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(American Journal of Pathology. 2002;161:2065-2078.)
© 2002 American Society for Investigative Pathology

Regular Articles

Loss of the EP2 Prostaglandin E2 Receptor in Immortalized Human Keratinocytes Results in Increased Invasiveness and Decreased Paxillin Expression

Raymond L. Konger*, Glynis A. Scott{dagger}, Yvonne Landt{ddagger}, Jack H. Ladenson{ddagger} and Alice P. Pentland{dagger}

From the Department of Pathology and Laboratory Medicine,* Indiana University School of Medicine, Indianapolis, Indiana; the Department of Dermatology,{dagger} University of Rochester School of Medicine and Dentistry, Rochester, New York; and the Division of Laboratory Medicine,{ddagger} Washington University School of Medicine, Saint Louis, Missouri


   Abstract
Top
 Abstract
Materials and Methods
 Results
 Discussion
 References
 
Prostaglandin E2 (PGE2) receptor subtype EP2, which is coupled to cAMP metabolism, is known to mediate proliferation of primary human keratinocytes in vitro. The effect of gain or loss of EP2 receptors in immortalized human keratinocytes (HaCat cells) was examined. HaCat keratinocytes were transfected with sense or anti-sense constructs of the EP2 receptor. Loss or gain of EP2 expression was documented by immunoblot and associated changes in agonist-stimulated cAMP production. Loss or gain of EP2 receptor expression correlated with alterations in plating efficiencies but with modest affects on growth. When cell lines were studied in an organ culture model, anti-sense clones were highly invasive compared with vector controls and sense transfectants. A marked increase in prostaglandin production is commonly seen in malignant lesions. Because prostaglandin receptors are known to undergo ligand-induced receptor down-regulation, we sought to determine whether EP2 receptor down-regulation results in increased invasiveness. In vector controls, invasiveness was reproduced by ligand-dependent EP2 receptor down-regulation as assessed by immunohistochemistry. In addition, loss of EP2 receptor expression was associated with decreased paxillin expression, a critical component of focal adhesion assembly. Thus, down-regulation of EP2 receptors represents a potential mechanism for neoplastic progression to an invasive phenotype.

Prostaglandins are lipid hormones produced in response to numerous growth factors and environmental stimuli. Synthesis of prostaglandins is dependent on two cyclooxygenase enzymes (COX-1 and COX-2). COX-1 is generally constitutively expressed, whereas COX-2 is induced by various mitogens, hormones, and environmental stimuli.1 Many studies show increased COX-2 expression in human epithelial malignancies, including squamous cell carcinoma.2-10 Epidemiological and pharmacological studies demonstrate that cyclooxygenase inhibitors exhibit chemopreventive activity for various malignancies, including skin cancer.1,11-13 A direct role for COX-2 in tumorigenesis was recently demonstrated in transgenic mice with targeted overexpression of COX-2 in breast epithelium.14

There is considerable evidence that PGE2 acts to promote tumor growth secondary to its mitogenic activity, proangiogenic activity, and inhibition of apoptosis.1,13,15 However, the lack of a distinct receptor-based mechanism has frustrated past attempts to demonstrate a clear causative role for PGE2 in tumorigenesis. Four separate PGE2 receptors coupled to activation of heterotrimeric GTP-binding proteins (G-proteins) have been identified, termed EP1–4.16 EP2 and EP4 receptors are known to be coupled to activation of adenylate cyclase. We have previously shown that growth of primary adult human keratinocytes (PHKs) is stimulated by activation of EP2 receptors and subsequent production of cyclic AMP.17 In mouse models of premalignant adenoma and aberrant crypt foci formation, PGE2 appears to mediate growth and angiogenesis within benign lesions via stimulation of prostaglandin receptors EP1, EP2, and EP4.18-21

Invasion and metastasis represent the final step to malignant conversion. COX-2 expression and PGE2 production generally increases as lesions progress from normal to benign lesions to frank malignancy.2,3,6,22 In both human breast cancer and non-small cell lung cancer, metastatic lesions of the lymph node exhibit markedly higher COX-2 expression or PGE2 production compared with matched primary tumors.23,24 COX-2 expression has also been shown to correlate with invasiveness of various malignancies.2,4,6,10,25 Moreover, elevated COX-2 expression correlates with a poor prognosis in several malignancies.5,7-9 The importance of elevated COX-2 in malignant progression is further suggested by the ability of cyclooxygenase inhibitors to inhibit experimental tumor metastases and invasiveness.26-29

Prostaglandin receptors, like other G-protein-coupled receptors, are known to undergo ligand-dependent down-regulation, both in vitro and in vivo.30-34 Several reports have demonstrated decreased radiolabeled PGE2-binding sites by Scatchard analysis in human and rat breast cancer cell lines and hepatocellular carcinoma.35-37 This decreased receptor binding activity led Li and colleagues33 to propose that the increased prostaglandin production in malignancy might result in prostaglandin receptor down-regulation. Thus, ligand-dependent receptor down-regulation might represent a possible mechanism for the effects of PGE2 in malignant progression.

The ability of malignant cells to invade and migrate through the subepithelial matrix is coupled to alterations in adhesion molecules regulating focal contacts with matrix components.38 One component of focal adhesion complexes is the protein paxillin, which serves as a scaffolding protein mediating focal adhesion assembly after matrix-integrin coupling.39 Decreased paxillin expression is observed in mouse keratinocytes after malignant conversion.38 The importance of paxillin in neoplastic transformation is suggested by the ability of a number of oncogenes, such as BCR/ABL, v-src, v-crk, Ret, and papilloma virus E6 to bind directly to paxillin.40,41 Moreover, the transforming ability of the E6 oncoprotein is dependent on its ability to bind to paxillin.42 In the current work, we have examined the role of the EP2 subtype of PGE2 receptor on features of malignant progression such as invasiveness and paxillin expression using an immortalized human keratinocyte cell line.


