Endocrinology Vol. 140, No. 8 3615-3622
Copyright © 1999 by The Endocrine Society
erbB-2 Overexpression in Human Mammary Epithelial Cells Confers Growth Factor Independence1
Kathleen M. Woods Ignatoski,
Allison J. LaPointe,
Eric H. Radany and
Stephen P. Ethier
Department of Radiation Oncology, Division of Radiation and Cancer
Biology, University of Michigan Medical School, University of Michigan
Comprehensive Cancer Center, Ann Arbor, Michigan 48109-0948
Address all correspondence and requests for reprints to: Stephen P. Ethier, Ph.D., 1500 East Medical Center Drive, Ann Arbor, Michigan 48109-0948. E-mail: spethier{at}umich.edu
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Abstract
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Previously, we demonstrated that human breast cancer cells with
progressively elevated levels of constitutively tyrosine phosphorylated
erbB-2 are independent of growth factors required by normal human
mammary epithelial (HME) cells for proliferation in serum-free medium.
To determine whether erbB-2 overexpression alone is sufficient to
confer the growth factor-independence phenotype in HME cells, the
spontaneously immortalized MCF-10A cell line and the
HPV-16-immortalized H16N2 cell line were infected with the bicistronic
retroviral vector pTPerbB-2 and tested for their ability to grow in the
absence of specific factors. Selection of infected cells in
G418-containing medium resulted in moderate levels of erbB-2
overexpression in approximately 40% of cells. The subpopulation of
erbB-2 overexpressing cells could be selected for by culturing the
cells in medium devoid of insulin. When MCF-10A or H16N2 cells were
infected with pTPerbB-2 and directly selected in growth
factor-deficient medium over long periods of time, populations of both
cell lines emerged that expressed levels of erbB-2 protein equivalent
to levels expressed by breast cancer cells with an erbB-2 gene
amplification. Furthermore, overexpressed p185erbB-2 was
constitutively tyrosine phosphorylated in these cells. The levels of
tyrosine phosphorylated p185erbB-2 differed in the two
recipient lines, with H16N2-erbB-2 cells having higher levels of
activated receptor than MCF-10AerbB-2 cells. Furthermore, only
the H16N2-erbB-2 cells were independent of both insulin and epidermal
growth factor for growth in serum-free medium. Overexpression of
erbB-2 also resulted in progressively increasing levels of
tyrosine-phorphorylated erbB-3, without any significant changes in
p180erbB-3 levels. These studies demonstrate a direct
relationship between the level of expression and activation of
p185erbB-2 and the requirements of HME cells for
insulin-like and epidermal growth factor-like growth factors.
The results also suggest that genetic alterations present in breast
cancer cells, or mediated by HPV-16-induced alterations in pRb and p53,
can influence the expression level and activation status of erbB-2 as
well as erbB-3 and, in turn, their degree of growth factor
independence.
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Introduction
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THE erbB-2 GENE is among the most
well-characterized human breast cancer oncogenes. Since the discovery
of its amplification in human breast cancer (1), numerous papers have
documented erbB-2 as a prognostic factor in node-positive and
node-negative disease (2, 3, 4, 5, 6, 7, 8, 9, 10, 11). Additionally, much has been learned
about erbB-2 as a signal transduction molecule, including its
interactions with other members of the erbB family of growth factor
receptors (12, 13, 14), its activation by the family of growth factors
known as heregulins (HRGs) (15, 16, 17, 18, 19, 20, 21, 22, 23, 24), and its ability to act as a breast
cancer oncogene in transgenic mice (25, 26). This body of work makes
the erbB-2 oncogene among the most well-characterized of human cancer
genes and indicates clearly its causal role in the pathogenesis of
breast and other human neoplasms.
