From www.bloodjournal.org by guest on June 17, 2017. For personal use only. Autocrine Loop Through Cholecystokinin-B/Gastrin Receptors Involved in Growth of Human Leukemia Cells By Nobuko Iwata, Tohru Murayama, Yoshinobu Matsumori, Mitsuhiro lto, Aki Nagata, Taizo Taniguchi, Kazuo Chihara, Yoshinobu Matsuo, Jun Minowada, and Toshimitsu Matsui The cholecystokinin (CCK)-Blgastrin receptor binds two brain-gut hormones, CCK and gastrin, with high affinities. These peptides have a trophic effect on gastrointestinal cells expressing the receptor in vivo as well as in vitro. Recently, this receptor mRNA was reported t o be expressed in immunocytes localized in the lamina propria of normal rat stomach mucosa. Here, we studied the receptor expression in human hematopoietic cells in order t o determine whether they play a role in cell growth. The CCK-B/gastrin receptor mRNA was detectable in the polymorphonuclear (PMN) cells but not in the mononuclear cells of normal peripheral white blood cells by reverse transcription-polymerase chain reaction. The receptor transcript was, however, expressed in human leukemia cell lines (14 of 18 cell lines tested) derived from not only myeloid, but also T- and B- lymphoid lineages. The CCK-B/gastrin receptors on several leukemia cell lines were shown t o be biologically active by demonstrating ligand-dependent cell proliferation in serum-deprived medium. Interestingly, a human CCK-Blgastrin receptor specific antagonist, YM022, but not its stereotype isoform, selectively inhibited the DNA synthesis of THP-1, MOLT-16, MOLT-14, and CCRF-CEM in the absence of exogenous peptide ligands. Further investigation revealed that these leukemia cell lines and normal PMN cells also expressed gastrin mRNA. These results suggest that growth of human leukemia cells is promoted by an autocrine mechanism through the CCK-Blgastrin receptors. 0 1996 b y The American Society of Hematology. T designated YM022, and an enantiomer of YM022, YM022-S, were kindly provided by Yamanouchi Pharmaceutical Co, Ltd (Tsukuha, Japan). YM022-S is about three orders of magnitude less potent in the competitive binding for ‘251-laheledCCK-8 or gastrin I than YM022.“ Separation of normal human white blood cell fractions. Peripheral blood was obtained from five healthy volunteers and collected in heparinized tubes. Polymorphonuclear cells (PMN) were separated by gradient sedimentation over Mono-Poly Resolving Medium (ICN Biomedicals Inc, Aurora, OH). The cells were pelleted to 1.5 X 10’ cells per donor. Mononuclear cells (MNC) were separated by gradient sedimentation over Ficoll-Hypaque (Pharmacia Biotech, Uppsala, Sweden). The cells were washed once by calcium and magnesium-free phosphate-buffered saline (PBS), resuspended in RPMI 1640 medium (GIBCO, Grand Island, NY), disseminated over petri-dishes and incubated in a 95% air, 5% C0,atmosphere at 37°C for 1 hour. Then, the nonadherent MNC, the majority of which were lymphocytes, were collected and washed once by PBS. The cells were pelleted to 1.3 to 3.3 X IO’ cells per individual. The adherent cells, the majority of which were related to macrophages, were removed from dishes with a cell scraper, washed once in PBS, and collected in another tube. The cells were pelleted at 1.5 to 4.2 X lo7 cells per donor. Cell culture. Leukemia-lymphoma cell lines used were HL-60, U-937, THP-I, ML-I, MOLM-I, NALM-6, NALM-26, Daudi, HairM, Jurkat, HPB-MLT, MOLT- 16, MOLT-3, HPB-ALL, DND-41, MOLT-14, CCRF-CEM, and RPMI-8402.’7 These cell lines were HE PEPTIDE HORMONES, cholecystokinin (CCK) and gastrin, play important roles in the function of the central nervous system and digestive organs.’