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Copyright © American Society for Investigative Pathology Inhibition of Experimental Metastasis by Targeting the HUIV26 Cryptic Epitope in Collagen From the Departments of Radiation Oncology and Cell Biology, The New York University Cancer Institute, New York University School of Medicine, New York, New York Accepted January 13, 2006. This article has been cited by other articles in PMC.Abstract Metastasis from the primary tumor to distant sites involves an array of molecules that function in an integrated manner. Proteolytic remodeling and subsequent tumor cell interactions with the extracellular matrix regulate tumor invasion. In previous studies, we have identified a cryptic epitope (HUIV26) that is specifically exposed after alterations in the triple helical structure of type IV collagen. Exposure of this cryptic epitope plays a fundamental role in the regulation of angiogenesis in vivo. However, little is known concerning the ability of tumor cells to interact with this cryptic site or whether this site regulates tumor cell metastasis in vivo. In this regard, many of the same cellular processes that regulate angiogenesis also contribute to tumor metastasis. Here we provide evidence that tumor cells such as B16F10 melanoma interact with denatured collagen type IV in part by recognizing the HUIV26 cryptic site. Systemic administration of a HUIV26 monoclonal antibody inhibited experimental metastasis of B16F10 melanoma in vivo. Taken together, our findings suggest that tumor cell interactions with the HUIV26 cryptic epitope play an important role in regulating experimental metastasis and that this cryptic element may represent a therapeutic target for controlling the spread of tumor cells to distant sites. Metastasis or the spread of malignant tumor cells from the primary tumor mass to distant sites involves a complex series of interconnected events.1–6 Understanding the biochemical, molecular, and cellular processes that regulate tumor metastasis is of great importance. The metastatic cascade is thought to be initiated by a series of genetic alterations leading to changes in cell-cell interactions allowing disassociation of cells from the primary tumor mass. These events are followed by local invasion and migration through proteolytically modified extracellular matrix (ECM). To establish secondary metastatic deposits, the malignant cells evade the host immune surveillance, arrest in the microvasculature, and extravasate out of the circulation. Finally, tumor cells can invade the local ECM, proliferate, recruit new blood vessels by induction of angiogenesis, and expand to form secondary metastatic foci.1–6 Although it is well accepted that tumor cell interactions with the ECM play an important role in metastasis, relatively little is known concerning the ability of tumor cells to interact with proteolytically remodeled ECM or whether these interactions contribute functionally to the spread of tumor cells to distant sites. Because tumor metastasis involves a complex cascade of interdependent events, studying this process is a difficult task. In this regard, a number of in vitro assays have been developed to study individual cellular processes in metastasis including adhesion, invasion, migration, and proliferation.7–10 In vitro assays, although valuable, do not completely recapitulate the physiological events that facilitate tumor dissemination. Therefore, investigators have developed several in vivo systems, including a number of murine and rat metastasis models.11–13 Depending on the particular questions to be addressed, these models can provide distinct insight into the metastatic cascade. A major impediment to effective treatment of malignant tumors involves the development of resistance to standard therapeutic modalities as well as metastatic dissemination of tumor cells. Thus, the identification of novel therapeutic targets and treatment strategies are of paramount importance. Although many studies have confirmed the importance of targeting specific secreted growth factors, proteases, cell surface adhesion receptors, and many intracellular regulatory molecules, these approaches have met with only limited success due in part to the genetic instability of tumor cells.14–17 Therefore identifying new functional targets within the noncellular compartment may provide an effective new clinical strategy. To this end, our previous studies have identified a unique cryptic site (HUIV26) within collagen that regulates angiogenesis and endothelial cell