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Previous Article | Table of Contents | Next Article 
Blood, Vol. 91 No. 3 (February 1), 1998:
pp. 1037-1043
Expression of Granulocyte-Macrophage Colony-Stimulating Factor
Receptors in Human Prostate Cancer
By
Coralia I. Rivas,
Juan Carlos Vera,
Fernando Delgado-López,
Mark L. Heaney,
Victor H. Guaiquil,
Rong H. Zhang,
Howard I. Scher,
Ilona I. Concha,
Francisco Nualart,
Carlos Cordon-Cardo, and
David W. Golde
From the Program in Molecular Pharmacology and Therapeutics,
Departments of Medicine and Pathology, Memorial Sloan-Kettering Cancer
Center, New York, NY; Instituto de Bioquímica, Facultad de
Ciencias, Universidad Austral de Chile, Valdivia, Chile; and
Departamento de Histología y Embriología, Facultad de
Ciencias Biológicas, Universidad de Concepción,
Concepción, Chile.
 |
ABSTRACT |
We studied the expression and function of the granulocyte-macrophage
colony-stimulating factor (GM-CSF) receptor in the human prostate
carcinoma cell line LNCaP and looked for its presence in normal and
neoplastic human prostatic tissue. The GM-CSF receptor is composed of
two subunits, and . While the isolated subunit binds GM-CSF
at low-affinity, the isolated subunit does not bind GM-CSF by
itself; but complexes with the subunit to form a high-affinity
receptor. Quantitative reverse transcriptase-polymerase chain reaction
(RT-PCR) showed expression of mRNAs encoding the and subunits
of the GM-CSF receptor in LNCaP cells, and the presence of
the and proteins was confirmed by immunolocalization with
anti- and anti- antibodies. Receptor binding studies using radiolabeled GM-CSF showed that LNCaP cells have about 150 high-affinity sites with a kd of 40 pmol/L and
approximately 750 low-affinity sites with a kd of 2 nmol/L. GM-CSF
signaled, in a time- and dose-dependent manner, for protein tyrosine
phosphorylation and induced the proliferation of the LNCaP cells.
Immunolocalization studies showed low level expression of GM-CSF and subunits in normal prostate tissue, with substantial expression
in benign prostatic hyperplasia and prominent expression in neoplastic
prostate tissue. Maximal expression of both subunits was observed in
prostatic carcinomas metastatic to lymph node and bone. Tumor cells
that stained positively with anti- subunit antibodies were also
reactive with anti- subunit antibodies, indicating that they express
high-affinity GM-CSF receptors. Our data show that the LNCaP cells
express functional GM-CSF receptors and that prostatic carcinomas have
prominent GM-CSF receptor expression. These findings imply that both
hyperplastic and neoplastic prostatic tissues may be responsive to
GM-CSF.
 |
INTRODUCTION |
GRANULOCYTE-MACROPHAGE colony-stimulating
factor (GM-CSF) is an important regulator of the proliferation and
differentiation of myeloid precursor cells and enhances the function of
mature granulocytes and mononuclear phagocytes.1 Receptors
for GM-CSF are expressed on myeloid progenitors and mature mononuclear
phagocytes, monocytes, eosinophils and neutrophils.1-4 The
GM-CSF receptor is composed of two subunits, and
.5,6 The isolated subunit binds GM-CSF at low
affinity (kd, 1 to 7 nmol/L). The isolated subunit does not bind
GM-CSF by itself; however, in a complex with the subunit forms a
high-affinity receptor (kd, 20 to 100 pmol/L). The binding of GM-CSF to
its cognate receptor triggers a number of cellular
responses.7-12 In human neutrophils, GM-CSF induces
increased protein tyrosine phosphorylation through the activation of
specific protein tyrosine cascades9,13-15 and
transcriptional activation of early genes such as c-fos,
c-jun, and c-myc.16 Signaling through the
GM-CSF receptor may occur via participation of both and subunits5,10,17,18 and also through the isolated subunit.19,20
Receptors for GM-CSF are also present in nonhematopoietic cells such as
placental trophoblasts, endothelial cells, and oligodendrocytes in the
central nervous system.21-24 Some primary neoplasms and tumor cell lines such as melanoma, small cell lung cancer, colon, pancreatic, renal, and ovarian carcinomas have also been reported to
express GM-CSF receptors.25-29
Although there is evidence indicating that GM-CSF may stimulate the
growth of some nonhematopoietic tumor cell lines,29-34 the
physiologic role of the GM-CSF receptors expressed in normal or
neoplastic nonhematopoietic tissue is unknown. In these studies, we
provide evidence that human LNCaP prostate cancer cells express functional high-affinity GM-CSF receptors that transduce signals involving protein tyrosine phosphorylation and cell proliferation. We
also show that the and subunits of the GM-CSF receptor are
expressed at low level in normal human prostatic tissue, with substantial expression in benign prostatic hyperplasia and prominent expression in prostatic carcinoma.
