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Copyright © 2009 by The American Society for Cell Biology Caveolin-1–mediated Suppression of Cyclooxygenase-2 via a β-catenin-Tcf/Lef–dependent Transcriptional Mechanism Reduced Prostaglandin E2 Production and Survivin Expression *Laboratory of Cellular Communication, Fondo de Investigación Avanzada en Areas Prioritarias (FONDAP) Center for Molecular Studies of the Cell (CEMC), †Cell Transformation Laboratory, Program of Cellular and Molecular Biology, Facultad de Medicina and ‡Departmento de Cirugía, Hospital Clínico, Universidad de Chile, Santiago, Chile J. Silvio Gutkind, Monitoring Editor Corresponding author.Address correspondence to: Andrew Quest (Email: aquest/at/med.uchile.cl) Received September 17, 2008; Revised January 28, 2009; Accepted February 13, 2009. Abstract Augmented expression of cyclooxygenase-2 (COX-2) and enhanced production of prostaglandin E2 (PGE2) are associated with increased tumor cell survival and malignancy. Caveolin-1 is a scaffold protein that has been proposed to function as a tumor suppressor in human cancer cells, although mechanisms underlying this ability remain controversial. Intriguingly, the possibility that caveolin-1 regulates the expression of COX-2 has not been explored. Here we show that augmented caveolin-1 expression in cells with low basal levels of this protein, such as human colon cancer (HT29, DLD-1), breast cancer (ZR75), and embryonic kidney (HEK293T) cells reduced COX-2 mRNA and protein levels and β-catenin-Tcf/Lef and COX-2 gene reporter activity, as well as the production of PGE2 and cell proliferation. Moreover, COX-2 overexpression or PGE2 supplementation increased levels of the inhibitor of apoptosis protein survivin by a transcriptional mechanism, as determined by PCR analysis, survivin gene reporter assays and Western blotting. Furthermore, addition of PGE2 to the medium prevented effects attributed to caveolin-1–mediated inhibition of β-catenin-Tcf/Lef–dependent transcription. Finally, PGE2 reduced the coimmunoprecipitation of caveolin-1 with β-catenin and their colocalization at the plasma membrane. Thus, by reducing COX-2 expression, caveolin-1 interrupts a feedback amplification loop involving PGE2-induced signaling events linked to β-catenin/Tcf/Lef–dependent transcription of tumor survival genes including cox-2 itself and survivin. INTRODUCTION Caveolae are omega-shaped plasma membrane invaginations enriched in cholesterol and sphingolipids that are associated with the scaffolding protein caveolin-1. Caveolin-1 is an essential structural component required for the formation of caveola that forms homo- and hetero-oligomers with caveolin-2, as well as interacts with a large number of proteins involved in signal transduction. Generally, these interactions have been suggested to inhibit signal transduction pathways linked to cell proliferation and survival and, in doing so, contribute to the tumor suppressor function of caveolin-1, although alternative modes of action are likely to be important as well (Quest et al., 2004 ; Quest et al., 2008 ).Caveolin-1 has been suggested to inhibit Wnt/β-catenin/Tcf/Lef-1 signaling by sequestering β-catenin to the plasma membrane (Galbiati et al., 2000 ) and preventing the transcription of genes, such as cyclin D1 (Hulit et al., 2000 ). Also, ectopic expression of caveolin-1 in human embryonic kidney (HEK293T) and colon cancer cells [HT29(ATCC), DLD-1] down-regulates survivin expression by suppression of β-catenin-Tcf/Lef–dependent transcription and reduces cell viability (Torres et al., 2006 ). This process requires the presence of E-cadherin for efficient caveolin-1–mediated sequestration of β-catenin to the plasma membrane, because metastatic HT29(US) cells lacking E-cadherin do not down-regulate survivin and this ability is restored upon reexpression of E-cadherin (Torres et al., 2007 ). Taken together, these results suggest that the ability of caveolin-1 to function as a tumor suppressor may, in part, be linked to its ability to reduce β-catenin-Tcf/Lef–dependent transcription (Quest et al., 2008 ).On other hand, the proteins adenomatous polyposis coli (APC) and Axin interact with β-catenin and glycogen synthase kinase 3β (GSK-3β) thereby forming a multiprotein complex. GSK-3β phosphorylates β-catenin and promotes subsequent ubiquitin-dependent proteolysis (Dominguez and Green, 2001 ). Inhibition of GSK-3β upon Wnt ligand activation increases β-catenin levels, which migrates to the nucleus and associates with the transcriptional factors Tcf/Lef (Logan and Nusse, 2004 ). Such events promote the expression of several genes, including survivin, cyclin D1, c-myc, and cox-2 (Shtutman et al., 1999 ; Haertel-Wiesmann et al., 2000 ; Zhang et al., 2001 ). In colon cancer cells, COX-2 overexpression is due, in part, to increased β-catenin-Tcf/Lef transcriptional activity, because development of the disease is frequently associated with mutations in β-catenin or APC that preclude β-catenin phosphorylation by GSK-3β and subsequent proteasomal degradation (Morin et al., 1997 ; Segditsas and Tomlinson, 2006 ).Cyclooxygenases (COXs) catalyze the conversion of arachidonic acid to prostaglandin H2 (PGH2), which is then further processed to PGE2, PGI2, PGD2, or thromboxane A2 by specific synthases (Wang et al., 2007 ). Two distinct genes encode COX enzymes, referred as cox-1 and -2 (Kanaoka et al., 2007 ). Expression of COX-1 is constitutive in most tissues, whereas COX-2 expression is induced by polypeptidic growth factors, mediators of inflammation, and carcinogens (Telliez et al., 2006 ; Kanaoka et al., 2007 ). COX-2 mRNA and protein levels are markedly elevated in colon cancer (DuBois et al., 1996 ; Kutchera et al., 1996 ). COX-2 mRNA is up-regulated by transcriptional and/or posttranscriptional mechanisms. For example, β-catenin has been shown to bind