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J. Biol. Chem., Vol. 279, Issue 46, 48342-48349, November 12, 2004
Squamous Cell Carcinoma Cell Aggregates Escape Suspension-induced, p53-mediated Anoikis
FIBRONECTIN AND INTEGRIN
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| ABSTRACT |
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v receptor than aggregates. Blocking
v function with a blocking antibody or by transfection with an antisense oligonucleotide increased apoptosis and inhibited aggregation. In single cells but not aggregates, phosphorylation of the integrin-associated focal adhesion kinase (FAK) at tyrosine 397 was reduced, and p53 levels were increased. Apoptosis was increased by blocking FAK with an antisense oligonucleotide and reduced by blocking p53. These findings show that SCC cells escape suspension-induced anoikis by forming multicellular aggregates that avail themselves of fibronectin survival signals mediated by integrin
v. Single cells in suspension that do not form aggregates undergo anoikis because of decreased FAK phosphorylation and increased p53 levels. Thus, SCC cells appear to use neighboring cells and the ECM molecule FN to promote the metastatic phenotype. | INTRODUCTION |
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What factors promote anchorage-independent survival and spread of tumor cells? One possibility is survival signals mediated through cell-cell contacts. One factor that promotes the survival of ECM-deprived SCC cells by such contact is the cadherin receptor family (11). A second possibility is the integrin receptor family, because integrins play a role in multiple steps in tumorigenesis, including cell spreading, invasion, and survival. Integrins are heterodimeric, cation-dependent cell membrane adhesion molecules that mediate cell-cell and cell-ECM interactions (12). In mammals, at least 16
and 8
subunits have been reported that combine into 22 different heterodimers, each with specific recognition and affinities for various ECM components or other cell-bearing adhesion molecules (13, 14). Integrin expression patterns are often altered during tumor development. Metastasis requires changes in integrin expression. In SCC cells, substantial evidence demonstrates altered integrin expression in tumorigenesis compared with the native state. Alterations in the expression and function of integrins are also associated with anoikis (15, 16).
One likely mechanism for integrin-mediated survival and resistance to anoikis is signal transduction through activation of intracellular tyrosine kinases, such as focal adhesion kinase (FAK). FAK is a non-receptor protein-tyrosine kinase that indirectly localizes to sites of integrin clustering through C-terminal domain-mediated interaction with integrin-associated proteins such as paxillin and talin (17). In vitro, its N-terminal domain binds to sequences in the cytoplasmic domain of
integrin subunits (18). Elevation of the phosphotyrosine content of FAK correlates directly with increased cell adhesion. Focal adhesion complexes formed in mouse fibroblasts plated on fibronectin have 2.5-fold higher FAK phosphorylation activity than cells plated on polylysine, where adherence is integrin-independent and the phosphotyrosine content of FAK is minimal (19). Tyrosine 397 is the major site for phosphorylation and catalytic activity of FAK both in vivo and in vitro (20). FAK activation results in the recruitment of Src homology 2 and Src homology 3 domain-containing proteins that transduce signaling to several downstream effectors and has been implicated in various cellular activities. Cancer cells exhibit profound changes in cytoskeletal organization, adhesion, motility growth regulation, and survival. Increased FAK expression has been correlated with increased cancer cell motility, invasiveness, cell cycle alterations, and proliferation (21, 22). Introducing a constitutively active form of FAK into anchorage-dependent cells renders them anchorage-independent (23).
Downstream of integrin/FAK signals, the tumor suppressor p53 may further regulate SCC anoikis in the absence of an ECM. p53 plays a crucial role in several forms of apoptosis, including that induced by irradiation or certain chemotherapeutic compounds (24). One study suggested that p53 increased the survival of transformed fibroblasts and immortalized mammary epithelial cells in suspension by increasing the frequency of colony formation in semisolid medium (25). Thyroid epithelial cells undergo apoptosis through a p53-dependent pathway when integrin-mediated adhesion to the ECM is denied (26). Thus, p53 signaling pathways may regulate anoikis in SCC cells.
Although anchorage-independent growth is a hallmark of malignancy, the molecular mechanisms involved are not completely understood. In this study, we sought to understand the molecular mechanisms underlying resistance to anoikis in human oral SCC cells under various culture conditions, including growth in suspension to simulate detachment from the ECM. Our findings show SCC cells that form multicellular aggregates are more resistant to anoikis through a mechanism involving fibronectin and the integrin
v receptor.
