Literature DB >> 23376849

Ink4a/Arf(-/-) and HRAS(G12V) transform mouse mammary cells into triple-negative breast cancer containing tumorigenic CD49f(-) quiescent cells.

K Kai1, T Iwamoto2, T Kobayashi3, Y Arima3, Y Takamoto3, N Ohnishi3, C Bartholomeusz4, R Horii5, F Akiyama5, G N Hortobagyi2, L Pusztai4, H Saya3, N T Ueno4.   

Abstract

Intratumoral heterogeneity within individual breast tumors is a well-known phenomenon that may contribute to drug resistance. This heterogeneity is dependent on several factors, such as types of oncogenic drivers and tumor precursor cells. The purpose of our study was to engineer a mouse mammary tumor model with intratumoral heterogeneity by using defined genetic perturbations. To achieve this, we used mice with knockout (-/-) of Ink4a/Arf, a tumor suppressor locus; these mice are known to be susceptible to non-mammary tumors such as fibrosarcoma. To induce mammary tumors, we retrovirally introduced an oncogene, HRAS(G12V), into Ink4a/Arf(-/-) mammary cells in vitro, and those cells were inoculated into syngeneic mice mammary fat pads. We observed 100% tumorigenesis. The tumors formed were negative for estrogen receptor, progesterone receptor and HER2. Further, they had pathological features similar to those of human triple-negative breast cancer (TNBC) (for example, pushing borders, central necrosis). The tumors were found to be heterogeneous and included two subpopulations: CD49f(-) quiescent cells and CD49f(+)cells. Contrary to our expectation, CD49f(-) quiescent cells had high tumor-initiating potential and CD49f(+)cells had relatively low tumor-initiating potential. Gene expression analysis revealed that CD49f(-) quiescent cells overexpressed epithelial-to-mesenchymal transition-driving genes, reminiscent of tumor-initiating cells and claudin-low breast cancer. Our animal model with intratumoral heterogeneity, derived from defined genetic perturbations, allows us to test novel molecular targeted drugs in a setting that mimics the intratumoral heterogeneity of human TNBC.

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Year:  2013        PMID: 23376849      PMCID: PMC3957346          DOI: 10.1038/onc.2012.609

Source DB:  PubMed          Journal:  Oncogene        ISSN: 0950-9232            Impact factor:   9.867


Introduction

Tumors are heterogeneous in various ways, including their pathology, transcriptional and immunophenotypic profiles, and genetic makeup. Recent advancement in array technologies allows us to understand intertumoral heterogeneity (heterogeneity between tumors) through genome-wide analyses—e.g., oligonucleotide microarray analysis and array complementary genomic hybridization (CGH) (1, 2). Similar distinctions are seen in intratumoral heterogeneity (heterogeneity within a tumor), a leading area of interest in cancer research during the last decade (3). One facet through which to understand intratumoral heterogeneity is cellular heterogeneity, alternatively referred to as cancer stem cell (CSC) hierarchy (4): the concept that cells have differing capacities to initiate tumors. Accumulating evidence in the CSC research field shows that intratumoral heterogeneity is consistent for specific tumor types and can be defined with tumor type-specific CSC markers (e.g. human breast cancer CSC, CD4+ CD24−/low(5, 6); human glioblastoma CSC, CD13+ (7)). However, there are also some exceptions to observed CSC hierarchy. For example, CD133glioblastoma cells can initiate tumors under certain conditions (8). Furthermore, in a study of genetically engineered mouse mammary tumor models, the CSC fractions of each model had distinct cell surface marker profiles (9–11). Given that in each genetically engineered mouse, mammary tumorigenesis occurs through genetic perturbation (i.e. trans- or knockout genes), intratumoral heterogeneity is also assumed to be affected by those perturbations. Clinically, this intratumoral heterogeneity could result in a lack of tumor response to many novel targeted therapies (6, 12). A mouse mammary tumor model with intratumoral heterogeneity induced by defined genetic changes would enable us to understand what is contributing to resistance to certain targeted therapies. The purpose of the present study was to determine whether intratumoral heterogeneity could be observed in our mouse mammary tumor model. Ink4a/Arf is a tumor suppressive locus and transcribes p16Ink4a and p19Arf in response to physiological stresses such as oncogenic stress and oxidative stress, then consequently elicits apoptosis or senescence in non-cancer cells (13). Previous studies on genetic engineering mouse models showed that knockout of Ink4a/Arf didn’t increase an incidence of mammary tumors (14). Meanwhile, Ink4a/Arf−/− did accelerate tumor relapses in a drug-inducible mammary tumor model, which had similar pathological features to triple-negative breast cancer (TNBC), a subtype of human breast cancers (15). Therefore, we assumed that Ink4a/Arf−/− is a suitable genetic background to induce mammary tumors with an additional oncogene, which allows us to mimic human breast cancer and to observe intratumoral heterogeneity in those models. In order to achieve this, we first treated Ink4a/Arf−/− mice mammary cells with oncogenic HRAS(G12V) in vitro (16). We picked this oncogene because the RAS pathway is activated by transmembrane receptor tyrosine kinase activation in many breast cancers although mutated HRAS is not commonly observed in breast cancer (17, 18). The HRAS(G12V)-transformed cells formed tumors in 100% of the mice when injected into syngeneic mice. These tumors were negative for estrogen receptor, progesterone receptor, and HER2 and similar to human TNBC. Further testing revealed that our new animal model does observe intratumoral cellular heterogeneity that is defined by the expression level of integrin α6 (CD49f), a putative marker of human and mouse mammary CSCs (11, 19).

