Core2 O-glycan-expressing prostate cancer cells are resistant to NK cell immunity

Core2 β-1,6-N-acetylglucosaminyltransferase (C2GnT) forms an N-acetylglucosamine branch in the O-glycans (core2 O-glycans) of cell surface glycoproteins. We previously revealed that the expression of C2GnT is positively correlated with poor prognosis in prostate cancer patients. However, the detailed mechanisms underlying their poor prognosis remain unclear. In the current study, we report that the core2 O-glycans carried by the surface MUC1 glycoproteins of prostate cancer cells play an important role in the evasion of NK cell immunity. In C2GnT-expressing prostate cancer cells, the MUC1 core2 O-glycans are modified with poly-N-acetyllactosamine. MUC1 glycoproteins carrying poly-N-acetyllactosamine attenuated the interaction of the cancer cells with NK cells, resulting in decreased secretion of granzyme B by the NK cells. Poly-N-acetyllactosamine also interfered with the ability of tumor necrosis factor-related apoptosis-inducing ligand (TRAIL) to access the cancer cell surface. These effects of poly-N-acetyllactosamine on NK cells render C2GnT-expressing prostate cancer cells resistant to NK cell cytotoxicity. By contrast, C2GnT-deficient prostate cancer cells carrying a lower amount of poly-N-acetyllactosamine than the C2GnT-expressing prostate cancer cells were significantly more susceptible to NK cell cytotoxicity. Our results strongly suggest that C2GnT-expressing prostate cancer cells evade NK cell immunity and survive longer in the host blood circulation, thereby resulting in the promotion of prostate cancer metastasis.


Introduction
One of the major prognostic determinants of cancer patients is metastasis. The process of metastasis involves multiple steps (1). A growing body of evidence supports crucial roles for cell-surface carbohydrates during the process of metastasis. Cell-surface carbohydrates presented by glycoproteins are classified in accordance with their linkage to proteins and comprise N-glycans [N-acetylglucosamine (GlcNAc) to asparagine] and O-glycans [N-acetylgalactosamine (GalNAc) to serine (Ser) or threonine (Thr)]. It has been reported that N-glycans are involved in several steps of the metastatic process (2), but the roles of O-glycans remain unclear. We have concentrated our efforts on understanding the roles of O-glycans in tumor metastasis. Fig. 1A shows the biosynthesis pathway of various types of core structures of O-glycans. GalNAc is transferred to Ser and Thr residues in the polypeptide, and then GalNAcα1-Ser/ Thr may be extended with various carbohydrates, including galactose (Gal), GlcNAc, fucose or sialic acid. Depending on the carbohydrates added, four common O-glycan core structures, core1 through core4, are expressed in mammalian tissues (Fig. 1A). A key enzyme for the formation of O-glycans containing an GlcNAc branch linked to GalNAc (GlcNAcβ1-6GalNAc, core2 branch) is designated core2 β-1,6-N-acetylglucosaminyltransferase (C2GnT; Fig. 1A). The expression of C2GnT is closely correlated with highly metastatic phenotypes of several types of cancer (3)(4)(5)(6)(7).
The core2 branch is a scaffold for the subsequent production of lactosamine disaccharide repeats, specifically poly-N-acetyllactosamine (Galβ1-4GlcNAc)n, on O-glycans in a wide variety of cells (Fig. 1A) (8). Our previous studies concerning bladder cancer revealed that C2GnT-expressing bladder cancer cell-surface glycoproteins carrying poly-N-acetyllactosamine on their O-glycans play an important role in bladder cancer metastasis by facilitating the evasion of NK cell immunity by the cancer cells (7,9,10).
Prostate cancer is the most common cancer in males and the second leading cause of male cancer mortality in the US and Western world, mainly due to metastatic disease (11). Our previous histological analyses of patient specimens revealed that the expression of C2GnT is positively correlated with poor prognosis in prostate cancer patients (6). We hypothesized that C2GnT-overxpressing prostate cancer cells acquire the highly metastatic phenotype by evading NK cell immunity. In this study, we examined how C2GnT-expressing prostate cancer cells evade NK cell immunity.

A B
C GCAAG-3' and 5'-CATACTCAGCACCAGCATCAC-3' and were used as the internal control. Two C2GnT-deficient clones (C2KD-1 and -2) were chosen based on their reduced mRNA expression levels. C2KD-1, C2KD-2 and one control clone (PC3) were used for the assays described in the present study.
Western blotting. Total lysates of cancer cells were prepared by solubilization in 50 mM Tris-HCl buffer, pH 7.5, containing 1% IgepalCA-630, 150 mM NaCl and proteinase inhibitors. The lysates were resolved by SDS-PAGE on an 8-16% gradient gel (Invitrogen Life Technologies, Carlsbad, CA, USA) and transferred to a polyvinylidene fluoride (PVDF) membrane. Western blotting analyses were performed using specific primary antibodies and a horseradish peroxidase-conjugated secondary antibody. Signals were visualized using the ECL PLUS detection system (GE Healthcare, Amersham, UK).
Preparation of NK cells. Human primary NK cells were purified from human peripheral blood mononuclear cells using an NK cell isolation kit (Myltenyi Biotech, Auburn, CA, USA). The NK cells (1x10 6 cells/ml) were cultured for 3 days in RPMI-1640 medium supplemented with 10% FBS in the presence of 1000 U/ml human recombinant IL-2 (Wako, Osaka, Japan).