| EXPERIMENTAL PROCEDURES |
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3 (P1B5),
4 (P1H4),
5 (NK1-SAM-1), and
v (P3G8) were from Chemicon International (Temecula, CA), as were mouse negative control immunoglobulin G (IgG) 1 (CBL600), functional blocking antibodies to fibronectin (3E3) and vitronectin (MAB1945), fluorescein isothiocyanate-conjugated goat anti-mouse IgG, and rabbit polyclonal antibodies against human integrins
3 (AB1920),
4 (AB1924),
5 (AB1949), and
v (AB1930). Rabbit anti-human fibronectin was from Sigma. Rabbit anti-FAK antibody and mouse anti-p53 monoclonal antibody were from Santa Cruz Biotechnology (Santa Cruz, CA). Rabbit anti-FAK (pY397) polyclonal antibody was from BIOSOURCE (Camarillo, TX). Cyclic RGD peptide RGDFV (Arg-Gly-Asp-D-Phe-Val) and its negative control RADFV (Arg-Ala-Asp-D-Phe-Val) were from BIOMOL Research Laboratories, Inc. (Plymouth Meeting, PA). Suspension-induced AnoikisSix-well plates were coated with 4 ml of poly-2-hydroxyethyl methacrylate (poly-HEMA, 10 mg/ml, Sigma) dissolved in 95% ethanol and allowed to dry overnight under sterile conditions in a laminar flow hood. Confluent adherent HSC-3 cells were detached from regular culture plates with 5 mM EDTA, and single cells were harvested by two passages through a 40-µm nylon cell strainer (Falcon), seeded onto the poly-HEMA coated plates at 5 x 105 cells/cm2, and cultured for various times in DMEM containing 1% bovine serum albumin or 10% fetal bovine serum.
Serum-free CultureHSC-3 cells were detached with 5 mM EDTA, washed twice with phosphate-buffered saline (PBS), seeded in 2 ml of serum-free DMEM in six-well tissue culture dishes (1 x 106 cells/well), and cultured for 36 h.
TUNEL Detection of ApoptosisApoptotic cells were identified by terminal deoxynucleotidyltransferase-mediated dUTP nick-end labeling (TUNEL, Promega) to detect fragmented DNA, according to the manufacturer's instructions. The cells were then counterstained with propidium iodide (2 µg/ml) for 15 min and examined by fluorescence microscopy.
Apoptosis AssayThe percentage of apoptotic cells under various culture conditions was determined with a flow cytometric assay (27-29). HSC-3 cells were cultured for 36 h in DMEM with or without serum. Adherent cells were detached with enzyme-free cell dissociation buffer (Invitrogen). The cells in suspension cultures were collected and passed twice through a 40-µm cell strainer to separate single cells from aggregated cells. Harvested cells were resuspended in 1 ml of ice-cold PBS containing 2% fetal calf serum, 3% enzyme-free dissociation buffer, and 5 µg/ml propidium iodide (Molecular Probes) and kept on ice for 10-15 min. After equilibration to room temperature, each suspension was stained with Hoechst 33342 (4 µg/ml) for 6 min, and the percentage of apoptotic cells was determined with a dual-laser FACstar+ cell sorter (BD Biosciences). Experiments were performed in triplicate and repeated three times.
Immunocytochemical Staining of FibronectinAfter 36 h of culture in suspension, HSC-3 cells were spun onto glass slides at 800 rpm for 3 min. Adherent cells grown on chamber slides in serum-free DMEM for 36 h were washed twice with cold PBS. After fixation in 3% formaldehyde, the cells were incubated first with a mouse anti-human fibronectin monoclonal antibody (P1H11) and then with fluorescein isothiocyanate-conjugated goat anti-mouse IgG. The slides were then washed with PBS, mounted with the Vectashield system (Vector Laboratories, Burlingame, CA), and photographed with a Nikon Eclipse E400 microscope.
Analysis of Integrin Expression by Flow CytometryIntegrin expression was quantitated by flow cytometry. The cells were detached with 5 mM EDTA, washed with cold PBS, resuspended in PBS (1 x 106 cells/50 µl), and incubated with primary antibodies on ice for 45 min. All antibodies were diluted in PBS containing 0.2% bovine serum albumin and 5% cell dissociation buffer (Invitrogen). Negative controls were incubated with nonimmune mouse IgG (CBL600) as the primary antibody. The cells were then washed twice with PBS, incubated with 50 µl of fluorescein isothiocyanate-conjugated goat anti-mouse IgG for 45 min on ice, washed twice with PBS, resuspended in PBS containing 1.0% bovine serum albumin and 5% cell dissociation buffer, and counterstained with propidium iodide (Sigma; final concentration 1 µg/ml) on ice for 10 min. Fluorescein isothiocyanate-labeled cells were then analyzed with a FACScan (BD Biosciences) gated on forward- and side-scatter intensities. All experiments were performed in triplicate.
