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[CANCER RESEARCH 51, 5315-5321, October 1, I99I| Tumor Necrosis Factor Stimulates Epithelial Tumor Cell Motility1 Eliot M. Rosen,2 Itzhak D. Goldberg, David Liu, Eva Setter, Maribeth A. Donovan, Madhu Bhargava, Michael Reiss, and Barry M. Kacinski Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut 06510 ¡E.M. R., E. S., M. A. D., B. M. A'./; Division of Medical Oncology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut 06510 fM. R.I; Department of Radiation Oncology, Long Island Jewish Medical Center, New Hyde Park, New York 11042 [I. D. G., M. BJ; and Cetus Corporation, Emeryville, California 94608 [D. L.J ABSTRACT Cellular molili!) is a critical function in embryonic development, tissue repair, and tumor invasion. We used assays of scattering (epithelial colony dispersion), cell migration, and cell invasion to study cytokine- regulated motility in epithelial and carcinoma cell lines. Tumor necrosis factor (TNF) stimulated motility in 12 of 14 cell lines in one or more assay systems. The motility-stimulating activity of TNF did not correlate with its antiproliferative activity. In lines whose migration was stimulated by both TNF and scatter factor (SF), a fibroblast-derivcd cytokine which stimulates epithelial cell motility, saturating concentrations of TNF plus SF induced greater migration than either agent alone. Anti-TNF mono clonal antibody blocked TNF- but not SF-stimulated motility. While various other factors (basic fibroblast growth factor, interleukin 6, inter- leukin 2, colony-stimulating factor 1) had little or no motility-stimulating activity, phorbol-12-myristate-13-acetate (PMA), a tumor-promoting phorbol ester, scattered and/or stimulated migration in all cell lines studied. Combinations of saturating concentrations of TNF plus PMA or of SF plus PMA induced greater migration than did any agent alone. These findings suggest that (a) carcinoma cell motility may be mediated by multiple biochemical pathways and (/>) TNF stimulates epithelial motility by a mechanism different from that of SF and PMA. In vivo, TNF might enhance invasiveness of some carcinomas or stimulate epi thelial wound healing. INTRODUCTION Tumor necrosis factor was initially characterized as a mon- ocyte-derived cytokine with in vivo antitumor activity (1). TNF3 consists of two closely related M, 17,000 peptides [TNF-a (cachexin) and TNF-/3 (lymphotoxin)], with similar biological activities (2). These activities include cytotoxicity or inhibition of proliferation in some tumor cell lines in vitro (3), modulation of the immune response (4), antiviral activity (5), and stimula tion of angiogenesis (6, 7). SFs are fibroblast-derived cytokines that disperse ("scatter") epithelial colonies and stimulate mi gration of epithelial (8-10) and vascular endothelial (11, 12) cell types. Mouse and human SFs were purified and identified as heparin-binding glycoproteins that consist of heavy (M, -58,000) and light (M, -31,000) subunits and exhibit signifi cant amino acid sequence homology to hepatocyte growth fac tors (12-15) (see "Discussion"). We determined the effect of TNF on motility in 14 epithelial cell lines (Madin-Darby canine kidney epithelium, six human adenocarcinomas, five human Received 2/25/91; accepted 7/24/91. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 'Supported in part by the USPHS (CA-50516) and the American Cancer Society (BE-7). I. D. G. and M. B. were supported by the Finkelstein Foundation. B. M. K. was supported by the USPHS (CA-47292) and Bristol-Myers Cancer Research Award 100-R063. E. M. R. is an Established Investigator of the American Heart Association. : To whom requests for reprints should be addressed, at 132 HRT, 333 Cedar Street, Department of Therapeutic Radiology. Yale University School of Medi cine, New Haven, CT 06510. 