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First published online April 3, 2008
doi: 10.1242/10.1242/jcs.016634
Commentary |
1 Division of Human Biology, Fred Hutchinson Cancer Research Center, 1100 Fairview Ave N., C3-168, Seattle, WA 98109, USA
2 Molecular and Cellular Biology Program, University of Washington, Seattle, WA 98109, USA
3 Department of Pathology and Institute for Stem Cell and Regenerative Medicine, University of Washington, Seattle, WA 98195, USA
* Author for correspondence (e-mail: vvasiouk{at}fhcrc.org)
Accepted 19 February 2008
| Summary |
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Key words: Cancer, Cell polarity, Stem cells
| Introduction |
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| Core mechanisms of cellular polarity and their connection to the apical junctional complex |
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In epithelial tissues, the apical and basolateral membrane domains are separated by a physical barrier called the apical junctional complex (AJC) (Fig. 2), which is also the most significant epithelial cell-cell adhesion structure and comprises tight junctions (TJs) and adherens junctions (AJs) (Hartsock and Nelson, 2007
). Whereas TJs are crucial for epithelial barrier function by providing a tight seal between the membranes of the neighboring cells, AJs use the forces that are generated by the actin cytoskeleton to keep the cellular membranes of neighboring cells together (Hartsock and Nelson, 2007
; Perez-Moreno and Fuchs, 2006
; Vasioukhin et al., 2000
). Cell polarity mechanisms have an intimate relationship with the AJCs and the activities of the apical and basolateral polarity complexes are required for maintenance of AJCs (Bilder and Perrimon, 2000
; Chen and Macara, 2005
; Firestein and Rongo, 2001
; Harris and Peifer, 2007
; Hutterer et al., 2004
; Imai et al., 2006
; Rolls et al., 2003
; Woods et al., 1997
).
| AJCs as a crucial physical link between internal cell polarity and 3D tissue organization |
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| Core cell-polarity mechanisms and mammalian cancer |
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Epistasis experiments in Drosophila revealed that activation of aPKC, an Lgl antagonist, promotes tumorigenesis in lgl mutants (Lee et al., 2006b
). Activation of aPKC has also been implicated in human cancer. Human aPKC
is amplified and overexpressed in ovarian and non-small-cell lung cancers (Eder et al., 2005
; Regala et al., 2005
; Zhang et al., 2006a
), and loss-of-function experiments demonstrated that aPKC plays a causal role in the regulation of cell proliferation, anchorage-independent growth and xenograft tumor development in cell lines derived from these tumors (Regala et al., 2005
; Stallings-Mann et al., 2006
; Zhang et al., 2006a
). Furthermore, experiments in mice revealed that aPKC
has an important role in Ras-induced colon carcinogenesis, in which aPKC is necessary for Ras-mediated activation of Rac1 (Murray et al., 2004
). In addition to aPKC
, aPKC
has also been implicated in human cancer. aPKC
is hyperactivated in the squamous-cell carcinoma of the head and neck, where it is required for EGF-induced proliferation by mediating the activation of MAPK (Cohen et al., 2006
). aPKC
is also crucial for the proliferation of human glioblastoma cell lines (Donson et al., 2000
) and the regulation of cancer-cell chemotaxis and motility, which may be important for tumor-cell invasion and metastasis (Kuribayashi et al., 2007
; Sun et al., 2005
). These experiments demonstrated that the crucial apical cell-polarity-protein aPKC is also a potent proto-oncogene in mammalian cells. Taken together, these studies directly implicate cell-polarity pathways in the development of human cancer.
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In addition to viral oncogenes, malignant transformation can be induced by the abnormal activation of various growth-factor signaling pathways, which not only stimulates cell proliferation, but also results in disruption of apical-basal polarity, cell-cell adhesion and sometimes a complete epithelial-mesenchymal transition (EMT). Transforming growth factor β (TGFβ) signaling, for example, promotes EMT during normal development and tumor progression (Huber et al., 2005
; Massague and Gomis, 2006
; Thiery, 2003
). An interesting insight into the mechanisms responsible for this phenotype was recently provided by the laboratory of Jeffrey Wrana, who found that AJC-localized Par6 directly interacts with TGFβ receptors and is a substrate for TGFβRII-mediated phosphorylation (Ozdamar et al., 2005
). Activation of TGFβ signaling results in phosphorylation of Par6, which promotes its interaction with the E3 ubiquitin ligase Smurf1. Localized to the AJCs, Smurf1, in turn, targets junctional RhoA for degradation. As RhoA is crucial for the maintenance of the actin cytoskeleton and stabilization of AJCs, activation of TGFβ signaling ultimately results in the destabilization and loss of AJCs and the initiation of EMT (Fig. 3B).
