(CANCER RESEARCH 58. 4047-4051.
September
15. 1998]
Advances in Brief
Platelet-Type 12-Lipoxygenase in a Human Prostate Carcinoma Stimulates
Angiogenesis and Tumor Growth1
Daotai Nie, Gilda G. Hulmán, Timothy Geddes, Keqin Tang, Christopher Pierson, David J. Grignon, and
Kenneth V. Honn2
Departments of Radiation Oncology ¡D.N., T. G., K. T., K. V. HJ. Urology ¡G.G. HJ, and Pathology [C. P.. D. J. G., K. V. HJ. Wayne State University School of Medicine,
Detroit, Michigan 48202
Abstract
Previously, we found a positive correlation between the expression of
platelet-type 12-lipoxygenase ( 12-1.OX l and the progression of human
prostate adenocarcinoma (PCa; Gao et al., Urology, 46: 227-237, 1995).
To determine the role of 12-1.OX in PCa progression, we generated stable
12-LOX-transfected
PC3 cells, which synthesize high levels of 12-LOX
protein and 12(.S)-hvdroxyeicosatetraenoic
acid metabolite. In vitro, 12LOX-transfected PC3 cells demonstrated a proliferation rate similar to
neo controls. However, following s.c. injection into athymic nude mice,
12-LOX-transfected PC3 cells formed larger tumors than did the controls.
Decreased necrosis and increased vascularization were observed in the
tumors from 12-LOX-transfected PC3 cells. Both endothelial cell migra
tion and Matrigel implantation assays indicate that 12-LOX-transfected
PC3 cells were more angiogenic than their neo controls. These data
indicate that 12-LOX stimulates human PCa tumor growth by a novel
angiogenic mechanism.
Introduction
The growth and metastasis of solid tumors are dependent upon the
ability of tumor cells to induce angiogenesis (1). Angiogenesis, the
formation of new blood vessels from preexisting ones, involves en
dothelial cell proliferation, motility, and differentiation. Tumor cells
can secrete a variety of angiogenic factors, such as basic fibroblast
growth factor and vascular endothelial growth factor, to stimulate
angiogenesis (2). Tumor cells also produce angiogenesis inhibitors
such as thrombospondin and angiostatin to control angiogenesis (2).
The balance between angiogenesis stimulators and inhibitors deter
mines the angiogenicity of tumor cells (2). In human PCa,3 the level
of vascularization positively correlates with tumor stage (3-5). Inhi
bition of angiogenesis by linomide or TNP-470 potently inhibits PCa
growth and metastasis by causing necrosis and apoptosis in tumors
(6, 7). Although various potential angiogenesis factors have been
identified in prostate cancer (8), it is still unclear by which process
PCa cells become angiogenic. We have previously detected the ex
pression of platelet-type 12-LOX in human PCa and demonstrated a
correlation between 12-LOX mRNA expression and pathological
stage (9). Platelet-type 12-LOX uses only arachidonic acid as sub
strate and forms 12(5)-HETE exclusively (10). Here, we have exam
ined the function of 12-LOX on PCa tumor growth. Our data dem-
onstrate that 12-LOX has no detectable effect on PCa cell growth in
vitro but stimulates PCa tumor growth in vivo. This effect of 12-LOX
on tumor growth is closely related to increased angiogenesis. Both in
vitro and in vivo angiogenesis assays suggest that PCa cells expressing
high levels of 12-LOX are more angiogenic than those expressing no
or low levels of 12-LOX. Our results provide a novel function for
platelet-type 12-LOX in PCa progression.
Materials and Methods
Cell Culture. Rat angiogenic endothelial cell line RV-ECT (a gift from Dr.
Clement Diglio, Department of Pathology, Wayne State University) was
maintained in DMEM with 10% FBS (11). The cells were used between
passage numbers 29 and 34. The human prostate carcinoma cell line PC3 was
originally purchased from American Type Culture Collection (Manassas, VA)
and maintained in RPMI 1640 with 10% FBS. All culture reagents were
purchased from Life Technologies, Inc.
Stable Transfection of PC3 Cells and Characterization.
Passage 28 PC3
cells were cotransfected using a Lipofectin reagent (Life Technologies, Inc.)
with a pCMV-platelet-type
12-LOX construct (a gift from Dr. Collin Funk,
Center for Experimental Therapeutics, University of Pennsylvania; Ref. 10),
and pCMV-neo, which encodes a neomycin-resistant protein. PC3 cells transfected with pCMV-neo were used as controls. Transfectants were selected
using 1 mg/ml geneticin (G418) in RPMI with 10% FBS and then cloned using
a limiting dilution method in 96-well plates. The cloned transfectants were
propagated and characterized for 12-LOX mRNA expression by Northern blot
and 12-LOX protein expression by Western blot. Human epidermoid carci
noma A431 cells that express 12-LOX (12) were used as a positive control.
