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Vol. 19, Issue 2, 457-464, February 2008
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,

,@
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,**
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,#
*Section on Molecular Medicine, Departments of
Cancer Biology,
Pathology, and #Biochemistry, **Department of Public Health Sciences, Section on Biostatistics, @Center for Human Genomics, and
Comprehensive Cancer Center, Wake Forest University School of Medicine, Winston-Salem, NC 27157-0001; and ||Human Genome Sciences, Inc., Rockville, MD 20850
Submitted May 11, 2007;
Revised October 19, 2007;
Accepted November 12, 2007
Monitoring Editor: Carl-Henrik Heldin
| ABSTRACT |
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| INTRODUCTION |
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Regulation of BMP signaling is accomplished in a tissue-specific manner via BMP antagonists (Yanagita, 2005
, 2006
). Classical BMP antagonists bind BMPs in the extracellular space, preventing the association of BMPs with their receptors. BMP antagonists may also prevent the activity of BMPs by fostering their retention in the endoplasmic reticulum (ER; Guidato and Itasaki, 2007
). BMP antagonists have been postulated to act as the key on/off switches that spatially and temporally regulate local BMP activity. Thus, BMP antagonists may represent local targets to control specific tumors.
In addition to their effects on BMP pathways, BMP antagonists have also been reported to impinge on Wnt signaling, For example, sclerostin exerts its inhibitory effects on bone formation in mice primarily through inhibition of Wnt signaling (van Bezooijen et al., 2007
); in Xenopus, the BMP antagonist Wise inhibits or stimulates Wnt signaling in a manner dependent on context (Itasaki et al., 2003
) and cellular localization (Guidato and Itasaki, 2007
).
Several genes have been implicated in the development of renal clear cell carcinoma. These include VHL, an ubiquitin ligase and tumor suppressor, as well as c-Met and BHD (Linehan et al., 2005
; Brugarolas, 2007
). To identify novel genes whose expression is altered in renal cancer, we probed arrays of secreted and cell surface cDNAs with cDNA libraries prepared from tumor tissue and matched normal tissue from 20 kidney cancer patients. This screen identified SOSTDC1, a BMP antagonist, as a candidate gene with reduced expression in renal cancer.
SOSTDC1 is orthologous to a recently characterized murine antagonist of BMPs-2, -4, and -7 termed ectodin/USAG-1 (Yanagita et al., 2004
). In other species, this protein is known as USAG-1 (Rattus norvegius; Yanagita et al., 2004
), ectodin (Mus musculus; Laurikkala et al., 2003
; Kassai et al., 2005
), and wise (Xenopus laevis; Itasaki et al., 2003
). Recent mouse knockouts of ectodin/USAG-1 have shown that this molecule is important in tooth formation and modulation of the renoprotective effects of BMP-7 (Kassai et al., 2005
; Yanagita et al., 2006
). The human protein is 98% identical to the rodent protein, and like most members of the BMP and BMP antagonist families, is predicted to contain a C-terminal cystine-knot motif (Avsian-Kretchmer and Hsueh, 2004
). However, the role of SOSTDC1 in human tissues or human cancers has not been reported.
In this report, we demonstrate that SOSTDC1 is highly expressed in cells of the normal human kidney, but is significantly decreased in clear cell renal carcinoma.
| MATERIALS AND METHODS |
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The following commercial antibodies were obtained: anti-phospho-Smad-1,-5,-8 (Cell Signaling Technologies, Danvers, MA), anti-glyceraldehyde-3-phosphate dehydrogenase (GAPDH, Research Diagnostics International, Flanders, NJ), and mouse monoclonal anti-FLAG (Sigma Aldrich, St. Louis, MO).
Production of anti-hSOSTDC1 Antisera
Production and affinity purification of an anti-SOSTDC1 peptide polyclonal rabbit anti-sera directed against the 18 C-terminal amino acids of the SOSTDC1 sequence was performed by Quality Control Biochemicals Custom Services (Hopkinton, MA).
