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Neoplasia. 2009 November; 11(11): 1116–1131. | PMCID: PMC2767214 |
Copyright © 2009 Neoplasia Press, Inc. All rights reserved BRAF V600E Efficient Transformation and Induction of Microsatellite Instability Versus KRAS G12V Induction of Senescence Markers in Human Colon Cancer Cells 1,2Eftychia Oikonomou,*3 Eleni Makrodouli,*3 Maria Evagelidou,† Tobias Joyce,* Lesley Probert,† and Alexander Pintzas* *Laboratory of Signal Mediated Gene Expression, Institute of Biological Research and Biotechnology , National Hellenic Research Foundation, Athens, Greece †Laboratory of Molecular Genetics, Hellenic Pasteur Institute, Athens, Greece Received March 22, 2009; Revised July 24, 2009; Accepted July 28, 2009. In colorectal cancer, BRAF and KRAS oncogenes are mutated in about 15% and 35% respectively at approximately the same stage of the adenoma-carcinoma sequence. Since these two mutations rarely coexist, further analysis to dissect their function of transformation in colon cancer is required. Caco-2 human colon adenocarcinoma cells were stably transfected with BRAFV600E (Caco-BR cells) or KRASG12V (Caco-K cells) oncogenes. BRAFV600E is more efficient in transforming Caco-2 cells and altering their morphology. The dominant nature of BRAFV600E is evident by its ability to render Caco-2 cells tumorigenic in vivo all be it through selective extracellular signal-related kinase (ERK) 2 phosphorylation and high levels of cyclin D1. As a consequence, the cell cycle distribution of parental cells is altered and microsatellite instability is introduced. Attenuated ERK activation observed correlated with KSR downregulation by BRAFV600E without further implications to signaling. Highly activated ERK in case of KRASG12V (Caco-K cells) leads to mild transformation causing Caco-K cells to express premature senescence-related markers and acquire growth factor-dependent viability. Interestingly, BRAFWT gets equally activated by upstream KRAS mutations present in colon adenocarcinoma cells such as DLD-1 and SW620. Taken together, these results suggest that the two oncogenes have different transforming capability in colon cancer, although they both use the mitogen-activated protein (MAP) kinase pathway to carry out their effect. In general, BRAFV600E presents greater potential in mediating tumorigenic effect as compared to KRASG12V both in vivo and in vitro. These findings may have implications in personalised diagnosis and targeted therapeutics. Colorectal cancer (CRC) can be either hereditary or sporadic characterized by deregulated signal pathways and cellular programs through gain and/or loss of function mutations that accumulate in a stepwise manner. Among the most hurtful of all genetic abnormalities that appear in CRC development are KRAS and its downstream effector BRAF because they result to abnormal extracellular signal-related kinase (ERK) signaling. Approximately 13% and 35% of CRC contain activating point mutations in the BRAF and KRAS genes, respectively [ 1–4]. Mutant RAS proteins end up losing their initially high GTPase enzymatic activity [ 5], with mutations in codon 12 by far the most frequent compared with codon 13 [ 1,6]. Recent evidence suggests that different mutations in KRAS have different biological consequences in vivo. In addition, although G12D seems to be more frequent compared with G12V in colon cancer, KRAS G12V has been associated with more aggressive colorectal carcinomas and greater mortality than other codon 12 or 13 mutations [ 7–9]. Downstream the RAS-RAF-mitogen-activated protein kinase (MAPK) pathway is BRAF, which is activated through binding to RAS-GTP. Activated RAF kinases phosphorylate MAPK/ERK kinase (MEK), which in turn phosphorylate and activates ERK. BRAF has been identified as an oncogene in human cancer especially in malignant melanoma and colon carcinoma. Analysis of mutations in human colorectal tumors showed that more than 80% of the BRAF mutations were BRAFV600E (constitutive activation of BRAF kinase) and that this mutation greatly increased ERK and nuclear factor κB signaling when transformed in NIH3T3 cells [ 10]. It is believed that activated BRAF and KRAS have a causal role in the development of cancer and cell transformation [ 5,11,12]. Various RAS inhibitors have been examined for their ability to block signaling in these constitutive active mutants, and isoprenylation inhibitors have been proven to be ineffective in clinical trials [ 13]. Therefore, greater focus has been placed on the downstream RAF molecules. BRAF and KRAS have the potential to regulate similar as well as different pathways. Similarly, although phosphatidylinositol 3-kinase (PI3K) is activated by Ras in fibroblasts, Ras is not an activator of the PI3K/Akt pathway in T lymphocytes [ 14]. Mutational activation of oncogenes such as KRAS and BRAF results to constitutive ERK signaling, which can lead to cell cycle changes that have a profound influence on the G 1/S transition by regulating the expression of a number of cell cycle proteins such as cyclins D and E and inhibitors such as p21 Cip1 and p27 kip [ 15,16]. Induction of senescence or tumorigenesis depends on the