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From the Department of Clinical Chemistry,*
Clinic of
Internal Medicine, the Department of
Neuroanatomy,
Institute of Anatomy, and the
Institute of Pathology,
University Hospital
Eppendorf, Hamburg, Germany
| Abstract |
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| Introduction |
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Like several other cell adhesion molecules, CEACAM1 also functions as a microbial receptor. Thus, the mouse hepatitis virus utilizes mouse CEACAM1 (Ceacam1) as its receptor5 and in human granulocytes and epithelial cells CEACAM1 is a receptor for bacterial proteins from Escherichia coli, Salmonella typhimurium, Neisseria gonorrhoeae, and Haemophilus influenzae.6-10 A number of physiological functions have been ascribed to CEACAM1 in different tissues. In endothelial cells, CEACAM1 exhibits properties of an angiogenic factor and acts as a major effector of vascular endothelial growth factor (VEGF).11 In epithelial cells it is generally believed, that CEACAM1 acts as a growth suppressor, since the expression of CEACAM1 was shown to be lost or significantly down- or dysregulated in carcinomas of the liver,12,13 prostate,14 endometrium,15 breast,16 and colon.17-19 Consistent with this notion it has been shown that CEACAM1 acts as a negative regulator of tumor cell growth in human prostate20 and breast carcinoma models.21 Furthermore, CEACAM1 is strongly expressed by the extravillous trophoblast during the invasion of the maternal endometrium, and might, as a tumor suppressor, be involved in the molecular mechanisms controlling this process and for differentiating them from those implicated in tumor progression.22
The growth-suppressive effect of CEACAM1 depends on the presence of its cytoplasmic domain. Although the mechanism of action is largely unresolved, several reports suggest that CEACAM1 participates in signal transduction by interacting with other membrane or cytoplasmic proteins via its cytoplasmic domain. The cytoplasmic domain (CEACAM1cyt) is phosphorylated by multiple protein kinases23 and the phosphorylation on one or both of its two tyrosine residues (Tyr-488 and Tyr-515) is triggered by several physiological events.24 One or both of these tyrosine-phosphorylated residues are involved in the association with protein kinases of the Src family,25 paxillin,26 the protein-tyrosine phosphatases SHP-127 and SHP-2.28
In the present study, we used differentially phosphorylated recombinant expressed CEACAM cytoplasmic domains and mutants to isolate integrin ß3 as an associated protein with the tyrosine phosphorylated cytoplasmic CEACAM1 domain. In vitro, this association depends on the phosphorylation of Tyr-488 in CEACAM1cyt. Using coprecipitation studies and laser scanning confocal microscopy analyses, we demonstrate the association of both molecules in granulocytes and the colonic carcinoma cell line HT29. Furthermore, our findings of CEACAM1/integrin ß3 co-expression and colocalization at the maternal-fetal interface during placental development plus at the invading front of primary melanoma suggest a functional role of CEACAM1-integrin ß3 association in cell migration.
| Materials and Methods |
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Cloning of the cDNA coding for the wild-type cytoplasmic domain of CEACAM1 and CEACAM3 and generation of the mutant domains CEACAM1cytY488F, CEACAM1cytY515Fwas performed as described.25,26
Protein kinases PKC, CK II (Biomol, Hamburg, Germany), and Src (Upstate
Biotech, Lake Placid, NY) were diluted in kinase dilution buffer
according to manufacturers instructions and added to 500 µg of
purified cytoplasmic CEACAM1 and CEACAM3 domains in kinase assay
buffer. For radioactive labeling 50 µCi
[
-32P]ATP (30 Ci/mmol; 1 Ci = 37 GBq)
was added. After incubation at 30°C for 1 hour, phosphotyrosyl
proteins were purified using the PY Immunoaffinity system (Oncogene
Science, Manhasset, NY).
