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Role of β4 integrin phosphorylation in human invasive squamous cell carcinoma: regulation of hemidesmosome stability modulates cell migration.
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PMID:  21769085     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Hemidesmosomes (HDs) are multiprotein structures that anchor epithelia to the basement membrane. During squamous cell carcinoma (SCC) invasion, there is a reduction in the number of HDs, which may facilitate dissemination. Mechanisms of HD disassembly are incompletely understood. Previous work has shown that epidermal growth factor (EGF)-induced phosphorylation of the β4 integrin on three of its serines, S(1356)S(1360)S(1364), can induce HD disassembly in normal cells. Here, we examine the role of β4 integrin serine phosphorylation in SCC. We have found that around 60% of invasive cutaneous SCC show increased β4 phosphorylation on S(1356) when compared with carcinoma in situ or normal tissue. To assess the mechanisms by which SCC increases β4 phosphorylation, we performed in vitro analyses. Compared with keratinocytes, SCC cells showed increased levels of S(1356) phosphorylation in the absence of EGF, correlating with reduced HD-like structures. In addition, phospho-S(1356) signal was largely segregated from other HD components. Epidermal growth factor receptor and PKC inhibitors inhibited basal levels of S(1356) phosphorylation in SCC, suggesting that cells use intrinsic mechanisms to activate the EGF signaling pathway to induce β4 phosphorylation. Moreover, these inhibitors stabilized HD-like structures in SCC cells and reduced their migratory ability. Mutation of S(1356)S(1360)S(1364) in SCC cells to non-phosphorylatable alanines stabilized HD-like structures and substantially reduced migration, while mutation into phosphorylation mimicking aspartate reduced HD-like structures but had no effect on migration, suggesting that serine phosphorylation function is releasing anchorage rather than promoting migration. Altogether these results suggest that β4 serine phosphorylation may have an important role during SCC invasion by destabilizing HDs and facilitating migration.
Authors:
Trinayan Kashyap; Emily Germain; Michael Roche; Stephen Lyle; Isaac Rabinovitz
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural     Date:  2011-07-18
Journal Detail:
Title:  Laboratory investigation; a journal of technical methods and pathology     Volume:  91     ISSN:  1530-0307     ISO Abbreviation:  Lab. Invest.     Publication Date:  2011 Oct 
Date Detail:
Created Date:  2011-09-29     Completed Date:  2011-11-22     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  0376617     Medline TA:  Lab Invest     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1414-26     Citation Subset:  IM    
Copyright Information:
© 2011 USCAP, Inc All rights reserved
Affiliation:
Department of Pathology, BIDMC/Harvard Medical School, Boston, MA 02215, USA.
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MeSH Terms
Descriptor/Qualifier:
Basement Membrane / metabolism,  pathology
Carcinoma, Squamous Cell / metabolism*,  pathology*,  physiopathology
Cell Line, Tumor
Cell Movement*
Drug Stability
Hemidesmosomes / metabolism,  pathology*
Humans
Integrin beta4 / metabolism*
Keratinocytes / metabolism
Neoplasm Invasiveness
Phosphorylation
Serine / chemistry,  metabolism
Skin Neoplasms / metabolism*,  pathology*,  physiopathology
Time Factors
Tissue Distribution
Grant Support
ID/Acronym/Agency:
CA118916/CA/NCI NIH HHS; CA120202/CA/NCI NIH HHS; R01 CA118916-05/CA/NCI NIH HHS; R01 CA120202-05/CA/NCI NIH HHS
Chemical
Reg. No./Substance:
0/Integrin beta4; 56-45-1/Serine
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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Journal Information
Journal ID (nlm-journal-id): 0376617
Journal ID (pubmed-jr-id): 5462
Journal ID (nlm-ta): Lab Invest
ISSN: 0023-6837
ISSN: 1530-0307
Article Information
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License:
nihms-submitted publication date: Day: 11 Month: 5 Year: 2011
Electronic publication date: Day: 18 Month: 7 Year: 2011
Print publication date: Month: 10 Year: 2011
pmc-release publication date: Day: 1 Month: 4 Year: 2012
Volume: 91 Issue: 10
First Page: 1414 Last Page: 1426
ID: 3184203
PubMed Id: 21769085
DOI: 10.1038/labinvest.2011.104
ID: nihpa295149

