Originally published as JHC exPRESS on August 9, 2006. doi:10.1369/jhc.6A6958.2006
Volume 54 (11): 1263-1275, 2006 Copyright ©The Histochemical Society, Inc. Snail-dependent and -independent EpithelialMesenchymal Transition in Oral Squamous Carcinoma Cells
Institute of Biomedicine/Anatomy, University of Helsinki, Helsinki, Finland (MT,MH,IV); Department of Otorhinolaryngology, Head and Neck Surgery, Turku University Central Hospital, Turku, Finland (RG); Hospital for Children and Adolescents, Helsinki University Central Hospital, Helsinki, Finland (MK); and Unitat de Biologia Cel.lular i Molecular, Institut Municipal d'Investigació Mèdica, Universitat Pompeu Fabra, Barcelona, Spain (AGH) Correspondence to: Minna Takkunen, MD, Institute of Biomedicine/Anatomy, P.O. Box 63 (Haartmaninkatu 8), FI-00014 University of Helsinki, Helsinki, Finland. E-mail: minna.k.takkunen{at}helsinki.fi
Disappearance of E-cadherin is a milestone for epithelialmesenchymal transition (EMT), found both in carcinomas and in some fibrotic diseases. We have studied the mechanisms of EMT in oral squamous cell carcinoma (SCC) cells isolated from primary tumor (43A) and its recurrent tumor (43B). Whereas the cells from primary carcinoma displayed a typical phenotype of squamous epithelial cells including E-cadherin and laminin-332 (laminin-5), cells from recurrent tumor expressed characteristics of dedifferentiated, EMT-experienced tumors. 43B cells expressed E-cadherin repressors ZEB-1/ EF1 and especially ZEB-2/SIP1, which therefore appear as candidates for endogenous EMT in these cells. Differences between endogenous and exogenous EMT were assessed by transfecting 43A cells with SNAIL cDNA. SNAIL-transfected cells showed complete EMT phenotype with fibroblastoid appearance, vimentin filaments, E-cadherin/N-cadherin switch, lack of hemidesmosomes and, as a new feature of EMT, lack of laminin-332 synthesis. Upregulation of ZEB-1 and ZEB-2 was evident in these cells, suggesting that SNAIL can regulate these E-cadherin repressors. New monoclonal antibodies against SNAIL showed nuclear immunoreactivity not only in the SNAIL-transfected cells but also in carcinoma cells lacking production of Lm-332 and showing signs of EMT. These results suggest that changes in the epithelial cell differentiation program and EMT in SCC cells can result from the interplay among several E-cadherin repressors; however, SNAIL alone is able to accomplish a complete EMT. (J Histochem Cytochem 54:12631275, 2006)
Key Words: epithelialmesenchymal transition E-cadherin ZEB-1 ZEB-2 SNAIL laminin-332
PROGRESSION OF HUMAN CARCINOMAS is associated with changes in the expression of cellcell adhesion molecules, basement membrane (BM) proteins, and their receptors (Patarroyo et al. 2002 EF1, ZEB-2/SIP1, and SLUG (Grooteclaes and Frisch 2000
Laminins (Lm), the main components of BMs, comprise at least 15 different trimers. Lm-332, previously known as laminin-5, consists of
Previous studies have shown that the progression of SCCs takes place by generation of cells with several phenotypic changes leading to an invasive phenotype (Kramer et al. 2005
Permission for the use of patient samples was given by the Joint Ethics Committee of the University of Turku and Turku University Central Hospital, Turku, Finland. Informed consent was obtained from the patients. The Animal Experimentation Committee of the University of Helsinki approved the animal protocols.
