Type 2 Fibroblast Growth Factor Receptor Signaling Preserves Stemness and Prevents Differentiation of Prostate Stem Cells from the Basal Compartment*

Background: FGF signaling controls development and regeneration of the prostate. However, its role in prostate stem cells is not clear. Results: FGFR2 in basal prostate stem cells (P-bSCs) controls their self-renewal and differentiation. FGFR2 deficiency in P-bSCs impaired postnatal development of the prostate. Conclusion: FGFR2 signaling maintains P-bSC stemness. Significance: The findings suggest a novel avenue to manipulate P-bSC self-renewal and dormancy. Prostate stem cells (P-SCs) are capable of giving rise to all three lineages of prostate epithelial cells, which include basal, luminal, and neuroendocrine cells. Two types of P-SCs have been identified in both human and mouse adult prostates based on prostasphere or organoid cultures, cell lineage tracing, renal capsule implantation, and expression of luminal- and basal-specific proteins. The sphere-forming P-SCs are from the basal cell compartment that express P63, and are therefore designated as basal P-SCs (P-bSCs). Luminal P-SCs (P-lSCs) express luminal cytokeratins and Nkx3.1. Herein, we report that the type 2 FGF receptor (FGFR2) signaling axis is crucial for preserving stemness and preventing differentiation of P-bSCs. FGFR2 signaling mediated by FGFR substrate 2α (FRS2α) is indispensable for formation and maintenance of prostaspheres derived from P63+ P-bSCs. Ablation of Fgfr2 in P63+ cells in vitro causes the disintegration of prostaspheres. Ablation of Fgfr2 in vivo reduces the number of P63-expressing basal cells and enriches luminal cells. This suggests a basal stem cell-to-luminal cell differentiation. In addition, ablation of Fgfr2 in P63+ cells causes defective postnatal development of the prostate. Therefore, the data indicate that FGFR2 signaling is critical for preserving stemness and preventing differentiation of P-bSCs.

The prostate is an androgen-dependent male reproductive organ that is comprised of epithelial and stromal compart-ments. The epithelial compartment contains basal, luminal, and neuroendocrine cells. Androgen deprivation results in massive apoptosis in luminal epithelial cells and prostate atrophy. Only a limited number of cells in the epithelial compartment survive in the regressed state. After androgen replenishment, the surviving epithelial cells are actively engaged in proliferation and the prostate regenerates to its original state within 14 days. This regression/regeneration cycle can occur for more than 15 rounds. This suggests the existence of castration resistant prostate stem cells (P-SCs) 2 that contribute to prostate regeneration (1)(2)(3). Two types of P-SCs have been identified in adult prostate, which are designated as basal P-SCs (P-bSCs) and luminal P-SCs (P-lSCs), respectively (47). P-bSCs that express basal cell cytokeratins and P63 have been identified based on prostasphere cultures, in vivo renal capsule regeneration, and lineage tracing assays in vivo, whereas P-lSCs are identified based on castration-resistant Nkx3.1 expression in regenerating prostate and organoid cultures (4 -14). Both types of P-SCs give rise to both basal and luminal cells both in vivo and in vitro. Both lineages of cells have been shown capable of developing prostate cancers with distinct aggressiveness and molecular signatures upon loss of Pten function (9,15,16).
The fibroblast growth factor (FGF) family consists of 18 tyrosine kinase receptor-binding ligands regulating a broad spectrum of cellular processes. FGFs bind and activate the transmembrane tyrosine kinases encoded by four highly homologous genes, denoted Fgfr1, Fgfr2, Fgfr3, and Fgfr4 (17). Aberrant expression and activation of the FGF signaling axis is associated with many diseases that include developmental disorders and cancer (18). FGF receptor substrate 2␣ (FRS2␣) is a proximal adaptor protein and substrate for the FGFR kinases. When it is phosphorylated after activation of the FGFR kinases, it recruits multiple downstream signaling amplifiers to the FGFR kinase, including upstream scaffolds for the MAP kinase and phosphatidylinositol (PI3) 3-kinase pathways. Ablation of Fgfr2 in mouse prostatic epithelial precursor cells compromises bud formation, branching morphogenesis, growth, and acquisition of androgen dependence of the prostate, whereas ablation of Frs2␣ impairs prostate branching morphogenesis and growth without affecting androgen dependence of the prostate (19,20).
