uPAR and cathepsin B knockdown inhibits radiation-induced PKC integrated integrin signaling to the cytoskeleton of glioma-initiating cells

Despite advances in radiotherapeutic and chemotherapeutic techniques and aggressive surgical resection, the prognosis of glioblastoma patients is dismal. Accumulation of evidence indicates that some cancer cells survive even the most aggressive treatments, and these surviving cells, which are resistant to therapy and are perhaps essential for the malignancy, may be cancer stem cells. The CD133 surface marker is commonly used to isolate these extremely resistant glioma-initiating cells (GICs). In the present study, GICs which tested positive for the CD133 marker (CD133+) were isolated from both the established U251 cell line and the 5310 xenograft glioma cell line to study the events related to the molecular pathogenesis of these cells. Simultaneous down-regulation of uPAR and cathepsin B by shRNA (pUC) treatment caused the disruption of radiation-induced complex formation of pPKC θ/δ, integrin β1 and PKC ζ, integrin β1 in glioma cells. Further, pUC treatment inhibited PKC/integrin signaling via FAK by causing disassociation of FAK and the cytoskeletal molecules vinculin and α-actinin. Also, we observed the inhibition of ERK phosphorylation. This inhibition was mediated by pUC and directed a negative feedback mechanism over the FAK signaling molecules, which led to an extensive reduction in the signal for cytoskeletal organization generating migratory arrest. Altogether, it can be hypothesized that knockdown of uPAR and cathepsin B using shRNA is an effective strategy for controlling highly invasive glioma cells and extremely resistant glioma-initiating cells.


Introduction
Glioblastoma (GBM) is the most common type of malignant tumor and one of the most fatal and least successfully treated solid tumors. Evidence from hematopoietic malignancies and solid tumors (including brain, breast, colorectal, and head and neck cancers) strongly support the hypothesis that a subpopulation of cancer cells exists in each tumor which has greater potential of cancer initiation and repopulation (1). Though the origin of glioma-initiating cells (GICs) is not yet clearly defined, GICs exhibit similar properties to normal neural stem cells, such as enhanced potential for proliferation, angiogenesis, and invasion. Moreover, it appears that GICs contribute to radiation and therapeutic resistance and are likely responsible for GBM tumor recurrence (1).
The prognosis for GBM patients has not improved in recent decades, thereby underscoring the difficulties and challenges in effectively treating this lethal tumor. The fundamental problem of GBMs is their highly infiltrative nature and the aggressive invasion of GBM cells into the normal brain tissue (1). To facilitate cell motility, invading cells need to change cell-cell adhesion properties, rearrange the extracellular matrix (ECM) environment, and reorganize their cytoskeletons (2). Integrins, the transmembrane receptor molecules, link the ECM to the intracellular actin cytoskeleton of the cell. Integrins do not possess intrinsic catalytic activity. Thus, the signals initiated by ECM-integrin interactions are transduced into cells through activation of integrin-associated proteins (3). These adaptor molecules, such as focal adhesion kinase (FAK), α-actinin, talin, tensin, paxillin, and vinculin, connect integrins to filamentous actin in the cytoskeleton. This initiates an 'outside-in' signaling cascade, which mediates dynamic cell behavior and results in forward gliding of the cell body (4).
Protein kinase C (PKC), which belongs to a family of serinethreonine kinases that catalyze numerous biochemical reactions critical to the function of many cellular constituents, are overexpressed or hyperactive in malignant brain tumors (5). These kinases play a crucial role in the regulation of various integrindependent cellular functions. Studies conducted to demonstrate the relationship between PKC activation and modulation of integrin-dependent functions indicate that adhesion, spreading,

uPAR and cathepsin B knockdown inhibits radiation-induced PKC integrated integrin signaling to the cytoskeleton of glioma-initiating cells
and metastasis are partly regulated by the action of PKCs (6). Phorbol esters are well-known activators of PKC isoforms, and they induce immediate effects on the cytoskeleton, such as cell spreading and ruffling, which indicates that one or several forms of PKC isoforms promote changes in the cytoskeleton that facilitate or drive cell spreading and migration (7). uPAR associates with several members of the integrin family and is also involved in the initiation of several intracellular signal transduction pathways that involve cytoskeletal components, cytosolic kinases, and transmembrane kinases. Reducing uPAR expression in human glioma cells leads to changes in cell morphology, decreased cell diffusion, and cytoskeletal disorganization (8). Cathepsin B has also been proposed to mediate the dissemination of cancer cells by degrading components of the ECM or by activating other proteases that are capable of degrading the ECM (9). In addition, uPAR occupancy has been implicated in the expression of cathepsin B. Cathepsin B has also been shown to have an active role in the initiation of proteolytic cascade involving uPA, plasminogen, and plasmin (9).
