[CANCER RESEARCH 49, 2525-2532, May 15, 1989] Perspectives in Cancer Research Cancer as a Disease of DNA Organization and Dynamic Cell Structure1 Kenneth J. Pienta, Alan W. Partin, and Donald S. Coffey The Johns Hopkins Oncology Center and the Department of Urology, The Johns Hopkins University School of Medicine, Baltimore, Maryland 21205 Cancer cells develop resistance to all known natural and synthetic drugs; normal cells do not. This resistance is a reflec tion in part of the wide diversity of functions expressed by cancer cells within a tumor. This variation in function (pleiotropism) is accompanied by variation in structure (pleomorphism), and together they form the basis for tumor cell heter ogeneity. This tumor cell heterogeneity provides malignant tumors with a tremendous biological diversity, which enables them to succeed in a competitive environment that includes therapeutic manipulations. The driving force in the develop ment of tumor cell heterogeneity is thought to be genetic instability (1-4). However, it is unknown whether cell structure determines this instability or whether the instability of the DNA itself produces the instability in structure (5, 6). It is well recognized that chromatin structure can regulate DNA function within the cell (7-11). The purpose of this "Perspectives" article is to provide an overview of the importance of nuclear and cell structure in DNA organization and suggest how these may be altered in the cancer cell. The Nuclear Matrix How the vast array of DNA is arranged within the nucleus in an organized fashion is difficult to comprehend. For example, if the nucleus were magnified in size to a sphere 3 feet in diameter, the DNA molecule would extend as a filament for 100 miles. Following replication and before mitosis, this fila ment length would double to 200 miles. This vast amount of DNA must be spatially organized in order to avoid any entan glement during replication and subsequent mitosis. This could not be accomplished by free-floating or soluble DNA but must require a precise 3-dimensional organization and topological considerations. The organization of interphase DNA is believed to be accomplished by the interaction of the DNA at specific sites to a nuclear matrix system. The nuclear matrix is defined as the dynamic structural subcomponent of the nucleus that directs the 3-dimensional organization of DNA into loop domains and provides sites for the specific control of nucleic acid intranuclear and particulate transport (12). Conceptually, the nuclear matrix can be viewed as the nuclear equivalent to the cytomatrix. These matrix struc tures had also been termed "skeletal" or "scaffolding" compo nents, until it became apparent that they exhibited dynamic properties and were not simply rigid framework structures. The nuclear matrix is not a single structural entity but a complex that contains specific subcomponents such as the pore-complexlamina, residual nucleoli, and internal ribonucleoprotein parti cles attached to a dynamic fibrous network of proteins, RNA, and polysaccharides (13-20). The nuclear matrix structure is essentially devoid of histones and lipids and represents less than 15% of the mass of the intact nucleus (Fig. 1). The nuclear matrix is an important structural component in a variety of nuclear functions reviewed in Table 1. Primarily, Received 1/15/89; accepted 2/21/89. 1This work was supported by NIH Grants CA 15416 and AM 22000. the nuclear matrix serves an important role in DNA organiza tion and nuclear structure. DNA loop domains are attached at their bases to the nuclear matrix (21, 22), and this organization is maintained throughout both interphase and metaphase (2327). These loops are 50-150 kbp2 long and are equivalent in size to the replicón, i.e., the amount of DNA replicated as a unit during DNA synthesis that resides between adjacent rep licating forks (21). There are approximately 50,000 to 100,000 of these DNA loops per nucleus. Constrained at their bases to the matrix, the DNA loops are often supercoiled (22), which may control in part the chromatin structure through changed DNA topology. Topoisomerase II, one of the enzymes that modulates DNA topology, is associated with the interphase nuclear matrix (28, 29) and with the mitotic chromosome scaffold (30). The nuclear matrix also plays an important role in DNA replication (31). The matrix contains fixed sites for DNA synthesis (21, 32-34) located at the base of