expression of cell cycle regulatory proteins (p21 Cip1, p16 INK4a, p14 ARF, p15 INK4b, p19 ARF, and p53). Similarly, cyclin D1 is equally important for the development and progression of several cancers, including colon cancer, and it has been found that it is significantly upregulated and related to a more aggressive tumor phenotype and poor prognosis [ 17,18]. Cyclin E, often found overexpressed in cancer, can efficiently induce the phosphorylation of Rb, thus causing its functional inactivation, which contributes to tumorigenesis. Similarly, high levels of the p21 Cip1 inhibitor have been associated with RAS signaling and with the clinical progression of malignant melanoma [ 19]. All these incidents have in common a mutated BRAF or KRAS gene and result to high cell proliferation through increased ERK signaling. Nevertheless, hyperactivation of the ERK pathway can also lead to the opposite situation, cell cycle arrest, and p53-dependent or -independent senescence [ 20–22]. More specifically, sustained BRAF V600E expression in human melanocytes induces cell cycle arrest, along with induction of both p16 INK4a and senescence-associated β-galactosidase (SA-β-Gal) activity [ 23]. By contrast, the expression of oncogenic RAS in primary human or rodent cells results in premature senescence and allows proliferation to continue unabated in the presence of oncogenic stimuli [ 24]. Oncogenes have differential effects in colon cancer progression [ 25]. Because BRAF and KRAS are oncogenes in the same pathway and yet are mutually exclusive in colon cancer [ 26], further analysis to dissect their function of transformation in the colonic epithelium may reveal marked functional differences about their oncogenic potential and tissue-specific pathway activation. Caco-2 cells are derived from a typical colon adenocarcinoma and are often used in the study of enterocyte differentiation because on reaching confluence, the cells differentiate into a mature enterocyte phenotype, characterized by the formation of microvilli and brush borders [ 27]. Caco-2 cells harbor a truncating mutation in the APC gene [ 28], a Smad4 C-terminal missense mutations [ 29], and are further mutated at the p53 locus, generating a stop codon at amino acid 204, resulting in no detectable p53 expression [ 30]. Thus, these cells represent an ideal model system in which to study the transforming effects of BRAF and KRAS activating mutations in a transformation-permissive genetic background. Overexpression of these oncogenes in Caco-2 will also allow to study how the genetic background of a cell affects the outcome of an activating mutation and all that in comparison with commercially available human colon cancer cell lines carrying a more compromised mutated background, such as HT29 V600E, Colo205 V600E, DLD-1 G13D, and SW620 G12V. Briefly, we established stable Caco-2 cell lines constitutively expressing BRAF V600E (Caco-BR13, -BR23) or KRAS G12V (Caco-K6, -K15) and a control cell line stably transfected with the empty expression cassette (Caco-Neo). Clone selection was based on the protein expression levels for the two oncogenes, and their characterization was performed both in vivo and in vitro. Stable Transfection and Characterization of Caco-2 Cells with BRAFV600E and KRASG12V The plasmids pH8- BRAFV600E, kindly provided by Dr. Tsuneo Ikenoue (Department of Gastroenterology, Tokyo, Japan), and pcDNA3- KRASG12V [ 31] were transfected into Caco-2 cells using calcium phosphate. As a control, Caco-2 cells were also transfected with an empty pcDNA3 expression vector, and the arising clones were established by clonal selection with 0.5 mg/ml geneticin (Sigma-Aldrich, Poole, UK). Successful clones were further selected on the basis of protein expression for each oncogene. New BRAFV600E and KRASG12V clones were named Caco-BR (or briefly BR) and Caco-K (or briefly K), respectively. The growth rate of newly established clones was determined in replicate wells of a six-well dish seeded at 1 x 10 5 cells per well. Cells were harvested by trypsinization and counted using a Coulter counter (Model Z2; Coulter, Miami, FL) on days 1 to 5. For the anchorage-independent growth on soft agar, a layer of 0.5% agar in growth medium was first set in each well of a six-well dish. Growth medium containing 0.3% agar was mixed with 1 x 10 3 cells per well and overlaid onto the first layer of agar. Cells were allowed to form colonies in 5% CO 2 for 2 weeks at 37°C, fixed with methanol for 10 minutes at room temperature, and stained with 0.01% crystal violet. The colony formation was examined with a x30 objective of an inverted light microscope (Axiovert 25; Zeiss, Jena, Germany), and the total number of colonies in the top layer of agar was determined. To investigate the tumorigenicity of the clones, approximately 1 x 10 6 cells (Caco-2, Caco-NEO9, Caco-BR13, Caco-BR23, Caco-K6, Caco-K15, HT29, and DLD-1) in a total volume of 100 µl of PBS were subcutaneously injected into each flank of a severe combined immunodeficient (SCID) mouse (Charles River Laboratories, Inc., L'Arbresle, Cedex, France) and monitored for tumor formation for a period of 5 months. All animal experiments were approved by the