Conjugate formation and granzyme B secretion assay.
Heterotypic cell conjugates were quantitatively determined by a double fluorescence assay (12) with certain modifications. Prostate cancer target cells (2x10 6 cells/ml) were tranfected with a green fluorescence protein (GFP)-expression plasmid, pmaxGFP (Lonza Walkersville, Inc., Walkersville, MD, USA). After 1 h incubation of the GFP-expressing tumor cells with IL-2-activated NK cells at 37˚C, the cells were stained with PE-labeled anti-CD56 antibody and then the number of conjugates were counted using a flow cytometer, FACScant II (BD Biosciences). Double-colored (green and red) conjugates were calculated as a percentage of the total GFP-positive cells.
For the granzyme B secretion assay, the culture supernatant was collected from the co-culture of the target cancer cells with NK cells. The quantity of granzyme B in the supernatant was assayed by measuring serine proteinase activity with a colorimetric peptide substrate, IEPD-p-nitroanilide (Biomol International, Plymouth Meeting, PA, USA) as previously described (7). Specific granzyme B secretion was expressed as a percentage of the total cellular enzyme activity after subtracting the spontaneous release. Statistical analysis. We used the statistical program SPSS 12.0 (SPSS, Chicago, IL, USA). Statistically significant differences were determined using the Student's t-test. P<0.05 was considered to indicate a statistically significant result.

Establishment of C2GnT-deficient prostate cancer cells.
C2GnT is responsible for the formation of core2 O-glycans (Fig. 1A). To test our hypothesis, we investigated the role of core2 O-glycans in the evasion of NK cell immunity by C2GnT-expressing prostate cancer. We used a prostate cancer cell line, PC3, which is derived from a malignant and metastatic prostate cancer and expresses C2GnT at a high level (13). We established two C2GnT-deficient cell lines (designated C2KD-1 and C2KD-2) and one control cell line (PC3) using PC3 cells. RT-PCR analysis of the C2GnT expression showed that the C2GnT expression levels were markedly reduced in the C2KD-1 and C2KD-2 cells compared with those in the PC3 cells (Fig. 1B). These cells exhibited no marked morphological differences (Fig. 1C). The results obtained for C2KD-1 and PC3 only are shown, since the two C2GnT-deficient clones yielded almost identical results in all assays.
Core2 O-glycosylation of MUC1. We have previously demonstrated that patients with C2GnT-expressing prostate cancer have a significantly shorter survival time than patients with C2GnT-non-expressing prostate cancer (6), suggesting that C2GnT-expressing prostate cancer is highly metastatic. However, a growing body of evidence indicates that O-glycans in cell-surface mucins are important in numerous biological processes, including the protection of epithelial cell surfaces, immune response, cell adhesion, inflammation, tumorigenesis and tumor metastasis (14). These observations led us to postulate that core2 O-glycans carried by mucins play an important role in prostate cancer metastasis. We analyzed the MUC1 glycoproteins of the prostate cancer cells for O-glycosylation by western blotting. The MUC1 of the control PC3 cells exhibited a higher molecular weight than the MUC1 from C2GnT-deficient cells (C2KD-1; Fig. 2, lanes 1 and 2). By contrast, we observed no significant differences in the molecular weights of the non-O-glycosylated cell-surface protein, LAMP1, between the PC3 and C2KD-1 cells (Fig. 2,  lanes 3 and 4). These results indicate that MUC1 glycoproteins from PC3 cells carry higher levels of core2 O-glycans than those from C2KD-1 cells due to their higher expression levels of C2GnT.
To determine whether MUC1 from PC3 cells carries poly-Nacetyllactosamine on its O-glycans, we first excluded N-glycans from prostate cancer cells by treatment with tunicamycin, an N-glycosylation inhibitor, and then analyzed the cell lysates by immunoprecipitation using LEL. LEL binds specifically to poly-N-acetyllactosamines with at least three lactosamine unit repeats. The LEL immunoprecipitates were subjected to western blotting with anti-MUC1 antibody. MUC1 was detected in the LEL immunoprecipitates from the PC3 cells, but the amount of MUC1 detected in the LEL immunoprecipitates from the C2KD-1 cells was markedly reduced (Fig. 2, lanes 7 and 8). This result indicates that MUC1 from C2GnT-expressing PC3 cells carries a larger amount of poly-N-acetyllactosamine on its core2 O-glycans than that from C2KD-1 cells. (15). To determine whether C2GnT expression affects the NK cell-prostate cancer cell interaction, we compared the conjugate formation of NK cells with PC3 and C2KD-1 cells. Following the incubation of the target cells with NK cells for 1 h, the NK cells formed a significantly higher number of conjugates with the C2KD-1 cells than with the PC3 cells (Fig. 3A). This result, taken together with Fig. 2, suggests that in the C2GnT-expressing cells (PC3), the poly-N-acetyllactosamine moieties carried by the MUC1 core2 O-glycans reduce the adhesive properties of MUC1 due to their bulkiness, resulting in reduced conjugate formation between the PC3 and NK cells (Fig. 3A).