the loops. During DNA synthesis the loop domains are reeled down through the attached replicating complexes. When the total DNA attached to the nuclear matrix is treated with EcoRl restriction enzyme, a minute fraction of the DNA still remains on the matrix that is enriched in replicative forks (35). Vogelstein et al. (22) have been able to visualize and follow the rate of movement of labeled DNA into these loop domains as they are replicated. Further more, Tubo et al. (36) have reported that matrix-bound DNA synthesis /;/ vitro continued from replication sites being used for DNA synthesis in intact nuclei in vivo at the time of isolation. The DNA-replicating complex located at the base of the loop has been isolated and termed the reputase (37). The reputase is a 24-30-nm-diameter particle with a molecular weight of approximately 5 million and contains at least eight enzymes which include ribonucleoside diphosphate reductase, thymidylate synthetase, dihydrofolate reductase, DNA methylase, topoisomerase, and DNA polymerase (37). This large multienzyme complex appears to be under allosteric control (38). The DNA replication fork, DNA polymerase a, and newly replicated DNA have all been closely associated with the nuclear matrix during DNA synthesis (32-36, 39). Earnshaw and Heck (30) have shown that the scaffold or matrix of the metaphase chromosome contains topoisomerase II, which is also a com ponent of the interphase nuclear matrix during the time of DNA synthesis (28, 29). Nelson et al. (40) have reported that newly synthesized DNA can be covalently attached to topoisom erase II of the interphase nucleus. With time the newly labeled DNA moves away from the topoisomerase, which indicates that the topoisomerase II is located at the base of the DNA loops in close proximity to, but in the wake of, the replicating fork. This is consistent with the observations of Noguchi et al. (41) that topoisomerase is part of the replicase particle that forms the replisome complex for a fixed site for DNA synthesis. Recently, Dijkwel and Hamlin (42) have identified specific matrix DNA attachment regions that are positioned near rep lication initiation sites and interamplicon junctions in the am2The abbreviations used are: kbp, kilobase pairs; ECM, extracellular matrix. 2525 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research. CELL DYNAMICS AND DNA ORGANIZATION Fig. 1. Isolation of the nuclear matrix. The nuclear matrix of a normal rat liver nuclei is isolated by sequential extractions using nonionic detergent, brief DNase I digestion, and a hypertonic salt buffer. These extractions re move over 98% of the DNA, 70% of the RNA, and 90% of the nuclear proteins resulting in a residual structure that is essentially devoid of histones and lipids (12-20). EXTRACTION1. SEQUENTIAL DETERGENT3. NONIONIC HYPERtONIC SALT NUCLEUS PROTEIN98% PHOSPO.LIPID95%DNA70% Table 1 Nuclear matrix is the dynamic structural subcomponent of the nucleus that directs the functional organization of DNA into loop domains and provides organizational sites for many of the functions involving DNA Reported functions of the nuclear matrix Nuclear morphology: The nuclear matrix contains structurai elements of the pore complexes, lamina, internal network, and nucleoli which give the nucleus its overall .^-dimensional organization and shape. Refs. 12-20 DNA organization: DNA loop domains are attached to nuclear matrix at their bases and this organization is maintained during both interphase and metaphase. Nu clear matrix shares some proteins with the chromo some scaffold including topoisomerase II, an enzyme which modulates DNA topology. 21-30 DNA replication: The nuclear matrix has fixed sites for DNA replication, containing the replisome complex for DNA replication that includes polymerase and newly replicated DNA. 21, 22, 31-42 RNA synthesis: Actively transcribed genes are associated with the nuclear matrix. The nuclear matrix contains transcriptional complexes, newly synthesized hetero geneous nuclear RNA, and small nuclear RNA. RNAprocessing intermediates are bound to the nuclear ma trix. 47-65 Nuclear regulation: The nuclear matrix has specific sites for steroid hormone receptor binding. DNA viruses are synthesized in association with the matrix. The nuclear matrix is a cellular target for transformation proteins, some retrovirus products like the large T antigen, and EIA protein. Many of the nuclear matrix proteins are phosphorylated at specific times in the cell cycle. 