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Department of Veterans Affairs, Nashville, Tennessee; and
* Department of Cancer Biology, Vanderbilt University School of Medicine, Nashville, Tennessee
Correspondence: Ann Richmond, Department of Cancer Biology, Vanderbilt University School of Medicine, MCN T-2212, Nashville, TN 37232. E-mail: ann.richmond{at}mcmail.vanderbilt.edu
| ABSTRACT |
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), plays a major role in inflammation, angiogenesis, tumorigenesis, and wound healing. Recently, chemokines have been extensively related to cellular transformation, tumor growth, homing, and metastasis. CXCL1 and its mouse homologue MIP-2 have been shown to be involved in the process of tumor formation. When chemokines such as CXCL1 and CXCL8 (IL-8) become disregulated so that they are chronically expressed, tissue damage, angiogenesis, and tumorigenesis can follow. This up-regulation of chemokines has been attributed to constitutive activation of NF-
B. The constitutive NF-
B activation is an emerging hallmark in various types of tumors including breast, colon, pancreatic, ovarian, as well as melanoma. Previous findings from our laboratory and other laboratories have demonstrated the role of endogenous activation of NF-
B in association with enhanced metastatic potential of malignant melanoma cells and suggest that targeting NF-
B may have potential therapeutic effects in clinical trials. An important step in this direction would be to delineate the important intracellular pathways and upstream kinases involved in up-regulation of NF-
B in melanoma cells. In this review, the signaling pathways involved in the disregulation of NF-
B and chemokine expression are discussed.
Key Words: chemokines NF-
B signaling
| INTRODUCTION |
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Chemokines and their receptors
The chemokines consist of two major families, CXC or
chemokines and CC or ß chemokines, and two minor families, C or
chemokines and CX3C or
chemokine [7
, 8
]. The CXC family has an amino acid (aa) positioned between the first and second cysteine, whereas the CC family has two cysteines positioned side by side. The CXC chemokine family has been subdivided into two categories depending on presence of an ELR motif (glutamic acid-leucine-arginine) preceding the first cysteine residue in the protein. The C chemokine family is represented mainly by lymphotactin, and the CX3C family exhibits 3 amino acid between the first two cysteines and is represented by fractalkine or neurotactin.
Chemokines regulate angiogenesis, a process upon which tumors depend for growth, survival, invasion, and metastasis. CXC chemokines can regulate angiogenesis both positively and negatively depending on the presence or absence of ELR in their NH2 terminus [9
10
11
]. Members of the CXC family that behave as angiogenic factors include CXCL8 [interleukin-8 (IL-8)], CXCL1-3 [melanoma growth-stimulating activity (MGSA)
, ß, and
], CXCL5 (epithelial-derived neutrophil-activating factor-78), CXCL6 [(granulocyte chemotactic protein-2)], and CXCL7 (neutrophil-activating polypeptide-2). The overexpression of (ELR-) chemokines, such as CXCL9 [also known as monokine induced by interferon-
(IFN-
)] or CXCL10 (IFN-inducible protein 10) in human lymphomas, grown in nude mice or human non-small cell lung cancer grown in severe combined immunodeficiency (SCID) mice, leads to spontaneous regression that is directly related to impaired angiogenesis [12
].
The specific effects of chemokines on their target cells are mediated by a family of 7-transmembrane (7TM) G-protein-coupled receptors (GPCR). These chemokine receptors are part of a much bigger superfamily of GPCR that include receptors for hormones, neurotransmitters, paracrine substances, and inflammatory mediators [13 ]. Chemokine receptors vary significantly in their expression, binding, and response to specific chemokines on different cell types. Chemokine receptors have also recently been implicated in several disease states including allergy, psoriasis, atherosclerosis, malaria, and AIDS [14 15 16 17 18 ]. Six receptors have been characterized for CXC chemokines (CXCR1CXCR6), and 10 receptors for CC chemokines (CCR1CCR10). XCR1 is the receptor for XCL1 (lymphotactin) and CX3CR1 for CX3CL1 (fractalkine) (see ref [19 ] for review). A chemokine-binding protein, also known as the Duffy antigen receptor for chemokines, has been shown to bind promiscuously to CXC and CC chemokines [20 ]. In addition, other 7TM GPCR, encoded by herpes- and poxviruses, have been identified [21 , 22 ]. Significant advances have been made in understanding the regulation of chemokine receptor expression and the intracellular signaling mechanisms used in bringing about cell activation.