   Materials and Methods
Top
 Abstract
 Materials and Methods
Results
 Discussion
 References
 
Materials

Butaprost and 11-deoxy PGE1 were obtained from Cayman Chemical (Ann Arbor, MI). 3-Isobutyl-1-methylxanthine and indomethacin were obtained from Sigma Chemical (St. Louis, MO). Tissue culture media, sterile phosphate-buffered saline (PBS), protein molecular weight markers, and geneticin were obtained from Life Technologies, Inc. (Gaithersburg, MD). Fetal bovine serum was obtained from BioWhittaker (Walkersville, MD). Restriction enzymes were obtained from Promega Corporation (Madison, WI). Radionucleotides, sheep anti-mouse IgG-F(ab')2-horseradish peroxidase conjugate and Hybond ECL nitrocellulose membranes were obtained from Amersham Pharmacia Biotech (Piscataway, NJ). EP2 receptor cDNA (Hup-4) was the kind gift of Dr. J. W. Regan (University of Arizona Health Sciences Center, Tucson, AZ). The pMirb plasmid was the generous gift of Dr. D. W. Ornitz (Washington University School of Medicine, St. Louis, MO). HaCat cells were obtained from Dr. N. E. Fusenig (German Cancer Research Center, Heidelberg, Germany). COS-7 and U-937 cells were obtained from the American Type Culture Collection (Gaithersburg, MD).

Cell Culture

Dermal fibroblasts were isolated from human dermis and cultured as described.43 HaCat and COS-7 cells were grown on tissue culture plastic in Dulbecco’s modified Eagle medium containing 10% fetal bovine serum, 100 U/ml penicillin, 100 µg/ml streptomycin, and 25 mmol/L HEPES buffer (N-[2-hydroxyethyl] piperazine-N’-[2-ethanesulfonic acid]). U-937 cells were grown in RPMI 1640 media containing 10% fetal bovine serum, 100 U/ml penicillin, and 100 µg/ml streptomycin.

Growth Assays and Plating Efficiencies

Growth assays were performed by plating 10,000 to 20,000 cells/well into 12-well plates. After washing the monolayer once with PBS, attached cells were trypsinized and counted on days 1 and 4 using a Coulter Counter model Zf (Coulter Corp., Hialeah, FL). For plating efficiencies, both nonattached and attached cells were counted after overnight incubation. The media containing nonattached cells was first removed and placed in the counting vial. The monolayer was then washed twice with 1 ml of PBS, and the wash buffers were pooled with the media for cell counting. Attached cells were then counted after trypsinization of the monolayer.

Monoclonal Anti-Human EP2 Receptor Antibody (Clone 2B4)

Human EP2 receptor amino terminal peptide (MGNASNDSQSEDCETRQ) was synthesized by the Washington University Protein Chemistry Laboratory (St. Louis, MO), both as free peptide and as a tetravalent multiple antigenic peptide (EP2-MAP). This amino terminal region of the EP2 receptor contains negligible amino acid sequence homology with other prostanoid receptor subtypes or other mammalian proteins based on a BLAST search of the National Center for Biotechnology Information database. Primary and booster immunizations with EP2-MAP were done by intraperitoneal injection into female A/J mice. After three booster injections, high titer mice were sacrificed, spleens harvested, and hybridomas isolated by the Washington University Hybridoma Center (St. Louis, MO). Mouse serum and hybridoma supernatant titers were screened using an EP2-MAP and EP2-free peptide enzyme immunoassay (EIA) (see below). Hybridoma clone 2B4 was selected for its high activity against both EP2-MAP peptide and EP2-free peptide by EIA. Protein A column-purified ascites fluid containing the IgG2a-{kappa} antibody (clone 2B4) was used for immunoblotting.

Anti-Peptide EIA

Specificity of the anti-EP2 monoclonal antibody for the EP2 amino terminal sequence was demonstrated by EIA. The EIA was done using both EP2-MAP immunogen and free EP2 amino terminal peptide. An EP3-MAP peptide, consisting of the first 20 amino acids of the human EP3 receptor coupled to a multiple antigen peptide core structure, and the corresponding free peptide were included as negative controls to rule out nonspecific antibody binding with either the MAP core or unrelated peptide. Five µg of peptide in 200 µl of 0.125 mol/L borate, pH 8.3, containing 0.15 mol/L NaCl (BBS) were added to triplicate wells of a 96-well EIA plate (Costar; Corning Inc., Corning, NY). Blank wells received BBS alone. After incubating the plates at 37°C for 90 minutes, the contents were tapped out, and 200 µl of blocking buffer (20 mmol/L Tris, pH 7.2, 0.15 mol/L NaCl (TBS) containing 1 mg/ml BSA) added. The plates were incubated for 1 hour at 37°C, and washed three times with TBS containing 0.05% Tween 20 (TBST). Hybridoma supernatant from clone 2B4, diluted 1:2 in blocking buffer containing 0.1% Tween 20 (BBT), was then added. After a 2-hour incubation at 37°C, the wells were washed four times with TBST. Goat anti-mouse IgG-alkaline phosphatase conjugate (Sigma), diluted 1:1000 in BBT, was then added. After incubation for 1 hour at 37°C, the wells were washed four times with TBST, and the substrate p-nitrophenyl phosphate (Sigma) was added (0.67 mg/ml in10% diethanolamine, pH 9.8, with 0.5 mmol/L MgCl2). After incubating the plates for 1 hour at 37°C, the reaction was stopped by adding 50 µl of 1 mol/L NaOH. The reaction was quantitated by measuring absorbance at 420 nm. Specific absorbance values were obtained after subtracting the absorbance measurements for blank wells (no peptide antigen added).

Northern Hybridization

Total RNA preparation, oligo-dT enrichment for poly(A)+ RNA, probe preparation, and hybridization were done as previously described.17

RNase Protection Assay

Total RNA was isolated from PHKs, U-937 human monocytic cells, and HaCat cells. U-937 cells were used as a positive control cell line because these cells express high levels of EP3 receptor mRNA.32 An EP3 anti-sense riboprobe was prepared by first ligating a 416-bp human EP3 receptor polymerase chain reaction fragment into the vector pCRII using the TA cloning kit (Invitrogen Corp., Carlsbad, CA). The polymerase chain reaction fragment was obtained using previously described primer pairs and cycling conditions.17 The EP3-pCRII plasmid was treated with two separate restriction enzymes BamHI/KpnI to ensure complete linearization. After agarose gel electrophoresis, the linearized band was purified for use as the riboprobe template. Glyceraldehyde 3-phosphate dehydrogenase (GAPDH) riboprobes were prepared using the pTRI-GAPDH-human plasmid vector (Ambion Inc., Austin, TX). Probes were synthesized using [32P]-UTP and band-purified from denaturing polyacrylamide gels using an RNase Protection Assay II kit per the manufacturer’s instructions (Ambion, Inc.). Hybridization was done using kit buffers for 20 hours at 42°C. Hybridized probe:RNA was then digested with RNase A/T1, diluted to 1:100, for 30 minutes at 37°C. After electrophoretic separation of samples on a 6% nondenaturing polyacrylamide gel, bands were detected using a phosphorimager (Molecular Dynamics, Sunnyvale, CA).