43-46, 66-72, 74, 75, 81 NUCLEAR MATRIX REMOVED90% plifÃ-eddihydrofolate domain of Chinese hamster ovary cells. Therefore, the nuclear matrix is well positioned to play an important structural role in the organization and biological control of DNA eukaryotic replication. Furthermore, when DNA viruses replicate in a mammalian cell they are also syn thesized in association with the nuclear matrix of the host cell (43-46). It is easy to visualize how alteration in the nuclear matrix structures could impinge on the regulation of DNA synthesis. Many investigations have reported that the nuclear matrix is associated with nuclear RNA and RNA synthesis (47-57). Transcriptional complexes have been identified on the nuclear matrix (47). Newly labeled heterogeneous nuclear RNA and small nuclear RNA are enriched on the nuclear matrix (48-55). Ciejek et al. (56) observed that 95% of unprocessed mRNA precursor for several genes, which include ovalbumin, are as sociated with the nuclear matrix of the chick oviduct. When the intron portions of the primary transcript were processed out, the mature mRNA was formed and released from the nuclear matrix. The snRNAs are also associated with the matrix and bind to the intron regions of the RNA transcript and may be responsible for the attachment. Mariman and Van Venrooij (57) reported that all RNA cleavage products and RNA proc RNA essing intermediates were firmly bound to nuclear matrix. Many studies with a wide variety of genes have demonstrated that active genes are associated with the nuclear matrix while transcriptionally inactive genes are not, providing further evidence that the matrix may play an important organizing role in transcriptional functions (58-65). Several other observations indicate that the nuclear matrix is an important modulator of nuclear regulation. The nuclear matrix is a major site of steroid hormone receptor binding (6672). Barrack et al. (66-68) have shown that in the presence of specific steroids, 40-60% of all nuclear steroid receptors (estro gens or androgens) are associated with this matrix. In addition, the nuclear acceptor for the steroid-bound receptor appears to be part of the nuclear matrix in steroid target tissues (69, 70). New properties of the nuclear matrix have recently been iden tified. Fey and Penman (73) have reported that nuclear matrix proteins, localized to the interior of the nucleus, vary in a cell type-specific manner, suggesting that the nuclear matrix may play an important role in development and tissue organization. In cancer cells transformation proteins appear to be associ ated with the nucleus, and many of these appear to be involved with the matrix. For example, the nuclear matrix is reported to be one of the targets for retrovirus myc oncogene protein (74, 75), adenovirus ElA-transforming protein (76), and polyoma large T antigen (77-79). Numatrin, a nuclear matrix protein, has been associated with the induction of mitogenesis (80). Nuclear matrices from various cells contain binding sites for myb proteins (81), and the nuclear matrix has been shown to be altered during transformation (82-85). Since steroid recep tors and transforming proteins such as the nuclear oncogene products affect DNA function in target cells, more insight is required into how they alter the functions of the nuclear matrix. DNA Organization The packaging and 3-dimensional organization of DNA within chromatin, metaphase chromosomes, and the interphase nucleus remain largely unsolved. Dynamic reorganization of chromatin is visually apparent in the cell cycle from interphase to metaphase. How the DNA loop domains are maintained throughout these transitions of the cell cycle is still unclear. The actual structure of these loop domains has only recently begun to be understood. Three higher order levels of DNA organization have been identified: nuclesomes, 30 nm chromatin fibers, and DNA loop domains. Although controversy still exists about the exact nature of each of these structures, they are well accepted as basic units of DNA organization. The DNA loop domain was first proposed by Cook et al. (86) in 1976 when they suggested that loop structures are involved in the superhelical organization of eukaryotic DNA. In 1980, Vogelstein et al. (22) reported that DNA loop domains were attached 2526 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research. CELL DYNAMICS AND DNA ORGANIZATION at their base