Cells and Culture Conditions
Human embryonic kidney cells, HEK293, were maintained in Dulbecco's modified Eagle's medium (DMEM; Invitrogen, Carlsbad, CA) supplemented with 10% fetal bovine serum (FBS; Invitrogen) and 1% penicillin/streptomycin (Invitrogen). The following kidney cancer cell lines were obtained from the American Type Culture Collection (ATCC, Rockville, MD): 786-O (CRL-1932, renal clear cell adenocarcinoma), ACHN (CRL-1611, renal cell adenocarcinoma, pleural effusion), 769-P (CRL-1933, derived from primary renal clear cell adenocarcinoma), A-704 (HTB-45, adenocarcinoma), and Caki-1 (HTB-46, clear cell carcinoma skin metastasis). All kidney cancer cell lines were grown in McCoy's 5A basal media (Invitrogen) supplemented with 10% FBS, 1% penicillin/streptomycin, and 200 mM L-glutamine. Renal epithelial proximal tubule cells (RPTECs) were purchased from Cambrex (Hopkinton, MA) and were grown in Renal Epithelial Basal Medium (REBM) with supplements (Cambrex).
Mammalian Vector Construction and Preparation of Recombinant, Human SOSTDC1
The ORF encoding the SOSTDC1 protein (NCBI: NM_015464
[GenBank]
) without the final stop codon was amplified from cDNA by PCR and cloned into the BamHI/Asp718 restriction sites of the pFLAG-CMV5a vector (Invitrogen). The resulting recombinant human SOSTDC1 (rhSOSTDC1) has the FLAG (DYKDDDDK) epitope added to its C-terminus.
HEK293 cells were transiently transfected with the pFLAG-CMV5A SOSTDC1 vector using LipofectAMINE reagent (Invitrogen). Conditioned media was harvested after 2 d and purified using an anti-FLAG M2 affinity column (Sigma).
Tissue Samples and Immunohistochemistry
All tissue samples were used with approval from the Institutional Review Board at Wake Forest University. Paraffin blocks from the pathology archives were sectioned at 5-µm intervals. After heat-induced antigen retrieval with antigen unmasking solution (AUS, Vector Labs, Burlingame, CA), slides were stained with anti-SOSTDC1 polyclonal sera followed by affinity-purified goat anti-rabbit-IgG-HRP (Jackson ImmunoResearch, West Grove, PA) and diaminobenzidine (DAB) horseradish peroxidase substrate. The slides were counterstained with hematoxylin, viewed under brightfield conditions, and photographed at the same magnification.
Intracellular SOSTDC1 Relative Quantification
SOSTDC1 staining was quantified in Image J (http://rsb.info.nih.gov/ij/; NIH freeware (Rasband, 1997–2007
) as mean pixel intensity. Brightfield digital images of the peroxidase-stained tissues were collected at equal exposure conditions. To avoid bias of cell selection, an identical grid consisting of nine equal squares was superimposed over every image digitally. Only tumor cells crossing lines of the grid were included in analysis. Analysis in Image J was completed via the "measure line" function as follows: a 5-pixel straight line selection was drawn in the perinuclear region of each candidate cell. Then, the "Measure" command was chosen from the Analyze menu. The mean pixel intensity value was averaged for 30 separate cells and reported as a percentage of maximal density. Mean pixel intensity was also quantified using Adobe Photoshop (San Jose, CA; Lehr et al., 1997
), which gave virtually identical results.
Statistical Analysis
Statistical analysis was performed by the Biostatistics core of the Comprehensive Cancer Center of Wake Forest University. A one-way ANOVA was fit to compare the mean percent maximal density of the five groups. Pairwise comparisons were then performed between groups using a conservative p value of 0.005 for significance (using a Bonferroni adjustment to allow for all 10 pairwise comparisons between groups to be made). SDs for the outcome were compared across the five groups to assure that they were comparable.
cDNA Microarray and RNA Dot Blot
Microarray analyses were performed on tissues from matched normal and tumor tissues from 20 kidney cancer patients and cDNAs from other normal and tumor tissue types. Labeled SOSTDC1 probes were hybridized to the array, and resulting signals were scanned and quantified. To independently verify these results, the BD Clontech Cancer Profiling Array I, also having 20 matched normal and tumor kidney tissues, was probed with radiolabeled SOSTDC1. The majority of these tissues (
70%) are from patients with renal cell carcinoma, clear type.
rhSOSTDC1 Transient Transfection and Immunofluorescence
pFLAG-CMV5a-SOSTDC1 was transiently transfected into HEK293 cells via LipofectAMINE reagent. Twenty-four hours after transfection, cells were washed once in room temperature phosphate-buffered saline (PBS), and then fixed in 100% methanol at 4°C for 15 min. Cells were labeled with anti-FLAG mouse mAb (Sigma Aldrich) conjugated to rhodamine. Nuclei were stained with 4',6-diamidino-2-phenylindole (DAPI, CalBiochem, EMD Biosciences, San Diego, CA), and cells were visualized through fluorescent microscopy.
