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Published OnlineFirst December 17, 2015; DOI: 10.1158/0008-5472.CAN-15-0884 Cancer Tumor and Stem Cell Biology Research Eva1 Maintains the Stem-like Character of Glioblastoma-Initiating Cells by Activating the Noncanonical NF-kB Signaling Pathway Naoki Ohtsu1, Yuka Nakatani2, Daisuke Yamashita3, Shiro Ohue3, Takanori Ohnishi3,and Toru Kondo1,2 Abstract Glioblastoma (GBM)–initiating cells (GIC) are a tumorigenic as Eva1 overexpression enhanced these properties. Eva1 deficien- subpopulation that are resistant to radio- and chemotherapies cy was also associated with decreased expression of stemness- and are the source of disease recurrence. Therefore, the identifi- related genes, indicating a requirement for Eva1 in maintaining cation and characterization of GIC-specific factors is critical GIC pluripotency. We further demonstrate that Eva1 induced GIC toward the generation of effective GBM therapeutics. In this study, proliferation through the activation of the RelB-dependent non- we investigated the role of epithelial V-like antigen 1 (Eva1, also canonical NF-kB pathway by recruiting TRAF2 to the cytoplasmic known as myelin protein zero-like 2) in stemness and GBM tail. Taken together, our findings highlight Eva1 as a novel tumorigenesis. Eva1 was prominently expressed in GICs in vitro regulator of GIC function and also provide new mechanistic and in stem cell marker (Sox2, CD15, CD49f)-expressing cells insight into the role of noncanonical NF-kB activation in GIC, derived from human GBM tissues. Eva1 knockdown in GICs thus offering multiple potential therapeutic targets for preclinical reduced their self-renewal and tumor-forming capabilities, where- investigation in GBM. Cancer Res; 76(1); 171–81. Ó2015 AACR. Introduction nance of neural stem cells (NSC; refs. 2–5). NSCs exist only in the subventricular zone and hippocampus (6, 7), both of which Gliomas are brain tumors possessing the characteristics of glial contain a special microenvironment (niche) for the maintenance cells, astrocytes, and oligodendrocytes, and have been classified of NSCs, whereas GBM arises in many areas in the brain. It into four grades (WHO grade I–IV) based on their pathologic currently remains unknown how GICs maintain their stemness features. Glioblastoma (GBM) is the most malignant glioma in the brain; whether GICs generate their preferable niche any- (WHO grade IV), and patients with GBM have a median survival where or use an unknown mechanism for their maintenance in of approximately one year. Despite tremendous efforts to effec- non-NSC niches. tively treat GBM, the overall survival rates of patients with GBM We previously established the mouse GIC lines (mGIC), have remained unchanged over the past few decades. NSCL61 and OPCL61, by overexpressing an oncogenic HRasL61 The discovery of GBM-initiating cells (GIC) has had a signif- in p53-deficient NSCs and oligodendrocyte precursor cells (OPC), icant impact on GBM research (1). GICs have a strong self-renewal respectively (8, 9). These mGICs formed transplantable GBM with capability, express stem cell markers, such as CD133 (also known hypercellularity, pleomorphism, multinuclear giant cells, mitosis, as Prominin1), Sox2, CD15 (also known as Stage-Specific Embry- and necrosis, even when as few as ten cells were injected into the onic Antigen 1 and Lewis X), and CD49f (also known as integrin a brains of nude mice. These findings indicated that they were 6), and are more resistant to radiotherapy and chemotherapy highly enriched in bona fide GICs. Using DNA microarray anal- higher than non-GICs (2–5). GICs have also been shown to ysis, we compared the gene expression profiles of mGICs with exploit the signaling pathways that are involved in the mainte- those of their parental cells and identified genes that increased and decreased in mGICs. By evaluating the candidate genes using 1 human GICs (hGICs) and GBM tissues, we have successfully Division of Stem Cell Biology, Institute for Genetic Medicine, Hokkaido fi – University, Sapporo, Hokkaido, Japan. 2Laboratory for Cell Lineage selected potential GIC-speci c genes (8 11). Modulation, RIKEN Center for Developmental Biology, Kobe, Hyogo, Among the candidate genes evaluated, we focused on epithelial 3 Japan. Department of Neurosurgery, Ehime University Graduate V-like antigen 1 (Eva1, also known as myelin protein zero-like 2). School of Medicine, To-on, Ehime, Japan. Eva1 was originally identified as an immunoglobulin superfamily Note: Supplementary data for this article are available at Cancer Research member expressed on the developing thymus epithelial cell Online (http://cancerres.aacrjournals.org/). membrane and disappeared in the developed one (12–14). Eva1 Current address for Y. Nakatani: Division of Bio-Function Dynamics Imaging, was also shown to be involved in the T-cell development through Center for Life Science Technology, RIKEN, Kobe, Hyogo, Japan. the Eva1–Eva1 homophilic interaction between CD4/CD8 dou- Corresponding Author: Toru Kondo, Division of Stem Cell Biology, Institute for ble-positive cells and thymus epithelial cells in the early