Animal Ethics Committee of the Institute of Biological Research and Biotechnology, National Hellenic Research Foundation, and procedures were according to the guidelines approved by theUnited Kingdom Coordinating Committee of Cancer Research [ 32]. Tumors were isolated from each condition after 2 weeks of their appearance, and their weight was determined. Protein Immunoblot Analysis Whole cell lysates were prepared with lysis buffer containing protease and phosphatase inhibitors and were subjected to Western blot analysis. Methodology and antibody information is listed in Supplementary Materials and Methods. Adherent Cell Proliferation Assay Cells were plated into a 96-well plate at a density of 2 x 103 per well and left to grow for 24 hours. Cells were treated with two different concentrations of UO126 (30 and 60 µM; ALX-270-237-M001; Alexis Biochemicals, Lausen, Switzerland) in triplicates. In each instance, cells were left to grow for 72 hours before being treated with 100 µl of 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) (M2003; Sigma, St. Louis, MO) for 4 hours. MTT crystals were solubilized using isopropanol. The resulting absorbance was read in a Tecan Safire2 Microplate Reader (Tecan Austria GmbH, Grodig, Austria) at 560 nm. Absorbance readings were subtracted from the value of blank wells; the reduction in cell growth was calculated as a percentage of control absorbance in the absence of any inhibitor. Senescence-Associated β-Galactosidase Cells were washed twice with PBS, fixed with 2% formaldehyde and 0.2% glutaraldehyde prepared in PBS for 5 minutes, and washed twice with PBS. Cells were stained with X-Gal solution pH 6 (1 mg/ml X-Gal, 5 mM K 3Fe[CN] 6, 5 mM K 4Fe[CN] 6, 2 mM MgCl 2, 150 mM NaCl, 40 mM citric acid prepared in sodium phosphate buffer) prepared in PBS. Staining was performed at 37°C for approximately 16 hours without CO 2 [ 33]. Images were obtained using a Nikon Eclipse T-200 (Tokyo, Japan) inverted phase-contrast microscope equipped with an Olympus digital camera (Olympus, SP-51OU2, Hamburg, Germany). The objective lens used was x30. Immunofluorescence in Cultured Cells Cells were grown on cover slips and fixed using 2% paraformaldehyde in PBS for 10 minutes at room temperature. Permeabilized cells were blocked with 4% FBS at room temperature for 1 hour and stained with anti-PML antibody (clone PGM3, SC-966; Santa Cruz Biotechnology, Santa Cruz, CA) overnight at 4°C. Secondary antibody Alexa Fluor 488 goat anti-mouse (1:600, A11001; Molecular Probes, Eugene, OR) was applied to the cells for 1 hour at room temperature. The nuclei were stained with Hoechst No. 33342 (B2261; Sigma) for 10 minutes and coverslips were mounted on glass slides in Gelvatol/DABCO aqueous medium (Sigma-Aldrich). Samples were visualized with a Leica TCS SPE confocal laser scanning microscope, and image acquisition was via the LAS AF software, both from Leica Lasertechnik, Heidelberg, Germany. The objective lens used was x63. Flow Cytometric Analysis of Cell Cycle For flow cytometry, 5 x 106 cells washed with PBS and fixed overnight with ice-cold 70% ethanol at -20°C. After fixation, cells were stained with 1 mg/ml propidium iodide in PBS solution containing 20 µg/ml RNaseA and incubated at 37°C for 20 minutes. Samples were analyzed by flow cytometry (Calibur, Becton Dickinson, UK). To further study cell cycle checkpoints, cells were treated with growth medium containing 0.1 µM nocodazole (M1404; Sigma), which is known to block cell cycle progression in G2-M through disruption of mitotic spindles, for 2, 8 and 16 hours. Gene Expression Reverse Transcription-Polymerase Chain Reaction Analysis Total RNA (3 µg) was reverse-transcribed into complementary DNA using the SuperScript II Reverse Transcriptase (Invitrogen, Karlsruhe, Germany) according to the manufacturer. Additional details are provided in Supplementary Materials and Methods. Microsatellite Instability Analysis Both Caco-BR cell lines, the parental cell line Caco-2 and microsatellite instability (MSI)-positive colon cancer cell lines DLD-1 and HCT116 were used to independently study MSI status by allelic profiling of mononucleotide repeat sequences (NR-21, NR-22, NR-24, BAT-25, and BAT-26) within the 3′ and 5′ untranslated regions of five different genes as previously described [ 34]. Briefly, one primer in each pair was labeled with one of the fluorescent markers 6-carboxyfluorescein (FAM), 6-carboxytetramethylrhodamine (TAMRA), or dichloro-2′,7′-dimethoxy-6-carboxyfluorescein (JOE). Each mononucleotide repeat was amplified individually. Polymerase chain reaction (PCR) products were purified with Gene Clean Turbo PCR Kit (Bio101; QBiogene, Illkirch, Strasbourg, France) according to the manufacturer's instructions and were subsequently quantified on a 2% gel against molecular weight markers. Purified PCR products were directly gel-sequenced using an ABI PRISM 3100 genetic analyzer (MWG-Biotech; Ebersberg, Germany). Characterization of Caco-2 Clones Expressing Mutant BRAFV600E (Caco-BR) and KRASG12V Oncogenes (Caco-K) Plasmid (pH8- BRAFV600E and pcDNA3- KRASG12V) concentrations were selected to provide an efficient protein expression of BRAF V600E and