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<article xml:lang="en" article-type="research-article" xmlns:xlink="http://www.w3.org/1999/xlink">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">IJO</journal-id>
<journal-title-group>
<journal-title>International Journal of Oncology</journal-title></journal-title-group>
<issn pub-type="ppub">1019-6439</issn>
<issn pub-type="epub">1791-2423</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/ijo.2014.2642</article-id>
<article-id pub-id-type="publisher-id">ijo-45-05-1875</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Overexpression of integrin &#x003B1;v facilitates proliferation and invasion of oral squamous cell carcinoma cells via MEK/ERK signaling pathway that is activated by interaction of integrin &#x003B1;v&#x003B2;8 with type I collagen</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>HAYASHIDO</surname><given-names>YASUTAKA</given-names></name><xref rid="af1-ijo-45-05-1875" ref-type="aff">1</xref><xref ref-type="corresp" rid="c1-ijo-45-05-1875"/></contrib>
<contrib contrib-type="author">
<name><surname>KITANO</surname><given-names>HISATAKA</given-names></name><xref rid="af2-ijo-45-05-1875" ref-type="aff">2</xref></contrib>
<contrib contrib-type="author">
<name><surname>SAKAUE</surname><given-names>TAISHI</given-names></name><xref rid="af1-ijo-45-05-1875" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>FUJII</surname><given-names>TAKAHIKO</given-names></name><xref rid="af1-ijo-45-05-1875" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>SUEMATSU</surname><given-names>MIREI</given-names></name><xref rid="af1-ijo-45-05-1875" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>SAKURAI</surname><given-names>SHIGERU</given-names></name><xref rid="af1-ijo-45-05-1875" ref-type="aff">1</xref></contrib>
<contrib contrib-type="author">
<name><surname>OKAMOTO</surname><given-names>TETSUJI</given-names></name><xref rid="af1-ijo-45-05-1875" ref-type="aff">1</xref></contrib></contrib-group>
<aff id="af1-ijo-45-05-1875">
<label>1</label>Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, Minami-ku, Hiroshima 734-8553, Japan</aff>
<aff id="af2-ijo-45-05-1875">
<label>2</label>Department of Oral Surgery, Nihon University Itabashi Hospital, Itabashi-ku, Tokyo 173-8610, Japan</aff>
<author-notes>
<corresp id="c1-ijo-45-05-1875">Correspondence to: Dr Yasutaka Hayashido, Department of Molecular Oral Medicine and Maxillofacial Surgery, Division of Frontier Medical Science, Graduate School of Biomedical Sciences, Hiroshima University, 1-2-3 Kasumi, Minami-ku, Hiroshima 734-8553, Japan, E-mail: <email>hayashiy@hiroshima-u.ac.jp</email></corresp></author-notes>
<pub-date pub-type="collection">
<month>11</month>
<year>2014</year></pub-date>
<pub-date pub-type="epub">
<day>04</day>
<month>09</month>
<year>2014</year></pub-date>
<volume>45</volume>
<issue>5</issue>
<fpage>1875</fpage>
<lpage>1882</lpage>
<history>
<date date-type="received">
<day>25</day>
<month>06</month>
<year>2014</year></date>
<date date-type="accepted">
<day>13</day>
<month>08</month>
<year>2014</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2014, Spandidos Publications</copyright-statement>
<copyright-year>2014</copyright-year>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/3.0">
<license-p>This is an open-access article licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License. The article may be redistributed, reproduced, and reused for non-commercial purposes, provided the original source is properly cited.</license-p></license></permissions>
<abstract>
<p>To examine the role of integrin &#x003B1;v subunit in the progression of squamous cell carcinoma (SCC), oral SCC cells were stably transfected with integrin &#x003B1;v cDNA. Integrin &#x003B1;v transfectants exhibited the enhancement of proliferation on type I collagen, and seemed to have a high ability to invade type I collagen gel. Overexpression of integrin &#x003B1;v led to rapid phosphorylation of focal adhesion kinase (FAK), mitogen-activated protein kinase kinase 1/2 (MEK1/2) and extracellular signal-regulated kinase 1/2 (ERK1/2) in SCC cells on type I collagen. The downregulation of integrin &#x003B2;8 in integrin &#x003B1;v transfectants by its specific antisense oligonucleotide led to a decrease in type I collagen-stimulated activation of FAK and the MEK/ERK signaling pathway, and also suppressed the proliferation on type I collagen and the invasiveness into type I collagen gel. Moreover, the expression of integrin &#x003B2;8 was induced following transfection with integrin &#x003B1;v cDNA. These results indicated that the overexpression of integrin &#x003B1;v induces integrin &#x003B1;v&#x003B2;8 heterodimer formation and the binding of integrin &#x003B1;v&#x003B2;8 to type I collagen might enhance the proliferation and invasion of SCC cells via the activation of the MEK/ERK signaling pathway.</p></abstract>
<kwd-group>
<kwd>integrin &#x003B1;v</kwd>
<kwd>integrin &#x003B2;8</kwd>
<kwd>squamous cell carcinoma</kwd>
<kwd>proliferation</kwd>
<kwd>invasion</kwd>