Role of β4 integrin phosphorylation in human invasive squamous cell carcinoma: regulation of hemidesmosome stability modulates cell migration
Trinayan Kashyap*
Emily Germain*
Michael Roche**
Stephen Lyle**
Isaac Rabinovitz*+
Department of Pathology, BIDMC/Harvard Medical School, Boston, MA
** Department of Pathology, UMass Medical School, Worcester, MA
Correspondence: Isaac Rabinovitz, Dept. of Pathology, Beth Israel Deaconess Medical Center, 330 Brookline Ave. Boston, MA 02215, irabinov@bidmc.harvard.edu

INTRODUCTION

Squamous-cell carcinomas (SCC) are highly invasive tumors capable of metastatis (13). Stratified squamous epithelia, where most of the SCCs originate from, are strongly attached to the basal lamina through hemidesmosomes (HDs), multiprotein structures that provide stability (4, 5). During wound healing or SCC invasion there is an increase in HD disassembly (6, 7). In some SCC types, HD disassembly has been shown to correlate with metastatic potential (7). For this reason, there is a considerable interest to understand the mechanisms of HD disassembly.

The mechanisms of HD disassembly are not completely understood. Studies suggest that phosphorylation of the α6β4 integrin, plays an important role in HD disassembly (812). The α6β4 integrin is the main organizer of HDs (13). α6β4 connects to laminin on the basal lamina and facilitates the assembly of other HD components, including plectin and BPAG1, which link α6β4 to cytokeratins (4, 5, 13).

The chain of events that leads to HD disassembly in SCC is not well understood. Growth factors might trigger the initial events. Supporting this idea, EGF and MSP have been shown to induce HD disassembly in vitro (1416). These factors activate signaling pathways that result in β4 phosphorylation. EGF induces phosphorylation of β4 on serine and tyrosine residues several of which have been identified and shown to be involved in HD disassembly (8, 9, 10, 11, 14). Around 95% of β4 phosphorylation induced by EGF occurs on serine (8, 15), mostly on four sites, S1356, S1360, S1364 and S1424 (8, 9, 11). In normal cells, substitution of these serines with alanine impedes phosphorylation and in a cooperative manner, can inhibit EGF-induced HD disassembly (8, 9, 11). The mechanism by which β4 serine phosphorylation induces disruption of HDs is unclear, although evidence suggests that S1356S1360S1364 phosphorylation controls α6β4 /plectin interaction (11).

One possible scenario to explain reduced HDs in SCC, is that β4 phosphorylation may be altered, changing the balance towards disassembly. There is little information about β4 phosphorylation in SCC or its impact on HDs in cell migration. In this study, we analyzed β4 phosphorylation in primary SCC as well as in SCC cells in vitro. SCC frequently shows alterations in EGFR signaling (18, 19), so we analyzed phospho-S1356, a β4 residue whose phosphorylation is EGF-dependent. We found that S1356 phosphorylation in primary SCC correlates with invasiveness. In vitro analysis showed that SCC cells have intrinsic mechanisms to increase the basal level of β4 phosphorylation in the absence of EGF, reducing HD-like structures stability. Interestingly, SCC cells still use EGFR and PKC in the absence of exogenous EGF. Gefitinib, an EGFR kinase inhibitor, increased HD-like structures stability by reducing β4 phosphorylation, affecting cell migration as well. Mutation of β4 S1356S1360S1364 into alanines stabilized HD-like structures and hindered SCC migration. Our results suggest that β4 phosphorylation plays an important role in SCC progression by altering HD stability and the ability of cells to migrate. Targeting HD stability may be a method to reduce the ability of SCC to disseminate.