KRAS G12V. Initially, 10 different clones were selected for each oncogene and empty vector and checked for presence of the plasmid (data not shown). Although we isolated clones expressing varying amounts of mutant protein (data not shown), we avoided further analysis of clones that expressed very high or very low levels (lower compared to controls) of transgene. For further analysis Caco-K6 and -K15 [ 31], clones were selected in case of KRAS G12V transformation, whereas Caco-BR13 and -BR23 were the selected clones that expressed relatively low levels of highly phosphorylated BRAF V600E (). In both cases of transformation, the level of oncoprotein was of similar expression compared with the control. To examine how the two mutations related to the downstream activities of signaling components known to be regulated by the RAS-RAF-MAPK pathway, we examined the phosphorylation status of ERK1/2 where both oncogenes managed to induce significant activation of this kinase (). BRAFV600E Alters Cell Growth and Cellular Morphology and Mediates Cell Transformation More Efficiently than KRASG12V We noted that Caco-BR13 and -BR23 cell lines grew with different kinetics to Caco-K6 and -K15 and control cell lines (Caco-2 and NEO9) exhibiting a high proliferation rate and significantly quicker doubling times (). Caco-2 and NEO9 cell lines grew with similar kinetics. Photographs of Caco-2, NEO9, Caco-BR, and Caco-K cells illustrate the altered morphology specifically induced by the BRAF V600E transformation (). Caco-BR cells seem to have adopted a spindle-shaped morphology and stopped forming large islets compared with Caco-2. However, even the Caco-2 clones expressing the highest levels of KRAS G12V did not adopt this altered morphology, as previously shown [ 31]. In comparison, Caco-K cells formed tight contacts evidenced by their preference to grow in colonies with distinct boundaries between each cell (). In summary, our results demonstrate that the establishment of an altered more transformed morphology was restricted to expression of the mutant BRAF. The tumor-inducing potential of each oncogene in vivo was examined in SCID mice, in which Caco-BR13 and -BR23 allowed the formation of significantly larger tumors than Caco-K6 and -K15 in significantly less time, whereas tumor formation of Caco-K cells varied from 1 to 5 months in some animals (). Moreover, both oncogenes (BRAFV600E and KRASG12V) significantly increased the ability of Caco-2 cells to grow in soft agar (). Similarly, Caco-BR cells consistently formed colonies more efficiently than Caco-K cells and generated the same number of colonies on average with HT-29 cancer cell line (). BRAFV600E confers higher transforming activity to Caco-2 cells compared with KRASG12V both in vivo and in vitro. BRAFV600E and KRASG12V Downstream Signaling Analysis of the RAS-RAF-MEK-ERK pathway showed more efficient downstream ERK phosphorylation in the presence of KRASG12V rather than BRAFV600E. Nevertheless significant was the activation of ERK2 (lower pERK1/2 band) in Caco-BR cells. In contrast, upstream ERK1/2 activator MEK was more activated in the Caco-BR cells, suggesting that other factors may be implicated in BRAF V600E signaling, considering that the family member Raf-1 (CRAF) was found to be equally expressed and activated as BRAF in Caco-BR cells (, A and B). To elucidate differential ERK activity, molecules that regulate its activation were analyzed. It was found that in Caco-BR cells (and not in Caco-K cells), kinase suppressor of RAS (KSR), a positive regulator of ERK activation, was significantly downregulated (). However, no significant change was observed in the RAF-1 kinase inhibitory protein ( RKIP) gene suggesting no involvement ( Figure W1). Therefore, limited KSR availability in the BRAF V600E system may be responsible for the moderate ERK activation regardless of increased BRAF-MEK activity. Analysis of other RAS effector pathways showed that the survival pathway PI3K (pAKT) was significantly activated in the Caco-K cells, whereas the Jun N-terminal kinase ( JNK) pathway was found to be downregulated in the Caco-BR cells (). Finally, the Ral pathway (RalA-GTP) remained unaffected in either case of oncogenic transformation ( Figure W2). Comparison of the RAS-RAF-MAPK signaling pathway in HT29 and Colo205 cells (V600E) versus DLD-1 and SW620 cells (G13D and G12V, respectively) revealed that, although pBRAF was higher in KRAS mutant cells, the pathway was more active in the BRAF mutant cell lines (). Pharmacologic Inhibition of MAPK Signaling Pathway To further explore ERK signaling, we analyzed its localization by immunostaining and discovered that, in Caco-BR cells, pERK was mainly localized in the nucleus compared with Caco-K and control cells, where it was found in the cytoplasm (). Pharmacological inhibition of the biochemical activities caused by mutant BRAF and KRAS was achieved using the specific MEK inhibitor UO126 in the presence of which cell growth of both Caco-BR and Caco-K cells was significantly reduced by approximately 50% to 60%, respectively, as shown by the MTT assay (). Under adherent culture conditions, the MEK inhibitor UO126 blocked growth through