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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">ETM</journal-id>
<journal-title-group>
<journal-title>Experimental and Therapeutic Medicine</journal-title></journal-title-group>
<issn pub-type="ppub">1792-0981</issn>
<issn pub-type="epub">1792-1015</issn>
<publisher>
<publisher-name>D.A. Spandidos</publisher-name></publisher></journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3892/etm.2010.184</article-id>
<article-id pub-id-type="publisher-id">etm-02-01-0157</article-id>
<article-categories>
<subj-group>
<subject>Articles</subject></subj-group></article-categories>
<title-group>
<article-title>Metastasis tumour suppressor-1 and the aggressiveness of prostate cancer cells</article-title></title-group>
<contrib-group>
<contrib contrib-type="author">
<name><surname>MUSTAFA</surname><given-names>NOHA</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>MARTIN</surname><given-names>TRACEY A.</given-names></name></contrib>
<contrib contrib-type="author">
<name><surname>JIANG</surname><given-names>WEN G.</given-names></name><xref ref-type="corresp" rid="c1-etm-02-01-0157"/></contrib>
<aff id="af1-etm-02-01-0157">Metastasis and Angiogenesis Research Group, Cardiff University School of Medicine, Cardiff CF14 4XN, 
<country>UK</country></aff></contrib-group>
<author-notes>
<corresp id="c1-etm-02-01-0157">Correspondence to: Dr Wen G. Jiang, Metastasis and Angiogenesis Research Group, Cardiff University School of Medicine, Heath Park, Cardiff CF14 4XN, UK, E-mail: <email>jiangw@cf.ac.uk</email></corresp></author-notes>
<pub-date pub-type="ppub">
<season>January-February</season>
<year>2011</year></pub-date>
<pub-date pub-type="epub">
<day>2</day>
<month>12</month>
<year>2010</year></pub-date>
<volume>2</volume>
<issue>1</issue>
<fpage>157</fpage>
<lpage>162</lpage>
<history>
<date date-type="received">
<day>5</day>
<month>11</month>
<year>2010</year></date>
<date date-type="accepted">
<day>29</day>
<month>11</month>
<year>2010</year></date></history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2011, Spandidos Publications</copyright-statement>
<copyright-year>2011</copyright-year></permissions>
<abstract>
<p>Previous studies have suggested that metastasis tumour suppressor-1 (MTSS1) plays a key role in cancer metastasis. Firstly, in this study we assessed MTSS1 expression levels in prostate cancer cell lines to reveal any changes in cell properties. Secondly, we aimed to clarify the cellular function of MTSS1 in prostate cancer cells. MTSS1 expression levels were assessed in different types of cancer cell lines through the RT-PCR analysis technique. The influence of MTSS1 was further examined via biological overexpression and knockdown in the prostate cancer cell lines. Two prostate cell lines were chosen for either knockdown or overexpression of the MTSS1 gene. The overexpression of MTSS1 in PC-3 human prostate cancer cells significantly suppressed the migratory, growth and adherence properties of the cells (p&#x0003C;0.01). By contrast, the knockdown of MTSS1 in DU-145 human prostate cancer cells dramatically enhanced these properties (p&#x0003C;0.001). We concluded that MTSS1 demonstrates the ability to play a role in controlling the metastatic nature of prostate cancer cells.</p></abstract>
<kwd-group>
<kwd>metastasis tumour suppressor-1</kwd>
<kwd>ribozyme transgenes</kwd>
<kwd>cell growth</kwd>
<kwd>cell migration</kwd>
<kwd>prostate cancer</kwd></kwd-group></article-meta></front>
<body>
<sec sec-type="intro">
<title>Introduction</title>
<p>Prostate cancer is the second leading cause of cancer-related mortality in males in the UK, with 9,900 deaths each year, and it accounts for 13&#x00025; of cancer-related deaths in males. Approximately 85&#x00025; of these cases involve men over 70 years of age. The mortality rate for prostate cancer peaked in the early 1990s and has now fallen to approximately 25 per 100,000 individuals at risk. In the UK, the survival rates have been improving, and the 5-year relative survival rate was 60&#x00025; in the period 1993 to 1995 (<xref rid="b1-etm-02-01-0157" ref-type="bibr">1</xref>).</p>