behavior.18–21 This functional cryptic site has been shown to be highly expressed within the ECM of malignant tumors and within the subendothelial basement membrane of tumor-associated blood vessels.18–21 However, little is known concerning the capacity of tumor cells to interact with this cryptic site or whether interactions with this site alter tumor cell behavior in vitro and metastasis in vivo. Here we provide evidence for the first time that malignant tumor cells can interact with the HUIV26 cryptic epitope and that blocking these interactions inhibits tumor cell adhesion and migration in vitro and experimental metastasis in vivo. Materials and Methods Reagents, Chemicals, and Antibodies Ethanol, methanol, acetone, and phosphate-buffered saline (PBS) were all obtained from Sigma (St. Louis, MO). OTC embedding compound was obtained from VWR International (Bridgeport, NJ). The monoclonal antibody HUIV26, which specifically reacts with denatured collagen type IV and dose not react with the cell surface, has been previously described18 and was kindly provided by Cell Matrix Inc. a subsidiary of CancerVax Corp. (Carlsbad, CA). Hematoxylin, eosin-Y, xylene, and Permount were obtained from Fischer Scientific (Pittsburgh, PA). Monoclonal antibody (mAb) A103 directed to the melanoma-associated antigen MART-1 was obtained from Oncogene Research Products (San Diego, CA). Nonspecific normal mouse IgM control antibody was obtained from Pierce (Rockford, IL). Rhodamine-labeled goat anti-mouse secondary antibody was obtained from BioSource International (Camarillo, CA). Fluorescein isothiocyanate-labeled Lycopersicon esculentum lectin was obtained from Vector Laboratories (Burlingame, CA). WST-1 proliferation kits were obtained from Chemicon International (Temecula, CA). Purified collagen type I and IV were obtained from Sigma. Thermally denatured collagen was prepared by resuspending the collagen at a concentration 1.0 mg/ml in PBS and boiling the sample for 12 minutes. Cells and Cell Culture Murine B16F10 melanoma cell line was obtained from the American Type Culture Collection (Rockville, MD). Tumor cells were maintained in Dulbecco’s modified Eagle’s medium (Life Technologies, Inc., Grand Island, NY) supplemented with 10% fetal bovine serum (Hyclone, Logan, UT), 1.0% sodium pyruvate, glutamate, and Pen-Strep (Life Technologies, Inc.). Cells were maintained as subconfluent cultures before use and harvested with trypsin-ethylenediaminetetraacetic acid (Life Technologies, Inc.). Cell Adhesion and Proliferation Assays Cell adhesion assays were performed as described previously with some modifications.22 Briefly, 48-well nontissue culture plates were coated with native triple helical or thermally denatured collagen types I and IV (10.0 μg/ml) for 12 hours at 4°C. The plates were next washed with PBS and nonspecific binding sites were blocked by incubation with 1.0% bovine serum albumin (BSA) in PBS for 1 hour at 37°C. Tumor cells (B16F10) from subconfluent cultures were harvested, washed, and resuspended in adhesion buffer containing RPMI 1640, 1 mmol/L MgCl2, 0.2 mmol/L MnCl2, and 0.5% BSA in the presence or absence of function-blocking antibodies (0 to 100 μg/ml) or an isotype-matched control antibody. Tumor cells were added to the coated plates in a total volume of 200 μl and allowed to attach for 15 to 30 minutes. Nonattached cells were removed by washing and attached cells were stained with crystal violet as described previously.22 Cell adhesion was quantified by measuring the optical density of eluted crystal violet from attached cells at a wavelength of 600 nm.22 In cell proliferation assays, microtiter wells were coated with either native or denatured collagen type I or IV (10 μg/ml). Tumor cells (B16F10) were resuspended in proliferation buffer containing 1.0% serum in the presence or absence of mAb HUIV26 or an isotype-matched control antibody (0 to 100 μg/ml) and allowed to proliferate throughout a 3-day time course. Cellular proliferation was measured with a WST-1 tetrazolium salt cleavage assay kit (Chemicon International) according to the manufacturer’s instructions. Cell proliferation was monitored using a microplate reader at a wavelength of 490 nm. Experiments were performed in triplicates and repeated twice with similar results. Cell Migration Assay Cell migration assays were performed as described previously with some modifications.22 Briefly, membranes (8.0-μm pore size) from transwell migration chambers were coated with native triple helical or thermally denatured collagen type I or IV (10.0 μg/ml) for 