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Departments of 1 Medical Pharmacology and Physiology 2 Biomedical Sciences 3 Biochemistry, University of Missouri, Columbia, MO 65212, USA 4 Departments of Internal Medicine and Urology, University of Michigan, Ann Arbor, MI 48109, USA
| Abstract |
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(Received 9 September 2003;
accepted after revision 13 October 2003;
first published online 17 October 2003)
Corresponding author V. Glinsky: Department of Biochemistry, University of Missouri, M743 Medical Sciences Bldg, Columbia, MO 65212, USA. Email: glinskiivl{at}missouri.edu
| Introduction |
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(TNF
) or interleukin-1ß (IL-1ß), resulting in a cell surface mobilization of endothelial selectins (reviewed in McEver, 1997), and a coordinated set of highly orchestrated selectin interactions with their cognate carbohydrate ligands, mostly Lewis(x), sialyl-Lewis(x) and sialyl-Lewis(a) core 2 oligosaccharides (Butcher, 1991; Lawrence & Springer, 1991; McEver, 1997), mediating leucocyte rolling and adhesion (Lawrence & Springer, 1991; McEver, 1997). Perhaps with the exception of colon carcinoma (Krause & Turner, 1999), such an activation scheme fails to enhance neoplastic cell adhesion to the endothelium (Cooper et al. 2002). Moreover, in a related study, Satoh et al. (1998) demonstrated that multiple prostate carcinoma cell lines, expressing sialyl-Lewis(x), the carbohydrate epitope recognized by endothelial selectins supporting leucocyte rolling, lack selectin-dependent adhesion. These observations suggest that leucocyte and metastatic tumour cell adhesion to microvascular endothelium are driven by different molecular mechanisms. Indeed, recent results demonstrate that breast and prostate cancer cell adhesion to the microvascular endothelium of metastasis-prone tissues is mediated largely by interactions between cancer-associated TF glycoantigen (Galß13GalNAc) presented on neoplastic cells and endothelium-expressed ß-galactoside binding lectin galectin-3 (Lehr & Pienta, 1998; Glinsky et al. 2000, 2001; Nangia-Makker et al. 2002; Khaldoyanidi et al. 2003). However, similarly to selectins, galectin-3 is often localized intracellularly (Ellerhorst et al. 1999; Glinsky et al. 2001). To participate in cell-to-cell adhesive interactions, this carbohydrate-binding protein must be translocated to the endothelial cell surface. Recently, based on the ability of asialofetuin (a glycoprotein expressing multiple TF antigen epitopes) and TF antigenhuman serum albumin conjugate (TFHSA) to increase galectin-3 cell surface expression on cultured endothelial cells (Glinsky et al. 2001), we suggested that desialylated cancer-associated carbohydrate structures can induce such translocation, thereby modifying endothelial cell adhesive properties and priming them for binding metastatic cancer cells (Glinsky et al. 2001).
In this report, we present in vitro and ex vivo experimental evidence of microvascular endothelium activation manifested by a marked increase in galectin-3 cell surface expression promoting metastatic breast and prostate carcinoma cell adhesion to the endothelia of intact well-differentiated microvessels. In contrast to leucocyte adhesion, this activation occurs in a non-cytokine-mediated manner and is induced by cancer-associated carbohydrate structures (TF antigen disaccharide) expressed on metastatic tumour cells (direct activation) or circulating glycoproteins (indirect activation), which could often be found in serum of patients with adenocarcinomas of different origin (Bresalier et al. 1996; Duffy, 1999). Given the efficient inhibition of this process by anti-TF antigen monoclonal antibody, such activation could be an important target for developing new approaches to preventing and controlling haematogenous breast and prostate cancer metastasis.
| Methods |
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The TIB-166 hybridoma, producing rat anti-galectin-3 monoclonal antibody (mAb) was obtained from ATCC (Manassas, VA, USA). The JAA-F11 hybridoma producing anti-TF antigen mAb (Rittenhouse-Diakun et al. 1998) was from Dr K. Rittenhouse-Olson (State University of New York, Buffalo, NY, USA). All other chemicals and reagents, unless otherwise specified, were from Sigma (St Louis, MO, USA).