Results

HRAS(G12V) transformed Ink4a/Arf−/− mouse mammary cells formed lethal tumors in vivo

As previously reported, we had never seen naturally occurring mammary tumors from Ink4a/Arf−/− mice (14). Therefore, to induce mammary tumors, we added another oncogenic event to Ink4a/Arf−/− mouse mammary cells. Applying in vitro retroviral gene transfer methods, we used Ink4a/Arf−/− mammosphere cells as target cells to be transformed (Fig. 1). The formation of cell masses called mammospheres is a well-established method for purifying primitive MECs (19, 20). We confirmed that mammosphere cells were almost all composed of lineage-negative cells (Supplementary Fig. S1A). The lineage-negative cells fully committed to luminal or basal epithelial cell lineages in a mutually exclusive manner (Supplementary Fig. S1B) and to a milk-producing cell lineage under prolactin stimulation (Supplementary Fig. S1C). Having thus confirmed that mammospheres were composed of primitive mammary epithelial cells (MECs), we then retrovirally introduced an oncogene HRAS(G12V) and a mock control into Ink4a/Arf−/− or Ink4a/Arf+/+ mammosphere cells in vitro. We chose HRAS(G12V) as a candidate oncogenic driver because of the robustness for transforming epithelial cells into tumors and a potential role in human TNBC.
Figure 1

Experimental strategy to induce mammary tumors from Ink4a/Arf−/− mouse MECs.

Next, mammosphere-derived cells, either retrovirus-infected or not-infected, were inoculated into mammary fat pads of syngeneic recipient mice (Fig. 1). Infection ratios were comparable for each combination, with a range of 10.2–12.2% (Supplementary Fig. S2). Using this method, tumors developed only from Ink4a/Arf−/− MECs with HRAS(G12V) but not with mock control, neither from Ink4a/Arf+/+ MECs with HRAS(G12V) (Fig. 2A, B). In Ink4a/Arf−/− and HRAS(G12V)-driven tumors, overexpression of HRAS was confirmed at protein and mRNA levels (Fig. 2D, Supplementary Fig. S3, S4), and overexpressed HRAS expectedly had mutation at codon12, synonymized as G12V (Fig. 2D, Supplementary Fig. S5). Ink4a/Arf−/− and HRAS(G12V)-driven tumors emerged within a month in all cases and were fatal. Thus, Ink4a/Arf−/− and HRAS(G12V) constitute a robust genetic combination for inducing tumors in MECs in vivo.
Figure 2

HRAS(G12V) transforms Ink4a/Arf−/− MECs to form triple-negative mammary tumors

A, Left, Tumor-bearing mouse that was inoculated with HRAS(G12V)-introduced Ink4a/Arf−/− MECs into the right inguinal mammary fat pad. Arrow indicates tumor. Right, Intraperitoneal image of the same mouse. Tumor is delineated with a dotted line. B, Tumor-free survival after mice underwent transplantation with 1.0×105 mammosphere cells with each indicated profile. The P value was obtained by log-rank statistical analysis. C, Microscopic images of induced-tumor sections with hematoxylin and eosin staining (upper left and lower images) and periodic-acid Schiff (PAS) staining (upper right). A mitotic cell (arrow) and a PAS-positive mucus deposit (arrowhead) are visible in the upper images. Central necrosis (arrow) and pushing border (arrowheads) are visible in the lower images. D, Left, Immunohistochemical staining (IHC) of induced tumor with anti-HRAS antibody and with isotype rabbit IgG (Inset). Right, Western blot analysis of HRAS in Ink4a/Arf−/− MECs and tumor cells. β-actin is shown as a loading control. E, F, IHC of induced tumor with antibodies (F) to keratin 14, keratin 18, EGFR, and phosphorylated ERK (p-ERK), and (E) to estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor receptor-2 (HER2). The images in the right columns of E and F are positive controls except for p-ERK in (F). Controls for ER, PR, HER2, K14, and K18 are from mouse mammary ducts; for EGFR is from mouse endometrium. For p-ERK, the peritoneal wall in the same section is shown as a negative control. Scale bars, 50 μm.