The present study attempts to elucidate the effects of uPAR and cathepsin B on the cytoskeletal organization of glioma cells, which leads to invasion into normal brain. Our results demonstrate that shRNA-mediated down-regulation of uPAR and cathepsin B induces cytoskeletal disorganization in both GICs and non-GICs by disrupting the PKC-integrin complex and thereby down-regulating the association of FAK with α-actinin and vinculin in both in vitro and in vivo models.

Materials and methods
Ethics statement. The Institutional Animal Care and Use Committee of the University of Illinois College of Medicine at Peoria (Peoria, IL) approved all surgical interventions and postoperative animal care. The consent was written and approved. The approved protocol number is 851 and is dated November 20, 2009. Cell lines. In the present study, we used U251 glioma cells obtained from ATCC (American Type Culture Collection, Manassas, VA) and 5310 glioma xenograft cells kindly provided by Dr David James (University of California-San Francisco, San Francisco, CA). U251 and 5310 cells were cultured in DMEM medium and RPMI-1640 medium respectively, supplemented with 10% FBS (Gibco-BRL, Grand Island, NY) and 1% penicillin/streptomycin (Lonza, Walkersville, MD) at 37˚C and 5% CO 2 .
Transfection, radiation and inhibitor treatments. All transfections were carried out in 100 mm culture plates using FuGene HD reagent as per the manufacturer's protocol (Roche, Indianapolis, IN). U251 and 5310 non-GICs or GICs were transfected with scrambled vector (pSV) or a bicistronic construct of uPAR and cathepsin B (pCU) or siRNA against integrin β1 (SCBT, Santa Cruz, CA). Either 48 h (non-GIC) or 24 h (GIC) after transfection, the cells were treated with 10 Gy radiation using an RS 2000 biological irradiator (Rad Source Technologies Inc., Boca Raton, FL) X-ray unit operated at 150 kV/25 mA. Cells were then incubated for another 24 or 48 h, respectively. For inhibitor studies, cells seeded in 6-well plates were treated with rottlerin (200 µM, Calbiochem, San Diego, CA) and U0126 (10 µM, Promega, Madison, WI) for 24 h.
Wound healing assays. For wound healing assay, the non-GICs and GICs treated with SV, pUC, SV+10 Gy, or pUC+10 Gy were grown in Ibidi silicon culture inserts (Ibidi, Verona, WI) as per the manufacturer's instructions. Briefly, the culture inserts were placed in 2-well slides coated with fibronectin (2 µg/ml), and 5000 cells were added into each well of the inserts. The cells were allowed to grow for 24 h. Then, the inserts were removed, and the cell patches were overlayed with culture medium. The cells were allowed to migrate for about 16 h. After the incubation, immunofluorescence was performed as described above using PKC ζ and integrin β1 antibodies, and cells were analyzed with a confocal microscope (Olympus BX61 Fluoview, Minneapolis, USA). Overlay of images was carried out using SPOT advanced software (Windows version 4.0.8).
Reverse transcription PCR. Total RNA was isolated using Trizol reagent (Invitrogen, Carlsbad, CA), and cDNA was produced using Transcriptor First Strand cDNA Synthesis Kit (Roche). Both tasks were performed according to the manufacturer's instructions.
Immunohistochemical analysis. Stereotactic implantation of U251 non-GICs and U251 GICs (1x10 5 cells) was carried out as previously described (11). Seven days after tumor implantation, mice were treated with pUC (450 µg per animal) using Alzet mini-pumps at a flow rate of 0.25 µl/h. Then, radiation was given in two doses (5 Gy on days 8 and 10). When chronic symptoms were observed in the control group, mice were euthanized by cardiac perfusion using 10% buffered formalin, and paraffin sections were prepared. For immunohistochemical analysis, tumor sections were deparaffinized, blocked with 10% normal goat serum for 1 h, and then incubated with primary antibody (1:100 dilution in 10% goat serum) overnight at 4˚C in a humidified chamber. Next, they were washed with 1X PBS, incubated with the Alexa Fluor-conjugated secondary antibody (fluorescent) for 1 h at room temperature in the dark, and visualized under a confocal microscope. DAPI was used for nuclear staining.