<p>Metastasis is a complex multi-step process by which primary tumour cells invade adjacent tissue, enter the systemic circulation (intravasate), translocate through the vasculature, arrest in distant capillaries, extravasate into the surrounding tissue parenchyma and finally proliferate from microscopic growths (micrometastases) into macroscopic secondary tumours. Metastases can be located in various organs and in different regions of the same organ. The organ microenvironment modifies the response of metastatic tumour cells to therapy and alters the effectiveness of anticancer agents in destroying the tumour cells without producing undesirable toxic effects. The major obstacle to treating metastasis is the biological heterogeneity of primary neoplasms and metastases. By the time of diagnosis, cancers contain multiple genetically unstable cell populations with diverse karyotypes, growth rates, cell-surface properties, antigenicities, immunogenicities, marker enzymes, sensitivity to various cytotoxic drugs and abilities to invade and produce metastasis (<xref rid="b2-etm-02-01-0157" ref-type="bibr">2</xref>).</p>
<p>Angiogenesis plays a key role in the pathogenesis of a variety of disorders, including cancer, proliferative retinopathies and rheumatoid arthritis. Accumulating evidence indicates that, for most tumours, the switch to an angiogenic phenotype depends upon the outcome of a balance between angiogenic stimuli and angiogenic inhibitors, both of which may be produced by tumour cells and perhaps by certain host cells (<xref rid="b3-etm-02-01-0157" ref-type="bibr">3</xref>). Growth and motility factors play an essential role in migration processes at various levels of the metastatic cascade. These factors include metastasis activators and suppressors, which act in autocrine or paracrine manners through special receptors that mediate different signals through tyrosine phosphorylation (<xref rid="b4-etm-02-01-0157" ref-type="bibr">4</xref>). However, metastasis suppressors may inhibit metastasis at any step of the metastatic cascade without blocking tumourigenicity (<xref rid="b5-etm-02-01-0157" ref-type="bibr">5</xref>).</p>
<p>Metastasis tumour suppressor-1 (MTSS1), also known as Missing in Metastasis (MIM), was originally identified as a tumour suppressor since it is expressed in non-metastatic, but absent from metastatic, bladder cancer cells (<xref rid="b6-etm-02-01-0157" ref-type="bibr">6</xref>,<xref rid="b7-etm-02-01-0157" ref-type="bibr">7</xref>). It is expressed during development in muscles, kidneys and the liver (<xref rid="b8-etm-02-01-0157" ref-type="bibr">8</xref>,<xref rid="b9-etm-02-01-0157" ref-type="bibr">9</xref>). The MTSS1 gene encodes a 5.3-kb mRNA, and it is a polypeptide of 356 amino acids with homology to the Wiscott-Aldrich Syndrome protein family (<xref rid="b6-etm-02-01-0157" ref-type="bibr">6</xref>). The MIM protein and MIM-B, a much longer 759-amino acid protein whose C-terminus is identical to the 356 amino acids encoded by the MIM gene (10), are cytoplasmic in location and have multidomain and scaffolding function (<xref rid="b9-etm-02-01-0157" ref-type="bibr">9</xref>).</p>