 |
MATERIALS AND METHODS |
Cell culture.
The human prostatic cell line LNCaP35 was cultured in
RPMI-1640 supplemented with 6% heat-inactivated fetal bovine serum, 1% L-glutamine, and antibiotics. The human leukemia cell line HL-6036 was maintained in Iscove's modified Dulbecco's
medium (IMDM) supplemented with 10% heat-inactivated fetal bovine
serum, 1% L-glutamine, and antibiotics.
Proliferation assay.
Cell proliferation was assessed by
[3H]-thymidine37 and
[125I]-deoxyuridine incorporation. Briefly, 40,000 cells
per well were plated in sextuplicate in 6-well plates (Costar,
Cambridge, MA), and bacterial recombinant human GM-CSF (0.01 to 100 mmol/L) (a gift from Amgen, Thousand Oaks, CA) was added at the
beginning of the culture. Every day for 6 days of culture, 2 µCi of
[3H]-thymidine (DuPont NEN, Boston, MA) or 0.45 µCi of
[125I]-dUridine (DuPont NEN) was added to each well. The
cells were harvested after 20 hours using a cell harvester (Skatron,
Sterling, VA) or extracted with 1 N NaOH. The radioactivity
incorporated into DNA was quantitated by liquid scintillation or spectrometry.
Reverse transcription-polymerase chain reaction (RT-PCR).
Total RNA was isolated from LNCaP and HL-60 cells using guanidinium
thiocyanate (RNAzol B, Cinna/Biotecx Laboratories, Houston, TX).
Single-stranded cDNA synthesis and quantitative PCR were performed as
previously described.38 The primers used were: -subunit
primer: 5 :AGCCCGAGCAAAACACA, position 1009-1026 and 3 :CCATGCCA TTCCTACACCCT, position 1360-1379; -subunit
primer: 5 :CTACAAGCCCAGCCC AGATGC, position 859-879 and
3 :ACCCGTAGATGCCACAGAAGC, position 1390-1410. The PCR
conditions were 94°C for 1 minute and 65°C for 2 minutes for 35 cycles. For quantitation of the subunit, the GM-CSF receptor cDNA subcloned into pBluescript (Stratagene, La Jolla, CA) was
transcribed in vitro (Megascript, Ambion, Austin, TX) and the RNA was
digested with DNase and quantitated spectrophotometrically and by the
addition of trace levels of [ 32P] uridine
triphosphate (UTP) (DuPont NEN). RT-PCR of serial
dilutions was performed in the presence of 1 µg of RNA derived from
HeLa cells, a cell line that does not express the subunit.
Binding assays.
For binding assays, 7 × 106 cells were suspended in
RPMI-1640 containing 0.2% bovine serum albumin (BSA) and increasing
concentrations of 125I-labeled human GM-CSF (DuPont NEN)
with or without excess unlabeled human GM-CSF. After incubation for 20 hours at 4°C, the cells were centrifuged for 5 minutes at 4°C
through a cushion of fetal bovine serum and the cell pellets were
washed with cold phosphate-buffered saline (PBS) pH 7.4. Bound GM-CSF
was quantitated by spectrometry.
Immunoblotting.
