Relationship Between Ganglioside Expression and Anti-Cancer Effects of the Monoclonal Antibody Against Epithelial Cell Adhesion Molecule in Colon Cancer
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EXPERIMENTAL and MOLECULAR MEDICINE, Vol. 43, No. 12, 693-701, December 2011 Relationship between ganglioside expression and anti-cancer effects of the monoclonal antibody against epithelial cell adhesion molecule in colon cancer Dong Hoon Kwak1, Jae-Sung Ryu2, was investigated by high-performance thin-layer Chang-Hyun Kim3, Kisung Ko2, chromatography. The results demonstrated that ex- Jin Yeul Ma1, Kyung-A Hwang4 pression of GM1 and GD1a significantly increased in and Young-Kug Choo2,5 the ability of anti-EpCAM to inhibit cell growth in SW620 cells. Anti-EpCAM mAb treatment increased the ex- 1Center for Herbal Medicine Improvement Research pression of anti-apoptotic proteins such as Bcl-2, but Korea Institute of Oriental Medicine the expression of pro-apoptotic proteins Bax, TNF-α, Daejeon 305-811, Korea caspase-3, cleaved caspase-3, and cleaved caspase-8 2Department of Biological Science were unaltered. We observed that anti-EpCAM mAb College of Natural Sciences significantly inhibited the growth of colon tumors, as Institute of Biotechnology determined by a decrease in tumor volume and weight. Wonkwang University The expression of anti-apoptotic protein was inhibited Iksan 570-749, Korea by treatment with anti-EpCAM mAb, whereas the ex- 3Dong-guk University Research Institutes of Biotechnology pression of pro-apoptotic proteins was increased. Medical Science Research Center These results suggest that GD1a and GM1 were closely Goyang 410-773, Korea related to anticancer effects of anti-EpCAM mAb. In 4Department of Agrofood Resources light of these results, further clinical investigation National Academy of Agricultural Science, RDA should be conducted on anti-EpCAM mAb to de- Suwon 441-853, Korea termine its possible chemopreventive and/or ther- 5Corresponding author: Tel, 82-63-850-6087; apeutic efficacy against human colon cancer. Fax, 82-63-857-8837; E-mail, [email protected] http://dx.doi.org/10.3858/emm.2011.43.12.080 Keywords: antibodies, monoclonal; apoptosis; colon neoplasms; EPCAM protein, human; gangliosides; Accepted 28 October 2011 macrophages Available Online 28 October 2011 Abbreviations: ATCC, American type culture collection; CNS, central nerve system; CRC, colorectal carcinoma; DNR, daunorubicin; Introduction EpCAM, epithelial cell adhesion molecule; HPTLC, high-performance thin-layer chromatography; PMSF, phenylmethylsulfonyl fluoride; The use of mAbs as adjuvant in cancer chemotherapy TUNEL, TdT-mediated duTP nick and labeling has drawn considerable interest because of the success of several novel agents with a broad range of targets. Although several immunological Abstract agents have been discovered, a comprehensive understanding of the mechanism of action, the The human colorectal carcinoma-associated GA733 optimal dose, or administration timing is absent antigen epithelial cell adhesion molecule (EpCAM) was (Dyer, 1999; Sievers et al., 2001; Dillman, 2002). Models based on tumor destruction by antigen- initially described as a cell surface protein selectively dependent cell-mediated cytotoxity or by complement- expressed in some myeloid cancers. Gangliosides are dependent cytotoxicity and idiotypic networks have sialic acid-containing glycosphingolipids involved in been developed to explain the effectiveness of inflammation and oncogenesis. We have demon- mAbs. A mAb directed against epithelial cell adhesion strated that treatment with anti-EpCAM mAb and molecule (EpCAM) is currently under development. RAW264.7 cells significant inhibited the cell growth in The human colorectal carcinoma (CRC)-associated SW620 cancer cells, but neither anti-EpCAM mAb nor antigen GA733, also named CO17-1A/EpCAM/ RAW264.7 cells alone induced cytotoxicity. The rela- KSA/KS1-4, is highly expressed in human CRCs tionship between ganglioside expression and the an- and is a useful passive immunotherapy target in ti-cancer effects of anti-EpCAM mAb and RAW264.7 CRC patients (Koprowski et al., 1979; Zaloudik et 694 Exp. Mol. Med. Vol. 43(12), 693-701, 2011 Figure 1. Morphological changes in and cell viability of SW620 human colon cancer cells treated with EpCAM mAb and RAW264.7 cells. (A) SW620 colon cancer cells morphology. (B) Viability of SW620 human co- lon cancer cells were treated with EpCAM mAb (10 μM) and RAW 264.7 cells for 24 h. Treatment ratio of SW620 cells and RAW264.7 cells is 1:10. Values are the mean (SD) of 3 experiments, each performed in triplicate. *P < 0.05 indicates a statistically significant difference from the control. Figure 2. HPTLC profiles of Gangliosides in SW620 colon cancer cells al., 2002). The glycoprotein was originally defined treated with EpCAM mAb and RAW264.7 cells. (A) Qualitative