(American Journal of Pathology. 1999;155:815-822.)
© 1999 American Society for Investigative Pathology
Id-1 and Id-2 Are Overexpressed in Pancreatic Cancer and in Dysplastic Lesions in Chronic Pancreatitis
Haruhisa Maruyama*,
Jörg Kleeff*,
Stefan Wildi*,
Helmut Friess
,
Markus W. Büchler
,
Mark A. Israel
and
Murray Korc*
From the Division of Endocrinology, Diabetes, and
Metabolism,*
Departments of Medicine, Biological Chemistry
and Pharmacology, University of California, Irvine, California; the
Department of Visceral and Transplantation
Surgery,
University of Bern, Bern,
Switzerland; and the Preuss Laboratory,
Department of Neurological Surgery, University of California, San
Francisco, California
 |
Abstract
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|---|
Id proteins antagonize basic helix-loop-helix proteins,
inhibit differentiation, and enhance cell proliferation. In
this study we compared the expression of Id-1, Id-2,
and Id-3 in the normal pancreas, in pancreatic cancer,
and in chronic pancreatitis (CP). Northern blot analysis demonstrated
that all three Id mRNA species were expressed at high levels in
pancreatic cancer samples by comparison with normal or CP samples.
Pancreatic cancer cell lines frequently coexpressed all three
Ids, exhibiting a good correlation between Id mRNA and protein
levels, as determined by immunoblotting with highly specific
anti-Id antibodies. Immunohistochemistry using these antibodies
demonstrated the presence of faint Id-1 and Id-2 immunostaining in
pancreatic ductal cells in the normal pancreas, whereas Id-3
immunoreactivity ranged from weak to strong. In the cancer
tissues, many of the cancer cells exhibited abundant
Id-1, Id-2, and Id-3 immunoreactivity. Scoring on the
basis of percentage of positive cells and intensity of immunostaining
indicated that Id-1 and Id-2 were increased significantly in the cancer
cells by comparison with the respective controls. Mild to moderate Id
immunoreactivity was also seen in the ductal cells in the CP-like areas
adjacent to these cells and in the ductal cells of small and
interlobular ducts in CP. In contrast, in dysplastic and
atypical papillary ducts in CP, Id-1 and Id-2 immunoreactivity
was as significantly elevated as in the cancer cells. These findings
suggest that increased Id expression may be associated with enhanced
proliferative potential of pancreatic cancer cells and of proliferating
or dysplastic ductal cells in CP.
 |
Introduction
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Basic helix-loop-helix (bHLH) proteins play an important role as
transcription factors in cellular development, proliferation, and
differentiation.1,2
The basic domain of the bHLHs is
required for binding to an E-box DNA sequence, thus promoting
transcription of specific target genes. The HLH domain promotes dimer
formation with various members of the bHLH protein
family.1,2
Homodimers of the class B family of bHLH
proteins, including MyoD, NeuroD, and numerous
other proteins, are known to activate tissue-specific
genes.3-5
These tissue-specific bHLHs typically form
heterodimers with widely expressed class A bHLHs, which include
proteins encoded by E2A, E22, HEB, and other genes (also termed
E-proteins).6-9
These heterodimers activate transcription
of genes that are associated with differentiation.
Id genes encode a family of four HLH
proteins that lack the basic DNA binding domain.1,10
They
act as dominant-negative HLH proteins by forming high affinity
heterodimers with other bHLH proteins, thereby preventing them from
binding to DNA and inhibiting transcription of
differentiation-associated genes.10-12
Id gene expression
is down-regulated on differentiation in many cell types in
vitro and in vivo.13-18
In addition, Id
proteins seem to be required for cell cycle progression through
G1/S phase in certain cell types, and interaction
between Id-2 and pRB is associated with enhanced proliferation in some
cell lines in vitro.19-23
Pancreatic cancer is the fifth leading cause of cancer death in the
United States, with a mortality rate that virtually equals its
incidence rate.24
This malignancy is often associated with
the overexpression of a variety of mitogenic growth factors and their
receptors, and by oncogenic mutations of K-ras and
inactivation of the p53 tumor suppressor gene.25
We have
recently reported that pancreatic cancers overexpress the HLH protein
Id-2, and that enhanced expression of this protein is evident in the
cytoplasm of the cancer cells within the pancreatic tumor
mass.26
It is not known, however, whether the expression
of other Id proteins is altered in this malignancy, or whether their
expression is altered in chronic pancreatitis (CP), an inflammatory
disease that is characterized by dysplastic ducts, foci of
proliferating ductal cells, acinar cell degeneration, and
fibrosis.27
We now report that there is a five- to sixfold
increase in Id-1 and Id-2 mRNA levels and a twofold increase in Id-3
mRNA levels in pancreatic cancer by comparison with the normal
pancreas. In contrast, overall Id mRNA levels are not increased in CP.