Cell lines and cultures
The highly metastatic MDA-MB-435 and non-metastatic MDA-MB-468 human breast carcinoma cell lines were provided by Dr J. E. Price (M.D. Anderson Cancer Center, Houston, TX, USA). The DU-145 metastatic human prostate carcinoma cells were from ATCC. The RPMI-1640 medium supplemented with L-glutamine, 10% fetal bovine serum (FBS), sodium pyruvate and non-essential amino acids was used for tumour cell lines. For adhesion experiments, cancer cells were prelabelled for 5 min with a 3 µg/ml solution of acridine orange in RPMI-1640 medium, rinsed three times with serum free RPMI-1640 medium, dissociated from plastic using a non-enzymatic cell dissociation reagent (Sigma), and pipetted to produce a single cell suspension.
Owing to its rapidity and simplicity, labelling neoplastic cells with acridine orange represents a valuable method of choice for our experiments, in which freshly prepared single cell suspension is required for each round (i.e. every 30 min). Abbitt et al. (2000) reported recently that acridine orange could modify the adhesion behaviour of neutrophils by inducing ß2-integrin (CD18) expression. However, our previous studies, involving parallel experiments with acridine orange- and dioctadecyl-tetramethylindocarbocyanine (DiIC18)-labelled breast and prostate carcinoma cells (Glinsky et al. 2000, 2001), did not reveal any significant effects of acridine orange labelling on malignant cell adhesive behaviour. One possible explanation for this could be that ß2-integrin does not play a major role in cancerendothelial cell adhesion. Blocking CD18 function caused only marginal (< 20%) inhibition of prostate cancer cell adhesion to bone marrow endothelium in a static adhesion assay (Lehr & Pienta, 1998), and failed completely to inhibit breast carcinoma cell adhesion to endothelial cells in flow (Khaldoyanidi et al. 2003). Another explanation could be that, as the neoplastic cells are labelled with acridine orange for each round immediately prior to preparation and perfusion of the single cell suspension through the microvasculature for 30 min, the time course is not of sufficient length for acridine orange to alter significantly transcriptional processes, which could lead to appreciable changes in the protein expression levels.
Nevertheless, we performed additional parallel flow chamber experiments to compare rolling responses of non-labelled and acridine orange-labelled MDA-MB-435 cells perfused over a monolayer of HBME-1 human bone marrow endothelial cells. The results of these experiments demonstrated that acridine orange did not modify significantly MDA-MB-435 human breast carcinoma cell rolling on HBME-1 monolayers. Specifically, at the wall shear stress of 2.4 dyn cm-2, the rolling flux of non-labelled and acridine orange-labelled MDA-MB-435 cells differed by <5 % (27.7%± 2.6%, mean ±S.D., n= 358; and 32.1%± 9.5%, mean ±S.D., n= 500, respectively).
The human bone marrow endothelial cell line HBMEC-60, immortalized using the amphotrophic helper-free retrovirus pLXSN16 E6/E7 (Rood et al. 2000), was provided by Dr C.E. van der Schoot (University of Amsterdam, Amsterdam, The Netherlands). The HBMEC-60 cells were shown to maintain their normal phenotype and adhesive properties, specifically the ability to bind haematopoietic progenitor cells (Rood et al. 2000). The development of the HBME-1 human bone marrow endothelial cell line, immortalized using SV40 large T antigen, was as previously described (Lehr & Pienta, 1998). The basal Medium 200 (Cascade Biologics, Portland, OR, USA) supplemented with 20% FBS and low serum growth supplement containing hydrocortisone, human fibroblast growth factor, heparin and human epidermal growth factor was used for culturing HBMEC-60 and HBME-1.