3The abbreviations used are: TNF, tumor necrosis factor; SF, scatter factor; DMEM, Dulbecco's modified Eagle's medium; ATCC, American Type Culture Collection; FGF, fibroblast growth factor; IL-2, interleukin 2; IL-6, interleukin 6; CSF-1, colony-stimulating factor 1; PMA, phorbol-12-myristate-13-acetate: BSA, bovine serum albumin; MAb, monoclonal antibody; PKC, protein kinase C; HGF, hepatocyte growth factor. squamous carcinomas, two rat hepatomas) and compared re sponses to TNF with responses to SF. MATERIALS AND METHODS Cell Culture The cell types used in this study are described in Table 1 (and References 16 and 17). Cell lines were subcultured at weekly intervals in DMEM supplemented with 0.1 HIMnonessential amino acids, 5 mg/ ml of D-glucose, 100 units/ml of penicillin, 100 Me/ml of streptomycin, and 10% (v/v) fetal calf serum (Grand Island Biological Company, Grand Island, NY). Confluent stock cultures were detached using 0.25% trypsin (in 0.1% EDTA) (Hazelton Research Products. Lenexa, KS), reinoculated into 100-mm plastic Petri dishes (No. 25020; Corning Glassworks, Corning, NY) at a 1:10 split ratio, and incubated at 37°C in a humidified atmosphere of 5% CU2-95% air. Factors and Antibodies Highly purified recombinant human TNF-a derived from Escherichia coli (18) was provided by the Cetus Corporation, Emeryville, CA. Human SF was purified from serum-free conditioned medium from cultures of CCD32Lu human lung fibroblasts (ATCC CRL1485) (12). Mouse SF was purified from conditioned medium from ras-transformed NIH/2 3T3 cells (clone D4) (12). Anti-TNF neutralizing monoclonal antibody 10E-11 (19) was provided by Cetus. Recombinant human basic FGF was provided by Dr. Ruth Halaban (Department of Der matology, Yale University School of Medicine). Recombinant human IL-6 and IL-2 were provided by Cetus. Recombinant human CSF-1 was provided by the Genetics Institute, Andover, MA. PMA was purchased from Sigma Chemical Co., St. Louis, MO. Assays of Biological Activity Scatter Assay. Scatter activity was assessed by serial dilution assay (9, 20). Cells were inoculated into 96-well plates (Falcon No. 3072) at 5000 cells in 150 u\ of DM EM-10% serum/well and incubated over night to allow colony formation. Factors serially diluted in 150 iil of serum-free DMEM were added to cells. Cells were incubated at 37'C for t = 20 h, stained with crystal violet, and examined for scattering (colony spreading and cell separation). SF activity at the limiting dilution for MDCK cells was defined as 0.5 scatter units/ml. Microcarrier Bead Migration Assay. This assay measures migration of target cells from carrier beads to flat surfaces (11). Target cells were grown for 2 to 3 days on Cytodex 2 microcarrier beads (No. 17-0484- 01; Pharmacia, Piscataway, NJ), washed twice in DMEM-5% serum, and counted. One x IO5cells on beads in 0.5 ml of DMEM-5% serum were seeded per well in 24-well plates (Corning No. 25820). Factors were added to wells in triplicate, and cultures were incubated for / = 18 h. Beads were removed by several gentle rinses with phosphate-buffered saline. Cells that had migrated off the beads onto the flat plastic well bottoms were stained with crystal violet and counted using a xlO microscope objective. Migration [cells/10 fields (~0.2 cm2)] was ex pressed as the percentage of 0 factor control, where appropriate. Chemotaxis Assay. Chemotactic migration across collagen-coated Nucleopore filters containing S-^m-diameter pores was measured in 48-well microwell-modified Boyden chambers (12, 21). Lower wells contained different concentrations of factor, each assayed in triplicate, while upper wells contained 1x 10? cells. The assay medium was DMEM plus 2.5 mg/ml of BSA (DMEM-BSA) for all lines except YaOvBix2NMA, YaOvBix3, and MCF-7, which were assayed in 5315 Research. on February 11, 2015. © 1991 American Association for Cancer cancerres.aacrjournals.org Downloaded from
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[CANCER RESEARCH 51, 5315-5321, October 1, I99I|