 |
Patients and Methods
|
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Normal human pancreatic tissue samples from 7 male and 5 female
donors (median age 41.8 years, range 1468 years), CP tissues from 13
males and 1 female (median age 42.1 years; range 3056 years), and
pancreatic cancer tissues from 10 male and 6 female donors (median age
62.6 years; range 5383 years) were obtained through an organ donor
program and from surgical specimens from patients with severe
symptomatic chronic pancreatitis or pancreatic cancer. A partial
duodenopancreatectomy (Whipple/pylorus-preserving Whipple;
n = 13), a left resection of the pancreas
(n = 2), or a total pancreatectomy
(n = 1) were carried out in the pancreatic
cancer patients. According to the TNM classification of the Union
Internationale Contre le Cancer (UICC) 6 tumors were stage 1, 1 was
stage 2, and 9 were stage 3 ductal cell adenocarcinoma. Freshly removed
tissue samples were fixed in 10% formaldehyde solution for 12 to 24
hours and paraffin-embedded for histological analysis. In addition,
tissue samples were frozen in liquid nitrogen immediately on
surgical removal and maintained in -80°C until use for RNA
extraction. All studies were approved by the Ethics Committee of the
University of Bern, Bern, Switzerland, and by the Human Subjects
Committee at the University of California, Irvine, California.
Northern Blot Analysis
Northern blot analysis was carried out as described
previously.26,28
Briefly, total RNA was extracted by the
single step acid guanidinium thiocyanate phenol chloroform method. RNA
was size-fractionated on 1.2% agarose/1.8 mol/L formaldehyde
gels, electrotransferred onto nylon membranes, and cross-linked by UV
irradiation. Blots were prehybridized and hybridized with cDNA probes
and washed under high stringency conditions. The following cDNA probes
were used: a 979-bp human Id-1 cDNA probe, a 440-bp human Id-2 cDNA
probe, and a 450-bp human Id-3 cDNA probe, covering the entire coding
regions of Id-1, Id-2, and Id-3, respectively. A BamHI
190-bp fragment of mouse 7S cDNA that hybridizes with human
cytoplasmic RNA was used to confirm equal RNA loading and
transfer. Blots were then exposed at -80°C to Kodak BioMax-MS films
and the resulting autoradiographs were scanned to quantify the
intensity of the radiographic bands.26,28
For each sample
the ratio of Id mRNA expression to 7S expression was calculated. To
compare the relative increase in expression of the respective Id mRNA
species in the cancer and CP samples, the same normal samples were used
for normal/cancer and normal/CP membranes. The median score for Id-1,
Id-2, and Id-3 mRNA levels in these normal samples was set to 100.
Statistical analysis was performed with SigmaStat software (Jandel
Scientific, San Raphael, CA). The rank sum test was used, and
P < 0.05 was taken as the level of significance.