12 hours at 4°C. The transwells were next washed with PBS and nonspecific binding sites were blocked by incubation with 1.0% BSA in PBS for 1 hour at 37°C. Tumor cells from subconfluent cultures were harvested, washed, and resuspended in migration buffer containing RPMI 1640, 1 mmol/L MgCl2, 0.2 mmol/L MnCl2, and 0.5% BSA in the presence or absence of function-blocking antibody (0 to 100 μg/ml) or an isotype-matched control. Tumor cells were allowed to migrate to the underside of the coated transwell membranes for 2 to 4 hours. Tumor cells remaining on the top-side of the membrane were removed and cells that had migrated to the under side were stained with crystal violet as described previously.22 Cell migration was quantified by direct cell counts per microscopic field. Chick Embryo Experimental Metastasis Assay Twelve-day-old fertilized chick eggs were obtained from SPAFAS (North Franklin, CT) and maintained in a 48-place tabletop egg incubator (Lyon Electric, Chula Vista, CA) as described previously.23,24 Prominent blood vessels were visualized through the eggshell of the 12-day-old chick embryos with the aid of an egg candle.23,24 The area of the outer egg shell where prominent blood vessels are located close to the inner shell surface was swabbed with 70% ethanol and a small window was cut through the egg shell with a hobby grinding wheel (Dremel Emerson Electric Co., Racine, WI). The embryos were returned to the incubator until tumor cells were prepared for injection. Subconfluent cultures of B16F10 melanoma cells were washed with sterile PBS and harvested with trypsin ethylenediaminetetraacetic acid. Tumor cells were washed with serum containing Dulbecco’s modified Eagle’s medium and resuspended in sterile PBS at concentrations ranging from 0.5 to 5.0 × 106 per ml. Next, the small windows cut through the egg shell were carefully removed and a drop of mineral oil was added to the shell membrane to enhance visualization of the underlying blood vessels.23,24 Tumor cell suspensions were injected intravenously in a total volume of 100 μl per embryo. The embryos were allowed to incubate undisturbed for 24 hours or a total of 7 days. To quantify experimental B16F10 lung metastasis, embryos were sacrificed at day 19 and both lobes of the chick lungs were dissected. The lungs were analyzed with the aid of a stereo microscope set at a defined magnification. The total number of isolated and discrete pigmented lung surface lesions was carefully counted on each side of each lobe for each embryo. A typical experiment included at least six embryos per condition. Experimental metastasis was described as the mean number of surface B16F10 melanoma lesions per lung per experimental condition. Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) Analysis of B16F10 Lung Tumor Lesions To detect the presence of B16F10 melanoma cells at early time points (24 hours) semiquantitative RT-PCR was performed using primers specific for B16 M562 melanoma antigen and control primers for chick 18s ribosome as previously described.25,26 Briefly, chick lungs from each experimental condition were harvested at the end of a 24-hour incubation period after tumor cell inoculation and mRNA prepared as previously described.25,26 To examine the relative levels of B16F10 melanoma cells in the lungs of chick embryos at early time points, we used PCR primers directed to the B16-specific M562 melanoma antigen (forward) 5′-TGGGCTTGTAGTACTGGACTC-3′ and (reverse) 5′-TTCACGTGATTTACAATCTCCTATTG-3′.25,26 In control experiments, PCR primers specific for chick 18S ribosome were used that included (forward) 5′-TTCGTATTGTGCCGCTAGAG-3′ and (reverse) 5′-GCATCGTTAATGGTCGGAAC-3′. Murine Experimental Metastasis Assay The experimental metastasis assay was performed essentially as described with some modifications.24,27 Briefly, subconfluent cultures of B16F10 melanoma cells were harvested, washed, and resuspended in sterile PBS in the presence or absence of mAb HUIV26 or an isotype-matched control antibody (100.0 μg/ml). Female BALB/c mice were injected intravenously (100 μl) with tumor cells (2 × 105). After injection of the tumor cells, the mice were untreated or treated daily (7 days) (intraperitoneally) or treated with a single injection of mAb HUIV26 or normal mouse IgM control antibody (100 μg) in a total volume of 100 μl of sterile PBS. At the end of the treatment periods, the mice were sacrificed and the lungs were removed for analysis. To quantify experimental B16F10 lung metastasis, lungs were dissected and placed in 35-mm culture plates. The lungs