Chemokine and chemokine receptor expression in association with transformation
For more than a decade, chemokines have been recognized as important molecules for the homing of a population of leukocytes under conditions of homeostasis and inflammatory and/or immunological responses. However, recent studies are providing an equally important role for these chemotactic cytokines in tumor biology [23
]. Chemokines display autocrine, paracrine, and hormonal roles in promoting tumorigenesis, invasion, homing, and metastasis to distant, preferential target organs (Fig. 1
). An understanding of this expanded role in promoting tumor biology should open new doors to therapeutic intervention.
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KSHV-GPCR (the human GPCR encoded by the Kaposis sarcoma herpesvirus) signals constitutively, and signaling is further augmented by the binding of CXC chemokine ligands such as CXCL1 [24 ]. Expression of this receptor is associated with transformation [25 ]. A point mutation of CXCR2, but not CXCR1, results in constitutive signaling of the receptor and transformation of transfected cells in a similar manner to the KSHV-GPCR [26 ]. Thus, CXC chemokine receptor CXCR2 is thought to participate in cellular transformation. This and several other studies support the hypothesis that expression of CXCR2 on certain cells in the presence of persistent autocrine and paracrine stimulation with specific CXC chemokine ligands can promote preneoplastic-to-neoplastic cellular transformation.
Recently, Müller et al. [27 ] have shown that expression of specific chemokine receptors is an essential event that leads to the homing and metastasis of breast cancer. This occurs in a chemokine ligand and receptor-dependent manner. In breast cancer cells, signaling through CXCR4 or CCR7 was found to mediate actin polymerization and pseudopodia formation and subsequently, induce local chemotactic and invasive responses. Thus, it appears that chemokine ligands and their receptors dictate the precise destination of metastatic tumor cells to specific organs. Furthermore, the association of expression of CCR10 and its ligand CCL27/CTACK7 in malignant melanoma cells and the high incidence of skin metastases in this malignant disease support the involvement of chemokine receptors in metastasis [28 ]. In addition, other cancers of haematopoietic and nonhaematopoietic origin, including acute myeloid leukaemia, chronic lymphoblastic leukemia, chronic lymphocytic leukemia, non-Hodgkins B-cell lymphoma, ovarian cancer, and pancreatic cancer, express functionally active chemokine receptors that mediate tumor cell migration in vitro [29 30 31 32 ].
The CXC chemokines containing an ELR motif include CXCL1, 2, 3, 5, 6, 7, and 8 [33 34 35 ]. These chemotactic cytokines act through CXCR1 and/or CXCR2 receptors. Our laboratory focuses mainly on the role of chemokines in melanoma. CXCL1 and CXCL8 are members of the CXC chemokine subfamily and are associated with metastatic melanoma. The mouse CXCL1 homologues are keratinocytes and macrophage-inflammatory protein-2 (MIP-2). CXCL1 (MGSA) was first purified in our laboratory from human melanoma-conditioned medium [36 ]. CXCL1 is shown to be up-regulated in melanoma cells, and it is involved in pathogenesis of melanoma. We have shown previously that human-cultured nevi and melanoma continue to express CXCL1 mRNA in the absence of serum or exogenous growth factors, but cultured normal melanocytes express little CXCL1 [37 38 39 40 ]. In addition, studies by Norgauer et al. [41 ] have demonstrated that secretion of MGSA in melanoma cell lines was 6- to 16-fold higher than normal melanocytes. Norgauer et al. [41 ] also showed enhanced expression of CXCR2 in melanoma tumor cells as compared with normal melanocytes. The biological functions of CXCL1 are mediated through 7TM GPCR. CXCL1 binds and activates CXCR2. The biological functions include regulation of cell growth/cell viability and cell motility. CXCL1 modulates inflammation, angiogenesis, wound healing, and tumorigenesis [42 43 44 ]. In this review, we will focus mainly on chemokines as modulators of tumorigenesis.