Results
Enrichment, isolation, and characterization of glioma-initiating cells. We enriched the population of glioma-initiating cells by progressively increasing the knock-out DMEM containing growth factors until many adherent, neurosphere-like structures of U251 and 5310 cells were observed in the culture plates. This usually occurred one week after the initial medium replacement. These spheres were collected, dissociated, conjugated with CD133, and the positive population was sorted out. The results showed that U251 and 5310 cells contained 14.65% and 19.69% of CD133 + cells respectively (Fig. 1A). Further, these isolated cells were grown in the glioma stem cell medium, and then they were characterized for stem-cell markers by western blot analysis, RT-PCR, and immunofluorescence assay (Fig. 1B, D and E). Densitometric analysis of the western blots revealed that there was a considerable increase in the protein expression levels of CD133 (6.4-fold in U251 GICs, 4.4-fold in 5310 GICs), CD44 (2.2-fold in U251 GICs, 2.4-fold in 5310 GICs), Nestin (5.4-fold in U251 GICs, 2.3-fold in 5310 GICs) and Sox-2 (2.7-fold in U251 GICs, 5.5-fold in 5310 GICs) when compared to that of their non-GIC counterparts (Fig. 1C). U251 GICs and 5310 GICs also expressed the proliferation marker Ki67 and the lineage markers GFAP and Tuj-1.

Radiation enhanced the expression of uPAR and cathepsin B in both non-GICs and GICs.
Several investigators have posited that cancer-initiating cells are radio-resistant and that they contribute to the poor treatment outcomes. Thus, the effect of radiation on the expression levels of uPAR and cathepsin B was investigated by western blot analysis ( Fig. 2A). For U251 non-GICs and 5310 non-GICs, the protein expression levels of uPAR and cathepsin B were increased 24 h after initial radiation treatment, and these increases were dose-and time-dependent. In the U251 GIC and 5310 GIC populations, increases in the expression of uPAR and cathepsin B were significant only after 48 h following radiation treatment ( Fig. 2A). Based on these results, further experiments were carried out at 24 h, 10 Gy radiation for non-GICs and 48 h, 10 Gy radiation for GICs.

Down-regulation of uPAR and cathepsin B inhibits migration and induces cytoskeletal disorganization of non-GICs and
GICs. Wound healing assay was carried out using Ibidi silicon culture inserts, and the variations in the migration of non-GICs and GICs treated with either pUC and radiation alone and in combination were measured. The irradiated cells migrated more (42.7%-U251 non-GICs, 25%-U251 GICs, 43.2%-5310 non-GICs, and 17.6%-5310 GICs) when compared to the pSV-treated (control) samples, normalized to 100% (Fig. 2D and E). pUC treatment effectively reduced the migration capacity of glioma cells (56.8%-U251 non-GICs, 45.4%-U251 GICs, 56.2%-5310 non-GICs, and 35.8%-5310 GICs) when compared to pSV-treated cells, and it also efficiently inhibited the radiation-induced increase in the migration of the cells (44.5%-U251 non-GICs, 32.2%-U251 GICs, 52.7%-5310 non-GICs, and 24.8%-5310 GICs versus pSV-treated irradiated cells). Thus, pUC treatment significantly retarded the wound healing capacity of non-GICs and GICs in both the cell lines irrespective of radiation exposure.