<p>MIM-B induces actin-rich protrusions resembling microspikes and lamellipodia at the plasma membrane and promotes disassembly of actin stress fibres. The actin cytoskeleton plays a key role in regulating essential cellular processes, such as endocytosis, cell migration, cytokinesis and various morphogenetic processes. In addition, MTSS1 enhances Arp2/3-mediated actin polymerization through interactions with cortactin (<xref rid="b11-etm-02-01-0157" ref-type="bibr">11</xref>). It is thus involved in cell motility and morphogenesis, and studies suggest that further analysis of MTSS1 expression or inactivation in tissue samples may define a new candidate for use as a marker for primary tumours or metastasis (<xref rid="b12-etm-02-01-0157" ref-type="bibr">12</xref>). MTSS1 is also a member of the sonic hedgehog signalling pathway, which interacts and modulates Gli responses during cell growth and carcinogenesis (<xref rid="b8-etm-02-01-0157" ref-type="bibr">8</xref>).</p>
<p>This study aimed to assess MTSS1 expression levels in prostate cancer cell lines in order to reveal any changes in cell properties and to clarify the cellular function of MTSS1 in these cancer cells. In the present study, we analysed MTSS1 through a series of expression and inactivation studies to clarify the function of MTSS1 in prostate cancer cells.</p></sec>
<sec sec-type="methods">
<title>Materials and methods</title>
<sec>
<title>Cell lines and culture</title>
<p>The cells were routinely cultured with Dulbecco&#x02019;s modified Eagle&#x02019;s medium (DMEM) (PAA Laboratories Ltd., Somerset, UK) supplemented with 10&#x00025; fetal calf serum (PAA Laboratories Ltd.), penicillin and streptomycin. This study used human prostate cancer (DU-145, PC-3 and CA-HPV10) and human breast cancer (ZR-751 and MDA-MB-231) cell lines. The cell lines were purchased from the American Type Culture Collection (ATCC, Rockville, MD, USA) and were stored at 37&#x000B0;C in 5&#x00025; CO<sub>2</sub> and under 95&#x00025; humidity.</p></sec>
<sec>
<title>RNA preparation and reverse transcription-polymerase chain reaction</title>
<p>Total cellular RNA was isolated from the homogenized human cell lines using Total RNA Isolation reagent (Advanced Biotechnologies Ltd., Epsom, Surrey, UK). RNA concentration and quality were determined through spectrophotometric measurement (WPA UV 1101; Biotech Photometer, Cambridge, UK). cDNA was generated using 200 ng of each RNA sample and a transcription kit (Sigma, Poole, Dorset, UK) to reverse transcribe the RNA samples into cDNA. DNA quality was verified using GAPDH. MTSS1 mRNA levels were assessed using MTSS1 primers (sense, TCAAGAACAGATGGAAGAATGG; antisense, TGCGGTAGCGGTAATGTG). PCR was carried out using a T-Cy Thermocycler (Creacon Technologies Ltd., The Netherlands) and REDTaq<sup>&#x000AE;</sup> ReadyMix&#x02122; PCR reaction mix (Sigma). The PCR conditions consisted of a 40-sec denaturation step (95&#x000B0;C), a 2-min annealing step (58&#x000B0;C) and a 3-min elongation step (72&#x000B0;C); elongation took place over 36 cycles. The PCR products were next loaded onto a 0.8&#x00025; agarose gel and electrophoretically separated prior to being stained with ethidium bromide and visualised under UV light.</p></sec>
<sec>
<title>Quantitative real-time polymerase chain reaction</title>
<p>Quantitative real-time polymerase chain reaction (QPCR) is a technology that provides a broad dynamic range for detecting specific gene sequences with high sensitivity. To quantify the level of MTSS1 transcripts in the prostate cancer cell lines, the iCycler IQ system (BioRad, Camberley, UK) was used. cDNA samples were examined for MTSS1 expression using the MTSS1 QPCR primers (sense, ATATCCCAGGATGCCTTC; antisense, ACTGAACCTGACCGTACACGGTTCTCGCTTCTCTTT). The QPCR technique utilized the Amplifluor System&#x02122; (Intergen Inc., UK) and Q-PCR master mix (ABgene, Surrey, UK), in conjunction with a universal probe (UniPrimer&#x02122;). The real-time QPCR conditions were: 95&#x000B0;C for 15 min, followed by 60 cycles at 95&#x000B0;C for 20 sec, 55&#x000B0;C for 30 sec and 72&#x000B0;C for 20 sec.</p></sec>
<sec>
<title>Generation of ribozyme transgenes and MTSS1 knockdown cells</title>