.’ Both CCK and gastrin have a trophic effect on gastrointestinal cells in vitro as well as in v ~ v o . ~ Recently .~ we showed that both peptide hormones could promote cell growth through a single guanine nucleotide regulatory protein (G protein)-coupled CCK-B/gastrin receptor.’,6 Abundant expression of the receptor transcript was demonstrated in the normal human brain cortex and stomach m u c o ~ a . ~Unexpectedly, ~’~~ the receptor mRNA was found to be expressed in the human pancreas.’~’ By using reverse transcription-polymerase chain reaction (RT-PCR), we also showed the ectopic expression of the CCK-B/gastrin receptor gene in human small cell lung cancers.’ By means of in situ hybridization histochemistry, immune cells in the lamina propria of normal rat stomach mucosa were recently shown to express the CCK-B/gastrin receptor mRNA, as well as the transcripts of histamine, muscarine and dopamine receptor genes.” The CCK-B receptor has been pharmacologically shown to be expressed on a T-cell leukemia cell line, Jurkat.” Receptors for neuropeptides such as vasoactive intestinal peptide, somatostatin and substance P are expressed in human immuno-hematopoietic cells. ’*-” These data raise questions on whether the CCK-B/gastrin receptors are expressed in normal human blood cells, what sort of neoplastic cells derived from immuno-hematopoietic systems express the receptor gene, and whether such receptors are physiologically relevant. In this study, we show the expression of CCK-B/gastrin receptor mRNA in normal human peripheral white blood cells and in various lineages of leukemia cell lines by RTPCR. We also investigated the pathophysiological roles of the CCK-B/gastrin receptor by using a novel receptor antagonist. MATERIALS AND METHODS Chemicals. Cholecystokinin (residues 26-33 [CCK-81) and gastrin I were purchased from Peninsula Laboratories, Inc (Belmont, CA). A specific and strong benzodiazepine-derived CCK-Blgastrin receptor antagonist, (R)-l-[2,3-dihydro-l-(2’-methylphenacyl)-2oxo-5-phenyl- 1H - 1,4-benzodiazepin-3-y1]-3-( 3methylphenyl)urea, Blood, Vol 88,No 7 (October 1). 1996:pp 2683-2689 From the Third Division, Department ?f Medicine, Kobe University School of Medicine, Kobe; and Fujisaki Cell Center, Hayashibara Biochemical Laboratories, Inc., Okayama, Japan. Submitted October 2, 1995; accepted May 28, 1996. Supported by a Grants-in-Aidfor Scientific Research on Priority Areas from the Ministry of Education, Science and Culture of Japan and by research grants from Uehara Memorial Foundation and Hyogo Science and Technology Association. Address reprint requests to Toshimitsu Matsui, MD, Third Division, Department o f Medicine, Kobe University School of Medicine, Kusunoki-cho, Chuo-ku, Kobe 650, Japan. The publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked “advertisement” in accordance with I8 U.S.C. section 1734 solely to indicate this fact. 0 1996 by The American Society of Hematology. 0006-4971/96/8807-0020$3.00/0 2683 From www.bloodjournal.org by guest on June 17, 2017. For personal use only. IWATA ET AL 2684 maintained in suspension culture using RPMI 1610 medium supplemented with 10%fetal calf serum (ICN Flow, Costa Mesa, CA) and antibiotics in a 95% air, 5% COz atmosphere at 37°C. RNA preparation and RT-PCR. Total cellular RNA was extracted from normal human white blood cells (PMN, adherent and nonadherent MNC) and leukemia cell lines by using an acid guanidinium thiocyanate-phenol-chloroform method as described.’xThe cDNA templates for PCR analyses were prepared by RT of total RNA (2 fig) using the Superscript Preamplification System (GIBCOBRL, Life Technologies, Inc, Gaithersburg, MD).”’ PCR reactions were performed in a 25 ,uLreaction mixture containing 5 ,uL of the cDNA, 20 mmol/L Tris-HCI (pH 8.4). SO mmollL KCI, 2.5 mmoll L MgClz, 0.1 &/fig bovine serum albumin, 200 ,umol/L each deoxynucleotide triphosphate, 20 pmol/L each specific primer (CCK-B/ gastrin receptor: sense primer, 5’-TCACCAATGCCTTCCTCCTCTCACTGGCAG-3’; antisense primer, 5‘-TTGGCTGTCGCTGTCACTGTCGCCGTCAAA-3’; human gastrin: sense primer, S’-TGCAGCGACTATGTGTGTATGTGCTGATCT-3’; antisense primer, S’-GGCCGAAGTCCATCCATCCATAGGCTTC-3’: p-actin: sense primer, 5‘-ACCACACCTTCTACAATGAGCTGCGTG3’; antisense primer, 5‘-CACAGCTTCTCCTTAATGTCACGCACG-3’) and 1.25 units of Taq DNA polymerase (Promega, Madison, WI).*.”’.” These primer pairs are designed to amplify genomic fragments including one or two introns. Thus, the size of fragments amplified from the contaminating genomic DNA is different from that of the cDNA bands. The reaction conditions were as follows: denaturation at 94°C for 30 seconds, annealing at 72°C for 1 minute and extension at 72°C for I minute. The reaction was performed for 35 cycles in a GeneAmp PCR system 9600 (PerkinElmer Cetus, Norwalk. CT)? Southern hlor analysis. To confirm amplification of the appropriate DNA fragments, the RT-PCR products (8 ,uL of a 25 ,uL reaction mixture) were electrophoresed in a I % agarose gel and transferred onto nitrocellulose filters. The filters were hybridized at 42°C in a buffer containing 50% (wt/vol) formamide and full-length ”P-labeled cDNA probes. After a 16-hour hybridization, the filters were washed twice for 15 minutes in 2 X SSC ( I X SSC is 0.15 molL NaCI-0.015 m o l L sodium citrate, pH 7.0). 0.1% sodium dodecyl sulfate (SDS) at room temperature, and twice for 30 minutes in 0.1 X SSC, 0.1% SDS at W C , and then subjected to autoradiography.” Measurement of DNA swhesis. The DNA synthesis of the HL60, U-937, THP-I, Hair-M, Jurkat, HPB-MLT, MOLT-16, MOLT3, HPB-ALL, MOLT-14, and CCRF-CEM cell lines were measured by [methyl-’Hlthymidine incorporation. Cells (2 X IO5 cells per well) were preincubated in serum-deprived medium for 24 hours, and then cultured in 96-well plates in the presence or absence of various concentrations of peptide ligands with or without receptor antagonists for 44 hours, followed by a further 4-hour incubation with [methy/-’H]thymidine( I mCilmL, 25 mcilmmol: Amersham International plc, Buckinghamshire, UK). The radioactivity of incorporated [methyL3H]thymidinein 5% trichloroacetic acid-insoluble precipitates was counted by using a scintillation counter (Top Count. Packard, Meriden, CT). Rudioimmunoassuy of gastrin. Cells were grown to confluence over a 4-day period in 9 cm diameter petridishes. Fresh growth medium was then added. After 48 hours, culture supernatants were collected and assayed for immunoreactive gastrin levels using a radioimmunoassay kit (Dainabot, Inc, Tokyo, Japan). The statistical significance of the difference between antagonist-treated and control cell DNA synthesis was assessed by analysis of variance followed by Student’s t-test (P < .01). RESULTS Lineage specijc expression of CCK-B/gastrin receptor mRNAs in normal human peripheral white blood cells. To RT -+ -+ -+ - CCK-B/gastrin receptor II - 922bp 528bp Fig 1. Expression of CCK-Blgastrin receptor mRNA in normal human white blood cell fractions. Total RNAs of polymorphonuclear cells, macrophages and lymphocytes were incubated with ( + I or without (-1 RT. RT-PCR using