The purified phosphorylated or unphosphorylated CEACAM1 and CEACAM3 domains were adjusted to 250 µg/ml with a 50% slurry of Ni-nitrilotriacetic acid (NTA) resin (Qiagen, Hilden, Germany). After incubation for 2 hours at 4°C 2 ml of this suspension were transferred into a column and washed three times in 1 ml of wash buffer (300 mmol/L NaCl, 50 mmol/L Na-phosphate, pH 7.5). Granulocytes were isolated from buffy coat of normal donors by Ficoll-Paque gradient centrifugation (d = 1.119). Freshly isolated granulocytes (5.5 x 1020) were extracted with 1% Nonidet P-40 diluted in PBS containing proteinase inhibitors. After centrifugation (10,000 x g, 30 minutes) 1 ml of the Nonidet P-40-soluble supernatant containing 1.25 g/L protein was passed over the Ni-NTA immobilized CEACAM1 and CEACAM3 domains. The column was washed with 0.3 mol/L NaCl containing 0.05 mol/L phosphate (pH 6.0) and eluted using 0.3 mol/L NaCl, 0.05 mol/L phosphate (pH 3,0). SDS-PAGE, silver staining, and Western blots were performed as described.29
Microsequencing of Proteins
Bound proteins from granulocyte extracts were separated by SDS-PAGE and transferred to PVDF membrane. Protein bands were visualized by Serva blue R staining and excised. N-terminal sequences were determined by automated Edman degradation (Richter AG, Hamburg, Germany). Sequence library searches were performed against SWISS-PROT and PIR databases.
Co-Immunoprecipitation
Extracts from cells containing 250 µg of protein were incubated with approximately 5 µg of monoclonal antibody for 1 hour at 4°C. Subsequently, Protein G PLUS/Protein A-agarose (50 µl) was added. After incubation on a rocker platform at 4°C for 24 hours, the precipitates were washed four times with antibody (Ab)-wash buffer (1% Triton X-100, 10 mmol/L Tris-HCl pH 7.6, 5 mmol/L EDTA, 50 mmol/L NaCl, 30 mmol/L sodium pyrophosphate, 50 mmol/L sodium fluoride, 100 µmol/L sodium orthovanadate, 0.1% azide). Precipitated proteins were boiled in sample buffer, separated by SDS-PAGE electrophoresis and visualized by immunoblotting.
In Vitro Complex Formation Studies
Extracts from cells containing 250 µg of protein precleared by rotating at 4°C with 30 µl of a 50% slurry of Protein G PLUS/Protein A-agarose (Dianova, Hamburg, Germany) for 30 minutes and beads were removed by centrifugation (5000 rpm). Supernatants were incubated with approximately 5 µg of human integrin ß3 mAb (Chemicon International Inc., Temecula, CA) for 1 hour at 4°C. Subsequently, Protein G PLUS/Protein A-agarose (50 µl) and radioactively labeled CEACAM domains adjusted to 50 µg/ml were added. After incubation on a rocker platform at 4°C for 2 hours, the precipitates were washed four times with antibody (Ab)-wash buffer. Precipitated proteins were boiled in sample buffer, separated by SDS-PAGE electrophoresis and visualized by autoradiography.
Cell Culture
Cells of the colonic carcinoma cell line HT29-D4 were grown in Dulbeccos modified Eagles medium with 10% fetal calf serum for 6 days. After washing (PBS) cells were lysed in Triton X-100 lysis buffer (50 mmol/L Hepes pH 7,5, 150 mmol/L NaCl, 1% Triton-X-100, 2% aprotinin, 2 mmol/L EDTA, 50 mmol/L NaF, 10 mmol/L Na-pyruvate, 10% glycerine, 1 mmol/L Na-orthovanadate, 1 mmol/L PMSF). Lysis was carried out on ice for 30 minutes followed by clarification in a microfuge (13,000 rpm for 30 minutes at 4°C). Endometrial epithelial cells were prepared from endometrium of cycling women undergoing hysterectomies for leiomyomas. Briefly, endometrial tissue was minced thoroughly and digested in DMEM with 0.5 mg/ml collagenase-dispase (Boehringer-Mannheim, Mannheim, Germany) and 2.5 mg/ml desoxyribonuclease (Sigma, Deisenhofen, Germany) for up to 2 hours, with gentle pipetting every 2030 minutes. The suspension was filtered through a nylon stocking to remove nondispersed tissue fragments. Cells were harvested by centrifugation at 400 x g for 6 minutes, and resuspended in plating media, a 1:1 mixture of DMEM and HF-12 containing 10% FCSDCC (FCS depleted of steroids by treatment with dextran-coated charcoal), 100 U/ml penicillin, 100 µg/ml streptomycin, 1 µg/ml insulin (Sigma), and 10-9 mol/L 17ß-estradiol (E2; Sigma). Stromal and epithelial cells were separated by sieving the cell suspension through a steal sieve (38 µm pore size). The retentate containing the epithelial glands was washed out by inverting the sieve and rinsing it with plating media. Endometrial stromal cells were collected in the filtrate. After centrifugation at 400 g for 6 minutes, epithelial glands were plated in six-well plates. Medium was changed every 4872 hours.