<p>MTSS1 expression levels were reduced in the DU-145 prostate cancer cell line using a ribozyme system. Briefly, ribozyme transgenes that specifically cleave MTSS1 mRNA were designed based on the predicted secondary structure of MTSS1. These ribozymes were then generated using touchdown PCR and subsequently cloned into the pEF6/V5-His-TOPO vector and amplified in <italic>Escherichia coli.</italic> Plasmids were purified and verified for correct size and orientation of the ribozymes, and electroporated into the DU-145 prostate cancer cell line. A closed pEF6/V5/His-TOPO plasmid (containing no ribozyme sequence) was also electroporated into the same cell line to create a control group. After selection using blasticidin, the unaltered wild-type cells were termed DU-145 WT, the wild-type cells containing closed plasmid only were termed DU-145 PEF and the wild-type cells containing plasmid with a ribozyme sequence were termed DU-145 MTSSIKD.</p></sec>
<sec>
<title>Generation of MTSS1-overexpressing cell lines</title>
<p>The full sequence of MTSS1 was amplified from cDNA using the standard PCR procedure and a master mix with a proofreading enzyme (sense primer, ATGGAGGCTGTGATTGAG; antisense, CTAAGAAAAGCGAGGGG). This MTSS1 sequence was then T-A cloned into the pEF6/V5/His-TOPO vector (Invitrogen, Paisley, UK) and then electroporated into the PC-3 prostate cancer cell line with the aim of enhancing MTSS1 expression in a cell line that does not normally express it. Multiple clones were used, assessed and sequenced. The PC-3 cells thus prepared and expressing MTSS1 were referred to in the study as PC-3 MTSS1Exp. The control group of cells contained the same plasmid vector (minus the MTSS1 sequence) and was termed PC-3 PEF.</p></sec>
<sec>
<title>Confirmation of MTSS1 overexpression and knockdown by Western blotting</title>
<p>MTSS1 protein expression was assessed in the human prostate cancer cell line lysates through standard SDS-PAGE and Western blot analysis. The cells were grown to confluence in a 75-cm<sup>2</sup> tissue culture flask before being detached using a cell scraper and pelleted. The cell pellet was then lysed in HCMF buffer with 0.5&#x00025; SDS, 1&#x00025; Triton X-100, 2 mM CaCl<sub>2</sub>, 100 <italic>&#x003BC;</italic>g/ml phenylmethylsulfonyl fluoride, 1 mg/ ml leupeptin, 1 mg/ml aprotinin and 10 mM sodium orthovana-date on a rotor wheel for 1 h and spun at 13,000 &#x000D7; g for 15 min to remove insolubles. The lysed protein was then quantified using the Bio-Rad DC Protein Assay kit (Bio-Rad Laboratories, CA, USA), and the samples were normalized to a standard final concentration of 1.5 mg/ml following addition of Sample Buffer, Laemmli 2X concentrate (Sigma) in a 1:1 ratio. The samples were then boiled for 5 min before being loaded into a 10&#x00025; polyacrylamide gel. Following electrophoresis, proteins were blotted onto a Hybond-C Extra nitrocellulose membrane (Amersham Biosciences UK Ltd., Bucks, UK), blocked in 10&#x00025; milk and subjected to specific antibody probing. The anti-MTSS1 antibody (SC-98376, Santa Cruz Biotechnologies Inc., Santa Cruz, CA, USA) was used to probe for MTSS1 at a concentration of 1:500 and anti-GAPDH (Santa Cruz Biotechnologies Inc.) at a concentration of 1:500 for GAPDH. Probing with the primary antibody was followed by probing with peroxidase-conjugated anti-rabbit (MTSS1) or anti-rabbit (GAPDH) antibody (Sigma) at a 1:1,000 concentration. The Supersignal West Dura Extended Duration substrate chemiluminescent system (Perbio Science UK Ltd., Cramlington, UK) was then used to visualize the protein bands. GAPDH expression was used as an internal control (Santa Cruz Biotechnologies, Santa Cruz, CA, USA). Protein expression was assessed and quantified using Uvitech analysis software (Uvitech, Cambridge, UK).</p></sec>
<sec>
<title>Tumour cell growth assay</title>
