Endocrinology Vol. 139, No. 5 2519-2526
Copyright © 1998 by The Endocrine Society
Mammogenic Hormones Differentially Modulate Keratinocyte Growth Factor (KGF)-Induced Proliferation and KGF Receptor Expression in Cultured Mouse Mammary Gland Epithelium1
Vadim K. Pedchenko and
Walter T. Imagawa
Kansas Cancer Institute, Department of Molecular and Integrative
Physiology, and Division of Etiology and Prevention of Hormonal
Cancers, University of Kansas Medical Center, Kansas City, Kansas
66160
Address all correspondence and requests for reprints to: Walter Imagawa, Ph.D., 1042 Lied Biomedical Research Facility, University of Kansas Medical Center, Kansas City, Kansas 66160-7810.
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Abstract
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Stromally derived keratinocyte growth factor (KGF) can play an
important role in mammary gland development as a mesenchymal/stromal
mediator of epithelial growth and morphogenesis. However, the possible
coordinate regulation of mammary gland development by mammogenic
hormones and KGF is unexplored. In these studies, the direct effect of
mammogenic hormones on KGF-mediated mammary epithelial mitogenesis and
expression of the KGF receptor was examined using primary mouse mammary
epithelium growing in serum-free, collagen gel cell culture. Addition
of KGF produced an average 7-fold increase in cell number after 10 days
of culture. This effect of KGF was further increased in the presence of
PRL (9-fold) or progesterone (P; 15-fold), with the combination of P
and PRL (22-fold) producing the strongest synergistic stimulation.
Estrogen did not show any additional stimulation of growth either alone
or in combination with PRL and/or P. Ribonuclease protection analysis
showed that epithelial cells grown in medium supplemented with P, but
not PRL or estrogen, exhibited a 10-fold higher steady state level of
KGF receptor (KGFR) messenger RNA (mRNA). KGFR expression was not
induced by short term P exposure, suggesting an effect on mRNA
stability rather than transcriptional activation. Time-course studies
showed that an early decrease in the level of KGFR mRNA in basal
cultures was significantly reduced by P addition. Measurement of RNA
turnover after actinomycin D treatment showed that P increased the
t1/2 of KGFR mRNA compared with basal medium. Thus, P and
PRL may differentially potentiate the direct mitogenic effect of KGF: P
partly by elevation of the level of KGFR mRNA, and PRL principally by
intracellular pathways not affecting KGFR expression.
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Introduction
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MAMMARY gland development is regulated by
the coordinated action of ovarian and pituitary hormones and, most
likely, peptide growth factors produced locally and/or present in the
systemic circulation (1). Although many growth factors can potentially
affect the growth and differentiation of the mammary epithelium, there
is a gap in our understanding of how these growth factors cooperate
with the primary physiological regulators of mammary development, the
mammogenic hormones, to orchestrate a complex developmental program.
The identification of locally synthesized mammary stromal growth
factors has prompted speculation that these factors may in part mediate
the recognized influence of the stroma on normal and abnormal mammary
growth and development (2). Therefore, a thorough understanding of
their influence on the mammary epithelium and their interplay with
mammogenic hormones is necessary.
Keratinocyte growth factor (KGF or FGF-7) is a member of
fibroblast growth factor family (3) that was discovered as a
heparin-binding protein secreted by cultured stromal fibroblasts. In
epithelial tissues, KGF is produced only by associated stromal cells
and targets only the epithelium (4), which expresses the KGF receptor
(KGFR), a transmembrane tyrosine kinase encoded by the IIIb splice
variant of FGF-2 receptor (FGFR-2) or bek (5, 6, 7). KGF is
strongly mitogenic in vitro for a broad range of epithelial
cells from different organs, including skin (8), cornea (9), stomach
(10), liver (11), prostate (12, 13), ovary (14), lung (15), and mammary
gland (16). Analysis of KGF and KGFR expression during embryonic
development, including the mammary gland, has provided evidence that
KGF is an important mesenchymal mediator of epithelial growth and
differentiation (17, 18).
In hormone-responsive tissues, KGF expression can be modulated by
systemic hormones. KGF may act as a stromal andromedin in prostate (13, 19, 20) and seminal vesicle (21) or as a progestomedin in uterus (22).