Work in our laboratory over the past several years has focused on
understanding the physiological consequences of erbB-2 overexpression
in human breast epithelial cells. In particular, we have attempted to
understand which altered growth phenotypes of human breast cancer cells
can be specifically mediated by erbB-2 when it is overexpressed and
activated. To approach this question, we first studied the biological
activity of the HRGs, which are potent activators of erbB-2. It is now
known that HRG does not bind directly to erbB-2 but, rather, activates
erbB-2 when present as a heterodimer with erbB-3 and, to a lesser
extent, with epidermal growth factor receptor (EGFR) and erbB-4
(19, 20, 24, 27, 28). We demonstrated that HRG has the unique property
of functioning as both an insulin-like growth factor (IGF)-like and
EGF-like mitogen in mammary epithelial cells (21). Thus, whereas normal
human mammary epithelial (HME) cells have a strict dependence on the
synergistic interaction between EGF and IGF-I for growth under
serum-free conditions (29), HRG (particularly HRG-ß) can substitute
for either growth factor to stimulate rapid growth of HME cells. This
property is not shared by any other members of the EGF or IGF family of
growth factors. It seems that activation of erbB-2/erbB-3 heterodimers
is responsible for the dual specific nature of the HRG response.
Docking molecules that bind activated erbB-2 stimulate the
mitogen-activated protein (MAP) kinase pathway, thereby sending
an EGFR-like signal (23); whereas, tyrosine phosphorylated erbB-3 is a
potent activator of the phosphatidyl inositol (PI) 3'-kinase
pathway (30, 31, 32), which is activated by the IGF-I receptor under normal
conditions (33, 34, 35, 36, 37, 38).
Based on these observations, we hypothesized that human breast cancer
cells with amplified and overexpressed erbB-2 would become independent
of IGF-I and EGF for growth under serum-free conditions. Experiments
using the 21T series of human breast cancer cell lines were consistent
with this hypothesis. 21MT-2 cells express intermediate erbB-2 levels
and are IGF-I independent for growth, whereas 21MT1 cells, which
express very high levels of activated erbB-2, are independent of both
IGF-I and EGF for continuous growth in serum-free medium (39).
The growth factor independence expressed by the 21T human breast cancer
cells was consistent with predictions made from the biological activity
of erbB-2/3 after HRG stimulation. However, these breast cancer cells
contain many genetic alterations that could cooperate with, or act
independently of, erbB-2 to mediate these altered growth phenotypes.
Therefore, the purpose of the present studies was to determine whether
transduction of human erbB-2 into two normal HME cell lines, which were
immortalized by different mechanisms, results in growth
factor-independent proliferation when the gene is expressed at levels
comparable with breast cancer cells with an erbB-2 gene amplification.
The data indicate that transduction of erbB-2, followed by long-term
selection in growth factor-deficient medium, results in the emergence
of growth factor-independent cells that dramatically overexpress
p185erbB-2. However, the degree of constitutive activation
of p185erbB-2 and the extent of growth factor independence
in the two cell lines differed. The H16N2 cell line, which was
immortalized using the HPV-16 genome, expressed higher levels of
tyrosine phosphorylated p185erbB-2 than MCF-10A cells,
which were spontaneously immortalized in culture. In addition,
H16N2-erbB-2 cells were independent of both insulin and EGF, whereas
MCF-10A-erbB-2 cells maintained their EGF-dependency for growth. Thus,
overexpression and constitutive activation of erbB-2 can, by itself,
induce multiple growth factor-independent proliferation of normal HME
cells. However, cellular factors, possibly involving HPV-16-mediated
disruption of the Rb and p53 pathways, influence the levels of
constitutive receptor activation and, in turn, the degree of growth
factor independence of the cells.
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Materials and Methods
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Cell culture
The medium for MCF-10A and H16N2 cells was Hams F12
supplemented with 0.1% BSA, 0.5 µg/ml fungizone, 5 µg/ml
gentamycin, 5 mM ethanolamine, 10 mM HEPES, 5
µg/ml transferrin, 10 µM T3, 50
µM selenium, 5 µg/ml insulin, 1 µg/ml hydrocortisone,
and 10 ng/ml EGF. MCF-10A cells were grown on collagen-coated tissue
culture plates.
erbB-2 cloning and virus preparation
The full-length human erbB-2 gene was subcloned in the
XhoI site in the pTP2000 retroviral vector. Five micrograms
of DNA was transfected in ØNX-A cells. Forty-eight hours later,
conditioned medium was collected, cell debris was pelleted, the
supernatant was passed through a 0.45-µm syringe filter, and the
virus was frozen at -80 C. Virus was thawed and allowed to infect
MCF-10A and H16N2 cells in the presence of polybrene for 24 h.
Membrane preparations and protein blots
Cells were dounced in a buffer consisting of 20
mM HEPES (pH 7.4), 5 mM
Na3VO4, 1 mM
phenylmethylsulfonylflouride, and 10 mM pyrophosphate.