to the nuclear matrix and that these loops were topologically constrained by that attachment. Furthermore, the nuclear matrix contained fixed sites for replication of DNA loops that Pardoll et al. (21) showed were the structural equiv alents of replicons, the basic lengths of DNA synthesized as continuous units (87). The DNA loop domain defines a basic unit of higher order DNA structure which is present throughout the cell cycle in eukaryotic cells (88,89). These loops have been estimated to be between 10 and 180 kbp pairs with an average of 63 ±14 kbp (90). An average loop would be large enough to contain 300 nucleosomes wound with 6 nucleosomes per sole noid turn into a 30-nm fiber utilizing the model proposed by Finch and Klug (91) and supported by the observations of others (92-94). Williams et al. (95) have demonstrated that the 30nm fiber could also be constructed with crossed-linker nucleosoma! organization; however, the DNA packing ratio of both 30-nm fibers is similar. The 30-nm fiber forms the filament of a loop, a basic structure of both interphase and metaphase DNA. If a human diploid nucleus contains 6x10'' base pairs, there would be approximately 100,000 of these DNA loop domains within a single nucleus. The full organization of these loop domains within the interphase nucleus and metaphase chromatid has still not been elucidated. In interphase, several lines of evidence support a model that has the DNA loops attached to the inner portions of the nuclear matrix. Many investigators have demonstrated that newly synthesized DNA occurs throughout the interior of the nucleus and not just at the periphery or lamina areas as was once believed (21, 96-99). In metaphase, DNA loop domains are preserved in chromo somes (100), structures devoid of nuclear envelope and lamina proteins. The higher order structure of metaphase chromo somes remains controversial. Several different models have been described which include radial loop (100-102), folded fiber (103), unit-fiber (104), spiral coil (105), and coiled-coil (106) models. We compared the amounts of DNA in a chro matid of the No. 4 human chromosome with the measured chromatid dimensions at maximum condensation. DNA loops can be packed into actual chromatid dimensions only when a radial loop model and current concepts of higher order DNA structure are used (See Fig. 2 and Table 2) (90). This model features loops wrapped radically around the central axis of the chromatid as they stack to achieve overall chromosome length. Our analysis revealed that there would be 18 DNA loops per radial turn of the chromatid. This 18-loop unit forms an as yet theoretical higher order structure of DNA organization that we have termed the "miniband" because it represents the smallest achievable band of a chromosome (90). The miniband is equiv alent to one full radial turn of 18 loops, each of 60 kbp, around the central axis of the chromatid to form minibands of approx imately 1 million base pairs of DNA (18 x 60 kbp). The nuclear matrix provides a dynamic framework for DNA organization. Insight into the dynamic process of the matrix has been provided by fluorescent antibody studies of changes in the distribution of nuclear matrix antigens at different times during the mitotic cell cycle (107-109) (see Fig. 3). The DNA loop domains present in the metaphase chromosome maintain their association with the nuclear matrix in the interphase nucleus. The telomere regions on the end of the chromosome are attached to the peripheral lamina. As the nucleus ap proaches metaphase, the nuclear lamina proteins are phosphorylated and have been shown to diffuse as small vesicles into the cytoplasmic area as the nuclear envelope disintegrates (110, 111). The chromosomes, now free of the lamina, collapse into condensed mitotic structures. At the end of telophase, the ends The Formation Of The Radial Doubl« Stranded DNA I Loop Chromosome XXDOOOOOOOOC ~ i, .<=*. Bow perlObp80 Pairs Roho16-74068012 }2nm . hOnm p1160 b hjrntl1.20Gb iii-. 