Tissue Collection
For confocal laser scanning microscopy tissue material, routinely fixed in 4% buffered formalin and embedded in paraffin, was selected after histological review from the files of the Department of Gynecopathology and the Department of Neuroanatomy, University Hospital Eppendorf, Hamburg. For the present study three CEACAM1 positive primary melanomas along with three first trimester placentas were investigated.
Confocal Laser Scanning Microscopy
Processing of cells for CLSM was performed as described.26 From the tissues material used serial sections of 4 to 6 µm were cut from the paraffin blocks and mounted on 3-aminopropyl-triethoxysilan (APES)-coated slides, deparaffinized in Rotihistol, and rehydrated in graded alcohol to PBS-buffered saline. The slides were microwaved five times for 2 minutes in 10 mmol/L citrate pH 6.0. After cooling down for 20 minutes, the slides were washed three times in PBS for 5 minutes. Unspecific binding was blocked by incubating the slides in 20% FCS/3% BSA in PBS for 30 minutes and the first antibody -4D1/C2 against CEACAM1 was added in adjusted dilution (1:25). After incubation overnight slides were washed three times in PBS and incubated with goat anti-mouse IgG (H+L, GaM Dianova) TRITC (1:50). After washing three times for 5 minutes with PBS the samples were further processed by blocking any remaining epitopes on the mouse Fc fragment with a goat anti-mouse IgG (H+L, Dianova) F(ab') fragment for 30 minutes. After three washing steps with PBS the second primary antibody (anti-integrin ß3 of DAKO, Glostrup, Denmark) was added, incubated for 60 minutes at room temperature.
Integrin signals were detected by a second FITC-conjugated antibody (goat anti-mouse IgG H+L, FITC labeled, Dianova). To rule out any cross-reactions between the two primary antibodies we performed immunostaining even with an anti-integrin ß3-antibody (Chemicon International) raised in rabbits. In this case, the integrin ß3-signals were detected using a sheep-anti-rabbit (Fc)-FITC secondary antibody (Dianova). Since we obtained the same results with respect to colocalization even using this protocol as a specificity control, these data are not presented separately in the results section or as figures.
To avoid photobleaching of the fluorochrome during fluorescence microscopy, the slides were embedded in anti-fade solution (BiomedDia, Zweibrücken, Germany). The double-fluorescent stained specimens were analyzed with a confocal laser scanning microscope equipped with an external argon laser (Zeiss Invers 410, Zeiss, Oberkochen, Germany). The cells were x/y scanned in the reflecting mode with a simultaneous excitation wavelength of 488 and 543 nm. Using the confocal mode, the pinhole was closed to approximately 25. To visualize the distribution of the fluorescence signals the specimens were monitored using the extended depth of focus mode (EDF).
Antibodies and Other Reagents
Details on the production and characterization of the monoclonal
CEACAM1 4D1/C2 have been published.30,31
The CEACAM mAb
12-140-4 was a kind gift from Ole P. B
rmer (Norwegian Radium
Hospital, Oslo, Norway). Monoclonal antibodies to human integrin
ß3 (Chemicon International and DAKO) were
purchased and used according to the manufacturers specifications.
| Results |
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As shown in Figure 1A
, lane 1, a
defined set of proteins was purified using the in vitro
tyrosine phosphorylated cytoplasmic CEACAM1 domain. These bands were
not detectable in the control lanes using unphosphorylated domain of
CEACAM1 (Figure 1A
, lane 2), the tyrosine phosphorylated (Figure 1A
,
lane 3) or unphosphorylated (Figure 1A
, lane 4) cytoplasmic domain of
CEACAM3. Here we report on the band of approximately 95 kd, which was
identified unanimously as the human integrin ß3
subunit by N-terminal sequencing. In Western blots performed with the
eluted antigens, a monoclonal anti-integrin ß3
antibody detected the 95 kd protein only in the tyrosine phosphorylated
CEACAM1cyt eluate (not shown). In conclusion, the
purification of integrin ß3 was observed with
the tyrosine phosphorylated cytoplasmic domain of CEACAM1 only.