the CCK-Blgastrin receptor cDNA specific primers generated a 528-bp band from mRNA and a 922-bp fragment from genomic DNA. The primers specific for human p-actin generated a 365-bp band. Representative autoradiographs of Southern blot analysis using the CCK-Blgastrin receptor cDNA probe (upper panel) and ethidium bromide staining of the human p-actin fragment (lower panel) are shown. &X174-Haelll fragments were used as size markers. examine the expression of CCK-B/gastrin receptor mRNA in normal human peripheral white blood cells, RT-PCR was performed using specific paired primers in the presence or absence of RT (Fig I). A 528-bp sequence was amplified from CCK-B/gastrin receptor mRNA. Southern blot analysis of RT-PCR products showed the expression of this receptor mRNA only in PMN among normal peripheral white blood cell fractions. No signal was detected in reactions without RT, indicating that the observed signals were due specifically to the presence of receptor transcripts. Contaminating genomic DNA did not confound the analysis, because the primers amplified the 922-bp fragment from the genomic I O C U S . ~ ~ ’ ~ Primers specific for human &actin generated the expected 365-bp specific band and confirmed the presence of intact mRNAs in all samples (Fig 1). The results were reproducible in all RNA samples extracted from five individuals. Expression of CCK-B/gastrin receptor mRNA in various human leukemia cell line lineages. To elucidate the lineage specificity, we next examined the expression of the CCK-B/ gastrin receptor transcript in various human leukemia cell lines by RT-PCR followed by Southern blot analysis. Surprisingly, it became clear that the CCK-B/gastrin receptor was expressed in all sorts of leukemia lineages in widely varying amounts (HL-60, THP- I , ML- I , MOLM- 1 in myeloid, NALM-6, NALM-26, Daudi, Hair-M in B lymphoid and Jurkat, MOLT- 16, MOLT-3, MOLT- 14, CCRF-CEM, RPMI-8402 in T lymphoid cells) (Fig 2). No signal was detected in reactions without RT. Expression was undetectable in U-937, HPB-MLT, HPB-ALL, and DND-41. We have tried to quantify the expression levels of CCK- From www.bloodjournal.org by guest on June 17, 2017. For personal use only. CCK-B/GASTRIN RECEPTORS ON LEUKEMIA CELLS 2685 CCK-B/gastrin receptor Myeloid cell RT - + - + - + I Megakaryo. + - + Btell -+ -+-+ -+ -- 922bp Fig 2. Expression of CCK-BI gastrin receptor mRNA in various lineages of human leukemia cell lines. Total RNAs of myeloid (HL-60, U-937, THP-1, ML-1, and MOLM-1). B lymphoid (NALM-6, NALM-26, Daudi, and Hair-M) and T lymphoid (Jurkat, HPBMLT, MOLT-16, MOLT-3, HPBALL, DND-41, MOLT-14, CCRFCEM, and RPMI-84021cells were incubatedwith (+)or without RT (-1. RT-PCR using the CCK-BI gastrin receptor cDNA specific primers generated a 528-bp band from mRNA and a 922-bp fragment from genomic DNA. Representative autoradiographs of Southern blot analysis using human CCK-Blgastrin receptor cDNA probe are shown. 528bp T-cell RT -+ -+-+-+ -+-+ .- + - + - + --. . B/gastrin receptor mRNA in these leukemia cell lines by RNA blot analysis.' However, most of them except for Jurkat and MOLT-I4 were under the detectable level by the analysis (data not shown). Inhibition of leukemia cell growth by a specific antagonist for human CCK-B/gastrin receptors. We previously showed that the peptide ligands, CCK-8 and gastrin I could promote DNA synthesis and cell growth of Chinese hamster ovary or mouse NIH 3T3 fibroblast cells transfected with a human CCK-B/gastrin receptor cDNA expression vector.s.h.X Thus, we next examined the effect of CCK-8 on DNA synthesis