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Brain Tumor Center of Excellence, Comprehensive Cancer Center, Departments of Neurosurgery, Radiation Oncology, and Pathology, Wake Forest University School of Medicine, Winston-Salem, North Carolina
Requests for reprints: Waldemar Debinski, Brain Tumor Center of Excellence, Comprehensive Cancer Center, Departments of Neurosurgery, Radiation Oncology, and Pathology, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157. Phone: 336-716-9712; Fax: 336-713-7639. E-mail: debinski{at}wfubmc.edu
| Abstract |
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90% of GBM specimens and cell lines but not in normal brain, whereas ephrinA1 was present at consistently low levels in both GBM and normal brain. EphA2 was activated and phosphorylated by ephrinA1 in GBM cells. Furthermore, ephrinA1 induced a prominent, dose-dependent inhibitory effect on the anchorage-independent growth and invasiveness of GBM cells highly overexpressing EphA2, which was not seen in cells expressing low levels of the receptor. Thus, EphA2 is both specifically overexpressed in GBM and expressed differentially with respect to its ligand, ephrinA1, which may reflect on the oncogenic processes of malignant glioma cells. EphA2 seems to be functionally important in GBM cells and thus may play an important role in GBM pathogenesis. Hence, EphA2 represents a new marker and novel target for the development of molecular therapeutics against GBM. | Introduction |
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12 months (3). Despite the standard treatment of surgical resection of the tumor followed by radiation and/or chemotherapy, the survival rate has increased only slightly over the past three decades (3). It is clear that novel therapies are needed to improve the prognosis and quality of life of patients with GBM. Molecular markers that either are found specifically on tumor cells or are highly overexpressed on malignant cells and nearly absent on normal cells are attractive therapeutic targets for approaches such as targeted drug delivery. Along these lines, we identified previously a receptor for interleukin-13, ILR
2, which is a brain tumorassociated cancer/testis tumor antigen and is a very attractive therapeutic target (4). The Eph receptors comprise the largest family of tyrosine kinase receptors, a group of well-studied transmembrane proteins that are crucial in mediating important signal transduction pathways in cells such as those controlling growth, migration, and differentiation (5). The 15 members of the Eph receptors are divided into A and B classes based on the homology of their extracellular domains (6), which typically include a globular NH2-terminal ligand-binding domain followed by a cysteine-rich domain and two fibronectin type III repeats (7). The COOH-terminal intracellular domain that is conserved among all Eph receptors contains two tyrosine residues involved in the autophosphorylation activity of the receptor and is followed by a tyrosine kinase catalytic domain (8). The phosphorylation of both the membrane proximal tyrosines and those in the catalytic region controls Eph receptor biological activity (9).
The Eph receptors are unique among the tyrosine kinase receptors in that their endogenous ligands, the ephrins, are bound to the surface of neighboring cells. The ephrins are a family of cell surfaceanchored proteins of two classes based on how they are attached to the plasma membrane (5). EphrinA ligands are attached via a glycosylphosphatidylinositol linkage, whereas ephrinB ligands possess a transmembrane sequence with an intracellular domain that mediates attachment to the cell membrane (10). All of the ephrins interact with specific Eph receptors, although there is promiscuity as some ephrins bind to more than one Eph receptor (10).
Eph receptors and ephrin ligands display specific patterns of expression during development (11-15). They have been implicated in the complex process of establishing boundaries between populations of cells during the formation of the body plan (11, 12). In neural development, Eph receptors and their ligands have been shown to play an important role in axon guiding through the mediation of contact-dependent processes between cells (13-15). EphA2 is present in the nervous system during embryonic development, but unlike most other Eph receptors it is also expressed on the surface of proliferating adult epithelial cells (16-18). However, this expression is at a relatively low level and most commonly limited to the skin, intestine, lung, and ovary (19). Notably, in these cells, the receptor is localized to points of cell-cell contact and bound by its ligand, ephrinA1 (20).