<kwd>MEK/ERK signaling pathway</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>The behavior of cancer cells such as invasion and metastasis has been proposed to be mediated by the surrounding microenviroment including extracellular matrix (ECM) proteins and stromal cells (<xref rid="b1-ijo-45-05-1875" ref-type="bibr">1</xref>&#x02013;<xref rid="b5-ijo-45-05-1875" ref-type="bibr">5</xref>). Integrins are heterodimeric transmembrane receptors composed of &#x003B1; and &#x003B2; subunits, which bind a wide range of ligands such as ECM proteins and cell surface proteins. There are at least 18 &#x003B1; subunits and eight &#x003B2; subunits, forming 24 different integrin heterodimers (<xref rid="b6-ijo-45-05-1875" ref-type="bibr">6</xref>,<xref rid="b7-ijo-45-05-1875" ref-type="bibr">7</xref>). Most of &#x003B1; subunits dimerize with only one &#x003B2; subunit. In contrast, integrin &#x003B1;v is unique because &#x003B1;v subunit associates with &#x003B2;1, &#x003B2;3, &#x003B2;5, &#x003B2;6 or &#x003B2;8 subunit and forms five distinct heterodimers (<xref rid="b7-ijo-45-05-1875" ref-type="bibr">7</xref>,<xref rid="b8-ijo-45-05-1875" ref-type="bibr">8</xref>).</p>
<p>Integrin-ECM interaction leads to the activation of signal transduction pathways, which regulate various biological events including cell adhesion, migration, proliferation and differentiation (<xref rid="b9-ijo-45-05-1875" ref-type="bibr">9</xref>,<xref rid="b10-ijo-45-05-1875" ref-type="bibr">10</xref>). Integrins also contribute to tumor progression by facilitating the proliferation, migration and survival of cancer cells (<xref rid="b11-ijo-45-05-1875" ref-type="bibr">11</xref>&#x02013;<xref rid="b13-ijo-45-05-1875" ref-type="bibr">13</xref>). Altered expression of integrins has been shown in malignant tumors compared to their normal counterparts (<xref rid="b14-ijo-45-05-1875" ref-type="bibr">14</xref>&#x02013;<xref rid="b17-ijo-45-05-1875" ref-type="bibr">17</xref>). Especially, it has been shown that the overexpression of the integrin &#x003B1;v subfamily such as &#x003B1;v&#x003B2;1, &#x003B1;v&#x003B2;3, &#x003B1;v&#x003B2;5 and &#x003B1;v&#x003B2;6 correlates with poor prognosis in malignant tumors such as ovarian cancer (<xref rid="b18-ijo-45-05-1875" ref-type="bibr">18</xref>,<xref rid="b19-ijo-45-05-1875" ref-type="bibr">19</xref>), lung cancer (<xref rid="b20-ijo-45-05-1875" ref-type="bibr">20</xref>), nasopharyngeal cancer (<xref rid="b21-ijo-45-05-1875" ref-type="bibr">21</xref>), gastric cancer (<xref rid="b22-ijo-45-05-1875" ref-type="bibr">22</xref>) and breast cancer (<xref rid="b23-ijo-45-05-1875" ref-type="bibr">23</xref>). <italic>In vitro</italic> studies have also shown the participation of &#x003B1;v integrins in the proliferation (<xref rid="b24-ijo-45-05-1875" ref-type="bibr">24</xref>), motility (<xref rid="b25-ijo-45-05-1875" ref-type="bibr">25</xref>,<xref rid="b26-ijo-45-05-1875" ref-type="bibr">26</xref>) and proteolysis (<xref rid="b26-ijo-45-05-1875" ref-type="bibr">26</xref>&#x02013;<xref rid="b28-ijo-45-05-1875" ref-type="bibr">28</xref>) in various cancer cells. In addition, integrin &#x003B1;v&#x003B2;3 is a cell-surface receptor for active matrix metalloproteinase (MMP-2), indicating that integrin &#x003B1;v&#x003B2;3 regulates tumor invasion and metastasis by increasing pericellular proteolysis (<xref rid="b29-ijo-45-05-1875" ref-type="bibr">29</xref>). However, the precise mechanism of the progression of squamous cell carcinoma (SCC) mediated by integrin &#x003B1;v is poorly documented.</p>
<p>In the present study, to elucidate the role of integrin &#x003B1;v in the progression of oral SCC, the effect of induction of integrin &#x003B1;v on the proliferation and invasion of oral SCC cells were examined. The signal transduction via integrin &#x003B1;v that regulates the proliferation and invasiveness of oral SCC cells was also examined.</p></sec>
<sec sec-type="materials|methods">
<title>Materials and methods</title>
<sec>
<title>Cells and culture</title>
<p>The oral SCC cell line, SCCKN (<xref rid="b30-ijo-45-05-1875" ref-type="bibr">30</xref>) was grown in RD medium (a 1:1 mixture of RPMI-1640 and Dulbecco&#x02019;s Modified Eagle&#x02019;s Medium) supplemented with 5&#x00025; fetal bovine serum (FBS) in 5&#x00025; CO<sub>2</sub> at 37&#x000B0;C. The proliferation of the cells on ECM proteins was estimated as follows: The wells of 24-well tissue culture plates were incubated with 100 &#x003BC;g/ml type I collagen, type IV collagen, fibronectin, laminin or vitronectin (all from Sigma, St. Louis, MO, USA) overnight at 4&#x000B0;C. Poly-L-lysine (100 &#x003BC;g/ml; Sigma) was used as a non-integrin-dependent adhesion substrate. The cells (2&#x000D7;10<sup>4</sup>) suspended in RD containing 10 &#x003BC;g/ml bovine insulin, 5 &#x003BC;g/ml human transferrin, 0.5 mg/ml fatty acid-free bovine serum albumin (BSA), 10 &#x003BC;M 2-mercaptoethanol, 10 &#x003BC;M 2-aminoethanol and 10 nM sodium selenite (all from Sigma) (<xref rid="b31-ijo-45-05-1875" ref-type="bibr">31</xref>) were seeded in each well of the culture plates and cultured in 5&#x00025; CO<sub>2</sub> for 6 days at 37&#x000B0;C. The number of cells was measured by the Coulter counter (Beckman Coulter, Inc., Tokyo, Japan). The measurements were done in triplicate.</p></sec>
<sec>
<title>Construction of integrin &#x003B1;v expression vector</title>