of 11 human leukemia cell lines (Table I). In serumfree medium, CCK-8 (IO-' mol/L) did significantly increase [methyl-'Hlthymidine incorporation of HL-60, THP- I , Jurkat, MOLT-3, MOLT-14, and CCRF-CEM, all of which express CCK-B/gastrin receptor mRNA. In U-937, HPBMLT, and HPB-ALL cells, lacking the mRNA expression, CCK-8 did not increase [methyl-'Hlthymidine incorporation (Table I). The receptor mRNA was expressed on Hair-M and MOLT-16, but exogenous CCK-8 (IO-' mol/L) did not stimulate their DNA synthesis. DNA synthesis of MOLT-14 was stimulated by CCK-8 in a dose-dependent manner. It was completely blocked by a specific CCK-B/gastrin receptor antagonist, YM022, but not by its stereoisomer, YM022-S (Fig 3). Gastrin I similarly promoted DNA synthesis (data not shown). These results indicate that the CCK-B/gastrin receptors expressed on MOLT- 14 are biologically functional. 1 -- 922bp 528bp Even in the absence of exogenous CCK-8, DNA synthesis of MOLT-I4 was inhibited by YM022, but not by YM022S (Fig 3 legend). Thus, we further examined the effect of YM022 on DNA synthesis of several leukemia cell lines. Surprisingly, YM022, but not YM022-S, selectively inhibited not only DNA synthesis of MOLT-I4 but also that of THP-I, MOLT-I6 and CCRF-CEM cells in the absence of exogenous peptide ligands (Table 2). The inhibitory effect of YM022 for DNA synthesis of MOLT-I4 in serum-deprived medium was concentration-dependent (Fig 4). No obvious effect of YM022 or YM022-S was seen in Hair-M or HPBALL cells. This implies that YM022 inhibited proliferation of THP-I, MOLT-16, MOLT-I4 and CCRF-CEM cells by specific interaction with the CCK-B/gastrin receptor. These results raise the possibility that leukemia cell growth is promoted by an autocrine mechanism through CCK-B/gastrin receptors. Coexpression of gastrin and its receptor mRNAs in several human leukemia cell lines. To support the presence of an autocrine mechanism, we examined the expression of the gastrin gene in human leukemia cell lines. By RT-PCR using a specific pair of primers for the human gastrin gene, a 279-bp sequence was amplified from gastrin mRNA. The contaminating genomic DNA did not interfere with the analysis. The primers amplify a 409-bp fragment from the genomic IOCUS.~" Southern blot analysis revealed that this ligand mRNA was expressed in almost all human leukemia cell lines (17 of 18 cell lines) tested (Fig 5 ) . Both gastrin and its From www.bloodjournal.org by guest on June 17, 2017. For personal use only. 2686 IWATA ET AL Table 1. Effect of CCK-8 on Leukemia Cell Growth Exp 1 Cell Lines Control HL-60 u-937 THP-1 Hair-M Jurkat HPB-MLT MOLT-16 MOLT-3 HPB-ALL MOLT-I4 4,550 2,695 5,790 2,180 627 3,988 9,760 2,120 8,260 1,557 3,210 CCRF-CEM Exp 2 CCK-8 t 194 i 192 t 78 i 175 t 24 t 136 2 990 t 71 t 79 t 111 t 139 6,260 2,761 9,340 2,110 859 3,952 9,400 3,150 8,220 3,113 5,150 i 498* t 132 i 62 1* I 131 t 35* i 203 -t 1,200 t 89* 2 230 i 79* ? 320* Control 7,050 1,570 4,860 3,410 810 2,600 8,540 1,400 6,920 2,830 3,100 Exp 3 CCK-8 t 276 t 67 F 477 t 310 i 24 t 405 t 866 i 14 2 194 t 90 2 49 8,610 1,550 6,010 3,500 959 2,540 8,740 1,710 6,670 4,740 3,950 t 493' i 48 t 435* i 180 t 17* i 160 t 1,400 t 103* i 292 t 400* f 425* Control 6,910 1,860 5,040 3,550 1,220 1,930 7.120 1,030 9,150 1,390 2,770 i 194 2 202 i 395 2 314 i 40 t 58 i 586 i 52 f 1,160 i 129 i 195 CCK-8 8,520 1,840 7,300 3,590 1,500 1,940 7,220 1,250 9,330 2,590 3,390 F 292* i 109 i 827* i 283 i 24* 5 390 f 995 i 48* f 1,840 i 33* i 116* Data of three independent experiments (Exp 1, Exp 2, and Exp 3) are shown as the mean t SD (cpm) of quadruplicate samples. * P < .01 compared with control receptor genes were coexpressed in HL-60, THP-1, ML1, MOLM- 1, NALM-6, Daudi, Hair-M, Jurkat, MOLT-16, MOLT-3, MOLT-14, CCRF-CEM, and RPMI-8402. Other cell lines expressed either receptor (NALM-26) or ligand n Q) 2 2.0 -c 1.8 0 LLO 5 1.6 .