Perfused porcine dura mater model
Porcine dura mater was used in adhesion experiments as described in detail elsewhere (Glinskii et al. 2003a,b). Briefly, dura mater corresponding to one hemisphere was collected from mature male (for prostate cancer experiments, n= 12) or female (for breast cancer experiments, n= 14) Yucatan miniature swine (Charles River, ME, USA) within 30 min of death. The animals were killed in accordance with the University of Missouri approved animal care protocol. Dura mater was dissected and flattened on to a Sylgard-coated 100 mm dish. A major branch of the median meningeal artery (typically 300500 µm i.d.) was cannulated, and dura vasculature was perfused at 15 µl min-1 first with Krebs physiological salt supplemented with 1.0 mg ml-1 porcine serum albumin for 20 min, then with vessel-labelling solution (0.3 µg ml-1 acridine orange in RPMI-1640 supplemented with 10% FBS and 1.0 mg ml-1 porcine albumin) for an additional 40 min. In selected experiments, asialofetuin or fetuin were added to the vessel labelling solution at 1.0 mg ml-1 final concentration. Asialofetuin is a glycoprotein carrying multiple desialylated TF antigen moieties, whereas fetuin differs from asialofetuin only in that the TF antigen moieties are masked covalently with sialic (neuraminic) acid. In function inhibition experiments, undiluted supernatant from JAA-F11 hybridoma, producing function-blocking antibody against TF antigen, was used instead of RPMI-1640. In addition, to determine the contribution of shear forces, in selected experiments after labelling microvessels with acridine orange, dura mater was preperfused at the above rate for 2 h prior to tumour cell injection.
Immediately prior to injection, cancer cells were prelabelled for 5 min with 3 µg ml-1 acridine orange solution in RPMI-1640 medium, rinsed three times, dissociated from plastic, pipetted to produce a single cell suspension, filtered through a 20 µm nylon mesh to remove any remaining cell clumps, and adjusted to contain 5 x 104 cells ml-1. A fresh tumour cell suspension in perfusion buffer (RPMI-1640 supplemented with 10% FBS and 1.0 mg ml-1 porcine serum albumin) was prepared for each 30 min round and injected into the system using an inline chromatography injector with all-Teflon wetted parts (Rheodyne Model 50200, Rheodyne, CA, USA) equipped with a 500 µl loop. Cancer cell interactions with dura microvasculature were monitored at several predetermined observation points over 80100 µm i.d. microvessels (minimum of eight observation points per experiment, i.e. two observation points per round) and video recorded at 30 frames per second using a fluorescence video microscopy system based on a Laborlux 8 microscope (Leitz Wetzlar, Germany) equipped with 75 W xenon lamp and a high sensitivity CCD video camera (COHU Inc., San Diego, CA, USA). For subsequent frame-by-frame analysis, the recorded analog video images were digitized using a media converter DVMC-DA2 (Sony, Japan) and Adobe Premier 6 software (Adobe Systems Inc., San Jose, CA, USA).
Data analysis and interpretation
An offline frame-by-frame analysis was used to determine cancer cell velocities within perfused dura mater microvasculature. Based on velocity measurements and adhesion behaviour, we divided circulating malignant cells into the following categories: non-interacting/freely floating cells, interacting/rolling cells, slow rolling cells, and stably adherent cells.
In our previous studies, employing the same experimental conditions (Glinskii et al. 2003a,b), we determined a velocity limit for distinguishing between non-interacting/floating and interacting/rolling cells within 80100 µm arterioles of 2000 µm s-1. This determination was made based solely on experimental results, as we observed neoplastic cells moving at velocities as high as 1500 2000 µm s-1 engaging momentarily in stable adhesive interactions with microvessel walls (Fig. 1). However, as early as in 19851991, in a series of fundamental works on leucocyteendothelial interactions (Gaehtgens et al. 1985; Ley et al. 1991; Ley & Gaehtgens, 1991), Ley and Gaehtgens introduced the term critical velocity (Vcrit), defining a minimal velocity that a freely flowing cell can assume under given experimental conditions and developed a formula
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To distinguish a subpopulation of cancer cells interacting with endothelium more specifically, we used several additional velocity and adhesion behaviour criteria to identify slowly rolling tumour cells: (1) clearly visible rolling; (2) frequent stoppages, interruptions and changes in velocity; (3) deviations from a straight-line movement in a zigzag manner; and (4) rolling velocity below 600 µm s-1. The last determination was made based on the fact that mean blood velocities and corresponding wall shear rates in arterioles are about double those in post-capillary venules of the same size (Ley & Gaehtgens, 1991). As velocities up to 300 µm s-1 were described for leucocytes rolling in post-capillary venules (Ley & Gaehtgens, 1991), we established a 600 µm s-1 velocity limit for identifying cancer cells slowly rolling in 80100 µm arterioles. In this report, we will use the term interacting/rolling cells to refer to the population of neoplastic cells travelling at velocities below Vcrit, whereas the term rolling will be used to refer to the subset of slowly rolling cells.
