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Sonic hedgehog paracrine signaling regulates metastasis and lymphangiogenesis in pancreatic cancer

Abstract

Sonic hedgehog (SHH) expression is tightly regulated throughout development. In the adult, aberrant expression of SHH is associated with the onset and progression of pancreatic cancer, as evidenced by increased levels of expression in premalignant and malignant lesions of the pancreas. We investigated the hypothesis that SHH, secreted from pancreatic tumors, functions in a paracrine manner to influence the biological condition of mesenchymal and endothelial cells. Orthotopic implantation of a pancreatic tumor cell line expressing SHH (Capan-2) and a transformed primary cell line that overexpresses SHH (T-HPNE.SHH) were used to show that overexpression of SHH increased primary tumor size and metastasis. Treatment with a neutralizing antibody, 5E1, decreased primary tumor volume and inhibited metastasis. Lyve-1+ vessels and stromal fibroblasts in tumors expressed primary cilium and showed localization of the receptor Smoothened to the primary cilium, providing evidence of active SHH signaling through this pathway. Although primary cilia are present on normal ductal cells of the pancreas, we did not observe primary cilium on the ductal tumor cells, suggesting decreased autocrine signaling through pathways mediated by the primary cilium in pancreatic cancer. These data support the hypothesis that SHH, secreted from pancreatic epithelia, is critical in establishing and regulating the tumor microenvironment and thereby contributes to progression of pancreatic cancer.

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Abbreviations

HPNE:

human pancreatic Nestin-expressing cell

hTert:

catalytic subunit of human telomerase used to immortalize HPNE cells

T-HPNE:

transformed HPNE cell line

T-HPNE+SHH:

transformed HPNE cell line expressing sonic hedgehog

SHH:

sonic hedgehog

MTT:

3-(4,5-dimethylthiazolyly-2)-2,5-diphenyltetrazolium bromide

Ptch:

Patched

Smo:

Smoothened

Hhip:

hedgehog-interacting protein

References

  • Apelqvist A, Ahlgren U, Edlund H . (1997). Sonic hedgehog directs specialised mesoderm differentiation in the intestine and pancreas. Curr Biol 7: 801–804.

    Article  CAS  Google Scholar 

  • Bailey JM, Swanson BJ, Hamada T, Eggers JP, Singh PK, Caffery T et al. (2008). Sonic hedgehog promotes desmoplasia in pancreatic cancer. Clin Cancer Res 14: 5995–6004.

    Article  CAS  Google Scholar 

  • Cano DA, Murcia NS, Pazour GJ, Hebrok M . (2004). Orpk mouse model of polycystic kidney disease reveals essential role of primary cilia in pancreatic tissue organization. Development 131: 3457–3467.

    Article  CAS  Google Scholar 

  • Cano DA, Sekine S, Hebrok M . (2006). Primary cilia deletion in pancreatic epithelial cells results in cyst formation and pancreatitis. Gastroenterology 131: 1856–1869.

    Article  CAS  Google Scholar 

  • Corbit KC, Aanstad P, Singla V, Norman AR, Stainier DY, Reiter JF . (2005). Vertebrate Smoothened functions at the primary cilium. Nature 437: 1018–1021.

    Article  CAS  Google Scholar 

  • Feldmann G, Dhara S, Fendrich V, Bedja D, Beaty R, Mullendore M et al. (2007). Blockade of hedgehog signaling inhibits pancreatic cancer invasion and metastases: a new paradigm for combination therapy in solid cancers. Cancer Res 67: 2187–2196.

    Article  CAS  Google Scholar 

  • Heeschen C . (2008). ELETTERs (http://www.jci.org/eletters/view/34401). J Clin Invest.

  • Hermann PC, Huber SL, Herrler T, Aicher A, Ellwart JW, Guba M et al. (2007). Distinct populations of cancer stem cells determine tumor growth and metastatic activity in human pancreatic cancer. Cell Stem Cell 1: 313–323.

    Article  CAS  Google Scholar 

  • Hoffmann AC, Mori R, Vallbohmer D, Brabender J, Klein E, Drebber U et al. (2008). High expression of HIF1a is a predictor of clinical outcome in patients with pancreatic ductal adenocarcinomas and correlated to PDGFA, VEGF, and bFGF. Neoplasia 10: 674–679.

    Article  Google Scholar 

  • Hwang JM, Weng YJ, Lin JA, Bau DT, Ko FY, Tsai FJ et al. (2008). Hypoxia-induced compensatory effect as related to Shh and HIF-1alpha in ischemia embryo rat heart. Mol Cell Biochem 311: 179–187.