10 nm Nucleosomes V 6 Nucleosomes/ Turn 30 nm Solenoid p(t* lurnleo.ooobpl(xr Loops Matrix (Topoisomerase) loop)I.I xio'bp<p«l«10*I.2»IO' Miniband n,,n,t.or.l18 so Mm•¿ loops/ MinibandPochinq Chromosome (Side View) Fig. 2. Schematic of the levels of organization within a chromatid of a chromosome. Approximately 160 base pairs (b.p.) of 2-nm DNA helix is wound twice around the histone octamers to form the 10-nm nucleosomes. These nucleosomes form a "beads on a string" Tiber which winds in a solenoid fashion with 6 nucleosomes per turn to form the 30-nm chromatin filament. The 30-nm filament forms the 60-kbp DNA loops that are attached at their bases to the nuclear matrix structure. The loops are then wound into the 18 radial loops that form a miniband unit. The minibands are continuously wound and stacked along a central axis to form each chromatid. Variations in interchromosomal length are achieved by altering the number of minibands in each chromatid. Variations in intrachromosomal length are achieved by the winding, unwinding, and compact ing of the minibands (90). of the chromosome serve as an organizing center for the con densation of lamina proteins to reform the lamina of the nucleus (111-113). In this model some nuclear matrix structures at the base of the DNA loops will be maintained as the core scaffolding or matrix within the chromosome. In support of this theory, the nuclear matrix has been shown to share many common proteins, including topoisomerase II, with the chromosome scaffold (23-30, 114). In the future much work will be needed to determine how DNA loops interact with the nuclear matrix, how the replicating complex is formed during S phase, and how the matrix-organizing centers control and reestablish nuclear structure. Additionally, it remains to be seen how the nuclear matrix-DNA complex is organized and altered with the devel opment of cancer that is associated with distorted nuclear structures. DNA and Chromosomal Rearrangements in Cancer Chromosome translocations have been proposed to be a common factor in many types of human neoplasias (115, 116). When large translocations occur, there is also a transfer of chromosomal banding patterns. In the model in Fig. 2, struc tural elements of the core of the chromosome and the nuclear matrix that anchor the DNA loops must be transferred in the translocation process. Since sister chromatid exchanges occur at the site of DNA replication that is on the matrix, the nuclear matrix components may be involved in these rearrangements (117). These types of DNA reorganization in cancer that include 2527 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research. CELL DYNAMICS AND DNA ORGANIZATION Table 2 Comparison of experimentally observed values of human chromosome 4 with those predicted from the proposed model Human Chromosome 4 (1.15 x 10* base pairs) of DNA/chromatid dimensionsLength pairs/ loop (kbp)63 ±14" dimensionsDNA of DNA loop (//in)21.4* loops/ miniband16.9± 1.9e 4 ratio12400* Observed experimentally Model predictionsBase 60Loop 20.4Chromosome 18DNApacking 12260Condensed " Average value ±SEM from Refs. 163-166. * 63,000 base pairs x 3.4 angstroms/base pair =21.4 /im. ' Average number of loops per turn on chromâtids counted from micrographs published in Refs. 100, 103, 167, and 168. '' Length of DNA double strand divided by chromatid length (3.91 x IO4firn divided by 3.15 /im). ' Measured by Dr. G. F. Bahr, Armed Forces Institute of Pathology, Washington, DC. INTERPHASE (DIPLOID) Expansion of Chrom at in length (cm)3.15' diameter (¡um)0.85' 3.19Chromatid 0.84 CYTOMATRIX S-PHASE (TETRAPLOID) PROPHASE METAPHASE Replication of DNAin Loops Slater Chromatid Chromosome Condensation 04-LunluLo /MICROTUBULESA /MICROFILAMENTSA I INTERMEDIATE V FILAMENTS / /GLYCOCALYXX V INTEGRAL PROTEINS / V EXTRACELLULAR MATRIX COLLAGENS, LAMININS, \ ( FIBRONECTINS, PROTEOGLYCANS^ INORMALCELL! DNA Loops' Fig. 3. Schematic diagram of the concept of the role of the nuclear matrix in organizing a single chromatid in the interphase nucleus. During S phase the DNA loops replicate. During prophase the matrix separates and disengages the telomere from the lamina. The lamins are phosphorylated and disperse into the cytoplasm in small vesicles. The matrix attached to the DNA loops condenses during metaphase to organize the chromosome (107-113). gene amplification (118), sister chromatid exchange, and a series of different subtypes of rearrangements and deletions (119) have all been demonstrated in both animal and human tumors. Each of these processes involves a change in the order of arrangement of the DNA sequence and as such has been proposed to be involved in the initiation of carcinogenesis and/ or increase progression. Any of these rearrangements which bestows a growth advantage on the cells could cause a hyperplasia or tumor formation. If a DNA rearrangement places an error within the genomic