, normal margin tissue, and the unaffected normal parotid from the opposite side were resected, rinsed in sterile saline, fixed in 10% neutral buffered formalin, and embedded in paraffin using standard histochemical techniques. Tissue sections (34 µm) were stained with H&E for basic histological evaluation. Immunohistochemical detection of high molecular weight cytokeratins (clone 34ßE12, Zymed Laboratories, Inc. second generation reagent) or PCNA (biotinylated PC10 staining kit; Zymed Laboratories, Inc., South San Francisco, CA) was done according to the recommended procedures, and samples were developed with 3,3'-diaminobenzidine substrate (Zymed Laboratories, Inc.) and counterstained with hematoxylin. Samples were evaluated with an Olympus BX-40 microscope equipped with a CCD3 Sony DXC-970 MD color video camera. Photomicrograph images were acquired with MCID5+ imaging software package.
Proliferation Assay.
Proliferation rates were determined by measuring BrdUrd incorporation using the BrdUrd Proliferation Assay Kit (Oncogene Research Products, Boston, MA). Quadruplicate wells of SGC1 cells were plated in flat-bottomed 96-well plates at 10,000 cells/well in 100 µl of media until cells reached 6070% of confluence. TXT (10, 20, 40, 60, or 80 ng/ml) or solvent alone was added to fresh media (total volume of 200 µl/well). SGC1 cells were assayed at 24, 48, 72, and 96 h after TXT exposure. At each time point, wells were pulsed for 2 h with BrdUrd to allow for incorporation into DNA, lysed, and processed by this ELISA-based assay system. Absorbance in each well was measured using dual wavelengths of 450540 nm. The average absorbance reading of the quadruplicate wells for each concentration was expressed as a percentage of the untreated control for each time point.
Cell Cycle Distribution.
Cells (200,000) were plated in 6-well plates in 2 ml of media and subcultured (3648 h) until they reached 6070% confluence. Fresh medium was added that contained different concentrations of TXT or solvent alone. Cells were cultured in the presence of drug for an additional 4872 h before harvest. Cells were washed with cold PBS and concentrated (1 x 106 cells in 0.1 ml of PBS). An equal volume of ice-cold ethanol was added while vortexing the sample. The sample was washed with PBS and centrifuged for 30 min at 1500 rpm, resuspended in 0.3 ml of PBS containing 1 mg/ml DNase-free RNase I, and incubated at 37°C for 30 min before the addition of propidium iodide (20 µg/ml final concentration). Cell cycle distribution was measured with a FACsCaliber flow cytometer (Becton Dickinson, Mountain View, CA). At least 10,000 events per sample were acquired. The ModFit LT (Verity Software House, Inc.) cytological software program was used for data analysis.
Apoptosis.
An annexin V-FITC apoptosis detection kit (BD PharMingen) was used for apoptosis detection. After TXT treatment, attached cells were treated briefly with trypsin, quenched with media, washed once with cold PBS, and then resuspended in chilled binding buffer and annexin V-FITC according to the kit instructions. After the 15-min incubation at room temperature, propidium iodide was added to label the nonviable cells. Samples were placed on ice and evaluated immediately by dual-color flow cytometry (FL1 versus FL2). A total of 10,00020,000 events were collected per sample. Data were analyzed using WinMDI version 2.8 software.
Evaluation of Cell Surface FasR Expression by Flow Cytometry.
FITC-conjugated hamster IgG anti-FasR (clone Jo2; PharMingen) was used to detect cell surface expression of the FasR in SGC1 cells after treatment with TXT. Samples were stained with FITC-conjugated anti-FasR antibody or isotype control and diluted 1:40 in staining buffer (PBS supplemented with 2% serum and 0.1% sodium azide) on ice for 45 min. Samples were analyzed by flow cytometry using a FACsCaliber flow cytometer.
To determine whether the FasR agonist antibody Jo2 could further enhance apoptosis through the FasR pathway, SGC1 cells were subcultured in 6-well plates as described above and treated for 48 h with TXT at 0, 10, or 20 ng/ml in duplicate wells. One set of wells was treated with an isotype control antibody, and the other set received 5 µg/ml anti-Fas agonist antibody Jo2 and incubated for an additional 20 h. Cells were harvested and processed for annexin V-FITC binding and apoptosis (above).
GJIC.