to AU-rich elements (ARE) in the 3′-UTR of COX-2 mRNA and stabilize the mRNA (Dixon, 2004 ). In general, COX proteins are thought to be constitutively active once expressed assuming all the cofactors required are present (Telliez et al., 2006 ; Wang et al., 2007 ). Increased COX-2 levels are associated with augmented PGE2 production, enhanced cellular proliferation, and tumorigenesis (Hla et al., 1999 ; Tong et al., 2005 ). In human colorectal cancer cells, increased expression of COX-2 is associated with cancer progression (Kanaoka et al., 2007 ) and leads to phenotypic changes that promote metastasis (Tsujii et al., 1997 ).Interestingly, nonsteroidal anti-inflammatory drugs that specifically inhibit COX-2 have been shown to be quite effective in chemoprevention of adenomas in patients suffering from familial adenomatous polyposis (Smalley and DuBois, 1997 ; Watanabe et al., 2000 ; Marnett and DuBois, 2002 ). Thus, COX-2 is an attractive target in cancer therapy, and understanding the mechanisms involved in controlling its expression are of great interest.PGE2, a secreted product generated as a consequence of COX-2 activity, increases β-catenin-Tcf/Lef transcriptional activity (Castellone et al., 2005 ; Shao et al., 2005 ), colon cancer cell growth (Shao et al., 2003 ), and viability (Sheng et al., 1998 ; Shao et al., 2003 ). On the other hand, survivin, an inhibitor of apoptosis protein (IAP) family member, is overexpressed in many human tumors, including colon cancer (Mori et al., 2007 ). Additionally, COX-2 expression and PGE2 production stabilize survivin protein, as well as increase resistance to apoptosis (Krysan et al., 2004a , 2004c ).Based on such evidence, it was provocative to speculate that caveolin-1 might not only modulate survivin but also COX-2 expression via the β-catenin-Tcf/Lef pathway. In doing so, caveolin-1 was predicted to reduce production of PGE2, an important downstream effector associated with the role of COX-2 as a tumor promoter. This prediction contradicts rather strikingly data in the literature indicating that caveolin-1 is unable to reduce COX-2 activity, and by extrapolation, PGE2 production in cells (Liou et al., 2001 ). Thus, given the established caveolin-1/β-catenin-Tcf/Lef/survivin connection, on the one hand, and the PGE2/β-catenin-Tcf/Lef link, on the other, we evaluated whether reduced PGE2 production in response to caveolin-1 expression modulated survivin expression.The results obtained here confirmed that caveolin-1–mediated down-regulation of COX-2 involves inhibition of β-catenin-Tcf/Lef–dependent transcription in HEK293T, colon [HT29(ATCC), DLD-1], and breast (ZR75) cancer cell lines. Furthermore, a positive feedback loop between COX-2 and survivin was uncovered involving PGE2-enhanced transcription of survivin, because ectopic expression of COX-2 or PGE2 supplementation overcame limitations imposed by caveolin-1 presence, including down-regulation of survivin and decreased cell proliferation. These findings provide important new insights to caveolin-1 function as a tumor suppressor. MATERIALS AND METHODS Materials Polyclonal anti-caveolin-1 and monoclonal anti-β-catenin antibodies were from Transduction Laboratories (Lexington, KY). Rabbit polyclonal anti-human survivin and anti-actin antibodies were from R&D Systems (Minneapolis, MN) and Sigma (St. Louis, MO), respectively. The goat polyclonal anti-human COX-2 antibody was from Santa Cruz Biotechnology (Santa Cruz, CA). Goat anti-rabbit IgG and goat anti-mouse IgG antibodies coupled to horseradish peroxidase (HRP) were from Bio-Rad Laboratories (Hercules, CA) and Sigma, respectively. The EZ-ECL Chemiluminescent Substrate was from Biological Industries (Kibbutz Beit Haemek, Israel). Superfect Reagent and Plasmid Midi Kit were from Qiagen (Valencia, CA). TriZOL reagent was from Invitrogen, Invitrogen (Carlsbad, CA). AMV reverse transcriptase (AMV RT) and Taq DNA polymerase were from Promega (Madison, WI). Hygromycin and PGE2 were from Calbiochem (La Jolla, CA). Cell medium and antibiotics were from Invitrogen-BRL (Paisley, Scotland, United Kingdom). Fetal bovine serum (FBS) was from Hyclone (Logan, UT). The MTS Proliferation Assay Kit was from Promega. For reporter assays, Luciferin was purchased from United States Biological (Swampscott, MA). All other reagents used were from Sigma or of the highest grade available. Cell Culture and Transfections HEK293T, human breast cancer cell (ZR75), and two human colon adenocarcinoma cell lines, HT29(ATCC) and DLD-1 (American Type Culture Collection, Manassas, VA), were cultured in DMEM supplemented with 10% FBS and antibiotics (10,000 U/ml penicillin and 10 μg/ml streptomycin) at 37°C, 5% CO2. Stably transfected HT29(ATCC), DLD-1, ZR75 cells, and transient transfection experiments in HEK293T cells using Superfect were performed as previously described (Bender et al., 2000 ; Torres et al., 2006 , 2007 ). Additionally, DLD-1 cells stably transfected with pLacIOP or pLacIOP-caveolin-1 were transiently cotransfected with pOSML-COX-2 and pTOP-FLASH/pFOP-FLASH or pLuc-1710/pLuc420–3M using Superfect. For transient transfection, DLD-1 exposure to mixtures of Superfect with the different DNAs in DMEM was increased to 5 h. Then, the transfection medium (1 ml) was diluted by adding 1 ml complete culture medium and exposure to the transfection reagent with DNA was continued overnight. HT29(US) cells were selected from HT29(ATCC) cells for higher metastatic potential by repeated passages in nude mice whereby cells were injected dorsally and then recovered from lung metastases (Torres et al., 2007 ). HT29(US) cells were cotransfected with either pBATEM2 and pLacIOP or pBATEM2 and pLacIOP-caveolin-1 using Superfect. Stably transfected cells (mixed, nonclonal populations) were selected after cotransfection experiments by exposure to 750 μg/ml hygromycin for 2 to 3 