HRAS(G12V) and Ink4a/Arf−/− induced mammary tumors were pathologically similar to human triple-negative breast cancer

Induced tumors had a high mitotic index and were positive for periodic-acid schiff (PAS) staining (Fig. 2C), suggesting that they are highly proliferative and comprised of epithelial-derived mucus-producing cells_ENREF_17. The tumors had pathological characteristics of human TNBC—pushing borders and central necrosis (Fig. 2C) (21)—and were composed of spindle-shaped cells. Furthermore, induced tumors locally invaded adjacent organs, such as the vertebrae, peritoneum, and intestinum, and spontaneously metastasized to the lung and liver (data not shown). In immunohistochemical analyses, keratin 14 and keratin 18, which are expressed in basal and luminal MECs (22), were patchy positive (Fig. 2F), suggesting intratumoral heterogeneity in cell lineages (basal or luminal). Meanwhile, E-cadherin was negative. Vimentin and SMA, markers of mesenchymal cells, were not expressed in the tumors (Supplementary Fig. S6) (23, 24). Those three markers’ status is not exactly as seen in human TNBC (25). However, we could assume that the induced tumors lost epithelial characteristics but did not fully acquire a mesenchymal phenotype yet in the process of tumorigenesis. Extracellular signal-regulated kinases (ERKs), a downstream of ras, were highly phosphorylated; in contrast, EGFR, an upstream of ras, was not expressed at all (Fig. 2F). Finally, these tumors were negative for ER, PR, and HER2 (Fig. 2E), which allowed us to determine these tumors as triple negative tumors. Taken together, these data suggest that Ink4a/Arf−/− and HRAS(G12V) transformed the mouse MECs to triple-negative mammary tumors, which shared core characteristics of human TNBC.

Comparison of molecular features of induced mouse mammary tumors and human TNBC by microarray analysis

We then analyzed the molecular features of this tumorigenesis along with Ink4a/Arf−/− and HRAS(G12V). To this end, we used Ink4a/Arf+/+ mammospheres and tumorospheres, mammospheres from Ink4a/Arf−/− and HRAS(G12V) induced tumors, as phenotypic representations of non-tumor and tumor. We then compared gene expression between Ink4a/Arf+/+ mammospheres and tumorospheres (Fig. 3A). We identified 185 overexpressed genes in the tumorospheres; all of these genes had human orthologues (false discovery rates ≤1.00E-07). We named this gene set “Ink4a/Arf−/− plus HRAS(G12V)-driven genes” and analyzed it using IPA, Ingenuity’s knowledge-based pathway analysis software (26). Leading pathways that were involved were biosynthesis of steroids, cell cycle–related (ATM signaling and G1/S checkpoint regulation), and interferon response–related (activation of IRF by cytosolic pattern recognition receptors and interferon signaling) (Fig. 3B).
Figure 3

The molecular features of induced tumors partially overlap those of human triple-negative breast cancer

A, Strategic schema to analyze molecular similarities between induced tumors and human TNBC. B, Canonical pathway analysis of 185 overexpressed genes in tumorospheres (induced tumor-derived mammospheres) compared with mammospheres by IPA (Ingenuity pathway analysis). Data for the 10 most statistically significant pathways are presented. The upper x-axis corresponds to data for the bars; these data are logarithms of P values that were calculated by Fisher exact test. The lower x-axis corresponds to data in the line graph; these data represent the ratio of the number of molecules in a given pathway to the total number of molecules that make up that pathway. C, Heat maps of breast cancer in the Wang (upper) and Transbig (lower) breast cancer microarray data sets using 185 tumorosphere-overexpressed genes. The three subtypes are colored accordingly: triple-negative, red; HER2+, yellow; ER+, light green. The bars on the side denote gene clusters (correlation>0.4) upregulated in TNBC (dark blue, interferon response genes; pink, cell cycle–related genes).

Given that induced tumors had some pathological findings similar to those of human TNBC, we next analyzed the correlation between the Ink4a/Arf−/− plus HRAS(G12V)-driven genes and human TNBC. We performed unsupervised hierarchical clustering analysis of human breast cancer clinical data sets Transbig (27) and Wang (28) using Ink4a/Arf−/− plus HRAS(G12V)-driven genes (Fig. 3C). Through this clustering, we identified two gene clusters that were highly correlated (correlation>0.4) with human TNBC samples: cell cycle genes and interferon response genes (Supplementary Table S1). To confirm that these gene sets truly reflect the intrinsic aggressiveness of human TNBC, we analyzed their prognostic significance by using another human breast cancer data set, the Mainz data set (29). Then, only the cell cycle metagene had a significant prognostic impact; the interferon response metagene did not (Supplementary Fig. S7). Thus, we can conclude that Ink4a/Arf−/− plus HRAS(G12V)-driven tumors have at least a common molecular feature with human TNBC, which can be functionally annotated as proliferation or cell-cycle related.