KGF is expressed in the mammary stroma of adult mice (23) and humans
(24, 25) and changes in KGF expression during postnatal growth of the
mouse mammary gland suggest that it may be hormonally regulated (26).
We envision that mammogenic hormones can potentially regulate KGF
bioactivity by modifying its synthesis in the mammary stroma, altering
the sensitivity of the epithelium to KGF by regulation of the level and
affinity of the KGFR or by modulation of postreceptor signaling
pathways. In this report, we employed a collagen gel culture system
permissive for hormone-responsive, three-dimensional epithelial cell
growth and morphogenesis under defined conditions (27) to examine the
modulation of KGF mitogenesis by mammogenic hormones.
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Materials and Methods
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Chemicals
Progesterone (P) and 17ß-estradiol were purchased from Sigma
Chemical Co. (St. Louis, MO) and were prepared as 1000-fold stocks in
ethanol. Ovine PRL was provided by the National Hormone and Pituitary
Program, and bovine insulin and serum albumin (fraction V) were
obtained from Sigma. Human recombinant KGF was provided by J. Rubin
(NIH) and purchased from Promega (Madison, WI). All cell culture media
were obtained from Life Technologies (Grand Island, NY). Collagenase
(CLS type 2) was purchased from Worthington Biochemical Co. (Freehold,
NJ). Rat tail collagen, solubilized in acetic acid, was prepared as
described previously (28).
Cell culture
Epithelial cells were obtained by collagenase digestion of
mammary glands from 3-month-old BALB/c virgin mice (Charles River,
Wilmington, MA) followed by Percoll gradient centrifugation as
described previously (27, 28). Animals were maintained and killed
according to NIH guidelines and protocols approved by the institutional
animal care and use committee of the University of Kansas Medical
Center. Neutralized, isosmotic collagen solution was prepared by mixing
collagen with a neutralizing mix composed of 0.34 N
NaOH/10 x bicarbonate-free, HBSS (0.9:1, vol/vol) in a ratio of
85:15, respectively. For proliferation experiments, epithelial cells
were mixed with neutralized collagen (23 x 105
cells/ml), and 0.5 ml collagen was pipetted into each well of 12-well
culture plates. Triplicate wells were prepared for each medium
combination to be tested. After gelation at room temperature, the
collagen gels were overlaid with 0.5 ml culture medium. The basal
medium used for cell growth was composed of a 1:1 mixture of Hams
F-12 and DMEM buffered with 20 mM HEPES and 0.67 g/liter
sodium bicarbonate and supplemented with 1 mg/ml BSA V, 10 µg/ml
insulin, 100 U/ml soybean trypsin inhibitor, 1 µg/ml
-tocopherol
succinate, and other additives as indicated in the figures. Cells were
grown at 37 C in a 2% CO2-98% air atmosphere. Medium was
changed every other day.
For determination of cell number, collagen gels containing cells were
transferred to 12 x 75-mm glass tubes, acidified with 0.1 vol
25% acetic acid, and incubated at 37 C until the collagen had
dissolved. Cells were pelleted by centrifugation at 1500 rpm for 5 min
and extracted with 2 ml 70% ethanol overnight, and the cell pellets
were dried for fluorometric DNA assay using diaminobenzoic acid and
diploid mouse mammary tumor cells as standards (29).
RNA extraction, Northern blotting, and ribonuclease (RNase)
protection assay
For RNA extraction, cells were grown in 100-mm culture dishes at
12 x 107 cells/dish, and total RNA was isolated
using Tri-Reagent (Sigma Chemical Co., St. Louis, MO) after partial
dehydration of collagen gels by blotting on Whatman 3MM filter paper
(Whatman, Clifton, NJ). RNA integrity was checked by formaldehyde
denaturing agarose gel electrophoresis and staining with ethidium
bromide. For RNase protection assay, a 148-bp PCR fragment
corresponding to exon K (bp 12701417) of the mouse bek
gene (6) was cloned into pGEM3Zf(-) transcription vector (Promega).