MATERIALS AND METHODS
Cells and reagents

Squamous cell carcinoma cell lines: A431 cells were obtained from ATCC; Colo-16 were obtained from Dr. N. Hail (University of Colorado, Denver, CO); SCC-25 were provided by Dr. A. M. Mercurio (UMass Med, Worcester, MA). HaCaT keratinocytes were obtained from Dr. S. La Flamme (Albany Medical College, Albany, NY). All cells were maintained in DMEM with 10% fetal calf serum, except SCC25 that was maintained in a 1:1 mixture of DMEM and Ham’s F12 medium supplemented with 400 ng/ml hydrocortisone and 10% fetal bovine serum. Antibodies: 3E1 (β4, Chemicon); GoH3 (α6, Chemicon); rabbit anti-β4 (15); anti-BPAG1 (20); anti-plectin (Santa Cruz Biotechnology); affinity-purified phospho-specific rabbit polyclonal Ab (anti-phosphoS1356Ab) raised against β4 peptide DDVLR(pS)PSGSQ (custom-made, QBC, Hopkinton, MA).

Plasmids

β4 shRNA-A431cells: pLKO.1β4-shRNA TRCN0000057768 (Open Biosystems) against an untranslated region of β4 was used to inhibit β4 endogenous expression in A431. pLKO.1GFP-shRNA was used as control. Cells were puromycin selected. β4-PCLXSN and triple mutants: β4 integrin cDNA fused to a C-terminus myc tag was inserted in PCLXSN retroviral vector (Imgenex). A triple mutation ser→ala or ser→asp on S1356S1360S1364 was introduced into β4-myc using standard techniques (9). Retroviral particles were used to infect β4 shRNA-A431cells. As control, we used the empty vector. Cells were selected using G418 and β4-negative cells were eliminated by FACS-sorting.

Indirect immunofluorescence

Cells were stained as described previously (15, 21). Briefly, cells grown on coverslips were extracted or not with detergent buffer containing 0.5% Triton-X-100, 100mM KCl, 200mM sucrose, 10mM EGTA, 2mM MgCl2, and 10mM PIPES at pH6.8 for 1min,, then fixed using paraformaldehyde or methanol. Cells were rinsed, blocked and stained with indicated Abs and Cy2/Cy3-conjugated secondaries. Slides were analyzed using fluorescence microscopy. Analysis of HD-like structures: collected images were background-subtracted, thresholded and fluorescence integrated density per cell was calculated using ImageJ software (NIH).

In vitro wound healing assay

Cells grown to confluency were scratched with a yellow tip and new medium containing inhibitors or not was added. Image records were collected at time 0. Wounded plates were incubated for 8–24h. Images were collected and percentage of wound closure was determined by digital analysis.

Human tissue samples

Tissue sections were obtained from the Cancer Center Tissue and Tumor Bank of UMASSMed with IRB approval. FFPE sections were stained with indicated antibodies using standard immunoperoxidase technique. Frozen sections were fixed in methanol, rinsed, blocked and stained with indicated antibodies followed by cy2/cy3-conjugated secondaries. Slides were analyzed by fluorescence microscopy. Staining intensities were scored from 0 (absent) to 4 (very strong) by two observers (SL and IR). Colocalization analysis in frozen sections was performed using ImageJ (NIH) and Colocalization Threshold plugin (ref.22 and www.uhnresearch.ca/facilities/wcif/software/Plugins/colocalisation_threshold.html). Statistical analysis was performed using T-test.


RESULTS
Phosphorylation of the β4 integrin in primary human SCC correlates with invasion

EGF signaling is frequently altered in SCC (18, 19). We have previously identified S1356 as one of the main phosphorylation sites on the β4 integrin that is phosphorylated upon EGF stimulation in a PKC-dependent manner using peptide mapping analysis, results that have been confirmed by other groups (8, 11). We and others have also shown that S1356 phosphorylation contributes importantly in HD disassembly (8, 11). Therefore, we generated a phosphospecific Ab against phospho-S1356. To assess Ab specificity, we mutated β4 S1356→A1356 to prevent Ab recognition of phospho-S1356. As shown in Fig 1A, mutation of the residue eliminated the phospho-S1356 Ab signal, confirming specificity. To confirm that the Ab acts in accordance to previous studies, we evaluated the kinetics of S1356 phosphorylation in HaCaT keratinocytes during EGF stimulation using phospho-S1356 Ab and Western analysis. As shown in Fig. 1B, there is little phosphorylation in non-stimulated cells, rapidly increasing to high levels after 5min and maintaining levels for 2h. Previous work suggests that phosphorylation of some of the serines in S1356S1360S1364 serine cluster are PKC-dependent (8, 11). Therefore we analyzed the effects of PKC stimulators and inhibitors on S1356 phosphorylation. As shown in Fig. 1C, EGF-dependent phosphorylation can be inhibited with conventional PKC inhibitor Go6976. Furthermore, PKC stimulator PMA induces S1356 phosphorylation, suggesting PKC-dependence. Altogether these results indicate that the Ab is specific and performs as expected in accordance to previous work.