Cell Culture and Western Blot Analysis
PANC-1, MIA-PaCa-2, ASPC-1, and CAPAN-1 human pancreatic cell
lines were obtained from ATCC (Manassas, VA). COLO-357 human pancreatic
cells were a gift from Dr. R. S. Metzger (Durham, NC). Cells were
routinely grown in DMEM (COLO-357, MIA-PaCa-2, PANC-1) or RPMI (ASPC-1,
CAPAN-1) supplemented with 10% fetal bovine serum, 100 U/ml
penicillin, and 100 µg/ml streptomycin. For immunoblot analysis,
exponentially growing cells (6070% confluent) were solubilized in
lysis buffer containing 50 mmol/L Tris-HCl, pH 7.4, 150 mmol/L NaCl, 1
mmol/L EDTA, 1 µg/ml pepstatin A, 1 mmol/L phenylmethylsulfonyl
fluoride (PMSF), and 1% Triton X-100. Proteins were subjected to
sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE),
transferred to Immobilon P membranes, and incubated for 90 minutes with
the indicated antibodies and for 60 minutes with secondary antibodies
against rabbit IgG. Visualization was performed by enhanced
chemiluminescence.
Immunohistochemistry
Specific rabbit anti-human Id-1 (C-20), Id-2 (C-20), and Id-3
(C-20; all from Santa Cruz Biotechnology, Santa Cruz, CA) polyclonal
antibodies were used for immunhistochemistry. These affinity-purified
rabbit polyclonal antibodies specifically react with Id-1, Id-2, and
Id-3, respectively, of human origin, as determined by Western blotting.
Paraffin-embedded sections (4 µm) were subjected to immunostaining
using the streptavidin-peroxidase technique. Where indicated,
immunostaining for all three Id proteins was performed on serial
sections. Endogenous peroxidase activity was blocked by incubation for
30 minutes with 0.3% hydrogen peroxide in methanol. Tissue sections
were incubated for 15 minutes (23°C) with 10% normal goat serum and
then incubated for 16 hours at 4°C with the indicated antibodies in
PBS containing 1% bovine serum albumin. Bound antibodies were detected
with biotinylated goat anti-rabbit IgG secondary antibodies and
streptavidin-peroxidase complex, using diaminobenzidine
tetrahydrochloride as the substrate. Sections were counterstained with
Mayer's hematoxylin. Preabsorption with Id-1-, Id-2-, or Id-3-specific
blocking peptides completely abolished immunoreactivity of the
respective primary antibody. The immunohistochemical results were
semiquantitatively analyzed as described previously.29,30
The percentage of positive cancer cells was stratified into four
groups: 0, no cancer cells exhibiting immunoreactivity; 1, <33% of
the cancer cells exhibiting immunoreactivity; 2, 33 to 67% of the
cancer cells exhibiting immunoreactivity; 3 >67% of the cancer cells
exhibiting immunoreactivity. The intensity of the immunohistochemical
signal was also stratified into four groups: 0, no immunoreactivity; 1,
weak immunoreactivity; 2, moderate immunoreactivity; 3, strong
immunoreactivity. Finally, the sum of the results of the cell score and
the intensity score was calculated. Statistical analysis was performed
with SigmaStat software. The rank sum test was used, and
P < 0.05 was taken as the level of significance.
 |
Results
|
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Northern blot analysis of total RNA isolated from 12 normal
pancreatic tissues and 16 pancreatic cancers revealed the presence of
the 1.2-kb Id-1 transcript and the 1.6-kb Id2 mRNA transcript in 11 of
the 12 normal pancreatic samples, and the 1.3-kb Id-3 mRNA transcript
in all normal pancreatic samples (Figure 1A, 2)
. In the cancer tissues,
Id-1 mRNA levels were elevated in 8 of 16 samples, Id-2 mRNA levels
were elevated in 9 of these samples, and Id-3 mRNA levels were elevated
in 6 of these samples (Figure 1A, 2)
. Concomitant overexpression of all
three Id species was observed in 6 of the cancer samples (38%). In
contrast, none of the Id mRNA species were overexpressed in CP by
comparison with normal controls (Figure 1B, 2)
. Densitometric analysis
of all of the autoradiograms indicated that there was a 6.5-fold
increase (P < 0.01) in Id-1 mRNA levels, a
fivefold increase (P < 0.01) in Id-2 mRNA
levels, and a twofold increase (P = 0.027) in
Id-3 mRNA levels in the pancreatic cancer samples in comparison to
normal controls (Figure 2)
. In contrast,
there was no statistically significant difference in the expression
levels of Id-1, Id-2, and Id-3, in CP tissues in comparison to the
corresponding levels in the normal pancreas (Figure 2)
.