After linearization with HindIII, antisense transcripts were
synthesized with T7 RNA polymerase using the MAXIscript in
vitro transcription kit from Ambion (Austin, TX) and 50 µCi
[
-32P]ribo-UTP (800 Ci/mmol; DuPont New England
Nuclear, Wilmington, DE). Full-length probe was recovered after
electrophoresis of transcription products on a 5% polyacrylamide-7
M urea-Tris/borate/EDTA gel. A mouse ß-actin probe with a
protected fragment size of 245 nucleotides (Ambion) was labeled to 200
times lower specific activity then the KGFR probe by the addition of
100 µM UTP to the transcription reaction and gel purified
as described above. It was used as an internal control to monitor the
amount and gel loading of RNA. The RNase protection assay was performed
with 20 µg total RNA and 80,000 cpm labeled antisense probes for both
KGFR and ß-actin using the RPA II kit (Ambion). After RNase
digestion, protected fragments were separated on a 5% polyacrylamide-7
M urea-Tris/borate/EDTA gel and exposed to autoradiography
film at -70 C with an intensifying screen. Signals from protected
fragments were quantified on a Molecular Dynamics Personal Densitometer
SI using ImageQuant 4.2 software (Molecular Dynamics, Sunnyvale,
CA).
For Northern blot analysis, 15 µg total RNA from cultured mammary
epithelial cells were electrophoresed on formaldehyde agarose gels and
transferred overnight in 4 x SSC to a Hybond N+
membrane (Amersham, Aylesbury, UK). After methylene blue staining to
ensure equal loading and integrity of RNA (30) and alkaline fixation
(31), the membrane was prehybridized for 3 h at 60 C in a solution
containing 0.2 M
Na2HPO4-H3PO4 (pH 7.2),
1% BSA, 45% formamide, 10% dextran sulfate, 7% SDS, 1
mM EDTA, 1 x Denhardts solution, and 10 µg/ml
denatured salmon sperm DNA. The membrane was hybridized for 16 h
in the same solution with 32P-labeled antisense riboprobe
for KGFR (107 cpm/ml); washed once for 30 min at room
temperature and three times for 30 min at 65 C in 40 mM
Na2HPO4-H3PO4 (pH 7.2),
1 mM EDTA, and 1% SDS; and subjected to
autoradiography.
Measurement of KGFR RNA stability
Epithelial cells (12 x 107/60-mm culture
dish) were cultured for 3 days in collagen gels in basal medium with or
without 50 ng/ml P. Fresh medium containing 10 µg/ml actinomycin D
was then added, and total RNA was isolated at varying time points. The
level of KGFR transcripts was determined by RNase protection assay and
quantified by densitometry.
Statistical analysis
All data were expressed as the mean ± SEM and
were tested for statistical significance (P < 0.05)
using paired Students t test and single factor ANOVA. When
multiple comparisons were performed, the data were analyzed by one-way
ANOVA followed by the Student-Newman-Keul or Dunns test. Differences
were considered significant at P < 0.05 for all
comparisons. The number of independent experiments is indicated in the
figure legends.
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Results
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Time-course effect of KGF on growth of mammary epithelial cells
Time-course experiments were performed to examine the effect of
KGF on the kinetics of normal mammary epithelial cell growth during 10
days in culture. As shown in Fig. 1A
, growth stimulation by KGF was observed after a 3- to 4-day lag period.
The growth rate was maximal from days 48. Under these experimental
conditions, a slow decrease in epithelial cell number occurred in
serum-free basal medium, possibly as a result of cell damage during
tissue dissociation and the absence of growth/viability-promoting
factors in the serum-free medium. After 10 days, the cell number was 9
times higher in the presence of KGF compared with basal medium. Besides
stimulation of proliferation, KGF also strongly induced stellate
outgrowths of epithelial colonies growing within the collagen matrix
(Fig. 1B
).

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Figure 1. A, Time course of the effect of KGF on mammary
epithelial cell growth. Cells were cultured for various times in
collagen gels in basal medium only () or in basal medium
supplemented with 15 ng/ml KGF ( ). Data shown are the mean ±
SEM of six independent experiments. *,
P < 0.05 compared with cell number in basal medium
only (by paired Students t test). B, Morphology of
mouse mammary epithelial cell colonies in serum-free collagen gel
culture after 6 days of growth in basal medium or in the presence of
KGF (15 ng/ml). Phase contrast microscopy, x40.
