(American Journal of Pathology. 2001;158:1231-1237.)
© 2001 American Society for Investigative Pathology
Comparative Genome-Scale Analysis of Gene Expression Profiles in T Cell Lymphoma Cells during Malignant Progression Using a Complementary DNA Microarray
Shiyong Li*,
Douglas T. Ross
,
Marshall E. Kadin
,
Patrick O. Brown
and
Mariusz A. Wasik*
From the Department of Pathology and Laboratory
Medicine,*
University of Pennsylvania Medical Center,
Philadelphia, Pennsylvania; the Department of Biochemistry and Howard
Hughes Medical Institute,
Stanford University
School of Medicine, Stanford, California; and the Department of
Pathology,
Beth Israel-Deaconess Medical
Center and Harvard Medical School, Boston, Massachusetts
 |
Abstract
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Using a cDNA microarray, we compared the expression of
approximately 8000 genes between two unique, clonally related T
cell lines derived from different stages of a progressive T cell
lymphoma involving skin. A total of 180 genes was found to be
differentially expressed at the RNA level by a factor of fivefold or
greater. Compared with the cells from the earlier, clinically
indolent stage of the lymphoma, 56 genes were
up-regulated, whereas 124 genes were down-regulated in the
cells from the advanced, clinically aggressive stage lymphoma.
The functions of approximately 65% of these genes are currently
unknown. The 22 genes with a known function that were up-regulated in
the advanced lymphoma cells included several genes involved in
promotion of cell proliferation and survival as well as drug
resistance. The 42 functionally characterized genes that were
down-regulated in the advanced lymphoma cells included negative
regulators of cell activation and cell cycle, and mediators of
cell adhesion, apoptosis, and genome integrity. The
differential expression identified by the cDNA microarray analysis was
confirmed for selected genes by reverse transcription-polymerase chain
reaction and Northern blotting. The identified differences in gene
expression may be related to the differences in behavior between the
early and advanced stages of the T cell lymphoma and point to
directions for further investigations into mechanisms of lymphoma
progression.
 |
Introduction
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Cutaneous T cell lymphoma is the most common lymphoproliferative
disorder involving skin. It usually is an indolent, low-grade tumor at
the time of presentation. Over time, the CTCL often undergoes
transformation to an aggressive, usually fatal high-grade large cell
lymphoma.1
Although
dysregulation of p53 and
p16INK4a tumor suppressor genes has been
implicated in the lymphoma progression,2,3
the exact
molecular mechanism underlying the large cell transformation of
cutaneous T cell lymphoma as well as other lymphoid malignancies
remains poorly defined.
Recently, complementary DNA (cDNA) microarrays have been used to
identify physiologically and pathologically relevant gene expression
patterns in a variety of organisms including humans.4-12
This new technology is based on the fluorescence in situ
hybridization in which two different cDNA populations (each labeled
with either red or green fluorochrome) are hybridized simultaneously
with a microarray containing thousands of deposited cDNA fragments. The
ratio of fluorescence intensity (red/green) represents the ratio of
concentrations of mRNA molecules that hybridize to each of the cDNAs
spotted on the array. In contrast to the traditional molecular
techniques that focus on one to a few genes at a time, cDNA microarrays
allow gene expression patterns to be analyzed on a genomic scale.
We have previously established two clonally related T cell lymphoma
cell lines from a patient with a progressive cutaneous T cell
lymphoproliferative disorder. PB1 cell line was established from a
relatively early, indolent stage lymphoma, and 2A cell line was derived
from the same lymphoma at a later, histologically high-grade, and
clinically aggressive stage.13-15
The cell lines are
representative of the primary tumors and retain the morphological,
immunophenotypic, and genotypic features of the original lymphoma. In
the present study, we compared the gene expression profiles between
these two cell lines using a cDNA microarray to investigate molecular
changes related to lymphoma progression.