Ink4a/Arf−/− and HRAS(G12V)-driven tumors had intratumoral heterogeneity: highly tumorigenic CD49f− quiescent cells and low-tumorigenic CD49f+ cells

We next evaluated intratumoral heterogeneity by assessing expression levels of tumor-initiating cell (TIC) markers. We analyzed the expression levels of candidate TIC markers CD29, CD24, CD49f, and CD44 in induced tumors, and, as a control, in primary MECs (5, 10, 11, 19, 30, 31) (Fig. 4A, Supplementary Fig. S8). Further, we characterized cell surface markers CD61 and Sca1, markers of mouse mammary progenitor cells (9, 11, 32), in the tumors (Supplementary Fig. S8). In comparison with primary MECs, in the induced tumors there were fewer CD24+ cells and more CD49f+ and CD44+ cells. In contrast, CD29 was positive in both primary MECs and tumors. Meanwhile, Sca1 and CD61 were positive in almost all tumor cells. We then performed a tumor cell inoculation assay in a limiting dilution manner with regard to each fraction (positive and negative) of each marker. CD29 was excluded because of its small range of expression. Lin+ cell–depleted GFP+ (Lin−GFP+) cells were sorted according to the expression level of each marker (CD44−, CD44+, CD24−, CD24+, CD49f−, and CD49f+) (Fig. 4A, B, and C), then inoculated into mammary fat pads of C57BL/6J mice at doses of 2,000, 500, 100, and 20 cells (Table 1). Unexpectedly, the tumor incidence from CD49f− cells was much higher than that from CD49f+ cells or the other subpopulations at 100-cell inoculation. The higher tumor incidence from CD49f− cells was inconsistent with previous reports that TICs can be enriched among CD49f+ cells (11, 19).
Figure 4

Tumor-initiating cell markers and gating strategy to purify tumor-initiating cells

A, Differences in expression of CD29, CD24, CD49f, and CD44 between primary MECs and induced tumors. Populations depleted of dead cells and Lin+ cells, and GFP+ gated in the case of tumors, were subjected to a histogram cell count. Gray lines show isotype labeling. B, C, and D, Gating strategy to purify CD49f− quiescent and dividing cells. B, Gating to purify Lin− and GFP+ cells. C, Histogram of CD49f expression in Lin−GFP+ cells. D, Further gating of CD49f− cells into CD49f− quiescent cells (left lower box) and CD49f− dividing cells (right upper box).

Table 1

Limiting dilution analysis of mouse mammary cancer-initiating cells

Cell profileNumber of cells injected
2,00050010020
CD44+1/41/70/7
CD445/52/70/7
CD24+4/54/70/7
CD245/55/72/7
CD49f+8/84/70/8
CD49f4/44/55/8
CD49f quiescent4/73/13
CD49f dividing0/60/13

The indicated cell populations were injected at the dosages listed. Denominators in the table represent the number of injections, and numerators represent the number of resultant tumors from the injected tumor cells. Cell cycle status was determined from the staining patterns of Hoechst-Red and pyronin Y as follows: quiescent, Hoechst-Redlowpyronin Ylow; dividing, Hoechst-Redhighpyronin Yhigh.

To better understand this phenomenon, there are two approaches. The first is to identify another positive TIC marker, and the second is to further analyze the CD49f− fraction to clarify the intratumoral heterogeneity in this model. We chose the latter approach and evaluated the cell cycle status of the CD49f− fraction. The presence of quiescent TICs has been proposed for some tumors, such as chronic myeloid leukemia (33). We hypothesized that tumor incidence from CD49f− cells was attributable to quiescent tumor cells. To test this hypothesis, we further fractionated the CD49f− cell population into CD49f− quiescent and CD49f− dividing cells (Fig. 4D) by staining with Hoechst 33342 and pyronin Y; quiescent cells were identified by Hoechst-Redlow and pyronin Ylow staining, and dividing cells, by Hoechst-Redhigh and pyronin Yhigh staining (33). We inoculated the subfractions into recipient mice. As expected, CD49f− quiescent cells had higher tumorigenic activity than did CD49f− dividing cells (Table 1).