embryo Genetic Medicine, Hokkaido University, Kita-15, Nishi-7, Kita-ku, Sapporo 060- (12–14); however, there was no detectable phenotype, including 0815, Japan. Phone: 81-11-706-6082; Fax: 81-11-706-7870; E-mail: the hematopoietic development, in the Eva1 knockout mice [email protected] (12–15; Ohtsu and colleagues, unpublished observation). doi: 10.1158/0008-5472.CAN-15-0884 Notably, it has not been shown that Eva1 was involved in either Ó2015 American Association for Cancer Research. tumorigenesis or stemness. These findings led us to investigate www.aacrjournals.org 171 Downloaded from cancerres.aacrjournals.org on September 27, 2021. © 2016 American Association for Cancer Research. Published OnlineFirst December 17, 2015; DOI: 10.1158/0008-5472.CAN-15-0884 Ohtsu et al. whether Eva1 can be a novel GIC marker and/or a potential polyclonal anti-Eva1 (5 mg/mL), mouse monoclonal anti-CD15 therapeutic target. (5 mg/mL; BD Pharmingen) and biotinylated mouse monoclonal Here, we show the evidence that Eva1 is expressed on GICs and anti-CD49f (Affymetrix; 1:100). Antibodies were detected with its modulation impacts GIC characteristics, including stemness- APC-conjugated goat anti-mouse IgG (Santa Cruz Biotechnology; related gene expression, side population, self-renewal activity and 1:200) and PE-conjugated goat anti-rabbit IgG (Santa Cruz Bio- tumorigenesis, through the noncanonical NF-kB signaling path- technology; 1:200). The cells were analyzed in an Aria II (Becton way, providing a new molecular mechanism that maintains GIC Dickinson) using a dual-wavelength analysis (488 nm solid-state characteristics. laser and 638 nm semiconductor laser). Propidium iodide– positive (i.e., dead) cells were excluded from the analysis. The SP was analyzed as shown previously (11). Reserpine Materials and Methods (10 mmol/L), an inhibitor of some ABC transporters, was used Animals and chemicals to identify SP. Mice were obtained from the Laboratory for Animal Resources and Genetic Engineering at the RIKEN Center for Developmental Human brain tumors Biology (Hyogo, Japan) and from Charles River Japan, Inc. All Human GICs were used according to the research guidelines of mouse experimental protocols were approved by the Animal Care the Ehime University Graduate School of Medical Science and the and Use Committees of RIKEN Center for Developmental Bio- Hokkaido University Institute for Genetic Medicine. Poly(A)þ logy, Ehime University (Ehime, Japan), and Hokkaido University RNA was prepared using a QuickPrep mRNA Purification Kit (GE (Hokkaido, Japan). Chemicals and growth factors were purchased Healthcare). Control human brain total mRNA was purchased from Sigma-Aldrich and Peprotech, respectively, except where from Invitrogen. cDNA was synthesized using a Transcription First otherwise indicated. Strand cDNA Synthesis Kit (Roche). Cell culture Intracranial cell transplants in the NOD/SCID mouse brain and Mouse primary NSCs, NSCL61 cells, human NSCs (hNSCs, brain-tumor histopathology Invitrogen), and GICs (hGICs, E2, E3 and E6) were cultured in NSCL61 cells or hGICs were suspended in 5 mL of culture DMEM/F12 (Gibco, BRL) supplemented with bFGF (10 ng/mL) medium and injected into the brains of 5- to 8-week-old female and EGF (10 ng/mL; NSC medium), as described previously NOD/SCID mice under anesthesia with 10% pentobarbital. The – (8 11, 16). For immunostaining, cells were cultured in chamber stereotactic injection coordinates were 2 mm forward from the fi slides (Nunc) precoated with bronectin and poly-D-lysine, as lambda, 2 mm lateral from the sagittal suture, and 5 mm deep. described previously (16). Mouse brains were dissected, fixed in 4% paraformaldehyde at Immunochemistry 4 C overnight, transferred to 70% ethanol, processed on Tissue- fi Immunostaining of paraffin-embedded human brain-tumor Tek VIP (Sakura Finetek Japan), and embedded in paraf n. sections (6 mm thick) and mouse cells or brain sections was Coronal sections (6-mm thick) from the cerebral cortex were performed as described previously (8). Eva1 was retrieved by prepared on a microtome and stained with hematoxylin and HistoVT One according to the supplier's instructions (Nacalai eosin (H&E). Tesque). The sections were permeabilized with 0.3% TritonX-100 in PBS for penetration, treated with a blocking solution (2% skim RT-PCR RT-PCR was performed as described previously (16), with the milk, 0.3% Triton X-100, and PBS) for 1 hour, and incubated with primary antibodies for 16 hours at 4C. Cells were fixed and cycle parameters of 20 seconds at 94 C, 30 seconds at 57 C, and 60 seconds at 72C for 35 cycles (GICs) or 40 cycles (GBM tissues). immunostained as described previously (16). The following antibodies were used to detect antigens: rabbit polyclonal anti- Cycles for gapdh were 15 seconds at 94 C, 30 seconds at 53 C, and 90 seconds at 72C for 22 cycles. The following oligonucleotide DNA Eva1 (10 mg/mL) produced by immunizing a rabbit with a 0 0 synthetic peptide (CPMSGRFKDRVSWDGNPE) using a standard primers were synthesized: for eva1,asfollows:5 primer, 5 -TTCT- CCAGCTTTGCCCCTGT-30;30 primer, 50-CCGCCCATCGCTTTTTC- method (Supplementary Fig.