down-regulation of pERK within 1 hour and determined that cyclin D1 is the transcriptional target of KRASG12V. However, UO126 seemed insufficient in blocking cyclin D1 in Caco-BR cells in which pERK seemed to have a dynamic response to the treatment and recovers rapidly (). Differential Expression of Senescence Markers by Oncogenic KRASG12V Overexpression of KRAS G12V but not BRAF V600E in Caco-2 cells led to the acquisition of premature senescence-related markers as determined by SA-β-Gal staining () and increased promyelocytic leukemia (PML) gene product localization, which has been previously associated with cellular senescence in RAS-arrested cells, and can provide further evidence of senescence activity [ 35] (). Regardless of senescence appearance, the cells did not arrest but continued proliferating and even increased their growth rate compared with Caco-2 cells (). Pigmentation that appears in the Caco-2 and NEO9 control cells after SA-β-Gal staining is considered as background staining because it is not comparable to the positive control staining (human embryonic lung fibroblasts HFL1 at PD55; ). To determine whether oncogene-induced senescence in Caco-2 cells is mediated by the MAPK signaling pathway, pharmacological inhibition of ERK1/2 using UO126 was performed. Blocking of the MAPK pathway for 48 hours in Caco-K cells resulted in regression of the senescence-activated β-gal activity (). In a parallel experiment, cell growth on growth factor depletion was analyzed for 3 to 5 days after which significant cell death was observed microscopically in Caco-K cells when Caco-BR cells and control cells continued proliferating normally (). This is of interest, considering that Caco-2 cells after KRASG12V transformation acquired senescence markers and at the same time growth factor-dependent viability. Hoechst staining of Caco-K cells grown in the absence of serum was used to show death by apoptosis (). These experiments show a clear difference in cell senescence marker staining between Caco-K and Caco-BR cells, which probably dramatically affects differential viability of these cells under growth factor deprivation. Rb Inactivation and p19ARF Collaborate with BRAFV600E in Oncogenic Transformation D-type cyclins (D1 and D3; G1-phase cyclins), which prepare chromosomes for replication and initiate Rb phosphorylation, were significantly overexpressed in the Caco-BR transformed cells (). Nevertheless, both cyclins A and E (S-phase cyclins) were also significantly overexpressed in Caco-BR cells. These proteins initiate S phase as soon as M phase is over, supporting DNA replication along with E2Fs, and inactivate the Rb protein by completing its phosphorylation. These results come to support the finding that the Rb is hyperphosphorylated and therefore inactivated in Caco-BR and not in Caco-K cells (). Nonphosphorylated Rb protein in the Caco-K cells is consistent with the appearance of senescent characteristics in those cells as described earlier (, A and B). Activation of the RAS-RAF pathway is known to mediate some of its effects through the activation of p16 Ink4A and p19 ARF [ 36]. Because p16 Ink4A is hypermethylated in Caco-2 cells [ 37], analysis was performed for the alternative reading frame of the same locus, the p19 ARF transcript along with other cell cycle regulators at transcriptional level (). Two members of the Ink family (p19 ARF and p15 Ink4C) were upregulated only in Caco-K cells, whereas the p27 Kip1 member of the Cip/Kip family was upregulated in both cases of oncogenic transformation. Interestingly, p21 Cip1 and p19 Ink4D were upregulated in Caco-BR cells. The cell cycle inhibitor p57Kip2 was the only gene not altered between the two oncogenes but upregulated compared with Caco-2 parental cell line (). Control cell lines HT29 (bearing endogenous BRAF V600E) and DLD-1 (bearing endogenous KRAS G13D) were also analyzed. The analysis regarding cell cycle inhibitors was limited to reverse transcription-PCR (RT-PCR) because of the poor quality results yielded by the available antibodies. BRAFV600E Induces MSI in Caco-2 Cells by Altering DNA Content and Cell Cycle Distribution The ability of transfected oncogenes to modulate the cell cycle distribution of Caco-2 cells was measured by FACS analysis. BRAFV600E oncogene caused major cell cycle alterations when compared with parental Caco-2 cells, whereas no alterations were incurred in the presence of activated KRAS. Of interest is the fact that, after BRAFV600E transformation, a new population of cells was generated that seems to contain a hypodiploid number of chromosomes and therefore a lower amount of DNA content. This is depicted by a shift to the left, on the FL2 axis, of the corresponding G1 phase in both Caco-BR clones (hypodiploid peak; ). To exclude the possibility of this being an apoptotic cell population, cells were treated with nocodazole for various time points after which there was a time-dependent reduction in the hypodiploid peak with a gradual shift of the cell populations toward the right on the FL2 axis (). Cell population movement of the hypodiploid peak suggests ongoing cell cycle and is confirmed by statistical analysis of the percent of gated