The probe used in Northern blot was the 12-LOX cDNA from pCMV 12-LOX
construct. Rabbit 12-LOX polyclonal antibody used in Western blot was
purchased from Oxford Biomedicai Inc. (Oxford. MI). Actin antibody was
from Amersham (Arlington Heights, IL). The synthesis of 12(5)-HETE by
12-LOX transfectants was determined using a RIA kit from Perspective
Diagnostics (Cambridge. MA) according to the manufacturer's instructions.
In Vitro Proliferation Assay. To study the growth kinetics of PC3 trans
fectants in culture. 2 x 10' cells per well were seeded in 96-well culture plate.
The number of viable cells at intervals of 48 h was assessed using an MTS cell
proliferation assay kit (Promega Corp, Madison. MI). The /\49(,nmreadings 2-3
h after plating were used as baselines. The number of cells was expressed as
the percentage of increase from the Am> nm baselines.
Animal Model and Histochemical Studies. A total of 4 X IO6 12-LOXtransfected PC3 cells or neo control cells in 200 /¿Iof HBSS were injected s.c.
into the right flank of 4-6-week-old male BALB/c nude mice (obtained from
Received 5/20/98: accepted 7/30/98.
The costs of publication of this article were defrayed in part by the payment of page
charges. This article must therefore be hereby marked advertisement in accordance with
18 U.S.C. Section 1734 solely to indicate this fact.
1This work was supported by NIH CA 29997. United States Army Prostate Cancer
Research Program DAMD 17-98-1-8502. and the Harper Hospital Development Fund (to
K. V. H.). D. N. was supported by a fellowship from the Cancer Research Foundation of
American.
2 To whom requests for reprints should be addressed, at Department of Radiation
Oncology, 431 Chemistry Building. Wayne State University. Detroit. MI 48202. Phone:
(313)577-1018: Fax: (313)577-0798.
3 The abbreviations used are: PCa, prostate adenocarcinoma: 12-LOX, 12-lipoxygen
ase; 12(S)-HETE, !2(5)-hydroxyeicosatetraenoic
acid; RV-ECT, rat vascular endothelial
cells-tube forming; FBS. fetal bovine serum; HPF, high-power field.
University of South Florida. Tampa. FL). The resulting tumors were measured
using a vernier caliper, and tumor volume was calculated using the formula:
(width)2 X length X 0.5 (7). Six to 7 weeks after injection, mice were
sacrificed, and the tumors were resected and photographed under an SP
SZ-4060 stereomicroscope (Olympus America, Melville, NY). Tumors were
fixed in 10% neutral buffered formalin and embedded in paraffin, and sections
(5 fxm) were prepared for histology staining. Sections were stained with H&E
to examine the presence of necrosis. The assessment of tumor necrotic area
was performed for a total of 10 HPFs per tumor using a double-blind approach.
CD31 staining was used to assess tumor vascularization. Immunohistochemical staining for CD31 (DAKO Corp.: dilution,
1:20) was performed
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Research.
12-LIPOXYGENASE.
using a standard avidin-biotin
complex-immunoperoxidase
ANGIOGENESIS.
procedure.
AND TUMOR GROWTH
The
slides were counterstained with hematoxylin. The vascularity was assessed
qualitatively on the basis of overall vessel organization and quantitatively by
microvessel density. A total of 10 fields per tumor were evaluated for both
microvessel density and vessel organization. The microvessel density was
indicated by the average number of vessels crossing an arbitrary line across
one HPF field. The rating of vessel organization was performed according to
the following scale: 0, disorganized, staining randomly distributed; 1, inter
mediate, vessel-like structures formed; and 2, highly organized, vessels struc
28S _
,12-LOX
r
18S
tured and organized.
Endothelial Cell Migration Assay. For the cell migration assay, RV-ECT
endothelial cells were harvested by trypsinization and resuspended in RPMI
with 10% FBS, and 5 X IO5 cells in 0.5 ml were plated on the top chamber of
a modified Boyden chamber (Becton Dickinson. Bedford, MA). Then. 1 ml of
RPMI-10% FBS medium conditioned from PC3 or various transfectant cul
tures or fresh medium with 12(S)-HETE was added in triplicate into the lower
chamber. After 4 h of incubation, the cells on the top side of the transwell
membrane were removed with cotton swabs. The membrane was then cut out,
fixed in a quick-fix solution, double-stained, and mounted for observation and
counting. Usually, 12 fields (X100) representing two perpendicular cross-lines
B
of each membrane were counted.
