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DeltaNp63 isoform-mediated beta-defensin family up-regulation is associated with (lymph)angiogenesis and poor prognosis in patients with squamous cell carcinoma.

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www.impactjournals.com/oncotarget/   Oncotarget,  Advance  Publications  2014

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patients  with  squamous  cell  carcinoma

0HJJ\6XDUH]&DUPRQD1,2,*,  Pascale  Hubert1,*$UQDXG*RQ]DOH]$QDHOOH'XUD\4,   Patrick   Roncarati1 &KDUORWWH (USLFXP2,   Jacques   Boniver1 9LQFHQW &DVWURQRYR,   $JQqV 1RHO2 6YHQ 6DXVVH]4,   Olivier   Peulen,   Philippe   Delvenne1,**   and   Michael   +HUIV1,**  

1 Laboratory  of  Experimental  Pathology,  GIGA-­Cancer,  University  of  Liege,  Liege,  Belgium

2 Laboratory  of  Tumor  and  Developmental  Biology,  GIGA-­Cancer,  University  of  Liege,  Liege,  Belgium 3 Metastasis  Research  Laboratory,  GIGA-­Cancer,  University  of  Liege,  Liege,  Belgium

4 Laboratory  of  Anatomy,  Faculty  of  Medicine  and  Pharmacy,  University  of  Mons,  Mons,  Belgium * These  authors  contributed  equally  to  this  work

** These  authors  share  last  authorship

Correspondence to: Michael Herfs, email: M.Herfs@ulg.ac.be

Keywords: p63, defensins, (lymph)angiogenesis, prognosis, squamous cell carcinoma

Received: January 17, 2014 Accepted: March 19, 2014 Published: March 21, 2014

This  is  an  open-­access  article  distributed  under  the  terms  of  the  Creative  Commons  Attribution  License,  which  permits  unrestricted  use,   distribution,  and  reproduction  in  any  medium,  provided  the  original  author  and  source  are  credited.  

ABSTRACT:

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INTRODUCTION

Member   of   the   p53   family,   TP63   gene   gives   rise   to   transcripts   that   encode   either   full-­length   isoforms   containing  an  amino-­transactivation  (TA)  domain  (TAp63)   RUWUXQFDWHGLVRIRUPVWKDWODFNVWKLV7$GRPDLQ ǻ1S  %RWK7$DQGǻ1WUDQVFULSWVXQGHUJR&WHUPLQDODOWHUQDWLYH VSOLFLQJWR\LHOGVL[IXUWKHUFDUER[\OWHUPLQDOLVRW\SHV Į ȕȖ >@,QWKHODVWGHFDGHWKHLPSOLFDWLRQRISSURWHLQV LQHSLWKHOLDOVWUDWL¿FDWLRQ>@GLIIHUHQWLDWLRQ>@DQGLQWKH maintenance   of   the   proliferative   potential   of   epithelial  

VWHPVFHOOV>@KDVEHHQZHOOHVWDEOLVKHG,QDGGLWLRQWR their   role   in   normal   development   and   homeostasis,   the   large   majority   of   squamous   malignancies   display   p63   immunoreactivity  suggesting  that,  similar  to  p53,  p63  is   DOVR DFWLQJ GXULQJ WXPRULJHQHVLV >@ +RZHYHU GXH WR both  the  complexity  of  the  gene  and  the  lack  of  reliable   antibodies  for  each  individual  isotype,  the  role  of  p63  in   FDQFHULVVWLOOFRQWURYHUVLDODQGVXEMHFWWRGHEDWH>@ Recent  data  suggested  that  p63FRXOGSOD\DGXDOIXQFWLRQ ,QGHHG VHYHUDO VWXGLHV KDYH KLJKOLJKWHG WKH RQFRJHQLF SRWHQWLDORIǻ1SĮ>@,QFRQWUDVWRWKHUGDWDVKRZ

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that  the  p63  gene,  especially  TAp63  isoforms,  could  act  as   DWXPRUVXSSUHVVRU>@DOWKRXJKp63  is  rarely  mutated   in  human  cancer  in  contrast  to  classic  tumor  suppressor   JHQHV