apparatus such that further genetic instability ensues, a wide variety of cells would result. This type of genetic instability may be the basis of progression and the formation of tumor cell heterogeneity (1-5, 120). Elucidation of the molecular events which produce this genetic instability is critical to the understanding of cancer. It will be necessary to define the relationship between genetic instability and the alter ations of cell structure, which is the morphological hallmark of cancer diagnosis, in order to further our understanding of the cancer process. The concept of a dynamic tissue matrix system may form a basis for this understanding. [CANCERCELL| Fig. 4. The tissue matrix system. The shape of the cell is dependent on dynamic interactions of its structural components. The nuclear matrix is con nected to the cytomatrix. The cytomatrix in turn is attached to the extracellular matrix via the membrane matrix. Virtually every subcomponent of this matrix system has been shown to be altered in the cancer cell (121-137). ments form a tissue matrix that works in concert to provide a dynamic matrix system connected throughout the tissue (121123). Fey et al. (123) proposed that the nuclear matrix is directly linked to an intermediate filament complex that functions as a structural unit within the cell. They provided convincing 3dimensional electron micrographs that show that the nuclear matrix is contiguous with intermediate filaments that extended via the desmosomes over the entire epithelial cell colony. Most important, they have shown that the nuclear matrix-interme diate filament system retains proteins that are specific to its cell type and that this is unique to this substructure of the cell system (124). Fey and Penman (125) demonstrated that tumor promoters induce a specific morphological signature of a nu clear matrix-intermediate filament scaffold of kidney cells. In their studies, the nuclear matrix-intermediate filament complex was profoundly reorganized in a specific manner after exposure to tumor-promoting agents. These changes fit with Penman's The Tissue Matrix System earlier observations that modulation of cell metabolism is mod ulated by cell shape and external surface contact (126). Many studies have shown that much of the macromolecular metabo lism of the cell, including DNA, RNA, and protein synthesis, responds to changes in cell shape (127-129). Progressive loss of shape-responsive controls may be an important factor in tumor progression. Ben Ze'ev (130) has provided a comprehen The nuclear matrix forms an interlocking network with the cytomatrix that extends throughout the cell and makes external contact with the ECM (Fig. 4). The cytomatrix is composed in part of networks of actin microfilaments, intermediate fila ments, and microtubules. The ECM includes the basement membrane and ground substance of the stroma and is composed in part of collagens, laminins, fibronectin, and proteoglycans. Several investigators have proposed that these structural ele sive review of the changes in the cytoskeleton associated with cancer cells and has proposed that growth-regulated cellular functions are regulated by signals which are transmitted through an organized cytoskeleton that has been disrupted by the carcinogenic process. Microfilaments, intermediate fila ments, and microtubules have all been documented to be altered in many transformed cells. Furthermore, it is possible that some of the oncogene proteins are tyrosine kinases, which may 2528 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research. CELL DYNAMICS AND DNA ORGANIZATION induce some of the cytoskeleton changes that occur with trans formation. Observations on the importance of external surface contact and anchorage-independent growth of tumor cells have focused much attention on the importance of the cytoskeleton and its relationship to the ECM in tumor progression. In classic studies, Folkman and Moscona (131) controlled the shape of normal cells in vitro by varying the substratum adhesiveness of the culture plates to which the cells were attached. Gospodarowicz et al. (132) observed that cell shape determines the mitogenic response of a given cell. Additionally, the ECM has been implicated in the control of genetic expression (133), and Reid (134) has demonstrated that the ECM components glycosaminoglycans and proteoglycans can induce morphological changes, induce gap junction synthesis, and regulate tissuespecific