<p>The effects of the modification of MTSS1 expression on prostate cancer cell growth rates were assessed using an <italic>in vitro</italic> growth assay. The cells were seeded in triplicate into 96-well plates at a density of 3,000 cells/well. Plates were then incubated for 1, 3 and 5 days. Cell density was recorded after 1, 3 and 5 days by fixing cells in 4&#x00025; formaldehyde, washing and staining with 0.5&#x00025; (w/v) crystal violet. Following this, the crystal violet stain was extracted with 10&#x00025; (v/v) acetic acid before reading the absorbance on a Bio-Tek ELx800 multiplate reader (Bio-Tek Instruments Inc., VT, USA).</p></sec>
<sec>
<title>Cell adhesion assay</title>
<p>The adhesive properties of the MTSS1-modified cells to an artificial basement membrane were quantified using the <italic>in vitro</italic> Matrigel adhesion assay. DU-145 WT, DU-145 PEF control and DU-145 MTSS1KD cells and PC-3 WT, PC-3 PEF control and PC-3 MTSS1Exp prostate cancer cells were seeded at a density of 50,000/well (in triplicate) into a 96-well plate that had been previously coated with 5 <italic>&#x003BC;</italic>g of Matrigel artificial basement membrane. The cells were then incubated for 45 min to allow them to adhere before being subjected to vigorous washing (x4) in BSS to remove the non-adherent cells. The adherent cells were then fixed in 4&#x00025; formaldehyde (v/v) and stained with 0.5&#x00025; (w/v) crystal violet. The number of stained adherent cells was counted in several random fields (&#x02264;40 objective magnifications).</p></sec>
<sec>
<title>Wounding assay</title>
<p>The migratory properties of PC-3 and DU-145 cells were assessed to determine the impact of the forced expression or knockout of MTSS1 on the invasive nature of these prostate cancer cells. Cells at a density of 10<sup>6</sup> were incubated in 10 ml of growth medium containing 100 <italic>&#x003BC;</italic>l of Cytodex-2 beads (GE Healthcare, Cardiff, UK) for 3 h to allow the cells to adhere to the beads. The beads were then washed to remove non-adherent or dead cells and resuspended in 5 ml of medium. The cell/bead complex was then incubated in a 96-well plate overnight. Following incubation, the cells were washed with BSS, and cells that had migrated from the Cytodex-2 beads and adhered to the base of the well were fixed in 4&#x00025; formaldehyde (v/v), stained with 0.5&#x00025; crystal violet (w/v) and counted under x40 objective magnification. At least five random fields were counted per well, and five duplicate wells were set up per sample. The entire experimental procedure was repeated three independent times.</p></sec>
<sec>
<title>Statistical analysis</title>
<p>All <italic>in vitro</italic> experimentation was repeated at least three independent times. The results were assessed using a two-sample, two-tailed t-test and the Minitab 14 statistical package. The values presented represent the mean &#x000B1; SEM, and p&#x02264;0.05 was considered statistically significant. <italic>In vivo</italic> data were analysed using a non-parametric Mann-Whitney test, as the data did not follow a normal distribution.</p></sec></sec>
<sec sec-type="results">
<title>Results</title>
<sec>
<title>MTSS1 expression in human cancer cell lines and creation of prostate cancer cell sublines with differential patterns of MTSS1 expression</title>
<p>MTSS1 was found to be highly expressed in the DU-145 and 3T3 prostate cancer cells and at moderate levels in the CA-HPV-10 prostate and ZR 75-1 breast cancer cells, while the highly invasive prostate cancer cell line PC-3 showed little expression (<xref rid="f1-etm-02-01-0157" ref-type="fig">Fig. 1A</xref>). The highly invasive PC-3 prostate cancer cell line was transfected with the MTSS1 expression vector. Following selection, an MTSS1-overexpressing subline was established (<xref rid="f1-etm-02-01-0157" ref-type="fig">Fig. 1B&#x02013;D</xref>). The DU-145 prostate cancer cell line was also an appropriate candidate for knockdown as the low-invasive cell line expressed levels of MTSS1. Anti-MTSS1 trangenes were used to knockdown MTSS1 expression in the DU-145 cells, followed by the establishment of a new subline which expressed a low level of MTSS1 (<xref rid="f1-etm-02-01-0157" ref-type="fig">Fig. 1B and C</xref>).</p></sec>