- DISCUSSION W c. ! ' -8 0 1.4 c Q) S .z 1.2 E > r !I = 1.0 E Y mRNA (U-937, HPB-MLT, HPB-ALL, and DND-41). Among normal human peripheral white blood cells, only PMN expressed gastrin mRNA (Fig 6). No signal was detected in reactions without RT. The mRNA expression of the gastrin gene in the leukemia cell lines was also under the detectable levels by Northern blot analysis as that of the CCK-B/gastrin receptor gene (data not shown). However, we could detect gastrin-like immunoreactivity in the conditioned media of several leukemia cell lines. Jurkat, HPB-ALL and MOLT-14 produced 20, 26, and 27 pg gastrin per 10" cells over a 48-hour period, respectively. I 0 10-10 10-9 4 10'8 CCK-8 (M) Fig 3. Effect of CCK-8 and a CCK-Blgastrin receptor antagonist on DNA synthesis by MOLT-14cells. Serum-deprivedcells were cultured in the presence of various concentrations of CCK-8 without IO) or with lo-' mol/L YM022 (0)or YM022-S IO) for 44 hours, followed by a further 4-hour incubation with [methyk3Hlthymidine(means f SD of four different experiments, each performed in triplicate).The radioactivities of [methykJHlthymidine incorporated into control cells without addition of CCK-8 were 1,670 2 101 cpm in the absence of YM022 or YM022-S, 1,070 + 31 cpm in the presence of lo-' mol/L YM022 and 1,620 k 30 cpm in the presence of YM022-S. In the last two decades, experimental evidence has suggested that neuropeptides play important roles in the modulation of the immune system through receptor-mediated events. For example, sensory neuropeptides such as somatostatin, vasoactive intestinal peptide and substance P have been reported to modulate T lymphocyte function.'*," The CCK-A (peripheral type CCK) receptor has been reported to mediate inhibition of cell growth in MOLT-4 lymphoblasts." Receptors for substance P, opiate peptides and benzodiazepine have been shown to be involved in chemotaxis of human monocytes.'4.2'-26 In addition, substance P has been shown to stimulate hematopoiesis for both erythroid and granulocytic progenitors in short-term bone marrow ~u1tures.l~ Furthermore, the receptor transcript of nerve growth factor, trk, is functionally expressed in human immune and hematopoietic cells.*'-'" On the other hand, erythropoietin receptors have been shown in the central nervous system3' Many receptors for peptide hormones, growth factors and cytokines previously thought to be limited to the brain or the immunohematopoietic system are now known to be expressed by both." The CCK-B receptor that binds CCK-8 as well as gastrin I with high affinities, has been pharmacologically shown to be expressed on a human Jurkat T lymphocyte cell line." But, its biological function is unknown. Recently, Mezey et all" reported that immune cells in the lamina propria are the only cells that express detectable mRNA for gastrin receptors From www.bloodjournal.org by guest on June 17, 2017. For personal use only. 2687 CCK-WGASTRIN RECEPTORS ON LEUKEMIA CELLS Table 2. Inhibition of Leukemia Cell Growth by YM022 Cell Lines Exp 1 THP-1 Control YM022 YM022-S Control YM022 YM022-S Control YM022 YM022-S Exp 2 Exp 3 5,281 3,095 4,736 7,840 5,340 7,560 6,060 4,530 5,990 t 842 t 224* t 194 t 163 t 100' t 178 t 528 t 446* t 829 Heir-M 2,038 2,557 2,500 2,730 2,730 2,670 3,550 