Induction of AnoikisFunctional blocking studies with blocking antibodies and peptides were performed as described (30). Briefly, HSC-3 cells were detached with 5 mM EDTA, and single cells were harvested by passing the cell suspension through a 40-µm nylon cell strainer twice. Single cells were incubated with cyclic RGD peptide (RGDFV) with a negative control RADFV (final concentration, 400 µg/ml) or with blocking antibodies to fibronectin or vitronectin (final concentration, 10 µg/ml in serum-free medium) for 30 min at 37 °C and plated on poly-HEMA-coated culture dishes.
Western BlottingCells were washed twice with cold PBS and lysed in TNE buffer (150 mM NaCl, 50 mM Tris, pH 7.4, 5 mM EDTA, 0.1% SDS, 1% Nonidet P-40, 1% sodium deoxycholate) containing protease inhibitor mixtures I and II (Sigma) for 15 min at 4 °C. The lysates were pelleted by centrifugation for 15 min at 4 °C, and the protein concentration was determined with a bicinchoninic acid assay (Pierce). Equal amounts of protein (20 µg of total protein) from each sample were resolved by SDS-PAGE and transferred to Immobilon-P membranes (Millipore Corp., Billerica, MA). The membranes were probed with primary antibodies overnight at 4 °C. A control blot with anti-human actin antibody demonstrated equal protein in the samples. The membranes were then washed and probed with a species-specific horseradish peroxidase-conjugated secondary antibody for 60 min at room temperature, followed by ECL detection (Amersham Biosciences). The intensities of the immunoreactive bands were measured with NIH Image, version 1.30.
Antisense ExperimentsAntisense oligonucleotides for integrin
v (31), FAK (32), and p53 (33) were used to target and suppress the region of the translation start site of each protein for antisense analysis. The sequences of antisense, sense, and mismatched oligonucleotides are listed in Table I. The oligonucleotides were synthesized by Oligos Etc. (Wilsonville, OR) and they received a phosphorothioated modification at all positions to minimize intracellular cleavage by degradative enzymes and to increase stability (34). Upon arrival, all oligonucleotides were dissolved in double-distilled water and stored in aliquots at -20 °C. Oligonucleotides (final concentration, 2 µM) were mixed with 8 µl of oligofectamine (Invitrogen), incubated for 20 min, and transfected into HSC-3 cells at 60% confluence. HSC-3 cells were typically cultured with oligonucleotides in serum-free medium for 4 h at 37 °C; fetal bovine serum was then added (final concentration, 10%). Cells were harvested at various times, and total cell lysates were analyzed by Western blot analysis to evaluate the efficiency of antisense treatment.
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| RESULTS |
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Fibronectin/RGD-mediated Survival Signals Are Transmitted via the Integrin
v ReceptorTo investigate whether integrin receptors were transducing the survival signals mediated by fibronectin/RGD, we examined cell-surface expression of fibronectin- and RGD-binding integrins by flow cytometry. HSC-3 cells expressed the
3,
4,
5, and
v integrin subunits, although
4 was expressed at very low levels (Fig. 3A, left panel). Western blot analyses showed that integrin
v levels decreased steadily in single cells in suspension cultures but not in the multicellular aggregates or in attached cells (Fig. 3A, right panel). All other integrins examined remained essentially unchanged under all the conditions tested (Fig. 3A, right panel), and integrin
4 was undetectable by Western blot (data not shown).
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v blocking antibody increased apoptosis nearly 3-fold in cells in suspension cultures (28.9 versus 10% in controls), indicating that integrin
v mediates a critical survival signal (Fig. 3B). Successful suppression of integrin
v with an antisense oligonucleotide (58%) confirmed this role. Antisense-treated cells had higher levels of apoptosis (18.9%) and formed fewer multicellular aggregates than control cultures (Fig. 3C).
FAK Is Critical for Resistance to Anoikis in HSC-3 Cell Aggregates in SuspensionTo study the signaling mechanism by which integrin
v promoted the survival of SCC multicellular aggregates, we examined the expression of the early integrin-signaling molecule FAK by Western blot analysis. Although total expression levels were similar under different culture conditions, phosphorylation of FAK at tyrosine 397 at 4 h was markedly lower in single cells in suspension than in multicellular aggregates or attached cells (Fig. 4A). In confirmatory studies with FAK antisense strategies in suspension cultures, the level of anoikis was higher in cells transfected with antisense oligonucleotides than in cells transfected with sense oligonucleotides or control-transfected cells (16.9 versus 10.8 and 10.3%) (Fig. 4C).
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90% suppression) rescued cells from suspension-induced anoikis (Fig. 5B). Levels of apoptosis were lower in antisense-transfected cells than in sense- or control-transfected cells (4 versus 11.4 and 11.8%).