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Effect of mammogenic hormones and KGF on growth
KGF stimulated epithelial cell proliferation in a dose-dependent
manner, with a maximal effect at about 20 ng/ml (Fig. 2
). Similar dose dependencies were
reported for KGF growth stimulation of human keratinocytes (8). This
dose dependency resembles closely saturable specific binding of
[125I]KGF to the mouse keratinocytes described by Bottaro
et al. (32), indicating that the observed effect is
modulated by a high affinity KGF receptor. As shown previously, P and
PRL are the mammogenic hormones that directly stimulate the growth of
mouse mammary epithelial cells cultured within collagen gels in
phospholipid-supplemented, serum-free medium (27). In these
experiments, optimal concentrations of PRL and P alone stimulated
growth by at most 2-fold (P < 0.05, by
Student-Newman-Keuls test), but when these optimal concentrations of
hormones were combined with KGF, they synergistically stimulated
growth, resulting in nonparallel KGF dose-response curves (Fig. 2
) and
a more than additive stimulation (Fig. 3
). For PRL, P, and P plus PRL, the sums
of the mean increase in cell number over basal for hormone(s) alone and
KGF alone compared with the observed increase in cell number over the
basal value for the combination of hormone(s) and KGF (shown in
parentheses) were, respectively, 6.6 x 105
(8.5 x 105), 7 x 105 (14 x
105), and 9.3 x 105 (21.7 x
105). 17ß-Estradiol did not stimulate proliferation or
alter KGF mitogenesis alone or when combined with P and/or PRL.

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Figure 3. Growth of mammary epithelial cells in response to
different combinations of hormones and KGF. Cells were cultured for 10
days in the presence of different hormones/hormone combinations without
or with KGF (15 ng/ml). Hormone concentrations are the same as
indicated in Fig. 2 . Data represent the mean ± SEM
(n = 6), and significant differences among groups are shown by
different letters (P < 0.05, by
Student-Newman-Keuls test).
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P showed a much stronger synergism than PRL (P < 0.05;
data combined from 12 independent experiments). The proliferative
effect of P was examined in further experiments in which the
concentration of P was varied, whereas KGF was held constant at 20
ng/ml (Fig. 4
). These data show that KGF
plus P at P concentrations above 5 ng/ml clearly stimulated more than
additive proliferation (the sum of the effect of KGF alone and that of
P alone). Mammogenic hormones did not significantly change the
sensitivity of the cells to KGF as would be indicated with a shift in
the dose-response curves; the small difference between the P and PRL
curves at the lowest concentration of KGF was not statistically
significant (P > 0.05, by Student-Newman-Keuls
test).

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Figure 4. Dose-dependent stimulation of mammary epithelial
cell proliferation by P in the presence and absence of KGF. Cells were
cultured for 10 days in basal medium, to which were added different
concentrations of P with (dark bars) or without KGF (20
ng/ml). Data represent the mean ± SEM (n = 3).
Significant differences between groups are indicated by different
letters (P < 0.05, by Student-Newman-Keuls
test).
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Effects of mammogenic hormones on KGFR expression by mammary
epithelial cells
To investigate the effects of mammogenic hormones on KGFR
expression, epithelial cells were cultured for 10 days in basal medium
to which mammogenic hormones were added singly or in combination.
Northern hybridization analysis (Fig. 5
)
revealed a 4.2-kb transcript [also reported for mouse keratinocytes
(5)] that is elevated in the presence of P. Further comparison of
hormonal effects by RNase protection assay showed about a 10-fold
increase in the steady state level of this transcript in cells grown in
the presence of P (Fig. 6
, A and B). The
marked effect on proliferation of the combination of PRL and P was not
mirrored in this combinations effect on KGFR expression; the
messenger RNA (mRNA) level was similar to that observed for P alone.
Estrogen (E) alone did not affect the level of KGFR transcripts, but in
two of six experiments there was a higher level of KGFR mRNA when E was
combined with P than when P was administered alone. We suggest that
this effect may be related to Es ability to stimulate P receptors in
mammary cells cultured in this system (33, 34) and is more evident when
the endogenous P receptor level happens to be low in mammary epithelium
isolated after enzymatic digestion of the mammary gland. KGFR
expression was specific for epithelial cells, as KGFR mRNA was not
detected in parenchyma-free fat pads or primary cultures of mouse
mammary fibroblasts (data not shown).