Cells were serum starved in RPMI-1640 containing 0.2% BSA for 18 hours, washed, resuspended at 1 × 107 cells/mL and
incubated in the absence or in the presence of increasing concentrations of GM-CSF (0.01 nmol/L to 1 µmol/L) for different periods of time (2 seconds to 20 minutes) at 37°C. The cells were washed with cold PBS and the cell pellets were resuspended in 100 µL
of lysis buffer14 and disrupted by sonication. The
soluble proteins were resolved by SDS-PAGE (100 µg of cell lysate per lane) in a 10% polyacrylamide gel and transferred to immobilon (Millipore, Bedford, MA). Proteins phosphorylated on tyrosine residues
were detected using an antiphosphotyrosine antibody (UBI, Lake Placid,
NY). Phosphorylated mitogen-activated protein (MAP) kinase was
localized using an antiphosphoMAP kinase antibody (New England Biolabs,
Beverly, MA). Anti-JAK2 antibody was purchased from UBI.
The antibody blots were developed by chemiluminescence (New
England Biolabs).
Immunocytochemistry.
For immunoperoxidase localization,39 LNCaP
cells cultured in 6-chamber microscopic slides were fixed in
buffered paraformaldehyde-acetone, treated with 0.3%
H2O2 for 5 minutes and incubated for 30 minutes at room temperature in 4% BSA-PBS pH 7.8, followed by incubation overnight at 4°C in 1% BSA-PBS pH 7.8 and anti- or anti-
GM-CSF receptor subunit antibodies (1:500) (Alpha Diagnostics, San
Antonio, TX). Cells were washed and incubated with antirabbit
IgG-horseradish peroxidase (1:100) (Amersham, Arlington Heights, IL)
for 2.5 hours at room temperature. Immunostaining was developed using
0.05% diaminobenzidine and 0.03% H2O2. As
controls, cells were incubated with antibodies preabsorbed with the
respective peptide used to generate the antibodies. Cells were
counterstained with hematoxylin.
Archived, formalin fixed, and paraffin embedded human prostate tissues
were obtained from the Department of Pathology at Memorial Sloan-Kettering Cancer Center. For immunostaining,39 tissue sections were rehydrated, treated with 3% hydrogen peroxide for 15 minutes at room temperature, and blocked with 4% BSA-PBS pH 7.8, followed by incubation in a humid chamber overnight at 4°C with
anti- or anti- subunit GM-CSF receptor antibodies (1:500) in 1%
BSA-PBS pH 7.8. After extensive washing, sections were incubated for
2.5 hours at room temperature with antirabbit IgG-horseradish peroxidase (1:100, Amersham). The peroxidase activity was developed with 0.05% diaminobenzidine and 0.03% H2O2.
Tissues were counterstained with hematoxylin.
 |
RESULTS |
LNCaP cells express GM-CSF receptors.
A band of approximately 370 nucleotides, the expected size of the
amplification product for the membrane-bound form of the -subunit
mRNA, was amplified by RT-PCR from LNCaP cells RNA
(Fig 1A). Primers specific for
glyceraldehyde-3-phosphate dehydrogenase (GAPDH) were used as an
internal standard for the efficacy of the RT-PCR procedure. A similar
approach using primers complementary to the subunit of the GM-CSF
receptor showed the expected amplification product of approximately 570 nucleotides (Fig 1A). The size of the amplified bands corresponded
exactly to the size of the respective bands amplified from RNA obtained
from HL-60 cells, which express abundant mRNA for the and the subunits of the GM-CSF receptor (Fig 1A).38 No
amplification products were observed in parallel reactions in which the
reverse transcriptase was omitted (Fig 1A), confirming the absence of
contaminating DNA in the RNA preparations. The content of and subunit mRNAs in LNCaP cells was quantitated by interpolation on a
standard curve generated by performing RT-PCR with known amounts of
either or subunit RNA in parallel with LNCaP cell-derived RNA.