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To further investigate an association of CEACAM1 with integrin
ß3, co-immunoprecipitation experiments were
performed from membrane extracts of granulocytes. Extracts were
prepared and incubated with monoclonal antibodies against integrin
ß3 or CEACAM1 or polyclonal mouse IgG
(control). Immunoprecipitated complexes were analyzed by immunoblotting
with the monoclonal antibodies against either integrin
ß3 or CEACAM1. Complexes containing CEACAM1 and
integrin ß3 could be immunoprecipitated with
both anti-CEACAM1 (Figure 1B
, lane 1) and anti-integrin
ß3 antibodies (Figure 1B
, lane 3). Furthermore,
co-immunoprecipitation of CEACAM1-integrin ß3
complexes was also observed in the epithelial colonic carcinoma cell
line HT29 (Figure 1B
, lanes 2 and 4). Differences of the apparent
molecular weight of CEACAM1 in different cell types are established and
probably due to
glycosylation-differences.11,15,26,32
Complexes
containing detectable CEACAM1 or integrin ß3
could be not immunoprecipitated using polyclonal mouse IgG and vinculin
as controls (not shown).
Association of CEACAM1 with Integrin ß3 Requires the Phosphorylated CEACAM1 Tyr-488 Residue
The in vitro tyrosine phosphorylated wild-type
cytoplasmic CEACAM1 domain is, after incubation with granulocyte
extracts, co-immunoprecipitated with anti-integrin
ß3 mAb (Figure 1C
, lane 1). We used different
CEACAM1cyt mutant domains to
determine whether phosphorylated tyrosine residues within
CEACAM1cyt are required for binding
to integrin ß3. The (Y515F) mutation
(CEACAM1cytY515F-P) did not interfere with
the observed interaction (Figure 1C
, lane 2), but the (Y488F) mutation
(CEACAM1cytY488F-P) did almost completely abolish
coprecipitation (Figure 1C
, lane 3). The tyrosine phosphorylated
CEACAM3 domain as well as serine/threonine phosphorylated wild-type and
mutant (Y488F and Y515F) CEACAM1cyt did not
co-immunoprecipitate with integrin ß3 mAb (not
shown).
Co-Expression and Colocalization of CEACAM1 with Integrin ß3 on Granulocytes and HT29 Cells
To substantiate an association of CEACAM1 and integrin
ß3 in vivo, we conducted
double-fluorescent confocal laser scanning microscopy on human
granulocytes. First, the cellular distribution and the relative
intensity of fluorescence on the cells were assessed qualitatively.
Immunofluorescence of TRITC localizing CEACAM1 (Figure 2A
, red) and of FITC localizing
anti-integrin ß3 mAb (Figure 2B
, green)
revealed a strong membrane-associated granular pattern for each of the
molecules. Using double-fluorescent labeling colocalization of CEACAM1
and integrin ß3 in the same cells was indicated
by yellow fluorescence (Figure 2C)
.
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Co-Expression and Colocalization of CEACAM1 with Integrin ß3 in Primary Melanomas
Since integrin ß3 has a well established
role in the invasion and metastasis of malignant
melanomas33,34
and since CEACAM1 expression is clinically
positively correlated with metastasis of melanomas
(P < 0.0001; U. Schumacher, submitted), we
investigated primary melanomas for CEACAM1/integrin
ß3 expression. Representative results of
CEACAM1 and integrin ß3 expression in CEACAM1
positive primary melanomas are displayed Figure 3
. Whereas CEACAM1/integrin
ß3 colocalization is heterogeneous in the
center of primary melanoma (Figure 3A)
. In contrast, horizontal (Figure 3B)
and longitudinal (Figure 3, CE)
sections revealed concentrated
co-expression and colocalization at the tumor-stroma interface of
invading tumor masses. Interestingly the strongest co-expression and
colocalization is detected at the invading front (Figure 3E)
.
Colocalization appears to be restrained by the spatially more
restricted expression of CEACAM1 (Figure 3, C and E
; partial
magnification in F). In contrast a different staining pattern of
paxillin, with absent CEACAM1 colocalization at the invasion front, was
observed (not shown).