gene expression. It is well recognized that the ECM clearly plays an important inductive function in embryonic development and may also modulate adult cells. For example, Cìinhaet al. (135) demonstrated that the ECM can be respon sible for functional differentiation in development when they showed that urogenital sinus mesenchyme induces urinary blad der epithelial cells to form prostatic epithelial cells and acini. Reddi and Anderson (136) observed that mature fibroblasts underwent redifferentiation to form new chondroblasts and chondrocytes when they were exposed to demineralized bone collagen matrix. All of these and many other experiments demonstrate that what a cell touches is important in determin ing what it becomes and how it functions (121). We still know very little about the integration and control of these cytoskele ton and extracellular matrix processes and how the information is transmitted to the nucleus. In summary, the cell may transmit signals by direct mechanical linkages via the tissue matrix system that can regulate DNA function (119-121,137). We do know that in the cancer cell the cell matrix can be highly dynamic. This is exemplified by cell motility. Cancer Cell Motility In 1940, George Gey (138) was the first to use time lapse cinemicroscopy to study the activity of cancer cells derived from spontaneous transformation of normal cells in tissue culture. In 1966, Sumner Wood wondered whether cell motility was important in the pathogenesis of cancer or simply a cell culture artifact. He used a transparent rabbit ear chamber to study the in vivo motility of V2 carcinoma cells (139-141). V2 carcinoma cells migrated at velocities comparable to those of leukocytes and 200 times faster than macrophages. Coman (142) demon strated heterogeneity in the motility of tumor cells and sug gested that the degree of motility correlated with histológica! differentiation and invasive potential. This relationship between cell motility and metastatic poten tial is starting to be explored. Platelet-derived growth factor (143), transforming growth factors (144), insulin (145), and epidermal growth factor (146) have all induced motility in normally quiescent cells. Normal cells demonstrated transient enhanced motility after treatment with phorbol ester (147) and ruffling, which was observed with time lapse cinematography (148,149,150). Injection of the p21ras protein product directly into the cell induced a transient motility (151). Recently Liotta and Schiffman (152) have identified an autocrine motility factor secreted by tumor cells which increases tumor cell motility. Hosaka (153, 154) used time lapse videomicroscopy to show differences in cell motility between various rat hepatoma cell lines that exhibited different propensities for metastasis. Haemmerli and Strauli (155) extended this technique to the study of human neoplastic cells and suggested that their in vitro motility reflected their invasive behavior in vivo. Recently, time lapse videomicroscopy and a visual grading system have been utilized to evaluate cell membrane ruffling, undulation, pseudopodal extension, vectorial translation, and irregularity of the pathway of translation in normal and malig nant cells (156, 157). The Dunning R3327 rat prostatic adenocarcinoma model provides many histologically indistinguish able sublines of varying metastatic potential which originated from a single animal (158). No biological, biochemical, or morphological discriminator has previously been capable of identifying the individual sublines or predicting their metastatic potential (158). Mohler et al. (156, 157) demonstrated that five sublines and normal rat prostate cells could be identified by a visual grading system of cell motility. More recently, Partin et al. (159) have developed a new system for quantitating all aspects of cell motility. This new quantitative method was able to correlate cell motility changes with an increase in metastatic ability in the Dunning tumors (159). Furthermore, Partin et al. (160) demonstrated that motility and metastatic potential can be induced in the Dunning tumors by transfection and expres sion of the V-Harvey-ros oncogene. Thus motility of individual cancer cells in vitro has been shown to be sufficiently character istic to allow accurate assessment of their metastatic potential in vivo. Current pathological grading systems depend upon the appreciation of cytological and architectural features of