Carcinogenesis vol.29 no.4 pp.738–746, 2008 doi:10.1093/carcin/bgn037 Advance Access publication February 14, 2008 GLI1 repression of ERK activity correlates with colony formation and impaired migration in human epidermal keratinocytes Graham W.Neill1,, Wesley J.Harrison1, Mohammed S.Ikram1, Tomos D.L.Williams1, Lucia S.Bianchi1, Sandeep K.Nadendla1, Judith L.Green1,3, Lucy Ghali1,4, Anna-Maria Frischauf2, Edel A.O’Toole1, Fritz Aberger2 and Michael P.Philpott1 1 Centre for Cutaneous Research, Institute of Cell and Molecular Science, Barts and The London School of Medicine and Dentistry, 4 Newark Street, London E1 2AT, UK and 2Department of Molecular Biology, University of Salzburg, Hellbrunnerstrasse 34, A-5020 Salzburg, Austria 3 Present address: Division of Parasitology, MRC National Institute for Medical Research, London NW7 1AA UK 4 Present address: Department of Biomedical Sciences, School of Health and Social Sciences, Middlesex University, Enfield EN3 4SA UK To whom correspondence should be addressed. Tel: þ44 207 882 2343; Fax: þ44 207 882 7172; Email: [email protected] Basal cell carcinoma (BCC) of the skin is a highly compact, nonmetastatic epithelial tumour type that may arise from the aberrant propagation of epidermal or progenitor stem cell (SC) populations. Increased expression of GLI1 is a common feature of BCC and is linked to the induction of epidermal SC markers in immortalized N/Tert-1 keratinocytes. Here, we demonstrate that GLI1 over-expression is linked to additional SC characteristics in N/Tert-1 cells including reduced epidermal growth factor receptor (EGFR) expression and compact colony formation that is associated with repressed extracellular signal-regulated kinase (ERK) activity. Colony formation and repressed ERK activity remain evident when EGFR is increased exogenously to the basal levels in GLI1 cells revealing that ERK is additionally inhibited downstream of the receptor. Exposure to epidermal growth factor (EGF) to increase ERK activity and promote migration negates GLI1 colony formation with cells displaying an elongated, fibroblast-like morphology. However, as determined by Snail messenger RNA and E-cadherin protein expression this is not associated with epithelial–mesenchymal transition (EMT), and GLI1 actually represses induction of the EMT marker vimentin in EGF-stimulated cells. Instead, live cell imaging revealed that the elongated morphology of EGF/GLI1 keratinocytes stems from their being ‘stretched’ due to migrating cells displaying inefficient cell–cell detachment and impaired tail retraction. Taken together, these data suggest that GLI1 opposes EGFR signalling to maintain the epithelial phenotype. Finally, ERK activity was predominantly negative in 13/14 BCCs (superficial/nodular), indicating that GLI1 does not routinely co-operate with ERK to induce the formation of this common skin tumour. the formation of BCC, primarily due to loss of function mutations of the Ptc1 tumour suppressor gene (2–4). The downstream effectors of SHH signalling include members of the GLI family of transcription factors, GLI1 and GLI2, that are consistently up-regulated in BCC compared with normal skin (5,6). However, increased GLI1 expression is not always associated with loss of PTC1 strongly supporting the hypothesis that GLI1 function is central to BCC formation (7). Indeed, targeted expression of either GLI1 or GLI2 to the basal layer of murine epidermis induces BCC even in the presence of wild-type Ptc1 alleles (8,9). Tumour formation may arise from the accumulation of specific mutations in stem cells (SCs) that permit their uncontrolled proliferation and neoplastic transformation (10). HH/GLI signalling is increasingly implicated in the development of a number of malignancies and this may be linked to its role in regulating SC populations (5). Whether human BCCs arise from the aberrant proliferation of epidermal/follicular SCs remains to be established but this theory is supported by evidence from transgenic mouse models (11,12). A number of studies have identified downstream targets of GLI proteins that may be relevant to tumour formation; these include platelet-derived growth factor receptor alpha (PDGFRa), FoxM1, Bcl-2, members of the Wnt/b-catenin family as well as a number of growth factors and cell cycle proteins (13–19). Studies on the mechanisms regulating GLI proteins have focused mainly on GLI1 and these are mainly by analogy to components that regulate the Drosophila homologue of GLI, termed Cubitus interruptus (20). However, HH-related factors regulating GLI activity have been identified in mammalian cells and include MIM/BEG4, intraflagellar transport proteins and a mutant form of PTC1 (21–24). With regard to nonHH mechanisms of control, GLI1 activity is subject to regulation by retinoic acid, Dyrk1 and protein kinase C (PKC) isoforms (25–27), and recent studies have shown that GLI activity is dependent upon PKCd/extracellular signal-regulated kinase (ERK), phosphatidylinositol 3-kinase (PI3-K)/protein kinase B (AKT) and Ras-MEK (ERK Kinase)/ AKT signalling (28–30). We have recently shown that GLI1 induces the expression of various putative epidermal SC markers including K15 and K19 in immortalized N/Tert-1 keratinocytes and that the induction of specific target genes is regulated by EGF signalling (31). Here, we present further evidence that GLI1 induces SC characteristics in N/Tert-1 cells including compact colony formation and reduced epidermal growth factor receptor (EGFR) expression. Colony formation is associated