 |
Materials and Methods
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Cell Lines
PB1, 2A, and 2B T cell lymphoma cell lines, established from a
single patient with a progressive cutaneous T cell lymphoproliferative
disorder, have been described in detail previously.13-15
In brief, the PB1 cell line was obtained at a relatively early stage of
the lymphoma from neoplastic T cells circulating in the peripheral
blood. The 2A and 2B cell lines were established 2 years later at a
clinically aggressive lymphoma stage from two separate skin nodules,
which contained high-grade, anaplastic large T cell lymphoma. The
common clonal origin of these three T cell lines was demonstrated by
cytogenetic and T cell receptor gene rearrangement studies, which were
identical to those, found in the patients lymphoma tissues. The cell
lines were essentially identical to fresh biopsy specimens in regard to
morphology, immunophenotype and genotype and retained in culture
features of the original lymphoma cells. Sez4 cell line was derived
from a patient with Sezary syndrome and also bears close morphological,
immunophenotypic, and genotypic resemblance to the original
tumor.16
JB6, SUDHL-1, SUP-M2 and KARPAS299 cell lines
were derived from four different NPM/ALK-positive large T/null-cell
lymphomas.17,18
HUT102 and C10MJ cell lines
represent HTLV-1-related acute T cell lymphoma/leukemia.16
L428 and HS445 cell lines were obtained from patients with Hodgkin
lymphoma.19
The exact nature of the HS445 line is
uncertain. Although derived from patient with Hodgkin lymphoma, this
line may represent an Epstein-Barr virus (EBV)-transformed
lymphoblastoid B cell line.20
20A represents an
EBV-transformed low-grade B cell lymphoma cell line and BCBL cell line
was derived from an EBV-positive large B cell lymphoma.21
The MOLT4 cell line represents an acute T cell lymphoblastic
leukemia.20
All cell lines were maintained at 37°C in
RPMI1640 supplemented with 10% heat-inactivated fetal calf serum.
cDNA Clones
The 9703 human cDNA clones used in these experiments were obtained
from Research Genetics (Huntsville, AL) as bacterial colonies in
96-well microtiter plates.9
Approximately 8000 distinct
Unigene clusters (representing nominally unique genes) were represented
in this set of clones.
To date, the identities of approximately 3000 clones have been
confirmed by us by re-analysis of the clone DNA sequence. Genes labeled
with an asterisk (see Tables 2 and 3
) represent clones whose identities
were confirmed by the re-sequencing.
Production of cDNA Microarrays
The arrays used in this study were produced at Synteni Inc. (now
Incyte Genomics, Palo Alto, CA) as part of a collaborative
effort.9,10
Each insert was amplified from a bacterial
colony by sampling one microliter of bacterial media and performing
polymerase chain reaction (PCR) amplification of the insert using
consensus primers for the three plasmids represented in the clone
set (5'-TTGTAAAACGACGGCCAGTG-3', 5'-CACACAGGAAACAGCTATG-3'). Each
100-µl PCR product was purified by gel exclusion, concentrated, and
resuspended in 10 µl of 3x SSC buffer. The PCR products were then
printed on treated glass microscope slides using a robot with four
printing tips. Detailed protocols for assembling and operating a
microarray printer, and printing and for experimental application of
DNA microarrays are available at http://cmgm.stanford.edu/pbrown.
Preparation and Hybridization of Fluorescent Labeled cDNA
For each comparative array hybridization, labeled cDNA was
synthesized by reverse transcription from test cell mRNA in the
presence of Cy5-dUTP, and from the reference mRNA with Cy3-dUTP, using
the Superscript II reverse-transcription kit (Gibco-BRL) as described
previously.9
In brief, mRNA was mixed with an anchored
oligo-dT (d-20T-d(AGC)) primer, heated to 70°C for 10 minutes, and
cooled on ice. To this sample were added an unlabeled nucleotide pool
(dATP, dCTP, dGTP, and dTTP), either Cy3 or Cy5 conjugated dUTP
(Amersham), 5x first-strand buffer, 0.1 mol/L DTT, and 400 U of
Superscript II reverse transcriptase. After a 2-hour incubation at
42°C, the RNA was degraded by addition of 1 N NaOH, and incubation at
70°C for 10 minutes. The mixture was neutralized by adding 1 N HCL,
and the volume increased by adding TE buffer. Cot1 human DNA
(Gibco-BRL) was added, and the probe was purified by centrifugation in
a Centricon-30 microconcentrator (Amicon). The two separate
fluorochrome-labeled probes were combined and concentrated. PolyA RNA
(Sigma) and tRNA (Gibco-BRL) were added, and the volume was adjusted
with distilled water. For final probe preparation, 20x SSC (1.5 mol/L
NaCl, 150 mmol/L sodium citrate, pH 8.0) and 10% SDS were added. The
probes were denatured by heating for 2 minutes at 100°C, incubated at
37°C for 20 to 30 minutes, and placed on the array under a 22 mm
x 22 mm glass coverslip. The slides were incubated at 65°C for 14 to
18 hours in a custom slide chamber with humidity maintained by a small
reservoir of 3X SSC. Arrays were washed by submersion and agitation for
2 to 5 minutes in 2x SSC with 0.1% SDS, followed by 1x SSC, and then
0.1x SSC. The arrays were spun dry by centrifugation for 2 minutes in
a slide-rack in a Beckman GS-6 tabletop centrifuge in Microplus
carriers at 650 RPM for 2 minutes.