Our laboratory and others have shown previously that overexpression of CXCL1 or CXCL8 in melanocytes is associated with enhanced growth, ability to form tumors in nude and SCID mice, and enhanced metastatic capacity in melanoma tumors [45 46 47 48 ]. Antibodies to these ligands or their receptor, CXCR2, can block these processes [41 , 48 ]. Overexpression of CXCL1 in immortalized melanocytes transformed these cells such that they developed the capability to form tumors in nude and SCID mice [44 ]. Furthermore, antiserum to CXCL1 inhibits tumor growth by melan-a cells expressing CXCL1 proteins [43 ]. Thus it is clear that this chemokine has strong tumorigenic potential for melanocytes.
Malignant melanoma is the most dangerous skin cancer, which, if not detected early, may metastasize with fatal consequences. The prevalence of skin cancer and melanoma is increasing at an alarming rate. About 80,000 cases of melanoma are diagnosed each year [49
]. A key event in development of melanoma is mutation of key cell regulatory genes resulting in loss of tumor suppressors combined with constitutive expression of oncogenes, chemotactic cytokines (chemokines), and other growth factors. Many laboratories, including our own, have shown disregulation of nuclear factor-
B (NF-
B)-dependent angiogenic chemokines such as CXCL1 and CXCL8 in human melanoma [50
51
52
53
]. It is interesting that the NF-
B site is present not only in the promoter of angiogenic chemokines, but also in angiostatic chemokines such as the IFN-
-inducible chemokine CXCL10. While NF-
B might potentially be involved in promoting transcription of angiogenic and angiostatic chemokines, NF-
B does not act alone in modulating chemokine expression. Its transcriptional activity is modulated by coactivators and repressors, which constitute the functional enhanceosome. For example, IFN-
is the major activator of CXCL10 transcription [54
], and NF-
B may further modify that IFN-
-induced transcription. Thus, constitutive expression of NF-
B in tumor cells has the potential for facilitating immortalization of these tumors and escape from apoptosis, but this facilitation would be dependent in the context of other coactivators or repressors of transcription.
| MECHANISM OF DISREGULATION OF CXCL1 EXPRESSION IN MELANOMA |
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(TNF-
) [55
]. In contrast, malignant melanoma cells exhibit high constitutive levels of CXCL1 mRNA and proteins (Fig. 2
). IL-1 treatment does not significantly increase the elevated levels of the gene, although it does appear to stabilize CXCL1 mRNA [51
]. Transcription of the CXCL1 gene is regulated largely through a 306-bp minimal promoter situated immediately upstream of the transcription start site. The four cis-acting elements comprising the minimal promoter include a TATA box (2530 nt), a NF-
B-binding site (6777 nt), an AT-rich high mobility group protein I (HMGI) (Y)-binding element nested within the NF-
B site, an immediate upstream region (IUR; 7893 nt), and a GC-rich SP1-binding site (117128 nt) [56
]. The IUR is an
20-bp sequence that is located immediately upstream of the NF-
B element in the CXCL1 promoter.