One of the key facilitators of cell motility is the cytoskeletal organization within the cell. Since pUC treatment reduced the migratory capacity of the glioma cells, the effect of treatments on the cytoskeletons of non-GICs and GICs were investigated. U251 and 5310 cells were stained with vinculin (an essential cytoskeletal molecule) antibody and then imaged (Fig. 2F). The cells treated with uPAR and cathepsin B shRNA had disorganized cytoskeletons, the integrity of cell shape was lost, and the cells became rounded while pSV and pSV + 10 Gy treated cells showed a distinct and well-defined morphology.  Cell lysates were prepared and analyzed for uPAR and cathepsin B expression levels using western blotting. C, The protein expression levels of uPAR and cathepsin B in U251 and 5310 cells treated with pUC and radiation alone and in combination were analyzed by densitometric analysis and are depicted in the graph as relative protein expression (control of each set as 100%). D, Wound healing assay was performed with pSV and pUC and/or radiation treatments in U251 and 5310 non-GICs and GICs as described in Materials and methods. The cells were then fixed, stained with DAPI, and imaged using a fluorescence microscope (Olympus IX71, USA). Scale bar, 500 µm. E, The migration and wound healing capacities of U251 and 5310 non-GICs and GICs treated under the previously described conditions were measured using a microscope, analyzed, and are graphically represented as a relative percentage of wound healing (migration of pSV-treated samples as 100%). F, U251 and 5310 non-GICs and GICs treated with pSV and pUC with and without radiation were grown on fibronectin-coated 4-well chamber slides. The cells were then fixed with 4% buffered formalin, stained with vinculin antibody, and incubated with DAPI for a brief period of time before mounting. Scale bar, 200 µm. Values are mean ± SD of three different experiments ( * p<0.05, ** p<0.01, in comparison with the control). PKC δ, pPKC θ/δ, PKC ζ, integrin β1, integrin α2, and integrin α5 after treatment with pUC and radiation alone or in combination. B, Total protein (300 µg) was collected from pSV, pUC, pSV + 10 Gy and pUC + 10 Gy samples of U251 and 5310 non-GICs and GICs and immunoprecipitated with integrin β1 antibody (2 µg) and protein A plus G agarose beads (20 µg) overnight at 4˚C. The precipitates were washed with lysis buffer and the integrin β1 pulled down protein was immunoblotted for pPKC θ/δ and PKC ζ. C, Co-localization of PKC ζ and integrin β1 was carried out with pSV and pUC with and without 10 Gy (24 h for non-GICs and 48 h for GICs). The cells were allowed to migrate on 4-well chamber slides for about 16 h after growing them in Ibidi culture inserts for 24 h after treatments. The cells were fixed, stained with primary antibody overnight at 4˚C, counter-stained with species-specific Alexa Fluor-conjugated secondary antibodies, nuclear stained with DAPI, mounted, and imaged under a confocal microscope. Arrows indicating the co-localization of PKC ζ and integrin β1. uPAR and cathepsin B knockdown inhibited radiation-induced PKC-integrin signaling. To elucidate the roles of uPAR and cathepsin B in the PKC-integrin-dependent signal transduction, the expression of uPAR and cathepsin B were simultaneously knocked down using shRNA alone or in combination with radiation treatment in U251 and 5310 non-GICs and GICs. Western blotting revealed that the expression levels of PKC θ, PKC δ, pPKC θ/δ, PKC ζ, integrin β1, integrin α2, and integrin α5 were reduced significantly with pUC treatment, but their levels increased with radiation treatment in both non-GICs and GICs to that of the controls (Fig. 3A). The combination treatment of pUC and 10 Gy efficiently inhibited the radiation-induced increase in the protein levels of these molecules.
Co-immunoprecipitation studies of the total cell lysates revealed that only the phosphorylated forms of PKC θ and PKC δ interacted with integrin β1 along with PKC ζ. The bulk of pPKC θ/δ and PKC ζ co-immunoprecipated with integrin β1 in the pSV-treated samples of both non-GICs and GICs (Fig. 3B). Radiation treatment further increased the amount of co-immuno precipitation of integrin β1/pPKC θ/δ and integrin β1/PKC ζ in U251 and 5310 non-GICs and GICs. Simultaneous inhibition of uPAR and cathepsin B by shRNA treatment reduced the interaction between integrin β1/pPKC θ/δ and integrin β1/PKC ζ and, more importantly, a significant reduction in the radiation-induced increase in the interaction between these molecules was observed. However, neither integrin α2 nor integrin α5 interacted with any of the PKCs (data not shown). Further, interaction between integrin β1 and PKC ζ was confirmed by immunocytochemical analysis of U251 and 5310 non-GICs and GICs (Fig. 3C). In pSV-treated cells and pSV-treated irradiated cells, a profound co-localization of integrin β1 and PKC ζ was observed at the leading edge of the migrating cell and this co-localization was significantly inhibited in the pUC-treated and pUC + 10 Gy-treated cells (Fig. 3C).

ECM-integrin interaction signal is influenced by PKCs and vice versa.