Tumor Necrosis Factor Stimulates Epithelial Tumor Cell Motility1

Eliot M. Rosen,2 Itzhak D. Goldberg, David Liu, Eva Setter, Maribeth A. Donovan, Madhu Bhargava,

Michael Reiss, and Barry M. KacinskiDepartment of Therapeutic Radiology, Yale University School of Medicine, New Haven, Connecticut 06510 ¡E.M. R., E. S., M. A. D., B. M. A'./; Division of Medical

Oncology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut 06510 fM. R.I; Department of Radiation Oncology, Long IslandJewish Medical Center, New Hyde Park, New York 11042 [I. D. G., M. BJ; and Cetus Corporation, Emeryville, California 94608 [D. L.J

ABSTRACT

Cellular molili!) is a critical function in embryonic development, tissuerepair, and tumor invasion. We used assays of scattering (epithelialcolony dispersion), cell migration, and cell invasion to study cytokine-

regulated motility in epithelial and carcinoma cell lines. Tumor necrosisfactor (TNF) stimulated motility in 12 of 14 cell lines in one or moreassay systems. The motility-stimulating activity of TNF did not correlate

with its antiproliferative activity. In lines whose migration was stimulatedby both TNF and scatter factor (SF), a fibroblast-derivcd cytokine which

stimulates epithelial cell motility, saturating concentrations of TNF plusSF induced greater migration than either agent alone. Anti-TNF monoclonal antibody blocked TNF- but not SF-stimulated motility. Whilevarious other factors (basic fibroblast growth factor, interleukin 6, inter-leukin 2, colony-stimulating factor 1) had little or no motility-stimulatingactivity, phorbol-12-myristate-13-acetate (PMA), a tumor-promoting

phorbol ester, scattered and/or stimulated migration in all cell linesstudied. Combinations of saturating concentrations of TNF plus PMA orof SF plus PMA induced greater migration than did any agent alone.These findings suggest that (a) carcinoma cell motility may be mediatedby multiple biochemical pathways and (/>) TNF stimulates epithelialmotility by a mechanism different from that of SF and PMA. In vivo,TNF might enhance invasiveness of some carcinomas or stimulate epithelial wound healing.

INTRODUCTION

Tumor necrosis factor was initially characterized as a mon-ocyte-derived cytokine with in vivo antitumor activity (1). TNF3consists of two closely related M, 17,000 peptides [TNF-a(cachexin) and TNF-/3 (lymphotoxin)], with similar biologicalactivities (2). These activities include cytotoxicity or inhibitionof proliferation in some tumor cell lines in vitro (3), modulationof the immune response (4), antiviral activity (5), and stimulation of angiogenesis (6, 7). SFs are fibroblast-derived cytokinesthat disperse ("scatter") epithelial colonies and stimulate mi

gration of epithelial (8-10) and vascular endothelial (11, 12)cell types. Mouse and human SFs were purified and identifiedas heparin-binding glycoproteins that consist of heavy (M,-58,000) and light (M, -31,000) subunits and exhibit signifi

cant amino acid sequence homology to hepatocyte growth factors (12-15) (see "Discussion"). We determined the effect of

TNF on motility in 14 epithelial cell lines (Madin-Darby caninekidney epithelium, six human adenocarcinomas, five human

Received 2/25/91; accepted 7/24/91.The costs of publication of this article were defrayed in part by the payment

of page charges. This article must therefore be hereby marked advertisement inaccordance with 18 U.S.C. Section 1734 solely to indicate this fact.

'Supported in part by the USPHS (CA-50516) and the American CancerSociety (BE-7). I. D. G. and M. B. were supported by the Finkelstein Foundation.B. M. K. was supported by the USPHS (CA-47292) and Bristol-Myers CancerResearch Award 100-R063. E. M. R. is an Established Investigator of theAmerican Heart Association.

: To whom requests for reprints should be addressed, at 132 HRT, 333 Cedar

Street, Department of Therapeutic Radiology. Yale University School of Medicine, New Haven, CT 06510.

3The abbreviations used are: TNF, tumor necrosis factor; SF, scatter factor;DMEM, Dulbecco's modified Eagle's medium; ATCC, American Type Culture

Collection; FGF, fibroblast growth factor; IL-2, interleukin 2; IL-6, interleukin6; CSF-1, colony-stimulating factor 1; PMA, phorbol-12-myristate-13-acetate:BSA, bovine serum albumin; MAb, monoclonal antibody; PKC, protein kinaseC; HGF, hepatocyte growth factor.

squamous carcinomas, two rat hepatomas) and compared responses to TNF with responses to SF.

MATERIALS AND METHODS

Cell Culture

The cell types used in this study are described in Table 1 (andReferences 16 and 17). Cell lines were subcultured at weekly intervalsin DMEM supplemented with 0.1 HIMnonessential amino acids, 5 mg/ml of D-glucose, 100 units/ml of penicillin, 100 Me/ml of streptomycin,and 10% (v/v) fetal calf serum (Grand Island Biological Company,Grand Island, NY). Confluent stock cultures were detached using 0.25%trypsin (in 0.1% EDTA) (Hazelton Research Products. Lenexa, KS),reinoculated into 100-mm plastic Petri dishes (No. 25020; CorningGlassworks, Corning, NY) at a 1:10 split ratio, and incubated at 37°C

in a humidified atmosphere of 5% CU2-95% air.