Stimulation of Phosphorylated Smad Production with BMP-7 and Phosphorylated Smad Immunoblot
Renal cancer cells were plated in phenol red-free McCoy's 5A with 5% FBS and 1% penicillin/streptomycin and allowed to attach overnight. Medium was replaced with phenol-red-free McCoy's 5A (Promocell GmBH, Heidelberg, Germany) containing 0.5% FBS and 1% penicillin/streptomycin with additions of rhBMP-7 (40 ng/ml), rhnoggin-Fc chimera (150 ng/ml), and/or rhSOSTDC1 (150 ng/ml). Cells were placed at 37°C for either 1 or 3 h. At harvest, cells were washed with PBS, and 150 µl of SDS-PAGE loading buffer was added (0.5 M Tris, pH 6.8, 20% glycerol, 10% SDS, and 5% β-mercaptoethanol). Lysates were electrophoresed on 10% SDS-PAGE gels and transferred to nitrocellulose, and phosphorylated Smad (p-Smad) was detected by Western blot analysis according to the instructions provided by the antibody supplier. p-Smad-1, -5, and -8 were visualized with PicoWest chemiluminescent substrate (Pierce Biotechnology, Rockford, IL). GAPDH was used as a loading control.
Wnt Signaling Luciferase Assay
Transfections were performed using Fugene6 (Roche Applied Science, Indianapolis, IN) according to the manufacturer's instructions. For each condition, 300,000 HEK293 cells were transfected with 1.76 µg of total plasmid DNA. Each group was some combination of: 0.25 µg TOPFlash reporter plasmid, 0.01 µg of internal control pRL-Tk, 0.5 µg pReceiver-M02-Wnt3a expression vector, 1 µg pFLAG-CMV5a-SOSTDC1, or 1 µg pReceiver-M02-DKK1. Empty pFLAG-CMV5a vector was used to maintain a consistent level of plasmid DNA in each transfection. Luciferase activity was measured 24 h after transfection using a Dual Luciferase Assay Kit according to the manufacturer's instructions (Promega, Madison, WI).
Transient Transfection of SOSTDC1 in Kidney Cancer Cell Lines
pFLAG-CMV5a (empty) and pFLAG-CMV5a-SOSTDC1 were transiently transfected into 769-P renal cancer cell lines using LipofectAMINE 2000 (Invitrogen) via manufacturer's instructions. Twenty-four hours after transfection, FBS was added to the transfected cell cultures to a final concentration of 5%. To evaluate the success of transient SOSTDC1 overexpression, cells were harvested for real-time RT PCR 36 h after transfection.
Real-Time RT PCR Evaluation of SOSTDC1 Transfected Cells
Approximately 2.5 x 106 transfected cells were trypsinized, washed twice with PBS, and then suspended in Trizol solution (Invitrogen) for preparation of total RNA. RNA was treated with RQ1 RNase-free DNase (Promega) and then purified with the Absolutely RNA MiniPrep kit (Stratagene, La Jolla, CA). Reverse transcriptase reactions were performed with the Taqman Reverse transcription kit (Applied Biosystems, Foster City, CA) per kit instructions. Resulting cDNA was used in real-time PCR reactions on the ABI Prism 7000 Sequence Detection System machine with SYBR Green PCR Master Mix (Applied Biosystems) according to manufacturer's instructions. SOSTDC1 primers used in the real-time analysis were as follows: Forward, 5'-TGGATTGGAGGAGGCTATGGAACA-3'; Reverse, 5'-ACTTGCAGGCAGTGACTACTGTGA-3'. Primers to the housekeeping gene GAPDH were used to standardize for total RNA levels: Forward, 5'-GAAGGTGAAGGTCGGAGTC-3'; Reverse, 5'-GAAGATGGTGATGGGATTTC-3'.