wk.Plasmids The plasmids pLacIOP and pLacIOP-caveolin-1 were previously described (Bender et al., 2000 ; Felley-Bosco et al., 2000 ). To generate pEGFP-caveolin-1, full-length caveolin-1 available in pGEX2T (Felley-Bosco et al., 2000 ) was subcloned in frame into pEGFP-C1 vector using the restriction sites BglII-KpnI as previously described (Torres et al., 2006 ). The luciferase reporter plasmids pTOP-FLASH (containing a promoter with three wild-type Tcf/Lef-binding elements [TBEs]) and pFOP-FLASH (containing mutated TBEs) were kindly provided by Dr. Hans Clevers (Hubrecht Laboratory, Uppsalalaan, The Netherlands). The survivin reporter plasmids pLuc-1710 (containing a promoter with three TBEs) and pLuc420–3M (containing a mutation of the crucial TBE) were kindly provided by Dr. Dario Altieri (Department of Cancer Biology and the Cancer Center, University of Massachusetts, Medical School, Worcester, MA) and have been described previously (Kim et al., 2003 ). The COX-2 reporter vector pGL3-COX-2 (containing a TBE site) and pGL3 (containing only the luciferase gene) were provided by Dr. Ying Zhu (Laboratory of Virology, Wuhan University, Wuhan, China). The plasmid encoding β-galactosidase enzyme (pON) was provided by Dr. Sergio Lavandero (Universidad de Chile, Santiago, Chile). The plasmid pOSML-COX-2 encoding human wild-type COX-2 was kindly provided by Dr. Tim Hla (Center for Vascular Biology, University of Connecticut Health Center, Farmington).Western Blotting Cell extracts were prepared as described (Felley-Bosco et al., 2000 ), separated (50–80 μg total protein per lane) by SDS-PAGE on 12% acrylamide minigels (Bio-Rad Laboratories), and transferred to nitrocellulose as described previously (Bender et al., 2000 ). Blots were blocked with 5% milk or 2% gelatin in 0.1% Tween-PBS and then probed with anti-actin (1:5000), anti-COX-2 (1:500), anti-β-catenin (1:1000), anti-caveolin-1 (1:5000), or anti-survivin (1:3000) antibodies. Bound antibodies were detected with HRP-conjugated secondary antibodies and the EZ-ECL system.Immunoprecipitation Cell extracts were prepared in a 20 mM HEPES, pH 7.5, buffer containing 250 mM NaCl, 5 mM EDTA, protease inhibitor cocktail tablet (Roche, Molecular Biochemicals, Mannheim, Germany), and 1% octyl-β-d-glucopyranoside (OβG) from Sigma. Supernatants obtained after centrifugation (13,000 × g, 5 min, 4°C) were used for immunoprecipitation assays (500 μg total protein per assay) with antibodies immobilized on Dynabeads M-280 Tosylactivated (Invitrogen, Invitrogen, Carlsbad, CA). Immunoprecipitated samples were solubilized in sample buffer, separated by SDS-PAGE and analyzed by Western blotting as indicated above. Immunofluorescence Cells were cultured for 24 h in the presence of 1 mM IPTG (isopropyl β-d-1-thiogalactopyranoside) in normal culture medium, serum-starved for 4 h, and then incubated for 3 h in the presence of 20 μM PGE2 in serum-free medium. After rinsing with PBS, cells were fixed for 20 min with 4% paraformaldehyde in 100 mM PIPES buffer, pH 6.8, containing 0.04 M KOH, 2 mM EGTA, and 2 mM MgCl2. Afterwards, they were washed three times with universal buffer (50 mM Tris-HCl, pH 7.6, 0.15 N NaCl, and 0.1% sodium azide). Cells were permeabilized with 0.1% Triton X-100 in universal buffer for 10 min, washed twice with universal buffer, and then blocked with 2% bovine serum albumin in the same buffer for 30 min. Cells were then incubated with polyclonal anti-caveolin-1 IgG (dilution, 1:100) and monoclonal anti-β-catenin IgG (1:100) as primary antibodies, followed by Cy3-conjugated anti-mouse IgG (1:200) and FITC-conjugated anti-rabbit IgG (1:200) secondary antibodies. Samples were then mounted onto slides with 10% Mowiol (Calbiochem)–2.5% 1,4-diazobicyclo[2,2,2]octane (DABCO, Sigma) and visualized with an LSM Microsystems Pascal 5 confocal microscope (Carl Zeiss, Thornwood, NY) after excitation at 488 or 543 nm. Optical sections obtained for colocalization studies and acquired-image z stacks for three-dimensional visualization were processed with Imaris software (Bitplane, Zurich, Switzerland) as specified (see legend to Figure 10
Analysis of mRNA levels by Semiquantitative RT-PCR and Quantitative Real-Time RT-PCR Total RNA was isolated with the reagent TriZOL following instructions provided by manufacturer. RNA samples were spectrophotometrically quantified, characterized by electrophoresis in 1% agarose gels (quality control) and then used as templates to generate cDNA. Specific PCR products were generated using the following primers: COX-2: sense primer, 5′-TTCAAATGAGATTGTGGGAAAATTGCT-3′ and anti-sense primer, 5′-AGATCATCTCTGCCTGAGTATCTT-3′; survivin: sense primer, 5′-CCGACGTTGCCCCCTGC-3′ and anti-sense primer, 5′-TCGATGGCACGGCGCAC-3′; caveolin-1: sense primer, 5′-GGGCAACATCTAGAAGCCCAACAA-3′ and anti-sense primer, 5′-CTGATGCACTGAATTCCAATCAGGAA-3′; and actin: sense primer, 5′-AAATCGTGCGTGACATTAAGC-3′ and anti-sense primer, 5′-CCGATCCACACGGAGTACTT-3′. All reaction products were analyzed after 25–30 amplification cycles, each of which involved consecutive 1-min steps at 94, 55–60, and 72°C. Survivin and COX-2 levels were normalized to actin RNA in semiquantitative RT-PCR studies. The results obtained by semiquantitative studies were confirmed by real-time quantitative PCR (qPCR) analysis with the brilliant SYBR green qPCR kit (Stratagene, La Jolla, CA). The PCR reactions were carried out in a Chromo4 real-time PCR detection system (Bio-Rad Laboratories) using thermal cycle conditions following suggestions of the manufacturer and according to primer design. The relative gene expression levels were calculated using the 2ΔΔCT method (Livak and Schmittgen, 2001 ). COX-2 levels were normalized to RNA of the 18S rRNA housekeeping gene (sense primer 5′-TCAAGAACGAAAGTCGGAGG-3′ and anti-sense primer 5′-GGACATCTAAGGGCATCACA-3′). All data were expressed relative to values