The FGF signaling axis regulates a wide range of processes in embryonic development, stem cell maintenance, and differentiation. FGF2 is required for sustaining self-renewal and pluripotency of human embryonic stem cells (21). Precise regulation of Fgfr expression is required during human embryonic stem cell specification (22). FGF signaling has also been implicated in a variety of tissue stem cell activities, including neural stem cells (23), bone marrow mesenchymal stem cells (24), and hematopoietic stem cells (25). Studies from our group have shown that the FGF signaling axis prevents differentiation of cardiac stem cells (26) and dental epithelial stem cells (27). Disruption of FGF signaling leads to premature differentiation of cardiac progenitor cells. However, thus far, the roles of FGF signaling in P-SC self-renewal and differentiation are still controversial. It has been reported that paracrine stimulation of prostate basal/ stem cells with FGF10 results in multifocal adenocarcinoma (28). FGF7 (KGF) has also been shown to suppress ␣2␤1 integrin function and promotes differentiation of the transient amplifying population in human prostatic epithelium (29). Herein we report that FGF signaling mediated by FGFR2/ FRS2␣-dependent pathways played a critical and specific role in self-renewal and differentiation of P-bSCs. Inhibition of the PI3K/AKT pathway suppressed P-bSC self-renewal activity in a reversible manner, whereas inhibition of ERK induced P-bSC differentiation and permanently abolished sphere-forming activity. Tissue specific ablation of Fgfr2 in prostate basal cells, which were capable of giving rise to all epithelial lineages of the prostate (30), reduced the numbers of P-bSCs and basal cells in the prostate. The results indicate that FGFR2 is critical for P-bSC self-renewal and differentiation both in vivo and in vitro and provides a novel avenue for control of P-bSC self-renewal by manipulation of FGF signaling.

Materials and Methods
Animals-Mice were housed under the Program of Animal Resources of the Institute of Biosciences and Technology in accordance with the principles and procedure of the Guide for the Care and Use of Laboratory Animals. All experimental procedures were approved by the Institutional Animal Care and Use Committee. Mice carrying loxP-flanked Frs2␣, Fgfr1, Fgfr2 alleles, and the Nkx3.1 cre and P63 CreERT2 knock-in alleles were bred and genotyped as described (19,(31)(32)(33)(34). Prostate tissues were harvested for the described analyses after the animals were euthanized by CO 2 suffocation.
Inducible Gene Ablation-For inducible gene ablation, mice bearing Fgfr1 f/f -P63 CreERT2 , Fgfr2 f/f -P63 CreERT2 , Fgfr1/ 2 f/f -P63 CreERT2 , and its wild type counterpart alleles were administered 100 mg/kg of tamoxifen (Sigma, 20 mg/ml stock solution in corn oil). For in vitro ablation, cells bearing the aforementioned alleles were treated with 4-hydroxytamoxifen (Sigma, diluted in alcohol at a stock concentration of 5 mM) at the indicated concentrations.