<sec>
<title>Regulation of MTSS1 expression affects the rate of cell growth of prostate cancer cells</title>
<p><italic>Knockdown of MTSS1 expression increases prostate cancer cell growth</italic>. This study found that the levels of MTSS1 protein had an effect on the growth rate of cells. The effects of the suppression of MTSS1 expression on the growth of DU-145 cells was examined following a 5-day incubation period using an <italic>in vitro</italic> cell growth assay. There was a significant difference in the cell growth rate between the wild-type (DU-145 WT) and MTSS1-suppressed (DU-145 MTSSIKD) cells. Suppression of MTSS1 expression was found to increase the cell growth rate (DU-145 MTSSIKD compared to DU-145 WT cells; p&#x0003D;0.001) (<xref rid="f2-etm-02-01-0157" ref-type="fig">Fig. 2A</xref>).</p>
<p><italic>Enhanced MTSS1 expression suppresses prostate cancer cell growth</italic>. The growth capacity of the prostate cancer cells following MTSS1 overexpression was examined and compared to the wild-type cells using an <italic>in vitro</italic> cell growth assay for PC-3 cell lines. A significant reduction in cell growth after 5 days following enhancement of MTSS1 expression was noted (PC-3 MTSS1Exp when compared to PC-3 WT cells; p&#x0003D;0.002) (<xref rid="f2-etm-02-01-0157" ref-type="fig">Fig. 2B</xref>).</p></sec>
<sec>
<title>MTSS1 influences the adhesive ability of prostate cancer cell lines</title>
<p>To identify and examine the adhesive nature of the prostate cancer cells to attach to a basement membrane, an adhesion assay was carried out (<xref rid="f3-etm-02-01-0157" ref-type="fig">Fig. 3</xref>). The results obtained show a significant increase (DU-145 MTSSIKD compared to DU-145 WT cells; p&#x0003D;0.001) in the ability to adhere to a basement membrane (<xref rid="f3-etm-02-01-0157" ref-type="fig">Fig. 3A</xref>, top panel), indicating that the knockdown of MTSS1 expression in this cell line resulted in a dramatic increase in the degree of adhesion. However, a significant reduction (p&#x0003D;0.0001) in adhesive ability was noted when PC-3 MTSS1Exp cells were compared to PC-3 WT cells (<xref rid="f3-etm-02-01-0157" ref-type="fig">Fig. 3A</xref>, bottom panel).</p></sec>
<sec>
<title>MTSS1 has differential effects on the motile properties of the prostate cancer cell lines</title>
<p>The results revealed that the presence of MTSS1 had a significant impact on the motile nature of the prostate cancer cells (<xref rid="f3-etm-02-01-0157" ref-type="fig">Fig. 3B</xref>). A significant increase (p&#x0003D;0.0001) was observed in motility between the DU-145 MTSSIKD and DU-145 WT cells (<xref rid="f3-etm-02-01-0157" ref-type="fig">Fig. 3B</xref>, top panel). However, forced expression of MTSS1 in the PC-3 cell line resulted in a dramatic reduction in the degree of motility (PC-3 MTSS1Exp compared to PC-3 WT cells; p&#x0003D;0.002) (<xref rid="f3-etm-02-01-0157" ref-type="fig">Fig. 3B</xref>, bottom).</p>
<p>The DU-145 prostate cancer cells demonstrated motile properties in the wound closure motility assay; however, the absence of MTSS1 expression in these cells significantly increased cell migration to close the wound as compared to the DU-145 WT cells (p&#x0003D;0.001) (<xref rid="f4-etm-02-01-0157" ref-type="fig">Fig. 4A</xref>). As shown in <xref rid="f4-etm-02-01-0157" ref-type="fig">Fig. 4B</xref>, the presence of MTSS1 expression in the PC-3 MTSS1Exp cells significantly suppressed cell migration when compared to the extent of cell migration in the PC-3 WT cells (p&#x0003D;0.01).</p></sec></sec>
