Human Endothelial Precursor Cells Express Tumor Endothelial Marker 1/Endosialin/CD248
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2536 Human endothelial precursor cells express tumor endothelial marker 1/endosialin/CD248 Rebecca G. Bagley,1 Cecile Rouleau,1 that the angiogenesis process in cancer can involve EPC. Thia St. Martin,1 Paula Boutin,1 William Weber,1 [Mol Cancer Ther 2008;7(8):2536–46] Melanie Ruzek,1 Nakayuki Honma,2 Mariana Nacht,1 Srinivas Shankara,1 Introduction Shiro Kataoka,2 Isao Ishida,2 Bruce L. Roberts,1 Angiogenesis is required for tumor growth and physiologic and BeverlyA. Teicher 1 studies showed that tumor vasculature is distinct from normal vasculature. For example, blood flow in tumors is 1Genzyme Corporation, Framingham, Massachusetts and 2 irregular with circulation occurring at lower than normal Kirin Pharma Co., Ltd., Gunma, Japan rates in vessels that can be corkscrew-like or tortuous in shape resulting in high interstitial pressure (1). Mosaicism Abstract in tumor vasculature results in greater permeability or ‘‘leakiness’’ than normal blood vessels (2). Angiogenesis occurs during normal physiologic processes Serial analysis of gene expression (SAGE)analysis as well as under pathologic conditions such as tumor comparing the gene expression profiles between endothe- growth. Serial analysis of gene expression profiling lial cells isolated from normal tissues and from tumors revealed genes [tumor endothelial markers (TEM)] that enables the identification of angiogenesis-related genes up- are overexpressed in tumor endothelial cells compared regulated in malignant disease. St. Croix et al. reported a with normal adult endothelial cells. Because blood vessel series of up-regulated genes, tumor endothelial markers development of malignant tumors under certain condi- (TEM), differentially expressed z10-fold by tumor endo- tions may include endothelial precursor cells (EPC) thelial cells versus normal endothelial cells (3). Endosialin, recruited from bone marrow, we investigated TEM or TEM1/CD248, expression was confined to the smaller expression in EPC. The expression of TEM1 or endosialin blood vessels in many human tumors including sarcomas, (CD248) and other TEM has been discovered in a carcinomas, and neuroectodermal tumors (4), suggesting population of vascular endothelial growth factor receptor À involvement in the earlier stages of angiogenesis. 2+/CD31+/CD45 /VE-cadherin+ EPC derived from hu- Endosialin is a type I cell surface glycoprotein of 757 man CD133+/CD34+ cells. EPC share some properties amino acids with a predicted molecular mass of 80.9 kDa with fully differentiated endothelial cells from normal and one transmembrane domain (5). Endosialin interacts tissue, yet reverse transcription-PCR and flowcytometry with extracellular matrix proteins to mediate cell adhesion reveal that EPC express higher levels of endosialin at the and migration (6). Endosialin has also been detected in molecular and protein levels. The elevated expression of human melanomas, squamous cell carcinomas, brain endosialin in EPC versus mature endothelial cells sug- tumors, and colorectal cancer (7–9). An endosialin knock- gests that endosialin is involved in the earlier stages of out mouse was fertile with normal body weight, vascula- tumor angiogenesis. Anti-endosialin antibodies inhibited ture, and wound healing capability (10). However, when EPC migration and tube formation in vitro. In vivo, human HCT116 colon carcinoma was implanted orthotopi- immunohistochemistry indicated that human EPC contin- cally into nude endosialin knockout mice, the tumor take ued to express endosialin protein in a Matrigel plug rate was 33% versus 90% in normal nude mice. HCT116 angiogenesis assay established in nude mice. Anti- tumors grew more slowly in the knockout mice with fewer endosialin antibodies delivered systemically at 25 mg/kg liver metastases, indicating that endosialin can influence were also able to inhibit circulating murine EPC in nude tumor vascular development. mice bearing s.c. SKNAS tumors. EPC and bone Vasculature formation within tumors can arise from the marrow–derived cells have been shown previously to cooption of existing blood vessels in close proximity to the incorporate into malignant blood vessels in some instan- site of malignancy. However, cells derived from the bone ces, yet they remain controversial in the field. The data marrow can also home to tumorigenic sites in response to presented here on endothelial genes that are up-regulated proangiogenic factors released by cancer cells and stroma. in tumor vasculature and in EPC support the hypothesis Bone marrow–derived endothelial precursor cells (EPC) have been identified in the tumor vasculature of some preclinical models (11–13). Importantly, EPC have recently been shown to control the angiogenic