were analyzed with the aid of a stereomicroscope set at a defined magnification (×30). The total number of isolated and discrete pigmented lung surface lesions was carefully counted on each lobe for each specimen. Experimental metastasis is described as the mean number of surface tumor lesions per lung per experimental condition. Presence of tumor lesions within the lungs was confirmed by histological analysis. Immunohistochemical and Immunofluorescence Analysis Lungs from chick embryos or mice were dissected and embedded in OTC, snap-frozen, and 4.0-μm sections were cut with a cryostat as described previously.28,29 For histological analysis, frozen sections of lung tissue were fixed in 10% formalin and stained with hematoxylin and eosin. Immunohistochemical analysis was performed as previously described with some modifications.30–32 Briefly, lung sections (4.0 μm) were fixed for 30 seconds in 50% methanol and 50% acetone. The tissue sections were washed three times and incubated with 2.5% BSA in PBS to block nonspecific binding sites. mAb HUIV26 was diluted in 2.5% BSA in PBS to a final concentration of 10 μg/ml and 100 μl was added to the tissue sections. Tissues were incubated for a total of 2 hours at 37°C. The tissues were next washed five times with PBS for 5 minutes each followed by incubation with horseradish peroxidase-labeled goat anti-mouse secondary antibody (1:300) for 1 hour. The tissue sections were washed as before and photographed at a magnification of ×200. For immunofluorescence co-staining, tissue sections were prepared as described above and incubated with goat anti-mouse rhodamine-labeled secondary antibody (1:400) and fluorescein isothiocyanate-labeled L. esculentum lectin (10 μg/ml) for detection of blood vessels. The tissue sections were washed as before and a drop of anti-fade mounting medium added. The tissue sections were then photographed at a magnification of ×630 under oil emersion. Statistical Analysis Statistical analyses of experimental data were analyzed using unpaired Student’s t-test. P values less than 0.05 were considered significant. Results mAb HUIV26 Inhibits Tumor Cell Interactions with Denatured Collagen Type IV Our previous studies suggested that endothelial cell adhesion to proteolyzed and denatured type IV collagen depends in part on integrin-mediated cellular interactions with the HUIV26 cryptic epitope.19 Importantly, cellular interactions with this epitope were shown to be mediated by integrin αvβ3.19 To examine whether malignant tumor cells also use the HUIV26 cryptic epitope in attaching to denatured collagen type IV, in vitro cell adhesion assays were performed as described in the Materials and Methods section. Highly metastatic B16F10 melanoma cells were resuspended in adhesion buffer in the presence or absence of mAb HUIV26 or an isotype-matched control antibody. Tumor cell suspensions were added to the plates and allowed to adhere to either native or denatured collagen-coated wells. Cell adhesion was quantified by measuring optical density of cell-associated crystal violet eluted from the attached cells. As shown in Figure 1, A and B
mAb HUIV26 Inhibits Tumor Cell Migration on Denatured Collagen Type IV Studies have suggested proteolytic remodeling of ECM components such as collagen type IV can regulate cellular invasion and migration. Thus, we examined the effects of mAb HUIV26 on malignant tumor cell migration in vitro. Membranes from transwell migration chambers were coated with native or denatured collagen type I or IV and B16F10 tumor cells were resuspended in migration buffer in the presence or absence of mAb HUIV26 or an isotype-matched control antibody. Tumor cell suspensions were added to the upper chambers of the migration wells and allowed to migrate to the under side of the coated membranes for 4 hours. Migration was measured by counting the number of tumor cells that migrated to the underside of the wells as described in the Materials and Methods section. As shown in Figure 2, A and B