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Figure 1. mRNA expression of Id-1, Id-2, and Id-3 in pancreatic cancer and
chronic pancreatitis. Total RNA (20
µg/lane) from six normal, eight cancerous, and
seven chronic pancreatitis tissue samples were subjected to Northern
blot analysis using 32P-labeled cDNA probes
(500,000 cpm/ml) specific
for Id-1, Id-2, and Id-3, respectively. A 7S cDNA probe
(50,000 cpm/ml) was used
as a loading and transfer control. Exposure times of the normal/cancer
blots were 1 day for all Id probes, and 2 days for the normal/CP blots.
Exposure time was 4 hours for mouse 7S cDNA. By comparison with the
normal samples, Id-1 and Id-3 mRNA levels were elevated in 8 and 9
cancer samples, respectively, whereas Id-2 was elevated in 6 cancer
samples.
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Figure 2. Densitometric analysis of Northern blots. Autoradiographs of Northern
blots from 12 normal, 14 CP, and 16 pancreatic cancers were analyzed by
densitometry. mRNA levels were determined by calculating the ratio of
the optical density for the respective Id mRNA species in relation to
the optical density of mouse 7S cDNA. To compare the relative
increase in expression of the respective Id mRNA species in the cancer
and CP samples, the same normal samples were used for normal/cancer and
normal/CP membranes. Normal pancreatic tissues are indicated by
circles, CP tissues by triangles, and cancer tissues by squares. Data
are expressed as median scores ± SD. By comparison with the
normal samples, only the cancer samples exhibited significant
increases: 6.5-fold (P <
0.01) for Id-1, fivefold
(P <
0.01) for Id-2, and twofold
(P =
0.027) for Id-3.
|
|
Next, we assessed the expression of the three Id genes in 5 human
pancreatic cancer cell lines by Northern and Western blot analyses.
Id-1 mRNA was present at varying levels in all 5 cell lines (Figure 3)
. ASPC-1, CAPAN-1, MIA-PaCa-2, and
PANC-1 expressed moderate to high levels of Id-1 mRNA, whereas COLO-357
cells expressed relatively low levels of this mRNA moiety. Western
blotting with a highly specific anti-Id-1 antibody confirmed the
presence of the approximately 14-kd Id-1 protein in the 4 cell lines
that expressed high levels of Id-1 mRNA (Figure 3)
. Furthermore, the
three cell lines with the highest Id-1 mRNA expression (CAPAN-1,
MIA-PaCa-2, and PANC-1) also exhibited the highest Id-1 protein
expression. Variable levels of the 1.6-kb Id-2 mRNA transcript were
present in all 5 cell lines. In addition, a minor band of approximately
1.2 kb was visible in COLO-357 and MIA-PaCa-2 cells. Immunoblot
analysis with a highly specific anti-Id-2 antibody revealed two bands
of approximately 16 and 18 kd at relatively high levels in all of the
cell lines with exception of PANC-1 cells, in which the 16-kd band was
relatively faint (Figure 3)
. With the exception of MIA-PaCa-2 cells,
there was a good correlation between Id-2 mRNA and protein levels
(Figure 3)
. Id-3 mRNA was present at high levels in MIA-PaCa-2 cells,
at moderate levels in COLO-357 cells, and at low levels in PANC-1
cells. Id-3 mRNA was not detectable in ASPC-1 and CAPAN-1 cells (Figure 3)
. Immunoblot analysis with a highly specific anti-Id-3 antibody
revealed an approximately 14-kd band that was most abundant in
MIA-PaCa-2 cells, and was also readily apparent in COLO-357 and PANC-1
cells. In contrast, only a faint Id-3 band was seen in ASPC-1 and
CAPAN-1 cells. Thus, with the exception of PANC-1 cells, there was a
good correlation between Id-3 mRNA and protein levels.

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Figure 3. Id mRNA and protein expression in pancreatic cancer cell lines.