switch in mouse lung Received 1/15/08; revised 4/23/08; accepted 4/23/08. metastasis (14). In humans, EPC have been identified in Requests for reprints: Rebecca G. Bagley, Genzyme Corporation, 49 New York Avenue, Framingham, MA 01701-9322. Phone: 508-270-2455; patients with multiple myeloma, astrocytomas, inflamma- Fax: 508-271-4796. E-mail: [email protected] tory breast cancer, and non-small cell lung cancer (15–18). Copyright C 2008 American Association for Cancer Research. Because endosialin has been implicated in tumor angio- doi:10.1158/1535-7163.MCT-08-0050 genesis and EPC can incorporate into tumor vasculature, Mol Cancer Ther 2008;7(8). August 2008 Downloaded from mct.aacrjournals.org on September 29, 2021. © 2008 American Association for Cancer Research. Molecular Cancer Therapeutics 2537 we investigated the expression of endosialin, TEM, and Reverse transcription was done using the cDNA archive anti-endosialin antibodies in EPC. The molecular markers kit (Applied Biosystems). Real-time PCR analysis was done that denote an EPC population remain controversial in the using the fluorogenic 5¶-nuclease assay in the ABI 7700 field. Progenitor cells in bone marrow or in circulation that sequence detector (Taqman). Final concentrations of each express the markers CD34 and CD133 identify a subpop- duplicate multiplex reaction were 900 nmol/L primer, ulation of stem cells that are capable of differentiation into 200 nm of probe, 50 nmol/L 18S primers, and 200 nmol/L more mature endothelial cells on stimulation with angio- 18S probe. Cycle thresholds were converted to transcript genic factors (19). The CD133, or AC133/Prominin-1 copy numbers using a cDNA standard curve. Even loading epitope, is a distinctive marker for EPC (20). The EPC that of the samples was verified by measurement of 18S levels. are presented here are derived from CD34+/CD133+ Reverse transcription-PCR for TEM6 was done with SYBR human bone marrow progenitor cells and express vascular Green PCR Master Mix. PCR were repeated at least once. endothelial growth factor receptor 2 (VEGFR2), CD31, and endosialin forward primer: GCAAGTGGCGAG- VE-cadherin. EPC express higher levels of endosialin CACCGCTGGCT, endosialin reverse primer: GGCAGGC- mRNA and protein compared with mature endothelial GCCCTCGAAGCCA, and endosialin probe: CGCTGGCT- cells such as human microvascular endothelial cells GTCGACGGCTACCTGTGCCAGTT. (HMVEC)and human umbilical vein endothelial cells TEM3 forward primer: TACCAACATTTCGGCTGTGG, (HUVEC). Endosialin continues to be expressed in vivo in TEM3 reverse primer: GATACACAGGGGCCACATCT, EPC in a Matrigel angiogenesis assay. EPC exposed to an and TEM3 probe: TGACCCCATTACCCACATGCCTC- antibody to endosialin were inhibited in vitro in migration CAGTTT. and tube formation assays. An antibody against endosialin TEM5 forward primer: AAGGCCTGCAGCCGCATCGT, was also effective at reducing circulating murine EPC in the TEM5 reverse primer: GCAGGTCAGGCCCACGTAGCTG, SKNAS neuroblastoma xenograft model in nude mice. and TEM5 probe: CACGTTCCTCGCATTCACTGA- GATGTGCTGG. Materials and Methods TEM6 forward primer: ACCCGTGACGTCATTTTC and Cell Culture TEM6 reverse primer: TGTACTTGCTTCGAGCATC. + + TEM7 forward primer: CACCATGACGGCCGCATTGT, CD34 /CD133 progenitor cells from human bone TEM7 reverse primer: AGGCCGGTTTTGACAGGATGC, marrow of healthy volunteers, HMVEC, and HUVEC + + and TEM7 probe: CTTTGCCTATAAAGAGATCCC- were obtained (Lonza). The CD34 /CD133 cells TATGTCTGTCCCGG. (1 Â 105-2 Â 105 cells/mL)were grown in Iscove’s modified ANTXR1/TEM8 forward primer: CCGGAGCAGGAA- Dulbecco’s medium (IMDM; Lonza), 15% fetal bovine TATGAATT, ANTXR1/TEM8 reverse primer: GACCCA- serum (FBS; Invitrogen), 50 ng/mL VEGF (R&D Sys- 165 CAAGGCATCGA, and ANTXR1/TEM8 probe: tems), 25 ng/mL basic fibroblast growth factor (bFGF; R&D TCCCCCCGGAAGTGGTACTC. Systems), and 5 units/mL heparin (Sigma) on fibronectin or TEM9 forward primer: GCAAGGACAAGAAGTG- native collagen I–coated flasks (BD Biosciences)to generate CGTGT, TEM9 reverse primer: GATGTAGGGCAA- adherent EPC (21, 22). After two passages, the EPC were GGCTGTCA, and TEM9 probe: CAGTCCTCTCGGCTG- maintained in IMDM/10% FBS without growth factors. GCTGTC. EPC were exposed to 10 Ag/mL Ac-Dil-LDL (Biomedical Technologies)in IMDM/10% FBS for 4 h. EPC were Generation of Endosialin Antibodies washed twice and imaged live by fluorescent microscopy. The rabbit polyclonal antibody was generated from HMVEC and HUVEC were grown in endothelial cell New Zealand white rabbits immunized with pDNA basal medium/2% FBS and supplements (Lonza). SKOV3 encoding the extracellular portion of human endosialin. and SKNAS cells (American Type Culture Collection)were Rabbits were immunized using the gene gun method and grown in RPMI 1640/10% FBS. Cultures were propagated blood was collected before and after immunization.