Previously, EphA2 has been found significantly overexpressed in several human epithelial malignancies, such as breast (21, 22), colon (21, 23, 24), ovarian (25), prostate (26, 27), and pancreatic (28) carcinomas. This elevation in the level of EphA2 is thought to be due in part to a decrease in the amount of ligand-mediated receptor degradation (18). For example, the unstable cell-cell contacts within cancer tissue may hinder the ability of EphA2 to interact with ephrinA1 on neighboring cells (20). Consequently, receptor activation and subsequent degradation of EphA2 are markedly decreased. Interestingly, this produces a situation in transformed epithelial cells in which EphA2 is significantly less activated and simultaneously highly overexpressed (18, 20, 22). The activation of EphA2 has been observed to negatively regulate integrin-mediated adhesion, cell spreading, and migration (29). Activated EphA2 has also been shown to suppress the function of integrins and directly cause the dephosphorylation of and subsequent dissociation from focal adhesion kinase (29). Furthermore, EphA2 activation inhibits cell growth (20) and proliferation (30) and decreases cell-extracellular matrix contacts (20). Hence, when EphA2 is present in its inactive state, the cells on which it is expressed may have a tendency to be more motile, invasive, and faster growing. Not surprisingly, therefore, many of the invasive and aggressive phenotypes of the aforementioned cancers have been correlated with the overexpression of inactive EphA2 both in vitro and in vivo (22, 25, 28).
EphA2 also plays an important role in angiogenesis (31) and tumor neovascularization (21) through association with its endogenous ligand, ephrinA1. EphrinA1 was originally described as a tumor necrosis factor-
inducible endothelial gene product (32), and a role for ephrinA1 as an important factor in angiogenesis has been proposed (33). In contrast to the situation in epithelial cells, the failure of ephrinA1 to activate EphA2 in normal endothelial cells inhibits vascular endothelial growth factorinduced angiogenesis (31). In fact, both EphA2 and ephrinA1 have been shown to be expressed in malignant cells and the associated endothelial cells of the tumor neovasculature (21).
These findings, together with gene expression patterns observed on cDNA microarrays done previously (34), prompted us to investigate the presence and role of EphA2 and its interaction with ephrinA1 in malignant gliomas. Our results suggest that EphA2 is important not only in malignancies of epithelial origin but also in those of glial origin.
| Results |
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25 kDa) in most of the same cell lines in which EphA2 was abundantly overexpressed, such as A-172 MG, DBTRG-05 MG, and G48a (Fig. 1A). In U-251 MG cells, however, we observed a faint ephrinA1 immunoreactive band (Fig. 1A). In addition, normal brain tissue possessed very low levels of immunoreactive ephrinA1 similar to the level of EphA2 observed in the same samples (Fig. 1A). Because ephrinA1 is a tumor necrosis factor-
inducible gene product (33), human umbilical vein endothelial cells stimulated with tumor necrosis factor-
were included as a positive control for ephrinA1 detection in cell lysates (Fig. 1B). Next, we performed immunofluorescence to further investigate the expression and localization of EphA2 and ephrinA1 in GBM cells. Abundant, specific staining for EphA2 was observed in all GBM cell lines examined using both monoclonal and polyclonal EphA2 antibodies (Fig. 2A). In confluent cells, a distinct, honeycomb pattern of staining was evident (Fig. 2A, U-251 MG cells), which is indicative of the expected membrane-localized expression of the receptor. Some cytoplasmic and perinuclear staining was also seen. In one GBM cell line, U-87 MG, we observed the level of EphA2 immunofluorescence to be visibly lower compared with all other GBM cells (Fig. 2A). This finding is consistent with the low level of immunoreactive EphA2 protein found in U-87 MG cells by Western blotting (Fig. 1A).
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Expression of EphA2 and EphrinA1 in Human Glioblastoma Multiforme Specimens
Next, we investigated the expression of the receptor and its ligand in GBM specimens and normal brain tissue by Western blotting and immunohistochemistry. For Western blotting, whole tissue lysates were prepared from snap-frozen human GBM, prepared from the frontal lobe of a normal brain, or commercially purchased. We found that immunoreactive EphA2 was elevated above that in normal brain in 13 of 14 GBM tumors examined, whereas 6 tumors exhibited large overexpression of EphA2 (Fig. 3). In 9 of 13 samples in which EphA2 was elevated, immunoreactive ephrinA1 was present at markedly lower levels (Fig. 3, GBM 6, 12, 23, 114, 121, 125, 24, 117, and 105). The remaining 4 samples all displayed an increase in both EphA2 and ephrinA1 immunoreactivity above that seen in normal tissue (Fig. 3, GBM 102, 135, 45, and 112). Only one tumor, GBM 99, seemed to have low levels of both the receptor and the ligand (Fig. 3).