Upper panels: Total RNA (20
µg/lane) from 5 pancreatic cancer cell lines
were subjected to Northern blot analysis using 32P-labeled
cDNA probes (500,000
cpm/ml) specific for Id-1, Id-2, and Id-3,
respectively. Exposure times were 1 day for all Id probes.
Lower panels: Immunoblotting. Cell lysates
(30 µg/lane) were
subjected to SDS-PAGE. Membranes were probed with specific Id-1, Id-2,
and Id-3 antibodies. Visualization was performed by enhanced
chemiluminescence.
|
|
To determine the localization of Id-1, Id-2, and Id-3, immunostaining
was carried out using the same highly specific anti-Id antibodies. In
the pancreatic cancers, moderate to strong Id-1 immunoreactivity was
present in the cancer cells in 9 of 10 randomly selected cancer
samples. An example of moderate Id-1 immunoreactivity is shown
in Figure 4A
, and of strong
immunoreactivity in Figure 4C
(left panel). In contrast, in the normal
pancreas, faint Id-1 immunoreactivity was present only in the ductal
cells of pancreatic ducts (Figure 4B
, arrowheads). Preabsorption with
the Id-1-specific blocking peptide completely abolished the Id-1
immunoreactivity (Figure 4C
, right panel). The cancer cells also
exhibited strong Id-2 (Figure 4, D and F
, left panel) and moderate to
strong Id-3 immunoreactivity. An example of moderate Id-3
immunoreactivity is shown in Figure 4G
, and of strong immunoreactivity
in Figure 4I
(left panel). In contrast, only faint Id-2
immunoreactivity was present in the ductal cells in the normal pancreas
(Figure 4E)
, whereas Id-3 immunoreactivity in these cells was more
variable and ranged from moderate to occasionally strong (Figure 4H)
.
Islet cells and acinar cells were always devoid of Id
immunoreactivity. Preabsorption of the respective antibody with the
blocking peptides specific for Id-2 (Figure 4F
, right panel) and Id-3
(Figure 4I
, right panel) completely abolished immunoreactivity.
Analysis of serial pancreatic cancer sections revealed that there was
often colocalization of the three Id proteins. An example of serial
sections from a pancreatic cancer tissue is shown in Figure 4, A, D, and G
.

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Figure 4. Normal and cancerous pancreatic tissues were subjected to
immunostaining using highly specific anti-Id-1 (A-C), anti-Id-2
(D-F), and anti-Id-3 (G-I) antibodies as described in the
Methods section. Moderate to strong Id-1 immunoreactivity was present
in the cytoplasm of duct-like cancer cells (A and
C, left panel). In the normal pancreas
there was weak Id-1 immunoreactivity in the ductal cells (B).
Preabsorption with the Id-1-specific blocking peptide abolished the
Id-1 immunoreactivity (C, right panel). Strong Id-2
immunoreactivity was observed in the cytoplasm of the cancer cells that
exhibited duct-like structures (D and
F, left panel), whereas in the normal
pancreas, there was only weak Id-2 immunoreactivity in the ductal cells
(E). Preabsorption with the Id-2-specific blocking peptide
abolished the Id-2 immunoreactivity (F, right panel). Moderate
to strong Id-3 immunoreactivity was present in the duct-like cancer
cells (G and
I, left panel). Moderate to strong Id-3
immunoreactivity was also present in the ductal cells of normal
pancreatic tissue samples (H). Id-3 immunoreactivity was
completely abolished by preabsorption with the Id-3 specific blocking
peptide (I, right panel) . A, D, and G
constitute serial sections of a pancreatic cancer sample, revealing
coexpression of the three Id proteins. Scale bars, 25 µm.