Factors and Antibodies

Highly purified recombinant human TNF-a derived from Escherichiacoli (18) was provided by the Cetus Corporation, Emeryville, CA.Human SF was purified from serum-free conditioned medium fromcultures of CCD32Lu human lung fibroblasts (ATCC CRL1485) (12).Mouse SF was purified from conditioned medium from ras-transformedNIH/2 3T3 cells (clone D4) (12). Anti-TNF neutralizing monoclonalantibody 10E-11 (19) was provided by Cetus. Recombinant humanbasic FGF was provided by Dr. Ruth Halaban (Department of Dermatology, Yale University School of Medicine). Recombinant humanIL-6 and IL-2 were provided by Cetus. Recombinant human CSF-1 wasprovided by the Genetics Institute, Andover, MA. PMA was purchasedfrom Sigma Chemical Co., St. Louis, MO.

Assays of Biological Activity

Scatter Assay. Scatter activity was assessed by serial dilution assay(9, 20). Cells were inoculated into 96-well plates (Falcon No. 3072) at5000 cells in 150 u\ of DM EM-10% serum/well and incubated overnight to allow colony formation. Factors serially diluted in 150 iil ofserum-free DMEM were added to cells. Cells were incubated at 37'C

for t = 20 h, stained with crystal violet, and examined for scattering(colony spreading and cell separation). SF activity at the limitingdilution for MDCK cells was defined as 0.5 scatter units/ml.

Microcarrier Bead Migration Assay. This assay measures migrationof target cells from carrier beads to flat surfaces (11). Target cells weregrown for 2 to 3 days on Cytodex 2 microcarrier beads (No. 17-0484-01; Pharmacia, Piscataway, NJ), washed twice in DMEM-5% serum,and counted. One x IO5cells on beads in 0.5 ml of DMEM-5% serumwere seeded per well in 24-well plates (Corning No. 25820). Factorswere added to wells in triplicate, and cultures were incubated for / = 18h. Beads were removed by several gentle rinses with phosphate-bufferedsaline. Cells that had migrated off the beads onto the flat plastic wellbottoms were stained with crystal violet and counted using a xlOmicroscope objective. Migration [cells/10 fields (~0.2 cm2)] was ex

pressed as the percentage of 0 factor control, where appropriate.Chemotaxis Assay. Chemotactic migration across collagen-coated

Nucleopore filters containing S-^m-diameter pores was measured in48-well microwell-modified Boyden chambers (12, 21). Lower wellscontained different concentrations of factor, each assayed in triplicate,while upper wells contained 1 x 10? cells. The assay medium wasDMEM plus 2.5 mg/ml of BSA (DMEM-BSA) for all lines exceptYaOvBix2NMA, YaOvBix3, and MCF-7, which were assayed in

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TNF STIMULATION OF EPITHELIAL TUMOR CELL MOTILITV

Table I Types and sources of cells studied

CelllineMDCKYaOvBixlYaOvBix3YaOvBix2NMAYaOvBix2NMBMCF-7BT-20FaDuA253A431CE48Calu-1H56C2SpeciesDogHumanHumanHumanHumanHumanHumanHumanHumanHumanHumanHumanRatRatCelltypeMadin-Darby

canine kidneyepitheliumOvarian

carcinoma,cloneOvariancarcinoma,cloneOvariancarcinoma,cloneOvariancarcinoma,cloneBreast

carcinomaBreast

carcinomaSquamous

carcinoma(hypopharynx)Squamous

carcinoma(submaxillarygland)VulvarcarcinomaSquamous

carcinoma(esophagus)Lung

carcinomaHepatomaHepatomaSourceATCC(CCL34)See

Footnote"SeeFootnote°SeeFootnote°SeeFootnote"ATCC(HTB22)ATCC(HTB19)ATCC(HTB43)ATCC(HTB41)ATCC(CRL1555)See

Footnote*ATCC(HTB54)See

Footnote'SeeFootnote '

'YaOvBixl and YaOvBix3 are morphologically distinct clones (YaOvBix3

forms cohesive colonies, whereas YaOvBixl does not) derived from malignantascites from the same patient (16). YaOvBix2NMA and YaOvBix2NMB aremorphologically distinct subclones (YaOvBix2NMA forms cohesive colonies,whereas YaOvBix2NMB does not) derived from YaOvBix 1 after passage in nudemice. These lines differ in physiological and molecular biological properties [CSF1synthesis, expression of fms (CSF-1 receptor gene). erftBl (epidermal growthfactor receptor gene), and erbB2\, but all produce tumors in nude mice.