Array Quantitation and Data Processing
After hybridization, arrays were scanned using a laser-scanning
microscope described at http://cmgm.stanford.edu/pbrown. Separate
images were acquired for Cy3 and Cy5. Data reduction was performed with
the program ScanAlyze (Michael Eisen; available at
http://rana.stanford.edu/software). Each spot was defined by
manual positioning a grid of circles over the array image. For each
fluorescent image, the average pixel intensity within each circle was
determined, and a local background was computed for each spot equal to
the median pixel intensity in a square of 40 pixels in width and height
centered on the spot center, excluding all pixels within any defined
spots. Net signal was determined by subtraction of this local
background from the average intensity for each spot. Spots deemed
unsuitable for accurate quantitation because of array artifacts were
manually flagged and excluded from further analysis. Data files
generated by ScanAlyze were entered into a custom database that
maintains web accessible files. Signal intensities between the two
fluorescent images were normalized by applying a uniform scale factor
to all intensities measured for the Cy5 channel. The normalization
factor was chosen so that the mean log(Cy3/Cy5) for a subset of spots
that achieved a minimum quality parameter (approximately 6000 spots)
was 0. This effectively defined the signal-intensity-weighted
"average" spot on each array to have a Cy3/Cy5 ratio of 1.0. A gene
is considered to be differentially expressed when the difference in
fluorescent intensity between the two fluorochromes is more than
fivefold. Except for expressed sequence tags, genes that are
differentially expressed are further divided into smaller groups based
on their functions reported in the literature, such as promotion or
inhibition of cell signal transduction, drug resistance, cell adhesion,
proliferation, DNA repair, cell cycle progression, and apoptosis.
Reverse Transcription (RT)-PCR and Northern Blotting
Total RNAs were isolated from all cell lines using the standard
TRIzol reagent protocol. The first-strand cDNAs were synthesized using
a Superscript II-RNase H- reverse transcriptase
kit, and were used as templates for PCR with gene-specific primer sets
as listed in Table 1
. The PCR products
were separated on a 2% agarose gel followed by ethidium bromide
staining. Northern blots were performed using the standard
protocols.20
Briefly, total RNAs were electrophoresed on
1.5% agarose gel containing 50% formaldehyde, transferred to a
nitrocellulose membrane and hybridized with
P32-labeled DNA probes using a random-primer
labeling kit. Autoradiographs were quantitatively analyzed using a
Molecular Dynamics Densitometer and Imagequant Version 3.22 software
(Molecular Dynamics, Sunnyvale, CA).
 |
Results and Discussion
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Cell proliferation, differentiation, apoptosis, migration, and
interactions are controlled by tightly regulated programs of
differential gene expression. Disturbances in the gene expression
profiles occur in both tumor initiation and progression.22
The standard techniques of molecular biology have been successfully
used to identify an increasing number of genes involved in oncogenesis.
However, these methods are highly focused, targeting one or a few genes
at a time, and do not provide insight into global gene expression. With
the advent of cDNA microarrays and similar technologies, we are now
able to study simultaneously thousands of genes and to explore on a
genomic scale their expression patterns in cells under physiological
and pathological conditions.4-12
In this study, we investigated the expression of almost ten thousand
genes in two clonally-related T cell lymphoma cell lines, PB1 and
2A,13-15
using a cDNA microarray. Because these two cell
lines were derived from the same T cell lymphoma at different stages of
tumor progression (indolent versus aggressive, respectively), we
concentrated on the differences in gene expression to identify genes
that might be involved in the transition of lymphoma to a more
malignant phenotype. Transcripts of 56 genes were found to be at least
fivefold more abundant in the 2A cell line derived from the advanced
stage lymphoma as compared to PB1 cell line from the earlier stage
lymphoma. Twenty-two of these genes have known functions (Table 2)
, whereas the others are represented by
expressed sequence tags whose function remains to be determined. Among
those with known functions, approximately half are involved in signal
transduction pathways that promote cell proliferation and survival,
including genes coding for cytokines, growth factors and their
receptors, cytoplasmic calcium-binding protein, protein kinases, and
transcription factors (Group A in Table 2
). Many of these genes have
been found to be strongly expressed in a variety of carcinomas and
lymphomas.22-25
Two genes that may play a role in drug
resistance showed increased expression in the 2A cells (Group B).