Plasmids and Transfections

The pMirb plasmid is a mammalian expression vector that utilizes a Maloney murine leukemia virus long terminal repeat promoter and an encephalomyocarditis virus internal ribosome entry site to produce a bicystronic transcript. A neomycin phosphotransferase gene product is present downstream of the internal ribosome entry site sequence. A 1125-bp DraI fragment of the EP2 receptor open reading frame (bp 124 to 1248) was cut out of the Hup-4 plasmid.44 This fragment was then ligated into the pMirb plasmid at a SpeI site upstream of the internal ribosome entry site site. Clones were isolated that contained the EP2 cDNA in both sense and anti-sense orientation (EP2 sense and EP2AS). Orientation was confirmed by restriction fragment analysis, orientation-specific polymerase chain reaction, and cycle sequencing.

Transfection of HaCat cells in T75 flasks was done in log growth-phase nonconfluent cultures using 7 µg of plasmid DNA and lipofectamine per the manufacturer’s instructions (Life Technologies, Inc., Gaithersburg, MD). Stable transfectants were selected and maintained in the presence of geneticin (400 to 800 µg/ml). Geneticin resistant clonal populations were selected using cloning chambers. We selected for further study six EP2 sense and five vector control clones that exhibited the highest agonist-induced cAMP production (see Figure 3A ), as well as eight EP2AS clones that showed the greatest reduction in agonist-induced cAMP production (see Figure 3B ).



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  		Figure 3. Alteration of EP2 receptor expression and function in clonal populations of HaCat cells stably transfected with EP2 sense and EP2AS expression constructs. A and B: Agonist-induced cAMP was measured in stably transfected clonal populations of HaCat cells expressing the EP2 receptor in sense (A) or anti-sense (B) orientation. EP2 sense clones (S1 to S6), EP2AS clones (AS1–6, 8, and 9), and empty vector pMIRB control clones (M1 to M5) were pretreated with indomethacin (10 µg/ml) overnight to block endogenous PGE2 formation. cAMP was then measured after a 15-minute stimulation with the EP2 agonist 11d-PGE1 (1 µg/ml). Isobutyl methylxanthine (2 mmol/L) was included to block cAMP phosphodiesterase activity. C and D: EP2 receptor expression was evaluated by Western blot in both EP2 sense clones (18 µg/lane) (C, top) and EP2AS clones (12 µg/lane) (D, top) compared with two vector control clones (M3 and M5). Immunoblotting was performed using the monoclonal anti-hEP2 receptor antibody (clone 2B4). C, bottom: Coomassie-stained gel (after transfer). D, bottom: Ponceau S stain of the membrane after transfer.

 
For transient transfection of COS-7 cells, the EP2 receptor was first subcloned into the pcDNA3.0 expression vector (EP2-pcDNA3.0) (Invitrogen Corp., Carlsbad, CA). The EP2 sense-MIRB construct was digested with EcoRI and XbaI to release the EP2 receptor open reading frame. After agarose gel electrophoresis, the EP2 receptor fragment was band purified. The purified EcoRI/XbaI fragment was then ligated into the EcoRI/XbaI sites of the pcDNA3.0 vector. Sense orientation of the EP2 receptor was verified by restriction enzyme digestion. Transient transfection was done in cells at ~80% confluence using lipofectamine reagent. After 24 hours, membrane fractions were prepared as described below.

In Vitro Translation

In vitro translation was performed using a coupled transcription-translation reticulocyte lysate kit per the manufacturer’s instructions (TNT-SP6 Coupled Reticulocyte Lysate System; Promega Corp., Madison, WI). An EP2-pcDNA3.0 expression vector (see above), containing an SP6 promoter upstream of the EP2 cDNA in sense orientation, was used. The reaction was performed in the presence of 40 µCi of [35S]-methionine (NEN Life Sciences, Boston, MA) and 1:50 volume of protease inhibitor cocktail (Sigma). A luciferase-positive control vector supplied by the manufacturer was used as a positive control.

Total Cell Lysates/Membrane Preparations

Crude membrane pellets were isolated as described.32 Total cell lysates were prepared by scraping washed cells into nonreducing 4% Laemmli’s buffer. Protein was determined using the DC protein assay (Bio-Rad Laboratories, Hercules, CA).

Immunoblots

EP2 receptor immunoblots were performed using membrane preparations that were boiled for 5 minutes in an equal volume of 4% Laemmli’s buffer containing bromphenol blue and 4% ß-mercaptoethanol. Samples were then electrophoresed in sodium dodecyl sulfate-polyacrylamide gel electrophoresis (SDS-PAGE) gels using prestained protein molecular weight markers. After transfer to nitrocellulose or polyvinylidene difluoride membranes, Ponceau S staining of membranes or Coomassie staining (GelCode Blue, Pierce Chemicals, Rockford, IL) of the gels was performed to verify equal loading. Blocking was done using Tris-buffered saline containing 0.05 to 0.1% Tween 20, 5% nonfat dry milk, and 1% normal goat serum. Immunodetection was performed using mouse monoclonal anti-human EP2 receptor antibody (clone 2B4) at a concentration of 0.4 µg/ml for 1 hour at room temperature followed by sheep anti-mouse IgG-F(ab')2-peroxidase conjugate (1:2000) for 30 to 45 minutes. Primary and secondary antibodies were diluted in TBST containing 1% milk and 1% normal goat serum. Immunoreactive bands were detected by enhanced chemiluminescence (Renaissance ECL reagent; NEN Life Sciences, Boston, MA). Extremely careful and consistent washing and blocking was required with this antibody to avoid numerous nonspecific bands. For peptide competition, anti-EP2 receptor antibody was incubated with or without 0.5 to 1 mg of EP2-free peptide dissolved in 1 ml of 100 mmol/L Tris, pH 8.0, containing 0.15 mol/L NaCl. After incubation for 1 to 2 hours at 37°C, the reaction products were diluted with TBST containing 1% milk and 1% normal goat serum as above. For paxillin immunostaining, 40 µg of total cell lysate was resolved by sodium dodecyl sulfate-polyacrylamide gel electrophoresis as above. After incubation with mouse monoclonal anti-paxillin antibody (Transduction Laboratories, Lexington, KY), immunoreactive bands were detected as above.