<p>The open reading frame of human integrin &#x003B1;v was amplified by PCR from plasmid CDM8 containing human &#x003B1;v cDNA, which was provided by Dr Joseph C. Loftus (Mayo Clinic Arizona, Scottsdale, AZ, USA). The forward primer (5&#x02032;-<underline>CGGAATTC</underline>TTCGGCGATGGCTTTTCCGC-3&#x02032;) containing <italic>Eco</italic>RI site (underlined) and the reverse primer (5&#x02032;-<underline>TCCCCCGGG</underline>TTAAGTTTCTGAGTTTCCTTCACCAT-3&#x02032;) containing <italic>Sma</italic>I site (underlined) were used for the amplification. The PCR products were double-digested with <italic>Eco</italic>RI (New England Bio Labs, Ipswich, MA, USA) and <italic>Sma</italic>I (New England Bio Labs) and then ligated into pCI-neo Mammalian Expression Vector (Promega Corporation, Madison, WI, USA) digested with both <italic>Eco</italic>RI and <italic>Sma</italic>I. The inserted cDNA sequences were all verified by DNA sequence analysis. The resultant plasmid was termed as pCI/neo-&#x003B1;v, and pCI/neo without insert was used as negative control.</p></sec>
<sec>
<title>Transfection and selection</title>
<p>SCCKN cells were transfected with pCI/neo-&#x003B1;v or pCI/neo (5 &#x003BC;g per 60-mm dish) using TransFast transfection reagent (Promega Corporation) according to the manufacturer&#x02019;s instruction. Selection was initiated 48 h after transfection by adding 600 &#x003BC;g/ml G418 (Geneticin; Invitrogen Life Technologies, San Diego, CA, USA) to the culture medium. The selection medium was changed every 4 days for 2 weeks until all non-transfected cells died. Resistant cell clones were isolated. Cell clones transfected with pCI/neo-&#x003B1;v or pCI/neo were termed as KN&#x003B1;v or KNmock, respectively.</p></sec>
<sec>
<title>Western blotting</title>
<p>To detect integrin &#x003B1;v and &#x003B2;8 proteins, SCCKN, KNmock and KN&#x003B1;v cells were lysed with lysis buffer &#x0005B;10 mM Tris-HCl, pH 7.4, 150 mM NaCl, 5 mM EDTA, 1&#x00025; Triton X-100, 1&#x00025; protease inhibitor cocktail (Sigma)&#x0005D;. The samples containing 10 &#x003BC;g of total protein were electrophoresed on 10&#x00025; SDS-polyacrylamide gels under reducing condition and transferred to polyvinylidene difluoride (PVDF) membrane filters (Millipore, Bedford, MA, USA). The filters were blocked in T-TBS (20 mM Tris-HCl, pH 7.5, 137 mM NaCl, 0.1&#x00025; Tween-20) containing 5&#x00025; skim milk for 1 h at room temperature and then incubated with rabbit anti-integrin &#x003B1;v polyclonal antibody (Santa Cruz Biotechnology, Inc., Dallas, TX, USA) or goat anti-integrin &#x003B2;8 polyclonal antibody (Santa Cruz Biotechnology, Inc.), followed with the incubation with horseradish peroxidase (HRP)-conjugated anti-rabbit IgG antibody (Cell Signaling Technology, Inc., Danvers, MA, USA) or HRP-conjugated anti-goat IgG antibody (KPL, Gaithersburg, MD, USA), respectively. Rabbit anti-&#x003B2;-actin polyclonal antibody (Cell Signaling Technology, Inc.) was used as internal control to confirm equal loading of total protein. Protein bands were visualized by enhanced chemiluminescence detection (ECL Plus System; GE Healthcare, Uppsala, Sweden).</p></sec>
<sec>
<title>Cell adhesion assay</title>
<p>The wells of 24-well culture plates were incubated with 100 &#x003BC;g/ml type I collagen, type IV collagen, fibronectin, laminin or vitronectin overnight at 4&#x000B0;C. Poly-L-lysine (100 &#x003BC;g/ml) was used as a non-integrin-dependent adhesion substrate. The wells were washed five times with phosphate-buffered saline (PBS) and incubated with in PBS containing 1&#x00025; BSA for 1 h at 37&#x000B0;C to block non-specific binding. Subconfluent culture of cells was radiolabeled with 1 &#x003BC;Ci/ml &#x0005B;methyl-<sup>3</sup>H&#x0005D;-thymidine (Perkin-Elmer, Waltham, MA, USA) for 24 h. The labeled cells (1&#x000D7;10<sup>5</sup>) suspended in RD medium containing 0.1&#x00025; BSA were added to each well of the culture plates. After incubation for 30 min at 37 &#x000B0;C, the medium was aspirated, and the wells were gently rinsed twice with PBS. The cells adhering to the well were dissolved in 1 N NaOH, and the radioactivity was measured with a liquid scintillation counter (LSC903; Aloka, Co., Ltd., Tokyo, Japan). The adhesion capacity was determined relative to the radioactivity of seeded cells (1&#x000D7;10<sup>5</sup>) that was considered to be 100&#x00025;. Each assay was performed in triplicates and repeated three times.</p></sec>
<sec>
<title>Collagen gel culture</title>
<p>Five hundred-microliters of 0.21&#x00025; type I collagen gel solution (Koken, Co., Ltd, Tokyo, Japan) in RD neutralized with reconstitution buffer (0.05 N NaOH, 2.2&#x00025; NaHCO<sub>3</sub>, 0.2 M HEPES) was pipetted into each well of 24-well culture plate and gelled as a basal layer with incubation for 1 h at 37&#x000B0;C. Thereafter, 500 &#x003BC;l type collagen solution containing cells (2.5&#x000D7;10<sup>4</sup>) was poured onto the basal layer and gelled, and received 1 ml RD containing 5&#x00025; FBS. The cells in the gels were cultured for 12 days at 37&#x000B0;C. The colonies that formed in the gel were fixed with phosphate-buffered 10&#x00025; formalin. Sections were prepared and stained with hematoxylin and eosin.</p></sec>