Prostasphere Cultures-The conditions for culturing and passaging prostaspheres were adapted by modification of published procedures (4). Briefly, prostates dissected from 6-to 8-week-old male mice were minced with a pair of steel scissors, followed by incubating with 1 mg/ml of collagenase (Sigma) in 10 ml of DMEM with 10% FBS at 37°C for 90 min. Cells were washed with PBS, further digested with 0.25% trypsin/EDTA for 10 min at 37°C, and passed several times through a 25-gauge syringe. After inactivation of trypsin by FBS, cells were passed through a 40-m cell strainer, washed with Dulbecco's PBS (Sigma), and counted. Prostate cells (3 ϫ 10 4 ) were suspended in 50 l of the prostate epithelial growth medium (Lonza, Walkersville, MD) and then mixed with Matrigel (BD Biosciences) at a ratio of 1:1. The cell mixtures were plated around the rim of wells in a 12-well plate and allowed to solidify at 37°C for 30 min. Then, 1 ml of prostate epithelial growth medium was added to each well, and the medium was replenished every other day. After plating for 8 -10 days, the spheres with a diameter over 100 m were scored. To harvest the spheres, the Matrigel was digested by incubation in 1 ml of 1 mg/ml of dispase solution (Invitrogen) at 37°C for 30 min, followed by centrifugation. To subculture the spheres, the pellets were digested with 1 ml of 0.05% trypsin/EDTA (Invitrogen) for 5 min at 37°C. After inactivation of trypsin by FBS, the cells were passed through a 40-m filter, counted by a hemocytometer, and replated. FGF7 or FGF10 was added to the cell culture medium at a final concentration of 10 ng/ml. 4-Hydroxytamoxifen was added to the cell culture medium at a final concentration of 500 nM.
Flow Cytometry and Cell Sorting (FACS)-Dissociated single prostate cells were stained with FITC-conjugated anti-CD31, -CD45, and -Ter119 antibodies (eBioscience), phycoerythrinconjugated anti-Sca-1 antibody (eBioscience), and Alexa 647conjugated anti-CD49f antibody (Biolegend). All antibody incubations, washes, and flow cytometric analyses were performed in cell sorting buffer (2% FBS in PBS). FACS was conducted on a BD FACSAria I SORP, and cells were sorted into DMEM ϩ 20% FBS. Primary antibody labeling for cell sorting was conducted by incubation for 20 min on ice with antibody dilution according to the manufacturer's suggestions in a volume of 100 l/10 5 -10 8 cells in cell sorting buffer. The cells were washed in 1 ml of ice-cold cell sorting buffer, resuspended in 0.5 ml of cell sorting buffer, and analyzed.
Western Blotting-Prostaspheres were homogenized in RIPA buffer (50 mM Tris-HCl buffer, pH 7.4, 1% Nonidet P-40, 150 mM NaCl, 0.25% sodium deoxycholate, 1 mM EGTA, 1 mM PMSF), and the extracted proteins were harvested by centrifugation. Samples containing 30 g of proteins were separated by SDS-PAGE and electroblotted onto PVDF membranes for Western analyses with the indicated antibodies. The dilutions of the antibodies were: anti-phosphorylated ERK1/2, 1:1000; anti-phosphorylated AKT, 1:1000; anti-ERK1/2, 1:1000; and anti-AKT, 1:1000 (Cell Signaling Technology). After being washed with TBST buffer to remove nonspecific antibodies, the membranes were then incubated with horseradish peroxidaseconjugated rabbit antibody at room temperature for 1 h. The specifically bound antibodies were visualized by using the ECL-Plus chemoluminescent reagents. The films were scanned with a densitometer for quantitation.
RNA Expression-Total RNA was isolated from prostaspheres using the TRIzol RNA isolation reagents (Life Technologies). The first-strand cDNAs were reverse transcribed from the RNA template using SuperScript III reverse transcriptase (Invitrogen) and random primers according to manufacturer's protocols. Real-time PCR analyses were carried out using the Fast SYBR Green Master Mix (Life Technologies) as instructed by the manufacturer. Relative abundance of mRNA was calculated using the comparative threshold (C T ) cycle method and were normalized to ␤-actin as the internal control. The mean Ϯ S.D. among at least three individual experiments are shown.
Statistical Analysis-Statistical analysis was performed using the two tailed t test, with significance set to p Ͻ 0.05. Error bars indicate standard deviation.

Results
FGF Signaling Promotes Prostasphere Formation-The FGF7/ 10-FGFR2 signaling axis is important in prostate development and maintenance of tissue homeostasis in the prostate (19,35,36). To determine whether FGF signaling was required for prostasphere formation, FGF7 or FGF10 was added to the culture medium at a concentration of 10 ng/ml. Both FGF7 and FGF10 significantly increased the number and size of prostaspheres (Fig. 1A). This indicated that FGF signaling promoted prostasphere formation and growth of individual spheres.
