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Short Communication |





From the Department of OtolaryngologyHead and Neck Surgery,
Division of Head and Neck Cancer Research,*
and the
Departments of Pathology
and
Oncology,
Johns Hopkins University School of
Medicine, Baltimore, Maryland
| Abstract |
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| Introduction |
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PGP9.5 is a ubiquitin hydrolase widely expressed in neuronal tissues at all stages of neuronal differentiation.8,9 Ubiquitination of cellular proteins and targeting them for subsequent degradation via ubiquitin-mediated proteolysis is potentially an important mechanism that regulates cell cycle genes.10,11 In tumors, increased deubiquitination of cyclins by PGP9.5 could contribute to the uncontrolled growth of somatic cells.12
To better characterize the role of PGP9.5 in lung cancer, we first studied PGP9.5 expression in normal lung and a panel of lung cancer cell lines with defined neuroendocrine (NE) differentiation. Next, we examined the expression of PGP9.5 in 98 resected primary non-small-cell lung cancers (NSCLCs), using immunohistochemistry and correlated PGP9.5 expression in tumors with the clinicopathological features of affected patients.
| Materials and Methods |
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All lung cancer cell lines were obtained from the American Type Culture Collection (ATCC) and propagated according to the provided instructions.13 Formalin-fixed and paraffin-embedded tumor samples from consecutive patients who had undergone resections of NSCLCs with curative intent were retrieved from the Surgical Pathology files of the Johns Hopkins Hospital (JHH). Information regarding tumor stage, tumor recurrence, and patient survival was obtained from the medical records, including the JHH Tumor Registry files.
Northern Blot Analysis
Cell lines used for Northern blot analysis were collected after trypsinization and lysed immediately in Trizol reagent (GIBCO BRL, Gaithersburg, MD). Normal lung total RNA was extracted by the GuSCN method and purified by CsCl gradient ultracentrifugation as described.7 Ten micrograms of RNA was separated on a 1.5% denaturing agarose gel and transferred to Gene Screen membrane (DuPont, Boston, MA). A PGP9.5 cDNA probe was isolated from an EST clone (no. 268107) obtained from Genome Systems (Huntsville, AL). Northern blot hybridization using the PGP9.5 cDNA probe was performed as described.7
Western Blot Analysis
Twenty micrograms of cell lysates was separated on a 420% sodium dodecyl sulfate gradient gel and transferred to a polyvinylidene difluoride membrane (Micron Separations, Westborough, MA). After the nonspecific sites were blocked by incubation in phosphate-buffered saline + 5% nonfat dry milk (NFDM), the blot was incubated with the polyclonal rabbit antiserum against PGP9.5 (Biogenesis, Sandown, NH) at 1:400 dilution for 2 hours at room temperature. After washing, an ECL kit (Amersham, Arlington Heights, IL) was used to visualize the antibody binding to PGP9.5 protein.
Immunohistochemical Analysis
Six-µm sections were made from paraffin tissue blocks, and the slides were dried at 60°C for 30 minutes, treated with xylenes, and then dehydrated in alcohol. Endogenous peroxidase was blocked with 0.3% H2O2. Microwave treatment was performed for 4 minutes in Antigen Retrieval Glyca solution (Biogenex, San Ramon, CA), because it has been shown that the immunoreactivity of PGP9.5 was markedly enhanced by this method.14 After blocking with normal goat serum, the slides were incubated with the polyclonal rabbit antiserum against PGP9.5 (Biogenesis) at 1:1000 dilution for 2 hours at room temperature. Vectastain ABC Kit and DAB Substrate Kit (Vector, Burlingame, CA) were used to visualize the antibody binding, and the sections were counterstained with hematoxylin.
Immunohistochemical staining for PGP9.5 was interpreted by an experienced pathologist (W.H.W.). For control studies, HeLa and H157 lung cancer cell lines were used as negative and positive controls. The PGP9.5 status of these two cell lines was confirmed by Northern and Western analysis7 (data not shown). Optimized conditions were then used for the immunostaining of primary lung cancer specimens. In all cases, small nerves in the tissue sections served as a positive internal control, and desmoplastic stroma served as a negative internal control for PGP9.5 staining. Only cytoplasmic staining above background levels was regarded as specific staining. All immunohistochemical slides were initially reviewed to assess the range of this PGP9.5 immunoreactivity with respect to intensity and distribution of staining. Two patterns were recognized: 1) the tumor was uniformly nonimmunoreactive; or 2) moderate to strong immunoreactivity approaching the intensity seen in the internal control (ie, nerves) was uniformly present throughout most (ie, >70%) of the tumor. Accordingly, tumors were subsequently scored as either negative or positive, based on the total absence or generalized presence of specific staining. To correlate the distribution of the scattered PGP9.5-positive cells in the normal bronchial epithelium with the distribution of the neuroendocrine K-cells, lung sections from two independent cases were incubated with a monoclonal antibody against chromogranin (Boehringer Mannheim, Indianapolis, IN; 1:2000 dilution).