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Figure 5. Northern blot analysis of KGFR expression in mouse
mammary epithelial cells. A, Fifteen micrograms of total RNA from cells
grown for 2 days within collagen gels in either basal (B) or
P-supplemented medium were loaded per lane and hybridized with
32P-labeled antisense KGFR probe as described in
Materials and Methods. B, Methylene blue staining of
nylon membrane after RNA transfer showing the positions of 18S and 28S
ribosomal RNA.
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Figure 6. Effects of hormones on KGFR expression in mammary
epithelial cells. A, Cells were cultured for 10 days in serum-free
basal medium (B) supplemented with mammogenic hormones as indicated.
KGFR expression was analyzed by RNase protection assay as described in
Materials and Methods. Actin transcripts were analyzed
to control for RNA integrity and loading. The sizes of the protected
actin and KGFR fragments are, respectively, 245 and 148 nucleotides. B,
Quantitation of KGFR level based on densitometric analysis. The data
(mean ± SEM; n = 6) were normalized to the KGFR
level in cells grown in basal medium by dividing the value in
hormone-treated groups by the basal value. Significant differences
(P < 0.05, by Dunns test) between groups are
shown by different letters.
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Characterization of the effect of P on KGFR expression
Only P among the mammogenic hormones tested caused a significant
change in the level KGFR mRNA. To determine the mechanism of the P
effect on KGFR expression, we compared the level of KGFR transcripts in
cells cultured for different times in the presence or absence of P
(Fig. 7
). The level of KGFR mRNA was
highest in freshly isolated epithelial cells and declined rapidly
during the first 2 days of cell culture, but stabilized thereafter.
After 6 days in culture, KGFR mRNA levels in basal and P-containing
medium were, respectively, 10% and 57% of their original values.
Thus, P inclusion in the culture medium reduced the magnitude of the
initial decline, resulting in about a 6-fold higher level of steady
state mRNA by this time. This decline in KGFR mRNA levels appears to be
unrelated to an effect of P on cell viability, as PRL, which is also
growth promoting, had a relatively minor effect on the mRNA level. In
addition, during this time interval the morphologies of the cultures in
basal and P-containing medium were similar.

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Figure 7. Effect of P on the level of KGFR mRNA in mouse
mammary epithelial cells: time course. Total RNA was extracted from
cells grown for various times in basal medium only () or
supplemented with 50 ng/ml P ( ), and 10 µg were used for RNase
protection assay. The data (mean ± SEM; n = 4)
were normalized to KGFR level in freshly isolated epithelial cells. *,
P < 0.05 compared with message level in cells
grown in basal medium at the same time point (by paired Students
t test).
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As these experiments were performed over a long time course, it was
possible that an inductive effect of P on KGFR transcription could be
missed. Therefore, experiments spanning shorter time intervals and
conducted at the plateau phase of KGFR mRNA were performed to look for
such an effect of P. It has been shown that the in vitro
proliferative response of mouse mammary epithelial cells to mammogenic
hormones is diminished by prior culture in their absence (27), and that
the E can induce P receptors in culture (33, 34). Therefore, to
determine whether P could elevate KGFR mRNA levels, epithelial cells
were cultured for 2 days in either basal or E (2
nM)-supplemented medium (to help maintain P receptors).
Cultures were then exposed to P for 4, 12, 24, or 48 h, followed
by RNA extraction. In neither medium was there a change in KGFR
expression in response to P (data not shown). Additionally, nuclear
run-on assays were performed with nuclei isolated from epithelial cells
grown for 3 days in medium with or without P. No enhancement by P of
the hybridization signal to KGFR riboprobe immobilized on nylon
membranes was detected (data not shown). These results are indicative
of an absence of transcriptional activation of KGFR by P.
