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Copyright © 2003, American Society for Clinical Investigation Enhanced growth of tumors in SPARC null mice is associated with changes in the ECM 1Department of Vascular Biology, The Hope Heart Institute, Seattle, Washington, USA2 Department of Surgery, Helsinki University Central Hospital, Helsinki, Finland3 Department of Mathematics and Department of Statistics, North Carolina State University, Raleigh, North Carolina, USA4 Department of Biological Structure, University of Washington, Seattle, Washington, USA Address correspondence to: E. Helene Sage, Department of Vascular Biology, The Hope Heart Institute, 1124 Columbia Street, SLSC 7th floor, Seattle, Washington 98104-2046, USA. Phone: (206) 903-2026; Fax: (206) 903-2044; E-mail: hsage/at/hopeheart.org. Received September 3, 2002; Accepted January 7, 2003. This article has been cited by other articles in PMC.Abstract SPARC, a 32-kDa glycoprotein, participates in the regulation of morphogenesis and cellular differentiation through its modulation of cell-matrix interactions. Major functions defined for SPARC in vitro are de-adhesion and antiproliferation. In vivo, SPARC is restricted in its expression to remodeling tissues, including pathologies such as cancer. However, the function of endogenous SPARC in tumor growth and progression is not known. Here, we report that implanted tumors grew more rapidly in mice lacking SPARC. We observed that tumors grown in SPARC null mice showed alterations in the production and organization of ECM components and a decrease in the infiltration of macrophages. However, there was no change in the levels of angiogenic growth factors in comparison to tumors grown in wild-type mice, although there was a statistically significant difference in total vascular area. Whereas SPARC did inhibit the growth of tumor cells in vitro, it did not have a demonstrable effect on the proliferation or apoptosis of tumor cells in vivo. These data indicate that host-derived SPARC is important for the appropriate organization of the ECM in response to implanted tumors and highlight the importance of the ECM in regulating tumor growth. Introduction The development, growth, and spread of cancer occur in the context of the ECM and are influenced by its constituents (1, 2). The ECM contains a mixture of glycoproteins, proteoglycans, growth factors, and structural proteins that provide a context for cellular function and act to maintain homeostasis in tissues by influencing cell communication and adhesion. Tumor cells must respond and adapt to the local microenvironment to progress to malignant disease, a process involving not only deregulated proliferation of tumor cells but also modification of the immediate environment to favor cell survival, the recruitment of new blood vessels, and the metastatic spread of the tumor (3, 4). It is therefore important to identify the proteins that regulate cell-matrix interactions in malignant disease. SPARC (secreted protein acidic and rich in cysteine), also called osteonectin or BM-40, is a matricellular glycoprotein that modulates cellular interaction with the ECM and is expressed in tissues undergoing remodeling (5). It functions as a de-adhesive protein, as a modulator of growth factor activity, and as a cell-cycle inhibitor. SPARC can bind many proteins that reside in the ECM — for example, the fibril-forming collagens (types I, III, and V), collagen IV (basement membranes), vitronectin (6), and laminin-1 (LN1; our unpublished data). Mice with a homozygous null mutation in the SPARC gene (SP–/–) (7) undergo progressive early-onset cataractogenesis (8) and exhibit altered dermal connective tissue characterized by accelerated closure of cutaneous wounds (9) and enhanced fibrovascular invasion of subcutaneous sponge implants (10). The context of the expression of SPARC is critical for an understanding of its functions in a given microenvironment. SPARC is generally considered an antiangiogenic protein because it blocks VEGF- and FGF-2–induced proliferation of endothelial cells. It can also inhibit PDGF activity on stromal cells (6). Expression of SPARC by melanoma and glioma cells has been linked to an invasive phenotype in vivo (11, 12). In contrast, overexpression of SPARC by ovarian carcinoma cells led to increased tumor cell apoptosis, and the levels of SPARC were inversely correlated with tumor progression in vivo (13). Using genetically deficient mice, we have tested the contribution of host SPARC to the progression of syngeneic