analysis of by anti-GA733, anti-CO17-1A, and anti-EpCAM gangliosides in SW620 cells, and ganglioside extracts were resolved by HPTLC. Lanes 1 and 2, ganglioside standard markers (M1 and M2); lane mAbs, which bind to different epitopes on this 3, SW620 colon cancer cells (control); lane 4, SW620 colon cancer cells antigen (Herlyn et al., 1984; Ross et al., 1986). treated with RAW264.7 cells; lane 5, SW620 colon cancer cells treated EpCAM, a putative adhesion molecule, was initially with EpCAM mAb; lane 6, SW620 colon cancer cells treated with EpCAM described as a cell surface protein selectively mAb and RAW264.7 cells. (B) Quantitative analysis of gangliosides (GM1 and GD1a) expression in SW620 colon cancer cells treated with expressed by epithelial (Helyn et al., 1979; Howard EpCAM mAb and RAW264.7 cells. The Quantitative values from densi- et al., 1986) and some myeloid cancers (Bergsagel tometry program (Beta 4.0.3 of Scion Image, Frederick, MD). Similar ob- et al., 1992). Malignant epithelial-derived tumors servations were made in 3 separate experiments. significantly expressed to the EpCAM (Barzar et al., 1999). Recently, Maetzel et al. (2009) described proteolytic fragments of EpCAM that participate in carbohydrate determinants have been utilized as nuclear signaling in tumor cells. EpCAM is also tumor markers to diagnose colon cancer (Kannagi expressed by stem cells in colon cancers (Dalerba et et al., 2004). GD1a and GM1 are the 2 main al., 2007) and hepatocellular carcinomas (Yamashita gangliosides in many cell types (Kwak et al., 2011). et al., 2007). Developmental changes in ganglioside composition Cell membrane constituent, such as gangliosides, of the nervous system are characterized by an modulate these complex interactions by inhibiting increase in GM1 and GD1a during the transition receptor dimerization or through other allosteric from fetal to postnatal life (Svennerholm et al., interactions. Gangliosides, which are sialic acid- 1989). Decreased GM1 reduced the natural killer containing glycosphingolipids, are plasma membrane activity of hepatic mononuclear cells and increased constituents of all vertebrate cells and are particularly the number of hepatic metastases of colon abundant in the CNS (Svennerholm, 1980). In carcinoma (Shiratori et al., 1992). Previous study vitro, exogenously applied gangliosides are rapidly has described the inhibitory effect of GM1 in incorporated into the plasma membrane and are animal models of colon cancer metastasis (Vogel responsible for numerous biological effects, such as et al., 1996). GD1a is also known to suppress the development, differentiation, and cell-cell interaction, metastasis of cancer cells (Hyuga et al., 1999). In inflammation and oncogenesis (Laine and Hakomori, this study, we demonstrated the relationship 1973; Feizi, 1985; Hakomori, 1996). Subsequent between GM1 and GD1a expression and the studies have indicated the functional significance of anticancer effects of anti-EpCAM mAb on SW620 tumor-associated carbohydrate antigens in cancer colorectal cancer cells and tumors. malignancy (Fukuda, 1996). Tumor-associated Gangliosides and anticancer effects of EpCAM 695 Figure 3. Effect of EpCAM mAb on the expression of gangliosides in colon cancer cells analyzed by immunofluorescence staining. Ganglioside ex- pression in SW620 cancer cells was determined by DAPI staining and FITC (green) assay. Treatment with anti-EpCAM mAb (10 μM) for 24 h. (A) The FITC-positive (green) cells are a ganglioside GD1a expressed cells (200× magnification). (B) The FITC-positive (green) cells are a ganglioside GM1 ex- pressed cells (200× magnification). The values represent mean (SD) of 3 experiments, each performed in triplicate. *P < 0.05 indicates a statistically significant difference from the control group. Results However, these studies could not completely exclude possible side effects induced by the chemicals Anti-EpCAM mAb inhibited the growth of human used; hence, the specific roles of gangliosides in colorectal cancer cells treated with RAW264.7 cells cancer cells remain unclear. Therefore, the relationship between gangliosides expression and To determine whether the immunoreaction of the anticancer effects of treatment with anti-EpCAM anti-EpCAM mAb with RAW264.7 cells is inhibited mAb and RAW264.7 cells was investigated by to cancer cell growth, the inhibitory effect of HPTLC analysis. The results from the analysis anti-EpCAM mAb on SW620 cancer cell growth suggest that GM1 and GD1a were closely related was analyzed by direct counting. Morphological in anti-EpCAM mAb-mediated growth inhibition of observation revealed that the cells gradually SW620 cells (Figure 2). Figure 3 shows immuno- reduced in size and adopted a round shape in fluoresces stain result that the expression of GM1 response to anti-EpCAM mAb treatment (Figure and GD1a were significantly