CD49f− quiescent cells overexpressed epithelial-to-mesenchymal transition-related genes in a gene expression analysis

Next, to understand this intratumoral heterogeneity at the molecular level, we performed expression analysis among the two subfractions: highly tumorigenic cells (CD49f− quiescent) and cells with relatively low tumorigenicity (CD49f+). We sorted these paired fractions from a sequential series of three tumors. The genome-wide expression was compared by paired t-test between CD49f− quiescent cells and CD49f+ cells. Then, 106 overexpressed genes (false discovery rate <9.34E-04) and 93 underexpressed genes (false discovery rate <9.88E-04) in CD49f− quiescent cells were analyzed with IPA pathway analysis software to understand their biological significance (Fig. 5A, B and Supplementary Table S2). The key components of overexpressed genes in CD49f− quiescent cells were collagen family proteins, MMP2, integrin-αVβ3, and ITGB5, which were annotated as the cellular assembly and organization network in IPA network analysis (Fig. 5C). Interestingly, CD49f− quiescent cells also overexpressed Thy1.1 (Supplementary Table S2), a marker of TICs in Wnt transgenic mouse mammary tumors (11). This finding suggests that we might further purify TICs with Thy1.1. Among underexpressed genes in CD49f− quiescent cells, as expected, cell cycle–driving genes were significantly downregulated (Fig. 5B).
Figure 5

CD49f− quiescent cells express genes associated with the process of epithelial-to-mesenchymal transition

Canonical pathway analyses of (A) upregulated and (B) downregulated genes in CD49f− quiescent cells compared with CD49f+ cells by IPA analysis. Data for the 10 most statistically significant pathways are presented in each case. C, Direct and indirect molecular network of upregulated genes in CD49f− quiescent cells, which was the top-ranked network by IPA and functionally annotated as “Connective Tissue Disorders, Genetic Disorders, Cellular Assembly and Organization”. Upregulated genes in CD49f− quiescent cells are shown in red.

Canonical pathway analysis is another knowledge-based output style of IPA; it elucidates the bioprocesses of a gene set of interest. Through this analysis, overexpressed genes in CD49f− quiescent cells were shown to be highly correlated with the bioprocess of hepatic stellate cell activation (Fig. 5A) (34–36), which is known to make hepatic stellate cells trans-differentiate to myofibroblast cells and results in liver fibrosis due to accumulation of collagen. Further, most of the components in this bioprocess are closely related to epithelial-to-mesenchymal transition (EMT). CD49f− quiescent cells overexpressed several kinds of collagens, a hallmark of EMT. Those collagens and their upstream molecules, such as TGF-β, IGF-1, and endothelin receptor type A, were also overexpressed in CD49f− quiescent cells (Supplementary Fig. S9) (35).

Discussion

Through genetic manipulation of mouse mammary cells in vitro and subsequent inoculation into recipient mice, we successfully induced the mouse TNBC model with a unique intratumoral heterogeneity, represented by both CD49f− quiescent TICs and CD49f+ non-TICs. We were able to induce mammary tumors from Ink4a/Arf−/− mouse mammary cells with HRAS(G12V) that have such intratumoral heterogeneity. Previously reported mouse mammary tumor models produced spindle cell tumors in reproducible ratios; about 50% of p53-null mouse mammary tumors are spindle cell tumors although those tumors are molecularly heterogeneous (37, 38). The resultant tumor phenotype of our Ink4a/Arf−/− and HRAS(G12V) model was similar to the phenotype of the spindle cell tumor model, recently called “EMT-type tumor” model (23), which also has triple-negative receptor features. The EMT-type phenotype in our model was relatively consistent or homogeneous, suggesting that Ink4a/Arf−/− plus HRAS(G12V) strongly dictated this phenotype. The populations of cells that were most tumorigenic varied in mouse mammary tumor models with intratumoral heterogeneity. In MMTV-Wnt transgenic mice, luminal progenitor-like CD61+ tumor cells had relatively higher tumorigenic activity than that of CD61tumor cells (9). In contrast, in a p53-null mouse mammary tumor model, mammary stem cell-like CD29highCD24high tumor cells had the highest tumorigenic activity (10). Combined with our data, these reports suggest that intratumoral heterogeneity partially depends on the type of genetic perturbation that drives the tumors. Our model’s unique intratumoral heterogeneity, whereby CD49f− quiescent cells had much higher tumorigenicity compared to CD49f+ cells, however, is inconsistent with the findings from known mouse mammary tumor models. In the previously reported models, CD49f+ cells had relatively higher tumor-initiating potential than did CD49f− cells, a pattern reminiscent of the profile of normal mammary stem cells (11, 30). The impact of the cell of origin on this intratumoral heterogeneity in the present model is unknown, however, we may at least infer that Ink4a/Arf−/− plus HRAS(G12V) is sufficient to perturb stem-cell hierarchy in the axis of CD49f expression. In fact, this was the case in BRCA1-deficient plus p53+/− mouse mammary tumor model. In that model, when BRCA1 was enforced to be deleted in luminal progenitor cells, CD24− cells were revealed as TICs, which is inconsistent to normal stem cell hierarchy in mouse mammary glands; mouse mammary stem cells are CD24+. Together with our finding, certain oncogenic factors are supposed to have an impact even for changing stem cell hierarchy in occurred tumors. Consequently, this notion has been turned on the reason why we refer CD49f− quiescent cells as TICs but not cancer stem cells, and rather designate intratumoral heterogeneity than CSC hierarchy. We molecularly delineated this intratumoral heterogeneity by comparing the gene expression of CD49f− quiescent TICs and CD49f+ non-TICs. This molecular heterogeneity was represented by EMT-related genes, a pattern that was annotated as the hepatic fibrosis bioprocess in IPA analysis. The representative components of EMT-related genes include TGF-β, IGF-1, and MMP2 (39). Those are also the key components expressed in the claudin-low subtype in human breast cancers. This subtype was discovered through unsupervised hierarchical clustering analysis of human and mouse mammary tumor panels (40). It expressed lower levels of E-cadherin and tight junction proteins, including claudin 3, and is thought to be a subtype of TNBC (41). The claudin-low gene signature, which defines the claudin-low subtype, was enriched in TICs and treatment-resistant residual tumor cells; these cells are putative molecular targets (12). Interestingly, in our model, TICs shared some molecular features with those of the human claudin-low subtype, although our TIC cell surface markers were analogous to neither those of human breast cancer nor those of other mouse mammary tumor models. In summary, we induced intratumorally heterogenous, highly proliferative triple-negative mouse mammary tumors with the genetic combination of Ink4a/Arf−/− and HRAS(G12V). Although, as with other mouse models, this model still has the technical gap of the cell of origin being unknown, the recapitulated intratumoral heterogeneity, represented by the components of the claudin-low gene signature, allows us to identify molecular features of TICs. Further, our model may offer us the opportunity to develop drugs that can target the RAS-mediated pathway (e.g. MEK inhibitor, ADZ6244) (42) or TICs.