In contrast to cancer cells transiently interacting with vessel walls and designated as interacting/rolling (rapidly rolling) and slowly rolling, some neoplastic cells were engaged in more stable adhesive interactions and remained stationary for a prolonged period of time (>1 min). For the purpose of this study, such cells were designated as stably adherent.
Analysis of cell surface galectin-3 expression
The ex vivo immunofluorescence analysis of intravascular cell surface galectin-3 expression was performed using TIB-166 anti-galectin-3 antibody. After completion of the cancer cell adhesion experiment or asialofetuin perfusion, dura mater was perfused for 30 min with anti-galectin-3 mAb diluted 1: 10, followed by a 30 min wash, 30 min perfusion with 10.0 µg ml-1 solution of Alexa Fluor 594-labelled goat anti-rat IgG (Molecular Probes, Eugene, OR, USA), and an additional 30 min wash. The in vitro analysis of cell surface galectin-3 expression on non-fixed and non-permeabilized cultured HBMEC was performed exactly as previously described (Glinsky et al. 2001, 2003).
| Results |
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Many important results regarding tumourendothelial cell interactions have previously been obtained in vitro using cultured endothelial cells. However, as endothelial cell properties depend to a large extent on their organ-specific microenvironment (Ruoslahti & Rajotte, 2000) and preserving original microenvironment and temporal dynamics is crucial for obtaining the most accurate and reliable data (Padera et al. 2002), we investigated the kinetics of breast and prostate carcinoma cell adhesive interactions with intact well-differentiated microvessels of dura mater, a tissue often targeted by haematogenous cancer metastasis (Rubin et al. 2000). In these experiments, we analysed tumour cell velocities and percentage of interacting/rolling cancer cells within dura mater microvasculature perfused at the physiological flow rate (15 µl min-1) with a single cell suspension (5 x 104 cells ml-1) of fluorescently labelled neoplastic cells (metastatic DU-145 prostate carcinoma or MDA-MB-435 breast carcinoma, and non-metastatic MDA-MB-468 breast carcinoma) using experimental techniques developed recently in our laboratory (Glinskii et al. 2003a,b). As we reported, in contrast to leucocyte adhesion, that the vast majority of cancer cell adhesive interactions with microvessels occur in precapillary arterioles (Glinskii et al. 2003), we specifically focused on analysing tumour cell adhesion kinetics within an arterial compartment of dura mater microvasculature. Neoplastic cell intravascular adhesive behaviour was monitored and video recorded at several predetermined observation points over 80100 µm i.d. arterioles, and 500 µl of freshly prepared single cell suspension was injected every 30 min.
Intriguingly, at the beginning of the experiments, perfused metastatic cells moved at high velocities (72 x 102± 33 x 102µm s-1, mean ±S.D.). At this time, only a small fraction (3.3%± 1.2%, mean ±S.D. of neoplastic cells exhibited slow rolling behaviour and none engaged into stable adhesion either within immediately observed microvessels or within perfused vascular tree. However, as the experiments progressed, we observed a gradual decrease in tumour cell velocity over time with each consecutive injection (Fig. 2A). Subsequently, even though the perfusion rate was kept constant, toward the fourth round of experiments (1.52 h of perfusion) the average tumour cell velocity decreased almost 10-fold (7.6 x 102± 1.9 x 102µm s-1, mean ±S.D.) compared with the first round and 100% of cells observed travelled at velocities below Vcrit (Fig. 2A).