Cyclic-AMP Assays

Transfectants were plated at a density of 40,000 cells/well into 48-well plates. One to 2 days after reaching confluence, media was suctioned and replaced with growth media containing 10 µg/ml of indomethacin. After 2 to 3 hours at 37°C, the monolayer was washed twice with PBS containing 10 µg/ml of indomethacin. After washing, growth media containing 10 µg/ml of indomethacin was added. The cells were then incubated overnight (20 to 22 hours) after which the monolayers were washed four times with serum-free Dulbecco’s modified Eagle medium containing 25 mmol/L of HEPES and 10 µg/ml of indomethacin (reaction buffer). After washing, 0.25 ml of reaction buffer (prewarmed to 37°C) was added and the cells were incubated at 37°C for 15 minutes. The EP2 receptor agonist, 11d-PGE1 (2 µg/ml), was then added in 0.25 ml of reaction buffer containing 4 mmol/L of 3-isobutyl-1-methylxanthine. Plates were incubated for 15 minutes at 37°C after which the media was aspirated and ice-cold 0.1 N of hydrochloric acid (HCl) was added. Levels of cAMP were quantitated in the acid supernatants with a commercial cAMP EIA kit (Assay Designs, Ann Arbor, MI). Protein content in the 0.1 N HCl supernatants was quantitated using the BCA protein assay (Bio-Rad).

Skin Equivalents

Fibroblast-containing dermal equivalents were first prepared using primary adult human fibroblasts at passage 3 to 5 by a modification of a previously described method.43 Dermal equivalents were prepared using 5 x 105 primary human fibroblasts and purified rat tail type I collagen (Collaborative Research/Becton Dickinson, BD Biosciences, Bedford, MA). Each dermal equivalent was allowed to contract for 4 to 7 days in a 30-mm tissue-culture dish. Skin equivalents were then prepared. Clonal populations of HaCat cells overexpressing the EP2 receptor in sense or anti-sense orientation and vector control cells were trypsinized and 1 to 2 x 105 cells were seeded onto the dermal equivalents using a 5-mm internal diameter sterile glass cloning chamber. After 2 to 3 hours the cloning chambers were removed, and the skin equivalents were submerged in HaCat growth media. After 7 to 10 days, the skin equivalents were lifted to the air-liquid interface on sterile wire grids. After 3 to 7 days, the lifted skin equivalents were fixed in 10% buffered formalin, paraffin-embedded, and stained with hematoxylin and eosin (H&E) for light microscopic examination. For butaprost- and 11d-PGE1-treated clones (see Figures 7 and 8 ), cells were pretreated with agonist for 3 days before seeding onto dermal equivalents. Growth media containing butaprost, 11d-PGE1, or vehicle was changed every 2 days during both submerged culture and culture at the air-liquid interface.



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  		Figure 7. EP2 agonist exposure results in a marked increase in invasiveness in vector control clones. A: Three vector control clones were treated with vehicle, and 1 ng/ml, 100 ng/ml, and 1000 ng/ml of 11d-PGE1 for 3 days before plating on dermal equivalents, and every other day thereafter. Skin equivalents were grown for 8 days submerged in growth media and for 3 days at the air-liquid interface. Results represent the mean and SE for depth of invasion into the dermal compartment (*, P < 0.05). B: Similar results for two vector control clones treated with vehicle, and 100 ng/ml and 1000 ng/ml butaprost.

 


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  		Figure 8. Pharmacological down-regulation of EP2 receptor expression by agonist exposure. Representative photomicrographs demonstrating EP2 receptor expression by immunohistochemical staining in skin equivalents prepared with an EP2 sense clone (A–C) and a vector control clone (D–F). The clones were treated with vehicle alone (A and D), 0.1 µg/ml butaprost (B and E), or 1 µg/ml butaprost (C and F). G: Immunoglobulin-isotype (mouse IgG2a-{kappa}) negative control. Original magnifications, x200.

 
H&E-stained slides were prepared from three separate experiments. EP2AS clones were used at passage numbers ranging from 4 to 19, whereas Mirb and EP2 sense clones were at passage number 4 to 22. Depth of invasion (in µm) was assessed at the five deepest points of invasion for each clone using an Olympus BH-2 microscope equipped with a micrometer. Depth was measured perpendicular to the epidermal-dermal junction, starting from the epidermal-dermal junction to the deepest point of each invasive cell cluster that was measured.

Immunohistochemistry

Formalin-fixed, paraffin-embedded skin equivalents were sectioned at 5 µm thickness and attached to poly-L-lysine-coated slides. Tissue sections were deparaffinized in xylene and rehydrated in 100%, 95%, and 70% ethanol for 5 minutes each, followed by a 6-minute incubation in water. Antigen retrieval was performed by boiling the slides for 10 minutes in 0.01 mol/L of citrate buffer, pH 6.0. The container containing the slides in citrate buffer was then removed from the heat source and allowed to cool at room temperature for 20 minutes. Immunohistochemical staining was performed using a Zymed Histostain Plus AEC kit (Zymed Laboratories, South San Francisco, CA) following the manufacturer’s instructions. Primary antibody (clone 2B4) or an isotype control (mouse IgG2a-{kappa}; DAKO Corp., Carpinteria, CA) was added at 5 µg/ml in PBS containing 0.1% BSA and 10% CAS block (Zymed Laboratories) and incubated for 1 hour at room temperature. Immunolabeling was detected using AEC substrate.

Statistical Analysis

Statistical analysis was done using a one-tailed unpaired or a two-tailed one sample t-test with Graphpad Prism software (GraphPad Prism 3.0 Software, San Diego, CA).