obtained for mock-transfected cells (100%).Proliferation Assay HEK293T cells seeded in 96-well plates at a density of 1 × 104 cells per well were serum-starved overnight and then incubated for 16 h in presence of 5 μM PGE2 in serum-free medium. HT29(ATCC) and DLD-1 colon cancer cells stably transfected with pLacIOP or pLacIOP-caveolin-1 were seeded in 96-well plates at a density of 5 × 103. These cells were serum-starved for 4 h and incubated 3 h with 20 μM PGE2, and then all cells were incubated 24 h in serum-containing medium with 1 mM IPTG in the presence of either the COX-1 inhibitor FR122047 (10 μM; Calbiochem, La Jolla, CA) or the selective COX-2 inhibitor SC-791 (20 μM; Calbiochem). In our assays, concentrations recommended by the manufacturer in their data sheet were used. Experiments using similar concentrations have been reported in the literature (Furst et al., 2005 ). In all cases, cell proliferation and viability was evaluated by the MTS assay (Promega), according to the manufacturer's instructions.Luciferase Reporter Assays For Tcf/Lef, COX-2, and survivin promoter reporter assays, HEK293T, HT29(ATCC), DLD-1, and ZR75 cells were transfected with 2 μg of each plasmid: pTOP-FLASH (Tcf/Lef reporter), pFOP-FLASH (mutated Tcf/Lef binding site), pLuc-1710 (survivin promoter), pLuc420–3M (mutated Tcf/Lef binding site), pGL3-COX-2 (COX-2 promoter), and pGL3 (empty vector). After transfection (24 h), cells were lysed in a buffer containing 0.1 M KH2PO4 (pH 7.9), 1 mM DTT, 0.5% Triton X-100, and supernatants (50 μl) were used to measure luciferase activities (serial dilutions in a 96-well plates). Luciferase activity was detected using a luminescence counter (Topcount, Perkin Elmer-Cetus, Boston, MA) after addition of KTME buffer containing 100 mM Tris HCl, 10 mM MgSO4, 2 mM EDTA, 5 mM Na2ATP, and 0.1 mM luciferin. Luciferase activity data were standardized for each condition by calculating the TOP/FOP, pLuc-1710/pLuc420–3M or pGL3-COX-2/pGL3 activity ratios, respectively. It should be noted that the plasmid pGL3 contains a luciferase-encoding insert with detectable basal activity (Deng et al., 2004 ). For comparison, cells were cotransfected with a plasmid encoding β-galactosidase (pON) to standardize pGL3-COX-2 reporter activity in some cases. Essentially, results obtained after standardization using pON or pGL3 were the same (data not shown). Hence, pGL3-COX-2/pGL3 activity ratios are shown in all relevant figures. Values shown are the mean ± SEM of activity measurements averaged from at least three independent experiments, where 100% was assigned to values obtained in control cells.Quantification of PGE2 Levels Supernatants of colon and breast cancer cell lines, as well as HEK293T cells expressing (pLacIOP-caveolin-1) or not (pLacIOP) caveolin-1 were obtained by centrifugation and stored at −80°C. Also, supernatants of HEK293T cells transfected with increasing amounts of pOSML-COX-2 (0–4 μg) were collected the same way. PGE2 present in the supernatants was quantified using the PGE2 EIA monoclonal kit (Cayman Chemical Company, Ann Arbor, MI) according to instructions provided by the manufacturer. Essentially, this assay is based on the competition between PGE2 (in the supernatants) and a PGE2-acetylcholinesterase (AChE) conjugate (PGE2 tracer) for binding to a PGE2 mAb. To determine the concentration of PGE2 in each sample, the alternative linear plot equation suggested by the manufacturer was used. Results obtained for PGE2 present in samples were expressed in ng/ml. Basal levels of PGE2 were defined using culture media as a control. Statistical Analysis Results were statistically compared using the Kruskal-Wallis ANOVA for unpaired groups followed by multiple comparison posttests (Dunn's multiple comparison test). Data analyzed in this manner are specifically indicated in the respective figure legends. Also, where pertinent, a t test was performed for unpaired or paired groups. All groups were from three or more independent experiments. p < 0.05 was considered significant. RESULTS Caveolin-1 Down-regulated COX-2 Expression in Human Breast and Colon Cancer Cell Lines Our previous studies showed that caveolin-1 inhibits expression of the IAP survivin, via a transcriptional mechanism involving the β-catenin-Tcf/Lef pathway in human breast and colon cancer cells (Torres et al., 2006 ). To investigate whether COX-2 expression might also be altered by caveolin-1 presence, we used the previously established cancer cell lines ZR75, DLD-1, and HT29(ATCC) (Bender et al., 2000 ; Torres et al., 2006 , 2007 ) stably expressing caveolin-1. COX-2 mRNA levels were significantly reduced in ZR75, DLD-1, and HT29(ATCC) cells expressing caveolin-1 when compared with mock cells, as assessed by both semiquantitative RT-PCR (left panels, Figure 1
Caveolin-1 Down-regulated COX-2 Expression in HEK293T Cells The results obtained with cancer cell lines were confirmed using HEK293T cells which express low levels of endogenous caveolin-1 and are easily susceptible to manipulation by transient transfection. Indeed, transfection efficiency was ~40–50%, as assessed by flow cytometry following transfection with pEGFP-C1 (data not shown). To corroborate observations, HEK293T cells were transfected with either pEGFP-caveolin-1 (leading to expression of a GFP-caveolin-1 fusion protein) or pLacIOP-caveolin-1 (IPTG inducible; Torres et al., 2006 ). After transfection, COX-2 mRNA levels were assessed by semiquantitative RT-PCR and real-time qPCR. As expected, based on the results obtained in cancer cells (Figure 1