Membrane fractions were retrieved by centrifuging at 100,000 x
g for 35 min at 4 C. Membrane fractions were resuspended in
lysis buffer (10 mM sodium phosphate (pH 7.5), 100
mM NaCl, 1% Triton X-100, 0.5%
Na+deoxycholate, and 0.1% SDS). Protein concentrations
were equalized using the Løwry method (Bradford, 1976 no. 878).
Laemmeli sample buffer (Sambrook, 1989 no. 42) was added, and the
samples were boiled. Equal amounts of protein were separated in 7.5%
SDS-PAGE. Proteins were blotted to polyvinylidene diflouride (PVDF)
membrane and probed with either
-erbB-2 (clone 9.3),
-Ptyr4G10 (catalog no. 05321, Upstate Biotechnology, Inc., Lake Placid, NY), or
-erbB-3 (catalog
no. PC27, Oncogene Research Products, Cambridge, MA) antibodies.
Flow cytometry analysis
Infected cells were washed three times in PBS, and 1 µg/ml
anti-erbB-2 antibody (clone 254) was incubated with the cells for
1 h at room temperature. Cells were then incubated with secondary
antibody for 1 h at room temperature, then with fluorescein avidin
DCS in 0.1 M NaHCO3 buffered saline (pH 8.2) for 30 min at
room temperature. Cells were removed from the tissue culture dish with
10 mM EDTA and fixed with 95% ethanol. Cells that were
sterily sorted were not fixed.
Immunocytochemistry
Rinsed cells were fixed in 100% methanol at -20 C for 20 min.
Cells were incubated with 1 µg/ml erbB-2 antibody (clone 254) for 30
min at room temperature, then with biotintylated secondary antibody for
30 min at room temperature. Cell-surface erbB-2 was visualized using
the Vectastain ABC kit (catalog no. PK-4000, Vector Laboratories, Inc., Burlingame, CA).
Southern blot
Ten micrograms of genomic DNA was digested with KpnI.
The restriction fragments were separated on an agarose gel, transferred
by standard methods to nylon membrane, probed with radioactive erbB-2
complementary DNA (cDNA), quantitated using a Molecular Dynamics Storm
phosphorimager (Molecular Dynamics, Inc., Sunnyvale, CA),
and visualized by autoradiography.
Northern blot
Ten micrograms of total cellular RNA was separated on a
formaldehyde-containing agarose gel and transferred to nylon membrane
by standard methods. Blots were probed with radioactive erbB-2 cDNA and
visualized by autoradiography.
Immunoprecipitation
Cells were lysed in a buffer containing 20 mM
Tris·HCl (pH 8.0), 137 mM NaCl, 1% NP-40, 10% glycerol,
1 mM Na3VO4, 1 mM
phenylmethylsulfonylflouride, 1% aprotinin, and 20 µg/ml leupeptin.
Protein concentrations were equalized using the Løwry method
(Bradford, 1976 no. 878). Laemmeli sample buffer (Sambrook, 1989 no.
42) was added, and the samples were boiled. Equal amounts of protein
were separated in 7.5% SDS-PAGE. Proteins were blotted to PVDF
membrane and probed with
-Ptyr4G10 (catalog no. 05321,
Upstate Biotechnology, Inc.).
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Results
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Bicistronic retroviral vectors for erbB-2 transduction in HME
cells
To test the hypothesis that erbB-2 overexpression in HME cells
results in growth factor-independent proliferation, a bicistronic
retroviral expression vector was used to transduce erbB-2 into HME
cells. This vector yields high-efficiency gene transfer, allows for
selection in G418-containing medium, and efficiently coexpresses erbB-2
after selection with G418. We found, in preliminary studies, that the
use of plasmid vectors or conventional retroviral vectors resulted in
efficient selection of G418-resistant colonies, but that transduced
mammary epithelial cells rarely coexpressed the transgene. Thus, to
overcome this problem, we subcloned full-length erbB-2 into the
bicistronic retroviral expression vector (pTP2000), which was recently
developed in the Radany laboratory and has been recently described
(40). In this construct, the transgene is upstream of neoR,
and both genes are driven from the cytomegalovirus promoter,
resulting in efficient expression of erbB-2. Figure 1A
shows the general features of the
bicistronic retroviral vector used in these studies.