Ferrando et al26
showed that one of these genes, encoding
bleomycin hydrolase (Figure 1)
, was
expressed at an elevated level in head and neck carcinomas when
compared to an adjacent normal mucosa. They also observed that
bleomycin hydrolase expression is low or undetectable in Hodgkins
disease, which contains mostly normal reactive cells, but is high in
Burkitts lymphomas. These results are consistent with a proposed role
for human bleomycin hydrolase in resistance of some tumors to bleomycin
chemotherapy. Interestingly, our finding suggests that in this case the
expression of bleomycin hydrolase may have been intrinsic to tumor
progression rather than secondary to chemotherapy because there is no
record of the patients exposure to bleomycin. The role, if any, of
the genes in the third, rather heterogeneous group C in lymphoma
progression remains to be determined.

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Figure 1. The expression of bleomycin hydrolase gene (red
spot in square box) and D4-GTPase dissociation
inhibitor protein gene (green spot in
circle) is up- and down-regulated, respectively,
in the 2A cell line derived from an advanced stage of cutaneous T cell
lymphoma as compared to the PB-1 cell line derived from an early stage
of the same lymphoma.13-15
The figure shows a
computer-generated image of the representative area of the cDNA
microarray hybridized with the cell line-derived cDNA labeled with two
different fluorochromes.
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The expression of 124 genes was diminished in the 2A cells as compared
to PB1. More than two-third of the genes were represented only by
expressed sequence tags. Based on their reported functions, the
remaining genes can be divided into five broad categories (Table 3)
. Genes in Group A encode protein
phosphatases and related proteins, which can act to down-modulate
signal transduction pathways that promote cell growth. For example,
protein tyrosine phosphatase 1C interacts with Grb2 adaptor protein and
modulates the effect of the Ras-signaling transduction
pathway.22,27,28
Therefore, diminished expression of the
phosphatase and other molecules from this category, may confer an
increased proliferative activity on malignant cells. Indeed a high
proliferative rate characteristic of advanced, high-grade lymphomas was
seen in the lymphoma from which the 2A cell line was derived. Genes in
Group B are cell adhesion molecules involved in cell-cell and
cell-matrix interactions. Down-regulation of the adhesion molecules may
be related to the high propensity of advanced tumors to
metastasize.29,30
The fact that the patients lymphoma
was confined to skin and peripheral blood at the time when the PB-1
cell line was established, and displayed a wide-spread involvement of
internal organs shortly after the 2A cell line was
obtained,13
is in agreement with such a possibility.
Furthermore, Gregory et al31
demonstrated that the
decreased expression of the adhesion molecules LFA-3 and ICAM-1 by
lymphoma cells interferes with virus-specific T cell surveillance
against Epstein-Barr virus-positive Burkitts lymphoma. This
observation suggests an additional role for cell adhesion molecules as
targets for tumor immunosurveillance. Genes in group C consist of those
involved in the regulation of DNA damage repair, genome stability and
apoptotic cell death. For example, patients with mutations of
Ataxia-Telangiectasia (AT) gene are prone to develop hematopoietic and
non-hematopoietic malignancies.32
Defects in the AT gene
are believed to affect DNA repair leading to accumulation of additional
genetic changes that may be directly involved in malignant cell
transformation. Another gene in this group, D4-GTPase dissociation
inhibitor protein (D4-GDI; Figure 1
), belongs to the Rho-related family
of small GTP-binding proteins, which play an important role in a wide
range of cellular functions including actin polymerization, cell cycle
progression and apoptosis. D4-GDI is preferentially expressed at a very
high level in hematopoietic cells,33
and it is
specifically degraded during apoptosis.34,35
Another gene
relatively underexpressed in the 2A cells,
P16INK4a, represents a negative regulator of cell
cycle progression (Group D). P16INK4a is one of
cyclin-dependent kinase regulators and inhibits the G1/S cell cycle
progression. It has also been shown to prevent cellular transformation
by H-ras.36,37
Loss of P16INK4a
expression in non-Hodgkins lymphomas including cutaneous T cell
lymphoma, is frequently associated with tumor
progression.3,38
Our results provide additional evidence
that P16INK4a may play a role in the malignant
progression of cutaneous T cell lymphoma. The last group of the genes,
designated E, contains a variety of genes whose possible impact, if
any, on tumor progression is uncertain. Interestingly, there is a
marked decrease in expression of T cell receptor
chain seen also on
the protein level by flow cytometry (MA Wasik, unpublished data). This
decrease may reflect the diminished dependence on receptor-mediated
stimuli in the more advanced lymphoma.14,15,20
To confirm and validate the results obtained by cDNA microarray, we
analyzed expression of selected, differentially expressed genes by
conventional molecular methods. RT-PCR analysis (Figure 2A)
, verified the diminished expression
of D4-GDI and increased expression of the bleomycin hydrolase gene and
the sodium/taurocholate cotransporting polypeptide gene in 2A cells in
relation to PB1 cells. The relatively decreased expression of D4-GDI in
2A cells was additionally confirmed by Northern blot analysis (Figure 2B)
and the ratio of D4-GDI mRNA between the two cell lines as
determined by a densitometer analysis was similar to that detected by
cDNA microarray.