   Results
Top
 Abstract
 Materials and Methods
 Results
Discussion
 References
 
EP2 and EP3 Receptor Expression in HaCat Cells

By Northern hybridization, HaCat cells express similar amounts of EP2 receptor mRNA compared with primary human keratinocytes (PHKs) (Figure 1A) . However, both EP3 and EP4 receptors are also known to modulate cAMP production and we have previously demonstrated that PHKs express both EP3 and EP4 receptor mRNA.17 To ensure that prostaglandin receptor modulation of cAMP occurred primarily through the EP2 receptor in HaCat cells, EP3 and EP4 receptor expression was also studied. In HaCat cells, no EP4 receptor mRNA was observed by Northern blot, although EP4 receptor expression was detected by reverse transcriptase-polymerase chain reaction (data not shown). This appears to be similar to EP4 receptor expression in PHKs, where only trace amounts of EP4 receptor message are observed by Northern blot.17 In addition, EP3 receptor expression appears to be dramatically reduced in HaCat cells compared with PHKs. HaCat cells express at least trace amounts of the EP3 receptor transcript by reverse transcriptase-polymerase chain reaction (data not shown). To better quantitate the relative expression of the EP3 receptor in both PHKs and HaCat cells, we examined EP3 receptor expression using an RNase protection assay (Figure 1B) . RNA from both U-937 cells and PHKs from two separate individuals exhibited a protected fragment of the correct size when incubated with the EP3 anti-sense riboprobe. No detectable EP3 receptor RNA was observed in HaCat cells, even at much higher RNA concentrations.



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  		Figure 1. EP2 receptor mRNA expression in PHKs and HaCat cells: A: Northern hybridization showing approximately equivalent expression of EP2 receptor in both nonconfluent PHKs and HaCat cells. Hybridization was done with a 32P-labeled EP2 receptor riboprobe (top) or housekeeping GAPDH riboprobe (bottom). Each lane represents 7 µg of poly(A)+-enriched RNA. B: RNase protection assay demonstrating decreased EP3 receptor transcript in HaCat cells compared with adult PHKs. Total RNA was prepared from positive control U-937 cells (lanes 1 and 2), adult PHKs from two separate individuals (individual I, lanes 3 and 4; individual II, lanes 5, 6, and 7), and HaCat cells (lanes 8 to 11). Lanes 3, 5, 8, and 10 represent total RNA isolated from nonconfluent cultures. Lanes 4, 7, 9, and 11 represent total RNA isolated from cultures at 3 to 4 days after confluence. Lane 6 represents RNA isolated from a culture that had just reached confluence. Cellular RNA (10 µg for lanes 1–7, 20 µg for lanes 8 and 9, or 40 µg for lanes 10 and 11) was incubated with a [32P-UTP]-labeled EP3 and/or a GAPDH riboprobe followed by RNase A/T1 digestion. Protected fragments were visualized using a phosphorimager after nondenaturing polyacrylamide electrophoresis as described in Materials and Methods. Lane 1 represents the protected EP3 fragment observed in positive control RNA hybridized with only the EP3 riboprobe. Lane 2 represents the protected fragments when only the GAPDH riboprobe is hybridized to control RNA.

 
EP2 Receptor Expression Using an Anti-Human EP2 Receptor Monoclonal Antibody

To further examine the expression of the EP2 receptor in HaCat cells and PHKs, we generated a specific monoclonal antibody that recognizes an amino terminal epitope on the human EP2 receptor. The specificity of the monoclonal antibody for the EP2 amino terminal peptide, but not the multiple antigen peptide core sequence or an EP3 amino terminal peptide, is demonstrated in Figure 2A .



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  		Figure 2. Validation of the anti-human EP2 receptor monoclonal antibody. A: The monoclonal anti-EP2 antibody binds specifically to the immunogenic EP2 amino-terminal peptide sequence. An amino-terminal EP2 peptide coupled to a multiple antigen peptide core (EP2-MAP) was used to elicit the anti-EP2 receptor antibody (clone 2B4). An EIA was used to assess the ability of the anti-EP2 antibody to specifically recognize both the EP2-MAP and the EP2-free peptide sequence (EP2-FP). A MAP peptide coupled to an amino-terminal EP3 peptide (EP3-MAP) and the corresponding free peptide (EP3-FP) are used as negative controls. The results represent the mean and SD for a single EIA done in triplicate. B: Electrophoretic mobility of the EP2 receptor core protein lacking posttranslational modifications. [35S]-Methionine was incorporated into both the EP2 receptor and luciferase by in vitro translation using a rabbit reticulocyte lysate method. Radiolabeled EP2 receptor and luciferase were electrophoresed on a 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis gel. Bands were detected by autoradiography. C and D: Immunoblot of membrane preparations from HaCat cells (C) and PHKs (D) with the monoclonal anti-hEP2 receptor antibody (clone 2B4). Immunoblots were done in the presence (+) and absence (-) of competing free peptide. E: EP2 receptor expression in membrane preparations from COS-7 cells transiently transfected with an EP2 expression vector. The immunoblot was done using a commercial rabbit polyclonal anti-EP2 receptor antibody (Cayman Chemical, Ann Arbor, MI). The vector control consisted of COS-7 cells transiently transfected with the empty pcDNA3.0 vector.

 
We next used a rabbit reticulocyte lysate in vitro translation system to demonstrate that the EP2 receptor, in the absence of posttranslational modifications,45 runs at a molecular weight of ~30 kd (Figure 2B) . This 30-kd band was observed after in vitro translation in the presence and absence of protease inhibitors (data not shown). In Figure 2C , HaCat cells are shown to express a similar 30-kd immunoreactive band as well as a 43- to 45-kd immunoreactive band. In contrast, PHKs express primarily a 52-kd protein band (Figure 2D) .

To further demonstrate that the immunoreactive bands observed with the 2B4 monoclonal antibody represent the EP2 receptor despite their different molecular weights, a separate commercially available anti-hEP2 receptor antibody was used (Cayman Chemical). This antibody was found to detect similar immunoreactive bands (~30, 43 to 45, and 52 kd) in COS-7 membrane preparations transiently-transfected with an EP2-receptor expression vector (Figure 2E) .

Validation of Gain/Loss of EP2 Receptor Expression in EP2 Sense- and EP2 Anti-Sense-Expressing Clones

We next generated clonal populations of HaCat cells stably expressing the EP2 receptor in both the sense (S1–S6), and anti-sense orientation (AS1–6, 8, and 9), as well as clones containing empty vector (M1–M5). G418-resistant clones were selected for either gain or loss of functional EP2 receptor by agonist (11d-PGE1)-induced cAMP production (Figure 3, A and B) . To ensure that the loss or gain of agonist-induced cAMP was because of alteration of EP2 receptor expression, cAMP studies were also done using a second agonist (butaprost) with similar results (data not shown).