To explore the possibility that the observed difference in KGFR mRNA
level between basal and P-treated cultures might be caused by an effect
of P on mRNA stability, we determined the half-life of the KGFR mRNA in
cell cultures treated with actinomycin D. As shown in Fig. 8
, A and B, the rate of decay of the KGFR
mRNA was slower for cells grown in the presence of P (t1/2,
161 ± 13 min; n = 3; P < 0.05) than for
those grown in basal medium (t1/2, 95 ± 11 min;
n = 3). Taken together, these results suggest that the P-dependent
increase in the KGFR level in mammary epithelial cells is primarily due
to the stabilization of KGFR mRNA.

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Figure 8. Effect of P on KGFR mRNA stability in mammary
epithelial cells. A, Cells were maintained for 3 days, then treated
with actinomycin D (10 µg/ml) as described in Materials and
Methods, and KGFR expression was analyzed by RNase protection
assay. B, Quantitation of KGFR level based on densitometric analysis.
The KGFR level was normalized to that in cells before actinomycin D
treatment (0 h). The results represents the mean ±
SEM for three independent experiments. Curves were
generated by single exponential fitting of experimental data (Sigma
Plot software). Basal, t1/2 = 96 ± 13; P,
t1/2 = 175 ± 15; the t1/2 was calculated
from the coefficient of decay. *, P < 0.05
compared with cells maintained in basal medium (by paired Students
t test).
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Discussion
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We began these studies to analyze direct interactions among
individual mammogenic hormones and KGF in exploration of the hypothesis
that KGF is a component of a local hormonal regulatory network in the
mammary gland. In vivo experiments in which KGF was
administered to mice (23) or rats (35) suggested that KGF could
stimulate mammary epithelial cell proliferation in the presence and
absence of the ovary. An ovary-independent effect of KGF on mammary
development was shown in ovariectomized mice, in which KGF
administration caused ductal dilation and mild ductal hyperplasia,
possibly indicating a proliferative effect of KGF independent of
comodulation by ovarian steroids. The effect of KGF in vitro
confirms that KGF alone can directly stimulate growth. If
ovariectomized mice were treated with E and P followed by combined
treatment with KGF, then hyperplasia of ductal cells increased, causing
ductal thickening (35). Similarly, in ovary-intact female rats, KGF
injection caused a massive intraductal hyperplasia (23). These data
indicate that E and/or P may synergize with KGF in stimulating ductal
proliferation. The contribution of pituitary hormones was not assessed
in these in vivo experiments.
In vitro studies were initiated to address questions
concerning the roles that individual mammogenic hormones and KGF might
play in the regulation of mammary gland development. Our findings
suggest that E, P, and PRL may differentially affect KGF-mediated
proliferation in the mammary gland. P and PRL, but not E, could
synergize with KGF in stimulating mammary epithelial cell
proliferation. In addition, P and PRL appear to amplify the epithelial
response to KGF via different mechanisms. For example, P was a
significantly stronger synergist than PRL. The basis for the
synergistic effect of P could be explained by its greater ability than
PRL to raise the steady state level of KGFR mRNA by increasing the mRNA
half-life and, if KGFR mRNA correlates with protein level, the level of
KGFR. Although P can elevate the KGFR mRNA level, we cannot establish
that this is the only mechanism for the synergistic effect of P on
growth stimulation without being able to specifically block this effect
with subsequent monitoring of the proliferative response. We also
cannot eliminate the possibility that the effect of P is indirect,
perhaps via the stimulation of matrix molecule (type IV collagen,
laminin) synthesis. Our working assumption is that the greater decline
in KGFR mRNA during culture in basal medium than in P-stimulated
cultures reflects the loss of P stimulation present in vivo.
A similar effect of P on the level of epidermal growth factor receptor
estimated by radioligand binding has been reported in the ductal
epithelium of mammary glands of mature mice (36). Unfortunately, the
high homology between KGFR and FGFR-2 hampers direct measurement of
KGFR protein by specific antibodies, and radioligand binding studies
have been hampered due to the presence of cell surface
heparin-containing proteoglycans that bind KGF with high affinity (32).
A histochemical technique using KGF-Fc fusion proteins to localize and
compare the receptor level is another approach (37). Clearly, PRL
differs from P in synergizing with KGF without significantly modifying
KGFR expression, suggesting that PRL and KGF may activate downstream
postreceptor signaling pathways with common intermediates and/or
modulate one anothers receptor activities via cross-talk. In
addition, the roughly additive proliferative response when P and PRL
are added together with KGF is compatible with the interpretation that
these two hormones use different mechanisms.