<sec>
<title>Phosphorylation assay</title>
<p>SCCKN, KNmock and KN&#x003B1;v cells suspended in RD containing 2&#x00025; BSA were seeded on culture dishes coated with 100 &#x003BC;g/ml type I collagen. At various incubation times, the cells were washed with ice-cold PBS containing 1 mM sodium vanadate and lysed with Laemmli sample buffer (62.5 mM Tris-HCl, pH 6.8, 2&#x00025; SDS, 10&#x00025; glycerol, 1&#x00025; &#x003B2;-mercaptoethanol) supplemented with protease inhibitor cocktail and 1 mM sodium vanadate. The samples were separated on 10&#x00025; SDS-polyacrylamide gels and transferred onto PVDF membrane filters. The immunoblot analysis was performed using rabbit anti-phospho-focal adhesion kinase (FAK) monoclonal antibody, rabbit anti-phospho-mitogen-activated protein kinase kinase 1/2 (MEK1/2) monoclonal antibody and rabbit anti-phospho-extracellular signal-regulated kinase 1/2 (ERK1/2) monoclonal antibody. To detect total FAK, MEK1/2 and ERK1/2 proteins, rabbit anti-FAK monoclonal antibody, rabbit anti-MEK1/2 monoclonal antibody and rabbit anti-ERK1/2 monoclonal antibody were used, respectively. After incubation with primary antibodies, the membranes were incubated with HRP-conjugated secondary antibody, and protein bands were detected using an enhanced chemiluminescence reagent. All antibodies used for the phosphorylation assay were purchased from Cell Signaling Technology, Inc.</p></sec>
<sec>
<title>Integrin &#x003B2;8-specific morpholino antisense oligonucleotide</title>
<p>To downregulate integrin &#x003B2;8, a morpholino antisense oligonucleotide specific for integrin &#x003B2;8 obtained from GeneTools (Philomath, OR, USA) was used. The sequence of the antisense oligonucleotide is as follows: 5&#x02032;-AAGCCAGGGCCGAGCCGCACATAAT-3&#x02032;. A standard control morpholino oligonucleotide (5-CCTCTTACCTCAGTTACAATTTATA-3) was used as a negative control. Delivery of the oligonucleotides into the cells was performed according to the GeneTools protocol. Briefly, 80&#x02013;100&#x00025; confluent SCCKN, KNmock or KN&#x003B1;v cells were treated with 10 &#x003BC;M of the morpholino antisense oligonucleotide or the standard control oligonucleotide, and 6 &#x003BC;M of Endo-Porter reagent (GeneTools). After 24 h, the cells were used for the subsequent experiments.</p></sec>
<sec>
<title>Northern blot analysis</title>
<p>Total cytoplasmic RNA of SCCKN, KNmock or KN&#x003B1;v cells in confluent cultures was isolated with using TRIzol reagent (Life Technologies, Rockville, MD, USA) according to manufacture&#x02019;s instruction. Total RNA (20 &#x003BC;g) obtained from the cells were separated on a 1&#x00025; agarose gels containing 2.2 M formaldehyde and transferred directly from the gel to a nylon membrane (Hybond-N+; GE Healthcare) in 10X SSC (1X SSC is 0.15 M NaCl plus 1.5 mM sodium citrate) overnight. After transfer, RNA was UV cross-linked (120,000 &#x003BC;J of UV), and the membrane was prehybridized with Rapid-hyb buffer (GE Healthcare) for 15 min at 65&#x000B0;C. The specific probe for integrin &#x003B2;8 was obtained by reverse transcriptase-PCR as follows: First-strand cDNA was synthesized from total RNA of SCCKN cells with ReverTra Ace (Toyobo, Osaka, Japan) and PCR amplification was performed using forward primer (5&#x02032;-GATCAGACGTCTCATCTCGC-3&#x02032;) and reverse primer (5&#x02032;-CTCTTCCACTGCACACTTGG-3&#x02032;). The PCR products (961 bp) were subcloned into pGEM-T Easy Vector (Promega Corporation), and the inserted cDNA sequences were verified by DNA sequence analysis. The plasmid was digested with <italic>Eco</italic>RI, and the insert was gel-purified and radiolabeled with &#x0005B;&#x003B1;-<sup>32</sup>P&#x0005D;-dCTP (Perkin-Elmer) using Rediprime II DNA Labeling System (GE Healthcare). Hybridization was carried out for 2 h at 65&#x000B0;C in Rapid-hyb buffer containing 1&#x000D7;10<sup>6</sup> cpm/ml probe. The membrane was washed with 2X SSC/0.1&#x00025; SDS for 20 min at room temperature and washed twice with 0.5X SSC/0.1&#x00025; SDS for 15 min at 65&#x000B0;C. Hybridization signals were detected by the BAS 2000 image analyzer (Fujifilm, Tokyo, Japan). Equivalent loading of ribosomal RNA was confirmed by methylene blue staining.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>Effect of overexpression of integrin &#x003B1;v on cell adhesion to ECM proteins</title>
<p>A small amount of integrin &#x003B1;v protein was observed in SCCKN and KNmock cells. In contrast, integrin &#x003B1;v transfectants in KN&#x003B1;v cells showed a large amount of integrin &#x003B1;v protein (<xref rid="f1-ijo-45-05-1875" ref-type="fig">Fig. 1A</xref>).</p>
<p>To examine the effect of integrin &#x003B1;v on cell adhesion to ECM proteins, SCCKN, KNmock and KN&#x003B1;v cells were seeded on various ECM protein-coated wells and incubated for 30 min. Only 5 or 10&#x00025; of SCCKN and KNmock cells adhered to any ECM protein. In contrast, over 35&#x00025; of KN&#x003B1;v cells adhered to type I collagen, type IV collagen, fibronectin and vitronectin after 30-min incubation (<xref rid="f1-ijo-45-05-1875" ref-type="fig">Fig. 1B</xref>).</p></sec>
