Cho M, Dahiya R, Choi S R, Siddiki B, Yeh M M, Sleisenger M H, Kim Y S
Gastrointestinal Research Laboratory, Veterans Affairs Medical Center, San Francisco, USA.
Eur J Cancer. 1997 May;33(6):931-41. doi: 10.1016/s0959-8049(96)00520-5.
Mucinous (colloid) carcinoma and well- to moderately-differentiated adenocarcinoma of the colon differ in the pattern and the amount of mucin secretion and perhaps in their behaviour and clinical outcome. To ascertain why these differences exist and to elucidate the mechanisms of tumour progression, we examined two model human cell lines derived from colorectal mucinous carcinoma (C1a) and moderately differentiated adenocarcinoma (HM3) which show typical pathological and mucin staining patterns of the respective type of carcinomas to nude mouse tumour xenografts. Specifically, we sought to determine if there were quantitative and qualitative differences in mucin synthesis, in mucin gene expression and in biological properties between the two model cell lines. Northern blot analysis showed that MUC2 mRNA levels were significantly higher in C1a cells compared with HM3 cells, while those of MUC3, -5 and -6 mRNA were lower. C1a cells secreted approximately five times more radiolabelled apomucin and 1.5 times more glycosylated apomucin than HM3 cells. When the carbohydrate side-chain length of secreted mucins by these cell lines were examined by beta-elimination followed by P4 column chromatography, C1a mucins had mostly short carbohydrate side-chains, while HM3 cells had predominantly longer side-chains. Western blot analysis of the cell homogenate showed higher expression of MUC2 apomucin and mucin-associated carbohydrate antigens, such as T, Tn and sialyl Tn, with decreased sialyl Le(x) expression in C1a cells compared with HM3. Immunohistochemical analysis of 35 colorectal adenocarcinoma and 25 mucinous colorectal carcinoma tissues also demonstrated increased MUC2 apomucin, T, Tn and sialyl Tn antigens in the mucinous cancer specimens. Examination of the biological properties of these cell lines showed that C1a cells had significantly higher in vitro invasive activity in assays of invasion and collagenase activity and significantly lower E-selectin binding and liver colonisation activities in nude mice. These results indicate that colorectal mucinous carcinoma cells differ considerably from colorectal adenocarcinoma cells, both qualitatively and quantitatively, in the pattern of mucin gene expression and in the synthesis and secretion of mucin. In addition, biological studies showed that mucinous carcinoma cells have a greater degree of invasiveness, but less liver colonising activity. These results suggest that the biological and mucin characteristics of mucinous carcinoma cells contribute to extensive local invasion through tissue stroma as the predominant mechanism of tumour progression, while the biological and mucin characteristics of well- to moderately-differentiated colorectal adenocarcinoma contribute to progression via distant metastasis formation.
黏液性(胶样)癌和结肠中高分化腺癌在黏液分泌的模式和量上存在差异,在行为和临床结局上可能也有所不同。为了确定这些差异存在的原因并阐明肿瘤进展的机制,我们将来源于大肠黏液性癌(C1a)和中分化腺癌(HM3)的两种人源细胞系接种到裸鼠肿瘤异种移植模型中,这两种细胞系呈现出各自类型癌的典型病理和黏液染色模式。具体而言,我们试图确定这两种模型细胞系在黏液合成、黏液基因表达和生物学特性方面是否存在数量和质量上的差异。Northern印迹分析显示,与HM3细胞相比,C1a细胞中MUC2 mRNA水平显著更高,而MUC3、-5和-6 mRNA水平更低。C1a细胞分泌的放射性标记脱辅基黏蛋白比HM3细胞多约5倍,糖基化脱辅基黏蛋白多1.5倍。当通过β-消除法继以P4柱色谱法检测这些细胞系分泌的黏液的碳水化合物侧链长度时,C1a黏液大多具有短碳水化合物侧链,而HM3细胞主要具有较长侧链。对细胞匀浆进行的蛋白质印迹分析显示,与HM3细胞相比,C1a细胞中MUC2脱辅基黏蛋白和与黏液相关的碳水化合物抗原(如T、Tn和唾液酸化Tn)表达更高,而唾液酸化Le(x)表达降低。对35例结直肠腺癌组织和25例黏液性结直肠癌组织进行的免疫组织化学分析也显示,黏液性癌标本中MUC2脱辅基黏蛋白、T、Tn和唾液酸化Tn抗原增加。对这些细胞系生物学特性的检测表明,在侵袭和胶原酶活性测定中,C1a细胞具有显著更高的体外侵袭活性,而在裸鼠中E-选择素结合活性和肝转移定植活性显著更低。这些结果表明,大肠黏液性癌细胞与大肠腺癌细胞在黏液基因表达模式以及黏液的合成和分泌方面,在质量和数量上均存在显著差异。此外,生物学研究表明,黏液性癌细胞具有更高的侵袭性,但肝转移定植活性较低。这些结果提示,黏液性癌细胞的生物学和黏液特性促成了通过组织基质的广泛局部侵袭,这是肿瘤进展的主要机制,而中高分化大肠腺癌的生物学和黏液特性则通过远处转移灶形成促成肿瘤进展。