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Figure 2. Confirmation of the cDNA microarray-identified differential expression
of selected genes between the less and more advanced stages of
cutaneous T cell lymphoma represented by PB1 and 2A cells,
respectively. A: RT-PCR. D4-GDI, D4-GTPase dissociation
inhibitor protein; Na/TCT, Na/taurocholate cotransporting polypeptide;
BH, bleomycin hydrolase gene. The DNA bands reflecting expression of
these genes are highlighted by white arrowheads. Analysis of
actin expression served as a positive control. The marker is a
synthetic 100-bp DNA ladder. B: Northern blot analysis of
D4-GDI gene expression. Equal amounts of intact total RNA from the two
cell lines was loaded as indicated by the intensity and integrity of
the ribosomal RNA (rRNA)
bands on the ethidium bromide-stained agarose gel. Detection of actin
expression served as a positive control. rRNA, ribosomal RNA.
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We further investigated the expression pattern of bleomycin hydrolase
gene and the D4-GDI gene in a variety of lymphoma cell lines. As shown
in Figure 3
, the majority of the lymphoma
cell lines, which usually represent highly transformed malignant cells,
overexpressed bleomycin hydrolase gene at a level similar to that seen
in the 2A and 2B cell lines derived from the advanced lymphoma. The
down-regulation of D4-GDI gene expression, however, was almost
completely specific to 2A and 2B cell lines suggesting that the role
this gene might play in malignant progression is likely to be
restricted to specific types of T cell lymphoma.

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Figure 3. RT-PCR analysis of the BH and D4-GDI gene expression in cell lines
representing various types of malignant lymphoma. See Materials and
Methods for the line description. Analysis of actin expression served
as a positive control. The marker comprises a 100-bp DNA ladder.
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In summary, by using an 8000 gene cDNA microarray we have identified
functionally-related groups of genes that are differentially expressed
in two T cell lines derived from different stages of a cutaneous T cell
lymphoma. Genes involved in cell proliferation, cell survival and
resistance to drugs were among the genes we found to be more highly
expressed in the advanced, progressed stage of the lymphoma.
Conversely, negative regulators of cell signaling and cell cycle,
promoters of cell adhesion and apoptosis and genes involved in DNA
repair were among the genes with lower level of expression in the
advanced lymphoma stage. These results correlate well the progressive
changes that occurred in the biological features and clinical behavior
of the lymphoma and provide new leads for investigation into the
molecular pathomechanisms of lymphoma progression. Such investigation
should be performed with primary patient samples to define the
frequency of genetic changes identified by our analysis as well as
identify additional changes. A better understanding of pathogenesis and
progression of cutaneous T cell lymphoma and other malignancies should
result in refined diagnosis and novel therapies targeting the
aberrantly expressed genes.
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Footnotes
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Address reprint requests to Mariusz A. Wasik, Department of Pathology and Laboratory Medicine, University of Pennsylvania Medical Center, Founders 7.106, 3400 Spruce Street, Philadelphia, PA 19104. E-mail:
wasik{at}mail.med.upenn.edu
Supported in part by National Cancer Institute grant CA89194 to MAW, National Human Genome Research Institute grant HG00450 to P. O. B. and the Howard Hughes Medical Institute. M. A. W. is a recipient of the Shannon Award from the National Cancer Institute and P. O. B. is an associate investigator of the Howard Hughes Medical Institute.
S. L.s current address: Department of Pathology and Laboratory Medicine, Emory University School of Medicine, Atlanta, GA 30322.
Accepted for publication January 2, 2001.
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