Expression of urokinase plasminogen activator and receptor in conjunction with the ets family and AP-1 complex transcription factors in high grade prostate cancers
Introduction
The expression of the urokinase plasminogen activator (uPA) and its receptor (uPAR) are prognostic indicators for the clinical outcome of many cancers 1, 2, including adenocarcinoma of the prostate [3]. uPA activates numerous matrix metalloproteinases and concomitantly promotes proteolysis of the extracellular matrix, tumour cell migration, intra- and extravasation, and also activation of mitogens and effectors of angiogenesis and of the osteoblastic reaction important for bone metastases 2, 4, 5. Tumour cell invasiveness and metastatic capacity are highly correlated with the expression of uPA and uPAR and are blocked by their inhibitors.
Expression of uPA is controlled by an inducible enhancer region bound by AP-1 complex proteins (Jun, Fos and activating transcription factor (ATF) family members and partners), ets family proteins, homeodomain proteins, the nuclear factor (NF)κB transcription factor [6]; also, the turnover of uPA mRNA is regulated [7]. The levels and activities of these transcription factors and the proteins determining uPA mRNA stability are modulated by, among others, the mitogen- and stress-activated protein kinase pathways [8]. In particular, prostate cancer progression correlates with activation of the mitogen-activated protein kinase (MAPK) pathway [9].
While AP-1 complex and NFκB proteins are expressed in many tissues, ets family proteins can be specific to particular types of tissues and cells and to cancers derived from them [10]. The over two dozen paralogous members of this ancient family of transcription factors can be organised into five subfamilies and 13 groups, based upon sequence conservation of their DNA binding domains [11]. Activation of the uPA enhancer also requires homeodomain proteins [12], which like ets proteins, can be specific to the development and maintenance of epithelial cells and the cancers derived from them. As the requirement for such tissue-specific proteins for expression of uPA may provide targets to selectively block tumour cell invasion, we seek to identify those particular ets family, AP-1 complex and homeodomain proteins that are highly expressed in prostate cancer, and then plan to analyse whether they are involved in uPA expression.
Section snippets
Tissue samples
Archival tissue samples of 25 high-grade prostate cancers with an average Gleason score greater than 7 and 4 tissue samples of benign prostate hyperplasia (BPH) were provided by the Pathology Service of the Medical Academy, Sofia, Bulgaria. The tissues had been fixed in 10% buffered formalin and embedded in paraffin. Sections were cut at 4–8 μm, placed onto Superfrost glass slides (Fisher, USA), stained with haematoxylin and eosin, and independently evaluated by two pathologists.
In situ hybridisation and immunohistochemistry
uPA and uPAR
uPA and uPAR mRNAs and proteins are expressed by adenocarcinoma cells of high grade prostate cancers
Immunohistochemical staining for uPA was observed in the vast majority (over 80%) of tissue sections of predominantly high grade prostate cancers, where uPA protein was predominantly localised in adenocarcinoma cells, and not the stroma (Fig. 1a). The few cancers in which little or no uPA protein was detected were of intermediate grade. By comparison, no or very weak expression of uPA protein was observed in BPH tissues (data not shown). In situ hybridisation revealed high levels of uPA mRNAs
Discussion
Clinical studies indicate that expression of uPA and uPAR is very important for the metastatic behaviour of many cancers. We have documented high level expression of uPA and uPAR mRNAs and proteins in adenocarcinoma cells of advanced prostate cancer, but not BPH tissues, extending an earlier study of uPA expression in prostate tissue sections [13]. As elevated expression of uPA and uPAR is of considerable prognostic value, elucidating the molecular basis for their expression may improve
Acknowledgements
This work was supported by grants from the US Army Medical Research and Material Command (DAMD17-98-1-8321), the US Public Health Service (1P01ES10535) and the US Department of Agriculture (98-34346-5997, subgrant 00-115).
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Present address: Department of Pathology the Arizona Cancer Center, University of Arizona Health Sciences Center, Tucson, AZ 85724, USA.