3,680 3,480 MOLT-16 t 176 2 367 t 127 2 192 t 257 t 173 t 157 2 195 t 212 8,214 5,565 8,056 6,790 5,030 6,670 12,200 7,640 11,500 t 779 t 270* t 1,092 t 162 t 67' t 202 t 1,140 t 500* t 2,430 HPB-ALL 9,783 9,536 9,525 9,520 9,850 9,358 7,090 7,070 6,940 t 298 t 382 t 296 t 356 t 666 2 280 t 104 t 246 2 339 MOLT-14 1,666 815 1,699 1,780 787 1,680 2,130 1,370 2,070 t 101 2 26' t 84 t 100 t 65* 100 t 127 t 19' t 58 CCRF-CEM 3,577 2,591 3,693 1,710 915 1,710 2,210 1,430 2,320 t 310 t 412' 2 289 t 193 2 69' t 166 t 186 2 218* t 118 Data of three independent experiments (Exp 1, Exp 2, and Exp 3) are shown as the mean t SD (cpm) of quadruplicate samples. P < .01 compared with control and YM022-S. in the rat gastric mucosa by in situ hybridization histochemistry. Our present study revealed that the CCK-B/gastrin receptor mRNA was expressed in normal human PMN cells and in both the myeloid and lymphoid lineages of leukemia cell lines. These results give rise to the importance of further elucidation of the physiological interaction between the neuroendocrine and immuno-hematopoietic systems. CCK-B/gastrin receptor mRNA is not detectable in nonadherent normal MNC but is in several tumor cell lines including T- and B- lymphoid lineages. It is of interest to determine T Y 0 10-11 10-10 10-9 10-8 Antagonist (M) Fig 4. Inhibitory concentration-response curve of YM022 for MOLT-14. Serum-deprived cells were cultured in the presence of various concentrations of YM022 (0) or YMOU-S (01for 44 hours, followed by a further Chour incubation with [methyC'Hthymidine. Results ere expressed as means 2 SE of three independent experiments, each performed in quedruplicate. whether the leukemia cells ectopically express the peptide hormone receptor. If so, the receptor could be a novel molecular probe for the diagnosis of neoplasms derived from the immuno-hematopoietic system as well as that of human small cell lung cancers.' It would be important to examine the expression in the progenitor cells of the human bone marrow, lymph node, or thymus. In the present study, we also showed for the first time that the CCK-B/gastrin receptor mediates cell proliferation of several human leukemia cells in a ligand dependent manner. Moreover, YM022 but not its stereoisomer specifically inhibits the proliferation of THP-1, MOLT-16, MOLT-14, and CCRF-CEM cells in serum-deprived medium. The transcripts of a peptide ligand, gastrin, and its receptor genes are coexpressed in these leukemia cell lines. The expression level of gastrin mRNA in the leukemia cell lines was too low to be detected by RNA blot analysis. However, the presence of gastrin-like immunoreactivity was confirmed in the conditioned media of several leukemia cells. These results are consistent with previous reports of a human colon carcinoma cell line, HCT 1 16.33.34 Thus, our present results imply that leukemia cell growth is accelerated by an autocrine mechanism through the CCK-B/gastrin receptor. Data suggesting that gastrin could participate in an autocrine loop driving tumor cell growth have been reported for other human neoplastic cell lines derived from the colon, stomach, and kidne~.'~.~' Our current data are the first to suggest the presence of a gastrin autocrine system in human neoplastic cells derived from nonepithelial (mesoderm) origin. Very recently, posttranslational processing intermediates of gastrin, specifically glycine-extended gastrin, as well as gastrin itself have been reported to stimulate the proliferation of a rat pancreatic tumor cell line and mouse Swiss 3T3 fibroblast^.