COX-2 Reduction by Caveolin-1 Involves a β-Catenin-Tcf/Lef–dependent Mechanism Previous reports indicate that the COX-2 promoter region has a TBE and that COX-2 expression is regulated by the Wnt pathway (Araki et al., 2003 ). Caveolin-1 sequesters β-catenin to the plasma membrane in a multiprotein complex together with E-cadherin and thereby inhibits Tcf/Lef–dependent transcription (Torres et al., 2006 , 2007 ). Indeed, the expression of caveolin-1 in HEK293T cells significantly reduced β-catenin-Tcf/Lef transcriptional activity, and this effect was reverted by the presence of the GSK-3β inhibitors, lithium, or SB-216763 (Figure 3
To investigate whether caveolin-1 specifically decreased COX-2 transcription in cancer cells, human breast (ZR75) and colon (DLD-1) cancer cell lines expressing or not caveolin-1 were transiently transfected with the plasmids pGL3 (empty vector) or pGL3-COX-2 (COX-2 promoter). Indeed, caveolin-1 expression decreased luciferase activity in ZR75 (Figure 3 COX-2 Overexpression and PGE2 Activated the β-Catenin-Tcf/Lef–dependent Pathway and Increased Survivin Expression Interestingly, PGE2, a product of COX-2 activity, promotes β-catenin-Tcf/Lef transcriptional activity via stimulation of EP2, a heterotrimeric guanine nucleotide-binding protein (G protein)-coupled receptor (Castellone et al., 2005 ). In addition, COX-2 expression and PGE2 production stabilize survivin protein and increase resistance to apoptosis in nonsmall cell lung cancer cells (Krysan et al., 2004a , 2004c ). Moreover, survivin expression is regulated directly by the β-catenin-Tcf/Lef pathway (Zhang et al., 2001 ; Torres et al., 2006 ). Thus, the effect of COX-2 overexpression on survivin levels was investigated. To that end, HEK293T cells were transfected with increasing amounts of a plasmid encoding COX-2 (pOSML-COX-2). As anticipated, a dose-dependent increase in COX-2 and survivin mRNA levels was detected by semiquantitative RT-PCR analysis (Figure 4
To explore whether exogenous addition of PGE2 was sufficient to increase survivin levels by a β-catenin–dependent mechanism as observed upon COX-2 overexpression, HEK293T cells were cotransfected with the same reporter plasmids and incubated with PGE2 (5 μM). Surprisingly, increased β-catenin-Tcf/Lef (TOP/FOP-FLASH), survivin and COX-2 promoter-dependent reporter activity were observed upon addition of PGE2 (Figure 5
To investigate whether PGE2-mediated increases in mRNA and reporter activity also lead to higher protein levels compared with nontreated cells, β-catenin, survivin, and COX-2 levels were analyzed by Western blotting in HEK293T cells. As expected, PGE2 increased the levels of all these proteins by ~1.5-fold in HEK293T cells (Figure 5 Caveolin-1 Decreased PGE2 Production in Embryonic Kidney and Different Cancer Cell Lines The results obtained so far suggested that caveolin-1 may decrease COX-2 expression and enzymatic activity in HEK293T, breast (ZR75), and colon [HT29(ATCC), DLD-1] cancer cells. Thus, we explored whether caveolin-1–mediated down-regulation of COX-2 also resulted in lower levels of PGE2. Cell supernatants were obtained from the respective cells expressing or not caveolin-1 (see Figures 1
PGE2 Supplementation Prevented Caveolin-1–induced Loss of Survivin and Reduction in Cell Proliferation We previously demonstrated that caveolin-1 decreases survivin expression and cell proliferation (Torres et al., 2006 ). To determine whether caveolin-1–mediated suppression of survivin is prevented by PGE2 supplementation, HEK293T cells transiently transfected with caveolin-1 and the human breast (ZR75) as well as colon [HT29(ATCC), DLD-1] cancer cell lines stably expressing caveolin-1 were used. Compared with mock-transfected cells, these cell lines expressed lower levels of COX-2 (see Figure 2In agreement with our hypothesis, PGE2 supplementation restored survivin mRNA levels upon expression of caveolin-1 as assessed by semiquantitative RT-PCR in cancer cell lines (Figure 7
To evaluate for cancer cell lines, whether ectopic expression of COX-2 was sufficient to overcome limitations imposed by the presence of caveolin-1 (as already shown with HEK293T cells; see Figure 4 showing that PGE2 promotes β-catenin-Tcf/Lef–dependent transcription via EP2 receptors in a manner independent of cAMP-mediated signaling. As was to be anticipated from previous experiments and results shown with HEK293T cells (Figure 4
To provide further proof that COX-2 activity and PGE2 production were important, we assessed the effect of a commercially available COX-2 inhibitor. Initially, experiments sought to define the inhibitor concentration at which significant effects were detectable. In DLD-1 cells we found that using 20 μM SC-791, TOP/FOP reporter activity, PGE2 production, proliferation, and survivin expression were significantly reduced (see Supplementary Material, Figure S1). In these experiments, the COX-1 inhibitor (FR122047, 10 μM) displayed a tendency to reduce values observed, although changes were generally not statistically significant. DLD-1 and HT29(ATCC) cells expressing or not caveolin-1 were also incubated with PGE2, in the absence or presence of either a COX-1 (FR122047, 10 μM) or COX-2 (SC-791, 20 μM) inhibitor, and proliferation was evaluated using the MTS assay. Results showed that caveolin-1 decreased the proliferation in both cancer cells (Figures 9