To determine which FGFR isoform mediated the FGF signaling, we employed RT-PCR analyses to examine the expression of FGFR isoforms in prostaspheres and primary prostate cells. The results revealed that Fgfr1 and Fgfr2 were expressed in prostaspheres and primary prostate cells; Fgfr3 and Fgfr4 were detectable only in the primary prostate cells (Fig. 1B, a). In addition, Frs2␣, an adaptor protein required for activation of the ERK and PI3K/AKT pathways by FGFR, was also expressed in prostaspheres (Fig. 1B, a). Although Fgfr2 expression remained stable in primary, P1, and P8 prostaspheres, Fgfr1 expression was reduced in P8 prostaspheres (Fig. 1B, b). Realtime RT-PCR analyses of primary prostate cells showed that Fgfr1 was predominantly expressed in stromal cells (Fig. 1C). However, a trace amount of Fgfr1 expression was detectable in basal cells and prostaspheres.
Inhibition of FGF Signaling Impairs Self-renewal of Prostaspheres-To determine whether FGF signaling was critical in prostasphere formation, spheres were treated with FGFR tyrosine kinase inhibitor 341608. The results showed that prostasphere formation was suppressed by 341608 ( Fig. 2A). Real-time RT-PCR analyses revealed that the inhibitor concurrently increased expression of CK18 and AR and decreased expression of P63 (Fig. 2B). This suggested a transition from basal to luminal cells. To further test the role of FGFR signaling in basal cell maintenance, we treated the K5 H2B/GFP reporter-bearing prostaspheres with FGFR inhibitors. The GFP ϩ cells were reduced in the inhibitor group (Fig. 2C). This indicated that inhibition of FGF signaling in prostasphere cells led to loss of CK5 expression and suggested that the cells differentiated.
We then employed Western blot and immunostaining to determine whether activation of the ERK or PI3K/AKT pathway, the two major signaling pathways downstream of the FGFR, was affected by inhibition of FGFR in the prostaspheres (Fig. 2D). Both analyses revealed that only phosphorylated ERK, but not phosphorylated AKT, was compromised by FGFRi treatment (Fig. 2D). To further clarify whether the two pathways contributed to prostasphere growth, SL327, an ERK inhib-  JULY 17, 2015 • VOLUME 290 • NUMBER 29 itor (ERKi), or LY294002, an AKT inhibitor (AKTi) was added to the sphere culture medium for 6 days. The results indicated that both ERKi and AKTi suppressed prostasphere growth (Fig. 2E, a). This was despite the fact that inhibition of FGFR signaling did not reduce phosphorylation of AKT. Interestingly, withdrawal of AKTi, but not ERKi, partially restored sphere formation. This sug-gested that the inhibition of prostaspheres due to AKTi was reversible, whereas that of ERKi was irreversible. The result was consistent with a previous report that suppressing AKT signaling compromised proliferation of prostate sphere-forming cells without affecting cell survival (37). However, both pathways had prodifferentiation functions in prostaspheres (Fig. 2E, b). FRS2␣ is an adaptor bridging FGFR tyrosine kinases and downstream signaling pathways. To determine whether FRS2␣ was required for prostasphere formation, Frs2␣ alleles were tissue specifically ablated in prostate epithelial cells using Nkx3.1 Cre as described (20). Ablation of Frs2␣ significantly reduced the sphere forming activity of primary prostate cells (Fig. 2F, a). In addition, FGF7 and FGF10 failed to promote sphere-forming activity in Frs2␣ null cells. This suggested that FRS2␣ was required for FGF7/10 to promote prostasphere formation and growth (Fig. 2F, b). RT-PCR analyses further demonstrated that ablation of Frs2␣ reduced expression of stem cell markers in the prostate. This included Sca-1, CD49f, CD44, and CD133, as well as the basal cell-associated CK14 (Fig. 2F, c). Furthermore, Sca-1 ϩ /CD49f ϩ cells were reduced in all lobes of Frs2␣ null prostates (Fig. 2F, d).