Matrigel Implantation Assay for Tumor Cell-induced Angiogenesis.
The Matrgel implantation assay was performed as described by Ito et al. (13)
with the following modifications. Matrigel (Becton Dickinson, Bedford, MA:
0.4 ml premixed with 2 X IO6 PC3 12-LOX transfectant or neo control cells)
A
kPa
v
2> 6»
,12-LOX
75-
was injected s.c. into nude mice (four mice per group). Mice were sacrificed
12 days after injection and dissected to expose the implants for recording.
33-
Results
Generation of PC3 Transfectants That Constitutively Synthe
size 12-LOX and 12(S)-HETE. To determine the function of 12LOX in PCa progression, PC3 cells were transfected with a platelettype 12-LOX cDNA construct. Stable transfectants were cloned and
named the nL series. Several stable transfectants (neo series) isolated
from PC3 cells transfected with pCMV-neo were used as controls.
Northern blot analyses of transfectant clones show that the levels of
12-LOX mRNA were increased in various nL clones, compared to the
neo controls or wild-type PC3 (Fig. 1A). The 12-LOX mRNA levels
in various nL clones were higher than in A431, a cell line that
constitutively expresses 12-LOX (12). 12-LOX-transfected PC3 cells
also had higher levels of 12-LOX protein than neo controls or wildtype PC3, as revealed by Western blot analysis (Fig. ÕB).Among the
various clones analyzed, nL-2, nL-8, nL-11, and nL-12 expressed
12-LOX at the highest levels. We also found that 12-LOX-transfected
PC3 clones nL-2, nL-8, and nL-12 synthesized 6-10-fold more 12(S)HETE than the neo control or wild-type PC3 cells (Fig. 1C), indicat
ing that 12(S)-HETE biosynthesis was greatly enhanced in 12-LOXtransfected PC3 cells.
12-LOX Transfectants Have an in Vivo but not an in Vitro
Growth Advantage. In vitro, the growth rates of several 12-LOX
transfectant clones were similar to those of neo controls and wild-type
PC3 cells (Fig. 2A), with an approximate doubling time of 36 h.
However, following s. c. injection into nude mice, 12-LOX-trans
fected PC3 cells (nL-2 and nL-12) grew faster and formed larger
tumors than did neo controls (neo-cr and neo-a; Fig. 2ß).As shown in
Fig. 2C, tumors derived from 12-LOX-transfected PC3 cells were
larger than those obtained from neo controls, indicating that 12-LOXtransfected PC3 cells had an in vivo growth advantage compared to
neo controls or wild-type PC3 cells. Similar results were obtained
with an additional 12-LOX transfectant clone tested (nL-8; data not
shown). Assessment of tumor necrosis from H&E-stained tumor sec
tions revealed that tumor necrosis was significantly reduced in the
tumors derived from 12-LOX-transfected PC3 cells (P < 0.05 by
Student's / test), whereas 12.1% of tumor area of neo-cr tumors were
necrotic (n = 7; range, 5-35%), only 1.9% of tumor area in the nL-12
300
250
5ï
200
l
150
100
CM O.
50
O
Fig. 1. Generalion of PC3 transfectants synthesizing high levels of 12-LOX and
12(5)-HETE. The transfection of PC3 cells and the cloning of stable transfectants were
performed as described in "Materials and Methods." A, Northern blot analysis of 12-LOX
mRNA levels in various clones of PC3 12-LOX transfectants. Top, blot probed with
12-LOX cDNA; bottom, blot probed with actin cDNA as the loading control. B, Western
blot analysis of 12-LOX protein expression in various clones of PC3 12-LOX transfec
tants. The blot was probed with a 12-LOX polyclonal antibody and actin antibody. C,
12(S)-HETE levels in various 12-LOX transfectants. The levels of 12(S)-HETE in total
cell lysates were measured using RIA and were normalized to cell number and expressed
as pg of 12(S)-HETE/1 X IO6 cells.
clone was necrotic (n = 8; range, 0-10%). A significant decrease in
tumor necrosis was also observed in the tumors derived from 12-LOX
transfectants nL-2 and nL-8, compared to neo-a (data not shown),
suggesting that the increased tumor growth by 12-LOX transfectants
is mainly due to the reduction of tumor necrosis.