cells at each time point (data not shown). It is worth mentioning that during the 2-hour treatment with nocodazole, Caco-BR dividing cells colocalized with the G1-phase peak of Caco-2-untreated cells. This observation could further support the lower DNA content in these cells. Therefore, the novel finding presented here suggests that BRAFV600E oncogene may induce MSI characteristics to Caco-2 cells (). Regarding the hypothesis of BRAFV600E-induced MSI, specific DNA repair (MSH2 and Ku70) as well as nucleotide excision repair (NER) genes (ERCC1-variant 1, ERCC3, and XPC), found to be significantly downregulated in a microarray analysis (Joyce et al., unpublished observations) in Caco-BR cells, were validated by RT-PCR analysis to further support this hypothesis (). The distinct role of BRAF V600E with respect to mediating MSI was further supported by the allelic profiling of NR-21, NR-22, and NR-24 in which Caco-BR cells presented lower molecular weight fragments, visible as peaks that had shifted to left and varied in 4 bp or greater ( Table W2) compared with the parental cell line Caco-2. When comparing Caco-BR cells to MSI-positive cell lines DLD-1 and HCT116 [ 6,38]; the eletrophoretic pattern was only comparable with that observed in NR-22. In case of NR-21 and NR-42 loci, DLD-1 cells were represented by two distinct cell populations, one has been represented by normal-sized alleles and the other by peaks shifted to left, whereas the HCT116 were only represented by the lower molecular weight fragments. Both situations refer to MSI (). In contrast, the shift observed in BAT-25 and BAT-26 loci was bellow the cutoff level (≥4 bp) for Caco-BR23 but not Caco-BR13 and was considered to represent a polymorphism or somatic alteration. As previously, HCT116 were once again represented by a new cell population of lower molecular weight in BAT-26 locus, whereas a shift to the left (≥4 bp) was observed in BAT-25. Similarly, DLD-1 cells showed evidence of MSI in both BAT-25 and BAT-26 loci that were represented by shifts to the left (≥4 bp; ). Differential Human Colon Cell Transformation by Oncogenic BRAF and KRAS Several studies have investigated the role of BRAFV600E and KRASG12V acting as oncogenes, but no study so far has compared these two activating mutations for their relevant transforming capabilities in colon cancer cells. Although it has been reported that BRAFV600E is oncogenic when transfected into melanocytes [ 12], others have shown that BRAFV600E transforms NIH3T3 immortal fibroblasts less efficiently than HRASG12V [ 11] and that its expression confers rat thyroid cells with little growth advantage because of concomitant activation of DNA synthesis and apoptosis [ 39]. Results obtained in the present study point toward the presence of a potent machinery carrying out aggressive transformation in the Caco-2 cells transfected with the BRAFV600E oncogene. BRAFV600E and KRASG12V Signal Through ERK1/2 to Transform Caco-2 Colon Cells Although KRAS G12V could activate ERK more efficiently, it was BRAF V600E that mediated complete transformation of colon epithelial cells. However, although MEK activation in Caco-BR cells was more potent, it did not lead to significantly increased ERK signaling as previously described for BRAF V600E [ 40]. In a similar study where BRAFV600E was compared to HRASG12V, pERK levels were comparable to basal in the case of BRAFV600E [ 41]. Furthermore, it was observed that, in Caco-BR cells, there was a marked difference between the two ERK isoforms, namely, ERK1 and ERK2, with the latter being far more activated. The important role of ERK2 in tumor growth has been recently revealed through RNAi-mediated knockdown, where ERK2 but not ERK1 inhibited growth of liver cancer cells in vitro and in vivo and silencing of ERK2 in NIH3T3 cells slowed down cell proliferation [ 42,43]. Taking into account that Caco-BR cells have enhanced cell growth, this selective ERK2 activation may play a crucial role in the regulation of cell proliferation in the BRAFV600E-transformed cells regardless of moderate ERK activity. In addition, localization of pERK in the nucleus explains why moderate ERK activity is sufficient for the cell transformation of Caco-BR cells because activated ERK is translocated to the nucleus where it can phosphorylate and activate several molecules, such as cyclin D1, which is significantly activated and hyperphosphorylated in these cells. Increased kinase activation was also recorded for CRAF, coexpression of which can induce a B/C RAF complex in a RAS-dependent manner, inducing distinct biochemical properties [ 44]. A different explanation for the moderate but efficient ERK activation may lay with the fact that excessive amount of ERK signaling can lead to cell cycle arrest or senescence, and cells have been shown to switch from BRAF to CRAF signaling to avoid this [ 45]. Pharmacologic inhibition of the MAPK signaling pathway with respect to the hyperproliferative phenotype of Caco BR cells, and to a lesser extent, of Caco K cells was indicative that MAPK pathway is mediating cell transformation. ERK inhibition was more potent in case of KRAS G12V cell transformation and had a profound effect