It is well established that integrins are the main receptors of ECM. To investigate the influence of ECM-integrin interaction on PKCs as well as the influence of PKCs on the ECM-integrin interaction signal, the non-GICs and GICs were grown on the culture plates coated with collagen (2 µg/ml) and fibronectin (2 µg/ml). Then, the cells were treated with either the PKC inhibitor rottlerin (200 µM) or integrin β1 siRNA and compared with cells grown on non-coated culture plates. Western blotting indicated that the expression of pPKC θ/δ, PKC ζ and integrin β1 increased along with integrin α2 on collagen-coated plates (Fig. 4A) and integrin α5 on fibronectincoated plates (Fig. 4B) in non-GICs and GICs when compared to their counterparts grown on non-coated plates. Rottlerin treatment as well as integrin β1 siRNA treatment inhibited the protein expression levels of pPKC θ/δ, PKC ζ and integrin β1 in U251 and 5310 non-GICs and GICs on both coated and non- Figure 4. PKCs regulate the ECM-integrin interaction signal and vice versa in U251 and 5310 non-GICs and GICs. A, SDS-PAGE was conducted with the cell lysates of control, DMSO-treated, rottlerin (200 µM) and integrin β1 siRNA-treated U251 and 5310 non-GICs and GICs grown in non-coated and collagen-coated culture dishes. The cell lysates were immunoblotted with PKC θ, PKC δ, pPKC θ/δ, PKC ζ, integrin β1 and integrin α2. B, SDS-PAGE was conducted with the cell lysates of control, DMSO-treated, rottlerin (200 µM) and integrin β1 siRNA-treated U251 and 5310 non-GICs and GICs grown in non-coated and fibronectincoated culture dishes. The cell lysates were immunoblotted for PKC θ, PKC δ, pPKC θ/δ, PKC ζ, integrin β1 and integrin α5. coated plates. Fig. 4 shows that integrin β1 siRNA and rottlerin did not have any effect on the expression levels of integrin α2 and integrin α5.
uPAR and cathepsin B depletion by shRNA treatment disrupted FAK interaction with cytoskeletal molecules. The cytoplasmic tails of β integrins reportedly facilitate FAK activation and provide a mechanical linkage between integrins and cytoskeletal molecules (3). In the present study, the effect of uPAR and cathepsin B down-regulation on PKC integrated integrin β1-mediated FAK activation of cyto skeletal molecules was studied. Western blotting revealed that phosphorylation of FAK at tyrosine residues 397 and 925 and the expression levels of vinculin and α-actinin were significantly upregulated following radiation treatment (Fig. 5A). Non-GICs and GICs treated with pUC showed a substantial decrease in the expression of these molecules in non-irradiated as well as irradiated cells.
FAK co-immunoprecipitated with both vinculin and α-actinin (Fig. 5B), which indicates that the PKC/integrin signal was communicated to the cytoskeletal molecules through the association with FAK. Radiation treatment of non-GICs and GICs further augmented the interactions between FAK/vinculin and FAK/α-actinin when compared to pSV-treated cells. Depletion of uPAR and cathepsin B inhibited the interaction of FAK with vinculin and α-actinin and also blocked the radiation-induced interaction between FAK and the cytoskeletal molecules (Fig. 5B).

FAK/vinculin and FAK/α-actinin interaction in uPAR and cathepsin B-depleted cells.
FAK is involved in the regulation of several cellular events including cell survival, motility, and adhesion. pUC treatment effectively reduced the expression of FAK signaling molecules Rac-1, Cdc42, pCdc42/Rac-1, Ras, and pERK, and the treatment also reduced radiation-induced expression of these molecules (Fig. 6A).
Phosphorylated ERK translocates into the nucleus of the cell and regulates the activity of various downstream substrates involved in a multitude of cellular responses including cytoskeletal changes and gene transcription. To determine if there is any effect of ERK on FAK signaling, cells were treated with an ERK inhibitor, U0126 (10 µM); there was no detectable effect of U0126 on FAK or its phosphorylation. However, the U0126 treatment did reduce the expression of vinculin, α-actinin, Ras, Rac-1, and Cdc42 (Fig. 6B). This suggests that the down-regulation of pERK by uPAR and cathepsin B knockdown further induces a feedback effect, causing an extreme reduction in the expression levels of the molecules responsible for cytoskeletal rearrangement.
pUC treatment reduces the interaction between integrin β1/ PKCs and FAK/cytoskeletal molecules with and without radia- Figure 5. Depletion of uPAR and cathepsin B inhibits PKC/integrin signaling to FAK and the cytoskeletal molecules. A, Cell lysates from U251 and 5310 non-GICs and GICs were extracted using RIPA buffer after treatment with pUC and radiation alone or in combination, and western blot analysis was performed to determine the expression levels of FAK, pFAK (Tyr 397 ), pFAK (Tyr 925 ), vinculin, and α-actinin using their specific antibodies. GAPDH was used as a loading control. B, The total cell lysates of U251 and 5310 non-GICs and GICs as described above were immunoprecipitated with FAK antibody (2 µg). The protein precipitates were washed with lysis buffer and incubated with 1X loading dye at 90˚C for 10 min. SDS-PAGE was conducted and western blotting was performed with vinculin and α-actinin antibodies as described in Materials and methods.