Increased Angiogenesis in the Tumors from 12-LOX Transfec
tants. Because angiogenesis plays an important role in tumor growth
by influencing tumor necrosis and apoptosis (2), we studied whether
the increased tumor growth by 12-LOX transfectant is angiogenesis
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12-LIPOXYGENASE,
ANGIOGENESIS,
AND TUMOR GROWTH
B
fe 1600
Fig. 2. 12-LOX transfectants have an in vivo
but not in vilro growth advantage. A, growth ki
netics of PC3 transfectants in culture. Cell prolif
eration of various transfectants was measured as
described in "Materials and Methods." Shown here
01234567
Days of Culture
are the growth curves of PC3 wild type (O). neo-tr
(•),nL-8 (V), and nL-12 (A). Data points, means
of six determinations: bars, SE. Other clones such
as nL-2 and neo-a also had similar growth kinetics
(data not shown). B, growth kinetics of the tumors
derived from 12-LOX transfectants and neo con
trols. Data points, mean volumes of eight tumors
for nL-12 (•)and neo-cr (O). five tumors for nL-2
(D) and neo-a (V), and six tumors for PC3 wild
type (T); bars. SE. C. mice with tumors from
12-LOX transfectants or from neo control. Left,
three mice with tumors from neo-o~ (arrows):
right, three mice bearing tumors from I2-LOXtransfected PC3 cells (nL-12; arrows).
neo-a
0 10 20 30 40 50 60 70
Days after Injection
nL-12
! i
dependent. We found significant vascularization in tumors derived
from 12-LOX-transfected PC3 cells, whereas the neo control tumors
showed little vessel penetration (Fig. 3A). Immunostaining with CD31
antibody, which detects the presence of endothelial cells, showed that
the vascular networks in tumors derived from nL-12 were sinusoidal
in pattern and well developed in structure (Fig. 30, right). In contrast,
in neo control tumors, endothelial cells were present but were ran
domly distributed and did not form an organized vascular network
(Fig. 35, left). There were fewer vessels in neo-tr tumors than in
nL-12, as suggested by microvessel density (Fig. 3Q. The assessment
of the vessel organization demonstrated that the majority of vessels in
the tumors derived from 12-LOX-transfected PC3 cells were highly
organized, whereas in those from neo-er, they showed a disorganized
to intermediate pattern (Fig. 3D). In tumors derived from nL-2 and
nL-8, we also observed a similar increase in angiogenesis when
compared to neo-a (data not shown).
Increased Angiogenicity of 12-LOX Transfectants. The in
creased angiogenesis in the tumors generated from 12-LOX-trans
fected PC3 cells raises the question of whether the observed increase
in angiogenesis is the cause or a consequence of the increased tumor
growth. To address this issue, we first assayed the conditioned culture
medium of PC3 12-LOX-transfected PC3 cells or neo controls for
their ability to stimulate endothelial cell migration. As shown in Fig.
4A, the medium from the 12-LOX-transfected PC3 cells induced more
RV-ECT migration than did the medium from neo controls. Under
similar assay conditions, 12(S)-HETE itself also stimulated RV-ECT
migration at nanomolar levels (Fig. 4B). The increased angiogenicity
of 12-LOX transfectants was confirmed by the Matrigel implantation
assay. As shown in Fig. 4C, within 12 days, 12-LOX-transfected PC3
cells (nL-12) in Matrigel induced massive angiogenesis, indicated by
the accumulation of blood in the gel, compared to the neo control
(neo-o-). The results clearly illustrate that the 12-LOX-transfected PC3
cells are more angiogenic than their neo controls.
Discussion
Here, we found that the increased expression of 12-LOX in human
PCa cells stimulates prostate tumor growth by enhancing their angio
genicity. The findings have significant bearing on the regulation of
PCa progression because, in patients diagnosed with prostate carci
noma, some tumors are extremely malignant, with rapid progression,
whereas others are localized and dormant for many years. Exploration
of the mechanism underlying the transition from latent to rapidly
growing PCa will provide useful information for PCa management.
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Research.
12-LlPOXYGENASE.
neo-oc
nL-2
ANGIOOENESIS.