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B constitutes a family of proteins, which are regulated at the level of transcription, translation, or post-translational processing. Disregulation of NF-
B transcription machinery and constitutive expression of chemotactic cytokines are factors thought to be early events in malignant tumor progression. Rel/NF-
B, a family of structurally related DNA-binding proteins, has been implicated in the regulation of cell growth and oncogenesis based on its induction of proliferative and antiapoptotic gene products. In nonstimulated, nontransformed cells, NF-
B is sequestered in the cytoplasm and is complexed with I
B, a family of inhibitory proteins, which bind to NF-
B and mask its nuclear localization signal, thereby preventing nuclear transport of NF-
B [57
]. On activation, I
B becomes phosphorylated, ubiquitinated, and degraded, freeing the NF-
B p65/p50 or p65/p52 complex to move to nucleus and bind specific DNA promoter sequences. The cytokine-induced I
B phosphorylation and subsequent degradation are regulated by activation of a recently described macromolecular complex, the "signalosome" called I
B kinase or IKK (700900 kDa) [58
59
60
61
62
63
]. The IKK complex consists of two catalytic units, IKK-
and IKK-ß (also referred to as IKK-1 and IKK-2), which can directly phosphorylate I
B, as well as a regulatory subunit IKK
or NF-
B essential modulator (NEMO) [64
]. IKK-1 and -2 can phosphorylate I
B-
at serine 32 and 36 in vitro. Furthermore, recent studies of transient overexpression have suggested that some mitogen-activated protein kinase kinase kinases (MAPKKKs), including NF-
B-inducing kinase (NIK) and MEKK13, are involved in the activation of the IKK complex [65
66
67
68
]. NF-
B is also regulated by other kinases, including phosphatidylinositol 3 kinase (PI3K) and Akt [69
, 70
] (Fig. 3
).
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B in CXCL1 promoter activation
B element, the IUR element is essential for basal as well as cytokine-induced expression of the CXCL1 gene. In particular, point mutations within a putative TCGAT motif of the IUR element abolished basal and IL-1-induced transcription in reporter gene assays with RPE and Hs294T cells. Furthermore, in electrophoretic mobility shift assays (EMSA), these mutations blocked the ability of this element to compete with a constitutive, IUR-specific complex in RPE and Hs294T nuclear extracts [54
]. UV cross-linking and southwestern blot analyses revealed that at least one protein, having a relative molecular size of 115 kDa, bound the IUR element in a sequence-specific manner [71
]. Purification of the 115-kDa IUR-specific protein by oligonucleotide-affinity chromatography revealed its identity as the PARP and demonstrated that it plays a role in the activation of the CXCL1 promoter [72
]. PARP is a 114115-kDa nuclear DNA-binding protein, which catalyzes the transfer of long, branched ADP-ribose chains to itself or different classes of target proteins involved in chromatin decondensation, DNA replication, DNA repair, and gene expression [73
, 74
]. ADP-ribosylated PARP can affect a cellular processes such as apoptosis, necrosis, cellular differentiation, and malignant transformation [75
]. To determine whether the 20-bp IUR element is a binding site for known transcription factors, the CXCL1 promoter was also analyzed within a transcriptional element database (Transfac) using a Web-based search engine, the Transcription Element String Search (TESS). The search identified the CXCL1 IUR element as a putative binding site for the human CDP, which is highly homologous to the Drosophila CCAAT displacement protein homologue (CUT) protein [76
]. The human CDP is a homeodomain protein, which is composed of an N-terminal, coiled-coiled domain, three highly homologous
70-aa long CUT repeat domains, a C-terminal homeodomain, and two transcription-repression domains [77
, 78
]. CDP is an active repressor of cell cycle-dependent or differentiation-specific genes including the gp91-phox, p21WAF1/CIP1/SDI1, osteocalcin, thymidine kinase, cystic fibrosis-related transconductance receptor, and c-myc [79
80
81
82
83
]. CDP is a 170-kDa protein. In EMSAs, recombinant CDP polypeptides bound the IUR element in a sequence-selective manner [76
]. In cotransfection experiments, overexpression of the CDP protein inhibited CXCL1 promoter activity, whereas overexpression of antisense CDP mRNA induced CXCL1 promoter activity fivefold over the control [76
]. These results indicate that the transcription of the CXCL1 gene is negatively regulated by the CDP. It is possible that CDP-mediated repression may also involve displacement of other transactivating factors that bind to the CXCL1 promoter, such as NF-
B, Sp1, HMGI (Y), PARP, or factors contributing to the stability of the CXCL1 enhanceosome. However, there is no direct evidence to support this hypothesis.