with repressed ERK activity and highlights the presence of a novel feedback mechanism to modulate GLI1 activity and promote the epithelial phenotype in human epidermal keratinocytes (HEKs). Material and methods Introduction Basal cell carcinoma (BCC) is the most common malignancy in humans, the incidence of which is increasing globally by up to 10% per annum and with an estimated lifetime risk of 30% in western society. Although BCC can be treated by radiotherapy or surgery, its high prevalence is a cause of significant morbidity (1). Aberrant activation of the Sonic hedgehog (SHH) signalling pathway is associated with Abbreviations: BCC, basal cell carcinoma; EGFR, epidermal growth factor receptor; EMT, epithelial–mesenchymal transition; ERK, extracellular signalregulated kinase; HEK, human epidermal keratinocyte; JNK, c-jun N-terminal kinase; mRNA, messenger RNA; PBS, phosphate-buffered saline; PDGFRa, platelet-derived growth factor receptor alpha; qPCR, quantitative polymerase chain reaction; RT, room temperature; SC, stem cell; SHH, Sonic hedgehog. Plasmid construction The coding sequence of EGLI1 was cloned into pEGFP-C3 (Clontech, Mountain View, CA) to create pEGLI1. This vector used as a template to create pEGLI1mNLS using the Site-Directed Mutagenesis Kit (Stratagene, La Jolla, CA). Retroviral vectors were created by subcloning the CMV-EGLI1/ EGLImNLS regions into SIN-IP-EGFP (Enhanced Green Fluorescent Protein) after removal of the CMV-EGFP region and similar to that described previously (32). The vector encoding EGFR (cloned into pBABE-puro) was created by Matthew Meyerson (33) and obtained through Addgene (http://www. addgene.org/11011), and pBP-DN-MEK-EE was kindly provided by David Beach (Barts and The London School of Medicine and Dentistry). Cell culture and retroviral production N/Tert-1 keratinocytes were kindly provided by James Rheinwald (Harvard Medical School, Boston, MA) and cultured in defined serum-free medium (Gibco/Invitrogen, Paisley, UK). Retroviral particles were produced as denoted previously using the Phoenix packaging cell line (32). N/Tert-pBP, N/Tert-EGFR Ó The Author 2008. Published by Oxford University Press. All rights reserved. For Permissions, please email: [email protected] 738 GLI1 regulation of EGFR/ERK signalling and N/Tert-DN-MEK-EE cells were created by retroviral transduction of N/ Tert-1 cells with pBABE-puro, pBP-EGFR, pBP-DN-MEK-EE particles, respectively, and selection with puromycin at 1 lg/ml (Sigma–Aldrich, St. Louis, MO). N/Tert-1-pBP/EGFR/DN-MEK-EE cells were seeded 18 h prior to retroviral transduction with EGFP, EGLI1 or EGLI1mNLS particles. Post-transduction, cells were incubated for 24 h in defined serum-free medium-containing commercial growth supplement (þGS), then starved for 8 h (GS) before the addition of recombinant EGF (10 ng/ml, Sigma–Aldrich), AG1478 (1 lM), U0126 (10 lM) or SP600125 (10 lM) with untreated cells maintained GS. All cells were fixed or harvested 48 h post-transduction. Pharmacological agents were purchased from Merck KGaA (Darmstadt, Germany). Western blotting Protein lysates were prepared in boiling Buffer A (50 mM Tris–HCl, pH 8.0, 2% sodium dodecyl sulphate, 1 mM Na3OV4) and quantified using the DC Protein Assay (Bio-Rad, Laboratories, Hercules, CA). Samples (5–25 lg) were separated on sodium dodecyl sulphate–polyacrylamide gels and transferred to Hybond-C nitrocellulose membrane (GE Healthcare, Chalfont St Giles, UK) according to the standard protocols. Primary antibodies used were vinculin (Sigma–Aldrich), GLI1-C18 and EGFR SC-03 (both Santa Cruz Biotechnology, Santa Cruz, CA), E-cadherin and vimentin (both BD BiosciencesPharmingen, San Diego, CA) and ERK, phospho-ERK, MEK, phospho-MEK, AKT, phospho-AKT, c-Jun and phospho-c-Jun (all Cell Signalling Technology, Danvers, MA). Secondary horseradish peroxidase-linked antibodies were obtained commercially (DAKO, Glostrup, Denmark) and immunodetection performed with enhanced chemiluminescence (ECLþ) reagent (GE Healthcare). Immunofluorescent labelling After fixing in 4% paraformaldehyde for 10 min at room temperature (RT), cells (on glass coverslips) were washed 2 phosphate-buffered saline (PBS) prior to permeabilisation with 0.1% TritonX-100 (in PBS) for 4 min at RT. To analyse substructures, cells were then washed 1 PBS and blocked in 0.1% BSA/0.1% sodium azide in PBS (Buffer B) for 20 min prior to incubation for 45 min (RT) with E-cadherin or vinculin antibodies diluted to 2 lg/ml in Buffer B. After washing 3 2 min in Buffer B, cells were incubated with Alexa Fluor 564 secondary antibody (Molecular Probes, Invitrogen, Paisley, UK) diluted 1:400 in Buffer B for 30 min at RT. Finally, cells were washed 1 in Buffer B, counterstained with DAPI for 5 min, washed 3 2 min in Buffer B, rinsed in distilled water and mounted on glass slides with Vectashield (Vector Laboratories, Peterborough, UK). To analyse the actin cytoskeleton, cells were fixed and permeabilized as described above, washed 1 PBS then exposed to phalloidin–Tetramethyl Rhodamine Iso-Thiocyanate (TRITC) (Sigma–Aldrich) at 5 lg/ml in Buffer B for 45 min, counterstained with 4#-6-Diamidino-2-phenylindole (DAPI) for 5 min, washed 3 2 min in Buffer B, rinsed in distilled water and mounted on glass slides as described above. Cell imaging Phase contrast and EGFP fluorescence was visualized with a Nikon Eclipse TE2000-S microscope with a T-FL Epi-Fl attachment. Live cell imaging (190 pictures captured every 5 min) was performed with the same microscope using MetaMorph Offline