Abnormal activation of the receptor tyrosine kinase ErbB2 (also known as HER2) is implicated in human breast cancer, and ovarian, gastric, esophageal and endometrial cancers (Hynes and Lane, 2005
; Linggi and Carpenter, 2006
; Moasser, 2007
). Whereas ErbB2 stimulates cell proliferation by activating the Ras-PI3K-PLC pathway, it can also directly disrupt cell polarity and provide protection from apoptosis through its interaction with the Par6-aPKC protein complex (Aranda et al., 2006
). Activation of ErbB2 results in the dissociation of Par3 from the Par6-aPKC complex (Fig. 3C). Inhibition of this dissociation restores correct cell polarity and abrogates the anti-apoptotic effects of ErbB2, but does not affect its role in the stimulation of cell proliferation. These findings indicate that growth-factor receptors can use independent mechanisms to regulate proliferation and polarity, and that it is possible to activate cell proliferation without inducing cell-polarity defects.
TGFβRII and ErbB2 are probably not the only growth-factor receptors that can directly target cell-polarity mechanisms. In addition to TGFβ and ErbB2 signaling, loss of polarized cell architecture and EMT can be induced by a variety of signal-transduction pathways, including receptor tyrosine kinases, Ras, Wnt, Notch, Hedgehog and nuclear factor
B (NF
B) (Huber et al., 2005
). Future research will help to reveal the molecular mechanisms that connect these relevant cancer signaling pathways to the disruption of cell polarity and EMT.
Connections between tumor suppressors and cell-polarity pathways
In addition to oncogenes and proto-oncogenes, tumor suppressors are also involved in the regulation of apical-basal cell polarity. Mutations in the von Hippel-Lindau (VHL) tumor suppressor are responsible for von Hippel-Lindau disease, which is characterized by the development of hemangioblastoma, clear-cell renal carcinoma and pheochromocytomas (Kaelin, Jr, 2005
; Kaelin, Jr, 2007
). VHL polyubiquitinates and targets the transcription factor hypoxia-inducible factor 1 for degradation. VHL can also directly impact cell-polarity pathways by ubiquitin-mediated degradation of activated aPKC (Fig. 3D) (Okuda et al., 2001
). Furthermore, interaction between VHL and the Par3-Par6-aPKC complex is involved in VHL-mediated regulation of polarized microtubule growth and formation of primary cilia (Schermer et al., 2006
). This function makes VHL an important regulator of cell polarity because polarized growth of microtubules is crucial for cell polarization. Moreover, because primary cilia play an important role in cancer-relevant Hedgehog signaling and plateled-derived growth factor (PDGF) signaling pathways, the cell-polarity function of VHL might be directly involved in its function as a regulator of cell proliferation and tumor suppressor.
Phosphatase and tensin homolog (PTEN) is another tumor suppressor protein that is implicated in the regulation of cell polarity. PTEN negatively regulates the phosphatidylinositol 3-kinase (PI3K) pathway by dephosphorylating the PI3K product, phosphatidylinositol (3,4,5)-trisphosphate [PtdIns(3,4,5)P3], and producing phosphatidylinositol (4,5)-bisphosphate [PtdIns(4,5)P2] (Rossi and Weissman, 2006
). Spatial membrane segregation of PtdIns(4,5)P2 and PtdIns(3,4,5)P3 is crucial for apical-basal cell polarity (Fig. 3E) (Martin-Belmonte et al., 2007
). PtdIns(4,5)P2 is localized to the apical membrane domain and it maintains its identity by promoting apical localization of annexin2, Cdc42 and aPKC proteins. Apical accumulation of PtdIns(4,5)P2 depends on apical membrane targeting of PTEN. Thus, PTEN is pivotal for the establishment and maintenance of apical-basal cell polarity.