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| Discussion |
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To our knowledge, this is the first study investigating the presence and functional significance of the EphA2 receptor and its ligand, ephrinA1, in a human cancer of astroglial origin. EphA2 has been shown previously in murine glioma (36). In addition, another member of the Eph receptor family, EphB2, has been found to play a role in the migration and invasion of human glioma cells (37). The abundant overexpression of EphA2 in GBM may result from a decrease in the amount of ligand-induced receptor degradation (18, 20, 38). In normal tissues with stable cell-cell contacts, ephrinA1 binds and activates EphA2, causing the internalization of the receptor-ligand complex (20, 38). Subsequently, EphA2 is degraded due to interaction with c-Cbl (38, 39) and is found expressed at low levels in its activated state in normal adult epithelial tissue (20-22). In contrast, the overexpressed EphA2 in epithelial cancers is found predominantly in the nonactivated state, in which the tyrosines of the catalytic kinase domain remain unphosphorylated (20, 22). As our current results suggest, this situation holds true for malignant gliomas. We failed to detect any significant amount of EphA2 receptor tyrosine phosphorylation in both GBM cell lines and tumors, showing that EphA2, although overexpressed, is present in the biologically inactive state. The very low levels of ephrinA1 in GBM cells and most tumor tissue may, at least partially, explain the lack of EphA2 receptor activation and resultant persistent overexpression. In addition, the gene expression for the receptor is also increased in GBM, which may contribute to the presence of elevated gene product in this disease.
The pattern of EphA2 and ephrinA1 differential expression was evident not only in cell lines but also in GBM tumors. There were few exceptions, likely owing in part to the heterogenous nature of tumors. One property of neoplastic transformation is a decrease in the amount of stable cell-cell contacts (40). Therefore, it is plausible that ephrinA1 is indeed present in some tumors but can bind to EphA2 only in a short-lived manner that is insufficient to elicit receptor internalization and degradation. Alternatively, the majority of ephrinA1 may no longer exist in a form that is capable of successfully binding to and/or activating EphA2 in malignant tissue. For example, it is possible that ephrinA1 is cleaved from the surface of the cell and is present in the extracellular environment in a soluble, monomeric form, which does not effectively engage the EphA2 receptor (10). Both scenarios would promote the overexpression of EphA2.
EphA2 has been shown previously to be important in tumor neovascularization (21, 31). Malignant gliomas are inherently highly vascular tumors. Angiogenic factors, such as vascular endothelial growth factors, are present at variable levels in the tumor microenvironment (31). The level of ephrinA1 present in a GBM tumor, therefore, may be in part related to tumor cell response to angiogenic factors. Alternatively, the presence of ephrinA1 in tumor tissue may be attributable to that expressed in the normal vasculature. Notably, we found ephrinA1 in normal brain tissue specifically localized to vascular endothelial cells, which was less apparent in GBM specimens. In addition, the exact location from which the tumor tissue samples originated is unknown. It is possible that different regions of a tumor (i.e., the core versus the invading edge; ref. 41) have varying expression profiles of EphA2 and ephrinA1. EphA2, when activated by ephrinA1, signals through pathways involved in the negative regulation of cell growth, migration, proliferation, and invasion (20, 22, 30, 42, 43). We found that not only does ephrinA1 cause the phosphorylation of EphA2 but also that this change in the receptor status correlates with a decrease in anchorage-independent growth and invasion of GBM cells. Furthermore, these changes in cellular behavior caused by ephrinA1 seem to be related to the level of EphA2 expression, because they are not seen in low-level EphA2-expressing cell lines. Hence, the EphA2/ephrinA1 system has the potential to play a highly significant role in GBM, as EphA2 overexpressed in an inactive form may allow unwarranted intracellular signals facilitating tumor progression and/or maintenance. Studies investigating these possibilities are ongoing in our laboratory.
We have shown that EphA2 is highly overexpressed and functionally important for the oncogenic properties of GBM. This work forms the basis for future studies investigating EphA2/ephrinA1 system as a target for the development of molecular-based interventions for high-grade gliomas.
| Materials and Methods |
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was obtained from R&D Systems (Minneapolis, MN). Tissue samples from human GBM and normal brain were obtained from the operating room, formalin fixed, or frozen immediately and stored at 80°C. Sections (10 µm) of GBM were thaw mounted onto slides, which were stored at 80°C until assayed.