PGE2 Increased Nuclear β-Catenin Localization and Precluded Caveolin-1–dependent Sequestration of β-Catenin to the Plasma Membrane Castellone et al. (2005) described that PGE2 supplementation promotes β-catenin accumulation and nuclear translocation in DLD-1 cells. In view of our previous findings showing that caveolin-1 expression in HT29(ATCC) cells promotes sequestration of β-catenin at the plasma membrane (Torres et al., 2007 ), we explored whether PGE2 modulated β-catenin distribution in these cells. The results obtained here confirmed our previous findings showing that caveolin-1 coimmunoprecipitated with β-catenin in HT29(ATCC) cells (Torres et al., 2007 ). Interestingly, addition of PGE2 (20 μM) decreased the amount of β-catenin that coimmunoprecipitated with caveolin-1 by roughly 70% (Figure 10To confirm these results, HT29(ATCC) cells expressing or not caveolin-1 were also analyzed by confocal microscopy. As reported previously (Torres et al., 2007 ), caveolin-1 expression in HT29(ATCC) cells reduced nuclear localization of β-catenin and promoted colocalization of caveolin-1 and β-catenin at the plasma membrane. Importantly, PGE2 induced nuclear accumulation of β-catenin in both caveolin-1 positive (+) and negative (−) cells. Furthermore, PGE2 reduced caveolin-1/β-catenin colocalization at the plasma membrane and promoted nuclear accumulation of β-catenin in HT29(ATCC) cells expressing caveolin-1 (Figure 10Caveolin-1–induced Reduction of COX-2 mRNA Levels Required E-Cadherin Presence The loss of E-cadherin expression is frequently observed during tumor progression, as well as metastasis, and is associated with higher β-catenin–mediated transcriptional activity (Cavallaro and Christofori, 2004 ; Logan and Nusse, 2004 ). Indeed, in a metastatic cell line derived from the human adenocarcinoma cell line HT29(ATCC), termed HT29(US), E-cadherin protein levels are almost undetectable. Most importantly, unlike in HT29(ATCC) cells that do express E-cadherin, caveolin-1 does not regulate survivin expression, and reexpression of E-cadherin is sufficient to restore the ability of caveolin-1 to do so in HT29(US) cells (Torres et al., 2007 ). Thus, to investigate whether COX-2 expression may be regulated in the same manner, HT29(US) cells were stably cotransfected with pBATEM2 and either pLacIOP or pLacIOP-caveolin-1. In pBATEM2-transfected cells E-cadherin levels are increased five- to sevenfold (Torres et al., 2007 ). COX-2 mRNA levels were determined in HT29(US) cells by semiquantitative RT-PCR and real-time qPCR. As expected, caveolin-1 expression did not alter COX-2 mRNA levels in the absence of E-cadherin (E-cad (−); Figure 11
DISCUSSION Caveolin-1 Decreases COX-2 Expression by a β-Catenin-Tcf/Lef–dependent Transcriptional Pathway in HEK293T, HT29(ATCC), DLD-1, and ZR75 Cells The ability of caveolin-1 to function as a tumor suppressor has been linked in part to the ability to function as a negative regulator of β-catenin-Tcf/Lef–dependent transcription (Quest et al., 2008 ). Examples of target genes that are negatively regulated by a mechanism involving caveolin-1–mediated suppression of β-catenin-Tcf/Lef-transcription include cyclin D1 (Galbiati et al., 2000 ) and survivin (Torres et al., 2006 ). Associated with these changes, reduced cell proliferation and an increased susceptibility to apoptosis have been observed (Torres et al., 2006 , 2007 ).In this report, we provide evidence showing that ectopic expression of caveolin-1 reduces COX-2 at the mRNA and protein levels in breast (ZR75) and colon [HT29(ATCC), DLD-1] cancer cells (Figure 1 ; Araki et al., 2003 ) and suggest that caveolin-1 presence down-regulates COX-2 expression via this pathway, in a manner apparently similar to that reported for survivin (Torres et al., 2006 ).On the other hand, Liou et al., (2001) showed the colocalization and interaction of COX-2 with caveolin-1 in human foreskin fibroblasts stimulated with phorbol 12-myristate acetate. Moreover, a gluthatione-S-transferase-caveolin-1 fusion protein was shown to bind directly to purified COX-2 without inducing changes in COX-2 activity, as measured by cyclooxygenase activity (in vitro experiments), suggesting that caveolin-1 does not regulate COX-2 by this posttranscriptional mechanism (Liou et al., 2001 ). However, other types of posttranscriptional regulation promoted by caveolin-1, such as augmented proteosomal degradation (Felley-Bosco et al., 2000 , 2002 ), cannot be ruled out by these studies. Moreover, transcriptional mechanisms of control were not considered at the time. Thus, the observations reported here represent a significant advance in this respect.Caveolin-1 Expression Reduced PGE2 Production PGE2 is attributed a wide variety of biological functions, including the stimulation of cell migration, proliferation, tumor-associated neo-vascularization, modulation of immunosuppression, and inhibition of cell death, through activation of four cognate G protein–linked receptors, EP1–EP4 (Hull et al., 2004 ; Backlund et al., 2005 ; Hawcroft et al., 2007 ). Thus, we evaluated whether COX-2 down-regulation, observed in the presence of caveolin-1, correlated with reduced PGE2 production. Indeed, PGE2 production was diminished in all cell lines expressing caveolin-1, albeit to highly variable degrees (see Figure 6 ), to the plasma membrane and/or control liberation of PGE2-containing vesicles at the cell surface. Distinguishing between these possibilities and determining their relevance will require extensive additional experimental analysis beyond the scope of this study.A Positive Feedback Loop Connects COX-2 Overexpression and PGE2 Production with Increased Survivin Expression Constitutive COX-2 expression is associated with angiogenesis, cell invasion, resistance to apoptosis, and cancer cell proliferation. Furthermore, PGE2, an important product of COX-2 activity, increases β-catenin protein levels through GSK-3β inhibition (Lim et al., 2008 ), augments Tcf/Lef transcriptional activity (Shao et al., 2005 ), and promotes colon cancer cell growth (Shao et al., 2003 ; Castellone et al., 2005 ). Given this wide variety of effects, it is not surprising that COX-2 represents an excellent target for therapeutic intervention using specific inhibitors (Castellone et al., 2006 ; Kanaoka et al., 2007 ).Our results in HEK293T cells agree with these findings and additionally show that COX-2 overexpression significantly increased β-catenin protein levels (Figure 4 The relevance of our findings is underscored by data indicating that constitutive overexpression of COX-2 or PGE2 treatment leads to decreased proteasomal degradation of survivin and elevated resistance of