GJIC was tested by using red and green fluorescent donor cell labeling and flow cytometric analysis of dye transfer to unlabeled recipient cells with a slight modification to a previously described protocol (14)
. Donor SGC1 cells that were grown for 48 h in the absence or presence of 20 ng/ml TXT were dual-labeled in solution A (PBS, 30 mM HEPES and 10 mM glucose) supplemented with 0.5 µM calcein acetoxymethyl ester (Molecules Probes, Eugene, OR; 1:2000 from a 1 mM stock in DMSO) and 9 µM dialkylcarbocyanine dye (Molecules Probes; 10 mM stock in DMSO).
Briefly, medium was aspirated, replaced with 2 ml of dye-supplemented solution A, and incubated for 3060 min at 37°C. Cells were rinsed in solution A, trypsinized, and monodispersed in complete media. Graded numbers of donor cells were added to freshly plated recipient cells that were also grown (in parallel) in the absence or presence of 20 ng/ml TXT. Recipient cells were plated in 2 ml of complete media in 6-well plates with 1 x 106 cells/well just before the addition of donor cells. Donor cells were added to achieve donor:recipient ratios of 1:2, 1:5, 1:10, or 1:20 for 45 h at 37°C. Calcein transfer in live cells was periodically monitored by an Olympus IX-FLA inverted reflected light fluorescence microscope equipped with a dual filter cube for simultaneous two-color analysis and imaged using a SPOT CCD camera with imaging software V 3.0 (Diagnostic Instruments, Inc., Sterling Heights, MI). Photomicrographs were acquired using the x40 objective just before flow cytometric analysis. For quantitative analysis of dye transfer, cells were harvested and evaluated by flow cytometry. Histograms for quantitating the level of calcein transferred to the recipient cells (GJIC and coupling efficacy) are reported as the MCF.
Immunofluorescence of Cx43.
SGC1 cells were plated on glass coverslips in 6-well plates in complete media. One day after plating when cells were approximately 60% confluent, media were replaced with fresh media containing various concentrations of TXT and incubated for an additional 48 h. After treatment, cells were rinsed once with PBS and then fixed with ice-cold methanol at -20°C for 20 min. Coverslips were air dried, treated with PBS containing 0.125% Triton X-100, 8% serum, and 0.1% sodium azide for 20 min at room temperature, and washed three times (5 min each) with staining buffer. Primary monoclonal antibody to Cx43 raised against a peptide antigen between residues 252 and 270 (Transduction Laboratories, Lexington, KY) was diluted 1:25 (10 µg/ml) in staining buffer, applied directly to the coverslip, incubated at room temperature for 1 h, and labeled with secondary rhodamine (tetramethylrhodamine isothiocyanate)-conjugated goat antimouse IgG (1:100; Jackson Immunoresearch, West Grove, PA) for 45 min at room temperature in the dark. Samples were visualized at x100 under oil with an Olympus BX-40 microscope equipped with a CCD3 Sony DXC-970 MD color video camera. Fluorescence photomicrographs were imaged using MCID5+ software.
Immunoprecipitation and Western Blot Analysis.
Lysates were prepared from monolayer cultures after washing them twice with ice-cold PBS and harvested by scraping, pelleting, and resuspension in ice-cold lysis buffer [50 mM HEPES (pH 8.0), 10% glycerol, and 1% Triton X-100] supplemented with protease (Oncogene Sciences) and phosphatase inhibitor mixtures (Sigma Chemical Co.). Cell lysates were incubated on ice for 60 min with occasional mixing and clarified by centrifugation at 16,000 x g for 20 min at 4°C. Cx43 protein was immunoprecipitated with 2 µg of anti-Cx43 mouse monoclonal antibody (CX-1B1; Zymed Laboratories) for 24 h before the addition of protein A/G Plus-agarose (Santa Cruz Biotechnology). Samples were rotated at 4°C for 1618 h, washed twice with lysis buffer, eluted in 1x sample buffer, boiled for 3 min before fractionation in 12% SDS-PAGE, and transferred to Immobilon-P (Millipore, Bedford, MA) polyvinylidene difluoride membranes. Membranes were blocked overnight at 4°C in TBST buffer with 1% BSA. Cx43 protein was detected by immunoblotting with monoclonal antibody CX-1B1 diluted 1:1000 (0.5 µg/ml) in TBST + 1% BSA, followed by goat antimouse horseradish peroxidase (Jackson Immunoresearch) diluted 1:10,000 in TBST + 1% BSA. Blots were developed with enhanced SuperSignal West Pico Chemiluminescent Substrate (Pierce) and Kodak-MR film.