To assess the prevalence of β4 phosphorylation in human SCC, we analyzed S1356 phosphorylation in normal skin and primary SCC. Archival formalin fixed paraffin embedded (FFPE) or frozen sections were analyzed using immunohistochemistry (IHC) or immunofluorescence (IF) analysis, respectively.

FFPE sections from 20 cutaneous SCC were stained for phospho-S1356. Tissues were divided into 5 categories: normal skin (n=4); carcinoma in situ (n=7); well (n=4), moderately (n=5), or poorly differentiated (n=4) invasive carcinoma. Staining intensities were scored 0=absent to 4=very strong. In normal skin, β4 was expressed in basal cells (Fig 2A) as previously described (28). Phospho-S1356 stain was mostly negative (Fig. 2B). In carcinoma in situ, β4 was highly expressed (Fig 2C), sometimes observed in suprabasal levels, and there was little β4 phosphorylation (Fig 2D). In invasive carcinomas, β4 expression remained high, sometimes extending beyond the basal layer (Fig. 2E and G). In contrast to normal skin and carcinoma in situ, invasive SCC showed increased phospho-S1356 (Fig. 2F and H). The signal was specific because it was eliminated by incubating the primary antibody in the presence of competing phospho-S1356 peptide, or by treating the tissue with alkaline phosphatase before adding the primary antibody (results not shown). Around 60% of the invasive tumors showed high levels of phospho-S1356 with IHC scores higher than normal skin (Fig. 2I). However, we found no difference between invasive carcinomas according to their degree of differentiation. β4 phosphorylation could be found along the tumor/stroma interface (Fig. 2H), or extending deeply into the tumor (Fig. 2F) usually co-distributing with β4. The increased phosphorylation of the β4 integrin in invasive SCC suggests that phosphorylation may play a role during this tumor progression phase.

Distribution pattern of β4 phosphorylation in relation to total β4, basement membrane and other HD components in human SCC

To assess more closely the relationship between the β4 phosphorylation signals and total β4, other HD components or the basement membrane in human SCC, we analyzed 9 cutaneous SCC (all invasive, 3 well and 6 moderately differentiated) and 2 normal skin frozen sections using double IF. Consistent with IHC results, normal skin showed high levels of β4 expression and little β4 phosphorylation (Fig. 3A–C). About 60% of the invasive SCC sections showed moderate to high levels of β4 phosphorylation (Figs 3E,H,K and Fig. 2I). β4 phosphorylation varied within regions, frequently showing gaps in relation to the band-like signal of β4 (arrows Fig. 3E,F,H and I) suggesting that phosphorylation is regionally modulated. Phosphorylation was stronger at the tumor/stroma interface sometimes extending more deeply (Fig. 3E and H), similar to FFPE sections.

To assess whether the discontinuous pattern of β4 phosphorylation corresponds to basement membrane disruptions along the tumor/stroma interface, we analyzed colocalization of phospho-S1356 and Laminin-332. As shown in Fig. 3G–I, Laminin-332 was continuous and did not correlate with the patchy pattern of β4 phosphorylation, suggesting that β4 phosphorylation is unrelated to the basement membrane. To assess if β4 phosphorylation affects the distribution of other HD components, we evaluated colocalization of BPAG1 and phospho-S1356. The patchy pattern of both BPAG1 and β4 phosphorylation frequently excluded each other (Fig. 3J–L), suggesting that β4 phosphorylation may affect the distribution of this HD component.