tion in vivo.
To determine the in vivo effect of shRNA treatment alone or in combination with radiation on the interaction of the signaling molecules, fluorescent immunohistochemical analysis was carried out on the brain tissue sections of the mice implanted with U251 non-GICs and U251 GICs. Results showed that integrin β1 strongly co-localized with pPKC θ/δ and PKC ζ and radiation further augmented this co-localization in U251 non-GICs and U251 GICs (Fig. 7A and B). In accordance with the in vitro studies, pUC treatment decreased the interaction between PKCs and integrin β1. Moreover, pUC treatment in combination with radiation blocked the radiation-induced PKC/integrin signaling when compared to appropriate irradiated controls. In vivo, brain sections also revealed a prominent interaction between FAK and both α-actinin (Fig. 7C) and vinculin (Fig. 7D), which was further increased by radiation. The pUC treatment effectively hindered the radiation-induced association of FAK with those cytoskeletal molecules.

Discussion
There is increasing evidence that cancerous tumors might contain their own stem cells. The presence of this small subpopulation of slowly dividing cancer stem cells might explain why so many cancers recur after treatment with radiation or cytotoxic drugs, even when most of the malignant cells seem to be killed by the therapy; these surviving cells may be not only resistant to therapy but also essential for the malignancy (12). Advocates for the cancer stem cell model have suggested Figure 6. pUC inhibits the FAK migratory signaling pathway and inhibition of ERK can further influence the FAK signal. A, Cell lysates of control, pSVtransfected, and pUC-transfected U251 and 5310 non-GICs and GICs with and without irradiation were collected. Western blot analysis was performed for FAK migratory signaling molecules Rac-1, Cdc42, pCdc42/Rac-1, Ras, ERK, and pERK using their specific antibodies. GAPDH served as a loading control. B, The total protein lysates from U251 and 5310 non-GICs and GICs were collected from U0126 (10 µM) and DMSO treatments. SDS-PAGE was conducted as described in Materials and methods. Western blotting was performed to determine the protein expression levels of ERK, pERK, FAK, pFAK (Tyr 397 ), pFAK (Tyr 925 ), vinculin, α-actinin, Rac-1, Cdc42, pCdc42/Rac-1, and Ras using their specific antibodies. that therapy should be directed against these stem cells and the remainder of the tumor cells should eventually wither away. However, it has also been proposed that the differentiated cells can dedifferentiate into stem cell-like cancer cells. Thus, a combined therapy targeting both the bulk of the tumor and the glioma stem cells will be necessary to obtain a successful long-term cure of glioma (13). Therefore, for cancer therapy to be curative, it is crucial to identify and study cancer stem cells.
Establishing cell lines from tumors that retain gliomainitiating stem cell properties would provide a valuable and accurate model for the human disease. It would also give insight into the origin of tumor heterogeneity and enable more refined analysis of molecular mechanisms that regulate transformation, self-renewal, commitment, and differentiation (14). In the present study, we isolated GICs from the U251 cell line and the 5310 xenograft cell line with a CD133 surface marker using fluorescence-activated cell sorting (FACS) and then characterized the cells with other stem cell markers like CD44, Nestin, and Sox-2. CD133 has been used to isolate populations of cancer stem cells with enhanced stem cell phenotypes from multiple types of brain cancer and these CD133 + cells from glioblastoma are capable of multi-lineage differentiation and had a high capacity for neurosphere formation (15,16).
Normally, cellular migration is under strict control but, in transformed tumor cells, control mechanisms are disturbed so that cells are able to migrate and to invade the surrounding tissue. Key determinants of the metastatic potential of tumor cells are matrix invasion, changes in cell shape, cell movement, and motility. uPAR and cathepsin B, which are both overexpressed in glioma, function either individually or in combination to degrade the ECM, thereby facilitating metastasis (17). We elucidated the roles of uPAR and cathepsin B in the regulation of interaction between PKCs and integrins and their subsequent effect on the cytoskeletal molecules through FAK signaling by simultaneous down-regulation of uPAR and cathepsin B alone or in combination with radiation.