Clones were further characterized for loss or gain of receptor expression by immunoblot using the anti-hEP2 receptor antibody (clone 2B4). In Figure 3C , increased immunoreactivity of both the 30-kd and 43- to 45-kd bands were noted in the six EP2 sense clones. The greatest increase was observed in the 30-kd band. In Figure 3D , six of the EP2AS clones are shown that demonstrate a decreased to absent 43- to 45-kd band compared with vector control cells. The 30-kd band did not seem to be appreciably affected in the EP2AS transfectants.

Morphology, Growth Rates, and Plating Efficiencies of Clonal Transfectants

EP2AS-transfected clones demonstrated marked heterogeneity in cell size and shape compared with EP2 sense and control clones, particularly at low confluence (Figure 4 ; A to C). Because EP2 receptor activation stimulates growth in PHKs, we examined growth rates in EP2AS and EP2 sense clones. Nonconfluent growth rates were compared from day 1 after plating until day 4 after plating. There was a modest decrease in growth rates for EP2AS clones compared with vector controls (see Figure 4D ). EP2 sense clones demonstrated a trend toward increased growth rates. Neither EP2 sense nor EP2AS growth rates achieved statistical significance. Similar results were observed using 5-bromo-2'-deoxyuridine incorporation (data not shown).



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  		Figure 4. Tissue culture morphology, growth rates, and plating efficiency of EP2 sense/AS clones. Photomicrographs of representative empty vector Mirb clone (M5) (A), EP2 sense clone (S2) (B), and EP2AS clone (AS8) (C) grown on tissue culture plastic. D: Growth rates were determined for clonal populations of HaCat cells overexpressing sense or anti-sense (AS) EP2 receptor constructs compared with empty vector controls. Cells were counted at day 1 and at day 4 after plating. Results are expressed as the mean and SD for the fold change in cell number from day 1 through 4. The data represents a single representative experiment done in triplicate (values = 3.41 ± 1.53, 3.89 ± 1.12, and 5.12 ± 1.28 for EP2AS, vector controls, and EP2 sense clones, respectively). E: Plating efficiency was determined by counting both attached and nonattached cells after an overnight incubation on tissue culture plates. For cellular attachment, the results represent the mean and SE for four separate experiments for EP2AS clones and six separate experiments for EP2 sense clones done in duplicate or triplicate wells (*, P < 0.05). The data for nonattached cells represents mean and SD for a single experiment done in triplicate for EP2AS clones (P < 0.05) and the mean and SE for two separate experiments for EP2 sense clones (P = 0.053). Original magnifications, x200 (A–C).

 
We also examined plating efficiencies of the EP2 sense and EP2AS clones compared with vector control clones (Figure 4E) . Changes in plating efficiencies were quantitated by counting both attached and nonattached cells after an overnight incubation. Compared with vector control clones, EP2 sense clones demonstrated an increased number of attached cells and a corresponding decreased number of nonattached cells. In contrast, EP2AS clones exhibited decreased plating efficiencies compared with vector control clones.

EP2 Anti-Sense Clones Demonstrate Increased Invasiveness

HaCat cells are a human keratinocyte cell line that are spontaneously immortalized but noninvasive after xenografting to nude mice.46 Because gain or loss of EP2 receptor expression was associated with alterations in plating efficiencies, we next examined whether EP2 receptor expression was associated with an invasive phenotype. To assess the invasive behavior of the transfected HaCat clones, we used a three-dimensional organ culture model of normal skin. Hematoxylin and eosin (H&E)-stained sections of representative clones grown as skin equivalents are shown (Figure 5) . EP2AS clones all demonstrated extensive deep invasion with marked branching and networking into the dermal compartment. Two representative EP2AS clones are shown in Figure 5, A and B . Invasive foci were also seen in Mirb and EP2 sense clones. However, these foci differed from those seen in EP2AS clones in that only shallow fingers of invasion, or isolated islands of cells just below the epidermal/dermal junction, were evident (Figure 5 ; C to F).



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  		Figure 5. EP2AS clones exhibit increased invasiveness in skin equivalents. Photomicrographs of H&E-stained slides of two EP2AS clones (A and B), two vector control clones (C and D), and two EP2 sense clones (E and F). Scale bar, 100 µm (A). Original magnifications, x100.

 
Quantitatively, EP2AS clones exhibited more than a twofold increase in depth of invasion compared with vector controls and EP2 sense clones (Figure 6 ; P < 0.001). In contrast, there was no significant difference between the depth of invasion in the EP2 sense clones compared with the vector control cells (P = 0.187).



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  		Figure 6. EP2AS clones showed significantly greater depth of invasion compared with empty vector (Mirb) or EP2 sense clones. Depth of invasion (in µm) was quantitated in H&E-stained sections of formalin-fixed, paraffin-embedded skin equivalents by measuring the five deepest points of invasion for each clone. Values represent the mean and SD from two to four separate skin equivalents for each clone. Values equal 123.3 ± 96.9 µm, 308.0 ± 58.1 µm, and 161.1 ± 22.7 µm for Mirb, EP2AS, and EP2 sense clones, respectively (***, P < 0.001 compared with vector controls or EP2 sense clones).

 
Pharmacological Down-Regulation of EP2 Receptors Induces an Invasive Phenotype in Vector Control Clones But Not EP2-Sense Clones

The above observations prompted us to determine whether pharmacological down-regulation of EP2 receptors could reproduce the increased invasiveness seen in anti-sense clones. We used two chemically distinct EP2 receptor agonists to verify that any observed effect was because of alterations of EP2 receptor signaling. Treatment with the EP2 receptor agonist 11-dPGE1 induced a marked increase in invasion depth in three vector control clones at concentrations of 1 ng/ml or more (Figure 7A) . A similar increase in invasion was observed in two vector control clones treated with 1 µg/ml of the less potent, but more selective, EP2 receptor agonist butaprost (Figure 7B) . There was no significant change in invasion depth in EP2 sense clones treated with either receptor agonist (data not shown).