    Article  CAS  Google Scholar 

  • Ingham PW, McMahon AP . (2001). Hedgehog signaling in animal development: paradigms and principles. Genes Dev 15: 3059–3087.

    Article  CAS  Google Scholar 

  • Jemal A, Tiwari RC, Murray T, Ghafoor A, Samuels A, Ward E et al. (2004). Cancer statistics, 2004. CA Cancer J Clin 54: 8–29.

    Article  Google Scholar 

  • Kawahira H, Scheel DW, Smith SB, German MS, Hebrok M . (2005). Hedgehog signaling regulates expansion of pancreatic epithelial cells. Dev Biol 280: 111–121.

    Article  CAS  Google Scholar 

  • Kayed H, Kleeff J, Osman T, Keleg S, Buchler MW, Friess H . (2006). Hedgehog signaling in the normal and diseased pancreas. Pancreas 32: 119–129.

    Article  CAS  Google Scholar 

  • Lee KM, Nguyen C, Ulrich AB, Pour PM, Ouellette MM . (2003). Immortalization with telomerase of the Nestin-positive cells of the human pancreas. Biochem Biophys Res Commun 301: 1038–1044.

    Article  CAS  Google Scholar 

  • Li C, Heidt DG, Dalerba P, Burant CF, Zhang L, Adsay V et al. (2007). Identification of pancreatic cancer stem cells. Cancer Res 67: 1030–1037.

    Article  CAS  Google Scholar 

  • Lipinski RJ, Gipp JJ, Zhang J, Doles JD, Bushman W . (2006). Unique and complimentary activities of the Gli transcription factors in hedgehog signaling. Exp Cell Res 312: 1925–1938.

    Article  CAS  Google Scholar 

  • Liu MS, Yang PY, Yeh TS . (2007). Sonic hedgehog signaling pathway in pancreatic cystic neoplasms and ductal adenocarcinoma. Pancreas 34: 340–346.

    Article  CAS  Google Scholar 

  • Marigo V, Davey RA, Zuo Y, Cunningham JM, Tabin CJ . (1996). Biochemical evidence that patched is the hedgehog receptor. Nature 384: 176–179.

    Article  CAS  Google Scholar 

  • McMahon AP, Ingham PW, Tabin CJ . (2003). Developmental roles and clinical significance of hedgehog signaling. Curr Top Dev Biol 53: 1–114.

    Article  CAS  Google Scholar 

  • Morton JP, Mongeau ME, Klimstra DS, Morris JP, Lee YC, Kawaguchi Y et al. (2007). Sonic hedgehog acts at multiple stages during pancreatic tumorigenesis. Proc Natl Acad Sci USA 104: 5103–5108.

    Article  CAS  Google Scholar 

  • Murone M, Rosenthal A, de Sauvage FJ . (1999). Sonic hedgehog signaling by the patched-smoothened receptor complex. Curr Biol 9: 76–84.

    Article  CAS  Google Scholar 

  • Nagai S, Nakamura M, Yanai K, Wada J, Akiyoshi T, Nakashima H et al. (2008). Gli1 contributes to the invasiveness of pancreatic cancer through matrix metalloproteinase-9 activation. Cancer Sci 99: 1377–1384.

    Article  CAS  Google Scholar 

  • Nagase T, Nagase M, Machida M, Fujita T . (2008). Hedgehog signalling in vascular development. Angiogenesis 11: 71–77.

    Article  CAS  Google Scholar 

  • Nielsen SK, Mollgard K, Clement CA, Veland IR, Awan A, Yoder BK et al. (2008). Characterization of primary cilia and hedgehog signaling during development of the human pancreas and in human pancreatic duct cancer cell lines. Dev Dyn 237: 2039–2052.

    Article  CAS  Google Scholar 

  • Odent S, Atti-Bitach T, Blayau M, Mathieu M, Aug J, Delezo de AL et al. (1999). Expression of the sonic hedgehog (SHH) gene during early human development and phenotypic expression of new mutations causing holoprosencephaly. Hum Mol Genet 8: 1683–1689.

    Article  CAS  Google Scholar 

  • Pasca di Magliano M, Hebrok M . (2003). Hedgehog signalling in cancer formation and maintenance. Nat Rev Cancer 3: 903–911.