B16F10 Melanoma Cells Rapidly Disseminate to the Lungs of Chick Embryos Our previous studies have shown that cryptic epitopes within collagen are specifically exposed within basement membrane collagen type IV of malignant human and murine tumors as well as the subendothelial basement membrane of angiogenic blood vessels.18–21 Importantly, our current studies suggest that malignant B16F10 melanoma cells can interact with the HUIV26 cryptic site and function-blocking antibody directed to this site inhibits cellular adhesion and migration. Given these findings, the possibility exists that inhibiting cellular interactions with the HUIV26 site may impact tumor cell metastasis. Therefore, we established a rapid experimental metastasis assay to study the potential role of the HUIV26 epitope in this process. To facilitate these studies, we used the chick embryo model in conjunction with metastatic B16F10 melanoma cells. Subconfluent B16F10 melanoma cells were resuspended in sterile PBS. Twelve-day-old chick embryos were injected intravenously with 100 μl of B16F10 cell suspension, and the embryos were allowed to incubate for a total of 7 days. At the end of the 7-day incubation period, the embryos were sacrificed and the lungs were resected, washed, and placed in OTC embedding compound and snap-frozen as described in the Materials and Methods section. Frozen sections (4.0 μm) were cut and nonspecific binding sites were blocked with BSA. The tissue sections from each experimental condition were next incubated with control buffer or mAb HUIV26 and immunoreactivity was visualized by incubation with horseradish peroxidase-labeled goat anti-mouse secondary antibody. As shown in Figure 3A
mAb HUIV26 Dose Dependently Inhibits B16F10 Experimental Metastasis in the Chick Embryo Model To examine the effects of mAb HUIV26 on B16F10 experimental metastasis, subconfluent B16F10 cells were harvested, washed, and resuspended in sterile PBS in the presence or absence of mAb HUIV26 or an isotype-matched control antibody. The B16F10 cell suspensions were injected intravenously (100 μl per embryo) and 7 days later the embryos were sacrificed and the lungs removed for analysis. As shown in Figure 4A
mAb HUIV26 Inhibits B16F10 Experimental Metastasis in Mice To confirm the anti-metastatic activity of mAb HUIV26 and to examine its effects in a second experimental system, we used a murine model. Subconfluent B16F10 cells were harvested, washed, and resuspended in sterile PBS in the presence or absence of mAb HUIV26 or an isotype-matched control antibody (100 μg). Mice were treated (intraperitoneally) with either mAb HUIV26 or isotype-matched control antibody for a total of 7 days. At the end of the treatment period the mice were sacrificed and the lungs removed, washed, and analyzed with the aid of a stereomicroscope. B16F10 melanoma lesions (Figure 5A Discussion The dissemination of malignant tumor cells to distant sites is a major contributing factor to the mortality associated with human cancer. Due in large part to the complexity of the interconnected processes required for tumor cells to metastasize, progress in understanding of the metastatic cascade has been slow. Interestingly, one of the most well studied integrin receptors thought to play an important role in malignant tumor growth and metastasis is integrin αvβ3.31–35 In particular, elevated expression of αvβ3 integrin has been strongly correlated with the vertical growth phase of metastatic melanoma and a poor clinical prognosis in metastatic breast carcinoma.31–35 Previous studies have demonstrated that antagonists of αvβ3 integrin can inhibit metastasis in animal models.36,37 Although many ECM ligands for αvβ3 have been identified, including vitronectin and denatured collagen, little is known concerning their functional relevance in vivo in controlling invasive cellular processes such as metastasis. Numerous studies have suggested that proteolytic remodeling of the ECM and subsequent cellular proliferation, invasion, and migration play important roles in tumor metastasis.38–40 In fact, inhibition of matrix metalloproteinases have been shown to inhibit metastasis in many models.38–40 Although mechanisms have been suggested to account for the anti-metastatic and anti-tumor activity associated with inhibition of proteolytic enzymes, their contribution to the metastatic cascade is still not completely understood. Proteolytic enzymes such as matrix metalloproteinases may function to release matrix-immobilized growth factors needed for tumor cell proliferation, migration, and survival.41,42 Moreover, proteolytic remodeling of ECM components may also remove restrictive physical barriers, allowing tumor cells to invade and migrate.38–40 Interestingly, recent evidence has suggested that proteolytic remodeling of ECM components may not simply destroy ECM molecules but cause structural alterations thereby exposing cryptic integrin-binding sites.18–21,43 Cellular interactions with these cryptic sites may facilitate unique signaling cascades regulating proliferation, migration, and survival.44,45 In this regard, we provide evidence for