COX-2-overexpressing non-small cell lung cancer or human monocyte-derived dendritic cells exposed to apoptotic stimuli (Krysan et al., 2004a ,b ; Baratelli et al., 2005 ). Furthermore, combinations of COX-2 inhibitors and oxaliplatin promote the loss of survivin, inhibition of growth, and death in human colon cancer cells (Lin et al., 2005 ). Ectopic survivin expression is sufficient to prevent the decrease in cell proliferation observed upon caveolin-1 expression (Torres et al., 2006 ), as well as in response to other apoptotic stimuli (Tapia et al., 2006 ). Moreover, a number of studies have shown that PGE2 activates β-catenin-Tcf/Lef–mediated transcription in HEK293, DLD-1, and LS-174T cells (Fujino et al., 2002 ; Castellone et al., 2005 ; Shao et al., 2005 ). In agreement with these reports, PGE2 supplementation overcame caveolin-1–induced loss of survivin in all cell lines tested here (see Figures 5PGE2 Disrupts Plasma Membrane–associated Caveolin-1/β-Catenin Complexes In cancer cells, mutations of APC and/or β-catenin, increase β-catenin levels in the cytoplasm and transcriptional activity of the nuclear β-catenin-Tcf/Lef complex, thereby promoting the expression of COX-2 and survivin (Zhang et al., 2001 ; Kim et al., 2003 ; Segditsas and Tomlinson, 2006 ). These changes are linked to increased proliferation and viability of cancer cells (Tsujii et al., 1997 ). Events consistent with the activation of similar signaling pathways were observed in this study using [HT29(ATCC), DLD-1] colon cancer cells. According to an existing model, PGE2 binds to EP2 receptors coupled to heterotrimeric Gαs and disrupts the regulation of β-catenin by the displacement of GSK-3β from the axin/GSK-3β/APC/β-catenin complex (Castellone et al., 2005 ). Concomitantly liberated βγ heterodimers activate the PI3K-Akt pathway, which results in phosphorylation and inactivation of GSK-3β. A related sequence of events may explain how PGE2 blocks the ability of caveolin-1 to sequester β-catenin to the plasma membrane in the presence of E-cadherin (Torres et al., 2007 ) and, in doing so, promotes transcription of β-catenin-Tcf/Lef target genes, such as survivin and cox-2. Our studies revealed that PGE2 induced translocation of β-catenin from the plasma membrane to the nucleus in mock and caveolin-1–expressing cells. Importantly, coimmunoprecipitation and colocalization of β-catenin with caveolin-1 at the plasma membrane decreased in the presence of PGE2 (Figure 10E-Cadherin Is Required for Caveolin-1–mediated Down-regulation of COX-2 in Metastatic HT29(US) Colon Cancer Cells As mentioned, the presence of E-cadherin in cancer cells was shown recently to be required for caveolin-1–mediated down-regulation of β-catenin-Tcf/Lef–dependent transcription and survivin expression (Torres et al., 2007 ). These phenomena were not observed in metastatic HT29(US) cells lacking E-cadherin. Similarly, we observed here that COX-2 mRNA levels were not affected by ectopic caveolin-1 expression in HT29(US) cells and that reexpression of E-cadherin restored such regulation downstream of caveolin-1 (see Figure 11 ).In summary, we demonstrate that caveolin-1 down-regulates COX-2 in a manner similar to that described for cyclin D1 (Hulit et al., 2000 ) and survivin (Torres et al., 2006 , 2007 ). Furthermore, a feed-forward amplification loop between COX-2/PGE2 and survivin expression was identified. The working model (Figure 12 , 2006 ), increases β-catenin-Tcf/Lef activity, and promotes the expression of growth-enhancing genes, such as cox-2 and survivin. On the other hand, caveolin-1 sequesters β-catenin to the plasma membrane in a complex with E-cadherin and inhibits β-catenin-Tcf/Lef–dependent transcription of survivin (Torres et al., 2006 , 2007 ) and cox-2 (shown here, Figures 10 ).
[Supplemental Materials]
ACKNOWLEDGMENTS Ying Zhu, Hans Clevers, Dario Altieri, and Tim Hla are gratefully acknowledged for providing the pGL3/pGL3-COX-2, TOP-FLASH/FOP-FLASH and survivin promoter region reporter constructs and the plasmid encoding human wild-type COX-2 (pOSML-COX-2), respectively. The plasmid pBATEM2, encoding E-cadherin, was generously provided by Amparo Cano (Universidad Autonoma de Madrid, Madrid, Spain). This work was supported by FONDAP Grant 15010006 (A.F.G.Q.), Fondo Nacional de Investigación Científica y Tecnológica (FONDECYT) Grants 3050037 and 11070116 (J.C.T.), FONDECYT Grants 1040390 and 1070699 (L.L.), a Mejoramiento de la calidad de la educación superior (MECESUP) fellowship (D.A.R.), and a Consejo Nacional de Investigaciones Científicas y Técnicas PhD fellowship (J.G.F.). Abbreviations used: Footnotes This article was published online ahead of print in MBC in Press (http://www.molbiolcell.org/cgi/doi/10.1091/mbc.E08-09-0939) on February 25, 2009. The results reported here have been presented in preliminary form on previous occasions: 22nd Annual Meeting of the Chilean Cell Biology Society, Pucon, Chile, October 5–9, 2008 and 48th Annual Meeting of the American Society for Cell Biology, San Francisco, CA, December 13–17, 2008. REFERENCES
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Biochem Cell Biol. 2004 Feb; 82(1):129-44.
[Biochem Cell Biol. 2004]J Cell Mol Med. 2008 Aug; 12(4):1130-50.
[J Cell Mol Med. 2008]J Biol Chem. 2000 Jul 28; 275(30):23368-77.
[J Biol Chem. 2000]J Biol Chem. 2000 Jul 14; 275(28):21203-9.
[J Biol Chem. 2000]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]J Cell Mol Med. 2008 Aug; 12(4):1130-50.
[J Cell Mol Med. 2008]Dev Biol. 2001 Jul 15; 235(2):303-13.
[Dev Biol. 2001]Annu Rev Cell Dev Biol. 2004; 20():781-810.
[Annu Rev Cell Dev Biol. 2004]Proc Natl Acad Sci U S A. 1999 May 11; 96(10):5522-7.
[Proc Natl Acad Sci U S A. 1999]J Biol Chem. 2000 Oct 13; 275(41):32046-51.
[J Biol Chem. 2000]Cancer Res. 2001 Dec 15; 61(24):8664-7.
[Cancer Res. 2001]Cancer Metastasis Rev. 2007 Dec; 26(3-4):525-34.