Increased basal level of S1356 phosphorylation in SCC cells is associated with reduced HD-like structure stability

The higher levels of phosphorylation observed in invasive primary SCC and previous observations that HDs are reduced in SCC (7), prompted us to assess in vitro for possible mechanisms explaining these observations. Reduced HDs in SCC may be related to alterations in β4 phosphorylation. We therefore analyzed the levels and distribution of S1356 phosphorylation in three SCC cell lines: A431(23), SCC-25 (24) and Colo-16 (25) in relation to HaCaT keratinocytes, which are immortalized keratinocytes capable of differentiation in organotypic cultures and formation of HD-like structures in vitro (29). Western analysis showed that, in comparison to HaCat keratinocytes, all SCC cells had elevated basal levels of phospho-S1356 in the absence of EGF (Fig. 4A and B), suggesting intrinsic mechanisms to increase phosphorylation. We then compared the phospho-S1356 distribution between HaCaT keratinocytes and SCC cells using IF (Fig 4C and E). The cells were dual-immunostained with β4 and phospho-S1356 Abs. HaCat keratinocytes showed characteristic HD-like structures stained with the β4 Ab that largely survived extraction with detergent buffer before fixation (Fig. 4C; Non-Ex: nonextracted; Ex: extracted). The resistance to detergent buffer is mostly conferred by the connection of the β4 integrin with the cytokeratins through plectin and BPAG1 (30, 31). As expected, most of the β4 that remains after detergent extraction in HD-like structures colocalizes with plectin (Fig. 4D). Using quantitative IF, we determined that about 60% of HaCaT β4 is resistant to detergent (Fig. 4E). The phospho-S1356 signal was low in HaCaT keratinocytes (Fig. 4C). In contrast, SCC cells showed a higher phospho-S1356 signal in all three SCC cell lines (Fig 4C), which colocalized with β4 in HD-like structures and retraction fibers (Fig. 4E and 5A–C). However, β4 signal was less resistant than HaCaT keratinocytes to detergent extraction (~20%, Fig 4E). Most of the phosphorylation signal in the SCC cells was not resistant to detergent (Fig 4E). These findings are consistent with the notion that β4 phosphorylation weakens HD stability.

Previous studies suggest that phosphorylated S1356S1360S1364 promotes disruption of β4-plectin interactions (11). We therefore assessed phospho-S1356 /plectin and plectin/total β4 colocalization in SCC cells. A similar pattern was found for all SCC types (exemplified by SCC25 in Fig. 5), showing that while plectin usually colocalized with total β4 in stabilized HD-like structures as previously described (Fig 5D–F; (32)), phospho-S1356 only partially overlapped with plectin and interestingly, within colocalized areas, an inverse gradient between the 2 signals was frequently observed (Fig. 5G–I), suggesting that plectin may be gradually removed as more β4 becomes phosphorylated. We also assessed colocalization of phospho-S1356 or total β4 with BPAG1, another linker of β4 with cytokeratins. While BPAG1 always colocalized with parts of the total β4 Fig 5J–L), a sharper segregation was seen between phospho-S1356 and BPAG1 (Fig. 5M–O) suggesting that other HD components are affected by phospho-S1356 as well. Altogether these results suggest that SCC cells have intrinsic mechanisms to induce β4 phosphorylation that might disrupt interactions among HD components, decreasing HD-like structure stability.

Intrinsic activation of EGFR signaling pathway in SCC cells raises phospho-S1356 basal levels affecting HD-like structure stability and cell migration

To address the mechanisms that could generate an increase in the basal levels of β4 phosphorylation in SCC, we determined whether this increase still depends on the EGF/PKC pathway. We evaluated phospho-S1356 in the presence or absence of EGFR inhibitor Gefitinib or PKC inhibitor Go6976. As shown in Fig. 6A, both Gefitinib and Go6976 inhibit phospho-S1356 basal levels in SCC cells, suggesting that activation of EGFR and PKC is still necessary in the absence of an external source of EGF and that SCC cells have intrinsic mechanisms to activate these kinases.

Since Gefitinib is used in some types of SCC chemotherapy (27), we addressed whether this drug could exert some of its anti-tumor effects through HD stabilization and modifying cell migration. As shown in Fig. 6Bβ4 in HD-like structures is substantially increased using Gefitinib or Go6976. We then assessed their effect on SCC migration using in vitro wound healing assays. Both inhibitors efficiently reduced migration in all cells (Fig. 6C). Go6976 effect was more pronounced, suggesting that alternative signaling pathways may converge with EGF-signaling to activate PKC. These results suggest that anti-tumor activity of Gefitinib might include inhibition of SCC cell migration through HD stabilization and inhibition of β4 phosphorylation.