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Figure 1. Expression of erbB-2 in infected MCF-10A cells. A,
The full-length human erbB-2 cDNA was subcloned into the
XhoI site in pTP2000; note that the erbB-2 gene is
expressed bicistronically with the antibiotic resistance gene via the
BiP IRES sequence. B, One hundred micrograms of membrane protein, from
erbB-2-infected or vector only-infected (PTP) MCF-10A cells selected in
G418-containing medium, was separated on 7.5% SDS-PAGE, blotted to
PVDF, and probed with -erbB-2 antibody. C, Vector-only (PTP) or
pTPerbB-2-infected MCF-10A cells that were selected in G418-containing
or in insulin-free medium containing G418 (bottom right
panel) were subjected to immunocytochemistry for erbB-2. The
cells in the bottom left panel were selected for two
passages after infection, and the cells in the top right
panel were selected for 15 passages after infection in
G418-containing medium. The cells in the bottom right
panel were selected in G418-containing medium for eight
passages and then for seven passages in insulin-free medium containing
G418. D, One hundred micrograms of membrane preparation from
vector-only-infected and erbB-2-expressing cells selected in
insulin-free medium containing G418, and varying amounts of membrane
protein from 21MT1 and SUM-190PT, were separated on 7.5% SDS-PAGE,
blotted to PVDF, and probed with an erbB-2 antibody.
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Expression of erbB-2 in retrovirally infected MCF-10A cells
To begin to examine the relationship between erbB-2 expression and
growth factor independence in HME cells, MCF-10A HME cells were
infected with pTPerbB-2 and selected in G418-containing medium. As
reported by us previously, MCF-10A cells have a strict requirement for
exogenous EGF and IGF-I for growth in serum-free medium (21). When
MCF-10A cells were infected with pTPerbB-2 or pTP-neo, and selected
directly in G418-containing medium, the cells infected with the
erbB-2-containing vector overexpressed p185erbB-2, relative
to control cells, as determined by Western blot (Fig. 1B
). Examination
of the cells by flow cytometry (not shown) and immunocytochemistry
demonstrated that, despite the use of the bicistronic vector, only
about half of the MCF-10A cells stained positively for erbB-2 (Fig. 1C
, left panels).
Next, experiments were performed to determine whether the moderate
level of erbB-2 overexpression observed in infected MCF-10A cells
resulted in cell proliferation in the absence of individual growth
factors. MCF-10A cells that had been selected in G418-containing medium
with a full complement of growth factors were switched to insulin-free
medium and grown to confluence. Although these cells grew slowly,
erbB-2-transduced MCF-10A cells did grow continuously and were
subculturable. Reanalysis of erbB-2 expression, after selection in
insulin-free medium, demonstrated that 100% of the cells stained
positively for erbB-2 (Fig. 1C
, right panels). This
selection for the erbB-2-expressing subpopulation resulted in higher
apparent levels of erbB-2, as detected in Western blots, as compared
with cells selected with G418 only (Fig. 1D
). These results are
consistent with the hypothesis that erbB-2 overexpression directly
mediates IGF-independent proliferation of HME cells. However, MCF-10A
cells expressing these moderate levels of p185erbB-2 were
unable to grow in EGF-free medium.
To compare the erbB-2 expression levels of the MCF-10A cells described
above, with breast cancer cells having an erbB-2 gene amplification,
Western blot analyses were carried out using varying amounts of
membrane protein obtained from two breast cancer cell lines with an
erbB-2 amplification. The 21MT-1 cell line was developed by Band and
co-workers (41), and the SUM-190 cell line was recently developed in
our laboratory. The data in Fig. 1D
show that, despite the erbB-2
overexpression exhibited by the transduced MCF-10A cells (relative to
parental cells), the overall levels of erbB-2 protein in these cells
was dramatically lower than that observed in the two breast cancer cell
lines with an erbB-2 gene amplification.
Expression of erbB-2 in retrovirally infected H16N2 cells
Similar experiments were then performed using a different
immortalized HME cell line. H16N2 cells were derived by HPV-16
infection of normal HME cell cultures (41). These immortalized cells
express luminal cytokeratins and are EGF-dependent for growth in
serum-free medium but are only marginally dependent on exogenous
insulin. The relative IGF-independence of these cells is likely the
result of their immortalization with HPV-16. The data in Fig. 2
show that, as in MCF-10A cells,
infection of H16N2 cells with pTPerbB-2 resulted in moderate
overexpression of p185erbB-2 relative to controls. In an
attempt to increase the number of cells infected with the viral vector,
H16N2 cells were infected three times, over a 12-h period, with
pTPerbB-2 followed by selection in G418-containing medium. These triply
infected cells expressed marginally higher levels of
p185erbB-2 than cells infected singly with the vector.