on the transcriptional target cyclin D1. Other RAS effector pathways such as the JNK and the PI3K were found differentially regulated between the two oncogenes, and no modulation was detected for Ral. These observations indicate that the expression of these oncoproteins induces abundant as well as variable downstream signaling in the colonic epithelium. Also of interest is the significant activation of BRAF kinase in both DLD-1 and SW620 colon cancer cells, as a result of the upstream KRAS mutation present in these colon adenocarcinomas [ 46], which, however, does not induce pERK. However, the presence of BRAFV600E in HT29 and Colo205 cells induces low pBRAF and high pERK. It is worth noting that the genetic background of these cell lines, apart from a KRAS or BRAF mutation, includes several other (p53, APC, PI3K, SMAD4). Here, we show the differential properties of two frequently mutated oncogenes in a permissive genetic background (in Caco-2 cell line) and how much these properties vary in the context of other mutations (e.g., HT29 and DLD-1 cell lines). This finding may have in vivo implications for personalized therapeutics in the future, considering how these mutations may influence pathway cross talk. Attenuation of ERK Activation Due to KSR Down-regulation by BRAFV600E Nevertheless, the RAS-RAF-MAPK signaling pathway is not a simple one because many molecules have been identified to regulate its function. For example, signal flow from RAF to MEK is believed to be regulated by scaffold proteins such as KSR and protein interaction disrupters such as RKIP [ 47]. KSR is a putative scaffolding protein for the RAF-MEK-ERK module that positively regulates ERK activation by binding to MEK and ERK constitutively [ 48]. In the present study, KSR was found significantly downregulated in the Caco-BR cells, and this could account for the moderate levels of ERK activation detected. Studies that associate KSR with cancer progression led to assume that pharmacological inactivation of KSR may serve as a treatment for RAS-driven malignancies, such as pancreatic cancer [ 49]. Presence of Rb and p19ARF Overexpression Is Not Sufficient for RASG12V-Induced Transformation We report here that colon epithelial cells transformed by BRAFV600E presented no sign of senescence, whereas premature senescence was detected in the Caco-K cells, which also had ongoing cell cycle. To identify the exact mechanism by which KRASG12V switches from promoting proliferation to inducing senescence mechanism, the MAPK pathway was pharmacologically blocked, and replicative senescence was successfully prevented. Therefore, hyperactivation of the ERK pathway in Caco-K cells seems to lead to the opposite situation, which are the induction of a senescence program, growth factor-dependent cell viability, and finally not efficient cell transformation, which are not observed in Caco-BR cells. Because in the parental Caco-2 cells the p53 is mutated and the p16 Ink4 tumor suppressor is hypermethylated, the remaining possible mediator of senescence in the KRAS G12V is the Rb pathway. Studies have shown that overexpression of RAS G12V or Raf1 by retroviral delivery in normal human fibroblasts disrupted the Rb pathway [ 21,50]. In the present study, although the Rb was found to be selectively hyperphosphorylated and therefore deactivated in the Caco-BR cells, it was still functional in the Caco-K cells in which the p19 ARF was also significantly overexpressed. Together, these data show that both the Rb and the p19 ARF are working to induce senescence-related markers in Caco-K cells, which, however, escape from growth arrest. Cell survival could also be facilitated by the selective activation of AKT observed in the Caco-K cells. RAS-induced senescence has not been fully elucidated and is considered to be the coordinated output of cell type-specific signaling networks [ 51]. This is further supported by the fact that additional growth factor extrinsically regulated signaling pathways are important for the viability of Caco-2 cells, whereas Caco-BR cell viability is not dependent on extrinsic growth factors. Increased proliferation of Caco-BR cells could be well explained by the increased expression of most cyclins including cyclin D1, D3, A, and E. Significantly increased expression of D cyclins could also account for the increased p21 Cip1 because it has been shown that cyclin D1 specifically inhibits its degradation [ 19]. Both oncogenes ( BRAFV600E and KRASG12V) increase cyclin D1, which, when combined with Cdk4 and Cdk6, phosphorylates and inactivates Rb; however, this is not the case for the Caco-K cells. Accumulated p27 Kip1 manages to take advantage of the hypophosphorylated Rb in the Caco-K cells and silences cyclin D/Cdk2 complex that may be present in the early G 1 phase. Working along this hypothesis, KRAS G12V signaling is efficient in inducing cyclin B1, the most powerful mediator of cell cycle. Cyclin B1 is the cyclin localized in the cytoplasm, and its activation may be a direct signaling from increased cytoplasmic ERK in Caco-K cells. BRAFV600E-Mediated MSI in Caco-2 Cells Cell cycle distribution of Caco-2 cells was notably affected after BRAFV600E transformation