Prevention of β4 phosphorylation on S1356S1360S1364 restores HD-like structures in SCC cells and slows migration

Cell migration is an important component of carcinoma invasion and metastasis (33). Considering that SCC invasion correlates with β4 phosphorylation and reduction of HD-like structures, we hypothesized that by preventing S1356S1360S1364 phosphorylation in SCC, we would replenish HD-like structures and hinder migration. Previous work in normal cells has shown that triple mutation is needed to increase HD stability (8, 11). We therefore expressed in A431 a non-phosphorylatable triple mutant β4 A1356A1360A1364-myc or a phosphorylation-mimicking mutant β4 D1356D1360D1364-myc, using wild type (wt)β4-myc as control. We first silenced β4 endogenous expression in A431 using shRNA technology (targeting β4 non-translated region). We then expressed wt and mutant β4 at equivalent levels (Fig. 7A). Using IF analysis and detergent extraction to assess HD-associated β4, we found that β4-myc and β4-A1356A1360A1364-myc incorporated well into HD-like structures (Fig 7B non-extracted vs. extracted). A quantitative analysis showed that β4-A1356A1360A1364-myc produced twice the amount of HD-like structures as β4-myc (Fig 7C). In contrast, incorporation of β4 D1356D1360D1364-myc into HD-like structures was reduced (Fig 7B, C). We addressed whether HD-like structure stabilization induced by β4 A1356A1360A1364-myc can counter EGF-induced HD disruption. As shown in Fig 7C, β4 A1356A1360A1364-myc mutant efficiently resisted EGF-induced HD-like structure disruption while β4–myc was largely mobilized. These data suggest that low number of HD-like structures in SCC can be reverted by preventing β4 phosphorylation.

We then assessed the ability of β4 phosphorylation mutants to influence cell migration using wound healing assay. As shown in Fig. 7D, β4 A1356A1360A1364-myc substantially reduced A431 migration. However, the phosphorylation mimicking mutant did not affect migration. These results suggest that regulation of β4 phosphorylation can modulate cell movement through HD destabilization, although once β4 leaves HDs, serine phosphorylation provides no further advantage.


DISCUSSION

HDs disassemble during wound healing and carcinoma invasion. In some types of SCC, the reduction of HDs is also associated with high metastastic potential (7). In this paper we have explored the possibility that reduction of HDs in SCC is due to β4 integrin serine phosphorylation. Consistent with this idea we have found a correlation between an increase in β4 integrin phosphorylation and carcinoma invasion in a group of 29 primary cutaneous SCC.

This is the first report showing that β4 phosphorylation occurs in human tissue. The analysis of the β4 phosphorylation in FFPE and frozen tissues showed a clear increase in phospho-S1356 signal in ~60% of the invasive SCC. However we did not detect significant differences between the various degrees of differentiation among the invasive tumors. The phosphorylation signal was distributed unevenly, showing frequent gaps in the interface between the SCC and stroma, suggesting that the phosphorylation may be dependent on the context of the tumor location. Considering that EGFR activation is frequently seen in SCC and that β4 can be phosphorylated through EGF signaling, one possible scenario to explain regional variations of β4 phosphorylation would be a concomitant activation of EGFR within the same areas. We made efforts to detect phospho-EGFR and, although we found that SCC expressed EGFR, we were not able to detect phospho-EGFR (results not shown), a problem that has also been encountered by others studying cutaneous SCC (19). Interestingly, in other types of SCC, the existence of regional variations in phospho-EGFR has been reported (34), reminiscent of β4 phosphorylation pattern. Another possibility is that regional phosphorylation of the β4 integrin might reflect gaps in the basement membrane, a phenomenon that frequently occurs in invasive carcinoma. However, we found no relationship between the β4 phosphorylation pattern and the basement membrane, which mostly showed a continuous distribution of Laminin-332, suggesting that β4 phosphorylation is not determined by the basement membrane organization.