dead, fixed histological sections of malignant tissues. A grading sys tem of motility of live cancer cells may better predict the behavior of a live tumor system. Tensegrity The types of mechanical systems that can transfer informa tion within a cell are just beginning to be resolved. Ingber and Jameson (161) have suggested a tensegrity model to explain how cells composed of structural elements may be capable of such information transfer. Tensegrity was defined by Buckminster Fuller in 1948 as a structural system composed of discontinuous compression elements connected by continuous tension cables, which continually interacted in a dynamic fash ion. This structure allows great motility as each part is in coupled equilibrium so that mechanical forces can be trans ferred throughout the entire system. Recently, Dennerll et al. (162) have observed and measured a tension and compression system in neuntes. They suggest a complimentary force inter action between an actin network under tension and the microtubule network under compression. A tension-derived tenseg rity structure may be a more appropriate way to view cell structure than a rigid scaffold framework system. These changes progress to a cell with increased motility and an ability to metastasize. Conclusion The pioneering biophysicist Aaron Kachalsky stated in 1962 that "life may be defined as a chemomechanical engine." The highly motile yet structured cancer cell may also be viewed as a chemomechanical engine in which structure and function are intimately interrelated. Disruptions or changes in the matrix system may help explain genetic instability and tumor cell heterogeneity. Our present view of this process is depicted in Fig. 5. It is now obvious that cell transformation is a multistep process involving genomic changes that can involve oncogenes acting at different sites within the cell. These changes progress 2529 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research. CELL DYNAMICS AND DNA ORGANIZATION NORMAL TRANSFORMATION - PROGRESSION 21. 22. CELL SIGNALING ONCOGKNBS 23. ACTING AT CYTOSDLITON. PLASMA MEMBRANE (e.g. r»s) STRUCTURAL INSTABILITY DNA INSTABILITY TUMOR CELL HETEROGENEITY IMMORTALIZATION 24. 25. / / j / MOTILITY („eta.taaes) 26. 27. Fig. 5. The transformation process. Transformation from a normal cell to a malignant one appears to involve multiple steps. These steps are usually consid ered in terms of "initiation" and "progression." This process may be viewed at the mechanism/site of action of the different oncogenes involved in tumor progression. One class of the oncogenes, those acting on the nucleus, e.g., myc, alter the structural stability of cells. This leads to immortalization and concomi tant DNA and structural instability. A second class of oncogenes, those acting on the periphery of the cell, e.g., ras, induce motility into the cell and may impart the ability to metastasize. 28. 29. 30. to a cell with increased motility and an ability to metastasize. Understanding this carcinogenic process will require a more complete knowledge of the interlocking matrix systems that extend from the extracellular matrix to the DNA and that govern cell shape and function. 31. 32. 33. 34. REFERENCES 1. Nowell, P. The clonal evolution of tumor cell populations. Science (Wash. DC), 194: 23, 1976. 2. Nowell, P. Mechanism of tumor progression. Cancer Res., 46: 2203, 1986. 3. Feinberg, A. P., and Coffey, D. S. 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Isolation and structural organization of human mitotic chromosomes. Chromosoma 76: 23-33, 1980. 2532 Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research. Cancer as a Disease of DNA Organization and Dynamic Cell Structure Kenneth J. Pienta, Alan W. Partin and Donald S. Coffey Cancer Res 1989;49:2525-2532. Updated version E-mail alerts Reprints and Subscriptions Permissions Access the most recent version of this article at: http://cancerres.aacrjournals.org/content/49/10/2525.citation Sign up to receive free email-alerts related to this article or journal. To order reprints of this article or to subscribe to the journal, contact the AACR Publications Department at [email protected]. To request permission to re-use all or part of this article, contact the AACR Publications Department at [email protected]. Downloaded from cancerres.aacrjournals.org on June 15, 2017. © 1989 American Association for Cancer Research.
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