LNCaP cells expressed 0.02 to 0.33 fg of subunit mRNA per
105 cells (0.24 to 4 copies per 103 cells), a
value that is 60 to 200 times lower than the subunit mRNA levels
expressed in HL-60 cells (Fig 1A). LNCaP cells expressed 12 to 83 fg of
subunit mRNA per 105 cells (80 to 550 copies per
103 cells), which is 30 to 200 times lower than the subunit mRNA levels expressed in HL-60 cells (Fig 1A). LNCaP cells also
expressed low levels of mRNA encoding the soluble isoform of the subunit (data not shown).

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| Fig 1.
Expression of GM-CSF receptors in LNCaP cells. (A) RT-PCR
analysis. Total RNA was isolated from LNCaP (lane 1) or HL-60 (lane 2)
cells and subjected to RT-PCR using radiolabeled primers specific for
the (left panel) or the (right panel) subunits of the GM-CSF
receptor. PCR products were size-fractionated on 5% acrylamide gels
and autoradiographed. Shown are the PCR products corresponding to the
(370 bp) and the (570 bp) subunits of the GM-CSF receptor obtained in the presence (+) or in the absence (-) of reverse transcriptase (RT). (B) Binding analysis. Cells were incubated with
radiolabeled GM-CSF at concentrations that ranged from 5 pmol/L to 10 nmol/L. GM-CSF binding was dose dependent and saturable approximately
at 10 nmol/L. (C) Scatchard analysis of data from (B) showing the
presence of two classes of binding sites in the LNCaP cells. (D through
G) Immunostaining with antihuman GM-CSF receptor antibodies. Cells were
cultured, fixed, and incubated with anti- (D and F) or anti-
subunit (E and G) antibodies in the absence (D and E) or the presence
(F and G) of the peptides used to elicit them (original
magnification × 160).
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Radiolabeled GM-CSF bound to LNCaP cells in a dose-dependent and
saturable manner (Fig 1B). Scatchard analysis of the binding data (Fig
1C) showed that the LNCaP cells expressed approximately 150 high-affinity binding sites for GM-CSF with a kd of 40 pmol/L, and 750 low-affinity binding sites. The presence of the and subunits of
the GM-CSF receptor in the LNCaP cells was confirmed by
immunolocalization with antibodies specific for each subunit. The LNCaP
cells were immunoreactive with both antibodies, with intense
immunostaining in both the cytoplasm and the plasma membrane (Fig 1D
and F). The LNCaP cells consistently showed enhanced immunoreactivity with the anti- antibody compared with the anti- antibody. No immunoreactivity was observed when the primary antibodies were preabsorbed with the peptides used to generate them (Fig 1E and G).
GM-CSF signaling in LNCaP cells.
Proliferation assays, measuring the incorporation of
[3H]-thymidine or [125I]-deoxyuridine in
DNA, showed that GM-CSF stimulated proliferation of the LNCaP cells in
a dose- and time-dependent manner (Fig 2B and C; only [3H]-thymidine incorporation is shown). An
increase in [3H]-thymidine incorporation of 20% to 40%
was observed after 3 or 4 days of culture in the presence of 0.3 or 100 nmol/L GM-CSF (Fig 2B). The effect of GM-CSF on
[3H]-thymidine incorporation was evident during the
exponential phase of cell growth and decreased at latter stages (Fig
2A and B). Dose-response studies indicated a biphasic effect of
GM-CSF on [3H]-thymidine incorporation (Fig 2C). GM-CSF
induced a measurable increase in [3H]-thymidine at a
concentration of 0.03 nmol/L, an effect that reached saturation at 1 nmol/L GM-CSF, with no further increase observed at concentrations of
GM-CSF from 1 to 30 nmol/L. However, 100 nmol/L GM-CSF induced an
additional increase in [3H]-thymidine incorporation,
which was also evident in the time-course experiments (Fig 2B and C).

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| Fig 2.
GM-CSF signals for proliferation in LNCaP cells. (A)
Growth curve. LNCaP cells were maintained in continuous culture with no
stimulation and the cell number was determined by counting the cells
every day for 6 days and the cell viability was assessed by exclusion
of trypan blue. (B) Time course. Cells were incubated with 0.3 ( ) or
100 nmol/L ( ) GM-CSF for 1 to 6 days and parallel cultures were
pulse-labeled with [3H]-thymidine for 20 hours every day.