software (version 6.1). Immunofluorescent labelling was visualized with a DM5000B microscope and images captured using IM50 software (Leica Microsystems, Wetzlar, Germany). Quantitative polymerase chain reaction Total RNA was extracted using Trizol (Invitrogen) with first-strand synthesis performed using the Reverse Transcription System according to the manufacturer’s instructions (Promega, Madison, WI). Quantitative polymerase chain reaction (qPCR) was carried out using DyNAmoTM SYBRÒ Green qPCR kit (Finnzymes, Espoo, Finland) with reactions performed in triplicate. The primers used were Ptc1-F 5#-CTCCCAAGCAAATGTACGAGCA-3# and Ptc1-R 5#-TGAGTGGAGTTCTGTGCGACAC-3#, Snail-1-F 5#-ACCCCACATCCTTCTCACTG-3# and Snail-1-R 5#-TACAAAAACCCACGCAGACA3#, Snail-2-F (Slug) 5#-CTTTTTCTTGCCCTCACTGC-3# and Snail-2-R 5#-GCTTCGGAGTGAAGAAATGC-3#, vimentin-F 5#-AAGAGAACTTTGCCGTTGAA-3# and vimentin-R 5#-GTGATGCTGAGAAGTTTCGT-3#, b-actin-F 5#-GTTTGAGACCTTCAACACCCC-3# and b-actin-R 5#-GTGGCCATCTCTTGCTCGAAGTC-3#. The melting curve graph of the PCR product indicated that the data generated were from a single product and confirmed by running on a 1.5% agarose gel. Induction values (v) were calculated using the formula v 5 2DDCt where Ct represents the mean threshold cycle of replicate analyses, DCt represents the difference between the Ct values of the target gene and the reference gene b-actin and DDCt is the difference between the DCt values of the target gene for each sample compared with the DCt mean of the reference sample (i.e. EGFP cells). Immunohistochemistry BCC paraffin sections were analysed immunohistochemically using an Elite Universal Vectastain ABC kit (Vector laboratories) and liquid diaminobenzidene (BioGenex, San Ramon, CA). Briefly, 4 lm sections were de-paraffinized and rehydrated using xylene and a graded series of ethanol (100, 96 and 70%) for 1 min each prior to rinsing in distilled water. Antigen retrieval was performed by immersion in preheated sodium citrate buffer (10 mM sodium citrate, 0.05% Tween 20, pH 6.0) followed by microwaving for a further 5 min and cooling for 20 min. Sections were incubated with anti-phospho-ERK antibody (#9106 Cell Signalling Technology) diluted 1:300 in PBS buffer at 37oC for 1 h. After applying biotinylated secondary antibody, endogenous peroxidase activity was quenched using 0.3% hydrogen peroxide in methanol for 20 min and the rest of the procedure was carried out as per the manufacturer’s instructions. Results GLI1 induces compact colony formation in immortalized keratinocytes To clarify the terminology used below, N/Tert-1 keratinocytes retrovirally expressing EGFP will be referred to as EGFP cells and those expressing an EGFP–GLI1 fusion protein will be referred to as EGLI1. In contrast to control EGFP cells that cultured as single cells or loosely associated colonies (Figure 1A, top), EGLI1 induced compact colony formation with many cells displaying a high nuclear to cytoplasmic ratio (Figure 1A, middle). As the fluorescent signal was generally diffuse within cells, we sought to determine if the subcellular localization of EGLI1 was relevant to the phenotype by manipulating the fact that GLI1 is subject to nuclear-cytosolic shuttling (27,34,35). Potential GLI1 nuclear localization motifs were identified using the PSORT predictive program (http://psort.nibb.ac.jp/); such motifs are characterized by clusters of basic residues (Figure 1B). Mutation of the residues arginine and lysine within three putative motifs produced a mutant EGLI1 protein (EGLI1mNLS—mutant nuclear localization sequence) that was localized exclusively to the cytosol (Figure 1B, bottom) and displays no transcriptional activity (31). As no difference was observed for the morphology of EGLI1mNLS cells compared with EGFP cells, this reveals that nuclear localization of EGLI1 is required to promote colony formation. EGLI1mNLS cells were also generally more fluorescent than EGLI1 cells and an increase in protein level was confirmed by western blot analysis (Figure 1C). GLI1 promotes cell–cell adhesion and impairs keratinocyte migration To investigate how EGLI1 promotes colony formation, the expression pattern of E-cadherin was determined to assess the presence of adherens junctions that mediate cell–cell adhesion. In EGFP cells, E-cadherin expression was predominantly perinuclear, reflecting the fact that N/Tert-1 cells do not form compact colonies but are loosely associated when cultured in this medium. In contrast, E-cadherin was redistributed to the cell membrane in EGLI1 cells. Thus, enhanced cell–cell adhesion may account for increased colony formation (Figure 2A, top). EGLI1 colonies also displayed increased cortical actin bundling that helps stabilize adherens junctions (Figure 2A, middle) (36). Evidence that EGLI1 impairs cell migration was provided by reduced levels of vinculin-containing focal adhesions (Figure 2A, bottom) and confirmed by live cell imaging (supplementary Movies 1 and 2, available at Carcinogenesis Online). No difference was observed for the level of E-cadherin, b-actin or vinculin between EGFP and EGLI1 samples (Figure 2B). GLI1 colony formation is associated with reduced ERK activity As inhibition of EGFR–ERK signalling impairs cell migration by inducing cell clustering, a compact morphology and redistribution of E-cadherin to the cell membrane in HeLa cells (37), EGLI1 colony formation may be linked with negative regulation of EGFR–ERK signalling. EGLI1 cells displayed reduced levels of EGFR and ERK activity as determined by its phosphorylation status. The activity of the upstream activator of ERK, MEK (ERK kinase/mitogen-activated protein kinase kinase), was also reduced in EGLI1 cells, suggesting that reduced ERK activity stems from reduced MEK activity (Figure 3A). 