Ionizing radiation is one of the most common and effective treatments for malignant brain tumors. However, the tumors frequently recur or progress as focal complexes after treatment with ionizing radiation, suggesting the existence of a critical, radiation-resistant subpopulation with potent tumorigenic activity (18). The fact that some glioblastoma cells are resistant to radiation lends support to this concept. We observed increases in the levels of uPAR and cathepsin B with radiation treatment in a dose-dependent manner for non-GICs and in a dose-and time-dependent manner in GICs, indicating that GICs are more resistant than their matched non-GIC counterparts. The changes in the cytoskeletal organization and distribution of actin and actin-binding proteins are necessary for several cellular processes, such as focal adhesion formation, cell Figure 7. Effect of pUC and radiation treatment on pre-established intracranial tumors. U251 non-GICs and GICs were implanted intracranially into nude mice and treated with 450 µg of pUC seven days after implantation. Radiation treatment was given in two doses (5 Gy at days 8 and 10). When chronic symptoms were observed, the mice were sacrificed, and their brains were collected and embedded in paraffin. Paraffin-embedded sections were deparaffinized, antigen retrieved, and co-localization studies were carried out. The brain sections were incubated overnight with primary antibodies in 10% goat serum at 4˚C in a humidified chamber, counterstained with Alexa Fluor-conjugated secondary antibodies, and incubated with DAPI for nuclear staining before mounting. A, Co-localization of integrin β1 (green), pPKC θ/δ (red) and DAPI (blue) in the paraffin sections of the nude mice established with U251 non-GICs and GICs and treated with shRNA and radiation alone or in combination. B, Interaction between integrin β1 (green) and PKC ζ (red) in the various in vivo combination treatments. DAPI (blue) was used for nuclear staining. C, In vivo brain sections of immunocompromised mice implanted with U251 non-GICs and GICs were labeled with FAK (green) and α-actinin (red) and processed for immunofluorescence. The sections were incubated with DAPI for a brief period of time for nuclear staining. D, Mock, pUCtreated, irradiated, and pUC + irradiated brain sections of the nude mice pre-established with U251 non-GICs and GICs were immunoprocessed and labeled with FAK (green), vinculin (red) and DAPI (blue) in order to observe the co-localization of FAK and vinculin in in vivo samples. motility, and cell invasion (19). Therefore, the cytoskeleton is the key cellular machinery responsible for cellular movement. Treating the glioma cells with pUC alone or in combination with radiation, severely disorganized the cytoskeleton and also disrupted cell shape, thereby inhibiting the cells' migratory capacity when compared to their respective non-irradiated and irradiated controls.
Members of the PKC family of serine/threonine kinases are key components of signal transduction pathways that have been linked to carcinogenesis and cancer progression. Recently, it has been reported that cell signaling involving PKC δ is crucial for radiation-induced expansion of glioma-initiating cell populations and acquisition of resistance to anti-cancer treatments (18). Treating non-GICs and GICs with radiation therapy further augmented the expression levels of PKC θ, PKC δ, pPKC θ/δ, and PKC ζ, indicating that radiation treatment is making these cells more resistant. Treating glioma cells with pUC prior to radiation inhibited the induction of the expression of these molecules.
Interaction between the ECM and cell surface integrins leads to intracellular signaling events that affect cell migration, proliferation and survival, which in the context of neoplastic cells, can translate directly into malignant phenotype (20). Carriero et al reported that binding of uPA to uPAR regulates integrins in a PKC-dependent manner in MDA-MB-231 and MCF-7 breast carcinoma cell lines (21), and Rigot et al reported that integrin engagement by PKCs was required for the migration of HT29-D4 colon carcinoma cells (6). The studies here indicated that pPKC θ/δ and PKC ζ co-immunoprecipitated with integrin β1 and the interaction between these molecules was strengthened following radiation exposure, whereas pUC treatment efficiently inhibited the interaction in non-irradiated and irradiated samples of non-GICs and GICs.
To further confirm the interaction between PKCs and integrin β1 and to study the effect of ECM-integrin interaction, collagen-and fibronectin-coated plates were used to culture the cells. The GICs were grown as adherent cultures on these coated plates. Then, the cells were treated with inhibitors, either rottlerin (200 µM) or integrin β1 siRNA. The addition of ECM proteins induced increase in the levels of integrin α2, integrin α5, integrin β1, pPKC θ/δ and PKC ζ. We observed that the inhibition of PKCs by rottlerin inhibited the expression of integrin β1 and the inhibition of integrin β1 reduced the levels of pPKC θ/δ and PKC ζ but neither the inhibitor nor the siRNA had any effect on the expression levels of integrin α2 and integrin α5. These results clearly demonstrate that PKCs and integrin β1 interact with each other and blocking of any of these molecules may not render an effective downstream signal.
