[CANCER RESEARCH 51. 2239-2241, April 15, 1991] Advances in Brief Heterogeneity in Human Melanoma Cell Adhesion to Cytokine Activated Endothelial Cells Correlates with VLA-4 Expression1 InèsMartìn-Padura, Roberta Mortarini, Davide Lauri, Sergio Bernasconi, Francisco Sanchez-Madrid, Giorgio Parmiani, Alberto Mantovani, Andrea Anichini, and Elisabetta Dejana2 Istituto di Ricerche Farmacologiche Mario Negri, Via Eritrea 62, 20157 Milan [I. M-P., D. L., S. B., A. M., E. D.J and Division of Experimental Oncology, istituto Nazionale Tumori, Via Venezian I, 20133 Milan [R. M., G. P., A. A.] Italy and Servicio InmunologÃ-a,Hospital de la Princesa, C/Diego de Leon 62, 28006 Madrid, Spain ¡F.S-M.J Abstract Tumor cell attachment to endothelial cells (EC) is one of the critical steps of the metastatic process. It was previously reported that interleukin 1 treatment of EC induces expression of membrane molecules that promote tumor cell adhesion. In this paper we report that a panel of six clones isolated from a human metastatic melanoma presented a marked heterogeneity in their ability to adhere to interleukin 1 activated EC. This was correlated with integrin VLA-4 expression by the clones. Antibodies directed to VLA-4 and to its endothelial ligand INCAM110/ VCAM-1 abolished interleukin 1 induced increase in melanoma cell adhesion to EC. These data demonstrate intratumor heterogeneity in the expression of VLA-4 and that this can represent a crucial determinant of tumor cell interaction with EC during secondary spread. Introduction An important step in the metastatic process is the arrest of TC3 in the venous or capillary bed of the target organ (1,2). It is therefore important to define the adhesive receptors on endothelial and TC membrane that mediate their specific ad hesive interactions. We and others have found that TC of different origin adhere more effectively in vitro to EC activated with inflammatory cytokines such as IL-1 and TNF (3, 4). This phenomenon was correlated with an increase in the number of human melanoma lung colonies in IL-1 and TNF treated nuce mice (5). Further studies4 showed that the increment of TC adhesion to cytokine treated EC was mediated by newly synthesized endothelial adhesive antigens (6). Some of these molecules have been defined and could be equally recognized by leukocytes and leukemic cell lines (7-9). TC, however, present origin depend ent heterogeneity in the recognition of EC adhesive molecules. Lines of colon carcinoma cells selectively bind to ELAM-1 while melanoma cells bind to INCAM 110/VCAM-l (6). The receptor for INCAM 110/VCAM-l was recently identified on leukemic cell lines as the integrin VLA-4 (10). Tumors are composed of populations of cells heterogeneous in a variety of biological and pharmacological properties in cluding metastatic capacity ( 11). Anichini et al. ( 12) have shown that human melanoma clones isolated from the same tumor Received 1/21/91 ; accepted 2/22/91. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 1This work was supported by the Italian Association for Cancer Research and by the National Research Council special projection "Biotecnologie e Biostru mentazione" and "Oncologia." 2 To whom requests for reprints should be addressed. 3 The abbreviations used are: TC, tumor cells; EC. endothelial cells; IL-1, interleukin 1; TNF, tumor necrosis factor; mAb, monoclonal antibody. 4 D. Lauri, L. Needham, I. Martìn-Padura. and E. Dejana, submitted for publication. differed in the pattern of integrins and in the amount of VLA4 expressed. Since it is important to define phenotypic and functional parameters potentially relevant to predict TC met astatic behavior, we investigated whether the amount of VLA4 expressed correlated with the capacity of the melanoma cells to adhere to EC. The data reported indicate that VLA-4 only partly mediates melanoma cell adhesion to unstimulated EC but is required for the increase in adhesion to IL-1 treated EC. This last parameter correlated with VLA-4 expression by the cells. Materials and Methods Cells. EC were isolated and cultured from human umbilical vein as described previously (13). Melanoma cell clones from a human s.c. metastasis (Mel 665/2) were obtained and cultured as reported (14). Antibodies. mAb HP2/1 directed to VLA-4 «subunit has been characterized previously (15); mAb B1E5 (16) directed to VLA-5 a subunit was kindly donated by Dr. C. Damsky (University of California, San Francisco, CA); both of them were incubated with TC suspension ata 1:5 dilution. mAb E1/6 (6) and mAb 4B5 (17) to INCAM 110/VCAM-l were obtained through the courtesy of Dr. M. P. Bevilacqua (Harvard Med ical School, Boston, MA) and Dr. J. M. Marian (University of Wash ington, Seattle, WA), respectively; mAb 6.5B5 (18) directed to ICAM1 was generously donated by Dr. D. Haskard (Guy's Hospital, London, United Kingdom) and mAb H18/7 (19) to ELAM-1 was from Dr. M. P. Bevilacqua. mAbs were used to a final concentration of 1:10, except mAb 4B5 and mAb 6.5B5 at concentrations of 1:100 and 1:20, respectively. A rabbit polyclonal antiserum to purified fibronectin (20) was added during the adhesion assay at 1:50 dilution. Antibody concentration was selected to obtain maximal biological activity as described in the pertinent references. Fluorescence flow cytometric analysis was performed by an EPICS C cytofluorimeter as described previously (12). Adhesion Assay. EC were activated with 20 units/ml of human recombinant IL-1/3 (specific activity, IO3units/Mg; Sciavo, Siena, Italy) for 6 h (3). mAbs directed to EC adhesive receptors were preincubated with EC for 30 min/37°Cbefore addition of TC and then allowed to stay during the adhesion assay. [125I]Iododeoxyuridine (1 jiCi/ml for 18 h; Amersham International, Amersham, United Kingdom) labeled mel anoma cells were detached, washed twice with phosphate buffered saline, and finally resuspended in M199-20% newborn calf serum at 6 x 10s cells/ml as described (3). mAbs directed to integrins were added to TC 30 min before the adhesion test. Then an aliquot (50 u\) of radiolabeled TC suspension containing the mAbs was added to each EC well and incubated for 30 min at 37°C.Nonadherent cells were then removed by washing the plates three times with phosphate buffered saline plus 2% newborn calf serum. The content of each well was solubili/ed with 100 ¿ilof NaOH-1% sodium dodecyl sulfate and the lysate was counted in a 125Igamma counter (Beckman, Fullerton, CA) as described (3). 2239 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1991 American Association for Cancer Research. MELANOMA CELL ADHESION TO THE ENDOTHELIUM 400 -, Panel A D 2/60 2/17 18 .1 tn 300 H 13 <B ra E o IL-1 C+VCAM-I Ab 2/61 10 2/62 13 Õ & 200 IL-UVCAM-1 Ab - cr 2/4 31 2/14 26 8 10020 40 60 % VLA-4 80 100 Panel B I 2/14 jI 2/4 2/62 1 2/61 2/17 2/60 Melanoma clones 2'60 Fig. 3. Effect of the INCAM110/VCAM-1 mAb H l /6 on adhesion of different melanoma clones to EC. Unstimulated (C) and IL-1 stimulated (20 units/ml) EC monolayers were incubated in medium containing either INCAM110/VCAM-1 mAb (Ab) or an irrelevant mAb (final concentration, 1:10) for 30 min at 37°C. 2<17 2/61 Radiolabeled melanoma cells were added without removal of mAbs and incubated at 37°Cfor an additional 30 min to allow adhesion [mean ±SD (bars) of 3 experiments, 6 replicates/experiment). *, P < 0.01 versai control adhesion; O, P < 0.01 versus adhesion to IL-1 activated EC. Statistical analysis by Dunnet's test. 2'62 2/4 2'14 Results 300 100 200 % increment Fig. 1. (A) Fluorescence flow cytometric analysis of VLA-4 integrin expression on melanoma clones from Me665/2. Columns, percentage of positive cells for VLA-4 after subtracting the nonspecific background staining with an irrelevant antibody. Numbers inside columns, mean intensity of fluorescence (arbitrary units on a linear scale). The analysis was performed at least three times for each clone with comparable results. (B) Adhesion of human melanoma clones to IL-1 (20 units/ml, 6 h) stimulated EC for 30 min at 37°C.Results are expressed as percentage of increment of cell adhesion. Percent increment was calculated as (TC bound to stimulated EC - TC bound to untreated EC)/(TC bound to untreated EC x 100). Mean ±SD (bars) of 3 experiments. 6 replicates/experi ment. Control adhesion to unstimulated EC was 1059 ±169 (cells/well) for clone 2/60. 2287 ±595 for clone 2/17, 2281 ±456 for clone 2/62. 1931 ±154 for clone 2/61, 2159 ±238 for clone 2/4, and 3744 ±526 for clone 2/14. 