Establishment of Oral SCC Cell Lines and Cell Culture 43A cells were first studied at passage 4 and the phenotypic properties were maintained for over 50 passages. 43B cells were first studied at passage 3 and further after 15 to 30 passages. BxPC-3, AsPC-1, HPAC, and PANC-1 pancreatic carcinoma cells were obtained from American Type Culture Collection (Manassas, VA). All cells were maintained in RPMI 1640 medium (Sigma; St Louis, MO) with 10% fetal calf serum and antibiotics. For a set of experiments, 43A and 43B cells were cultured in defined serum-free keratinocyte medium (KGM-1; PromoCell, Heidelberg, Germany), and PANC-1 cells were exposed to proteasome inhibitor MG132 (10 µM; Sigma) for indicated time periods.
Immunofluorescence Microscopy
Immunoprecipitation and Western Blot Analysis Immunoprecipitations with [35S]methionine-labeled (Amersham Biosciences; Uppsala, Sweden) cells were prepared from culture medium and extracellular matrix (ECM) material enriched with 0.5% deoxycholate in 50 mM Tris-HCl (pH 7.4). Antibodies were prebound with GammaBind-Sepharose beads (Amersham Biosciences). Alternatively, ammonium sulfate precipitation was used to recover proteins from culture medium. SDS-PAGE followed Laemmli's procedure with 58% reducing gels. For Western blots, specimens were transferred onto nitrocellulose membranes by standard methods. Equal loading was verified with Amido Black (Sigma) stainings or with MAb to ß-tubulin (a kind gift from Stephen Blose; Cold Spring Harbor Laboratory, Cold Spring Harbor, NY).
Northern Blot Analysis
Stable Transfections
MAbs to SNAIL
Preparation of Nuclear Extracts From PANC-1 Cells
Morphology, Cytoskeletal, and CellCell Adhesion Proteins in 43A and 43B Cells 43A cells grew as epithelioid cell islands, whereas 43B cells showed a more scattered organization with sparse cellcell contacts (Figures 1A and 1B). Phalloidin labeling showed actin bundles encircling 43A cells (Figure 1C), whereas typical actin stress fibers were found in 43B cells (Figure 1D). 43A cells showed a strong cytokeratin network consisting of cytokeratins (Cks) 8, 18, and 19, typical for simple epithelial cells (Figure 1E) and Cks 5 and 14 (not shown). 43B cells showed a variable, focal immunoreactivity for Cks 8, 18, and 19, and no immunoreactivity for Cks 5 and 14 (not shown). 43A cells presented only occasionally cytoplasmic foci of vimentin without filament formation (Figure 1G), whereas more organized, fibrillar cytoplasmic vimentin filaments were found in 43B cells (Figure 1H).
In accordance with the epithelial morphology, only E-cadherin was detected at the cellcell junctions in 43A cells (Figure 2A ), and only N-cadherin was detected in 43B cells. Western blots confirmed abundant E-cadherin in 43A cells (Figure 2C) with only a weak band corresponding to N-cadherin. In contrast, a prominent band for N-cadherin was detected in 43B cells with no evidence of the presence of E-cadherin. Furthermore, when the cells were cultured in KGM-1 medium, which is used to promote the growth of keratinocytes over non-epithelial cells, 43A cells proliferated and retained all squamous epithelial cell characteristics, whereas 43B cells ceased to proliferate and died within a week (not shown).
Lm-332 and Hemidesmosomal Proteins in 43A and 43B Cells Lm-332 and hemidesmosomes are typical for all normal squamous epithelial and many carcinoma tissues (Patarroyo et al. 2002 2 chain (Figure 3C). 43B cells showed at early passages (p36) cytoplasmic Lm-332 (Figure 3B), 2 (Figure 3E), and ß3 chains, whereas only 2 chain was found in late passage cells (not shown). MAb GB3 against 2 chain, reacting only when complexed in Lm-332, showed 2 localization in a typical cell substratum-associated manner in 43A cells (Figure 3D), whereas no immunoreactivity was found in 43B cells (Figure 3F). Among hemidesmosomal proteins, integrin (Int) ß4 immunoreactivity was found in a typical granular pattern with numerous hole-like structures (arrows in Figure 3G), generating a "Swiss cheese"-like appearance (Spinardi et al. 1995 2 dimer, and late passage 43B cells only synthesize Lm 2 chain but do not secrete it.