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Western blot analysis with anti-CEACAM1 mAb 4D1/C2 and
anti-integrin ß3 mAb with protein extracts of
isolated and cultured epithelial endometrial cells revealed expression
of CEACAM1 only, with no detectable integrin ß3
expression (not shown). To investigate the expression and
colocalization of CEACAM1 and integrin ß3 in
endometrium of pregnancy, we conducted double-fluorescent confocal
laser scanning microscopy. Double-fluorescent microscopy using the
fluorochrome TRITC for localizing CEACAM1 (Figure 4A)
and FITC labeling to follow integrin
ß3 expression (Figure 4B)
revealed
colocalization of CEACAM1 and integrin ß3
(Figure 4C)
at the apical poles of surface epithelial cells in
endometrial glands in pregnancy, whereas stromal (decidual) cells were
negative for CEACAM1 and integrin ß3 (not
shown).
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| Discussion |
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CEACAM3, formerly known as carcinoembryonic gene member 1 or CD66d, is a cell-surface immunoglobulin-like glycoprotein of the carcinoembryonic antigen (CEA) gene family, which is exclusively expressed in the granulocytic lineage.43 The cytoplasmic domain of CEACAM3 (CEACAM3cyt) is structurally homologous to CEACAM1 containing 71 amino acids including two tyrosine residues and multiple serine/threonine residues, which are phosphorylated by multiple protein kinases in vitro.23 Using phosphorylated and unphosphorylated CEACAM3cyt as a specificity control, we have demonstrated a specific interaction between integrin ß3 and a fusion protein containing the cytoplasmic domain of CEACAM1 cloned behind a poly-histadine tag. Since CEACAM1cyt-mutants in which Tyr-488 was replaced with Phe within the cytoplasmic domain were not coprecipitated with integrin ß3, it appears that phosphorylation of Tyr-488 is required for the observed association.
Since we23,25 and others44,45 have shown that CEACAM1 is partially tyrosine phosphorylated in quiescent cells, we investigated CEACAM1-integrin ß3 interaction in intact cells. Several lines of evidence allocate a relevant in vivo interaction. First, CEACAM1-integrin ß3 complexes are coprecipitated from cell extracts of granulocytes and epithelial cells. Second, on cultured epithelial cells as well as on granulocytes CEACAM1 and integrin ß3 are co-expressed and colocalized at the plasma membrane. Third, we demonstrated co-expression and colocalization of CEACAM1 and integrin ß3 in primary melanomas. Here, we observed a predominant co-expression and colocalization of CEACAM1 and integrin ß3 at the invasion front of the primary tumor. Finally, colocalization of the two molecules was also observed at the apical surface of endometrial glandular cells of endometrium in pregnancy and at the transitional zone from proliferative to invasive extravillous trophoblast of the maternal-fetal interface.
Integrins are
ß heterodimers and function in cell adhesion and
signaling by interaction with extracellular matrix proteins or cellular
counter receptors as well as with intracellular
proteins.46,47
Integrins may also form cis
associations with other transmembrane receptors on the same cell, which
may well modulate integrin affinity either by altering integrin
conformation directly or indirectly via clustering of the associated
integrin.48
Several transmembrane proteins, which
associate with integrins and modulate their function, have been
described.48
CEACAM1 has been reported as a ligand for
E-selectin49
and implicated in integrin affinity
up-regulation50
in granulocytes. However, this is the
first report of an association of CEACAM1 with integrin
ß3. Although the exact molecular mapping of
this interaction has to further elucidated, especially direct
versus indirect binding eg, via an integrin
ß3 binding putative adapter protein, we
speculate that the complex of integrin ß3 and
CEACAM1 acts as a functional package facilitating cell migration. For
integrin ß3 a promoting effect in cell
migration during angiogenesis,51
tumor
invasion,34,52
and invasion of the maternal uterus by
fetal extravillous cytotrophoblast35,36
is well
documented.
Much less is known about a possible promoting role of CEACAM1 in cell migration or cell spreading. In epithelial tissues it was generally believed53 that CEACAM1 contributes to contact inhibition of cell proliferation, and evidence in favor of this assumption was reported recently.54 However, CEACAM1 is not only expressed in organized epithelial tissues but also found on migrating cells such as activated T cells55 and endothelial cells.4,56 In contrast to epithelial cells, CEACAM1 enhances proliferation in activated T cells57 and endothelial cells,11 indicating a specialized CEACAM1 function.