Effect of SOSTDC1, noggin, and DKK1 on Proliferation
50,000 cells of the 769-P cell line were plated per well of a 24-well plate. Cells were transfected with 0.4 µg of either pFLAG-CMV5a empty vector control, pFLAG-CMV5a-SOSTDC1, pReceiver-M02-Noggin, or pReceiver-M02-DKK1 with LipofectAMINE 2000 as described above. Twenty-four hours after transfection, FBS was added to the transfected cell cultures to a final concentration of 5%. Cells were allowed to recover from transfection for an additional 2 h before trypsinization and reseeding at 5000 cells per well in an E-plate for use on the ACEA RT-CES system (ACEA Biosciences, San Diego, CA). This system allows real-time monitoring of cultures grown in a 96-well plate format. Each type of transfected cell was replated in its own conditioned medium.
| RESULTS |
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15 and 5% of all kidney cancers, respectively, and have a more favorable prognosis than clear cell (Iliopoulos, 2006
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SOSTDC1 Is Secreted and Antagonizes Signaling of BMP-7 in Kidney Cancer Cells
We next assessed functional consequences of SOSTDC1 expression. As classic BMP antagonists function extracellularly, we first tested whether the localization of SOSTDC1 was compatible with an extracellular mode of action. cDNA for C-terminally FLAG-tagged SOSTDC1 was cloned into an expression vector and transiently transfected into HEK293 cells. rhSOSTDC1-FLAG was detected via immunofluorescence after binding of anti-FLAG-rhodamine antibodies to fixed cells (Figure 4). This experiment revealed the presence of SOSTDC1 predominantly in the secretory apparatus of transfected, highly expressing cells (Figure 4, A–D). We transfected cells at low efficiency for this experiment so that each highly expressing transfectant was relatively isolated, enabling visualization of extracellular SOSTDC1-specific signal on the outside of low-expressing cells (Figure 4, B and E). Greatest staining intensity was seen closest to highly expressing cells, with staining intensity decreasing with distance (Figure 4, A and D vs. B and E). Western blotting also demonstrated the presence of SOSTDC1 in the media of cultured cells (data not shown). These results demonstrate that SOSTDC1 is secreted and binds to the extracellular matrix and/or cell surface, consistent with an ability to function in an autocrine or paracrine manner.
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As shown in Figure 5, treatment with rhBMP-7 alone caused a rapid and robust increase in phosphorylation of R-Smads (p-Smad) in cultured kidney cancer (786-O) cells. A similar rapid increase in p-Smad levels was also observed in other kidney cell lines, including ACHN, 769-P, A-704, and Caki-1, as well as normal RPTEC cells (data not shown). To test the ability of rhSOSTDC1 to antagonize this effect, rhSOSTDC1 was added to the cells simultaneously with rhBMP-7. Noggin, a classical antagonist of BMP-7, was used as a positive control (Avsian-Kretchmer and Hsueh, 2004
; Kawabata et al., 1998
). At both 1 and 3 h, rhSOSTDC1 antagonized the BMP-7 induced production of p-Smad at least as efficiently as noggin (Figure 5). Thus, SOSTDC1 effectively antagonizes BMP-7 signaling.
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| DISCUSSION |
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Studies have previously linked BMPs, the target of BMP antagonists, as well as BMP receptors, to cancer. For example, aberrant BMP or BMPR expression has been noted in cancers, including osteosarcomas, breast, kidney, colon, and prostate (Miyazaki et al., 2004
; Hsu et al., 2005
; Alarmo et al., 2006
). Smad4, the main intracellular target of both BMP and TGF-β signaling, is a known tumor suppressor in pancreatic and intestinal cancer (Alberici et al., 2006
).
SOSTDC1 is a BMP antagonist, as evidenced both by its sequence (Vitt et al., 2001
; Avsian-Kretchmer and Hsueh, 2004
) and function (Figure 5). Although BMP antagonists have not been previously implicated in kidney cancer, they have been implicated in malignant processes in other tissue types. For example, noggin (a BMP antagonist) suppresses growth of implanted prostate cancer cells (Feeley et al., 2006
). DAN, another BMP antagonist discovered in v-mos–transformed cells, inhibits neoplastic transformation (Chen et al., 2002
). However, the activities of BMP antagonists are complex and may vary. For example the BMP antagonist gremlin 1 is expressed by stromal cells associated with esophageal, pancreatic, and other cancers (not including the kidney) and may promote tumor cell proliferation (Sneddon et al., 2006
). Our data demonstrate that in renal clear cell cancer, decreases in SOSTDC1 mRNA and protein are associated with malignant change. These data are the first link between the BMP antagonist SOSTDC1 and the process of carcinogenesis.