tumors. Here we report that (1) tumor growth is enhanced in mice lacking endogenous SPARC, (2) the increased tumor size in the SP–/– mice is not due to an increase in tumor angiogenesis, and (3) the increased tumor growth results from changes in the ECM of the SP–/– mice that create a more permissive environment for tumor progression. Methods Cell cultures. Lewis lung carcinoma (LLC) cells were obtained from Judah Folkman (Children’s Hospital, Boston, Massachusetts, USA), bovine aortic endothelial (BAE) cells were isolated as previously described (14), bEnd.3 cells were provided by the late Werner Risau (Bad Nauheim, Germany), and EL4 cells were provided by Brad Nelson (Benaroya Research Institute, Seattle, Washington, USA). All of the cell lines were grown in DMEM supplemented with L-glutamine (2 mM), penicillin (100 U/ml), streptomycin sulfate (100 μg/ml), and 5–10% fetal bovine serum (Life Technologies Inc., Grand Island, New York, USA). Tumor growth in vivo. C57Bl/6 × 129SvJ SPARC null (SP–/–) and wild-type (SP+/+) mice were generated as described (9). The mice were backcrossed against wild-type C57Bl/6 for at least four generations before use in the tumor studies. For subcutaneous tumor growth, LLC cells were removed from tissue culture flasks with trypsin, or EL4 cells were pelleted from suspension; cells were washed two times with HBSS, counted, and resuspended at 1 × 107 (LLC) or 5 × 106 (EL4) cells per milliliter. Cells (200 μl in HBSS) were injected subcutaneously into mice. For intravenous injection, LLC cells were resuspended at 1 × 106 cells per milliliter, and 100 μl was injected into the tail vein. For intraperitoneal injection, EL4 cells (200 μl at 5 × 106 cells per milliliter) were injected into the peritoneal cavity. The mice were housed in a pathogen-free facility, and experiments were conducted under a protocol approved by the Institutional Animal Care and Use Committee of the Hope Heart Institute and Fred Hutchinson Cancer Research Center (Seattle, Washington, USA). Subcutaneous tumors were excised, weighed, and divided such that one third of each tumor was frozen, one third was immersed in methyl Carnoy’s fixative, and the remaining third was fixed in 10% neutral buffered formalin. The lungs of the mice injected intravenously with LLC cells were removed, weighed, and immersed in Bouin’s solution (0.9% picric acid, 9% formaldehyde, and 5% acetic acid). The lungs were examined under a dissecting microscope, and the surface tumor colonies were counted. Mice injected intraperitoneally with EL4 cells were dissected and evaluated for ascites production and tumor growth in the peritoneal cavity. All organs were monitored for disseminated disease. Histology and immunohistochemical analysis. Formalin- and methyl Carnoy’s–fixed tissues embedded in paraffin were sectioned by the Histopathology Laboratory at the University of Washington. Formalin-fixed sections were stained with hematoxylin and eosin, Masson’s trichrome, and picrosirius red according to standard protocols (15, 16). Methyl Carnoy’s–fixed sections were deparaffinized under standard conditions. If necessary, endogenous peroxidases were blocked in methanol with 1.0% H2O2 for 30 minutes. Some of the sections were subsequently treated with AutoZyme (10 μl of enzyme concentrate/1 ml of buffer for 6 minutes at room temperature; BioMeda Corp., Foster City, California, USA). Antibodies requiring AutoZyme treatment were goat anti-mouse SPARC (R&D Systems Inc., Minneapolis, Minnesota, USA), rabbit anti-LN1 (BD Biosciences, San Diego, California, USA), rabbit anti-LN1 (Sigma-Aldrich, St. Louis, Missouri, USA), rat anti-LNα1 chain (Chemicon, Temecula, California, USA), rat anti-F4/80 (Serotec, Raleigh, North Carolina, USA), rat anti–Mac-3 (BD Biosciences), and rabbit anti-VEGFR2 (T014) (17). The antibodies that did not require antigen retrieval were rabbit anti-mouse collagen type I (Biodesign International, Saco, Maine, USA), rabbit anti-collagen type IV (BD Biosciences), rabbit anti–phospho-histone H3 (Upstate Biotechnology Inc., Lake Placid, New York, USA), rabbit anti–active caspase-3 (R&D Systems Inc.), and rat anti-mouse endothelial cell MECA32 (Developmental Studies Hybridoma Bank, University of Iowa, Iowa City, Iowa, USA). The sections were incubated with primary antibody for 1 hour, washed with PBS containing 0.2% Tween-20, incubated for 1 hour with the appropriate peroxidase-labeled or FITC-labeled secondary antibody (Jackson ImmunoResearch Laboratories, West Grove, Pennsylvania, USA), developed with Stable DAB (ResGen, Huntsville, Alabama, USA), counterstained with hematoxylin, and coverslipped in Permount (Fisher, Fair Lawn, New Jersey, USA). Slides treated with FITC were coverslipped in ProLong antifade mounting media (Molecular Probes, Eugene, Oregon, USA). Sections were examined on a Leica DMR microscope, and images were captured digitally with an RT-Spot camera (Diagnostic Instruments, Sterling Heights, Michigan, USA). RT-PCR. RNA was isolated with Tri Reagent (Molecular Research Center Inc., Cincinnati, Ohio, USA) according to the manufacturer’s instructions. PCR was performed as described (18) with the following primer sequences: SPARC sense (5′-GTCCCACACTGAGCTGGC-3′) and anti-sense (5′-AAGCACAGAGTCTGGGTGAGTG-3′), collagen 1A1 sense (5′-GAACTTGGGGCAAGACAGTCA-3′) and anti-sense (5′-GTCACGTTCAGTTGGTCAA-AGG-3′), LNα1 sense (5′-GATGCCATTGGCCTAGAGATTG-3′) and anti-sense (5′-GGATGGGAATGGGAGCTGA-3′), TGF-β1 sense (5′-ACCATCCATGACATGAACCG-3′) and antisense (5′-GGCTTGCGACCCACGTA-3′), VEGF sense (5′-AGGCTGCTGTAACGATGAAGC-3′) and antisense (5′-CCGCCTTGGCT-TGTCAC-3′), VEGFR1 sense (5′-GTGTGCTTAGGTCGTGCACAC-3′) and anti-sense (5′-CTG-GATGAGAAACCTC-AGGCT-3′), VEGFR2 sense (5′-CGAGTCTGTCTACCTTGGAGGC-3′) and anti-sense (5′-CAGCCTGAGCCTTTACCGC-3′), neuropilin-1 (Npn-1) sense (5′-ACCACTGAT-AACTCGATTTGTCCG-3′) and anti-sense (5′-CGATCTTG-AACTTCCTCATGAACAC-3′), SC1 sense (5′-TGGTTCTTGCACGAACTTCC-3′) and anti-sense (5′-GAGAAGTTCAATGGGATGGTCTC-3′), and rpS6 sense (5′-AAGCTCCGCACCTTCTATGAGA-3′) and anti-sense (5′-TGACTGGACTCAGACTTAGAAGTAGAAGC-3′). Western blotting and ELISA. Pieces of frozen tumor were homogenized in a modified RIPA buffer (19), and protein concentration was determined by a bicinchoninic acid assay (Pierce Chemical Co., Rockford, Illinois, USA). Lysate (25 μg) from each tumor was loaded onto duplicate 12% SDS-polyacrylamide gels, one of which was stained with Coomassie blue while the other was used for electrophoretic transfer to a PVDF membrane. The membrane was blocked with Aquablock (East Coast Biologics Inc., Berwick, Maine, USA) for 1 hour at room temperature. The membrane was probed overnight with an anti-SPARC antibody. Proteins secreted by LLC cells in vitro were probed with 303, a mouse anti-SPARC monoclonal antibody that binds to mouse but not bovine SPARC (our unpublished data). The blots were developed as described (19). For ELISA, 100 μg of tumor lysate was assayed for VEGF (R&D Systems Inc.) or 20 μg was assayed for TGF-β1 (Promega, Madison, Wisconsin, USA), according to the manufacturers’ instructions. Determination of vascular area. Using Adobe Photoshop, we analyzed the green channel of images of FITC-labeled MECA32-positive blood vessels. The “magic wand” tool was used to detect regions of dissimilar color; the threshold for detection (0–255) was set by eye and ranged between 4 and 35, and the background was measured at multiple sites within each image. Images were measured at different threshold levels and with different background regions; for each image, we found insignificant quantitative differences in vascular area among these parameters. In vitro proliferation assay. Quiescent cells were stimulated with serum in the presence or absence of recombinant human SPARC, and incorporation of [3H]thymidine (PerkinElmer, Torrance, California, USA) into DNA was measured as described (20). Results Host-derived SPARC influences tumor growth. Given that there are alterations in the ECM of mice lacking different matricellular proteins (21, 22), we investigated the importance of host-derived SPARC on the growth of implanted tumors. SP+/+ and SP–/– mice were injected subcutaneously with murine LLC or T-cell lymphoma (EL4) cells. At the time of sacrifice, the SP–/– mice had significantly larger LLC tumors than the SP+/+ mice (Figure (Figure1a),1
EL4 cells also grew more rapidly in the SP–/– mice after subcutaneous injection (Figure (Figure1c).1 SPARC influences matrix deposition. We hypothesized that the lack of host-derived SPARC might influence the growth of the tumor cells in vivo by alteration of (1) the deposition of ECM in and around the tumor mass, (2) angiogenesis within the tumor, and/or (3) the survival or proliferation of the tumor cells. The gross morphology of tumors grown in both genotypes appeared similar (Figures (Figures2a2
EL4 tumors revealed a similar pattern of reactivity (Figure (Figure2b).2 SPARC is expressed in LLC tumors. Cultured LLC but not EL4 cells contained detectable amounts of SPARC mRNA (Figure (Figure3a)3