400 I •' n |L1 -, 300 f2 C»VLA-4 Ab Cn IL-1 »VLA-4 Ab Fig. 1 compares different clones of melanoma cells for the percentage and intensity of fluorescence of VLA-4 expression (Fig. IA) and for IL-1 induced increment in adhesion to EC (Fig. \B). The melanoma clones were quite heterogeneous for these parameters. However, a correlation was observed between VLA-4 expression and cell adhesion to IL-1 treated EC. We then directly investigated the role of VLA-4 and of its EC ligand INCAM 110/VCAM-1 by antibody inhibition stud ies. A VLA-4 mAb (Fig. 2) and an INCAM 110/VCAM-1 mAb (Fig. 3) abolished IL-1 induced increment in adhesion of mel anoma clones, except clones 2/14, 2/4, and 2/61 which were only partially inhibited by an INC AM 110/VCAM-1 mAb. The data reported in Fig. 3 have been obtained with mAb H1/6 but comparable results were found with mAb 4B5. Both mAbs slightly but consistently inhibited melanoma cell adhesion to untreated EC. This inhibition reached statistical significance for clones 2/4, 2/62, 2/61, and 2/60 with both antibodies. ELAM-1, ICAM-1, VLA-5, and fibronectin anti bodies did not affect adhesion of melanoma clones to either untreated or IL-1 treated EC (data not shown). O) € ra g Discussion 200 - 8 100 - 2/14 2/4 2/62 2/61 2/17 2/60 Melanoma clones Fig. 2. Effect of the VLA-4 mAb on adhesion of different melanoma clones to EC. Melanoma cells (C) were preincubated in medium containing either VLA-4 mAb or an irrelevant mAb (final concentration, 1:5) for 30 min before addition to unstimulated and IL-1 stimulated EC and maintained for an additional 30 min to allow adhesion at 37°C.Results are expressed as percentage of control adhesion [mean ±SD (bars) of 3 experiments, 6 replicates/experiment. "P < 0.01 versus control adhesion: O, P < 0.01 versus adhesion to IL-1 activated EC. Statistical analysis by Dunnet's test. The characterization of the molecules involved in TC adhe sion to the endothelium might help one to understand how TC localize and eventually metastasize in different organs. The data reported indicate that VLA-4 expression by clones of human melanoma cells correlates with the increase in adhe sion induced by IL-1 treatment of EC and that a VLA-4 mAb can block this increment. The recently identified EC ligand for VLA-4 was named INCAM 110/VCAM-1 (6) and belongs to the immunoglobulin superfamily (7). INCAM 110/VCAM-l mAbs strongly inhib ited cell adhesion to IL-1 activated EC. However, while the VLA-4 antibody was fully inhibitory with all the clones used, INCAM 110/VCAM-1 antibodies in three cases (clones 2/14, 2/4, and 2/61) were only partially inhibitory. We do not have, at present, a direct explanation for this discrepancy but it is 2240 Downloaded from cancerres.aacrjournals.org on June 17, 2017. © 1991 American Association for Cancer Research. MELANOMA CELL ADHESION TO THE ENDOTHEL1UM conceivable that these clones recognize an additional VLA-4 ligand on activated EC. A possible candidate could be fibronectin since VLA-4 can also bind this protein and fibronectin is present in EC extracellular matrix and possibly on EC surface. However, anti-fibronectin antibodies did not affect adhesion of melanoma clones to either untreated or IL-1 activated EC. The possibility that the cells bind to other known IL-1 dependent EC adhesive antigens is also unlikely since ELAM-1 and ICAM-1 mAbs were uneffective. The existence of a second ligand for VLA-4 therefore remains unclarified and requires further and more direct studies. VLA-4 and INCAM110/VCAM-1 antibodies slightly inhib ited adhesion of melanoma clones to untreated EC. This obser vation is in agreement with previous reports indicating the presence of low but biologically significant amounts of INCAM110/VCAM-l on the surface of resting EC (21, 22). The biological relevance of VLA-4/VCAM-1 type of recog nition in melanoma cell dissemination and metastasis remains to be elucidated. IL-1 and TNF can be released in tissues and reach appreciable circulating concentrations during inflammatory reactions (23). Many cell types including vascular cells, macrophages, and TC of hematopoietic and nonhematopoietic origin have the poten tial to release these cytokines (23). 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