739 G.W.Neill et al. Fig. 1. The effect of GLI1 on cell morphology is dependent upon its nuclear localization in N/Tert-1 keratinocytes. (A) In contrast to EGFP cells that display a well spread and migratory phenotype (top panel), GLI1 expressed as an EGFP fusion protein (EGLI1) induces compact colony formation with many cells displaying a high nuclear/cytoplasmic ratio (denoted by arrows, middle panel). Colony formation is not observed in cells expressing a mutant GLI1 protein EGLI1mNLS that is localized exclusively to the cytosol (bottom panel). (B) Amino acid sequence of GLI1 denoting three putative Nuclear Localization Signals (bold font) with the residues that were subject to mutagenesis underlined. (C) Western blot analysis of EGLI1 and EGLI1mNLS protein levels. To determine if colony formation stems from reduced MEK–ERK signalling through loss of the upstream cell surface receptor, EGFR was exogenously expressed in EGLI1 cells. In comparison with EGLI1 cells, no difference was observed in the morphology of EGFR/EGLI1 cells with colony formation still evident (Figure 3B, top). However, despite an increase in EGFR expression comparable with EGFP cells, the level of ERK activity in EGFR/EGLI1 cells was still below the basal levels, suggesting that GLI1 represses ERK downstream of the receptor (Figure 3C). We and others have recently shown that GLI1 transcriptional activity and target gene identity are regulated by EGFR–ERK signalling (28,31). Therefore, GLI1 repression of ERK highlights the presence of a negative feedback loop to modulate GLI1 activity and the potency of target gene induction in keratinocytes. AKT has also recently been shown to regulate GLI1 (29) but its activity remained constant between EGFP and EGLI1 cells, revealing the absence of a feedback loop between GLI1 and AKT (Figure 3A). Crosstalk between MEK and c-jun N-terminal kinase (JNK) signalling has been shown in neuronal cells and JNK regulates cell adhesion/migration in part through control of the c-Jun transcription factor (part of the AP-1 complex) (38,39). We were unable to assess JNK activity by analysis of endogenous phospho-JNK expression but the activity of its target c-Jun was reduced in EGLI1 cells (Figure 3A). 740 Interestingly, the characteristics of keratinocytes isolated from c-Jun-null mice resemble those observed for EGLI1 cells including impaired migration, loss of focal adhesion formation and increased cortical actin bundling. In addition, both c-Jun- and EGFR-null mice display the ‘Eye-open at Birth’ phenotype and a link between these pathways has been established as reduced Egfr messenger RNA (mRNA) and protein expression is observed in c-Jun-null keratinocytes (40). To further delineate between a possible role for MEK– ERK and JNK–c-Jun in EGLI1 morphology, control EGFP cells were exposed to the MEK inhibitor U0126 or the JNK inhibitor SP600125. Both inhibitors induced colony formation (Figure 3B, bottom) and, as for EGLI1, the expression of phospho-ERK and phospho-c-Jun was reduced in both EGFP/U0126 and EGFP/SP600125 cells, revealing potential crosstalk between MEK and JNK signalling (Figure 3D). In support of this, MEK activity was reduced in EGFP/SP600125 cells but, as discussed above, it was not possible to determine if JNK activity was reduced in EGFP/U0126 cells (data not shown). Regarding EGFR, its expression was not reduced in EGFP/U0126 or EGFP/ SP600125 cells (Figure 3D), suggesting that GLI1 repression of EGFR does not stem from reduced c-Jun activity. Although GLI1 and murine c-Jun-null keratinocytes share certain phenotypic similarities as detailed above, colony formation has not been described for c-Jun-null cells, suggesting that this is not the GLI1 regulation of EGFR/ERK signalling Fig. 3. GLI1 colony formation is associated with reduced pathway activation downstream of EGFR. (A) The expression of EGFR and activity of various downstream components including MEK, ERK and c-Jun are reduced in EGLI1 cells, whereas AKT activity remains constant. (B) Exogenous expression of EGFR does not negate EGLI1 colony formation (top panel). Colony formation is observed in EGFP cells exposed to the MEK inhibitor U0126 (10 lM) and the JNK inhibitor SP600125 (10 lM) (bottom panel). (C) Western blot analysis showing reduced ERK activity in EGLI1 cells when EGFR levels are maintained exogenously at the basal levels. (D) Western blot analysis denoting ERK and c-Jun activity and EGFR expression in EGFP/U0126 and EGFP/SP600125 cells. Fig. 2. GLI1 promotes cell–cell adhesion and impairs keratinocyte migration. (A) Immunofluorescent analysis of cellular substructures reveals that compared with control EGFP cells, EGLI1 induces the formation of E-cadherin-containing adherens junctions (top panel), promotes cortical actin bundling (middle panel) and inhibits the formation of vinculin-containing focal adhesions (bottom panel); bar, 10 lM. (B) Western blot analysis of E-cadherin, b-actin and vinculin protein expression in EGFP and EGLI1 cells. mechanism promoting colony formation in GLI1 cells. In contrast, reduced ERK activity is observed in GLI1 colonies as well as colonies induced by exposure of control cells to the inhibitors U1026 (MEK) or SP600125 (JNK), suggesting that low ERK activity is integral to colony formation, although other pathways may