Materials and Methods

Animals

We bred and maintained Ink4a/Arf−/− mice (strain B6.129-Cdkn2atm1Rdp; NCI Frederick) in our animal facility at Keio University, Tokyo, Japan (43, 44). During a last couple of years, this line had been backcrossed into C57BL/6 through at least 5 generations. C57BL/6J mice were purchased from Oriental Yeast Co., Ltd. and used as recipients. All experiments were approved by the Animal Research Ethics Committee of Keio University School of Medicine, Tokyo, Japan. The care for all mice described above was in accordance with the institution’s guidelines.

Mammary cell preparations

We dissected mammary glands from 6- to 7-week-old female mice and tumors in recipient mice. After mincing with scissors, the tissue was digested with collagenase and hyaluronidase (StemCell Technologies) in DMEM/F12 (Sigma) supplemented with 5% fetal calf serum (FCS), 5 μg ml−1 insulin, and 20 ng ml−1 epidermal growth factor (EGF) for 3 to 4 hr at 37 °C. After vortexing and lysis of the red blood cells in NH4Cl, we sequentially digested the resulting organoid suspension with 0.25% trypsin (2 min, 37 °C) and then with 5 mg ml−1 dispase and 0.1 mg ml−1 DNase (Sigma) (2 min). We obtained a single-cell suspension by filtration through a 40-μm cell strainer (BD Falcon). The methods for in vitro cellular assay are described in the Supplementary Methods.

Retroviral gene transfer

pMX-HRAS(G12V)-IRES-GFP or pMXs-IRES-GFP (mock plasmid) were transfected into Plat-E retrovirus packaging cells using Fugene 6 transfection reagent (Roche) (45). pMXs-IRES-GFP was kindly provided by T. Kitamura. Virus particle–containing supernatants were centrifuged, and virus pellets were reconstituted with floating culture medium, DMEM/F12 supplemented with 20 ng/ml EGF (PeproTech), 10 ng/ml basic fibroblast growth factor (bFGF) (PeproTech), 5 μg/ml insulin (Sigma), 100 units/ml penicillin G, and 100 μg/ml streptomycin (GIBCO). Single suspended cells, derived from collected primary mammospheres using 40-μm cell strainers, were placed in virus-containing medium and plated into Ultra-Low Attachment dishes (Corning). To this end, the secondary mammospheres that contains retrovirus-infected cells were formed.

Antibodies

The following antibodies against mouse antigens were purchased from eBioscience: CD24-APC, CD29-APC, CD49f-APC, CD44-APC, Sca1-biotin, CD61-biotin, CD45-biotin, CD31-biotin, and TER119-biotin. We also obtained antibodies against HRAS (Clone C-20; Santa Cruz), phospho-ERK (Cell Signaling), milk (Nordic Immunological Laboratories), keratin 14 (Covance), keratin 18 (Progen Biotechnik), E-cadherin (BD Phamingen), smooth muscle actin (SMA; Abcam), and vimentin (Sigma). Streptavidin APC and streptavidin APC-eFluor 780 were purchased from eBioscience. Fluorochrome-conjugated secondary antibodies included anti-rabbit and anti-mouse Ig-Alexa Fluor 594 and anti-rabbit Ig-Alexa Fluor 488 (Molecular Probes).