We next examined EP2 receptor expression by immunohistochemistry in formalin-fixed, paraffin-embedded sections of skin equivalents made with EP2 sense and vector control clones treated with the more selective agonist butaprost. In Figure 8 , representative photomicrographs are shown of EP2 receptor immunostaining in skin equivalents prepared with EP2 sense and vector control clones. To assess the affects of EP2 receptor agonist on receptor expression and epidermal invasiveness, the skin equivalents were treated with vehicle, or 0.1 µg/ml or 1.0 µg/ml butaprost. In the vehicle controls, increased EP2 receptor immunoreactivity is noted in the epidermis constructed from the EP2 sense clone (Figure 8A) compared with the vector control (Figure 8D) . In skin equivalents treated with 0.1 and 1 µg/ml butaprost, a decrease in EP2 receptor immunostaining was noted in both EP2 sense (Figure 8, B and C) and vector controls (Figure 8, E and F) . As expected, even at the highest concentration of butaprost, EP2 receptor immunostaining in the EP2 sense clone did not appear to be decreased beyond that observed for the vehicle-treated vector control clone (Figure 7, C and D) . Moreover, a concentration-dependent increase in invasiveness is observed in the agonist-treated vector control skin equivalent, but not in skin equivalents made with EP2 sense cells (Figure 7B and Figure 8, E and F ). In contrast, EP2 sense clones showed only an increase in epidermal thickness, suggesting that agonist treatment induced only epidermal hyperplasia.

Loss of EP2 Receptor Expression Is Associated with Decreased Paxillin Expression

Because manipulation of EP2 receptor expression had effects on both plating efficiency and invasiveness, we questioned whether EP2 receptor expression alters expression of cellular proteins known to govern cellular attachment. Because paxillin expression is known to be decreased in squamous cell carcinomas,38 we examined whether changes in paxillin expression occurred in the EP2AS clones. Paxillin expression is shown to be decreased in four separate EP2AS clones compared with vector control clones (Figure 9A) . A similar decrease in paxillin expression was observed in all of the EP2AS clones. There was no change in paxillin expression in EP2 sense clones (data not shown).



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  		Figure 9. A: Paxillin is down-regulated in EP2AS clones. Total cell lysates (20 µg/lane) from two vector controls (M3, M5) and four EP2AS clones (AS8 and AS9, left; AS3 and AS4, right) were separated on a 12% sodium dodecyl sulfate-polyacrylamide gel electrophoresis gel. After transfer to nitrocellulose membranes, paxillin immunostaining was performed. The paxillin band is seen at ~65 kd. The inset represents Ponceau S staining of the nitrocellulose membrane. B: Pharmacological down-regulation of the EP2 receptor is associated with a further loss in paxillin expression. Top: An immunoblot for paxillin expression is illustrated for two separate clones expressing the EP2 anti-sense construct (AS8 and AS9). The clonal populations were treated with vehicle or with the EP2 receptor agonist, 11-deoxy PGE1 (1 ng/ml) for 11 days before preparation of total cell lysates. Indomethacin (10 µg/ml) was also added to block endogenous PGE2 production. Bottom: Membrane preparations were prepared from a duplicate set of cells treated with agonist or vehicle as described above for the top panel. EP2 receptor expression was assessed by Western blotting using the anti-EP2 receptor antibody.

 
Based on the above observations, it would be expected that agonist-induced down-regulation of EP2 receptors would result in a further decrease in paxillin expression. In Figure 9B , prolonged EP2 agonist exposure (1 ng/ml of 11d-PGE1) resulted in reduced expression of the 43- to 45-kd EP2 receptor band in two EP2AS clones (Figure 9B , bottom). This decrease in EP2 receptor expression was associated with a further reduction in paxillin expression (Figure 9B , top).


   Discussion
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 Abstract
 Materials and Methods
 Results
 Discussion
References
 
Previous reports have suggested that loss of prostaglandin E receptor radioligand-binding activity is associated with more advanced malignancy.33,35-37 Moreover, treatment of metastatic murine mammary tumor cells with PGE2 receptor antagonists leads to decreased PGE2-induced cAMP production and increased lung metastasis.47 We demonstrate that loss of EP2 receptors in an immortalized, but nontumorigenic human keratinocyte cell line (HaCat) results in increased invasiveness in an organ culture model. Loss of EP2 receptor expression by either molecular intervention or by pharmacological down-regulation both resulted in a marked increase in invasiveness. Because prostaglandin receptors are known to undergo ligand-dependent receptor down-regulation, this strongly suggests that increased COX-2 and PGE2 production in advanced malignancy may lead to a more aggressive tumor as a result of ligand-dependent receptor down-regulation. Studies have been initiated to address this hypothesis by examining EP2 receptor expression in a large series of human tissue samples representing the spectrum of human cutaneous neoplasia, from hyperplastic changes and early premalignant lesions to invasive carcinoma.

Although other EP receptors are expressed in HaCat cells, these data strongly support the EP2 receptor as key in this process. The EP3 and EP4 receptors, which are known to influence cAMP levels in other cell types, are present only in small amounts in HaCat cells. Moreover, changes in cellular invasiveness were also seen with pharmacological down-regulation of the EP2 receptors with two separate EP2-specific agonists. Finally, the EP2 receptor exhibits only modest DNA sequence homology with other EP receptor subtypes (21 to 27%, Clustal Method, MegAlign Software; DNASTAR, Inc., Madison, WI). Thus, it is unlikely that the use of the EP2 receptor cDNA in anti-sense orientation altered expression of other receptor subtypes.