|
|
Id-1, Id-2, and Id-3 immunoreactivity was also present at moderate
levels in the cytoplasm of ductal cells within CP-like areas adjacent
to the cancer cells (Figure 5, AC)
. As
in the normal pancreas, islet cells (outlined by arrowheads) did not
exhibit Id immunoreactivity. In 4 of 9 CP samples, there were foci of
ductal cell dysplasia of relatively large interlobular ducts, all of
which exhibited moderate to strong Id-1, Id-2, and Id-3
immunoreactivity (Figure 5, DF)
. Five of 9 CP samples also contained
foci of large ducts exhibiting atypical papillary epithelium. Serial
section analysis of one of those CP samples revealed mild to moderate
Id-1 and Id-2 immunoreactivity and weak Id-3 immunoreactivity in the
cells of these atypical papillary ducts (Figure 6, AC)
. In contrast, in some of these CP
samples, moderate to strong Id-3 immunoreactivity was also observed
(Figure 6D)
. However, most of the ductal cells forming the typical
ductular structures of CP, such as large interlobular ducts and small
proliferating ducts, exhibited generally only weak to occasionally
moderate Id immunoreactivity (data not shown).

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Figure 5. Immunohistochemistry of pancreatic cancer and dysplastic ducts in CP
tissues. In the pancreatic cancer tissues (A-C) there was
moderate to strong Id-1 (A), Id-2 (B), and Id-3
(C) immunoreactivity in the ductal cells in the areas adjacent
to the cancer cells that exhibited CP-like alterations. Islet cells did
not exhibit Id immunoreactivity (outlined by
solid arrowheads). In the CP samples,
moderate to strong Id-1 (D), Id-2 (E), and Id-3
(F) immunoreactivity was present in the cytoplasm of epithelial
cells forming large dysplastic ducts. Scale bar, 25 µm.
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Figure 6. Immunohistochemistry of atypical papillary epithelium in CP tissues.
Serial section analysis of some CP samples revealed the presence of
large duct-like structures with atypical papillary epithelium. Mild to
moderate Id-1 (A) and Id-2 (B) immunoreactivity and weak
Id-3 (C) immunoreactivity was present in the cytoplasm of the
cells forming these large ducts with papillary structures. Some CP
samples also exhibited moderate Id-3 immunoreactivity in these cells
(D). Scale bar, 25 µm.
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The immunohistochemical data for Id-1, Id-2, and Id-3 are summarized in
Table 1
. In the case of Id-1 and Id-2,
the cancer cells as well as the dysplastic and atypical papillary ducts
in CP exhibited a significantly higher score than the ductal cells in
the normal pancreas. In contrast, due to the marked variability in Id-3
immunostaining in the normal pancreas, the differences between normal
and cancer cells and normal and dysplastic cells did not achieve
statistical significance.
 |
Discussion
|
|---|
Id proteins constitute a family of HLH transcription factors that
are important regulators of cellular differentiation and
proliferation.1,2
To date, four members of the human Id
family have been identified.1,10-12
Their expression is
enhanced during cellular proliferation and in response to mitogenic
stimuli,19,31
and overexpression of Id genes inhibits
differentiation and/or enhances proliferation in several different cell
types.15,32-34
The forced expression of Id-1 in mouse
small intestinal epithelium results in adenoma formation in these
animals.35
The growth-promoting effects of Id genes are
thought to occur through several mechanisms. For example, Id-2 can bind
to members of the pRB tumor suppressor family, thus blocking
their growth-suppressing activity,20,21
and Id-1 and Id-2
can antagonize the bHLH-mediated activation of known inhibitors of cell
cycle progression such as the cyclin-dependent kinase inhibitor
p21.23
In the present study, we determined by Northern blot analysis that a
significant percentage of human pancreatic cancers expressed increased
Id-1, Id-2, and Id-3 mRNA levels. Increased expression was most evident
for Id-1 (6.5-fold) and Id-2 (fivefold). In contrast, Id-3 mRNA levels
were only twofold increased in the cancer samples, partly because this
mRNA was present at relatively high levels in the normal pancreas.
Immunhistochemical analysis confirmed the presence of Id-1, Id-2, and
Id-3 in the cancer cells within the tumor mass, whereas in the normal
pancreas faint Id-1 and Id-2 immunoreactivity and moderate to
occasionally strong Id-3 immunoreactivity was present in some ductal
cells. Pancreatic acinar and islet cells in the normal pancreas were
devoid of Id-1, Id-2, and Id-3 immunoreactivity. In the cancer samples,
all three Id proteins often colocalized in the cancer cells.