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Figure 2. erbB-2 expression in singly or multiply infected
H16N2 cells. A, One hundred micrograms of membrane protein from
vector-only infected and erbB-2-overexpressing cells, selected in
G418-containing medium, was separated on 7.5% SDS-PAGE, blotted to
PVDF, and probed with an erbB-2 antibody. 1x and 3x refer to the
number of times the cells were infected with pTPerbB-2. B, Infected
H16N2 cells, selected in G418, were sorted by flow cytometry for
overexpression of cell surface erbB-2. The arrow
indicates the threshold of the cells that were plated. C, One hundred
micrograms of membrane protein from SUM-190PT cells, flow-sorted
erbB-2-overexpressing H16N2 cells were separated on 7.5%
SDS-PAGE, blotted to PVDF, and probed with an erbB-2 antibody.
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As indicated above, H16N2 cells are relatively IGF-independent for
growth in serum-free medium. Thus, growth in insulin-free medium could
not be used to directly select p185erbB-2 overexpressing
cells. Therefore, experiments were performed to determine whether flow
sorting could be used to isolate a subpopulation of cells expressing
high levels of p185erbB-2. Accordingly, H16N2 cells that
had been infected with pTPerbB-2 and selected for growth in
G418-containing medium were harvested and incubated with an erbB-2
monoclonal antibody. The cells were then analyzed by flow cytometry,
and the cells expressing the highest levels of erbB-2 were collected
and replated. Figure 2B
shows the erbB-2 expression profile of the
transduced H16N2 cells and indicates the fractions that were sorted.
Figure 2C
shows that expression of p185erbB-2 in the
flow-sorted cells was higher than in the unsorted population of triply
infected cells. However, these cells still expressed substantially
lower levels of p185erbB-2 than breast cancer cells with an
erbB-2 gene amplification. And, like MCF-10A cells described above,
these H16N2 cells were also unable to grow in EGF-free medium.
These experiments demonstrate that infection of two different HME cell
lines with the pTPerbB-2 expression vector, followed by short-term
selection in G418-containing medium, results in cells that overexpress
p185erbB-2 (relative to the parental cells) but express
lower levels than breast cancer cells with an erbB-2 amplification.
Furthermore, these transduced HME cells can grow in the absence of
insulin but not in the absence of EGF.
Generation of HME cells with high-level erbB-2
overexpression
Experiments were performed to determine whether direct, long-term
selection of pTPerbB-2-infected cells for growth factor independence
would yield cell populations expressing high levels of
p185erbB-2. MCF-10A or H16N2 cells were infected with
pTPerbB-2 or pTPneo and switched, 24 h later, to G418-containing
medium without insulin or without insulin and EGF. Switching to growth
factor-deficient medium, in this way, dramatically reduced the
proliferative capacity of both cell lines, regardless of which vector
was used to infect the cells. However, cells infected with pTPerbB-2
(but not control virus) and cultured continuously in growth factor
deficient-medium slowly grew to confluence and could be subcultured.
For both lines, cells had to be maintained for several weeks under
these culture conditions before they became confluent. However, once
confluent, cells in subsequent passages grew increasingly rapidly until
achieving a growth rate comparable with control cells in the presence
of growth factors. Thus, long-term selection in growth factor-deficient
medium did not result in the prompt emergence of growth
factor-independent clones but, rather, resulted in the slow adaptation
of the entire population of G418-resistant cells to these conditions.
Western blot analysis of erbB-2- transduced growth factor-independent
cells, compared with breast cancer cells with an erbB-2 gene
amplification, is shown in Fig. 3A
. These
data demonstrate that growth factor-independent MCF-10erbB-2 and
H16N2erbB-2 cells that emerged after long-term selection in growth
factor-deficient medium expressed p185erbB-2 levels that
were equivalent to that expressed by breast cancer cells with an erbB-2
gene amplification. Phosphotyrosine Western blot analysis of membrane
protein obtained from these cells indicated that growth
factor-independent cells expressed high levels of constitutively
tyrosine-phosphorylated protein in the 185-kDa range (Fig. 3B
).