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We observed consistently this pattern of dynamic changes in metastatic cellmicrovascular endothelium adhesion kinetics in both prostate and breast carcinoma cell experiments on 14 dura mater preparations (eight males, six females, respectively). These results imply that adhesive properties of either endothelial or cancer cells (or both) undergo significant modification over the course of an experiment. However, as the single cell suspension of tumour cells was prepared freshly prior to each injection, i.e. every 30 min, the observed changes in kinetics of metastatic cell interactions with perfused microvasculature probably reflect changes in endothelial cell adhesiveness. In other words, upon perfusion with metastatic cancer cells, microvascular endothelium undergoes activation promoting malignant cell rolling and retention in the target organ microvasculature. Furthermore, this metastasis-associated endothelium activation appears to be mediated not by shear force, but rather by tumour cell collisions with vascular walls, as preperfusing microvessels for the same time period (2 h) in the absence of cancer cells did not modify tumour cellmicrovascular endothelium adhesion kinetics (data not shown). This, in turn, suggests the existence of one or more factors responsible for such activation presented on malignant cell outer surfaces. Recently, based on the ability of cancer-associated TF glycoantigen expressed on asialofetuin and TF antigenhuman serum albumin conjugate to increase galectin-3 cell surface expression on cultured endothelial cells, we suggested that TF antigen expressed on neoplastic cells and circulating tumour-secreted glycoproteins could potentially perform such function (Glinsky et al. 2001). We next investigated whether TF antigen is indeed responsible for changes in kinetics of metastatic cell interactions with dura microvessels.
Cancer cells and asialofetuin activate microvascular endothelium in a TF antigen-dependent manner
We have used several independent approaches to address this question. First, we investigated whether non-metastatic MDA-MB-468 breast carcinoma cells, deficient in TF antigen expression (Khaldoyanidi et al. 2003), would exhibit similar intravascular adhesion kinetics as highly metastatic DU-145 (Fig. 2A) and MDA-MB-435 (Fig. 3A) cells. The results of these experiments demonstrated that, in contrast to highly metastatic cells expressing significant TF antigen levels (Glinsky et al. 2000, 2001), MDA-MB-468 neither exhibited a decrease in velocity (Fig. 3A) nor engaged into adhesive interactions with dura microvessels. Next, we studied the effects of function blocking anti-TF antigen antibody on adhesion kinetics of highly metastatic MDA-MB-435 cells. Perfusing MDA-MB-435 cells in the presence of anti-TF antibody almost completely abolished the gradual decrease in tumour cell velocity (Fig. 3A), as well as the subsequent metastatic cell arrest in microvessels (Fig. 3C and D). Finally, we investigated whether asialofetuin, a glycoprotein carrying multiple TF antigen moieties, would activate microvascular endothelium in a TF antigen-dependent manner. Pre-perfusing dura mater with asialofetuin (1.0 mg ml-1 final concentration) resulted in an immediate (first round of perfusion) decrease in tumour cell velocities to below those recorded in the fourth round of the control experiments, which remained at these levels throughout the experiment (Fig. 3A). The asialofetuin-mediated decrease in tumour cell velocities was accompanied by a dramatic increase in a fraction of slowly rolling cancer cells (Fig. 3B). Importantly, pre-incubation of asialofetuin with anti-TF antigen function-blocking antibody abolished completely asialofetuin effects on metastatic cell velocities (data not shown), proportion of rolling cells (Fig. 3B), and metastatic cell arrest and retention in microvessels (Fig. 3E and F). These outcomes indicate that TF antigen is indeed a structure responsible for metastasis-associated endothelium activation. Of note, fetuin, which is identical to asialofetuin but has TF antigen epitopes masked covalently with sialic acid, did not modify the kinetics of tumour cell interactions with microvascular endothelium (data not shown).