Effects of poly-N-acetyllactosamine on NK cell functions. NK cells play a critical role in tumor rejection responses in the host blood circulation. The attack on cancer cells by NK cells is initiated by the NK cell-cancer cell interaction mediated through the NK receptor-ligand interaction
NK cells are activated through the NK cell-target cell interaction and release their granular contents to kill the target cells. The granular contents include perforin and granzyme B which induce apoptosis of the target cells. We measured the secretion of granzyme B stimulated by the NK cell-prostate cancer cell interaction using an assay of the protease activity of granzyme B in the co-culture supernatant. The C2GnT-expressing PC3 cells induced the secretion of significantly lower levels of granzyme B than the C2GnT-deficient C2KD-1 cells (Fig. 3B). These results suggest that MUC1 glycoproteins carrying poly-N-acetyllactosamine attenuate the NK cell-prostate cancer cell interaction, resulting in decreased secretion of granzyme B (Fig. 3).

Effect of poly-N-acetyllactosamine on NK cell cytotoxicity.
We then questioned whether C2GnT expression by prostate cancer cells affects the cytotoxic activity of NK cells, since the interaction of NK cells with C2GnT-expressing prostate cancer cells was impaired and the secretion of the target cell apoptosisinducing substance, granzyme B was reduced (Fig. 3). To address this, we assayed the cytotoxicity of NK cells against prostate cancer cells. Fig. 4A shows that NK cells killed C2KD-1 cells more efficiently than PC3 cells (Fig.4A), indicating that C2GnTexpressing prostate cancer cells (PC3) were more resistant to NK cell cytotoxicity than were C2GnT-deficient cells (C2KD-1). NK cells use two main mechanisms to kill tumor cells. One is that NK cells are activated through the NK cell receptor-tumor ligand interaction to release cytotoxic granules, including perforin and granzymes. The other is that NK cells kill tumor cells using death ligands, including TRAIL (16). TRAIL induces target cell apoptosis through its interaction with death receptors, including DR4, on the surface of the target cell. We evaluated the expression of DR4 on the prostate cancer cells by western blotting. We observed no significant differences in the DR4 expression levels between PC3 and C2KD-1 (Fig. 4B, lanes 1 and 2). Unlike MUC1, no significant differences in the O-glycosylation levels of DR4 between PC3 and C2KD-1 cells were observed on western blots (Figs. 2 and 4B). To evaluate the effect of C2GnT expression on the sensitivity of prostate cancer cells to TRAIL, we measured TRAIL-induced cell death using soluble recombinant TRAIL. In the presence of TRAIL, the viability of the PC3 cells was significantly higher than that of the C2KD-1 cells (Fig. 4C), indicating that C2GnT-expressing prostate cancer cells are more resistant to TRAIL than are C2GnT-deficient cells.

Discussion
We have previously shown that MUC1 is modified by poly-Nacetyllactosamine on its O-glycan residues in C2GnT-expressing prostate cancer cells. MUC1 is significant in adhesion as it is one of the molecules that extends most highly above the cell surface (14). Our results taken together with this observation suggest that the modification of MUC1 in C2GnT-expressing prostate cancer cells with bulky poly-N-acetyllactosamine moieties reduces their adhesiveness, thereby attenuating the NK cell-cancer cell interaction. The attenuated interaction results in decreased degranulation by NK cells and reduction of the accessibility of TRAIL to the death receptors (Fig. 5). These effects allow C2GnT-expressing prostate cancer cells to evade NK cell immunity in the circulation. In our previous study, when bladder tumor cells were intravenously injected into nude mice, C2GnT-expressing tumor cells produced a greater number of metastatic foci in the lungs than were produced by C2GnT-non-expressing tumor cells (7). Our present data taken together with the previous observations strongly suggest that this immune evasion results in longer survival of C2GnTexpressing prostate cancer cells in the host blood circulation, resulting in the promotion of prostate cancer metastasis.
Wagner et al reported that tumor-cell sensitivity to TRAIL was controlled by O-glycosylation of death receptors (DR4 and DR5). In 22 out of 28 TRAIL-sensitive cancer cell lines, the expression levels of a peptidyl O-glycosyltransferase which catalyzes the initial step of O-glycosylation were elevated (17). It was shown that O-glycosylation of death receptors promoted TRAIL-stimulated clustering of the receptors, mediating recruitment and activation of the apoptosis-initiating protease, However, no significant O-glycosylation of DR4 was observed in the present study, suggesting that C2GnT-expressing prostate cancer cells use a different mechanism to control cancer cell-sensitivity to TRAIL from that reported by Wagner et al.
Our investigation provides a new insight into the roles of the carbohydrates carried by tumor cell-surface mucins in tumor metastasis. Tumor cells take advantage of the functions of mucins to maintain homeostasis and promote their survival in variable conditions. Further analyses of the roles of tumor cell-surface carbohydrates are likely to contribute to a better understanding of the tumor metastasis process.