Immunoprecipitation, using erbB-2 specific antibodies, followed by
phosphotyrosine Western blotting, demonstrated that
p185erbB-2 was indeed highly tyrosine phosphorylated in
these cells (Fig. 3C
). In addition, a tyrosine-phosphorylated p170 was
coimmunoprecipitated with erbB-2, which was shown to be the EGF
receptor by probing the blots with an EGF receptor-specific antibody
(not shown). These data further support the hypothesis of a direct
relationship between the level of erbB-2 expression and growth
factor-independent proliferation of HME cells.
Interestingly, whereas the H16N2erbB-2 cells could be routinely grown
in insulin and EGF-free medium, MCF-10AerbB-2 cells, despite their
relatively high levels of p185erbB-2, still required
exogenous EGF for growth in culture. The data in Fig. 3
, B and C, show
that the levels of tyrosine phosphorylated p185erbB-2 in
the MCF-10AerbB-2 cells were lower than in either the H16N2erbB-2 cells
or the SUM-190 cells. This difference could account for the continued
EGF-dependence of the MCF-10AerbB-2 cells. The high level expression
and constitutive activation of p185erbB-2 found in
H16N2-erbB-2 cells, relative to MCF-10A-erbB-2 cells, may reflect
inherent differences between the two cell lines or may be the result of
alterations induced by the HPV-16 genome that was used to immortalize
the H16N2 cells. Further work will be required to explore this
possibility.
Constitutive activation of erbB-3 in erbB-2-overexpressing HME
cells
Because the growth factor requirements of the HME cell lines were
altered by progressive overexpression of erbB-2, experiments to examine
the erbB-3 expression and activation status of these cells were
performed. Phosphotyrosine Western analysis of erbB-3
immunoprecipitates, derived from the different erbB-2-transduced cell
lines and controls, demonstrated that p180erbB-3 became
activated to increasingly high levels in the growth factor-independent
cells. Indeed, the H16N2erbB-2 cells that were both insulin- and
EGF-independent, expressed the highest levels of
tyrosine-phosphorylated erbB-3 (Fig. 4A
).
Under the conditions used for erbB-3 immunoprecipitation, erbB-2 was
not coimmunoprecipitated (not shown). Probing of Western blots of
erbB-3 immunoprecipitates with erbB-3 antibodies demonstrated that
overall levels of p180erbB-3 were not changed in the
erbB-2-overexpressing cells (Fig. 4B
). Thus, progressive overexpression
of erbB-2 in HME cells results in the constitutive activation of erbB-3
without changes in the level of p180erbB-3. Furthermore,
the level of activation of both erbB-2 and erbB-3 correlates with
progressive growth factor independence.

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Figure 4. Activation of erbB-3 in erbB-2-overexpressing
cells. A, erbB-3 was immunoprecipitated from 1 mg protein from
SUM-149PT cells, SUM-190PT cells, control cells (MCF-10Aand
vector-only-infected cells), and erbB-2-overexpressing MCF-10A and
H16N2 cells and separated on 7.5% SDS-PAGE, blotted to PVDF, and
probed with -Ptyr antibody; B, One hundred micrograms of membrane
protein from SUM-149PT cells, SUM-190PT cells, control cells (MCF-10A
and vector-only-infected cells), and erbB-2-overexpressing MCF-10A and
H16N2 cells was separated on 7.5% SDS-PAGE, blotted to PVDF, and
probed with -erbB-3 antibody.
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Relationship between insert number and erbB-2 expression levels in
erbB-2-infected HME cells
The above results demonstrate that long-term selection of
erbB-2-transduced HME cells in growth factor-deficient medium results
in levels of p185erbB-2 expression equivalent to that of
breast cancer cells with an erbB-2 gene amplification. To determine
whether this long-term selection resulted in increased copy number of
erbB-2 inserts, or whether the increase in expression occurred at the
transcriptional level, Southern and Northern blot analyses were carried
out using cells expressing different levels of p185erbB-2.
The results shown in Fig. 5
demonstrate
that long-term selection of cells, either singly- or triply-infected
with pTPerbB-2, did not result in increases in erbB-2 insert number
relative to cells that were transduced and directly flow sorted. By
contrast, erbB-2 messenger RNA levels were dramatically increased in
the multiple growth factor-independent cells.