FGF Signaling in Prostate Stem Cells
Ablation of FGF Signaling Specifically in P63-expressing Cells Suppresses Prostasphere Formation-Because sphere-forming cells expressed basal cell marker P63, and P63-expressing cells were capable of giving rise to all cell types in the spheres, we then investigated whether FGFR1 and FGFR2 in P63 ϩ basal cells played a role in prostasphere formation. Prostaspheres derived from mice bearing P63 CreERT2 and either Fgfr1 floxed (Fgfr1 f/f ) or Fgfr2 floxed (Fgfr2 f/f ), or both (Fgfr1/2 f/f ) were treated with 4-hydroxytamoxifen to delete the Fgfr1 f/f and/or Fgfr2 f/f alleles. PCR analyses showed that the floxed sequences were deleted in the cells bearing Fgfr1 f/f -P63 CreERT2 , Fgfr2 f/f -P63 CreERT2 , and Fgfr1/2 f/f -P63 CreERT2 alleles (Fig. 3A), which are hereafter designated as Fgfr1 bKO , Fgfr2 bKO , and Fgfr1/2 bKO , respectively. The reduction in sphere formation by deletion of Fgfr2 or both Fgfr1 and Fgfr2 indicated that intact Fgfr2 alleles were required for prostasphere formation (Fig. 3B, a). The deletion of Fgfr1 alone did not affect prostasphere formation. In addition, deleting Fgfr2, or both Fgfr1 and Fgfr2, but not Fgfr1, at day 1 of primary culture impaired sphere integrity (Fig. 3B, b). Real-time RT-PCR revealed that ablation of Fgfr1 resulted in elevated Fgfr2 expression. In contrast, the deletion of Fgfr2 in prostaspheres caused a concomitant decline in Fgfr1 expression (Fig. 3C).
Wnt signaling enhances the self-renewal of prostate basal/ stem cells and promotes expansion of "triple positive" (CK5 ϩ , CK8 ϩ , p63 ϩ ) prostate progenitor cells (38). The basal progenitor cells have high Wnt signaling activity that positively correlates with basal cell numbers (39). Interestingly, quantitative PCR revealed that ablation of Fgfr1 in p63-expressing cells increased and ablation of Fgfr2 reduced ␤-catenin at the mRNA level (Fig. 4A, a). Immunofluorescent staining further confirmed the finding at the protein level (Fig. 4B, a). We reported similar results in dental epithelial stem cells (27). Together with the data that Fgfr2 expression was increased in Fgfr1-deficient cells (Fig. 3C), the results indicated that FGFR2 enhanced Wnt signaling and enhanced self-renewal of P-bSCs. Real-time RT-PCR and immunofluorescence staining showed that expression of BCl-2 was decreased (Fig. 4A, b), whereas cleaved caspase 3 was increased upon Fgfr2 deletion or the Fgfr1/2 double deletion (Fig. 4B, b). Thus, the results suggested that loss of FGFR2 signals promoted P-bSC apoptosis. The loss of FGFR2 signaling induced the loss of both stemness and commitment to apoptosis. Whether the two have a causal link needs to be further investigated. Notably, real-time RT-PCR analyses showed that expression of Notch-1 was increased in the Fgfr1 ablated prostaspheres (Fig. 4C). Induction of Notch signaling in prostaspheres inhibited their proliferation and disrupted prostasphere formation, which eventually offset the increased Wnt signaling.