Statistical Analysis
The
2
test was used to examine the association
between the PGP9.5 expression status and clinicopathological features.
| Results |
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We have previously observed that the PGP9.5 message was frequently
detected in lung carcinomas, but was not detectable in normal lung by
Northern analysis or reverse transcription-polymerase chain
reaction methods.7
This result suggested that
PGP9.5 protein expression could potentially be used as a marker for
lung cancer. To better characterize the cell type origin and the timing
of PGP9.5 expression, an immunohistochemical approach was used to
localize PGP9.5 protein expression in the normal lung and the tumor
samples. As shown in Figure 1A
, the
majority of the normal lung epithelial cells were negative by PGP9.5
staining. In sections of nonneoplastic lung, PGP9.5 staining was
restricted to nerves and a few isolated cells scattered throughout the
bronchial epithelium. The positive staining of neurons is consistent
with the fact that PGP9.5 is a neuron-specific peptide widely expressed
in neuronal tissue.8
The PGP9.5-positive cells scattered
throughout the nonneoplastic bronchial epithelium were reminiscent of
the neuroendocrine K-cells, based on their morphological appearance and
pattern of distribution.15
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PGP9.5 Expression Is Independent of hASH1 Status in Lung Cancers
Because a majority of small-cell lung cancers and a portion of the
NSCLCs often exhibit features of NE differentiation, we next tested
whether PGP9.5 overexpression was associated with lung cancers of NE
lineage. A panel of established lung cancer cell lines with
hASH1 status was used for this study. hASH1 is a
transcription factor essential for the NE development of the human
lung.17
As shown in Figure 2
(upper panel), PGP9.5 message was abundantly detected in both
small-cell lung cancer (SCLC) and NSCLC cell lines regardless of
hASH1 status. Similarly, the PGP9.5 protein was detected in
nearly all-cell lines that expressed the gene (Figure 2
, lower panel).
Although there was a faint message in H358 by Northern analysis, no
PGP9.5 protein was detectable for this sample. Furthermore, no PGP9.5
product was obtained by reverse transcription-polymerase chain reaction
in this case, indicating that the message was probably rearranged or
unstable and could not serve as a template for protein translation.
Thus the expression of PGP9.5 appears to be present in NSCLC in the
absence of NE differentiation, as well as SCLC frequently derived from
NE cells of the lung.
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To seek the role of PGP9.5 expression in NSCLC, we examined the
presence of PGP9.5 protein in the tumors of 98 NSCLC patients, using
immunohistochemistry. The clinicopathological features of the patients
and the results of PGP9.5 staining are shown in Table 1
. Overall, 54% (53/98) of NSCLCs were
positive by PGP9.5 staining, and the intensity of the staining was
uniform and consistent for almost all cases (Figure 1C)
. Seventy-two
percent (26/36) of squamous cell carcinomas were stained positive for
PGP9.5, whereas only 41% (22/54) of adenocarcinomas had positive
PGP9.5 staining (p = 0.0066). These results are
consistent with previous reports which showed that squamous cell
carcinomas were more likely to be PGP9.5-positive than adenocarcinomas
of the lung.18,19
However, when the clinical stage of the
patients was considered, the PGP9.5-positive rate for stage II and IIIA
patients was significantly higher than those with stage I disease
(p = 0.0074) (Table 1)
.
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| Discussion |
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Functionally, PGP9.5 belongs to the ubiquitin carboxyl-terminal hydrolase (UCH) family.8 The UCH family has conserved Cys and His domains common to yeast and mammalian ubiquitin hydrolases.22,23 It is becoming increasingly clear that these enzymes are a part of the cellular proteolytic pathway that regulates many cellular processes, including cell cycle progression and cell death.12 Several other studies have shown that some UCH family members are overexpressed in different tumors and can potentially be oncogenic. For example, the tre-2 gene was identified as one of the UCH family proteins. The expression of tre-2 is not detectable in normal tissues but becomes elevated in a variety of tumor cells.24 Another UCH family gene, Unph, was isolated as a human homolog of the murine Unp protooncogene.25 Overexpression of murine Unp gene leads to oncogenic transformation of NIH3T3 cells, and the expression level of this gene is also elevated in lung tumors.25,26 The results of our current study also suggest that the expression of PGP9.5 in lung cancer may play a causative role in the oncogenic transformation of human lung epithelial cells, because 1) PGP9.5 shares conserved domains with the members of ubiquitin hydrolase family, several of which are potential oncogenes; 2) PGP9.5 expression is not present in the normal lung epithelium, but becomes activated sometimes during the course of neoplastic transformation; and 3) expression of PGP9.5 is closely associated with advanced stages of NSCLC. Although further studies will be needed to elucidate the downstream target of deubiquitination by PGP9.5 and to better understand the molecular mechanism of PGP9.5 overexpresson in lung cancer development, the frequent occurrence of PGP9.5 expression in NSCLC makes it a potential marker for the detection of this disease.
| Acknowledgements |
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| Footnotes |
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Supported in part by National Institutes of Health grant CA06973, Lung SPORE CA58184, and an award to J. Jen from the V Foundation.
Accepted for publication May 22, 1999.
| References |
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subunit gene at 3p21.3 in small cell lung cancer. Oncogene 1994, 9:611-619[Medline]
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