Enhanceosome models for cytokine gene expression, analogous to the CXCL1 paradigm, have been proposed for the regulation of IL-6 and CXCL8 (IL-8) promoters [84
]. Both promoters have binding sequences for the NF-
B, CCAAT/enhancer binding protein, and TATA binding protein. The strongest promoter activation relies on the p65 NF-
B subunit, which specifically recruits cyclic AMP response element-binding (CREB) protein (CBP/p300) to the site.
Engagement of CBP/p300 in the enhanceosome and its histone acetylase activity have been proposed to stabilize the enhanceosome and stimulate transcription from these promoters. In an independent study, CDP has been shown to interact physically with CBP/p300 and is a target for acetylation at specific residues near the homeodomain [85
]. These models strongly implicate antagonistic roles for CBP/p300 and CDP in the regulation of IL-6 and CXCL8 transcription, although direct involvement of CDP in regulation of either promoter has not been established. Transcription repression by CDP may also involve its ability to recruit a histone deacetylase activity, HDAC1, leading to deacetylation of histones, a phenomenon consistent with transcriptionally inert chromatin [86
]. Similar interactions among NF-
B, CBP/p300, and CDP may be involved in the regulation of CXCL1 gene regulation. The relevance of the IUR binding factors, CDP and PARP, is of potential interest in disorders such as chronic inflammatory conditions and malignancy, where constitutive overexpression of the CXCL1 gene contributes to disease etiology. Interactions of CDP with the IUR cis-acting element may allow for tight repression of the CXCL1 gene. The loss or displacement of CDP may be an important phenomenon in the short-term induction of the CXCL1 gene, usually associated with acute inflammatory responses, or in the constitutive, high-level expression of CXCL1 observed in chronic inflammatory processes, tumorigenesis, and malignant melanoma.
Upstream signals that lead to endogenous activation of NF-
B in melanoma cells
Our laboratory has demonstrated that melanoma cells exhibit endogenous nuclear activation of NF-
B through EMSAs and luciferase reporter assays. In addition, I
B is degraded more rapidly in melanoma cells than in normal cells [87
]. Transfection of melanoma cells with the dominant negative inhibitor of NF-
B (I
B
N) reduced the tumor growth, reduced the metastatic potential, reduced IL-8 production, and reduced growth of CD31-positive blood vessel in the tumor. These data support the role for endogenous activation of NF-
B in association with enhanced metastatic potential for malignant melanoma cells.
The level of IKK activity was assessed in eight melanoma cell lines by immunoprecipitating IKK-
and -ß using glutathione-S-transferase-I
B
(aa 154) as a substrate. The results showed that, compared with NHEM, the activities of I
B kinases were 3- to 14-fold higher in melanoma cells [88
]. Thus, melanoma cells exhibit constitutively high IKK activity, persistent overexpression of nuclear NF-
B p65/p50, and increased basal CXCL1 transcription.