<sec>
<title>Effect of overexpression of integrin &#x003B1;v on the proliferation of SCC cells on ECM proteins</title>
<p>To examine the participation of integrin &#x003B1;v in the proliferation of SCC cells, SCCKN, KNmock and KN&#x003B1;v cells were grown on various ECM proteins in the absence of serum for 6 days. Transfection with integrin &#x003B1;v cDNA led to a marked increase in cell proliferation on type I collagen. The number of KN&#x003B1;v cells grown on type I collagen was about 3-fold compared to the number of SCCKN and KNmock cells on type I collagen. In contrast, other ECM proteins exhibited no significant effect on the proliferation of KN&#x003B1;v cells (<xref rid="f2-ijo-45-05-1875" ref-type="fig">Fig. 2A</xref>).</p></sec>
<sec>
<title>Effect of overexpression of integrin &#x003B1;v on the morphology of colonies of SCC cells in three-dimensional type I collagen gels</title>
<p>The behavior of SCCKN, KNmock and KN&#x003B1;v cells was examined by three-dimensional culture using type I collagen gel. The cells embedded in type I collagen gel were cultured for 12 days. SCCKN and KNmock cells formed small and spherical colonies in the gel. In contrast, KN&#x003B1;v cells formed dilated colonies with irregular margins, and some cells migrated into the surrounding collagen gel, suggesting that transfection with integrin &#x003B1;v cDNA led to the enhancement of invasiveness of SCC cells (<xref rid="f2-ijo-45-05-1875" ref-type="fig">Fig. 2B</xref>).</p></sec>
<sec>
<title>Activation of FAK and the MEK/ERK signaling pathway by type I collagen</title>
<p>Type I collagen enhanced the proliferation of KN&#x003B1;v cells, and KN&#x003B1;v cells exhibited the enhanced invasiveness into type I collagen gel compared to SCCKN and KNmock cells. Several studies have shown that the MEK/ERK signaling pathway via integrin &#x003B1;v regulates cell proliferation (<xref rid="b32-ijo-45-05-1875" ref-type="bibr">32</xref>&#x02013;<xref rid="b34-ijo-45-05-1875" ref-type="bibr">34</xref>). To clarify the participation of the MEK/ERK signaling pathway in type I collagen-induced proliferation and invasion of KN&#x003B1;v cells, SCCKN, KNmock and KN&#x003B1;v cells were detached and replated onto type I collagen, and the phosphorylation of FAK, MEK1/2 and ERK1/2 in the cells was investigated after cultivation for various periods. The phosphorylation of FAK, MEK1/2 and ERK1/2 in KN&#x003B1;v cells was observed at 2, 6 h and 6 h after replating on type I collagen, respectively. In contrast, the phosphorylation of FAK, MEK1/2 and ERK1/2 in SCCKN and KNmock cells was observed at 12, 24 h and 24 h after replating, respectively (<xref rid="f3-ijo-45-05-1875" ref-type="fig">Fig. 3</xref>).</p></sec>
<sec>
<title>Participation of integrin &#x003B2;8 in integrin &#x003B1;v-mediated cell adhesion of SCC cells</title>
<p>To examine the effect of the suppression of integrin &#x003B2;8 on the adhesion of SCC cells to ECM proteins, the cells were transfected with a morpholino antisense oligonucleotide targeting integrin &#x003B2;8 subunit (<xref rid="f4-ijo-45-05-1875" ref-type="fig">Fig. 4A</xref>) or a control oligonucleotide (<xref rid="f4-ijo-45-05-1875" ref-type="fig">Fig. 4B</xref>). The adhesion of SCCKN and KNmock cells to ECM proteins were not greatly affected by the suppression of integrin &#x003B2;8. In contrast, the suppression of integrin &#x003B2;8 by the antisense oligonucleotide led to the remarkable decrease in the attachment of KN&#x003B1;v cells to type I collagen compare to the attachment of KN&#x003B1;v cells transfected with the control oligonucleotide. However, the suppression of integrin &#x003B2;8 did not reduce the adhesion of KN&#x003B1;v cells to any ECM protein except type I collagen.</p></sec>
<sec>
<title>Participation of integrin &#x003B1;v&#x003B2;8 on the proliferation of SCC cells via the MEK/ERK signaling pathway</title>
<p>We examined the participation of integrin &#x003B1;v&#x003B2;8 in type I collagen-induced proliferation of KN&#x003B1;v cells. The suppression of integrin &#x003B2;8 by a morpholino antisense oligonucleotide targeting integrin &#x003B2;8 led to remarkable decrease in the proliferation of KN&#x003B1;v cells cultured on type I collagen. However, transfection with the antisense oligonucleotide did not have strong effect on the proliferation of SCCKN and KNmock cells on type I collagen (<xref rid="f5-ijo-45-05-1875" ref-type="fig">Fig. 5A</xref>).</p>
<p>We next examined the effect of the suppression of integrin &#x003B2;8 on the morphology of colonies of KN&#x003B1;v cells in type I collagen gels. KN&#x003B1;v cells transfected with the control oligonucleotide formed dilated colonies with irregular margin, and some cells migrated into the surrounding collagen gel. In contrast, the colonies of KN&#x003B1;v cells transfected with the antisense oligonucleotide were small and spherical colonies (<xref rid="f5-ijo-45-05-1875" ref-type="fig">Fig. 5B</xref>).</p>
<p>The phosphorylation of FAK, MEK1/2 and ERK1/2 in KN&#x003B1;v cells transfected with the control oligonucleotide was observed at 2, 6 h and 6 h after replating on type I collagen, respectively. In contrast, the phosphorylation of FAK, MEK1/2 and ERK1/2 in KN&#x003B1;v cells transfected with the antisense oligonucleotide was observed at 12, 24 h and 24 h after replating, respectively (<xref rid="f5-ijo-45-05-1875" ref-type="fig">Fig. 5C</xref>).</p></sec>