* CE48 esophageal carcinoma cells (17) were provided by Dr. C-P. Hu. Taiwan,

Republic of China.' Rat hepatoma cell lines were provided by Dr. Mary Weiss, Pasteur Institute,

Paris, France.

DMEM plus 5% serum. For the latter three lines, migration rates werevery low in the absence of serum. The assay incubation time was / = 18h for all lines except YaOvBixl and YaOvBix2NMB (t = 4 h). Afterincubation, filters were stained, and nonmigrated cells on the uppersides of the filters were removed with a cotton swab. Migrated cells onthe underside of the filters were counted with a x40 microscopeobjective, and results were expressed as migrated cells/10 grids (-0.7mm2).

Chemoinvasion Assay. Invasion across porous filters coated with amatrix of reconstituted basement membrane (Matrigel) was measuredusing 0.2-ml blind-well Boyden chambers (22). Lower and upper wellswere separated by 13-mm-diameter Nucleopore filters (8-Mm-pore diameter) coated with 25 ¿igof Matrigel (Collaborative Research, Bedford, MA). Factors diluted in 0.2 ml of DMEM-BSA were placed inlower wells, and cells (5 x 10' in 0.5 ml of DMEM-BSA) were placed

in upper wells. Chambers were incubated for 24 h, and noninvadingcells on the upper surfaces of the filters were removed with a cottonswab. Nuclei of cells that had invaded through the Matrigel andmigrated through the pores to the lower surfaces of filters were countedusing a x40 microscope. Results were expressed as the number ofinvading cells per mm2, mean ±SEM, for n = 3 to 5 replicate assays.

Cell Proliferation Assay. To examine the effects of TNF on proliferation, cells were inoculated into 24-well plates at 2 x IO4 cells in 0.5

ml of DMEM-5% serum per well on Day 0. Cells were allowed to settleand attach for 24 h, and different concentrations of TNF (0, 1, 10, or20 ng/ml) were added to wells on Day 1. Plates were incubated at 37°C,

and cells from each group were counted in triplicate by hemacytometerat daily intervals until Day 7.

RESULTS

Scatter Assays. Scatter effects were classified qualitatively asstrong (+), weak (±),or nil (-) as described in Table 2. Threecell lines (YaOvBixl, YaOvBix2NMB, and Calu-1) did not

form cohesive colonies and were thus not évaluablein scatterassays. TNF exhibited strong scatter activity in three lines andweak activity in another two lines (Table 2). SF exhibited strongand weak activity in six and four lines, respectively. Respon

siveness to SF appeared to be species related. Among sevenhuman carcinoma lines that responded to human SF, only tworesponded to mouse SF. One cell line was scattered by TNFbut not by SF (MCF-7), six lines were scattered by SF but notby TNF, and four lines were scattered by both cytokines.Maximal scatter responses required no more than 10 ng/ml ofTNF and 20 units/ml of SF. Saturating concentrations of TNF(10 ng/ml) plus SF (20 units/ml) produced a greater degree ofscattering in lines responsive to both factors than did eitherfactor alone. The effects of TNF or SF on epithelial colonymorphology are illustrated in Fig. 1.

Migration Assays. To quantitate migration responses, micro-carrier bead and chemotaxis assays were performed for all 14cell lines. Results are summarized in Table 3, which shows datafor TNF concentrations of 20 ng/ml in bead assays and 10 ng/ml in chemotaxis assays. These concentrations were selectedbecause they produced the best responses in the largest numbersof cell lines in the two assay systems (i.e., cells were usuallymore sensitive to TNF in chemotaxis assays than in beadassays). TNF stimulated migration in 9 and 12 cell lines,respectively, in bead and chemotaxis assays. SF stimulatedmigration in 11 and 12 cell lines, respectively. For both assaysystems considered together, the ranges of cytokine concentrations required for maximal migration responses were 5 to 100ng/ml of TNF and 5 to 100 units/ml (~1 to 20 ng/ml) of SF.The majority of responding cell lines showed maximal responses at 5 to 20 ng/ml of TNF and at 20 to 50 units/ml ofSF. Dose-response curves for TNF and SF in four cell lines

(MDCK, YaOvBix2NMA, FaDu, and A253) utilizing bothmicrocarrier bead and chemotaxis assays are shown in Fig. 2,A to //. In chemotaxis assays, some cell lines showed a significant decline in migration relative to peak values at high TNFdoses (e.g., Fig. 2, G and H). It is possible that TNF is cytotoxicunder assay conditions in the absence of serum or that aninhibitor is present in the TNF preparation. However, an inhibitory effect at high doses of growth factors/cytokines has beenobserved in a variety of bioassays, and these effects have notbeen explained satisfactorily.