be involved. GLI1 impairs ERK-mediated migration As exogenous expression of EGFR was insufficient to activate ERK to a level comparable with that of control EGFP levels (Figure 3C), EGLI1 cells were exposed to EGF to stimulate ERK activity and promote cell migration (41). Although colony formation was negated, many cells displayed distinct morphological changes characterized principally by an elongated and fibroblast-like phenotype. In contrast, there was no discernable difference in the morphology of EGFP cells upon exposure to EGF (Figure 4A, top). Activation of EGFR mediated the change in EGLI1 cell morphology as this was negated when cells were pre-incubated with the EGFR inhibitor, AG1478, prior to EGF exposure (data not shown). Western blot analysis confirmed that in EGF/EGLI1 cells, the expression of phospho-ERK was comparable with, if slightly higher, than that of control EGFP cells (Figure 4B, lanes 1 and 4). However, this was consistently below that of EGF/ EGFP cells (n 5 5) revealing that EGLI1 attenuates full pathway activation upon ligand stimulation (Figure 4B, lanes 3 and 4). To determine if the morphology of EGF/EGLI1 cells was dependent upon activation of the canonical MEK–ERK pathway, EGLI1 was co-expressed with a constitutively active MEK mutant, DN-MEKEE. The phenotype of DN-MEK-EE/EGLI1 cells (Figure 4A, bottom) was similar to EGF/EGLI1 cells (Figure 4A, top), thus confirming that activation of ERK (Figure 4C, lane 4) induces morphological changes in EGLI1 cells. EGF does not co-operate with GLI1 to induce epithelial– mesenchymal transition A recent study has shown that in epithelial RK3E cells GLI1 induces the expression of Snail-1, a zinc finger transcription factor that represses E-cadherin and that is associated with the phenomenon termed epithelial–mesenchymal transition (EMT) (42). EMT is linked to tumour invasion and metastasis, and in cultured cells can be associated with transformed epithelial cells adopting a fibroblast-like morphology through activation of receptor tyrosine kinases such as EGFR, fibroblast growth factor receptor and c-Met (43). Therefore, due to their morphology and from previous studies, the possibility that EGF co-operates with EGLI1 to induce characteristics of EMT in keratinocytes was explored. As documented above, no difference was observed for the expression of E-cadherin between EGFP or EGLI1 cells, suggesting that 741 G.W.Neill et al. Fig. 4. GLI1 does not co-operate with EGF to induce EMT. (A) Exposure of EGLI1 cells to EGF or co-expression of an active MEK mutant, DN-MEK-EE (right panels), induces distinct morphological changes that are not observed in EGFP cells (left panels). (B) Western Blot analysis showing increased but attenuated phospho-ERK expression in EGF/EGLI1 cells (lane 4) compared with EGFP (lane 1) and EGF/EGFP (lane 3) cells, respectively. (C) Western blot analysis showing increased ERK activity induced by co-expression of DN-MEK-EE in EGFP and EGLI1 cells. (D) Western blot analysis denoting the effect of EGF upon vimentin and E-cadherin expression in EGFP and EGLI1 keratinocytes (N/Tert-1 and HEK). (E) qPCR analysis showing Ptc1, Snail-1 and Snail-2 mRNA levels in EGFP and EGLI1 N/Tert-1 cells in the presence and absence of EGF. Each bar represents mean fold induction relative to EGFP (arbitrary value of 1) with ±SD (n 5 3). (F) qPCR analysis showing vimentin mRNA levels in EGFP and EGLI1 HEKs in the presence and absence of EGF. Each bar represents mean fold induction relative to EGFP (arbitrary value of 1) with ±SD (n 5 3). EGLI1 alone does not induce EMT in keratinocytes (Figure 2B). Furthermore, exposure to EGF did not alter E-cadherin expression in EGFP or EGLI1 cells such that its expression remained constant in all four samples (Figure 4D) and, despite inducing high levels of Ptc1 mRNA, no increase was observed for Snail-1 or Snail-2 mRNA in EGLI1 or EGF/EGLI1 cells (Figure 4E). The expression of vimentin that is an established marker of EMT was also investigated (43). Whereas exposure to EGF induced a marked increase of vimentin expression in EGFP cells (Figure 4D, lanes 1 and 2), only a slight increase was observed in EGLI1 cells (Figure 4D, lanes 3 and 4). We also investigated if EGLI1 (±EGF) induces characteristics of EMT in primary HEKs. As for N/Tert-1 cells, no change was observed for the expression of E-cadherin in EGFP, EGF/EGFP, EGLI1 or EGF/EGLI1 HEKs (Figure 4D). In contrast to N/Tert-1 cells, vimentin was not readily detected in HEKs and this probably reflects our previous observation that N/Tert-1 cells display higher basal levels of EGFR (31). However, a weak band was detected in EGF/EGFP cells (Figure 4D, lane 2). Further analysis by qPCR revealed that the basal level of vimentin mRNA was 5-fold lower in EGLI1 compared with control EGFP primary cells and that, although its expression was induced by EGF in both cell types, this was less pronounced in EGLI1 (8-fold) than EGFP primary cells (16-fold) (Figure 4F). Ultimately, the level of vimentin mRNA was only slightly higher in EGF/EGLI1 cells than control EGFP cells (Figure 4F, columns 1 and 4), thus accounting for why vimentin protein was not observed in the former (Figure 4D, lane 4). Therefore, as opposed to promoting EMT, our data suggest that GLI1 actually inhibits EMT (as denoted by vimentin expression) and 742 opposes loss of the epithelial phenotype by repressing EGFR signalling and target gene expression. GLI1 impairs keratinoycte migration Having discounted EMT as a mechanism accounting for EGF/EGLI1 cell