Western Blots
Cell lysates were prepared from subconfluent cultures. Cells were washed with PBS and lysed in radioimmunoprecipitation assay buffer (PBS, 0.5% sodium deoxycholate, 0.1% SDS, and 0.5% Igepal) containing mammalian protease inhibitor cocktail (Sigma). Nonmalignant brain and pathologist-verified GBM tumor tissue were minced into small pieces while frozen and homogenized in radioimmunoprecipitation assay buffer with mammalian protease inhibitor cocktail. Lysates were passed through an 18-gauge needle to shear the DNA and were incubated on ice for 60 minutes. Nonsoluble debris was pelleted at 10,000 rpm for 10 minutes and the supernatant was collected and stored at 80°C until use. Normal human brain lysates were purchased from Chemicon International and Clontech Laboratories. Lysates were separated by SDS-PAGE using 10% or 15% acrylamide or with 4% to 15% Tris-HCl gradient gels (Bio-Rad Laboratories, Hercules, CA). Proteins were then transferred to a polyvinylidene difluoride membrane (Pierce, Rockford, IL) and blocked for at least 1 hour with blotto (5% milk in PBS/0.05% Tween 20). Membranes were incubated with primary antibody diluted in blotto overnight at 4°C while shaking. Rabbit polyclonal EphA2 (1:100) and ephrinA1 (1:150) antibodies were purchased from Santa Cruz Biotechnology (Santa Cruz, CA). Mouse monoclonal EphA2 clone D7 (1:500), phosphotyrosine clone PY20 (1:1,000), and ß-actin (1:50,000) antibodies were purchased from Sigma. Following three 5-minute washes in PBS/0.05% Tween 20, membranes were incubated with secondary antibody conjugated with horseradish peroxidase (goat anti-mouse IgG or goat anti-rabbit IgG) at a dilution of 1:5,000 in blotto for 1 hour. Membranes were washed thrice for 5 minutes each in PBS/0.05% Tween 20 and detection was done using the Enhanced Chemiluminescence Plus Western Blotting Detection System (Amersham Biosciences, Little Chalfont, United Kingdom). Membranes were exposed to autoradiographic film X-OMAT AR for various times. Films were scanned at 600x dpi and images were compiled using Jasc Paint Shop Pro version 6.0.
Immunofluorescence and Immunohistochemistry
For immunofluorescence, GBM cell lines and human explant cells were grown overnight on sterile glass slides in the appropriate medium. Slides were washed twice in PBS and fixed for 2 minutes in acetone at 20°C. Slides were then washed twice in PBS and either used immediately or stored at 80°C until use. Frozen sections were thawed and subsequently fixed for 10 minutes in acetone at 20°C. Slides were washed twice in PBS and blocked for 1 hour in 10% normal goat serum at room temperature. Primary antibodies EphA2 polyclonal (1:200) or monoclonal (1:1,000) or ephrinA1 polyclonal (1:200) were diluted in 1.5% normal goat serum and incubated overnight at 4°C. No antibody control slides were incubated with 1.5% normal goat serum. Slides were washed twice in PBS for 5 minutes each and incubated with secondary antibody for 45 minutes at room temperature. Secondary antibodies included goat anti-rabbit rhodamine (1:200), donkey anti-rabbit rhodamine (1:200; both from Jackson ImmunoResearch Laboratories, Inc., West Grove, PA) or goat anti-mouse IgG Oregon Green (1:200; Molecular Probes, Eugene, OR). Slides were counterstained with Hoescht 33258 nuclear counterstain (4',6-diamidino-2-phenylindole). Slides were washed twice for 5 minutes each in PBS and mounted with Gel-Mount (Biomedia Corp., Foster City, CA).
For immunohistochemistry, tumor specimens were fixed in buffered formalin and embedded in paraffin. Sections (5 µm) were cut and mounted on chrom-alum slides. Tissue microarrays were obtained from Cybrdi, Inc. (Gaithersburg, MD). After completely dry, slides were baked at 65°C until the paraffin was melted. Slides were deparaffinized in xylene and rehydrated through alcohol. Antigen retrieval was done with 10 mmol/L sodium citrate buffer (pH 6.0) by microwaving twice on medium for 5 minutes each. Once cooled, endogenous peroxidase activity was quenched by incubating slides for 30 minutes in a peroxide/methanol bath. Slides were washed with three changes of PBS over 5 minutes. Staining was done using the SensiTek Horseradish Peroxidase Anti-Polyvalent kit (ScyTek Laboratories, Logan, UT). Background staining was blocked with ScyTek Superblock for 5 minutes. Slides were washed with PBS and incubated with primary antibody (EphA2 polyclonal 1:200 or ephrinA1 polyclonal 1:200) made in PBS overnight at 4°C. No antibody control slides were incubated with PBS. Excess antibody was removed by washing with PBS. Slides were then blocked in diluted Superblock (1:10 in PBS) for 15 minutes and washed with PBS. Slides were incubated in ScyTek biotinylated secondary antibody for 15 minutes and then washed with PBS. ScyTek avidin-horseradish peroxidase was applied to the slides and allowed to incubate for 20 minutes. Slides were rinsed in distilled water. Visualization with ScyTek AEC/chromagen was done and allowed to proceed for 8 to 10 minutes. Slides were rinsed with tap water and counterstained in hematoxylin for 1 minute. Slides were given a final rinse in tap water and mounted with Crystal-Mount (Biomedia).