Tumor Growth in SCID and Immune-competent BALB/c Mice.
Female CB17 SCID mice (6 weeks of age) were obtained from Harlan (Frederick, MD) and challenged s.c. in the inguinal area with 5 x 106 SGC1 cells suspended in 0.1 ml of Matrigel (Becton Dickinson, Bedford, MA). All in vivo tumor growth studies were done in strict compliance with Division of Laboratory Animal Resources and institutional guidelines. Tumor growth was monitored by weekly palpation. Tumors that developed in SCID mice were resected aseptically, recultured in vitro, and reinjected into SCID mice and immune-competent syngeneic BALB/c mice to test for tumorigenicity. SGC1 cells from this primary passage in SCID mice were also grown in 0.35% soft agar to evaluate anchorage-independent growth potential.
| RESULTS |
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In Vitro and in Vivo Growth of SGC1, SGC1-sc1, SGC1-sc2, and SGC1-ica1.
Explanted tumor cells grew readily in DMEM and 10% serum, and the cells were stable in culture for >30 passages. SGC1 cells are not contact inhibited and often form two to three dense layers of cells that can be sloughed sequentially with increasing concentrations of trypsin. The saturation density of one such culture is 1 x 106 cells/cm2. SGC1 cells express high levels of epidermal growth factor receptor, MHC class I (H2-Kd), and Fas, whereas MHC class II I-Ad was not detected (data not shown). We tested tumorigenicity in vivo by injecting SGC1 cells (cultured for 10 passages) into SCID mice. After a 23-month latency period, three of four animals developed tumor nodules at the site of injection. Morphologically and histologically, tumor cells and tissue recovered from the SCID mice were indistinguishable from the parental SGC1 tumor and cell line. After a primary expansion in vitro, the SCID-derived SGC1 cell line (SGC1-sc1) was reinjected into SCID mice. All (four of four) injection sites had rapidly (within 45 weeks) growing tumor nodules reaching an average cross-sectional area of 100 mm2. This derived cell line was designated SGC1-sc2. Approximately 50% of SGC1-sc2 cells demonstrated anchorage-independent growth and formed foci (202000 cells/colony) in 0.35% top agar within 710 days. When SGC1-sc2 cells were injected into immune-competent BALB/c (H2-Kd) mice, tumor nodules were palpable at four of four (100%) injection sites within 2 weeks. These nodules were indolent for 2 weeks and then grew rapidly to >80 mm2 by 6 weeks after injection.
Inhibition of Proliferation and G2-M Cell Cycle Arrest of SGC1 by TXT.
All in vitro analyses were performed on the primary cell line, SGC1. After exposure of SGC1 cells to TXT, proliferation was suppressed significantly (P < 0.001) at concentrations higher than 20 ng/ml (Fig. 2)
. This is in line with clinically relevant concentrations (17)
and clearance kinetics observed in patients (18)
. Growth suppression of
75% was noted at concentrations of
40 ng/ml. SGC1 cells were arrested in G2-M by TXT in a dose-dependent manner (Fig. 3)
. Therefore, growth inhibition of the SGC1 cell line is predominately because of G2-M arrest as described in other tumor types. By immunofluorescence and Western blot analyses, SGC1 cells expressed normal levels of nuclear retinoblastoma, cyclin D1, and cyclin-dependent kinase 4. Although not detected by Western blot, the p53 status appears normal by sequence analysis from genomic DNA of exons 58.
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| DISCUSSION |
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In murine salivary carcinoma cells, we demonstrated that TXT induces apoptosis through the Fas pathway. TXT increases Fas expression, and the addition of an anti-Fas agonist antibody augments TXT-induced apoptosis. Taxanes promote apoptosis by altering expression of the Bcl-2 family and signal transduction pathways of mitogen-activated protein kinase (c-Jun NH2-terminal kinase/stress-activated protein kinase) and by increasing secretion of cytotoxic cytokines (21) . Sensitization to Fas-mediated cytotoxicity has been observed with several cytotoxic agents, including cisplatin and 5-fluorouracil in human bladder cancer cells (22 , 23) , camptothecin in prostate cancer cells (24) , and all-trans retinoic acid and cisplatin in medulloblastoma cells (25) . In some instances, these effects were mediated by modulation of Fas expression; however, most studies state that drug-induced apoptosis is not mediated by the Fas/FasL signaling pathway (26 , 27) . Paclitaxel was shown to augment FasL-induced apoptosis in glioma cells; however, this effect was mediated by bcl-2 regulation of the Fas pathway (28) . TXT has previously been found to induce apoptosis by bcl-2 phosphorylation (19 , 29) , which leads to the inactivation of its antiapoptotic signal and increased apoptosis.