(C) Dose response. Cells were incubated with increased amounts of
GM-CSF (0.01 to 100 nmol/L) for 3 ( ) or 4 days ( ) and
pulse-labeled with [3H]-thymidine for the last 20 hours.
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We next analyzed whether GM-CSF induced protein tyrosine
phosphorylation in the LNCaP cells. A transient increase in tyrosine phosphorylation was observed in several proteins when LNCaP cells were
treated with GM-CSF (Fig 3A). Proteins with
apparent molecular weights of 160, 130, 75 to 80, 68 to 70, 60, 55, 47, and 40 kD (black arrowheads, Fig 3A) showed maximal
phosphorylation during the first 30 seconds of treatment with 1 nmol/L
GM-CSF and remained phosphorylated for 20 minutes, with phosphorylation
returning to basal levels after 1 to 2 hours (Fig 3A). Phosphorylation
of these proteins was induced at concentrations of GM-CSF ranging from
0.03 nmol/L to 1 µmol/L (Fig 3A). Interestingly, we observed the
rapid dephosphorylation of proteins with an apparent molecular weight
of 45 and 110 kD after incubating the cells with 1 nmol/L GM-CSF (white
arrowheads, Fig 3A). These proteins were dephosphorylated after
treating the cells with GM-CSF at concentrations from 0.03 nmol/L to 1 µmol/L and remained dephosphorylated for at least 18 hours (Fig 3A).

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| Fig 3.
GM-CSF signals for protein tyrosine phosphorylation in
LNCaP cells. (A) Protein tyrosine phosphorylation. Cells were incubated in the absence ( ) or in the presence (+) of 1 nmol/L GM-CSF from 2 seconds to 20 minutes at 37°C (upper panel), or with 0.01 nmol/L to
1 µmol/L GM-CSF for 2 minutes at 37°C (bottom panel). Tyrosine phosphoproteins were identified by immunoblotting with
antiphosphotyrosine antibodies. Black and white arrowheads indicate
proteins phosphorylated and dephosphorylated in response to GM-CSF,
respectively. (B) Phosphorylation of MAP kinase. Cells were incubated
with 10 pmol/L to 0.3 µmol/L GM-CSF for 1 minute at 37°C, or were
incubated in the absence ( ) or in the presence (+) of 100 nmol/L
GM-CSF from 2 seconds to 20 minutes at 37°C. Phosphorylation of MAP
kinase was assessed by immunoblotting with an antiphospho MAP kinase antibody. MAP kinase was identified with an anti-MAP kinase antibody. The arrowheads indicate the positions of the p42 and p44 MAP kinases.
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We did not detect tyrosine phosphorylation of MAP kinase in LNCaP cells
treated with GM-CSF using antiphosphotyrosine antibodies (Fig 3A). The
p42 MAP kinase was identified by reprobing the membrane with an
anti-MAP kinase antibody and was found to be present at a constant
level at the expected position in the blots (Fig 3B). Phosphorylation
of MAP kinase, however, was evident when using a monoclonal antibody
specific for tyrosine phosphorylated MAP kinase (Fig 3B).
Phosphorylation of MAP kinase occurred only at concentrations of GM-CSF
of 3 nmol/L or higher and reached a maximal level at 100 nmol/L GM-CSF.
Maximal phosphorylation was observed at 30 seconds, with
phosphorylation returning to basal levels after 20 minutes (Fig 3B). No
phosphorylation of JAK2 was evident in cells treated with GM-CSF.
Increased expression of GM-CSF receptors in human prostate tumors.