[Cancer Metastasis Rev. 2007]Adv Clin Chem. 2007; 43():59-78.
[Adv Clin Chem. 2007]Anticancer Agents Med Chem. 2006 May; 6(3):187-208.
[Anticancer Agents Med Chem. 2006]Gastroenterology. 1996 Apr; 110(4):1259-62.
[Gastroenterology. 1996]Proc Natl Acad Sci U S A. 1996 May 14; 93(10):4816-20.
[Proc Natl Acad Sci U S A. 1996]Adv Pharmacol. 1997; 39():1-20.
[Adv Pharmacol. 1997]Biofactors. 2000; 12(1-4):129-33.
[Biofactors. 2000]Annu Rev Pharmacol Toxicol. 2002; 42():55-80.
[Annu Rev Pharmacol Toxicol. 2002]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]J Biol Chem. 2005 Jul 15; 280(28):26565-72.
[J Biol Chem. 2005]Cancer Res. 2003 Sep 1; 63(17):5218-23.
[Cancer Res. 2003]Cancer Res. 1998 Jan 15; 58(2):362-6.
[Cancer Res. 1998]Histol Histopathol. 2007 Jan; 22(1):61-77.
[Histol Histopathol. 2007]J Biol Chem. 2001 Sep 14; 276(37):34975-82.
[J Biol Chem. 2001]Cancer Res. 2000 Oct 15; 60(20):5870-8.
[Cancer Res. 2000]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]Cancer Res. 2000 Oct 15; 60(20):5870-8.
[Cancer Res. 2000]Proc Natl Acad Sci U S A. 2000 Dec 19; 97(26):14334-9.
[Proc Natl Acad Sci U S A. 2000]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Lancet. 2003 Jul 19; 362(9379):205-9.
[Lancet. 2003]Proc Natl Acad Sci U S A. 2000 Dec 19; 97(26):14334-9.
[Proc Natl Acad Sci U S A. 2000]Cancer Res. 2000 Oct 15; 60(20):5870-8.
[Cancer Res. 2000]Methods. 2001 Dec; 25(4):402-8.
[Methods. 2001]J Immunotoxicol. 2005 Jul 1; 1(3):149-58.
[J Immunotoxicol. 2005]Blood. 2004 Mar 15; 103(6):2135-42.
[Blood. 2004]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Cancer Res. 2000 Oct 15; 60(20):5870-8.
[Cancer Res. 2000]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Cancer Res. 2003 Feb 1; 63(3):728-34.
[Cancer Res. 2003]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Cancer Res. 2004 Sep 15; 64(18):6359-62.
[Cancer Res. 2004]Chest. 2004 May; 125(5 Suppl):140S.
[Chest. 2004]Cancer Res. 2001 Dec 15; 61(24):8664-7.
[Cancer Res. 2001]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]Biophys J. 2004 Jun; 86(6):3993-4003.
[Biophys J. 2004]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]Nat Rev Cancer. 2004 Feb; 4(2):118-32.
[Nat Rev Cancer. 2004]Annu Rev Cell Dev Biol. 2004; 20():781-810.
[Annu Rev Cell Dev Biol. 2004]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]J Cell Mol Med. 2008 Aug; 12(4):1130-50.
[J Cell Mol Med. 2008]J Biol Chem. 2000 Jul 28; 275(30):23368-77.
[J Biol Chem. 2000]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]J Biol Chem. 2000 Oct 13; 275(41):32046-51.
[J Biol Chem. 2000]Cancer Res. 2003 Feb 1; 63(3):728-34.
[Cancer Res. 2003]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]J Biol Chem. 2001 Sep 14; 276(37):34975-82.
[J Biol Chem. 2001]Proc Natl Acad Sci U S A. 2000 Dec 19; 97(26):14334-9.
[Proc Natl Acad Sci U S A. 2000]Biol Res. 2002; 35(2):169-76.
[Biol Res. 2002]Mol Cancer Ther. 2004 Aug; 3(8):1031-9.
[Mol Cancer Ther. 2004]Oncology. 2005; 69 Suppl 1():28-32.
[Oncology. 2005]Oncogene. 2007 May 10; 26(21):3006-19.
[Oncogene. 2007]Arthritis Res Ther. 2004; 6(4):R355-65.
[Arthritis Res Ther. 2004]Cancer Res. 2008 Jan 15; 68(2):553-60.
[Cancer Res. 2008]J Biol Chem. 2005 Jul 15; 280(28):26565-72.
[J Biol Chem. 2005]Cancer Res. 2003 Sep 1; 63(17):5218-23.
[Cancer Res. 2003]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Cancer Res. 2006 Dec 1; 66(23):11085-8.
[Cancer Res. 2006]Cancer Res. 2004 Sep 15; 64(18):6359-62.
[Cancer Res. 2004]Chest. 2004 May; 125(5 Suppl):140S.
[Chest. 2004]J Leukoc Biol. 2005 Aug; 78(2):555-64.
[J Leukoc Biol. 2005]Biochem Pharmacol. 2005 Sep 1; 70(5):658-67.
[Biochem Pharmacol. 2005]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Cancer Res. 2001 Dec 15; 61(24):8664-7.
[Cancer Res. 2001]Lancet. 2003 Jul 19; 362(9379):205-9.
[Lancet. 2003]Oncogene. 2006 Dec 4; 25(57):7531-7.
[Oncogene. 2006]Proc Natl Acad Sci U S A. 1997 Apr 1; 94(7):3336-40.
[Proc Natl Acad Sci U S A. 1997]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]J Cell Mol Med. 2008 Aug; 12(4):1130-50.
[J Cell Mol Med. 2008]J Biol Chem. 2000 Jul 14; 275(28):21203-9.
[J Biol Chem. 2000]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Mol Cell Biol. 2007 Nov; 27(21):7703-17.
[Mol Cell Biol. 2007]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Cancer Res. 2006 Dec 1; 66(23):11085-8.
[Cancer Res. 2006]J Cell Sci. 2006 May 1; 119(Pt 9):1812-23.
[J Cell Sci. 2006]Science. 2005 Dec 2; 310(5753):1504-10.
[Science. 2005]Cancer Res. 2006 Dec 1; 66(23):11085-8.
[Cancer Res. 2006]