NIK is up-regulated in melanoma cells
NIK was identified by means of its association with TNF receptor-associated factor 2 (TRAF2) and has been shown to potently activate NF-
B when overexpressed [65
]. Expression of kinase-defective forms of NIK blocks NF-
B activation in response to most inducers. NIK has been hypothesized to be involved directly in TNF-
-induced activation of NF-
B and has been suggested to be involved in NF-
B activation in response to other stimuli, especially IL-1 [89
]. However, NIK also interacts with other TRAF proteins, including TRAF3, which appears not to be involved in NF-
B activation [90
]. That NIK interacts strongly and preferentially with IKK
and ß and activates their phosphorylation has been confirmed using the yeast two-hybrid system as well as protein interaction studies [91
]. However, recent results from IKK and NIK knockout studies demonstrate that IKK
and NIK are not required for IKK activation by TNF-
[92
]. The signaling pathways involved in regulation of cell proliferation, survival, and oncogenesis are of prime interest in cancer biology. Since its discovery, Rel/NF-
B has been the focus of intensive research, especially the mechanism(s) that control its activation. More than 60% of the melanoma cells studied to date showed higher expression of CXCL1, CXCL8, IL-1ß, IL-6, basic fibroblast growth factor, IL-7, platelet-derived growth factor, IL-10, granulocyte macrophage-colony stimulating factor, insulin-like growth factor-1, nerve growth factor, vascular endothelial growth factor, epidermal growth factor, and transforming growth factor-ß at mRNA level [93
]. The majority of these genes contain a NF-
B element in their inducible promoter. As mentioned above, our laboratory has previously shown a higher level of CXCL1 expression in malignant melanoma cells as compared with normal melanocytes [88
]. This increase in IKK activity is responsible for increased I
B phosphorylation and degradation, thereby increasing NF-
B activation and nuclear localization, which finally leads to increased expression of CXCL1. So far, proinflammatory cytokines have been shown to activate NF-
B through an NIK/MEKK-IKK-I
B signaling pathway in many cell types. However, the proteins responsible for regulating IKK activation in melanoma cells are not known. Preliminary data suggest that NIK kinase is required for the up-regulation of NF-
B activity in melanoma cells.
Tumor expression of oncogenes is associated with the hyperactivation of growth and survival pathways. This causes constitutive activation of these signaling pathways without requirement of exogenously derived signals. In spite of the numerous tropic factors and receptors that govern the survival of specific cells, many of these receptors use common intracellular signaling molecules and pathways to mediate their signals. Of these, the two pathways that have a central role in the survival signaling are the PI3K/Akt, the Ras/MAPK pathways.
Ras activates NF-
B and protects cells from apoptosis
Ras family members play important roles in cell growth, differentiation, transformation, and apoptosis. It has been demonstrated that overexpression of any of three normal Ras genes, N-Ras, H-Ras, or K-Ras, leads to in vitro transformation [94
]. In vivo overexpression of normal N-Ras is associated with development of hyperplasia and tumors in transgenic mice [95
]. A newly described form of ras, called M-Ras, is closely related to R-Ras, Tc21, H-Ras, K-Ras, and N-Ras [96
]. Overexpression of activated Ras in melanocytes null for p16 INK4a/ARF p19 induces overexpression of mutant-activated M-Ras and induces transforming foci in NIH3T3 cells, although the ability of M-Ras to induce transforming foci is weaker than that of Ha-Ras [97
]. Activation of the PI3K/Ras/Raf/Soc/MEK/ERK pathway is common for GPCR [98
]. Enhanced Ras activity results in increased myc expression, G1/S phase transition, and enhanced NF-
B and AP1 activity. Thus, Ras might be activating NF-
B and hence chemokine expression. The up-regulation of chemokine expression has potential for tumor progression. Activating mutations of Ras are also prevalent in 90% of pancreatic adenocarcinomas and in 50% of colon and thyroid tumors.
Unpublished data from our laboratory has shown that N-Ras is up-regulated in most melanoma cells, and H-, K-, and R-Ras expression is not altered substantially. In an attempt to identify CXCL1/GRO-regulated genes, which may be involved in CXCL1/GRO-induced melanocyte transformation, we found, using differential display, that continuous expression of CXCL1 or CXCL3 up-regulates the expression of M-Ras at the mRNA and protein levels. The ELR motif is required for receptor activation by CXCL1. The melan-a clones expressing the ELR motif mutant forms of CXCL1 failed to exhibit increased Ras protein expression. An in vitro transformation assay demonstrated that M-Ras could induce cellular transformation in a manner similar to CXCL1 in control melan-a cells [99
]. Overexpression of dominant-negative M-Ras in CXCL1 expressing melan-a cells blocked transformation. Thus, CXCL1-mediated transformation requires Ras activation in melanocytes. CXCL1 expressing melan-a clones exhibited enhanced NF-
B and AP-1 activity. In vitro transformation assays demonstrated that M-Ras overexpression induced cellular transformation in a manner similar to CXCL1 in control melan-a cells. Conversely, overexpression of dominant-negative M-Ras in CXCL1 expressing melan-a s cells blocked transformation. Thus, CXCL1-mediated transformation requires Ras activation in melanocytes. Previous studies have shown that NF-
B activation suppresses apoptosis [100
]. To test whether CXCL1-induced NF-
B was facilitating transformation by allowing melanocytes to escape from apoptosis, the super repressor of NF-
B (I
B-
N) was overexpressed in immortalized murine melanocyte clones. These cells exhibited a fivefold loss in cell viability and a fivefold increase in apoptosis, compared with cells transfected with control vector. Thus overall, the data suggest that NF-
B activation protects against Ras-mediated apoptosis.