    Article  Google Scholar 

  • Pasca di Magliano M, Sekine S, Ermilov A, Ferris J, Dlugosz AA, Hebrok M . (2006). Hedgehog/Ras interactions regulate early stages of pancreatic cancer. Genes Dev 20: 3161–3173.

    Article  CAS  Google Scholar 

  • Pepinsky RB, Rayhorn P, Day ES, Dergay A, Williams KP, Galdes A et al. (2000). Mapping sonic hedgehog-receptor interactions by steric interference. J Biol Chem 275: 10995–11001.

    Article  CAS  Google Scholar 

  • Peralta Soler A, Knudsen KA, Jaurand MC, Johnson KR, Wheelock MJ, Klein-Szanto AJ et al. (1995). The differential expression of N-cadherin and E-cadherin distinguishes pleural mesotheliomas from lung adenocarcinomas. Hum Pathol 26: 1363–1369.

    Article  CAS  Google Scholar 

  • Rohatgi R, Milenkovic L, Scott MP . (2007). Patched1 regulates hedgehog signaling at the primary cilium. Science 317: 372–376.

    Article  CAS  Google Scholar 

  • Straface G, Aprahamian T, Flex A, Gaetani E, Biscetti F, Smith RC et al. (2008). Sonic hedgehog regulates angiogenesis and myogenesis during post-natal skeletal muscle regeneration. J Cell Mol Med (e-pub ahead of print, http://www3.interscience.wiley.com/journal/120855850/abstract, doi:10.1111/j.1582-4934.2008.00440.x).

    Article  Google Scholar 

  • Thayer SP, di Magliano MP, Heiser PW, Nielsen CM, Roberts DJ, Lauwers GY et al. (2003). Hedgehog is an early and late mediator of pancreatic cancer tumorigenesis. Nature 425: 851–856.

    Article  CAS  Google Scholar 

  • Tian H, Callahan CA, Dupree KJ, Darbonne WC, Ahn CP, Scales SJ et al. (2009). Hedgehog signaling is restricted to the stromal compartment during pancreatic carcinogenesis. Proc Natl Acad Sci USA 106: 4254–4259.

    Article  CAS  Google Scholar 

  • Tsutsumida H, Swanson BJ, Singh PK, Caffrey TC, Kitajima S, Goto M et al. (2006). RNA interference suppression of MUC1 reduces the growth rate and metastatic phenotype of human pancreatic cancer cells. Clin Cancer Res 12: 2976–2987.

    Article  CAS  Google Scholar 

  • Velcheti V . (2007). Hedgehog signaling is a potent regulator of angiogenesis in small cell lung cancer. Med Hypotheses 69: 948–949.

    Article  CAS  Google Scholar 

  • Villavicencio EH, Walterhouse DO, Iannaccone PM . (2000). The sonic hedgehog–patched–gli pathway in human development and disease. Am J Hum Genet 67: 1047–1054.

    Article  CAS  Google Scholar 

  • Wahl 3rd JK, Kim YJ, Cullen JM, Johnson KR, Wheelock MJ . (2003). N-cadherin-catenin complexes form prior to cleavage of the proregion and transport to the plasma membrane. J Biol Chem 278: 17269–17276.

    Article  CAS  Google Scholar 

  • Yauch RL, Gould SE, Scales SJ, Tang T, Tian H, Ahn CP et al. (2008). A paracrine requirement for hedgehog signalling in cancer. Nature 455: 406–410.

    Article  CAS  Google Scholar 

  • Zhang Q, Davenport JR, Croyle MJ, Haycraft CJ, Yoder BK . (2005). Disruption of IFT results in both exocrine and endocrine abnormalities in the pancreas of Tg737(orpk) mutant mice. Lab Invest 85: 45–64.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We thank Dr Kim McDermott for insight, comments and suggestions. We also thank Dr Rick Tempero and Dr Phil Kelley for the gift of HMVEC cells and suggestions related to their use. This work was supported by grants from the National Institutes of Health (R01CA57362, P30CA36727, U01CA111294), training grant awards to JMB and AMM (CA09476) and assistantship awards from the University of Nebraska (JMB).

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Correspondence to M A Hollingsworth.

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Supplementary Information accompanies the paper on the Oncogene website (http://www.nature.com/onc)

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Bailey, J., Mohr, A. & Hollingsworth, M. Sonic hedgehog paracrine signaling regulates metastasis and lymphangiogenesis in pancreatic cancer. Oncogene 28, 3513–3525 (2009). https://doi.org/10.1038/onc.2009.220

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