E, alone or in combination with P or PRL, had no effect on
proliferation when combined with KGF. These results are in agreement
with previous findings that E is not directly mitogenic for mouse
mammary epithelial cells in vitro (27). Similarly, E alone
did not affect KGFR expression, but in some experiments it could
enhance the effect of P, which we hypothesize may be due to P receptor
induction. These data suggest that E does not affect KGF-mediated
proliferation of normal mammary epithelial cells by directly affecting
the responsiveness of the epithelium to KGF. In vivo
experiments in mice have shown that E treatment can increase KGF
expression in mammary stroma (our unpublished results), indicating the
E may affect KGF synthesis in the stroma, whereas P and PRL affect the
magnitude of the mitogenic response of the epithelium to KGF. Thus,
local stimulation of ductal growth by E in vivo (38) may be
due in part to an induction by E of growth factors such as KGF or
epidermal growth factor/transforming growth factor-
in the
surrounding stroma, as has been previously discussed (1, 39, 40) and
offered as a possible explanation for at least some of the E-directed
effects on mammary gland growth. Recently, a transgenic model has been
developed in which KGF expression, under the control of the mouse
mammary tumor virus promoter, caused a massive pregnancy-dependent
ductal hyperplasia (41) as a prelude to the development of tumors. On
the basis of our in vitro results, we would predict that
this response is regulated by hormones, not only by their effect on KGF
expression, but also by a direct synergistic effect of KGF with P and
PRL on the proliferative response of the epithelium.
The physiological significance of these findings is intriguing
because the predominant effect of KGF overexpression or injection
in vivo appears to be a stimulation of the proliferation of
ductal cells. KGF cannot induce lobular morphogenesis (23) when
administered alone to virgin rats or to E/P-supplemented mice, but
there is evidence to suggest that it may affect alveolar
differentiation as well. KGF stimulates alveolar cell proliferation if
it is administered to male rats that already show some alveolar
development, and in pregnant rats stimulates lobular as well as
ductal DNA synthesis (23). More recently, a transgenic mouse strain
containing a mouse mammary tumor virus-driven dominant negative KGFR
lacking the intracellular kinase domain has been generated (42). In
this strain, lobuloalveolar development during pregnancy was inhibited,
indicating a requirement for KGF. Ductal development was not inhibited,
although expression of the transgene was low in virgin animals. As P,
PRL, and E are required for lobular development, it is tempting to
speculate that KGF, if overexpressed or injected systemically in virgin
animals, is able to thwart this hormonally regulated developmental
program, resulting in a massive intraductal hyperplasia. It is clear
that KGF can target ductal cells, and this activity implies that KGF
can potentially stimulate ductal morphogenesis [especially during
postpubertal ductal growth (43)] and is consistent with the
observation that KGF expression is high in mammary glands from virgin
mice but declines by midpregnancy (26) with the concomitant appearance
of a lower mol wt transcript (whose significance has yet to be
determined) (26). KGF may be required for alveolar development insofar
as it may synergize (at physiological levels) with P and/or PRL in the
initiation of alveolar development. Further work examining the effect
of KGF on the growth of alveolar epithelium and the hormonal induction
of differentiation is needed to examine this issue.
In summary, we have demonstrated that P and PRL synergistically
potentiate the mitogenic effect of KGF in primary cultures of mouse
mammary epithelium. This effect is mediated by epithelial KGFR, whose
level of expression is modulated by P. In other experiments we have
found expression of KGF in primary culture of mammary stoma
(unpublished). Taken together, these data strongly suggest a role for
KGF as a paracrine mediator of stromal-epithelial interactions. Thus,
the hormonal regulation of the KGF-KGFR axis could play a significant
role in the growth and development of mammary gland.
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Acknowledgments
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The authors thank Drs. Stuart A. Aaronson, Paul Finch, and
Jeffrey Rubin for providing riboprobe vectors and KGF.
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Footnotes
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1 This work was supported by Grant CA-6841401 from the
NIH/NCI. 
Received October 24, 1997.
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References
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