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Figure 5. Transcription of erbB-2 in infected H16N2 cells.
A, Southern blot for erbB-2 of genomic DNA from erbB-2-overexpressing
H16N2 cells. Genomic DNA from erbB-2-overexpressing H16N2 cells and
flow sorted erbB-2-expressing H16N2 cells were compared by Southern
blot with control cell DNA (PTP) for the amount of integrated erbB-2.
B, Northern blot for erbB-2 message in erbB-2-overexpressing H16N2
cells. Total cellular RNA from erbB-2-overexpressing H16N2 cells was
compared, in a Northern blot, with control cell (PTP) RNA for the
amount of erbB-2 message. Northern blots were also probed with GAPDH to
control for loading.
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These results indicate that long-term maintenance of erbB-2-transduced
cells in growth factor-deprived conditions results in progressively
higher levels of erbB-2 expression, at both the transcriptional and
translational levels, without changes in the number of erbB-2 inserts
in the genome. The results of the Southern and Northern blot
experiments are consistent with the original observation that growth
factor-independent cells emerged slowly as a population rather than as
a prompt clonal selection of preexist cells with higher copy numbers of
the erbB-2 transgene. The mechanism by which prolonged culture, under
growth factor-deficient conditions, results in the progressive increase
in steady-state levels of erbB-2 messenger RNA remains to be
determined.
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Discussion
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For many years, our laboratory has been interested in the
mechanisms by which breast cancer cells acquire independence of growth
factors that are absolutely required by normal HME cells for growth
under serum-free conditions. We initially studied these phenomena in
rat mammary carcinoma cells. We found that the in vivo
malignant potential of carcinogen-induced rat mammary carcinoma cells
was directly related to their ability to grow in the absence of IGFs
and, to a lesser extent, EGF (42, 43). Further study of these growth
factor-independent cells demonstrated that IGF-independent growth was
associated with the presence of a constitutively tyrosine
phosphorylated p185 (40). Subsequent work demonstrated this protein to
be erbB-2 and also demonstrated that rat mammary carcinoma cells
synthesize and secrete NDF, the rat homologue of HRG (44). The finding
that both rat and human HRG can act as potent IGF-like mitogens for
mammary epithelial cells further established the link between the
constitutive activation of erbB-2 and independence of IGF-like growth
factors (21).
The situation in human breast cancer cells is analogous to what was
seen in rat mammary carcinoma cells, but the mechanism of erbB-2
activation seems different, at least in the setting of gene
amplification. Human breast cancer cells with an erbB-2 gene
amplification dramatically overexpress the protein, relative to normal
HME cells (1, 8, 45). Furthermore, erbB-2 protein is constitutively
tyrosine phosphorylated in the absence of any demonstrable autocrine
growth factor activity (39). Thus, in this case, constitutive
activation of p185erbB-2 seems to be the direct result of
the overexpression of the protein, as has been suggested by others
(46). In addition, breast cancer cells were found to be independent of
IGF-I for growth when erbB-2 was amplified and overexpressed to
moderate levels and both IGF-I- and EGF-independent when erbB-2 was
overexpressed to very high levels.
In the present studies, we found that transduction of full-length
erbB-2 into immortalized HME cells results in erbB-2 overexpression.
However, without long-term selection in the absence of growth factors,
the pTPerbB-2 vector induced only moderate increases in
p185erbB-2 expression, relative to parental control cells
and these levels were not sufficient for rapid growth in the absence of
insulin or EGF. When maintained in insulin-free, or insulin and
EGF-free medium, MCF-10A cells and H16N2 cells slowly expanded and,
after being subcultured, grew increasingly well in the absence of
growth factors. The growth factor-independent cells, so derived,
expressed very high levels of erbB-2 protein, which were equivalent to
that expressed by breast cancer cells with an erbB-2 gene
amplification. The high-level erbB-2 expression was not the result of
an increase in insert copy number but, rather, occurred at the
transcriptional level. Furthermore, erbB-2 and erbB-3 expressed by
these growth factor-independent cells were constitutively tyrosine
phosphorylated, just as we had observed previously with breast cancer
cells.
Despite the high-level erbB-2 expression obtained in these HME cells,
only the H16N2 cells became independent of both insulin and EGF.