alleles were treated with tamoxifen for 5 consecutive days. Realtime RT-PCR analyses showed that expression of Fgfr1 and Fgfr2 in the dissociated basal cells was reduced 1 week later (Fig.  5A). Prostate cells were dissociated and basal and luminal cell populations were analyzed with a cell sorter (Fig. 5B). Double deletion of Fgfr1 and Fgfr2 reduced the number of basal cells by 38% and increased luminal cells by 14%. The total number of stromal cells remained the same. Ablation of Fgfr2 alone caused a similar decrease of 39% in basal cells, whereas luminal cells increased by 28%. P63 immunostaining further confirmed the reduction in basal cells in Fgfr2 or Fgfr1/2 conditional knockout adult prostates (Fig. 5C) however, whether FGFR2 directly regulated expression of P63 remained to be determined. The single ablation of Fgfr1 had no impact on cellular composition of the prostate. Real-time RT-PCR analyses also showed that expression of P63 was not affected by Fgfr1 ablation in prostaspheres. However, expression of both CK14 and CK18 were increased, indicating more differentiated cells in the Fgfr1 bKO prostaspheres (Fig. 5D). Furthermore, the sphere-forming activity of Fgfr2 or Fgfr1/Fgfr2-deficient basal cells was impaired (Fig. 5E). Together, the results suggested that ablation of Fgfr2, but not Fgfr1, in vivo impaired basal cell homeostasis and enhanced basal-to-luminal cell differentiation. Thus, modulation of FGF signaling in adult basal/progenitor cells can be a determinant in specification of cell lineage.  To investigate whether FGF signaling in P63-expressing cells contributed to prostate development, 2-week-old mice bearing Fgfr1 f/f -P63 CreERT2 , Fgfr2 f/f -P63 CreERT2 , or Fgfr1/2 f/f -P63 CreERT2 alleles were injected intraperitoneally with tamoxifen to activate the Cre recombinase. Ablation of Fgfr2 reduced the size of the prostate by 20% at 6 weeks of age (Fig. 6A). In addition, the complexity of epithelial enfolding and the ductal network were also reduced (Fig. 6B). Consistent with our in vitro sphere assay data, ablation of Fgfr2 in prostates in vivo induced apoptosis, as shown by the reduction of anti-apoptotic protein Bcl-2 expression (Fig. 6C). The Fgfr2 bKO prostate also had reduced basal cells and proliferating cells, as demonstrated by P63 and Ki67 immunostaining, respectively (Fig. 6D). Similarly, double ablation of Fgfr1 and Fgfr2 also reduced cell proliferation in devel-oping prostate (Fig. 6E), as well as decreased prostasphereforming P-bSCs (Fig. 6F). Ablation of Fgfr1 alone in basal cells had no effect (data not shown). The results demonstrated that FGFR2 in p63 ϩ basal cells was required for prostate development. The results are in line with our previous reports that ablation of Fgfr2, but not Fgfr1 in prostate progenitor cells impairs prostate branching morphogenesis (19,40).

Discussion
Prostasphere culture is a method for study and quantitation of self-renewal of both human and mouse P-bSCs (4,8,41). In this report, we showed that FGF signals mediated by the FGFR2-FRS2␣ pathway are required for prostasphere formation, growth, and maintenance. This indicates that FGF signals mediated by the FGFR2 isotype in particular are required for self-renewal and maintenance of P-bSCs. In addition, we also demonstrated that FGFR2 signaling was required for maintenance of basal cell homeostasis in the prostate. Unlike the prostasphere culture that is suitable for P-bSCs, the recently reported organoid culture methods are suitable for luminal P-lSCs (12,13). Interesting, constitutive activation of Notch signaling improves the sphere-forming activity of luminal cells in sphere culture conditions (37). We have addressed the hierarchy of P-bSCs and P-lSCs in the accompanying manuscript. However, whether FGF signaling has similar roles in P-bSCs and P-lSCs remains to be characterized.
FGF and heparin are routinely used to support prostasphere culture. However, how FGF signaling contributes to maintenance and self-renewal of P-bSC within the prostaspheres and prostate in vivo is not understood. We combined sphere culture in vitro and genetically altered mouse models in vivo to show that FGF signaling, mediated by FRS2␣-dependent pathways, plays a critical role in self-renewal and differentiation of P-bSCs. Ablation of Fgfr2 or Frs2␣ compromised self-renewal of P-bSCs (19). Both AKT and ERK signaling cascades were implicated in prostasphere development. However, only phosphorylation of ERK was affected by inhibition of FGFR. This suggests that other pathways that phosphorylate and maintain activity of AKT may compensate for the absence of FGFR. This is consistent with earlier reports showing that during prostate development, activation of the MAP kinase pathway, but not the AKT pathway, by FGFR2 is mediated by FRS2␣ (20).