<sec>
<title>Expression of integrin &#x003B2;8 in integrin &#x003B1;v transfectants</title>
<p>The proliferation of KN&#x003B1;v cells on type I collagen was reduced by the suppression of integrin &#x003B2;8. Moreover, type I collagen-stimulated phosphorylation of FAK, MEK1/2 and ERK1/2 in KN&#x003B1;v cells was also inhibited by the suppression of integrin &#x003B2;8. These findings suggest that the interaction of integrin &#x003B1;v&#x003B2;8 with type I collagen might activate FAK and the MEK/ERK signaling pathway and induce the proliferation of SCC cells. Therefore, the expression of integrin &#x003B2;8 protein and mRNA in SCCKN, KNmock and KN&#x003B1;v cells was examined by western blotting and northern blotting, respectively. The expression of integrin &#x003B2;8 protein in KN&#x003B1;v cells was enhanced compared to SCCKN and KNmock cells. In contrast, there was no remarkable difference in the expression of integrin &#x003B2;8 mRNA between SCCKN, KNmock and KN&#x003B1;v cells (<xref rid="f6-ijo-45-05-1875" ref-type="fig">Fig. 6</xref>).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>Integrin &#x003B1;v, which heterodimerizes with &#x003B2;1, &#x003B2;3, &#x003B2;5, &#x003B2;6 or &#x003B2;8, regulates several biological events such as cell adhesion, proliferation and differentiation (<xref rid="b7-ijo-45-05-1875" ref-type="bibr">7</xref>,<xref rid="b8-ijo-45-05-1875" ref-type="bibr">8</xref>). Several studies have shown that integrin &#x003B1;v&#x003B2;3, &#x003B1;v&#x003B2;5 and &#x003B1;v&#x003B2;6 are implicated in carcinogenesis, tumor invasion and metastasis (<xref rid="b34-ijo-45-05-1875" ref-type="bibr">34</xref>&#x02013;<xref rid="b37-ijo-45-05-1875" ref-type="bibr">37</xref>). Our previous study has also shown that integrin &#x003B1;v mediates the proteolytic activity of SCC cells by anchoring active MMP-2 on the cell surfaces, suggesting that integrin &#x003B1;v might promote the progression of oral SCC (<xref rid="b38-ijo-45-05-1875" ref-type="bibr">38</xref>).</p>
<p>In this study, the role of integrin &#x003B1;v in the progression of SCC cells was examined. Induction of integrin &#x003B1;v expression led to the enhancement of cell attachment of SCCKN cells to any ECM proteins used in the present study. Especially, integrin &#x003B1;v transfectants, KN&#x003B1;v cells had a high ability to bind type I collagen, type IV collagen and fibronectin. We next examined the proliferation of SCC cells on ECM proteins. The proliferation of SCCKN and KNmock cells was not greatly influenced by any ECM proteins. In contrast, the proliferation of KN&#x003B1;v cells on type I collagen was significantly enhanced. Moreover, the effect of integrin &#x003B1;v on the behavior of SCC cells using three-dimensional type I collagen gel culture system was examined. SCCKN and KNmock cells embedded in type I collagen gel formed small and spherical colonies. In contrast, KN&#x003B1;v cells in type I collagen gel formed dilated colonies with irregular margins, and some cells migrated into the surrounding gel. These findings suggest that the binding of &#x003B1;v integrins to type I collagen activates the signaling pathway involved in the proliferation and invasion of SCC cells.</p>
<p>The binding of integrins to ECM proteins leads to the activation of FAK, and results in the activation of several signaling pathways such as Akt/PI3 kinase signaling, mitogen-activated protein (MAP) kinase signaling and Rho family GTPase signaling (<xref rid="b39-ijo-45-05-1875" ref-type="bibr">39</xref>&#x02013;<xref rid="b42-ijo-45-05-1875" ref-type="bibr">42</xref>). It is well known that cell proliferation via the integrin &#x003B1;v subfamily such as &#x003B1;v&#x003B2;3 and &#x003B1;v&#x003B2;5 is mediated by the MEK/ERK signaling pathway, which is characterized firstly in MAP kinase cascades (<xref rid="b32-ijo-45-05-1875" ref-type="bibr">32</xref>&#x02013;<xref rid="b34-ijo-45-05-1875" ref-type="bibr">34</xref>). Therefore, the participation of the MEK/ERK signaling pathway in type I collagen-induced growth of integrin &#x003B1;v transfectants was examined. Rapid phosphorylation of FAK, MEK1/2 and ERK1/2 was observed in KN&#x003B1;v cells cultured on type I collagen. In contrast, the phosphorylation of these molecules was delayed in SCCKN and KNmock cells on type I collagen. These findings indicate that type I collagen induces the activation of FAK and the MEK/ERK signaling pathway via &#x003B1;v integrins.</p>