Production of Lm-332 was next studied by immunoprecipitation (Figure 4A ). Culture medium of 43A cells showed (Figure 4A, Lanes 13) 165-kDa polypeptide processed 3' chain, 145-kDa ß3 chain, 155-kDa unprocessed 2 chain, and 105-kDa processed 2' chain (the processed forms are indicated as 3' and 2' in text and in Figure 4). Instead, early passage 43B culture medium (Figure 4A, Lanes 46) contained 2 and ß3 chains, whereas 3 chain was absent. No Lm-332 chains were found in the culture medium of late passage 43B cells (not shown). However, the 43B cell lysate contained unprocessed 2 chain(Figure 4A, Lanes 7 and 8). Furthermore, 43A culture medium showed 3' chain together with 2, ß3, and 2' chains, but no unprocessed 3 chain (Figure 4B, Lanes 9 and 10). In detergent-resistant ECM material, the unprocessed 190-kDa 3 chain was also found with the above-mentioned chains, which was confirmed with MAb specific to unprocessed 3 chain (Figure 4B, Lanes 11 and 12). These results suggest that 43A cells synthesize and secrete Lm-332 containing unprocessed and processed 3 and 2 chains together with unprocessed ß3 chain. Instead, early passage 43B cells secreted Lm ß3 2 dimer, but late passage cells expressed only cytoplasmic 2 chain.
Northern blots of 43A cells confirmed the synthesis of Lm 3 and Lm 2 transcripts, whereas under the same exposure conditions neither 3 nor 2 was observed in late passage 43B cells (Figure 4C, Lanes 1 and 2). Only after a prolonged exposure, 2 mRNA could be faintly detected (Figure 4C, Lane 2), correlating with the finding that the late passage cells could not secrete it.
Induction of EMT by Overexpression of SNAIL in 43A Cells
As a consequence of SNAIL transfection, 43A-SNA cells acquired a fibroblastoid appearance and abundant actin stress fibers. Immunostainings and Western blots showed prominent vimentin fibers; only traces of Cks 8, 18, and 19 (Figure 6 ); and lack of Cks 5 and 14 (not shown). 43A-SNA cells lacked E-cadherin but expressed N-cadherin at their occasional cellcell junctions. 43A-SNA cells did not express Lm-332 chains as detected with MAb against Lm 2 chain (Figure 6A) and with ammonium sulfate immunoprecipitation with polyclonal antibody against Lm-332 (Figure 6B). Furthermore, 43A-SNA cells were negative for Int 6ß4 (not shown). These results show that overexpression of SNAIL in SCC cells leads to an extensive loss of epithelial phenotype characteristics and to a complete EMT. These changes exceed those found in endogenous EMT of 43B cells.
Expression of E-cadherin Repressors in SCC Cells The above results suggesting features of EMT in 43B and 43A-SNA cells led us to study the E-cadherin repressors ZEB-1, ZEB-2, SLUG, and SNAIL in these cells. Northern blots of 43A cells showed a weak band corresponding to ZEB-1, whereas no ZEB-2 was detected (Figure 7 ). In 43B cells, ZEB-1 and ZEB-2 were present. SLUG was expressed in all cell lines, whereas SNAIL was not detected in either 43A or 43B cells. These results suggest that endogenous EMT that occurred in 43B cells may be as a result of expression of transcription factors ZEB-1 and ZEB-2. 43A-SNA cells showed prominent expression of SNAIL mRNA as expected but also transcripts for ZEB-1, ZEB-2, and SLUG (Figure 7). We found, however, that our SLUG probe also detects SNAIL in 43A-SNA cells, which can be distinguished by its larger size. These results suggest that SNAIL can upregulate other E-cadherin repressors, namely, ZEB-1 and ZEB-2, as they were either absent (ZEB-2) or synthesized only at very low levels (ZEB-1) in the non-transfected cell line 43A. These results also indicate that SLUG is not a major contributor in the progression of EMT in 43 cells.