Akt is activated constitutively in some melanoma cells leading to activation of NF-
B
As ras-activating factors are secreted by melanoma cells, ras activation might lead to enhanced PI3K activity in melanoma cell lines, which would result in constitutive activation of protein kinase B (PKB) or Akt. PKB/Akt is the cellular homologue of the transforming viral oncogene v-Akt and bears significant homology to PKA and PKC [101
]. Akt is a serine/threonine protein kinase involved in regulation of cell survival signals. The three mammalian isoforms all contain an N-terminal PH domain, a central kinase domain with an activation loop, and a C-terminal domain. Akt function is controlled by localization to the membrane, which is dependent on available phosphotidylinositol phosphates (PIPs), and by the level of its phosphorylation. Akt is phosphorylated at two sites, the Thr-308 phosphorylation site in the kinase domain and a conserved, regulatory serine phosphorylation site, Ser-473, near the C terminus [102
]. Receptor protein tyrosine kinase activation leads to production of PtdIns(3,4,5)P3 and PtdIns(3,4)P2 at the inner leaflet of the membrane. Subsequently, these membrane lipids recruit Akt to the inner leaflet of plasma membrane, where PDK-1 is located. With lipid/membrane association, there is a conformational change in Akt, exposing Ser-473 and Thr-308. Subsequently, PDK-1 phosphorylates Thr-308 in Akt, stabilizing the activation loop. Phosphorylation of Thr-308 is a prerequisite for kinase activation, but phosphorylation of Ser473 in the C-terminal hydrophobic residue is required for full activation of Akt kinase. The identity of the kinase responsible for phosphorylating the Ser-473 site (putatively termed PDK-2) remains elusive [103
]. In a later phase through unknown mechanisms, activated Akt is translocated to the nucleus, where several of its substrates reside [104
]. Thus far, at least 13 Akt substrates have been identified in mammalian cells, and they fall into two main classes: regulators of apoptosis and regulators of cell growth, including protein synthesis and glycogen metabolism, and cell-cycle regulation on the other. All identified substrates are phosphorylated within the same basic motif, R-X-R-X-X-S/T. The Akt substrates involved in cell-death regulation include members of the forkhead family of transcription factors, the proapoptotic factor, BAD, the nuclear factor CREB, the proapoptotic protease caspase 9, and IKK linking to transcription factor NF-
B [105
]. Akt is activated in several different carcinomas such as ovarian, breast, and pancreatic cancers. It has been suggested previously that Akt/PKB might be involved in NF-
B activation by a pathway dependent/independent of IKK activation [106
107
108
].
The tumor suppressor phosphatase and tensin homologue deleted from chromosome 10 (PTEN), also referred to as mutated in multiple advanced cancers, has specificity for 3'-phosphorylated PIPs [109 ]. PTEN is an important lipid phosphatase that plays a role in deactivation of Akt. This phosphatase regulates the PI3K/Akt signaling pathway, and loss of PTEN in tumor cells correlates with activation and phosphorylation of Akt. Although inactivating mutations of PTEN render cells resistant to apoptosis, overexpression of wild-type PTEN sensitizes cells to death following detachment from its extracellular matrix [110 ]. This potentially explains the frequency of PTEN mutations in late-stage, invasive tumors. PTEN mutations have been previously described in melanoma [111 ]. These findings suggest the importance of the PI3K/Akt pathway in tumor progression. Preliminary findings from our work implicate the PI3K/Akt/PTEN pathway in melanoma cells.