<p>Formation of &#x003B1;/&#x003B2; heterodimer is essential for the expression and function of integrins. Integrin &#x003B1;v subunit associates with &#x003B2;1, &#x003B2;3, &#x003B2;5, &#x003B2;6 or &#x003B2;8 subunit and forms five distinct heterodimers (<xref rid="b7-ijo-45-05-1875" ref-type="bibr">7</xref>,<xref rid="b8-ijo-45-05-1875" ref-type="bibr">8</xref>). Integrin &#x003B1;v transfectants, KN&#x003B1;v cells had a high ability to bind type I collagen, and exhibited a remarkable proliferative response to type I collagen. These findings suggest that some of the five &#x003B1;v integrins of KN&#x003B1;v cells interact with type I collagen and regulate cell proliferation as well as cell adhesion. The five &#x003B1;v integrins bind various ECM proteins such as fibronectin, laminin, vitronectin, fibrinogen and osteopontin. The binding of the &#x003B1;v integrins to ECM proteins is dependent upon the &#x003B2; subunit counterpart. Some studies have shown that only integrin &#x003B1;v&#x003B2;8 in the integrin &#x003B1;v subfamily is a potential receptor for collagens (<xref rid="b43-ijo-45-05-1875" ref-type="bibr">43</xref>,<xref rid="b44-ijo-45-05-1875" ref-type="bibr">44</xref>). We therefore examined the participation of integrin &#x003B1;v&#x003B2;8 in type I collagen-induced proliferation of KN&#x003B1;v cells. The suppression of integrin &#x003B2;8 by its antisense oligonucleotide led to a remarkable decrease in the adhesion of KN&#x003B1;v cells to type I collagen. The treatment of integrin &#x003B2;8 antisense oligonucleotide also reduced the proliferation of KN&#x003B1;v cells on type I collagen and the invasiveness of KN&#x003B1;v cells into type I collagen gel. In addition, the activation of FAK and the MEK/ERK signaling pathway of KN&#x003B1;v cells on type I collagen was inhibited by the treatment of integrin &#x003B2;8 antisense oligonucleotide. These findings indicate that the binding of integrin &#x003B1;v&#x003B2;8 to type I collagen might induce the proliferation and invasion of SCC cells via the MEK/ERK signaling pathway.</p>
<p>We next examined the expression of integrin &#x003B2;8 in SCCKN, KNmock and KN&#x003B1;v cells. Interestingly, KN&#x003B1;v cells expressed a large amount of integrin &#x003B2;8 protein compared to SCCKN and KNmock cells, whereas there is no significant difference in the expression of integrin &#x003B2;8 mRNA between SCCKN, KNmock and KN&#x003B1;v cells. At present, the mechanism of the enhanced expression of integrin &#x003B2;8 protein following transfection with integrin &#x003B1;v cDNA is unclear. A previous study showed that the expression of mouse integrin &#x003B2;1 and &#x003B2;7 was induced following transfection with human integrin &#x003B1;4 subunit in mouse fibroblasts (<xref rid="b45-ijo-45-05-1875" ref-type="bibr">45</xref>). The possibility should be considered that integrin &#x003B2;8 subunit dimerizes with integrin &#x003B1;v subunit expressed abundantly in KN&#x003B1;v cells, and integrin &#x003B2;8 dimerized with integrin &#x003B1;v might be stable compared to integrin &#x003B2;8 monomer. Most of integrin &#x003B2;8 subunits in SCCKN and KNmock might exist as monomer because of the insufficiency of integrin &#x003B1;v subunits available for forming &#x003B1;v&#x003B2;8 heterodimers.</p>
<p>In conclusion, the overexpression of integrin &#x003B1;v led to the enhancement of the proliferation of oral SCC cells via interaction with type I collagen. The expression of integrin &#x003B2;8 subunit is induced following transfection with integrin &#x003B1;v subunit in SCC cells. Interaction of integrin &#x003B1;v&#x003B2;8 with type I collagen activates the MEK/ERK signaling pathway in SCC cells, resulting in the enhancement of the proliferation and invasiveness. These findings suggest that integrin &#x003B1;v&#x003B2;8 might be a prognostic factor for oral SCC and could serve as a therapeutic target to prevent the progression of oral SCC.</p></sec></body>
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<floats-group>
<fig id="f1-ijo-45-05-1875" position="float">
<label>Figure 1</label>
<caption>
<p>Effect of integrin &#x003B1;v on the cell adhesion to extracellular matrix (ECM) proteins. (A) The expression level of integrin &#x003B1;v protein in SCCKN, KNmock and KN&#x003B1;v cells was analysed by western blotting. The cell lysates were electrophoresed on a 10&#x00025; SDS polyacrylamide gel and transferred to a polyvinylidene difluoride (PVDF) membrane. The expression of integrin &#x003B1;v protein was detected by anti-integrin &#x003B1;v antibody, followed by enhanced chemiluminescence detection reagents as described in Materials and methods. (B) &#x0005B;Methyl-<sup>3</sup>H&#x0005D;-thymidine-labeled cells (1&#x000D7;10<sup>5</sup>) suspended in RD containing 0.1&#x00025; bovine serum albumin (BSA) were added to 24-well culture plates coated with indicated ECM proteins. After incubation for 30 min at 37&#x000B0;C, the medium was aspirated, and the wells were gently rinsed twice with phosphate-buffered saline (PBS). The radioactivity of cells adhering to the well was measured. The adhesion capacity was determined relative to the radioactivity of seeded cells (1&#x000D7;10<sup>5</sup>), which was considered to be 100&#x00025;. The results are represented the means &#x000B1; SD of triplicate determinations.</p></caption>
<graphic xlink:href="IJO-45-05-1875-g00.gif"/></fig>
<fig id="f2-ijo-45-05-1875" position="float">
<label>Figure 2</label>
<caption>