In addition to PTEN, serine/threonine kinase 11 (STK11, herafter referred to as LKB1) is another dual-function protein that is directly involved in both cell polarity and tumor suppression. Mutations in LKB1 are responsible for Peutz-Jeghers syndrome, which is characterized by the development of benign hamartomatous polyps throughout the gastrointestinal tract and a 18-fold increased risk of cancer (Giardiello et al., 1987
; Katajisto et al., 2007
). LKB1 is a homologue of the Drosophila and Caenorhabditis elegans cell-polarity protein Par4, and its function is also crucial for the polarization of mammalian cells (Baas et al., 2004
). LKB1 phosphorylates and activates several other serine/threonine kinases including AMP-activated protein kinase (AMPK) and Par1 (Fig. 3F) (Lizcano et al., 2004
). Although it was thought that LKB1 signaling regulates cell polarity via Par1 and proliferation via AMPK, recent evidence revealed that Drosophila and mammalian AMPK are also crucial for LKB1-mediated regulation of cell polarity (Lee et al., 2007
; Mirouse et al., 2007
; Zhang et al., 2006b
). AMPK controls cell polarity by regulating the acto-myosin cytoskeleton via direct phosphorylation of the non-muscle myosin regulatory light chain (MRLC) protein (Lee et al., 2007
). The discovery of AMPK as a crucial regulator of cell polarity indicates that LKB1-mediated control of cell growth and polarity are, ultimately, connected to each other.
Together, these studies demonstrate an intimate connection between cell-polarity pathways and tumor suppression. This relationship is either direct, because many known tumor suppressor proteins and proto-oncogenes are also crucial cell-polarity proteins, or indirect and mediated by specific signaling pathways that connect cancer-relevant proteins with core polarity mechanisms. Knowledge of the mechanisms that are used by pro-tumorigenic pathways to disrupt cell polarity opens the possibility of targeted inactivation of these mechanisms to reveal their specific contribution to cancer initiation and progression. This approach will help to determine the role of disruption of cell polarity in mammalian cancer. We will now discuss emerging data that directly implicate cell-polarity mechanisms in cancer through their role in the self-renewal and differentiation of stem cells.
| Cell-polarity mechanisms in self-renewal and differentiation of stem cells and the emergence of cancer stem cells |
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In addition to correct segregation of cell fate determinants, correct spindle orientation is also required for the successful execution of asymmetric cell division of Drosophila neuroblasts. The mitotic spindle is positioned by dynamic interactions between astral microtubules and the cell cortex. Partner of Inscuteable (Pins), G
i and Mushroom body defect (Mud) proteins link astral microtubules to the apical Par3-Par6-aPKC polarity complex to regulate correct spindle orientation. Neuroblasts with mud mutations show correct localization of the apical polarity proteins and basal-cell fate determinants before cell division; the mitotic spindle, however, is not aligned correctly in these mutants, and this eventually leads to missegregation of cell-fate determinants between the daughter cells and the accumulation of excessive neuroblasts (Bowman et al., 2006
; Izumi et al., 2006
; Lee et al., 2006a
; Siller et al., 2006
). Finally, the mitotic kinases Aurora-A and Polo are necessary for both asymmetric segregation of cell fate determinants and correct orientation of the mitotic spindle, and Drosophila aurA and polo mutants also show accumulation of neuroblasts and tumor development (Lee et al., 2006a
; Wang et al., 2007
; Wang et al., 2006
).
Abnormal asymmetric cell division as a potential cause of mammalian cancer stem cells
Overall, studies in Drosophila demonstrated that cell-polarity mechanisms regulate asymmetric cell division of stem cells, and perturbation of correct asymmetric cell division results in the abnormal accumulation of dividing cells and cancer. These findings became especially intriguing recently, after it was discovered that human cancers are driven by a small population of cancer stem cells (CSCs) (Al-Hajj et al., 2003
; Huntly and Gilliland, 2005
; Lapidot et al., 1994
; O'Brien et al., 2007
; Singh et al., 2004
). Isolated from tumors, CSCs are similar to undifferentiated progenitors, which are committed to a specific cell lineage. Unlike normal progenitors, for which the proliferative life span is limited, CSCs are immortal and unable to withdraw from the cell cycle. Instead, they self-renew and produce cells of various degrees of differentiation that proliferate but have only a limited life span and form the bulk of the tumor (Fig. 5). CSCs in human tumors have distinct similarities to mutant Drosophila neuroblasts, which are unable to divide asymmetrically and instead keep dividing and form a tumor. One of the most exciting questions in modern cancer biology is whether the core cell-polarity mechanisms that govern the asymmetric cell division of stem cells are disrupted in human cancer, and whether these abnormalities are causally involved in the emergence of CSCs. Indeed, many apical-basal cell-polarity mechanisms that have been discovered in Drosophila are also conserved in mammalian cells.