It is well known that integrin binding to ECM transduces the signal through FAK, which is believed to be central in the orchestration of this signal to the downstream effectors that ultimately control the events important for cell motility, including cytoskeletal reorganization and contraction, focal adhesion disassembly, and maturation (22). It has also been shown that PKC-dependent activation of FAK and Src regulates the actin cytoskeleton of SH-SY5Y neuroblastoma cells (23). Thus, integrins as well as PKCs may influence FAK signaling to the downstream molecules. Since pUC treatment disrupted the complex formation of PKCs and integrins, the effect of the shRNA treatment on FAK and the downstream cytoskel-etal molecules was chosen for further study. Western blotting showed that there was a decrease in the protein content of pFAK (Tyr 397 ), pFAK (Tyr 925 ), vinculin, and α-actinin in the nonirradiated and irradiated cell lysates of pUC treated non-GICs and GICs. Chen et al conducted studies that suggested that cell shape depends on focal adhesion assembly, knocking out focal adhesion proteins, such as FAK, vinculin, and α-actinin, predictably resulted in the cells failing to spread normally (24). The immmunoprecipitation analysis further showed that the depletion of uPAR and cathepsin B from the cells not only reduced pPKC θ/δ/integrin β1 and PKC ζ/integrin β1 complexes but also reduced the interaction of FAK with vinculin and α-actinin.
Integrin engagement and its clustering at focal adhesions transduces signals for the activation of FAK, Src, ERK, and/or Akt. Rho family GTPases appear poised to contribute to these integrin-mediated signals, particularly signals that control cytoskeletal organization (25). Rho family members, such as Cdc42, Rac1, and RhoA, are part of the Ras superfamily of proteins, cycling between active GTP-bound and inactive GDP-bound states. Clark et al reported that adhesive interactions stimulate the formation of punctate focal complexes at the cell periphery during cell spreading, and cell spreading is dependent on Cdc42 and Rac, which are responsible for membrane ruffling mechanisms (25). In the present study, we observed that the key regulatory molecules of cytoskeletal organization and migration, such as Rac, Cdc42, Ras and ERK, were down-regulated with pUC treatment. MAP kinases (ERK1 and ERK2) have been recognized as a major system through which cells transduce a variety of extracellular signals, and thus, they represent the convergence point for many signaling pathways. It is now clear that these kinases can promote cell migration on the ECM (6). Consequently, we thought that ERK in turn might play a role in the FAK-mediated signaling; to confirm this hypothesis, we used U0126 (10 µM), an ERK inhibitor. Western blot analysis of cell lysates treated with U0126 showed a decrease in the expression levels of vinculin, α-actinin, Rac, Cdc42, and Ras, but there was no significant effect on FAK or FAK phosphorylation, thus confirming that ERK can regulate FAK signaling downstream from FAK. Further, this feedback effect of ERK might cause an extreme reduction in the cytoskeletal organization and migratory signals.
In vivo studies demonstrated that interaction between pPKC θ/δ/integrin β1, PKC ζ/integrin β1, FAK/vinculin and FAK/α-actinin increased with radiation treatment, which demonstrates the radio-resistance of these glioma cells. Moreover, the increase in the interaction of the aforementioned molecules was larger in GICs when compared to their non-GIC counterparts; these interactions and expression levels of these molecules were inhibited with pUC and pUC + radiation treatments. Carriero et al reported that HT1080 human fibrosarcoma and MCF-7 human breast carcinoma cells respond to urokinase by exhibiting remarkable cytoskeletal rearrangements that are mediated by αvβ5 and require protein kinase C activity (21). Parsons et al identified a direct link between PKC α and integrin β1 that is critical for directed tumor cell migration of human breast carcinoma cells (26). Follicular thyroid carcinoma cells treated with rottlerin exhibited decreased protein levels of integrin β1, FAK, and focal adhesion complex components (e.g., vinculin, α-actinin), and reduced activity of GTPases supporting an integrin/focal adhesion/cytoskeleton signaling in the migra-tion arrest induced by rottlerin (27). In summary, simultaneous down-regulation of uPAR and cathepsin B by shRNA with and without radiation treatment disrupted the PKC and integrin complex and subsequently blocked the interaction between FAK and the cytoskeletal molecules vinculin and α-actinin, which regulate the actin cytoskeleton of the cell.