We examined whether the and subunits of the GM-CSF receptor
were expressed in normal prostate, benign prostatic hyperplasia, and
prostatic carcinomas, including primary tumors and metastatic lesions
to lymph node and bone (Fig 4 and
Table 1). Very weak to undetectable immunostaining was
observed in the luminal epithelial cells of the acini of the normal
prostate, although weak to moderate reactivity was evident in basal
cells (Fig 4). Ducts exhibited a more intense immunoreactivity than
acini for both antibodies. Moderate immunostaining was also found in
the epithelial cells of most of the samples of benign prostatic
hyperplasia analyzed with both antibodies, although moderate to strong
reactivity was observed in two specimens (Fig 4). In addition, basal
cell hyperplasia, a histologically different form of hyperplasia, was
seen in one sample and displayed strong reactivity with both
antibodies. All primary tumors analyzed, which exhibited Gleason scores
from 5 to 9, were positive for both antibodies, with homogeneous and heterogeneous staining patterns of moderate to strong intensity (Fig 4
and Table 1). The metastatic tumors displayed homogeneity, as well as
heterogeneity in immunostaining profiles, with moderate to strong
reactivity to both antibodies and had increased staining compared with
the primary tumors (Fig 4). One sample from a bone metastasis was
negative for both antibodies. Tumor cells that were immunopositive for
the anti- antibody were also positive for the anti- antibody, as
immunohistochemistry was conducted in consecutive sections and numerous
lesions showed homogeneous staining. In addition, most of the cases
studied showed a more intense anti- immunoreactivity than the
anti- immunoreaction.

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| Fig 4.
Immunolocalization of GM-CSF receptors in benign and
malignant human prostate tissues. Consecutive tissue sections were
incubated with anti- (left panel) or anti- -subunit (right panel)
antibodies. (A) Low to undetectable levels in the epithelial cells of
the normal gland. (B) Moderate levels of expression in the epithelial cells of benign prostatic hyperplasia. (C) Increased immunoreactive pattern in a primary tumor. (D) High levels of expression in a lymph
node and a bone (E) metastases. Stars in bone metastases images
indicate bone location. Two different magnifications of each
immunostained tissue section are shown (160× and 400×).
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DISCUSSION |
GM-CSF is a hematopoietic growth factor and a host defense regulator
used clinically to stimulate hematopoietic cell proliferation after
chemotherapy, as well as autologous or allogeneic bone marrow transplantation.40-42 The physiologic role of GM-CSF
receptors in nonhematopoietic tissue is unknown. Even more problematic
are the implications and consequences of GM-CSF receptor expression on
malignant, nonhematopoietic tissue. Distinct types of neoplastic cells
have been shown to have functional GM-CSF
receptors.25,30,31 Whether or not therapeutically
administered hematopoietic growth factors can stimulate
nonhematopoietic cell growth, including solid tumor cells, has remained
a controversial issue.
We report here a detailed study addressing the issue of GM-CSF receptor
expression in human prostate cancer. The presence of GM-CSF receptors
in the LNCaP cells was defined by quantitative RT-PCR, ligand binding,
immunolocalization, and functional assays. Quantitative RT-PCR showed
that the LNCaP cells expressed mRNAs for the and subunits of
the GM-CSF receptor. The immunolocalization experiments confirmed the
presence of the and proteins in the LNCaP cells and the
ligand-binding studies showed that LNCaP expressed both high- and
low-affinity GM-CSF receptors. The number of high-affinity receptors
present in the LNCaP cells was similar to the number present in cells
of hematopoietic origin in which GM-CSF induces proliferation and
differentiation43 and in nonhematopoietic cells such as
mouse fibroblasts expressing the human high-affinity receptors, which
respond to GM-CSF with cell proliferation and protein
phosphorylation.10,44 The identification of approximately 750 low-affinity GM-CSF receptors in the LNCaP cells, compared with
about 150 high-affinity sites, indicates the presence of an excess of
as compared with subunit in these cells. Consistent with these
findings, the immunolocalization experiments showed greater
immunoreactivity with the anti- subunit antibodies than with the
anti- subunit antibodies in the LNCaP cells. The RT-PCR experiments,
however, indicated that LNCaP cells express a higher number of mRNA
molecules per cell encoding the than the subunit of the GM-CSF
receptor. These data suggest that, in the LNCaP cells, the expression
of the and subunit proteins is regulated at the level of
translation or protein stability.