Coexpression of all three Id genes was also observed in cultured
pancreatic cancer cell lines, which often exhibited a close correlation
between Id mRNA and protein expression. However, in MIA-PaCa-2 there
was a divergence of Id-2 mRNA and protein levels, and in PANC-1 cells,
Id-3 mRNA levels did not correlate well with Id-3 protein expression.
These observations suggest that in these cells, the half-life of either
Id mRNA or Id protein may be altered by comparison with the other cell
lines. Interestingly, Id-2 immunoblotting revealed two closely spaced
bands of approximately 16 and 18 kd in 4 of 5 cell lines. In view of
the fact that two possible initiation codons have been reported for the
Id-2 gene,36
our observation raises the possibility that
the two Id-2-immunoreactive bands may represent separate translation
products of the Id-2 gene.
Pancreatic cancers often harbor p53 tumor suppressor gene
mutations37
and exhibit alterations in apoptosis pathways.
Thus, these cancers often exhibit increased expression of
anti-apoptotic proteins such as Bcl-238
and abnormal
resistance to Fas-ligand-mediated apoptosis.39
It has been
shown recently that forced constitutive expression of Id genes together
with the expression of anti-apoptotic genes such as Bcl-2 or
BclXL can result in malignant transformation of
human fibroblasts,11
raising the possibility that the
enhanced Id expression in pancreatic cancers together with increased
expression of anti-apoptotic genes may contribute to the malignant
potential of pancreatic cancer cells in vivo.
In the CP tissues there was no significant increase in Id-1, Id-2, and
Id-3 mRNA levels in comparison to the normal pancreas.
Immunohistochemical analysis of pancreatic cancer samples revealed
colocalization of weak to moderate Id-1, Id-2, and Id-3
immunoreactivity in proliferating ductal cells in the CP-like regions
adjacent to the cancer cells, indicating that Id expression was not
restricted to the cancer cells. Similarly, analysis of CP samples
indicated weak Id-1, Id-2, and Id-3 immunoreactivity in the cells of
small proliferating ducts and large ducts without dysplastic changes.
In general, there was a correlation between weak immunoreactivity and
low Id mRNA levels. However, in samples that harbored large ducts with
papillary structures there was moderate Id immunoreactivity, and in the
cells forming dysplastic ducts there was moderate to strong Id
immunoreactivity. In these CP samples, Id mRNA levels were relatively
higher than in the CP samples that were devoid of these histological
changes. Overall, however, increased Id expression, most notably of
Id-1 and Id-2, distinguished a subgroup of pancreatic cancers from CP
(Table 1)
.
Epidemiological studies have shown that the risk of developing
pancreatic cancer is increased up to 16-fold in patients with
pre-existing CP in comparison to the general population.40
The mechanisms that contribute to neoplastic transformation in CP are
not known. Although there is no established tumor progression model for
pancreatic cancer, such as the adenoma-carcinoma sequence of colorectal
carcinoma,41
it is generally accepted that
K-ras and p16 mutations occur relatively early in pancreatic
carcinogenesis, whereas p53 mutations occur late in this
process.37,41-43
Increased Id expression may contribute
to malignant transformation of cultured cell lines in
vitro11
and has been linked to cell invasion in a
murine mammary epithelial cell line.44
In view of the
current findings that Id-1, Id-2, and Id-3 are overexpressed in
pancreatic cancer and in dysplastic/metaplastic ducts in CP, these
observations raise the possibility that elevated levels of Id-1, Id-2,
and, to a lesser extent, Id-3 may represent relatively early markers of
pancreatic malignant transformation and may contribute to the
pathobiology of pancreatic cancer.
 |
Footnotes
|
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Address reprint requests to Dr. Murray Korc, Division of Endocrinology, Diabetes and Metabolism, Medical Sciences I, C240, University of California, Irvine, CA 92697. E-mail: mkorc{at}uci.edu
Contract grant sponsor: National Cancer Institute. Contract grant number: U. S. Public Health Service grant CA-40162.
Accepted for publication May 24, 1999.
 |
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