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Previously, we reported that both asialofetuin (Glinsky et al. 2001) and TF antigen-expressing tumour cells (Khaldoyanidi et al. 2003) cause rapid increase in cell surface expression of ß-galactoside-binding lectin galectin-3 on cultured endothelial cells. Subsequently, endothelium-expressed galectin-3 acts as a binding partner for TF antigen on cancer cells (Glinsky et al. 2001), and tumourendothelial cell adhesion is mediated largely by TF antigengalectin-3 interactions (Glinsky et al. 2001, 2003; Khaldoyanidi et al. 2003). Therefore, we investigated next whether metastatic cancer cell and asialofetuin effects upon well-differentiated microvessels ex vivo modify intravascular galectin-3 levels as well. The results of these experiments demonstrated that metastasis-associated microvascular endothelium activation induced by both malignant cells (Fig. 4B and C) and asialofetuin (Fig. 4D) was manifested by a marked increase in galectin-3 cell surface expression on microvascular endothelium. However, intriguingly, elevated cell surface galectin-3 expression was detectable only in selected segments of particular microvessels (mostly precapillary arterioles ranging from 50 µm to 100 µm in diameter), suggesting that not all microvessels respond uniformly to TF antigen-mediated stimuli.
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To determine whether cancer-associated carbohydrates (TF antigen) would activate in a similar manner microvascular endothelium derived from other metastasis-prone tissues, we investigated the effects of asialofetuin on the galectin-3 expression on HBMEC in vitro. Similar to dura mater microvasculature, HBMEC responded to asialofetuin treatment by a rapid and significant increase in cell surface galectin-3 expression (Fig. 5). The asialofetuin effect on HBMEC was inhibited almost completely by anti-TF antigen mAb, again emphasizing the important role for this carbohydrate structure in metastasis-associated endothelium activation. Of note, in these in vitro experiments as well, only selected endothelial cells responded to asialofetuin stimulation, suggesting that even established endothelial cell lines preserve their heterogeneity regarding the ability to respond to carbohydrate stimuli.
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| Discussion |
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) out from the centre stream toward the blood vessel wall (Fig. 6), whereas both direct tumour cell interactions with vascular wall and the difference in torque (T1T2) acting upon malignant cell edges located distally and proximally to a vascular wall regulate rolling response (Lawrence & Springer, 1991). So increasing the proprotion of cancer cells travelling at velocities below Vcrit, which are likely to be retarded by adhesive interactions with vascular wall (Ley & Gaehtgens, 1991), reflects the gradual increase in endothelium adhesiveness resulting from metastasis-associated endothelium activation.
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50% of rolling leucocytes interact with lateral vessel edges including the anterior and posterior vessel walls. It appears that under conditions of flow, hydrodynamic forces acting upon cancer cells largely compensate for the effects of gravity, and similarly to leucocyte rolling in venules (Ley & Gaehtgens, 1991), changes in endothelial properties, not in haemodynamics, are responsible for metastatic cell rolling in arterioles.
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In summary, the results of this study demonstrate that microvascular endothelium in metastasis-prone tissues undergoes activation in response to desialylated cancer-associated carbohydrate structures (TF antigen) expressed on tumour cells and glycoproteins, manifested by cell surface mobilization of ß-galactoside-binding lectin galectin-3. Such activation, preceding tumour cell arrest and retention in microcirculation, could play an important role in haematogenous breast and prostate cancer metastasis. The efficient inhibition of this process by anti-TF antigen antibody suggests that metastasis-associated endothelium activation could be an important target for developing new approaches to cancer therapy. Of note, the metastasis-associated endothelium activation described here occurs in response to carbohydrate stimuli in the absence of cytokines. To the best of our knowledge, this is the first report describing such carbohydrate-mediated endothelium activation. As desialylated cancer-associated carbohydrate structures such as TF antigen could appear under special circumstances on the surfaces of normal cells as well (e.g. aged erythrocytes), this phenomena could also be of general physiological significance.
| Footnotes |
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