morphology, the cells were then analysed by live cell imaging. This revealed that, in contrast to EGFP cells, when stimulated by EGF, EGLI1 cells adopted an elongated phenotype through two distinct mechanisms: (i) upon contact two or more migrating cells could not detach from each other such that they were effectively being ‘stretched’ in different directions and (ii) single cells displayed impaired tail retraction (supplementary Movies 3 and 4, available at Carcinogenesis Online). Thus, impaired cell–cell detachment and tail retraction contribute to the morphology of EGF/EGLI1 cells observed by phase contrast microscopy (Figure 4A, top). As for EGLI1 cells (Figure 2A, bottom), few vinculin-containing focal adhesions were observed in EGF/EGLI1 cells. Indeed, in elongated cells with impaired tail retraction, and despite the leading edge being evident, there was a complete absence of focal adhesion formation (Figure 5A, top). As there was no difference in the level of vinculin expression between cell types (Figure 5B), this suggests that GLI1 either directly inhibits the localization of vinculin at focal adhesions or indirectly through a general loss of focal adhesion formation. In both EGF/EGFP and EGF/EGLI1 cells, E-cadherin was predominantly perinuclear but in the latter expression was also observed at areas of cell–cell contact (Figure 5A, bottom). Therefore, the inability of migrating EGF/ EGLI1 cells to detach efficiently may be due to impaired disassembly GLI1 regulation of EGFR/ERK signalling Fig. 5. GLI1 impairs keratinocyte migration. (A) EGF/EGLI1 cells display a loss of vinculin-containing focal adhesions (arrows denote the leading edge) (top panel). E-cadherin-containing adherens junctions (denoted by an arrow) are still evident in migrating EGF/EGLI1 cells, thus accounting for the ‘stretched’ phenotype (bottom panel); bar, 10 lM. (B) Western blot analysis of vinculin and E-cadherin expression in EGF/EGFP and EGF/ EGLI1 cells. of adherens junctions. E-cadherin expression was constant between samples (Figure 5B). These data reveal that EGLI1 impairs cell migration induced by EGF. In addition, although reduced ERK activity correlates with and may help promote EGLI1 colony formation, impaired cell–cell detachment is still evident in the presence of EGF (i.e. when ERK is activated), suggesting that EGLI1 may promote cell– cell adhesion via ERK-independent mechanisms. Alternatively, adherens junction assembly/disassembly may be regulated spatiotemporally and depend upon whether GLI1 or EGFR signalling predominates in individual cells. ERK activity is rarely observed in BCC In contrast to loss of PTC1 function or increased expression of SHH, the most consistent event in BCC is increased expression of GLI1 (7). To determine if reduced ERK activity is also a feature of BCC, we analysed 14 tumour samples (3 superficial and 11 nodular/micronodular) by immunohistochemistry. Internal controls for staining efficacy were provided by the detection of phospho-ERK in the epidermis, hair follicle, sebaceous glands, sweat glands and/or lymphatics. ERK activity was predominantly negative in the tumour masses of 13/14 samples with only small areas displaying staining that was restricted to short stretches of palisading cells as well as a few cells within tumour masses (Figure 6A–D). Intriguingly, in the one nodular sample displaying infiltrative characteristics, phospho-ERK was absent in the tumour mass but expressed in adjacent infiltrating cells (Figure 6E). Only 1/14 BCC samples (nodular) displayed significant levels of nuclear phospho-ERK expression that was present throughout one large tumour island, although expression was absent in multiple, adjacent but smaller tumour islands (Figure 6F). Discussion Here, we present data showing that the over-expression of GLI1 in N/ Tert-1 keratinocytes attenuates EGFR–ERK signalling, induces compact colony formation and impairs cell migration upon growth factor stimulation. GLI1 stabilizes adherens junctions and inhibits the formation of focal adhesions that are required for efficient cell migration. Indeed, in the presence of EGF, GLI1 cells displayed impaired migration through enhanced cell–cell adhesion, reduced focal adhesions and impaired tail retraction. The morphologies induced by EGLI1 (±EGF) were also observed in HEKs although the effect on colony Fig. 6. ERK activity is predominantly absent in human BCC. (A–D) Analysis of phospho-ERK expression by immunohistochemistry revealed an overall lack of staining in nodular tumour islands but infrequent expression was observed in short stretches of peripheral palisading cells (denoted by arrows). (E) Nuclear phospho-ERK expression was observed in infiltrating cells (denoted by arrows) emanating from one large nodular tumour but not in the tumour mass itself. (F) A large area of nuclear phospho-ERK expression was observed in one nodular tumour but not in the surrounding smaller tumour islands. formation was less pronounced as, in contrast to N/Tert-1 cells, primary keratinocytes inherently culture as compact colonies. Colony formation was not observed upon expression of a mutant protein, EGLI1mNLS, which is localized exclusively to the cytosol suggesting that the phenotype is dependent upon GLI1 nuclear localization and hence transcriptional activity. GLI1 residues 380–420 that encompass the NLS (Figure 1B) do not encompass the degron sequences recently shown to regulate GLI1 stability (44). Therefore, the observation that EGLI1mNLS is more stable than EGLI1 may be accounted for by