Thus, different melanoma cell lines have disturbance in one or more than one upstream signaling pathway, but the common thread on which they all finally converge is NF-
B, which is involved in regulation of chemokines such as CXCL1, as well as escape from apoptosis for the cancerous cells.
CXCL1 overexpression in normal melanocytes is associated with tumor formation in vivo
INK4a/p16 is a tumor suppressor gene that is often inactivated in families with hereditary melanoma. P16INK4a associates with cyclin-dependent kinase CDK4 and inhibits the CDK4 and -6 kinases, which are responsible for phosphorylation of the retinoblastoma protein (RB) [112
, 113
]. Overexpression of p16INK4a inhibits the phosphorylation of RB by CDK4/cyclin D and facilitates cell cycle arrest in G1 [114
, 115
]. In addition to p16INK4a, this locus encodes a growth inhibitor protein, termed p19ARF, through alternate reading frames of the first exon. p19ARF also functions as a negative regulator of cell cycle progression [116
]. Many tumor suppressor genes have been associated with predisposition to develop melanoma, but only INK4a/ARF has been identified as a true melanoma susceptibility gene after almost two decades of effort. Several other oncogenes such as ras, c-Met, SV40, and CXCL1 have been related to genesis and progression of human melanoma. CXCL1 is overexpressed in human malignant melanoma cells and is linked to transformation of immortalized murine melanocytes. To study the direct role of CXCL1 on the genesis of primary melanoma lesions, transgenic mouse lines were established. These cell lines express the murine homologue of CXCL1, MIP-2, under the transcriptional control of tyrosinase promoter/enhancer in mice that were deficient or not deficient for INK4a/ARF (Fig. 4
). After treatment with 7,12-dimethylbenz(a) anthracene, cutaneous melanoma formed in 12% of Tyr-MIP-2 transgene-positive mice, while only 2% of the Tyr-MIP-2 transgene-negative mice developed melanoma. In addition, when melanocytes cultured from MIP-2 transgenic mice null for INK-4a/ARF were transplanted to the nude mice, melanoma formation occurred in 83% of the cases, with the latency period of 3 months. However, no melanoma lesions arose in nude mice injected with INK4a/ARF-/- melanocytes not expressing the MIP-2 transgene. Thus, it appears that the loss of INK-4a/ARF coupled with MIP-2 transgene expression in melanocytes results in melanoma tumor formation in the nude mice xenograft model. Based on these observations, we suggest that enhanced MIP-2 expression in cooperation with loss of INK-4a/ARF may play a potent role in induction of melanoma in vivo [117
].
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| SUMMARY |
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B leads to constitutive expression of certain chemokines and cytokines. NF-
B is involved in regulation of cell growth, oncogenesis, and escape from apoptosis. Several other coactivators and repressors such as PARP, CDP, and NF-
B are involved in the regulation of CXCL1. In addition, some signaling components such as NIK and Akt might be altered, leading to activation of NF-
B in melanoma cells. Overall, our work has demonstrated the importance of loss of tumor suppressor function, disregulation of NF-
B, and constitutive chemokine/chemokine receptor expression in tumor progression. The next important step would be to test the inhibitors of NF-
B, Akt, and/or chemokine receptors alone or in combination with chematherapeutic agents in order to determine efficiency for treatment of melanoma. We are examining the use of PS-341 [118
], a proteasome inhibitor, and NEMO binding peptide [119
], an IKK inhibitor, to reduce constitutive NF-
B activity and the growth of melanoma.
| ACKNOWLEDGEMENTS |
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Received December 11, 2001; revised March 23, 2002; accepted March 29, 2002.
| REFERENCES |
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