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In contrast to core cell-polarity genes, a number of genes that play an important role in the correct positioning of the mitotic spindle during asymmetric cell division in Drosophila have been shown to be involved in mammalian cancer. For example, Aurora-A and Polo kinases are implicated in human cancer (Malumbres and Barbacid, 2007
). It is believed that genomic instability resulting from abnormal mitotic checkpoints and missegregation of chromosomes is responsible for the cancer-related roles of mammalian Aurora-A and Polo. However, it is conceivable that abnormal asymmetric cell division is also involved in Aurora-A and Polo-mediated tumors, and future studies will probably examine this possibility. In addition to the regulation of asymmetric cell division, internal cell-polarity mechanisms are important for the assembly of individual cells into complex 3D structures of tissues and organs. In the following section we discuss the available information concerning a potent regulatory function of 3D tissue organization and introduce a hypothetical model of tissue polarity as a non-canonical tumor-suppressor.
| Cell-polarity-mediated 3D tissue organization as a potential non-canonical non-cell-autonomous tumor suppressor |
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The most obvious example of the non-cell-autonomous tumor suppressor effect of normal tissue organization comes from studies using genetically modified mice. It is well known that significant differences are often seen between the outcomes of experiments performed in vivo using an animal model, and in vitro using unorganized populations of cells in culture. In general, cancer-relevant phenotypes are much more readily apparent in vitro than in vivo. For example, expression of activated Ras results in a potent transformation in cultured cells; yet, expression of the same gene in vivo results in normal tissue that shows some clonal tumor development in cells that had presumably acquired additional oncogenic modifications (Frame and Balmain, 2000
). Similar results were obtained after infection of organisms with oncogenic viruses. For example, cells in chicken embryos infected with v-Src-containing virus do not show a malignant phenotype, but when the same cells are dissociated and placed in culture, they show massive transformation (Dolberg and Bissell, 1984
).
In fact, it is extremely rare that one or even several genetic modifications can turn an entire tissue into a tumor, suggesting that it is much more difficult to transform cells that grow as part of a tissue than single cells that grow in a culture dish. Furthermore, in addition to mutant cells, wild-type cells also show differences in cancer-relevant cell behavior depending on whether they grow as a part of the tissue or an unorganized cell population in culture. For example, it was thought that normal cells have only a limited life span in culture. However, recent studies demonstrated that this might be due to inferior culture conditions (Papini et al., 2003
; Ramirez et al., 2001
). When primary mouse and human keratinocytes grow as an unorganized cell population in the presence of fibroblasts, the keratinocytes display almost limitless proliferative capacity, although this is not due to transformation because the same cells behave normally after being grafted back onto human or mouse skin (Rheinwald and Green, 1977
; Ronfard et al., 2000
). These results indicate that completely normal cells can exhibit tumor-like behavior when they are grown outside of their normal tissue microenvironment.
3D cultures of epithelial cells, pioneered in Mina Bissell's laboratory, have provided substantial information concerning the role of tissue organization in the regulation of cell proliferation and cancer. Epithelial cells within polarized 3D structures are vastly different from the same cells that grow two-dimensionally (Wang et al., 1998
). Polarization has a profound effect on the outcome of oncogenic signaling. For example, activation of Myc results in increased cell proliferation in cells that grow as an unorganized cell population, but has no effect in the same cells when they can form polarized 3D structures (Partanen et al., 2007
).
Both intercellular communication and signals from the basement membrane are crucial for the manifestation of the transformed phenotype of epithelial cells. Disruption of the interaction between β1-integrin and the basement membrane suppresses the malignant phenotype of breast carcinoma cell lines (Liu et al., 2004
; Wang et al., 1998
; Weaver et al., 1997
). Basement-membrane interaction of polarized epithelial cells not only provides them with integrin-mediated proliferation signals, but can also protect epithelial cells from apoptotic cell death (Weaver et al., 2002
). Accordingly, elimination of signaling from the crucial basement-membrane-receptor β4-integrin in epithelial cells in vivo results in the attenuation of ErbB2-mediated mammary tumorigenesis (Guo et al., 2006
).
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Overall, in cases of both the `imposed' cell polarity and physical removal of the mutant cells, 3D tissue polarity may function to inhibit primary tumor development. This is a non-canonical mechanism of tumor suppression because, unlike the canonical tumor suppressors that function within the cells, 3D tissue polarity functions non-cell-autonomously and probably depends on the activities of multiple cell-polarity and cell-adhesion genes. Although such a mechanism of tumor suppression currently represents only a hypothetical model, specific experiments can be designed to test its validity in the future.
| Conclusion and future outlook |
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| Acknowledgments |
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