TXT exposure increases Cx43 expression, the formation of gap-junctional plaques, and functional GJIC (i.e., intercellular communication dye transfer) in SGC1 cells. This enhancement of GJIC and connexin expression may thus constitute a novel therapeutic target of TXT. Connexins are proteins that form gap junction channels. GJIC plays a crucial role in cellular homeostasis, and alterations in GJIC are found during tumor promotion and progression (30) . GJICs link single cells within a population to facilitate the passage of small regulatory molecules (Mr 1200) and cytoplasmic ions to maintain metabolic homeostasis. Loss of GJIC and/or down-regulation and inactivation of connexins have been observed in a variety of cancers (30) . When restoration of GJIC was achieved by either pharmacological agents (31) or connexin gene transfer (32) , tumor cell killing by conversion of ganciclovir to its cytotoxic form by thymidine kinase was enhanced. In glioblastoma cells, Cx43 reexpression enhanced paclitaxel-induced apoptosis (33) . Furthermore, connexin gene transduction results in reversion of neoplastic phenotype and inhibition of tumorigenic potential in experimental models (34) . Our results suggest that TXT can be tested on salivary cancers. After surgery and radiation therapy for advanced and high-risk salivary gland cancers, patients have high rates of distant failures (1328%) and local-regional recurrence (1627%; Refs. 1, 2, 3 ). Only systemic chemotherapy will address distant sites of failure. High-risk pathological features have been associated with poor prognoses and a high rate of local-regional and distant failures (5) . Although the role of chemotherapy in recurrence of salivary cancers has been established (6, 7, 8, 9, 10) , the use of adjuvant chemotherapy for high-risk patients is being tested. In our previous series, we observed that adjuvant chemotherapy and radiation therapy may improve disease-free survival (P = 0.05; Ref. 5 ).
In conclusion, limited data exist concerning both the in vitro and in vivo effects of TXT in salivary gland cancers. In addition to the known antitumor mechanisms of TXT, such as induction of growth arrest, G2-M arrest, and apoptosis, we have shown that TXT increases GJIC by increasing the expression of Cx43 in murine salivary gland carcinoma cells. Furthermore, we have shown that TXT promotes apoptosis in part through the Fas pathway in murine SGC1 cells. These results suggest that TXT may be appropriate for additional in vivo studies and clinical trials in patients with salivary cancers. It is tempting to speculate that the effects of TXT as an antimicrotubulin agent on GJIC, FasR expression, cell cycle arrest, and apoptosis are all interrelated. Understanding the relationships among these pathways could lead to improved strategies that exploit these mechanisms for therapeutic intervention.
| FOOTNOTES |
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1 Supported by American Cancer Society Grant CRTG-99-246-01-CCE and Aventis Pharmaceuticals. ![]()
2 To whom requests for reprints should be addressed, at Department of Otolaryngology-Head and Neck Surgery, Wayne State University, Room 423, Prentis Building of KCI, 110 East Warren Avenue, Detroit, MI 48201. Phone: (313) 833-0715, ext. 2394; Fax: (313) 832-7294; E-mail: piechock{at}karmanos.org ![]()
3 The abbreviations used are: SCID, severe combined immunodeficient; PCNA, proliferating cell nuclear antigen; GJIC, gap-junctional intercellular communication; TXT, docetaxel; Cx43, connexin43; BrdUrd, bromodeoxyuridine; MCF, mean channel fluorescence; TBST, 10 mM Tris-HCl (pH 8.0), 50 mM NaCl, and 0.1% Tween 20; FasR, Fas receptor; CCD, charge-coupled device; FasL, Fas ligand. ![]()
Received 8/21/01; revised 12/12/01; accepted 12/18/01.
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