Cell labeling, flow cytometry, and sorting

To analyze the cell-cycle status, cells were first stained with 5 μg/ml Hoechst 33342 at 37 °C for 30 min, followed by 1 μg/ml pyronin Y at 37 °C for 30 min. Antibody incubations were performed at 4 °C for 30 min. Cells were resuspended in 0.5 μg ml−1 propidium iodide before analysis. Data analysis was performed on the single, live cell gate using Flowjo software. Cell sorting was carried out on a FACSAria II sorter (Becton Dickinson).

In vivo transplantation

For tumor initiation in vivo, sorted cells were resuspended in phosphate-buffered saline with 0.04% trypan blue and 50% FCS, and 20-μl volumes were injected into the right inguinal glands of 4-week-old female mice.

Immunostaining

Paraffin-embedded sections were dewaxed, washed in phosphate-buffered saline, and subjected to antigen retrieval by boiling in 10 mM citrate buffer for 15 min before blocking. After blocking, we incubated the sections sequentially with the primary antibodies, biotinylated secondary antibodies (mouse-specific and rabbit-specific), ready-to-use Vectastain avidin and biotinylated horseradish peroxidase macromolecular complex (ABC) reagent (Vector Laboratories), and 3,3′-diaminobenzidine (DAKO); finally, we counterstained with hematoxylin. For mammospheres, we spun mammospheres onto glass slides with a Cytospin 4 centrifuge (Shandon, Thermo). The cells were fixed in 4% paraformaldehyde, then, incubated with 0.2% Triton X100 in PBS for 5 minutes, and blocked with goat serum for 30 min. Following procedures commencing primary antibody reaction were performed as previously described (46).

RT-PCR and mutation analysis

We extract whole RNAs from alive sample cells using RNeasy kit (Qiagen) and performed reverse transcription reactions with SuperScript III and the oligo (dT)20 primer (Invitrogen). PCR was perfomed with NavaTaq Hot Start DNA polymerase (Novagen). Sequences of gene specific primers were as followings: HRAS, 5′GAGACCCTGTAGGAGGACC and 3′CATCAGGAGGGTTCAGCTTC; GAPDH, 5′TGAAGGTCGGTGTGAACGGATTTGGC and 3′CATGTAGGCCTAGAGGTCCACCAC. Same primer pairs were used for DNA sequencing. DNA sequencing on chain-termination method was done as previously described (47).

Microarray hybridizations

We purified total RNAs from mammospheres, tumorospheres (tumor-derived mammospheres), and sorted cell populations with Trizol and prepared them using a NucleoSpin RNA XS kit (Macherey-Nagel GmbH & Co. KG) according to the manufacturer’s protocol. We quantified RNAs using a NanoDrop 1000 spectrophotometer and ascertained RNA quality with the Agilent 2100 Bioanalyzer (Agilent Technologies). We labeled 5 to 10 ng total RNAs and prepared biotinylated complementary RNAs according to the standard Affymetrix protocol (Expression Analysis Technical Manual, Affymetrix). After fragmentation, we hybridized cRNA to a GeneChipMouse 430 2.0 Genome Array for 16 hr at 45 °C. After washing, we stained the chips in an Affymetrix Fluidics Station 450 and scanned them using an Affymetrix scanner. Un-normalized summary probe profiles, with associated probe annotation, were output from Affymetrix GeneChip Operating Software, version 1.04.

Statistical analysis

Statistical significance was defined as a P value less than 0.05. All statistical tests and corresponding P values were two-sided. The data sets and the statistical methods used for the analyses of mouse and human microarray data are described in detail in the Supplementary Methods.
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3.  The mammary progenitor marker CD61/beta3 integrin identifies cancer stem cells in mouse models of mammary tumorigenesis.

Authors:  François Vaillant; Marie-Liesse Asselin-Labat; Mark Shackleton; Natasha C Forrest; Geoffrey J Lindeman; Jane E Visvader
Journal:  Cancer Res       Date:  2008-10-01       Impact factor: 12.701

Review 4.  Triple-negative/basal-like breast cancer: review.

Authors:  Emad A Rakha; Ian O Ellis
Journal:  Pathology       Date:  2009-01       Impact factor: 5.306

5.  The humoral immune system has a key prognostic impact in node-negative breast cancer.

Authors:  Marcus Schmidt; Daniel Böhm; Christian von Törne; Eric Steiner; Alexander Puhl; Henryk Pilch; Hans-Anton Lehr; Jan G Hengstler; Heinz Kölbl; Mathias Gehrmann
Journal:  Cancer Res       Date:  2008-07-01       Impact factor: 12.701

6.  Aberrant luminal progenitors as the candidate target population for basal tumor development in BRCA1 mutation carriers.