By Western blot (Figure 2 ; C to E), we observed three separate immunoreactive bands for the EP2 receptor with apparent molecular weights of ~30 kd, 43 to 45 kd, and 52 kd. Interestingly, HaCat cells expressed primarily the two lower molecular weight bands, whereas PHKs exhibited primarily the higher molecular weight band. This suggests that HaCat cells have a defect in posttranslational modification of the EP2 receptor, although this receptor is functionally active based on agonist-dependent cAMP production. The 30-kd band present in HaCat cells exhibits a similar electrophoretic mobility to the core protein sequence observed after in vitro translation (Figure 2, B and C) . Interestingly, in COS-1 cells transfected with a hemagglutinin epitope-tagged EP2 receptor, immunoprecipitation with an anti-HA antibody demonstrated a similar lower band of ~30 kd, as well as several higher molecular weight bands.48 Because EP2 receptors exhibit two putative N-linked glycosylation sites,44 this suggests that the 43- to 45-kd and 52-kd bands may represent partial and fully glycosylated receptor. A defect in receptor glycosylation is supported by a reported defect in N-linked glycosylation in HaCat cells as well as other transformed keratinocyte cell lines.49 However, PGE2-coupled receptors may exhibit other posttranslational modifications including isoprenylation and phosphorylation.48,50

We have previously demonstrated that EP2 receptor activation stimulates growth in PHKs.17 Thus, EP2 receptors might act as a tumor promoter early in cutaneous tumorigenesis. A tumor-promoting role for the EP2 receptor in other tissues is supported by the decreased growth of intestinal polyps observed in COX-2, EP2, and EP4 knockout mice crossed with MIN mice.18-21 This data would initially appear to conflict with our observations. Down-regulation of EP2 receptors might be expected to result in growth inhibition rather than increased invasiveness. In HaCat cells, gain or loss of EP2 receptor expression had only modest effects on cell growth. The lack of a marked effect on cell growth may be explained by the fact that HaCat cells have dual inactivating mutations of p53 and absent to decreased expression of cyclin-dependent kinase inhibitors.51,52 Thus, HaCat cells exhibit a blunted response to a number of stimuli that are growth inhibitory in primary keratinocytes.51 An analogous situation is observed with transforming growth factor-ß. Transforming growth factor-ß1 inhibits growth of various normal tissues, but acts as a potent inducer of metastasis and invasion in neoplastic cells when cells acquire disruptions of normal cell cycle checkpoint controls.53

Although HaCat cells are aneuploid, exhibit a transformed phenotype, and appear to have acquired loss of several important tumor suppressor genes, they differ from many SCC cell lines in that HaCat cells express little COX-2 and produce much lower concentrations of PGE2.54 This may contribute to their normally noninvasive phenotype. Based on this observation, it would be predicted that stably overexpressing COX-2 in HaCat cells would result in acquisition of an invasive phenotype.

One particular problem with our observations is that NSAID treatment might be expected to block ligand production, leading to loss of receptor signaling. Loss of receptor signaling might be expected to result in increased invasiveness. This clearly conflicts with various studies demonstrating that NSAIDs inhibit experimental invasion and metastasis both in vivo and in vitro.26-29 There are several possible explanations for this apparent discrepancy. In the face of a marked increase in COX-2 expression in late stage tumorigenesis, the ability of NSAIDs to completely block PGE2 production may be limited. This is supported by a recent study showing that NSAID treatment of HT29 colon cancer cells containing high levels of COX-2 expression reduced PGE2 concentrations to levels equal to or slightly higher than untreated colon cancer cell lines with low levels of COX-2 expression.55 Moreover, NSAIDs are known to induce expression of PGE2 receptors.56,57 Thus, increased receptor expression may be able to compensate for reduced PGE2 production. Finally, NSAIDs have been shown to block production of a secondary PGE2 metabolite, prostaglandylinositol cyclic phosphate (cyclic PIP), which is a direct inhibitor of adenylate cyclase.58 Thus, loss of PGE2-mediated cAMP synthesis in NSAID-treated cells may be partially compensated by loss of this inhibitory pathway.

Our data seems to conflict with data reported by several groups that demonstrate increased COX-2 expression and PGE2 production associated with increased mRNA expression for both the EP2 and EP4 receptors in human cervical and endometrial cancer tissues.2,59,60 This might suggest that the effects that we observe are cell- or tissue-type-specific. Alternatively, the increased transcription of the EP2 and EP4 receptors may simply represent a compensatory increase in receptor transcription as a result of receptor down-regulation. Increased PGE2 receptor transcription has been demonstrated in cells treated with COX inhibitors.56,57 This suggests that receptor expression is mediated via a negative feedback loop, which has been documented for both the EP4 and the FPA isoform of PGF2{alpha} receptor.61,62 If this model also applies to EP2 receptors, receptor down-regulation would be expected to release the negative feedback loop resulting in increased receptor transcription.

In the above studies, increased receptor mRNA was also associated with an increase in PGE2-stimulated cAMP production.59,60 However, the increased PGE2-stimulated cAMP as reported by both groups was normalized to total tissue protein. The increased tumor-derived cAMP may simply represent the increased cellularity of neoplastic tissue compared with normal epithelium. This idea is supported by a parallel increase in forskolin-induced cAMP in the tumor tissues in one of the reports.59

A potential mechanism for both the changes in cellular adhesion and an invasive phenotype is suggested by the loss in expression of the focal adhesion protein paxillin (see Figure 9 ). Although cAMP-mediated signaling is known to modulate the phosphorylation status of paxillin,39,63 a role for PGE2 or cAMP signaling in regulating paxillin expression has not been previously shown. Paxillin serves as a scaffolding protein, which is required for integrin-mediated focal adhesion assembly. Assembly and disassembly of focal adhesions is necessary for cellular movement and mediates cell contact with extracellular matrix.41 In small cell lung cancer cell lines, loss of paxillin expression results in increased cellular motility.40 The functional activity of paxillin is known to be mediated by phosphorylation by serine, threonine, and tyrosine-kinases.41 Therefore, further studies are warranted to determine whether loss of EP2 receptor-coupled cellular signaling affects the phosphorylation status of paxillin.

Finally, literature concerning prostaglandin-mediated affects on cellular physiology and pathology is full of contradictions and confounding observations. The large number of eicosanoid receptor subtypes and differential tissue expression of these receptors is likely responsible for many of these contradictory results. This study underscores the importance of examining receptor-based mechanisms to better define the role of prostaglandins in cellular behavior. Moreover, examination of receptor expression in tumors may have potential prognostic value in human malignancy.


   Acknowledgements
 
We thank Janet Wagner and Anne Haake for their technical assistance in tissue processing and preparation of dermal equivalents.


   Footnotes
 
Address reprint requests to Raymond Konger, M.D., Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, 406 Fesler Hall, 1120 South Dr., Indianapolis, IN 46202. E-mail: rkonger{at}iupui.edu

Supported by a fellowship from the Wilmot Cancer Research Foundation, a Frances Pascher Research Grant from the Dermatology Foundation, and grants from the National Institutes of Health (1-K08-AR02150-01A1, 5-R01-AR40574, and 1-R01-AR46828).

Accepted for publication August 21, 2002.


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 Results
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