Inhibition of either the ERK or AKT pathway suppressed prostasphere formation. However, the fact that removal of AKTi allowed P-SCs to resume sphere formation indicated that inhibition of AKT reversibly suppressed proliferation of cells in the sphere and did not affect the stemness of P-SCs. In contrast, the P-bSCs failed to resume sphere formation after removal of ERKi. This indicated that inhibition of ERK caused loss of stemness of P-SCs. Similarly, ablation of FGFR2 in P-bSCs caused disruption of prostaspheres and increased differentiation of sphere cells. Together, the data demonstrates that loss of FGFR2 signaling abrogates stemness of P-bSCs.
Ablation of Fgfr2 in prostate progenitor cells at embryonic day 17.0 with Nkx3.1 Cre causes defects in prostate branching morphogenesis (19). The adult mutant prostate exhibits a primitive epithelial ductal network and has less P63-expressing basal cells. Although relatively mild, ablation of Fgfr2 in basal cells with inducible P63 CreERT2 in postnatal day 7 caused similar defects. Because Nkx3.1 is expressed in early prostate bud formation and P63 CreERT2 was activated at day 7 after birth, the difference in extents of defects are likely due to timing of the Fgfr2 ablation.
WNTs are secreted ligands that bind to and activate their receptors to elicit regulatory signals via the canonical ␤-catenin dependent and non-canonical ␤-catenin-independent pathways (42). Reciprocal interactions between the FGF and WNT pathways have been shown in various studies. FGF elevates WNT signaling by inhibiting transcription of the WNT antagonists dkk1 and notum1a (43). PI3K, a downstream mediator of the FGF pathway, increases WNT signaling via phosphorylation of glycogen synthase kinase 3␤, which, in turn, promotes MAPK phosphorylation. This is also a key component in the FGF signaling pathway. FGF signaling also regulates expression of WNT ligands (44) and LRP6-PPPS/TP kinase phosphorylation (45), as well as the localization of ␤-catenin (46). We reported previously that FGFR2 promotes WNT signaling in dental epithelial stem cells via down-regulation of WNT receptor inhibitors that included sFRP1, sFRP4, and Wif1, which was increased in Fgfr2 mutant CLs (27). In this study, we also showed that FGFR2 promoted ␤-catenin transcription and its nuclear localization. However, the molecular mechanism by which the cross-talk between these two pathways regulate P-bSC self-renewal remains to be addressed.
Expression and nuclear localization of ␤-catenin were increased in Fgfr1 null prostaspheres (Fig. 4). Notably real-time RT-PCR analyses showed that expression of Notch-1 was also increased in the same prostasphere by 2-fold. It has been reported that the WNT and Notch pathways have opposing roles on prostate progenitor cell proliferation and differentiation (38). The effect of increased WNT signaling likely was counterbalanced by elevated Notch-1, and therefore did not cause a detectable phenotype in Fgfr1 bKO prostates.
The prostate epithelial compartment consists of basal epithelial cells that express cytokeratin 5/14 and luminal epithelial cells that express cytokeratin 8/18. Basal cells account for ϳ10% of cells in the mature prostate epithelium. The origin of these two populations of epithelial cells and whether basal cells serve as a precursor for luminal cells or have their own separate function remains controversial. Cells with stem cell properties have been described in both epithelial compartments in different assay systems. In the accompanying manuscript (47), we report that prostasphere-forming P-bSCs reside in the basal compartment and that P-bSCs can give rise to P-lSCs, but not vice versa.
Thus, it appears that P-bSCs sit at an earlier, more primitive, or higher position in the P-SC hierarchy than P-lSCs. In this report, we further determine the role of FGFR2 signaling in maintaining stemness and preventing differentiation of P-bSCs. Whether FGFR2 signaling also elicits similar activities in P-lSCs is interesting and will be characterized in our follow-up studies.
In conclusion, FGF signaling mediated by the FGFR2 isotype is required for preserving stemness and preventing differentiation of prostate stem cells. Manipulation of the FGF signaling axis to direct P-bSCs to remain in dormant or active stages may advance design of strategies to control prostate cancer relapse after conventional therapies.