<sec sec-type="discussion">
<title>Discussion</title>
<p>In the present study, we examined a possible association between the expression of the metastasis suppressor gene (MTSS1) and prostate tumour cell invasive behaviour. Supported by a series of cellular function tests, the present study indicates that MTSS1 acts as a powerful inhibitor to the aggressiveness of prostate cancer cells. Our initial studies examined MTSS1 expression in a variety of human normal and cancer cell lines. We reported that cancer cell lines, DU-145 and 3T3, expressed moderate levels of MTTS1.</p>
<p>These cell lines are considered to be of a low/non-invasive nature. The aggressive cell lines, MDA-MB-231 and PC-3, are negative for MTSS1 expression. This is of note since it may indicate that levels of MTSS1 expression are inversely correlated with aggressiveness. This is reflected in our subsequent expression modification studies, in which we created two cell models, DU-145 MTSSIKD and PC-3 MTSS1Exp, with a differential pattern of MTSS1 expression.</p>
<p>The invasive MTSS1-negative PC-3 cell line was &#x02018;forced&#x02019; to overexpress MTSS1, while the non-invasive MTSS-positive DU-145 cell line had its MTSS1 expression levels &#x02018;knocked down&#x02019;. We used a range of biological function assays <italic>in vitro</italic> to assess the affect of the modification of MTSS1 expression on the metastatic nature of these prostate cancer cell lines. Our study provides evidence that the forced expression of MTSS1 in the PC-3 prostate cancer cells greatly reduced the aggressive nature of these cells by reducing their adhesive, growth and motile properties.</p>
<p>In contrast, the elimination of MTSS1 expression in the DU-145 cells exhibited an inverse effect. This low-invasive cell line displayed significant increases in tumour cell migration, growth and adhesion. Therefore, our findings suggest that MTSS1 plays a key role in determining the metastatic nature of prostate cancer cells.</p>
<p>Notably, Parr <italic>et al</italic> (<xref rid="b13-etm-02-01-0157" ref-type="bibr">13</xref>) revealed that MTSS1 acts as an indicator for survival for breast cancer patients. They demonstrated that patients expressing high levels of MTSS1 had a favourable prognosis in contrast to patients with low levels of MTSS1 expression who were associated with a poor prognosis. Utikal <italic>et al</italic> (<xref rid="b12-etm-02-01-0157" ref-type="bibr">12</xref>) suggested that the mechanism for the down-regulation of MTSS1 may involve DNA methylation. Overexpression of MTSS1 was found to enhance changes in cell shape, such as an increase in the formation of membrane ruffles and filopodia-like structures (<xref rid="b7-etm-02-01-0157" ref-type="bibr">7</xref>,10,<xref rid="b14-etm-02-01-0157" ref-type="bibr">14</xref>&#x02013;<xref rid="b16-etm-02-01-0157" ref-type="bibr">16</xref>).</p>
<p>MTSS1 has been shown to be a metastatic suppressor in bladder cancer (<xref rid="b6-etm-02-01-0157" ref-type="bibr">6</xref>). In contrast, MTSS1 expression was found to be similar in metastatic cell lines (<xref rid="b14-etm-02-01-0157" ref-type="bibr">14</xref>) and basal cell carcinomas (<xref rid="b9-etm-02-01-0157" ref-type="bibr">9</xref>). This regulation suggests that MTSS1 levels are likely to be controlled during cell growth and development, and that MTSS1 expression is altered in cancer cells, leading to changes in the signalling and architecture of the cytoskeleton.</p>
<p>One study reported that the down-regulation of MTSS1 expression in bladder cancer may correlate with the transition of tumour cells from a distinct epithelium-like morphology to less differentiated carcinomas (<xref rid="b17-etm-02-01-0157" ref-type="bibr">17</xref>,<xref rid="b18-etm-02-01-0157" ref-type="bibr">18</xref>). Another study found a dramatic increase in MTSS1 expression in normal liver specimens compared to matched hepatocellular carcinoma tumour tissue specimens (<xref rid="b18-etm-02-01-0157" ref-type="bibr">18</xref>).</p>