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RESULTS

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(6)

beta   receptor   system   is   highly   expressed   on   vascular   HQGRWKHOLDOFHOOV>@7KURXJK&'LPPXQRODEHOLQJ on   tumor   sections,   the   average   number   of   neoformed   blood  vessels  per  mmZDVHYDOXDWHGE\LPDJHDQDO\VLV $V VKRZQ LQ )LJXUH $% ZH REVHUYHG WKDW ǻ1S RYHUH[SUHVVLQJ 6&& DUH DVVRFLDWHG ZLWK D VLJQL¿FDQWO\ higher   tumor   vascularisation   compared   to   cancers   GLVSOD\LQJDZHDNO\SRVLWLYHǻ1SLPPXQRUHDFWLYLW\

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(7)

structures,  lined  by  alpha  SMA-­negative  endothelial  cells,   ZHUHGHWHFWDEOHRQ&$0VHFWLRQV,PPXQRKLVWRFKHPLFDO VWDLQLQJ IRU WKH O\PSKDWLF ELRPDUNHU 3UR[ FRQ¿UPHG WKHO\PSKDWLFQDWXUHRIWKHVHYHVVHOV )LJXUH* ,PDJH DQDO\VLV ZDV XVHG WR TXDQWLI\ &$0 O\PSKDQJLRJHQLF response   from   optical   microscopy   observation   (Prox-­ VWDLQLQJ :HGHPRQVWUDWHGWKDWERWKVHUXP SRVLWLYH FRQWURO DQG+ȕ'VLQGXFHDVLJQL¿FDQWLQFUHDVHLQUHODWLYH O\PSKDWLFYDVFXODUDUHDFRPSDUHGWR3%6 )LJXUH+  7KLVLQFUHDVHGO\PSKDWLFYHVVHODUHDZDVUHOLHGRQDKLJKHU YHVVHOQXPEHU )LJXUH, 6LPLODUWRDQJLRJHQHVLV+ȕ' RYHUH[SUHVVLQJWXPRUVSHFLPHQVZHUHDVVRFLDWHGZLWKD higher   tumor   lymphangiogenesis   compared   to   cancers   GLVSOD\LQJ D ZHDNO\ SRVLWLYH +ȕ' LPPXQRUHDFWLYLW\ 6XSSOHPHQWDO)LJXUH &ROOHFWLYHO\RXUUHVXOWVVXSSRUW WKHLPSOLFDWLRQRI+ȕ'VLQO\PSKDQJLRJHQHVLV

DISCUSSION

:KDWHYHU WKH WXPRU ORFDWLRQ FHUYL[ KHDG DQG QHFN HVRSKDJXV«  WKH RYHUDOO VXUYLYDO UDWH IRU 6&& LV ORZ ODUJHO\ GXH WR WKH FDSDFLW\ RI FDQFHU FHOOV WR GLVVHPLQDWHYLDEORRGDQGRUO\PSKDWLFFLUFXODWLRQV7KH IRUPDWLRQRIQHZEORRGYHVVHOVLVZHOONQRZQWRSOD\D NH\UROHGXULQJWKHWXPRUJURZWKDQGPHWDVWDVLVSURFHVVHV >@ 6LPLODUO\ DFFXPXODWLQJ HYLGHQFH VXJJHVWV WKDW lymphangiogenesis  also  promotes  the  tumor  progression   and  regional  lymph  node  involvement  is  both  early  sign   of   metastasis   and   one   of   the   strongest   poor   prognostic   LQGLFDWRUV 8QGHUVWDQGLQJ WKH LQWHUSOD\ EHWZHHQ FDQFHU FHOOVDQG O\PSK DQJLRJHQHVLVFRXOGGH¿QHQHZPROHFXODU targets  that  might  prevent  the  very  initial  stage  of  tumor   spreading  from  the  primary  site  and,  therefore,  increase  