recent studies showing that Cubitus interruptus is targeted for nuclear degradation by the HH target HIB/Rdx in Drosophila and that GLI2 and GLI3 stability is regulated by the murine homologue of HIB/Rdx, SPOP (45,46). GLI1 regulation of EGFR signalling How GLI1 represses EGFR expression remains to be identified but our data suggest that this is not through reduced c-Jun activity (40). However, c-Jun regulation of EGFR may be specific to murine keratinocytes or it may actually be independent of its phosphorylation status at residue serine 63 and involve another region of the protein; this would account for the loss of EGFR regulation in c-Jun-null cells. Theoretically, EGFR repression highlights a mechanism whereby GLI1 attenuates all pathways activated by this receptor and this may be linked to its role in maintaining SC populations (see subsection GLI1 and epidermal stem cell populations below). Furthermore, the fact that GLI1 additionally represses ERK activity downstream of EGFR highlights a cumulative and potent mechanism by which EGFR–ERK signalling is negatively regulated. The exact level at which this occurs has not been determined but MEK activity was markedly reduced in GLI1 cells and whether this is due to negative regulation of the classical Ras–Raf–MEK cascade requires further 743 G.W.Neill et al. investigation. In contrast to our results, Xie et al. (13) have reported previously that GLI1 induces ERK2 activity in the pluripotent mesenchymal cell line, C3H10T1/2, and that this may be through the upregulation of PDGFRa . Despite high GLI1 levels and potent induction of Ptc1 mRNA in N/Tert-1 cells (Figure 4F), we did not observe an induction of PDGFRa mRNA by qPCR analysis (G. Neill and M. Philpott, unpublished data). Moreover, despite high GLI1 levels and potent induction of mPtc1 mRNA (60-fold) in C3H10T1/2 cells, neither an increase in the expression of mPDGFRa mRNA nor a discernable increase of phoshpo-ERK expression were observed in cells cultured in 10 or 0.5% foetal calf serum (G. Neill and M. Philpott, unpublished data). Therefore, our data reveal the absence of a PDGFRa–ERK signalling axis and further studies may be required to address this anomaly. GLI1 and epidermal SC populations Characteristics of epidermal SC populations include a compact morphology, high nuclear to cytoplasmic ratios and reduced motility (47–49). In addition, reduced EGFR expression and strong cell–substrate adhesion have been documented as defining SC parameters and recently a novel marker, Lrig1, was identified and shown to maintain SC quiescence by repressing EGFR expression and downstream signalling including ERK activity (50,51). As well as repressing EGFR expression, GLI1 also reduces the proliferation of N/Tert-1 keratinocytes and this may reflect a state akin to SC quiescence. Moreover, GLI1 colonies do not readily dissociate from culture dishes upon trypsinisation, revealing that GLI1 also enhances cell–substrate adhesion (G. Neill, unpublished observations). Recently, we have shown that GLI induces the expression of a number of epidermal SC markers and that this is negated in the presence of EGF (31). The fact that GLI1 represses EGFR expression may provide a mechanism by which HH signalling maintains SC identity by dampening pathway activation. To exit the SC niche, EGFR signalling must be activated by either increased expression of EGFR and/or exposure to the appropriate ligand. Accordingly, we have shown that a combination of HH/GLI and EGFR–MEK–ERK signalling may control the fate of hair follicle outer root sheath cells that have exited the SC niche (31). Likewise, in the murine brain, SHH controls SC niches and co-operates with EGF to regulate precursor proliferation and lineage commitment (52,53). Studies have also shown that HH positively regulates EGFR signalling; for example, Egfr mRNA expression was completely repressed in embryonic mouse cortex cells exposed to the HH inhibitor cyclopamine (53) and SHH was recently shown to activate EGFR in HaCat cells to enhance matrix invasion (54). However, whether these phenomena were dependent upon GLI expression is unclear. GLI1 and EGFR signalling in neoplasia Cancer SCs i.e. SCs that have lost their normal proliferative control mechanisms are considered to play an important role in tumour propagation (55). The fact that HH/GLI signalling is implicated in the maintenance of SC pools from various tissues suggests that this pathway may contribute to the cancer SC phenotype (10) and is supported by recent studies showing strong pathway activation in malignant mammary and glioma SCs (56,57). As discussed, reduced EGFR–ERK signalling is characteristic of epidermal SCs (50,51). Regarding BCC, Nazmi et al. (58) observed reduced or absent EGFR expression in all 22 BCC samples examined when compared with normal epidermis, and Krahn et al. (59) observed weak or absent EGFR in 10/16 BCC samples. More recently, small reductions in Egfr mRNA and protein levels were described in BCC versus normal skin (60,61). As it is suggested that BCC be derived from a population of pluripotent hair follicle SCs (11,12), this may reflect the source of BCC in that tumours with reduced EGFR represent those of a SC origin, whereas those with higher levels represent progenitor cells that have exited the SC niche. Paradoxically, however, the level of EGFR is not a good determinant of downstream signalling potency as low expression may stem from ubiquitin- 744 mediated receptor degradation as a result of ligand-induced pathway activation