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| DISCUSSION |
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v receptor. Blocking
v function with antibodies or by transfection with an antisense oligonucleotide increased apoptosis and inhibited aggregation. In single cells but not aggregates, FAK phosphorylation at tyrosine 397 was reduced and p53 levels were increased. In functional studies with antisense oligonucleotides, apoptosis was increased by blocking FAK and reduced by blocking p53. Thus, fibronectin survival signals mediated by integrin
v enable SCC cells to escape suspension-induced anoikis by forming multicellular aggregates. In previous studies, hepatocyte growth factor (37) and cadherins (11) were associated with anchorage-independent growth and resistance to anoikis in SCC cells. We focused on fibronectin and its integrin-mediated signaling pathways. Fibronectin is critical for transducing survival signals in various cell types (29, 35), and blocking fibronectin/integrin-mediated signals by various methods leads to apoptosis or anoikis (38). Thus, the reduced apoptosis of multicellular aggregates in suspension cultures suggested that resistance to anoikis involves survival signals from fibronectin. Fibronectin begins to appear at the cell surface and in the culture medium within 30-40 min after synthesis (39). Western blot analysis of suspension cultures showed that fibronectin was highly expressed by cells that had aggregated rather than single cells, suggesting that bound fibronectin permitted cell-cell adhesion and conferred resistance to anoikis. Blocking fibronectin binding with a potent cyclic RGD peptide (40) or fibronectin function with an antibody increased apoptosis. These findings indicate that fibronectin promotes the survival of aggregated SCC cells through a signal mediated by its RGD site.
How might fibronectin convey the survival signal transmitted to the aggregated cells in suspension? One logical explanation is integrin receptors known to interact with fibronectin. Using flow cytometry, we found that HSC-3 cells expressed integrins
3,
5,
v, and, at low levels,
4. Western blot analyses showed that single cells in suspension expressed lower levels of integrin
v than aggregated cells in suspension or attached cells. Functional studies with integrin-blocking antibodies and antisense approaches confirmed that integrin
v was necessary for survival because abrogating its function increased apoptosis of cells in suspension. Consistent with this finding, Bates et al. (41) showed that inhibiting cell-cell contact with anti-
v antibody resulted in rapid apoptosis of colon carcinoma cells. Thus, cell-matrix-cell interactions mediated by
v integrin may be important in the regulation of apoptosis in human carcinoma cells.
We hypothesized that the integrin-associated signaling molecule FAK would be part of the signal transduction pathway mediating resistance to anoikis in SCC cells. FAK has been reported to transduce integrin signals, including those regulating survival and migration (42-47). In carcinomas, suppression of FAK promoted anoikis and suppressed metastasis (48), whereas overexpression correlated with tumor invasiveness and metastasis (49). Furthermore, an experimentally activated form of FAK rendered certain epithelial cells resistant to anoikis and conferred a transformed phenotype (23). Finally, studies with FAK-null fibroblasts have shown that FAK is required for cell migration (17).
In agreement with our hypothesis, single SCC cells in suspension had much lower levels of FAK phosphorylation (consistent with their increased apoptosis) than the multicellular SCC aggregates. Moreover, suppressing FAK function increased anoikis. These findings suggest that FAK promotes anchorage-independent growth and migration of oral SCC cells, which are both critical to the metastatic phenotype.
FAK has been linked to the p53 status of cells in regulating ECM survival signals. ECM survival signals transduced by FAK suppress p53-mediated apoptosis (28) by preventing upregulation of p53 by death-associated protein kinase (36). Similarly, we found that suppressing p53 function in SCC cells reduced anoikis in SCC cells in suspension cultures, supporting the link between FAK and p53 status in suspension-induced anoikis in SCC cell aggregates. The characterization of this survival-signaling pathway in SCC cells extends our knowledge of tumor cell biology, and this may be of therapeutic value in preventing tumor cell proliferation and metastasis.
| FOOTNOTES |
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Both authors contributed equally to this work. ![]()
|| To whom correspondence should be addressed: University of Michigan, School of Dentistry, Dept. of Periodontics/Prevention/Geriatrics, 1011 N. University Ave., Rm. 5213, Ann Arbor, MI 48109-1078. Tel.: 734-615-2295; Fax: 734-763-5503; E-mail: ykapila{at}umich.edu.
1 The abbreviations used are: ECM, extracellular matrix; SCC, squamous cell carcinoma; HSC, human squamous carcinoma; RGD, arginine-glycine-aspartic acid; FAK, focal adhesion kinase; DMEM, Dulbecco's modified Eagle's medium; poly-HEMA, poly-2-hydroxyethyl methacrylate; PBS, phosphate-buffered saline; TUNEL, terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling; FACS, fluorescence-activated cell sorter; ANOVA, analysis of variance. ![]()
| ACKNOWLEDGMENTS |
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| REFERENCES |
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