)LJXUH ǻ1SUHJXODWHG +ȕ'V HQKDQFH HQGRWKHOLDO FHOO PLJUDWLRQ$ &' LPPXQRVWDLQLQJ VKRZLQJ WKH QHRIRUPHG EORRGYHVVHOGHQVLW\LQKLJKDQGORZǻ1SH[SUHVVLQJ6&&,QFUHDVHGFRXQWVRI&'EORRGYHVVHOVZHUHGHWHFWHGLQKLJKǻ1S H[SUHVVLQJFHUYLFDODQGKHDGDQGQHFN6&&ZKHQFRPSDUHGWRWXPRUVZLWKDZHDNO\SRVLWLYHǻ1SLPPXQRUHDFWLYLW\ % 7KHDYHUDJH number  of  blood  vessels  per  mmZDVPHDVXUHGDVGHVFULEHGLQWKH³0DWHULDOVDQG0HWKRGV´VHFWLRQ,QÀXHQFHRI+ȕ'VRQHQGRWKHOLDO FHOOPLJUDWLRQLQD%R\GHQ&KDPEHUDVVD\ & YLDELOLW\ ( DQGSUROLIHUDWLRQ ) 7KH+ȕ'VUHODWHGPLJUDWRU\DELOLW\RIEORRGYHVVHOFHOOV ZDVDOVRPHDVXUHGZLWKD&&5EORFNLQJDQWLERG\ ' 3%6DQG9(*)$ZHUHXVHGDVQHJDWLYHDQGSRVLWLYHFRQWUROUHVSHFWLYHO\'DWD DUHSUHVHQWHGDVWKHPHDQV“VWDQGDUGGHYLDWLRQRIIRXUGLIIHUHQWH[SHULPHQWV*(QKDQFHPHQWRIDQJLRJHQHVLVE\+ȕ'VLQWKH&$0 DVVD\ 5HSUHVHQWDWLYH LPDJHV RI DOSKD60$ SRVLWLYHEORRG YHVVHOV DUH VKRZQ 4XDQWL¿FDWLRQ RI EORRG YHVVHOV KDV EHHQ SHUIRUPHG E\ FRPSXWHUL]HGLPDJHDQDO\VLV + 5HODWLYHYDVFXODUDUHDDQG , QXPEHURIEORRGYHVVHOVSHUPPZHUHGHWHUPLQHG$VWHULVNVLQGLFDWH VWDWLVWLFDOO\VLJQL¿FDQWGLIIHUHQFHV 3 

(8)

SDWLHQWVXUYLYDO>@+RZHYHUWKHPROHFXODUDQGFHOOXODU basis   of   blood   and   lymphatic   abnormalities   associated   ZLWKFDQFHUVUHPDLQVXQFOHDUDQGWKHVXEMHFWRIQXPHURXV LQYHVWLJDWLRQV

+ȕ'VDUHDQWLPLFURELDOSHSWLGHVSURGXFHGSULPDULO\ E\HSLWKHOLDOFHOOV5HFHQWO\VHYHUDOVWXGLHVKDYHVKRZHG WKH LPSOLFDWLRQ RI +ȕ'V LQ LPPXQH FHOO FKHPRWD[LV DFWLYDWLRQ DV ZHOO DV LQ ZRXQG KHDOLQJ VXJJHVWLQJ WKDW WKHFROOHFWLYHHIIHFWVRIWKHVHVPDOOSHSWLGHVH[WHQGZHOO EH\RQGWKHLUDQWLYLUDOEDFWHULDODFWLYLWLHV>@0RUHRYHU UHSRUWVKDYHDQDO\]HGWKHH[SUHVVLRQRI+ȕ'VLQQRUPDO DQG SUH QHRSODVWLF WLVVXHV DW P51$ DQG SURWHLQ

OHYHOV DQG VKRZHG WKDW +ȕ' DQG  ZHUH SDUWLFXODUO\ H[SUHVVHGLQZHOOGLIIHUHQWLDWHGRUDO6&&>@$OWKRXJK SURLQÀDPPDWRU\ F\WRNLQHV EDFWHULDO SURGXFWV DQG 7*)ȕ KDYH EHHQ VKRZQ WR LQGXFH +ȕ' XSUHJXODWLRQ WUDQVFULSWLRQ IDFWRUV DQG DVVRFLDWHG VLJQDOLQJ SDWKZD\V WKDWUHJXODWHWKHH[SUHVVLRQRI+ȕ'VVWLOOUHPDLQXQNQRZQ )XUWKHUPRUHWKHVHGDWDVXJJHVWWKDW+ȕ'H[SUHVVLRQFRXOG be  regulated  by  multiple  factors  and  be  cell  or  tissue-­type   GHSHQGHQW>@