Next, we studied whether SNAIL was expressed in carcinoma cell lines showing features of EMT. Pancreatic carcinoma cells AsPC-1, BxPC-3, and HPAC have been reported to secrete all chains of Lm-332 and express hemidesmosomal proteins, whereas PANC-1 pancreatic carcinoma cells lack the synthesis and expression of Lm-332 and express only low levels of Int ß4 (Tani et al. 1997
Results of the present study suggest that expression of E-cadherin repressors correlates with progression of EMT in oral SCC cells and, further, that overexpression of SNAIL may lead to upregulation of other transcriptional E-cadherin repressors and to a complete EMT. Recent results with invading carcinoma cells have indicated that disturbed secretion of Lm-332 (laminin-5) chains, including expression of 2 chain, are hallmarks of malignancy for many carcinomas (Patarroyo et al. 2002
We first studied expression of cadherins in 43A and 43B cells. Several studies have implicated that loss of E-cadherin and neoexpression of N-cadherin could serve as markers for EMT both in vitro and in vivo (Behrens 1999
We then studied expression of E-cadherin repressors in 43A and 43B cells. Northern blots showed that both cell types expressed SLUG; 43A cells expressed low levels of ZEB-1, whereas 43B cells strongly expressed both ZEB-1 and ZEB-2. Neither of the cell types expressed SNAIL. Our results on 43B cells suggest that ZEB-2 especially may induce morphological changes and produce EMT, including loss of E-cadherin and upregulation of N-cadherin. Supporting our findings, ZEB-2 was recently suggested to have an inverse correlation with E-cadherin in oral SCCs (Maeda et al. 2005
As ZEB-1 and ZEB-2 expression produced an endogenous EMT in our cell system, we transfected 43A cells with the cDNA of SNAIL to investigate differences between endogenous and exogenous EMT. SNAIL has been reported to induce EMT in several cell systems (Batlle et al. 2000
Int
Much interest has recently been devoted to the production of Lm-332 by carcinoma cells and its role in the behavior of carcinomas (Patarroyo et al. 2002
Our results suggest a role in Lm-332 expression for not only ZEB-1 and ZEB-2 but also for SNAIL because upon SNAIL transfection, expression and secretion of Lm-332 chains were totally terminated. Results with AsPC-1, BxPC-3, HPAC, and PANC-1 pancreatic carcinoma cells also suggest that endogenous SNAIL expression found in PANC-1 cells correlates with the lack of Lm-332 chain synthesis. Laminin
Studies on the subcellular localization of SNAIL have suggested a cell-type-dependent localization, either nuclear or cytoplasmic (Domínguez et al. 2003
Carcinoma-associated fibroblasts in tumor stroma have been suggested to derive directly from epithelial cells by EMT (Petersen et al. 2003
Using conditionally SNAIL- or ZEB-2-expressing colorectal carcinoma cells, SNAIL and ZEB-2 have recently been reported to extensively affect cell morphology and the epithelial cell differentiation program, including alterations in junctional complexes, Cks, and actin cytoskeleton (De Craene et al. 2005b; Vandewalle et al. 2005
M.T. received support from the Suomalais-Norjalainen Lääketieteen Säätiö. We thank Dr. Tom Genetta, Dr. Antonio Postigo, and Prof. Karl Tryggvason for cDNAs and Dr. Stephen Blose, Prof. Robert E. Burgeson, Dr. Jonathan Jones, Prof. Kaoru Miyazaki, Prof. Raymond Nagle, and Dr. Katsushi Owaribe for MAbs. The excellent technical assistance of Reijo Karppinen, Hannu Kamppinen, Pipsa Kaipainen, Marja-Leena Piironen, Outi Rauanheimo, and Hanna Wennäkoski is acknowledged.
Received for publication February 16, 2006; accepted July 14, 2006
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