the first time that tumor cells including B16F10 melanoma can interact with the HUIV26 cryptic epitope recognized by αvβ3 because a mAb directed to this site inhibits adhesion and migration on denatured collagen type IV yet had little effect on triple helical collagen. These finding suggest that recognition of this functional ECM cryptic site in collagen is not restricted only to endothelial cells. Interestingly, studies have indicated that cellular interactions with a cryptic epitope in laminin can regulate breast carcinoma cell migration suggesting that cryptic ECM sites may play important roles in regulating invasive cellular processes.42,43 Our findings suggest that the HUIV26 cryptic site in collagen type IV plays a functional role in regulating tumor cell adhesion and migration in vitro. Surprisingly, mAb HUIV26 had little effect on tumor cell proliferation on denatured or native collagen under the conditions tested. Although these results are not completely understood, the lack of direct anti-proliferative activity may be associated with reduced exposure or modification of the HUIV26 cryptic epitope throughout time in culture because high levels of fibronectin within the serum used in the proliferation assays has been suggested to bind to denatured collagen/gelatin. Alternatively, matrix metalloproteinases present in the serum may modify the HUIV26 cryptic epitope within collagen type IV. Additional studies are now underway to examine this possibility. Our findings indicate that systemic administration of mAb HUIV26 directed to a unique αvβ3-binding cryptic collagen site inhibits experimental lung metastasis of B16F10 melanoma cells by ~50 to 65% in two independent animal models. Given previously published evidence indicating integrin-mediated regulation of p53 activity, it would be interesting to speculate that inhibiting αvβ3-mediated interactions with the HUIV26 cryptic collagen epitope may result in activation of p53, which in turn, may up-regulate expression of p21CIP1 thus impacting cell-cycle control and metastasis. Alternatively, modulating integrin-dependent ERK1/2 signaling may also contribute to the anti-metastatic activity observed. Our novel findings are consistent with the possibility that the HUIV26 cryptic epitope may represent a functionally important ligand for αvβ3 that contributes to the regulation of tumor cell behavior. Although it cannot be completely excluded that the known anti-angiogenic effects of mAb HUIV26 contributes to the anti-metastatic effects observed, our data do suggest that mAb HUIV26 can directly inhibit tumor cell adhesion and migration on denatured collagen type IV, thus directly impacting tumor cell behavior. Moreover, our studies indicate that mAb HUIV26 can inhibit the spread of B16F10 melanoma cells to the lungs of chick embryos within 24 hours suggesting that HUIV26 can impact early events in the metastatic cascade when angiogenesis is likely to play less of a role. Taken together, a therapeutic strategy whereby an antagonist could impact both the endothelial cell compartment as well as the tumor cell compartment would likely be of great therapeutic benefit. Given our current experimental findings, it is possible that mAb HUIV26 may reduce tumor cell metastasis in part by inhibiting tumor cell interactions with the HUIV26 cryptic epitope exposed with the basement membranes of epithelial sheets and blood vessels because functional exposure of this cryptic epitope was observed in B16F10 melanoma lung lesions and has been observed in several other tumor tissues.18–21 Further mechanistic studies are currently under way to examine the impact of disrupting tumor cell interactions with the HUIV26 epitope has on signaling pathways involved in melanoma cell-cycle control, proliferation, and survival. Collectively, our findings suggest that the HUIV26 cryptic epitope may represent an effective and highly selective new therapeutic target for the treatment of metastatic disease. Acknowledgments We thank Sharon Binns for her help in the preparation of the manuscript and Anat Zelmanovich for her expert technical assistance. Footnotes Address reprint requests to Peter C. Brooks Ph.D., New York University School of Medicine, Departments of Radiation Oncology and Cell Biology, The NYU Cancer Institute, Rusk Building Rm. 806, 400 East 34th St., New York, NY 10016. E-mail: peter.brooks/at/med.nyu.edu. Supported by the National Institutes of Health (grant CA91645-01 to P.C.B.) and CancerVax Corp. (to P.C.B.). References
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