Photomicrographs were taken with a x63 magnification oil immersion lens in all cases with a Zeiss Axiovision camera. Background was normalized to the samples without primary antibody. Images were processed with Jasc Paint Shop Pro version 6.01.
Anchorage-Independent Growth
U-251 MG, DBTRG-05 MG, U-87 MG, or H4 cells (2 x 103) were plated in six-well plates in growth medium plus 0.35% agar (Fisher, Fair Lawn, NJ) on a base layer of growth medium plus 0.5% agar. Cells were supplemented with a recombinant mouse ephrinA1/Fc chimera (R&D Systems) at 0.001, 0.01, 0.1, 0.5, or 1 µg/mL or vehicle alone (each concentration point was done in triplicate). EphrinA1 was replenished with fresh medium 3 days after plating, and colonies were counted at low power after 14 days. Clusters of colonies greater than 75 cells for DBTRG-05 MG and U-251 MG or 25 cells for U-87 MG and H4 (these latter two cell lines grow poorly in soft agar) were counted in 10 random fields at low power; each experimental condition was done in triplicate for every assay.
Invasion Assay
BD Biocoat Matrigel invasion chambers, control inserts, and wells (BD Biosciences, Bedford, MA) were rehydrated with 500-µL serum-free medium at 37°C for 2 hours. Cells were pretreated for 1 hour with 0.01, 0.1, 0.5, or 1.0 µg/mL ephrinA1-Fc at 37°C, trypsinzed, quenched with PBS plus 0.1% bovine serum albumin, and counted. After removing rehydration medium, 750-µL medium plus 5% fetal bovine serum was added to each well of the 24-well plate followed immediately by the addition of 4 x 104 cells in 500-µL serum-free medium plus the appropriate concentration of ephrinA1-Fc to each chamber and control insert. Plates were incubated for 20 to 22 hours at 37°C. Noninvading cells were removed from the upper surface of the membrane by scrubbing the membrane with a cotton swab. Cells on the lower surface of the membrane were stained with the Diff Quik stain kit (IMEB, Inc., San Marcos, CA). Invading cells in five random fields were counted with a x40 lens for the three Matrigel inserts and control inserts used for each cell type and treatment condition (each was done in triplicate) to obtain the mean number of cells migrating through the Matrigel membrane and the control insert membrane. Data are expressed as the percent invasion through the Matrigel matrix membrane relative to migration through the control membrane.
Immunoprecipitation
Cell lysates were prepared from subconfluent cultures. Cells were washed with PBS and lysed in radioimmunoprecipitation assay buffer (PBS, 0.5% sodium deoxycholate, 0.1% SDS, and 0.5% Igepal) containing mammalian protease inhibitor cocktail and 1 mmol/L sodium vanadate. Cell lysate (
500 µg) was incubated with 5 µg monoclonal EphA2 (clone D7) overnight at 4°C. Seventy microliters of a 50% PBS/bead slurry containing
35 µL packed protein G-Sepharose beads (Sigma) were added and incubated for a minimum of 1 hour at 4°C. Beads were collected by centrifugation, washed thrice with ice-cold radioimmunoprecipitation assay buffer, and resuspended in 60 µL of 3x SDS sample buffer (New England Biolabs, Ipswich, MA). Samples were heated at 100°C for 5 minutes. Supernatant was collected and stored at 20°C until separated using SDS-PAGE for Western blotting.
EphA2 Receptor Phosphorylation
Subconfluent cultures of U-251 MG cells were serum starved overnight in 100-mm dishes. Cells were treated with a recombinant mouse ephrinA1/Fc chimera or mouse monoclonal IgG1 isotype control (R&D Systems) for the indicated times. Cell lysates were prepared at the indicated times and used for immunoprecipitation with EphA2 followed by Western blotting for phosphotyrosine and, subsequently, EphA2 (see above).
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The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
1 Wykosky et al., in preparation. ![]()
Received 5/ 4/05; revised 8/13/05; accepted 8/30/05.
| References |
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2 is a glioma-restricted receptor for interleukin-13. Neoplasia 2002;5:38899.
-induced angiogenesis. Science 1995;268:5679.This article has been cited by other articles:
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