To gain more insight into what causes an increase in β4 phosphorylation in SCC, we used an in vitro model of SCC. Our in vitro results suggest that SCC cells acquire intrinsic mechanisms to increase β4 phosphorylation in the absence of any added growth factor. This increase of β4 basal phosphorylation in SCC cells is accompanied by a reduction of HD-like structures and segregation of the phosphorylation signal in relation to the HD components plectin and BPAG1, results that are consistent with the notion that β4 phosphorylation promotes disassembly of HDs through the disruption of interactions with other HD components (8, 11). Interestingly, we also observed segregation of BPAG1 and β4 phosphorylation signal in SCC tissues, although the complete disappearance of BPAG1 within groups of cells in SCC suggests a different mechanism of segregation whereby continuous β4 phosphorylation might eventually affect BPAG1 turnover or expression. Clearly more studies are necessary to understand long-term effects of β4 phosphorylation on other HD components. One shared mechanism that the three SCC cell lines use to increase the basal phosphorylation of the β4 integrin is the maintenance of an active EGFR in the absence of added growth factor, indicated by the inhibition of β4 phosphorylation with Gefitinib, an EGFR kinase inhibitor. An active EGFR in such conditions would suggest the possibility of autocrine secretion of EGFR ligands or sensitizing mutation/amplification of EGFR. Constitutive activation of EGFR through expression of autocrine EGFR ligands, gain-of-function mutations, or protein overexpression is found in nearly 90% of all oral cavity and head and neck SCCs (2, 27, 35). In the specific case of A431, overexpression of EGFR and autocrine stimulation with TGFα is well documented and may explain the increase in β4 phosphorylation (36, 37). Importantly, the inhibition of β4 phosphorylation by Gefitinib correlated with stabilized HD-like structures and reduced cell migration in all SCC cells, suggesting that EGF effect on migration may be in part due to the regulation of β4 phosphorylation promoting HD disassembly and allowing cells to move. Downstream EGFR, PKC still seems to mediate increased S1356 phosphorylation in SCC as shown by the inhibitory action of Go6976, a conventional PKC inhibitor (38). Therefore SCC cells may only differ from keratinocytes in some type of disregulation of the EGF signaling pathway rather than the activation of an alternative route.

Our data suggest that β4 phosphorylation might be involved in regulating the invasive ability of SCC through modulation of HD stability and cell migration. First, our results show that by inhibiting β4 phosphorylation with Gefitinib in SCC cells, there was clear stabilization of HD-like structures, which correlated with cell migration inhibition. The effect on HD-like structure stability and cell migration was somewhat stronger using Go6976, suggesting that alternative signaling pathways may converge in the activation of PKC. Second, by preventing the phosphorylation of β4 through mutation of the serine cluster S1356S1360S1364 to alanines, we were able to increase HD-like structure stability and inhibit migration even in the presence of EGF. However, a phosphorylation mimicking mutation of the serine cluster to aspartate failed to increase migration. This suggests that the role of β4 integrin serine phosphorylation in SCC migration is to release the cell from migration-hindering attachment rather than actively promote migration. It is worth mentioning that β4 per se was still necessary for cell migration, since silencing β4 reduced migration, which is in agreement with previous studies suggesting that β4 itself promotes migration and invasion through a variety of signaling pathways (39, 40). In this regard, a role of β4 tyrosine phosphorylation in the migration-promoting function of β4 has been previously shown (4143, 44).

An interesting implication of our findings is that some of the antitumorigenic effects of EGFR inhibitors, such as Gefitinib, might be exerted through the stabilization of HDs by inhibiting β4 serine phosphorylation and consequently affecting the migration capability of the tumor which ultimately impacts metastatic potential. Future studies that evaluate the restoration of HDs and reduction of β4 phosphorylation during Gefitinib treatments could be potentially useful in assessing treatment efficiency and providing additional prognosis value.


This work was sponsored by National Institutes of Health grant numbers CA120202 (I.R.) and CA118916 (S.L.). We thank Dr. Arthur Mercurio and Dr. Don Senger for their useful discussions.


Abbreviations
BPAG Bullous Pemphigoid Antigen
EGFR epidermal growth factor receptor
FFPE formalin fixed paraffin embedded
HD hemidesmosome
IHC immunohistochemistry
IF immunofluorescence analysis
MSP Macrophage-stimulating protein
SCC squamous cell carcinoma
wt wild type

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Keywords: Integrins, hemidesmosome, cell migration, invasion, phosphorylation.

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