A number of intersections between BMP signaling and regulatory pathways important in carcinogenesis have been recently identified. These include such key cancer pathways as Wnt/β-catenin, PI3-K/PTEN, and MAPK/ERK (Aubin et al., 2004
; He et al., 2004
; Moustakas and Heldin, 2005
; Pardali et al., 2005
). Further, BMP signaling directly impinges on the cell cycle regulatory proteins p21 and Rb: BMP signaling regulates p21/Cip1/Waf1 expression in prostate cancer (Haudenschild et al., 2004
) and thyroid carcinomas (Franzen and Heldin, 2001
) and inhibits phosphorylation of Rb protein in breast cancer (Ghosh-Choudhury et al., 2000
).
We found that in human kidney cells, SOSTDC1 inhibits both BMP-7 (Figure 5) and Wnt-3a (Figure 6) signaling. Similarly, previous reports have indicated that orthologues of SOSTDC1 can affect both BMP and Wnt pathways in complex ways that are dependent on context and cellular localization. USAG-1, the murine ortholog of SOSTDC1, binds to BMPs-2, -4, and -7 and antagonizes BMP activity in Xenopus embryos (Yanagita et al., 2004
). Wise, another ortholog of SOSTDC1 identified in chick and Xenopus, can both activate and antagonize Wnt signaling during Xenopus development (Itasaki et al., 2003
; Guidato and Itasaki, 2007
).
Recent work has directly implicated the Wnt pathway in kidney cancer. WTX, a negative regulator of Wnt signaling, was identified as a new tumor suppressor in Wilms' tumor, a pediatric form of kidney cancer (Major et al., 2007
). In a separate study using genomic profiling of adult renal cell carcinoma tumors, loss of sFRP1, a secreted form of the frizzled receptor that acts as an inhibitor of the Wnt pathway, was identified in 15 of 15 renal cell carcinoma patients (Gumz et al., 2007
). Our results indicate that SOSTDC1, a BMP antagonist that can also negatively regulate the Wnt pathway (Figure 6), is similarly down-regulated in kidney cancer. Collectively, these results suggest that upregulation of Wnt signaling via reduction of sFRP1, SOSTDC1, or perhaps other as yet unidentified mechanisms may make a critical contribution to the development of kidney cancer.
We observed that SOSTDC1 exerts an antiproliferative effect on clear cell renal carcinoma cells (Figure 7). Similarly, sFRP1 was also reported to negatively affect cell proliferation (Gumz et al., 2007
). Considering that SOSTDC1 is down-regulated in virtually all of the 20 cancer specimens we analyzed (Figure 1), we speculate that the pervasive decrease in SOSTDC1 in kidney cancers may arise because of the requirement of the malignant cell to overcome this antiproliferative activity of SOSTDC1. Our evidence further suggests that inhibition of both BMP and Wnt pathways may underlie the antiproliferative effect of SOSTDC1. Thus, the BMP antagonist noggin as well as the Wnt antagonist DKK1 also inhibited proliferation in RCC cells (Figure 7). The ability of SOSTDC1 to simultaneously antagonize both Wnt and BMP signaling may explain its enhanced antiproliferative activity when compared with noggin and DKK alone (Figure 7).
In this article, we identify SOSTDC1 as a BMP antagonist that is down-regulated in renal cancer, particularly clear cell carcinoma, the most common kidney cancer. In contrast, expression of SOSTDC1 was not decreased in papillary and chromophobe kidney tumors, which have a more favorable prognosis than clear cell carcinoma. We show a pattern of extracellular secretion in human tissue sections. We observe that reestablishment of SOSTDC1 expression in clear cell renal cancer cells profoundly inhibits proliferation of these cells, suggesting that SOSTDC1 is involved in regulating the proliferative capacity of these cancer cells. Finally, we show that SOSTDC1 expression leads to inhibition of both BMP and Wnt signaling. The observations that SOSTDC1 is significantly down-regulated in clear cell renal carcinoma and that overexpression of SOSTDC1 inhibits proliferation of clear cell carcinoma cells suggest that modulation of SOSTDC1 may represent a novel therapeutic approach for renal cancers.
| ACKNOWLEDGMENTS |
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| Footnotes |
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¶ Present address: Celera Genomics Corporation, 45 W Gude Drive, Rockville, MD 20850-1159. ![]()
Address correspondence to: Suzy V. Torti (storti{at}wfubmc.edu)
Abbreviations used: BMP, bone morphogenetic protein; R-Smad, regulatory Smad; RPTEC, renal proximal tubule epithelial cells; SOSTDC1, SclerOSTin domain-containing-1; TGF-β, transforming growth factor-β; USAG-1, uterine sensitization-association gene-1; Wnt, wingless-type MMTV integration site family; DKK1, Dickkopf-1
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