Biologic response analyses confirmed the presence of functionally
active GM-CSF receptors in the LNCaP cells. A previous
study34 reported a 2.8-fold increase in LNCaP cell
proliferation in the presence of suprapharmacologic concentrations of
GM-CSF (>1 µmol/L). These concentrations of GM-CSF are at least
four orders of magnitude higher than the concentrations we used here
( 100 pmol/L) and are not compatible with the expression of
high-affinity GM-CSF receptors in the LNCaP cells. On the other hand,
although our data indicated that GM-CSF increased LNCaP cell
proliferation at concentrations consistent with the presence of
high-affinity receptors in these cells, these concentrations of GM-CSF
( 100 pmol/L) were at least one order of magnitude higher than that necessary in cells such as HL-60 ( 10 pmol/L), which express a similar number of high-affinity GM-CSF receptors. The origin of these
discrepancies is not evident from these studies; however, the data
suggest the existence of cell-specific effects that modulate the
functional activity of the GM-CSF receptor.
Tyrosine phosphorylation of p42 and p44 MAP kinases is an early step in
GM-CSF signal transduction.9,10,13-15,45 We found that
GM-CSF induced time- and dose-dependent tyrosine phosphorylation of
several proteins in the LNCaP cells and induced tyrosine
phosphorylation of the p42 and p44 MAP kinases. Phosphorylation of
proteins other than MAP kinase was observed at GM-CSF concentrations of
0.1 nmol/L or less, which is consistent with the presence of
high-affinity GM-CSF receptors in the LNCaP cells. On the other hand,
phosphorylation of MAP kinase was triggered only at GM-CSF
concentrations of at least 3 nmol/L. Furthermore, we failed to observe
JAK2 phosphorylation in these cells. Because the LNCaP cells express
about 750 low-affinity sites that likely correspond to excess of subunits (in addition to approximately 150 high-affinity sites), the
data raise the intriguing possibility that excess of -subunit
expression may modulate signaling through the high-affinity receptor.
The immunohistochemical analysis of human prostatic tissue using
anti- and - antibodies confirmed the presence of the and the
subunits of the GM-CSF receptor in prostate tumors. The lack of
immunoreactivity or weak pattern of staining observed in normal
epithelial cells, contrasts with the substantial immunoreactivity with
anti- and - antibodies observed in all cases of benign prostatic
hyperplasia. Although primary tumors showed higher levels of expression
compared with benign prostatic hyperplasia, we observed a further
increase in the immunoreactivity of metastases to lymph node and bone
compared with that of primary tumors. These data are compatible with
increased expression of the GM-CSF receptor as the disease progresses
from localized tumors to the development of metastatic disease.
Although the action of growth factors and their receptors in normal
prostate physiology and progression of prostate cancer are not well
understood, our results suggest that GM-CSF may have a role in
maintenance of function in the normal prostate, as well as in prostate
cancer progression. The presence of both subunits of the GM-CSF
receptor in the tumor cells indicate that they express functional
high-affinity GM-CSF receptors and therefore this hematopoietic growth
factor may have an effect on prostate carcinoma cells, which have a
proclivity to metastasize to bone. The increased expression of GM-CSF
receptors in prostatic hypertrophy and neoplastic prostate ephitelium
suggest a relationship between prostatic epithelial cell growth and
GM-CSF.
 |
FOOTNOTES |
Submitted June 30, 1997;
accepted October 2, 1997.
Supported in part by Grants No. R01 CA30388, R01 HL42107, CA-DK-47650,
and P30 CA08748 from the National Institutes of Health, Bethesda,
MD; by Memorial Sloan-Kettering Institutional funds; by
the Schultz Foundation, Verona, NJ; by the PepsiCo Foundation, Purchase, NY; and by the David H. Koch Charitable Foundation, Wichita,
KS.
Address reprint requests to David W. Golde, MD, Program in Molecular
Pharmacology and Therapeutics, Box 451, Memorial Sloan-Kettering Cancer
Center, 1275 York Ave, New York, NY 10021.
The publication costs of this article were defrayed in part by page
charge payment. This article must therefore be hereby marked
"advertisement" in accordance with 18 U.S.C. section 1734 solely
to indicate this fact.
 |
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