Colocalization of the two molecules was also observed at the apical surface of endometrial glandular cells of endometrium in pregnancy. In endometrial epithelial cells in primary culture, only expression of CEACAM1 was observed, while integrin ß3 is not expressed. Thus, colocalization of the two molecules appears to be a feature of the endometrial glandular structure that is spatially as well as temporally tightly regulated. It has been shown that integrin ß3 is only expressed in the glandular endometrial epithelial compartment during the so-called "implantation window"35,36 and that this expression is delayed in infertile patients with discordant luteal phase biopsies.58 For CEACAM1, expression had been previously described in endometrial epithelial cells in the rat uterus, where differential expression in the luminal and glandular epithelia as a function of estrogen and progesterone environment was observed.59 In the human endometrium expression at the luminal (apical) poles of endometrial glandular cells and in the luminal epithelium has been observed throughout the cycle.15
Colocalization of CEACAM1 and integrin ß3 at
the transitional zone of proliferative to invasive extravillous
trophoblast indicates that CEACAM1-integrin ß3
complexes might play a role in trophoblast invasion and implantation.
For integrin ß3, previous studies have shown
expression on the surface of the attachment-competent trophoblast at
the time of implantation in mouse embryos in the form of integrin
vß3.60
In vitro studies have shown expression of
vß3 by trophoblast
cells with an invasive phenotype.61,62
For CEACAM1,
expression had been described on the surface of trophectoderm on rat
blastocysts,63
where it appeared to be lost or masked from
the surface of the mural trophoblast cells of adhesive-stage
blastocysts. In human placenta we could recently demonstrate expression
of CEACAM1 in the extravillous trophoblast,22
with
expression present as soon as the extravillous trophoblast
differentiates and seen in both capping masses and cell columns. The
present study shows that, at the human maternal-fetal interface,
CEACAM1 and integrin ß3 are co-expressed in
extravillous trophoblast cells at the transitional zone, while
colocalization appears to be restricted by the spatially more
restricted expression of integrin ß3 in
invasive trophoblast.
A recent study demonstrated that CEACAM1 is also expressed on a subset of primary melanomas, whereas melanocytes do not express CEACAM1 (U. Schumacher, submitted). Using CLSM, we could demonstrate colocalization of CEACAM1 and integrin ß3 at the invasion front of malignant melanomas, indicating that CEACAM1-integrin ß3 complexes might play a role in melanoma cell migration and invasion. Interestingly, in a recent study by Hsu et al,64 ectopic E-cadherin expression in a skin reconstruction model was shown to inhibit invasion of melanoma cells into dermis by down-regulating integrin ß3.
Integrin family members are heterodimers that contain a larger
subunit that is unique to each individual receptor and a smaller ß
subunit that can be shared by several receptors.46
The
ß3 subunit associates with two
subunits:
IIb in platelets or
v
in a variety of cells.47
Although melanoma
cells33,34
and extravillous trophoblasts35,36
normally express
vß3
integrin, additional CLSM studies with staining for
vß3 are necessary to
formally prove the interaction of CEACAM1 with
vß3. Since we
demonstrated that CEACAM1 and integrin ß3 are
colocalized on invading cells (ie, melanoma cells, extravillous
trophoblasts), we speculate that, at least in situations in which
association with integrin ß3 is granted,
CEACAM1, in the form of CEACAM1-integrin ß3
complexes, may play a role in cellular invasion. To be determined are
the specific conditions under which an adhesion molecule like CEACAM1
can function as both a tumor suppressor with an expression pattern
indicating a role in maintaining tissue architecture, as well as a
tumor promoter, with a role in processes such as
angiogenesis11
and invasion.
| Footnotes |
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Supported by grant Br 1741/11 from the Deutsche Forschungsgemeinschaft to J. B. and C. W.
Accepted for publication April 13, 2001.
| References |
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-glycosides of mannose. Infect Immun 1991, 59:2051-2057
(v) ß3 integrin and intercellular adhesion molecule-1 expression in cutaneous malignant melanoma lesions. Cancer Res 1997, 57:1554-1560
(v) ß3 promotes M21 melanoma growth in human skin by regulating tumor cell survival. Cancer Res 1999, 59:2724-2730
vß3 blocks human breast cancer growth and angiogenesis in human skin. J Clin Invest 1995, 96:1815-1822
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