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)LJXUHǻ1SUHJXODWHG+ȕ'VSURPRWHO\PSKDQJLRJHQHVLV$$QWL3RGRSODQLQDQWLERG\ZDVXVHGWRGHWHUPLQHWKHO\PSKDWLF YHVVHOGHQVLW\LQKLJKDQGORZǻ1SH[SUHVVLQJ6&&,QFUHDVHGFRXQWVRISRGRSODQLQO\PSKDWLFYHVVHOVZHUHREVHUYHGLQKLJKǻ1S H[SUHVVLQJFHUYLFDODQGKHDGDQGQHFN6&&ZKHQFRPSDUHGWRQHRSODVWLFOHVLRQVZLWKDZHDNO\SRVLWLYHǻ1SLPPXQRUHDFWLYLW\ % 7KH average  number  of  lymphatic  vessels  per  mmZDVGHWHUPLQHG,QÀXHQFHRI+ȕ'VRQO\PSKDWLFHQGRWKHOLDOFHOOPLJUDWLRQ & YLDELOLW\ ( DQGSUROLIHUDWLRQ ) ZDVDQDO\]HGDVGHVFULEHGLQWKH0DWHULDOVDQG0HWKRGVVHFWLRQ%R\GHQFKDPEHUDVVD\RIO\PSKDWLFHQGRWKHOLDO FHOOVZLWK&&5EORFNLQJDQWLERG\ZDVDOVRSHUIRUPHG ' 3%6DQG9(*)&ZHUHXVHGDVQHJDWLYHDQGSRVLWLYHFRQWUROUHVSHFWLYHO\ 'DWDDUHSUHVHQWHGDVWKHPHDQV“VWDQGDUGGHYLDWLRQRIIRXUGLIIHUHQWH[SHULPHQWV*(QKDQFHPHQWRIO\PSKDQJLRJHQHVLVE\+ȕ'VLQWKH &$0DVVD\5HSUHVHQWDWLYHLPDJHVRI3UR[SRVLWLYHEORRGYHVVHOVDUHVKRZQ4XDQWL¿FDWLRQRIO\PSKDWLFYHVVHOVKDVEHHQSHUIRUPHGE\ FRPSXWHUL]HGLPDJHDQDO\VLV + 5HODWLYHYDVFXODUDUHDDQG , QXPEHURIO\PSKDWLFYHVVHOVSHUPPZHUHGHWHUPLQHG$VWHULVNVLQGLFDWH VWDWLVWLFDOO\VLJQL¿FDQWGLIIHUHQFHV 3 

(9)

GLIIHUHQFH LQ WHUPV RI +ȕ' H[SUHVVLRQ ZDV REVHUYHG EHWZHHQǻ1SSRVLWLYHDQGQHJDWLYHFHOOV,QRUGHUWR GHPRQVWUDWH WKLV UHODWLRQVKLS EHWZHHQ S DQG +ȕ'V ZHWUDQVIHFWHGSLVRW\SHF'1$VLQQRUPDODQG6&& cells   and   demonstrated   that,   in   contrast   to   TAp63   LVRIRUP ǻ1SĮ ȕ DQG Ȗ LQFUHDVH +ȕ' H[SUHVVLRQ DW WKH P51$ OHYHOV 7KLV +ȕ' XSUHJXODWLRQ ZDV QRW UHODWHGWRDQLQFUHDVHG+ȕ'P51$VWDELOLW\,QYHUVHO\ D GHFUHDVH RI +ȕ'  DQG  H[SUHVVLRQ IROORZLQJ ǻ1SVLOHQFLQJZDVVKRZQLQ+D&D7DQG+7FHOOV %\ LPPXQRKLVWRFKHPLVWU\ ZH GHPRQVWUDWHG WKDW WKLV GRZQUHJXODWLRQRI+ȕ'DQGLQǻ1SVLOHQFHGFHOOV ZDVDOVRREVHUYHGDWWKHSURWHLQOHYHO:HWULHGWRFRQ¿UP DOO WKHVH UHVXOWV E\ :HVWHUQ EORW DQDO\VLV 1XPHURXV SURWRFROVZHUHXVHG+RZHYHUVLPLODUO\WRRWKHUVWXGLHV and  probably  because  of  the  small  size  of  these  peptides   ±N'D LWZDVLPSRVVLEOHWRGHWHFW+ȕ'VH[FHSWHG ZKHQRU—JRIUHFRPELQDQWSURWHLQV SRVLWLYHFRQWURO  ZDVXVHG,QDJUHHPHQWZLWKRXUUHVXOWVDQGDFFRUGLQJWR SXEOLVKHG PLFURDUUD\ DQDO\VHV +ȕ' DQG  ZHUH WZR JHQHVKLJKO\GRZQUHJXODWHG WRIROG DIWHUGLVUXSWLRQ RISH[SUHVVLRQLQVHYHUDOFDQFHUFHOOOLQHV>@7KHVH GDWD ZHUH REWDLQHG XVLQJ D VL51$ WDUJHWLQJ DOO S WUDQVFULSWV

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