<p>Elevated MTSS1 expression was observed in early stage disease, suggesting that MTSS1 plays a key role in promoting the early development of hepatocellular carcinoma and may therefore serve as a biomarker for the prediction of early tumour development of hepatocellular carcinoma. Thus, it is likely that a metastasis suppressor for MTSS1 will be highly dependent upon tumour type (<xref rid="b13-etm-02-01-0157" ref-type="bibr">13</xref>).</p>
<p>In conclusion, our study indicates that MTSS1 is capable of modulating the metastatic ability in prostate cancer cells.</p></sec></body>
<back>
<ack>
<p>The authors wish to thank Cancer Research Wales for supporting their work.</p></ack>
<ref-list>
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<sec sec-type="display-objects">
<title>Figures</title>
<fig id="f1-etm-02-01-0157" position="float">
<label>Figure 1.</label>
<caption>
<p>Expression of MTSS1 in cancer cells and creation of sublines of prostate cancer cells with differential expression of MTSS1. (A) RT-PCR analysis of MTSS1 mRNA expression in different human cancer cell lines. MTSS1 was found to be highly expressed in DU-145 and 3T3 prostate cancer cells and at moderate levels in the CA-HPV-10 prostate and ZR 75-1 breast cancer cell lines, while the highly invasive prostate cancer cell line PC-3 exhibited no expression. (B) RT-PCR assessment of MTSS1 overexpression/ knockdown in the prostate cancer cell lines. MTSS1 was overexpressed in the PC-3 cell line, whereas the MTSS1 expression level was suppressed in DU-145 MTSSIKD cells. (C) Confirmation of MTSS1 protein levels by Western blotting. Results obtained at the mRNA level were confirmed at the protein level. (D) Quantitative-PCR assessment of MTSS1 overexpression. Quantification of MTSS1 transcripts in the PC-3 cell line verified the observations from the initial PCR data.</p></caption>
<graphic xlink:href="ETM-02-01-0157-g00.gif"/></fig>
<fig id="f2-etm-02-01-0157" position="float">
<label>Figure 2.</label>
<caption>
<p>Growth assay demonstrating the effect of MTSS1 expression levels on prostate cancer cell growth after 5 days of incubation. (A) An increase in the DU-145 MTSS1KD cell growth rate was observed following the knockdown of MTSS1 expression (p&#x0003D;0.001). (B) Overexpression of MTSS1 in the PC-3 cells (PC-3 MTSS1Exp) resulted in a significant decrease in the cell growth rate (p&#x0003D;0.002).</p></caption>
<graphic xlink:href="ETM-02-01-0157-g01.gif"/></fig>
<fig id="f3-etm-02-01-0157" position="float">
<label>Figure 3.</label>
<caption>
<p>Adhesion and cell motility assay demonstrating the effect of MTSS1 expression levels on prostate cancer cells. (A) Suppression of MTSS1 expression levels (DU-145 MTSS1 KD) enhanced the adhesive properties of the DU-145 prostate cancer cell line (<sup>&#x0002A;</sup>p&#x0003D;0.001 vs. control). A reduction in the adhesive nature of the PC-3 cells was observed by the forced expression of MTSS1 (<sup>&#x0002A;&#x0002A;</sup>p&#x0003D;0.0001 vs. control). (B) Suppression of MTSS1 in DU-145 cells resulted in reduced motility (<sup>&#x0002A;</sup>p&#x0003D;0.0001). Overexpression of MTSS1 in PC-3 cells led to decreased motility (p&#x0003D;0.002).</p></caption>
<graphic xlink:href="ETM-02-01-0157-g02.gif"/></fig>
<fig id="f4-etm-02-01-0157" position="float">
<label>Figure 4.</label>
<caption>
<p>Migration assay demonstrating the effect of MTSS1 expression levels on prostate cancer cells. (A) An increase in the cell motility rate of DU-145 MTSSIKD cells by the knockdown of MTSS1 expression. (B) Overexpression of MTSS1 in PC-3 cells significantly reduced the migration rate.</p></caption>
<graphic xlink:href="ETM-02-01-0157-g03.gif"/></fig></sec></back></article>