and, reciprocally, higher expression may indicate a lack of pathway activation (62). This important point was highlighted in a recent study of squamous cell carcinomas (63). Similarly, despite comparable protein levels, Rittie et al. (61) observed that the activity of EGFR was .2-fold higher in squamous cell carcinoma compared with BCC and normal skin. As such, we analysed ERK activity in a panel of human BCC samples and found that it was predominantly absent in 13/14 patient samples; this supports the results of Rittie et al. (61) who have recently shown that ERK (and AKT) activity is absent in BCC. As BCCs consistently display high levels of GLI1 expression, this reveals that the development or progression of these tumours is unlikely to arise from the co-operation of GLI1 and ERK activities. Indeed, our in vitro data suggest that the absence of ERK activity in BCC may be due to increased GLI1 activity and this may also account for why these tumours manifest as slow-growing, highly compact epithelial cell masses that are rarely metastatic. Interestingly, in one sample strong nuclear phospho-ERK expression was observed in infiltrating tumour cells derived from a nodular tumour mass suggesting that ERK activation may promote the transformation towards a more aggressive BCC subtype (Figure 6E). Moreover, as phospho-ERK was observed in short stretches of palisading cells (Figure 6C and D), this may highlight cells that are susceptible to becoming infiltrative, but whether conversion to an infiltrative phenotype is co-dependent upon GLI and ERK warrants further investigation, especially considering recent evidence showing that active mutants of Ras, MEK and AKT induce the nuclear accumulation of GLI1 in cancer cell lines (30). Although we have discussed that GLI1 regulation of EGFR-ERK signalling may represent a mechanism by which the HH pathway maintains epidermal SCs and that BCCs may represent their aberrant proliferation, an alternative explanation may be that loss of ERK activity represents an oncogene-induced stress response (activated by high GLI levels) to limit tumour growth and invasion. This was recently highlighted in human embryonic fibroblasts that responded to the presence of oncogenic Raf by increasing the expression of several genes that suppressed pathway activation (64), and whether or not this mode of ‘tumour suppression’ accounts for reduced ERK activity in BCC may be addressed by global array analysis. In comparison with BCC, other tumours associated with HH signalling are generally more aggressive including those of the prostate, breast, lung and brain (5,6). Such tissues may be more susceptible to oncogenic transformation as indicated by the ‘one-step’ immortalization of primary prostate epithelial cells expressing GLI1 or c-Myc (65,66). In addition, these tumours often display enhanced EGFR signalling through mutational activation or gene amplification, the latter being highlighted in a study of high-grade gliomas (67,68). Finally, we found no evidence that GLI (±EGF) induces EMT in keratinocytes as judged by E-cadherin, Snail and vimentin expression, with the latter providing further evidence that GLI1 attenuates EGFR signalling to maintain the epithelial phenotype. This is in contrast with a recent study in RK3E cells where GLI1 has been shown to repress E-cadherin through the induction of Snail (42); these differences may reflect differing GLI1 expression levels as well as the fact that RK3E cells represent a rat kidney cell line immortalized with the adenoviral E1A protein that inhibits various cell cycle regulators (69). However, although Li et al. (42) state that GLI1 repression of E-cadherin in RK3E cells (as well as in infiltrating keratinocytes of an inducible GLI mouse model) correlates with the loss of E-cadherin reported in human infiltrative BCC (70), this does not correlate with the fact that E-cadherin is expressed in superficial and nodular BCC (70,71), subtypes that are known to express high levels of GLI1 and GLI2 (7,32,72). Indeed, currently there is no distinct molecular or genetic basis for infiltrative BCC or whether enhanced invasion is dependent upon GLI1. Analysis of N/Tert-1 cells co-expressing GLI1 and E1A may provide a clue as to how keratinocytes are transformed and whether this represents a good model to study BCC formation and progression. In summary, we show that GLI1 induces an epithelial, compact, non-migratory phenotype in HEKs that is associated with reduced GLI1 regulation of EGFR/ERK signalling ERK activity. This recapitulates several features of human BCC and thus provides a good model to further investigate the mechanisms that contribute to GLI1-mediated keratinocyte transformation including those that regulate the cell cycle. Supplementary material Supplementary Movies 1–4 can be found at http://carcin. oxfordjournals.org/ Funding The Medical Research Council; St Bartholomew’s and The Royal London Charitable Foundation. Acknowledgements We thank David Kelsell for critical reading of the manuscript and members of the Centre for Cutaneous Research for their support and helpful discussions. We also thank Charlotte Proby (Centre for Cutaneous Research) and Rino Cerio (Barts and The London) for BCC subclassification, and John Priestley, Gary Warnes, Fozia Chaudry and Samantha Matthew (Institute of Cell and Molecular Science, Queen Mary, University of London) for their technical expertise. Conflict of Interest Statement: None declared. References 1. Miller,S.J. 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