B
AND TUMOR GROWTH
neo-a
nL-12
Fig. 3. Increased angiogenesis in the lumors from 12-LOX-transfected PC3 cells. A. tumor morphology. Left, two tumors from neo-a; right. Iwo tumors from 12-LOX-transfected
PC3 cells (nL-2). X8. B, CD31 immunostaining. Brawn, positive staining. Left, control tumor. Note the scattered vascular spaces which are randomly distributed and do not form a
structured vascular network. Righi, tumor from 12-LOX-transfected PC3 cells. Note the numerous vascular channels showing a highly organized sinusoidal pattern surrounding small
nests of tumor cells. X250. C. microvessel density. Column*, microvessel densities, expressed as the average number of vessel-like structures crossing an arbitrary line in one HPF;
burs. SE. Note the significant increase in microvessel density in the tumors derived from nL-12 (n = 7) as compared in those of neo-cr (n = 1: *, P < 0.05 by Student's t test). D.
organization of intratumoral blood vessels. The vessel organization was scored as described in "Materials and Methods." Columns, mean scores of tumors derived from nL-12 (n = 7)
and neo-<r (n = 7); bars. SE (**, P < 0.01 by Student's l test).
Our observations here, together with our previous demonstration of
the correlation between 12-LOX expression and PCa progression in
clinical samples (9), suggest that 12-LOX may play a critical role in
the progression of human PCa.
The increased tumor growth observed with 12-LOX-transfected
PC3 cells is due to the reduction in tumor necrosis as a result of
increased angiogenesis. The increased 12-LOX levels in PC3 cells did
not confer a growth advantage in vitro, suggesting that 12-LOX
overexpression does not have direct effect on PC3 cell growth and that
the growth advantage of 12-LOX transfectants in vivo is due to the
host environment. This tumor-host interaction based mechanism is
supported by the observed increase in angiogenesis in the tumors from
12-LOX-transfected PC3 cells. Because angiogenesis is required for
tumor expansion, the lack of or inhibition of angiogenesis has been
demonstrated to induce tumor cell necrosis and apoptosis, thereby
limiting tumor growth in PCa (2, 6-7). Indeed, histological analysis
revealed that the tumors derived from neo controls had increased
necrosis, suggesting that it is the insufficient vascularization that
limited the growth of the neo control tumors.
The increased angiogenesis in the tumors from 12-LOX-trans
fected PC3 cells is at least partly due to their increased angiogenicity. 12-LOX-transfected
PC3 cells have increased ability to
lators and inhibitors of angiogenesis (2). Therefore, it will be
interesting to determine how 12-LOX up-regulates the angiogenicity of PCa cells. One explanation is that 12-LOX or 12(S)-HETE
may increase the angiogenicity of tumor cells by influencing the
expression of angiogenic or angiostatic molecules. An alternative
interpretation is that 12(5)-HETE may directly alter the balance in
favor of angiogenic factors due to its proangiogenic nature. This is
supported by our finding here that 12(S)-HETE stimulated endo
thelial cell migration at nanomolar levels and previous reports
showing that 12(5)-HETE stimulated endothelial cell proliferation
(14), retraction (15), and adhesion and that it increased the surface
expression of integrin avß3in both macro- and microvascular
endothelial cells (16). It is noteworthy that integrin avß,is pre
dominantly associated with angiogenic blood vessels (17) and
plays an essential role in human cancer angiogenesis (18). Thus,
12(5)-HETE may directly increase the angiogenicity of PCa cells
by stimulating angiogenesis or by eliciting several proangiogenic
responses that can be additive or synergistic to effects from other
angiogenic factors produced by PCa cells because different factors
have their own distinct effects on the process of angiogenesis (19).
Studies are ongoing to determine whether increased 12-LOX ex
pression in PCa cells influences the gene expression of angiogenic
factors and whether 12(S)-HETE can stimulate angiogenesis alone
stimulate endothelial cell migration in vitro and neovascularization
of Matrigel in vivo, compared to their neo controls. The angiogeor by its additive or synergistic interaction with other putative
nicity of tumor cells is controlled by the balance between stimuangiogenic factors.
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Research.
12-LIPOXYGENASE.
ANGIOGENESIS.
AND TUMOR GROWTH
Acknowledgments
Special thanks are directed to Dr. Clement Diglio for providing RV-ECT
endothelial cells. We thank Dr. Mohit Trikha and Karoly Szekeres for helpful
discussions. We acknowledge the excellent technical support from Homan
Kian and Ning Wu.
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4051
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Research.
Platelet-Type 12-Lipoxygenase in a Human Prostate Carcinoma
Stimulates Angiogenesis and Tumor Growth
Daotai Nie, Gilda G. Hillman, Timothy Geddes, et al.
Cancer Res 1998;58:4047-4051.
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