Host SPARC influences protein expression in LLC tumors. By RT-PCR, LLC and EL4 cells in vitro transcribed VEGF and VEGFR1 but not VEGFR2, Npn-1, or the SPARC homolog SC1/hevin (Figure (Figure3a).3 Six tumors from the SP+/+ and SP–/– mice were analyzed by RT-PCR for the level of the indicated proteins; a representative panel from each set is shown (Figure (Figure3b).3 We anticipated that there might be changes in the distribution or levels of several major basement membrane proteins. LN1 was in fact reduced in tumors from SP–/– relative to those from SP+/+ mice (Figure (Figure4).4
Angiogenesis in LLC tumors from SP+/+ and SP–/– mice. We examined the number and distribution of blood vessels in the tumors by immunohistochemical identification of endothelial cells with two antibodies, one specific for VEGFR2 (17) and MECA32, a pan-endothelial cell marker (24) (Figure (Figure5a).5
Host SPARC supports macrophage infiltration. We have seen no evidence of rejection or spontaneous regression of LLC tumors grown in either SP+/+ or SP–/– mice. However, there were differences in the number and distribution of macrophages. The antigens F4/80 (Figure (Figure5b)5 Tumor cell proliferation and apoptosis in LLC tumors from SP+/+ and SP–/– mice are equivalent. Since SPARC is known to block proliferation of some cell types in G1 (20), we evaluated whether SPARC could inhibit serum-induced proliferation of LLC cells in vitro. Using a 3H-thymidine incorporation assay, we found that purified recombinant human (rh) SPARC (27) inhibited serum-induced proliferation of LLC and BAE cells in a concentration-dependent manner (Table 2).
We evaluated the proliferation of the tumor cells in vivo with an antibody against phosphorylated histone H3 (p-H3) (28) (Table 3 and supplemental Figure Figure3,3
Discussion The major findings to emerge from this study are that SPARC influences the response of host tissue to implanted tumor cells and that a lack of endogenous SPARC results in (1) a diminished capacity to encapsulate the growing tumor; (2) an alteration in the deposition of the ECM constituents collagen and LN1, and (3) decreased invasion of the tumor by mature macrophages. We found that tumor burden was increased in SP–/– as compared with SP+/+ mice after tumor cells were injected subcutaneously, intravenously, or intraperitoneally. Both tumor and stromal cells within tumors have been shown to produce SPARC (29, 30), and other studies have implicated tumor-derived SPARC as an important modulator of tumor progression and metastasis (11, 13, 31). However, our results with three different murine tumor cell lines — LLC, EL4, and PAN02, a pancreatic adenocarcinoma cell line (our unpublished data) — show an inverse correlation between the production of SPARC by the tumor cells and the rate of tumor growth in vivo. It is unclear whether tumor-derived SPARC is functionally different from endogenous SPARC produced by host stromal cells. It is possible that host-derived SPARC preferentially affects the stromal cells in the tumor and therefore has a greater influence on the host response to the tumor, which includes the formation and maturation of a capsule rich in collagen (32, 33). SPARC binds to several collagen types, including collagen I and III (6, 34), the major structural proteins of the ECM produced by host cells in response to cutaneous wounds (35), implanted biomaterials (36), and certain injected tumor cells (37). Recent studies have revealed that the skin from SP–/– mice contains less hydroxyproline (and therefore less collagen) than that from SP+/+ counterparts (9). Furthermore, electron microscopy has shown that the mean diameter of collagen fibrils is reduced in SP–/– relative to SP+/+ dermis (38, 39). These results are consistent with our findings that there is a reduced amount of collagen in the capsules around the tumors grown in SP–/– mice, and that the collagen fibrils that are present contain fewer cross-links and are of smaller diameter. Together, these results highlight a function for SPARC in the regulation of the production and organization of the ECM in response to tumor growth. It is clear that tumors are angiogenesis-dependent for growth and progression to metastatic disease (2, 40, 41). Therefore, we were surprised that there appeared to be no difference in the microvessel density of LLC tumors grown in SP–/– and SP+/+ mice. That there was actually a larger percent vascular area in tumors grown in SP+/+ mice was also unexpected but consistent with the PCR analysis of the tumors, which showed a reduced level of VEGFRs in tumors from SPARC null mice (Figure (Figure3b).3 Macrophages influence the response of host tissue to tumor growth and can directly alter the progression of tumors (45). Our results indicate that host-SPARC influences infiltration of tumors by host macrophages, although it is unclear whether this is due to a direct interaction between SPARC and macrophages. Mice deficient in colony-stimulating factor (CSF-1) also show reduced macrophage infiltration of subcutaneous LLC tumors (46) and primary mammary tumors (47). However, in these mice tumor growth is reduced as compared with that in wild-type mice. Although these results differ from ours with respect to tumor progression, the tumors formed in CSF-1–deficient mice also exhibit reduced amounts of stroma. In fact, modulation of the ECM might point to a common mechanism in the regulation of tumor growth in CSF-1– and SPARC-deficient mice. Although SPARC inhibited serum-stimulated growth of LLC cells in vitro, we were unable to show an increase in the number of proliferating tumor cells in vivo. We examined the expression of proliferating cell nuclear antigen and Ki-67 (data not shown), as well as p-H3, by immunohistochemistry; in each case, there were no apparent differences in the number of cycling cells in tumors grown in either genotype. SPARC can block cells in the G1 phase of the cell cycle but has no effect on cells in S phase (20, 48). It is possible that the effect of SPARC on tumor cell proliferation in vivo is slight, such that the cell cycle is lengthened but not inhibited. This effect could lead to a significantly greater number of tumor cells in the SP–/– mice over extended periods of time. We also found no difference in the number of cells positive for active caspase-3 or cleaved poly ADP-ribose polymerase (PARP) (data not shown) in the tumors grown in either genotype; hence, there was no substantial difference in the number of cells undergoing apoptosis in the tumors. Our results are consistent with the report from Yiu et al. (13), who found an inverse correlation between the levels of SPARC and the clinical grade of ovarian carcinoma samples from patients. This situation is comparable to the phenomenon we have observed in SP+/+ and SP–/– mice: tumor growth is slower or more controlled in the tissue that is expressing endogenous SPARC. The ECM can influence tumor progression directly. For example, solid stress, which is comparable to the stress the ECM puts on the tumor mass, inhibits the growth of tumor spheroids in culture (49). These results therefore indicate that a less restrictive ECM allows greater growth. This concept is supported by a recent mathematical study on the mechanics of capsule formation, which predicts that a more robust ECM and capsule result in slower growth of the tumor (50). Additionally, a number of reports demonstrate the importance of the tumor microenvironment, particularly the ECM, as a determinant of drug delivery, gene expression, and angiogenesis (51, 52). These studies show that an increase in the collagen content of the ECM increases the mechanical stiffness and transport resistance of tumors. Increased collagen content and mechanical stiffness are properties that would also increase solid stress and therefore slow the growth of the tumor. We have presented evidence for a role of host-derived SPARC in the response to tumor cells. Although other studies have shown that tumor-derived SPARC can increase the invasiveness of different tumors, our results show the importance of endogenous SPARC in controlling tumor size through the production and organization of the ECM. Supplemental data
Acknowledgments We thank J. Folkman and B. Nelson for the LLC and EL4 tumor cells, respectively; A. Bradshaw, K. Motamed, A. Francki, and R. Vernon for support and insightful discussions; P. Theiss for advice on growing the EL4 cells; and S. Funk for maintenance of the animals. This work was supported in part by grants from the NIH (F32 HL10352 to R.A. Brekken, and RO1 GM40711 and RO1 HL59574 to E.H. Sage), and from The Seattle Foundation to The Hope Heart Institute. Footnotes Rolf A. Brekken’s present address is: Departments of Surgery and Pharmacology and the Hamon Center for Therapeutic Oncology Research, University of Texas Southwestern Medical Center, Dallas, Texas, USA. Conflict of interest: The authors have declared that no conflict of interest exists. 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Nature. 2001 May 17; 411(6835):375-9.
[Nature. 2001]Cell. 2000 Jan 7; 100(1):57-70.
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