MCF-10AerbB-2 cells, although insulin-independent for growth, still
require exogenous EGF. The levels of p185erbB-2 expressed
by the MCF-10AerbB-2 cells are at least as high as the levels found in
the SUM-190 breast cancer cells, which are independent of both insulin
and EGF. This indicates that overexpression of erbB-2 is sufficient to
mediate growth of HME cells in the absence of IGFs but not sufficient
to make cells EGF independent. The observation that both 21MT-1 cells
and SUM-190PT cells are independent of both insulin and EGF suggests
that erbB-2 overexpression activates signaling pathways that act in
concert with other alterations present in breast cancer cells, to yield
EGF-independence. That H16N2erbB-2 cells are also EGF-independent
suggests that specific changes mediated by the HPV-16 E5, E6, or E7
proteins cooperate with erbB-2 overexpression to complete the
transformation to EGF-independence. Studies are currently underway to
test this hypothesis.
The ability of HRG to act as an IGF-like mitogen, and for constitutive
erbB-2 activation to result in IGF-I-independent growth of mammary
epithelial cells, is a consistent and intriguing observation in our
laboratory. The potent activation of the PI 3'-kinase pathway by erbB-3
and (to a lesser extent) erbB-2 may explain this important aspect of
erbB-2/erbB-3 signal transduction (31, 32). The cytoplasmic domain of
erbB-3 differs significantly from that of the other members of the erbB
family, by having six YXXM motifs, which serve as docking sites for the
p85 regulatory subunit of PI 3'-kinase. Therefore, erbB-3 is a potent
activator of this enzyme. We have demonstrated high-level PI 3'-kinase
activity in growth factor-independent, erbB-2-overexpressing human
breast cancer cells and in HME cells stimulated with HRG (30). This is
important because, in normal HME cells, which require both IGF-I and
EGF for growth, activation of the PI 3'-kinase pathway is driven
predominantly by IGF-I signaling (34, 47, 48). Activation of the IGF-I
receptor results in tyrosine phosphorylation of IRS-I, which contains
20 YXXM sites for PI 3'-kinase activation. Site-specific mutagenesis
studies have demonstrated that the mitogenic activity of the IGF-I
receptor is dependent on the integrity of the binding sites for p85
(33). Thus, the synergistic interaction between IGF-I and EGF, seen for
most epithelial cell types, is the result of complementary signaling
pathways activated by the two mitogens; the ras/raf/MAP kinase pathway
by EGF, and the PI 3'-kinase pathway by IGF-I. The observation that
progressive overexpression and activation of erbB-2 in our cells yields
a progressive increase in the levels of erbB-3 tyrosine phosphorylation
without changes in erbB-3 protein levels is consistent with the
hypothesis that erbB-2 and erbB-3 interact to drive altered phenotypes
of breast cancer cells.
The ability of activated erbB-2 to stimulate both PI 3'-kinase and the
MAP kinase pathways (23) has profound implications for its behavior as
an oncoprotein. Several groups have demonstrated the importance of the
PI 3'-kinase pathway as a mediator of cell survival and apoptosis
resistance (37, 38, 49, 50, 51, 52, 53). Thus, many cell types can be induced to
undergo programmed cell death by blocking signals either from the IGF-I
receptor, from PI 3'-kinase itself, or from the AKT kinase that is
activated by PI 3'-kinase. In addition, the finding that the
proapoptotic protein BAD can be phosphorylated by AKT, effectively
preventing its interaction with BCL-2, provides mechanistic support for
the hypothesis that PI 3'-kinase signaling is important for cell
survival (54, 55).
Taken together, these findings suggest that erbB-2 is a potent
oncogene, because it not only has the ability to drive cell
proliferation but also has the ability to signal in ways that prevent
programmed cell death. The results obtained from our work support this
model and demonstrate directly that overexpression of erbB-2 results in
the constitutive activation of both p185erbB-2 and erbB-3,
which in turn, results in independence of IGF-I and, in some cases,
EGF.
 |
Acknowledgments
|
|---|
We thank Amy Pace for help in making the figures.
 |
Footnotes
|
|---|
1 This work was supported by: 1) NIH Grant CA-70354; and 2) Cancer
Biology Training Grant T32-CAO-9676 (to K.M.W.I.). 
Received October 1, 1998.
 |
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