^^,^^ Glycine-extended gastrin was at least four orders of magnitude less potent than gastrin in its ability to induce acid secretion. Moreover, CCK-B/gastrin receptorselective antagonists did not inhibit the proliferation induced by glycine-extended gastrin. This implies that there could be two gastrin receptors that mediate the proliferative action of peptides derived from the gastrin gene. Although immunoreactive gastrin was detected in the conditioned media of leukemia cell lines, we could not distinguish between amidated gastrin and glycine-extended form by the assay. This may help to explain the varying inhibitory effects of a CCK- From www.bloodjournal.org by guest on June 17, 2017. For personal use only. 2688 gastrin Myeloid cell RT Megakaryo. i n -+ -+ -+ -+ -+ - IWATA ET AL Bell -+ -+ -+ -+ T-cell RT -+ -+ - + - + - + - + - + - + - + -- 409bp B/gastrin receptor antagonist on the leukemia cell lines coexpressing the gastrin and CCK-B/gastrin receptor genes. In conclusion, the CCK-B/gastrin receptor mRNA is expressed in normal human PMN cells and various lineages 279bp Fig 5. Expression of gastrin mRNA in human leukemia cells. The same cDNA samples as used in Fig 2 were amplified using primers specific for human gastrin generating a 279-bp band from mRNA and a 409-bp fragment from genomic DNA. Representative autoradiographs of Southern blot analysis using gastrin cDNA are shown. of hematopoietic tumor cell lines. Moreover, in certain leukemia cell lines such as THP-1, MOLT-16, MOLT-14, and CCRF-CEM, an autocrine mechanism seems to promote cell growth. To elucidate the physiological and pathological significance of the CCK-B/gastrin receptor in immuno-hematopoietic systems, further studies are necessary. REFERENCES 1. Innis RB, Correa FM, Uhl GR, Schneider B, Snyder SH: Cho- RT gastrin -+-+I+ -- 409bp 279bp Fig 6. Expression of gastrin mRNA in normal human peripheral white blood cells. The same cDNAs of PMN, macrophages and lymphocytes as used in Fig 1 were amplified using the primers specific for the gastrin gene generating a 279-bp band from mRNA and a 409bp fragment from genomic DNA. A representative autoradiograph of Southern blot analysis using the human gastrin cDNA probe is shown. lecystokinin octapeptide-like immunoreactivity: Histochemical localization in rat brain. Proc Natl Acad Sci USA 76:521, 1979 2. Singh L, Lewis AS, Field MJ, Hughes J, Woodruff GN: Evidence for an involvement of the brain cholecystokinin-B receptor in anxiety. Proc Natl Acad Sci USA 88:1130, 1991 3. 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For personal use only. 1996 88: 2683-2689 Autocrine loop through cholecystokinin-B/gastrin receptors involved in growth of human leukemia cells N Iwata, T Murayama, Y Matsumori, M Ito, A Nagata, T Taniguchi, K Chihara, Y Matsuo, J Minowada and T Matsui Updated information and services can be found at: http://www.bloodjournal.org/content/88/7/2683.full.html Articles on similar topics can be found in the following Blood collections Information about reproducing this article in parts or in its entirety may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#repub_requests Information about ordering reprints may be found online at: http://www.bloodjournal.org/site/misc/rights.xhtml#reprints Information about subscriptions and ASH membership may be found online at: http://www.bloodjournal.org/site/subscriptions/index.xhtml Blood (print ISSN 0006-4971, online ISSN 1528-0020), is published weekly by the American Society of Hematology, 2021 L St, NW, Suite 900, Washington DC 20036. 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