because it was represented by a general shift to the left of the FL2 axis. This was indicative of a cell population with a lower DNA content due to a hypodiploid number of chromosomes. Nocodazole treatment of cells revealed that these cells were normally proliferating because they progressed through the M and G 2 phases. However, their dividing capacity was diminished, characteristic of cells containing a hypodiploid number of chromosomes. In a recent study, BRAF V600E overexpression in a rat thyroid cell (PCCL3) among others managed to induce chromosomal instability (CIN) [ 39]. Caco-2 cells that are characterized by CIN acquire MSI characteristics in the presence of BRAF V600E, a hypothesis also supported by a microarray analysis in the Caco-BR cells (Joyce et al., unpublished observations). The microarray study revealed down-regulation of essential DNA repair (MSH2 and Ku70) and NER genes ( ERCC1-variant 1, ERCC3, and XPC). Validation of array results confirmed down-regulation of ERCC1, ERCC3, and XPC in Caco-BR cells, all members of the NER subfamily. Deregulation in one of these NER members may result to failure of DNA repair initiation and cause defects in the mismatch repair mechanisms and its gene members [ 52]. Notably, DLD-1, already described to have MSI, also presents a significant down-regulation of ERCC1-variant 1 gene, and their FACS profile is comparable to that of Caco-BR cells'. BRAF mutations have long been connected with MSI sporadic colorectal tumors because mismatch repair-deficient tumors have a very high incidence of BRAF mutations, and its overexpression in a rat cell line of thyroid origin (PCCL3) induced CIN [ 39,53–55]. The role of BRAF V600E in MSI is further elucidated through the allelic profiling of certain mononucleotide repeats widely used to determine the microsatellite status. In particular, more than two of five analyzed loci (NR-21, NR-22, NR-24, BAT-25, and BAT-26) show instability in the Caco-BR cells, and therefore, we classify them as MSI-high (MSI-H) [ 56]. Because MSI cell lines display higher sensitivity to chemotherapeutics (CPT-11) than MSS cells, this could be later exploited to tailor chemotherapy based on MSI status [ 57,58]. We propose that the effect of BRAF V600E, elicited on mitotic impairment, triggers chromosome breakage in the presence of a defective DNA damage response mechanism. As a result, cells continue cycling and acquire, within a single cell cycle, both chromosome rearrangements and abnormal chromosome numbers that remarkably mimic the complex genetic hallmark of tumorigenesis [ 59]. Our study demonstrates that BRAFV600E is amore potent oncogene than KRASG12V in transforming colon epithelial cells, whereas KRASG12V managed to confer premature senescence to the same cell system. It was established that BRAFV600E transformation was facilitated by the moderate activation of pERK, as a consequence of low KSR levels, which, however, translocated to the nucleus driving the increased proliferation rate in theses cells through the hyperphosphorylation of cyclin D1 (). Conversely, the same MAPK pathway, only being more activated, was the mediator of KRASG12V oncogene-induced senescence markers and growth factor-dependent viability (). Within the different biochemical properties of these two oncogenes lays also the induction of MSI by BRAFV600E rendering Caco-2 MSI-H. Supplementary Materials and Methods Supplementary Figures and Tables Protein Immunoblot Analysis and Glutathione S-Transferase Pull-down Assay Whole cell lysates were prepared with lysis buffer containing 50 mM Tris-HCl (pH 7.4), 250 mM sucrose, 1 mM EDTA, 10 mM NaF, 1 mM EGTA, 1% (v/v) Triton X-100, 1 mM sodium orthovanadate, 10 µg/ml leupeptin, and 0.2 mM PMSF. Cells were lysed by swelling in hypotonic buffer (10 mM Hepes pH 7.9, 10 mM KCl, 0.1 mM EDTA, 0.1 mM EGTA). For Western blot analysis, protein concentrations were determined by the Bradford assay (Bio-Rad Laboratories, Hercules, CA) using bovine serum albumin as a standard. Extracts were resolved on SDS-PAGE (10% or 12% wt/vol acrylamide), transferred to nitrocellulose membrane (Whatman; Scheiche & Schuell, Dassel, Germany). Antibodies used were as follows: K-Ras (sc-30), B-Raf (sc-5284), cyclin D1 (sc-718), pTyr204 ERK (sc-7383), and α-tubulin (sc-8035) that were purchased from Santa Cruz; pSer445 B-Raf (2696), pSer473 Akt (9271), pSer217/221 MEK1/2 (9121), and pThr183/185 SAPK/JNK (9251) that were purchased from Cell Signaling (Danvers, MA); cyclin E (3512-1), cyclin A (3507-1), cyclin B1 (3508-1), and cyclin D3 (3571-1) that were purchased from Clontech (Heidelberg, Germany); C-Raf (610151), Rb (554136), and Ral A (610221) that were purchased from BD (Franklin Lakes, NJ); and pSer338-Raf-1 (05-538; Upstate, Lake Placid, NY). For the glutathione S-transferase (GST) pull-down assay, 200 µg of the identical protein extract used for Western analysis was incubated with GST-Ral binding protein to glutathione agarose beads for 1 hour by rotating at 4°C. Beads were washed four times in cell lysis buffer before being loaded on 12% wt/vol SDS-PAGE. The construct was kindly provided by Johannes L. 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