Authors:  Elgene Lim; François Vaillant; Di Wu; Natasha C Forrest; Bhupinder Pal; Adam H Hart; Marie-Liesse Asselin-Labat; David E Gyorki; Teresa Ward; Audrey Partanen; Frank Feleppa; Lily I Huschtscha; Heather J Thorne; Stephen B Fox; Max Yan; Juliet D French; Melissa A Brown; Gordon K Smyth; Jane E Visvader; Geoffrey J Lindeman
Journal:  Nat Med       Date:  2009-08-02       Impact factor: 53.440

7.  PML targeting eradicates quiescent leukaemia-initiating cells.

Authors:  Keisuke Ito; Rosa Bernardi; Alessandro Morotti; Sahoko Matsuoka; Giuseppe Saglio; Yasuo Ikeda; Jacalyn Rosenblatt; David E Avigan; Julie Teruya-Feldstein; Pier Paolo Pandolfi
Journal:  Nature       Date:  2008-05-11       Impact factor: 49.962

8.  Identification of tumor-initiating cells in a p53-null mouse model of breast cancer.

Authors:  Mei Zhang; Fariba Behbod; Rachel L Atkinson; Melissa D Landis; Frances Kittrell; David Edwards; Daniel Medina; Anna Tsimelzon; Susan Hilsenbeck; Jeffrey E Green; Aleksandra M Michalowska; Jeffrey M Rosen
Journal:  Cancer Res       Date:  2008-06-15       Impact factor: 12.701

9.  Identification of a cancer stem cell in human brain tumors.

Authors:  Sheila K Singh; Ian D Clarke; Mizuhiko Terasaki; Victoria E Bonn; Cynthia Hawkins; Jeremy Squire; Peter B Dirks
Journal:  Cancer Res       Date:  2003-09-15       Impact factor: 12.701

10.  Loss of heterozygosity at the ATBF1-A locus located in the 16q22 minimal region in breast cancer.

Authors:  Kazuharu Kai; Zhenhuan Zhang; Hiroko Yamashita; Yutaka Yamamoto; Yutaka Miura; Hirotaka Iwase
Journal:  BMC Cancer       Date:  2008-09-16       Impact factor: 4.430

View more
  5 in total

1.  Antitumor Activity of KW-2450 against Triple-Negative Breast Cancer by Inhibiting Aurora A and B Kinases.

Authors:  Kazuharu Kai; Kimie Kondo; Xiaoping Wang; Xuemei Xie; Mary K Pitner; Monica E Reyes; Angie M Torres-Adorno; Hiroko Masuda; Gabriel N Hortobagyi; Chandra Bartholomeusz; Hideyuki Saya; Debu Tripathy; Subrata Sen; Naoto T Ueno
Journal:  Mol Cancer Ther       Date:  2015-10-06       Impact factor: 6.261

2.  Insulin-like growth factor 1 receptor activation promotes mammary gland tumor development by increasing glycolysis and promoting biomass production.

Authors:  Bas Ter Braak; Christine L Siezen; Joo S Lee; Pooja Rao; Charlotte Voorhoeve; Eytan Ruppin; Jan Willem van der Laan; Bob van de Water
Journal:  Breast Cancer Res       Date:  2017-02-07       Impact factor: 6.466

3.  In vivo genome-wide CRISPR screen reveals breast cancer vulnerabilities and synergistic mTOR/Hippo targeted combination therapy.

Authors:  Meiou Dai; Gang Yan; Ni Wang; Girija Daliah; Ashlin M Edick; Sophie Poulet; Julien Boudreault; Suhad Ali; Sergio A Burgos; Jean-Jacques Lebrun
Journal:  Nat Commun       Date:  2021-05-24       Impact factor: 14.919

4.  Llgl1 prevents metaplastic survival driven by epidermal growth factor dependent migration.

Authors:  Erin Greenwood; Sabrina Maisel; David Ebertz; Atlantis Russ; Ritu Pandey; Joyce Schroeder
Journal:  Oncotarget       Date:  2016-09-20

5.  CSF-1/CSF-1R axis is associated with epithelial/mesenchymal hybrid phenotype in epithelial-like inflammatory breast cancer.

Authors:  Kazuharu Kai; Takayuki Iwamoto; Dongwei Zhang; Li Shen; Yuko Takahashi; Arvind Rao; Alastair Thompson; Subrata Sen; Naoto T Ueno
Journal:  Sci Rep       Date:  2018-06-21       Impact factor: 4.379

  5 in total

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