<p>Effect of &#x003B1;v integrin on the growth of squamous cell carcinoma (SCC) cells. (A) SCCKN, KNmock and KN&#x003B1;v cells (2&#x000D7;10<sup>4</sup>) suspended in RD containing 10 &#x003BC;g/ml bovine insulin, 5 &#x003BC;g/ml human transferrin, 0.5 mg/ml fatty acid-free bovine serum albumin (BSA), 10 &#x003BC;M 2-mercaptoethanol, 10 &#x003BC;M 2-aminoethanol and 10 nM sodium selenite were seeded in each well of 24-well tissue culture plates coated with indicated extracellular matrix (ECM) proteins. After cultivation for 6 days, the number of cells was measured. The results are the means of triplicate determinations &#x000B1; SD. (B) Morphology of SCCKN, KNmock and KN&#x003B1;v cells in type I collagen gel. The cells (2.5&#x000D7;10<sup>4</sup>) embedded in type I collagen gel were cultured for 12 days. The colonies were fixed in buffered formalin and embedded in paraffin, and the sections stained with hematoxylin and eosin. Scale bar, 250 &#x003BC;m.</p></caption>
<graphic xlink:href="IJO-45-05-1875-g01.gif"/></fig>
<fig id="f3-ijo-45-05-1875" position="float">
<label>Figure 3</label>
<caption>
<p>Phosphorylation of focal adhesion kinase (FAK), mitogen-activated protein kinase kinase 1/2 (MEK1/2) and extracellular signal-regulated kinase 1/2 (ERK1/2) in squamous cell carcinoma (SCC) cells on type I collagen. SCCKN, KNmock and KN&#x003B1;v cells were detached and replated onto type I collagen. The cells were lysed at the indicated times after replating, and the phosphorylation of (A) FAK, (B) MEK1/2 and (C) ERK1/2 was analysed by western blotting.</p></caption>
<graphic xlink:href="IJO-45-05-1875-g02.gif"/></fig>
<fig id="f4-ijo-45-05-1875" position="float">
<label>Figure 4</label>
<caption>
<p>Participation of integrin &#x003B2;8 in integrin &#x003B1;v-mediated adhesion of squamous cell carcinoma (SCC) cells to extracellular matrix (ECM) proteins. SCCKN, KNmock and KN&#x003B1;v cells were transfected with (A) an antisense oligonucleotide targeting integrin &#x003B2;8 (&#x003B2;8 antisense oligo) or (B) a control oligonucleotide (control oligo). The cells were radiolabeled with &#x0005B;methyl-<sup>3</sup>H&#x0005D;-thymidine. The cells (1&#x000D7;10<sup>5</sup>) suspended in RD containing 0.1&#x00025; bovine serum albumin (BSA) were added to 24-well culture plates coated with indicated ECM proteins. The adhesion capacity of the cells was determined as described in the legend of <xref rid="f1-ijo-45-05-1875" ref-type="fig">Figure 1</xref>. The results are presented the means &#x000B1; SD of triplicate determinations.</p></caption>
<graphic xlink:href="IJO-45-05-1875-g03.gif"/></fig>
<fig id="f5-ijo-45-05-1875" position="float">
<label>Figure 5</label>
<caption>
<p>Suppression of integrin &#x003B2;8 reduces type I collagen-induced growth and phosphorylation of focal adhesion kinase (FAK), mitogen-activated protein kinase kinase 1/2 (MEK1/2) and extracellular signal-regulated kinase 1/2 (ERK1/2) of squamous cell carcinoma (SCC) cells. (A) SCCKN, KNmock and KN&#x003B1;v cells (2&#x000D7;10<sup>4</sup>) transfected with &#x003B2;8 antisense oligo or control oligo were suspended in RD containing 10 &#x003BC;g/ml bovine insulin, 5 &#x003BC;g/ml human transferrin, 0.5 mg/ml fatty acid-free bovine serum albumin (BSA), 10 &#x003BC;M 2-mercaptoethanol, 10 &#x003BC;M 2-aminoethanol and 10 nM sodium selenite, and were seeded in each well of 24-well tissue culture plates coated with type I collagen. After cultivation for 6 days, the number of cells was measured. The results are the means of triplicated determinations &#x000B1; SD. (B) KN&#x003B1;v cells transfected with &#x003B2;8 antisense oligo or control oligo were embedded in type I collagen gel and cultured for 12 days. The cells were fixed in buffered formalin and embedded in paraffin, and the sections stained with hematoxylin and eosin. Scale bar, 250 &#x003BC;m. (C) KN&#x003B1;v cells transfected with the &#x003B2;8 antisense oligo or control oligo were detached and replated onto type I collagen. The cells were lysed at the indicated times after replating, and the phosphorylation of FAK, MEK1/2 and ERK1/2 was analysed by western blotting.</p></caption>
<graphic xlink:href="IJO-45-05-1875-g04.gif"/></fig>
<fig id="f6-ijo-45-05-1875" position="float">
<label>Figure 6</label>
<caption>
<p>The expression level of integrin &#x003B2;8 protein and mRNA in SCCKN, KNmock and KN&#x003B1;v cells. (A) The expression of integrin &#x003B2;8 protein in SCCKN, KNmock and KN&#x003B1;v cells was analysed by western blotting. The cell lysates were electrophoresed on a 10&#x00025; SDS polyacrylamide gel and transferred to a polyvinylidene difluoride (PVDF) membrane. The integrin &#x003B2;8 protein was detected by anti-integrin &#x003B2;8 antibody, followed by enhanced chemiluminescence detection reagents as described in Materials and methods. (B) The expression of integrin &#x003B2;8 mRNA in SCCKN, KNmock and KN&#x003B1;v cells was analysed by Northern blotting. Total RNAs obtained from the cells were separated on a 1&#x00025; agarose gels containing 2.2 M formaldehyde and transferred directly from the gel to a nylon membrane. The immobilized RNAs were hybridized with the radiolabeled specific probe for integrin &#x003B2;8. The membrane was stained in methylene blue to visualize the relative amounts of 28S and 18S rRNA present in each lane (lower panel).</p></caption>
<graphic xlink:href="IJO-45-05-1875-g05.gif"/></fig></floats-group></article>