The microcarrier bead assay proved useful in further quanti-

Table 2 Responses of various epithelial cell lines to TNF or SF in scatter assaysResponses in scatter assays"

Cell ine TNF* Human SF* Mouse SF* TNF + SF*

MDCKYaOvBixlYaOvBix2NMAYaOvBix2NMBYaOvBix3MCF-7FaDuA253

NE"

NE±

ME

NE±

NE

NE

NE

NE

A431CE48Calu-1BT-20H56C2—±NE——-±±NE±±+±—+NENE+++++

+" Scatter responses were classified as follows: -I-,strong scatter effect (moder-

ated-marked colony spreading and moderate cell separation): ±,weak scattereffect (mild-moderate colony spreading and mild cell separation); and -, no effect.++ (in the TNF + SF column), a more marked response than observed witheither factor alone.

* Serial dilution scatter assays were performed as described in "Materials andMethods." Cells which did not form cohesive colonies were not évaluablein the

scatter assay. Concentration ranges studied were O.I to 200 ng/ml of TNF and0.1 to 200 units/ml (-0.02 to 40 ng/ml) of SF.

c Combinations of TNF + SF were studied using a single saturating concentra

tion of TNF (10 ng/ml) and of SF (20 units/ml). Mouse SF was used for rodentcell lines (H56 and C2); human SF was used for MDCK and human lines.

* NE. not évaluable.

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TNF STIMULATION OF EPITHELIAL TUMOR CELL MOTILITY

<Wa *^m C

D

Fig. 1. Scatter assays. One-day-old colonies of target cells were incubated in DMEM containing 5% fetal calf serum with or without factors for t = 20 h at 37°C.

Cells were stained with crystal violet and photographed (x 117).

FactorFactorNone

TNF 10 ng/mlSF 20 units/mlMDCKA

DGCell

linesYaOvBix2NMAB

EHMCF-7CF1

MDCK cells were scattered by SF but not by TNF, YaOvBix2NMA cells were scattered by both cytokines. and MCF-7 cells were scattered by TNF but not by SF.

tative studies involving TNF and SF. We assayed combinationsof saturating concentrations of TNF plus SF in four cell linessensitive to both factors (YaOvBixl, YaOvBix2NMA, Ya-OvBix2NMB, and FaDu) (Table 4). The cytokine concentrations studied (50 units/ml of SF and 10 to 20 ng/ml of TNF)had been found previously to give maximal migration responsesin all four lines. The combination of TNF plus SF producedsignificantly more migration than either factor alone, suggesting that the metabolic pathways stimulated by these two cytokines are not identical. To verify that motility stimulated byTNF preparations was due to TNF and not to a contaminant,we used bead assays to determine the effect of anti-TNF neutralizing MAb on TNF-stimulated migration in three cell lines(FaDu, YaOvBix2NMA, and A253). For FaDu, migration values (percentage of control) at 0, 10, 20, and 50 ng/ml of TNFwere 100 ±8, 393 ±44, 437 ±37, and 464 ±49, respectively,without MAb, and 113 ±10, 70 ±7, 119 ±16, and 109 ±46with MAb (0.22 ^g/ml of IgGl). For YaOvBix2NMA, migration values at 0, 10, and 20 ng/ml of TNF were 100 ±6, 272±13, and 263 ±11, respectively, without MAb, and 101 ±9,100 ±12, and 122 ±4, respectively, with MAb (2.2 ^g/ml of

immunoglobulin Gl). Statistical comparisons of migrationwithout versus with MAb yielded P values of >0.2 (0 TNF) and<0.05 (10, 20, or 50 ng/ml of TNF) using two-tailed t tests.Similar results were obtained using A253 cells. MAb (2.2 /ig/ml of IgGl) had no effect on SF-stimulated migration of FaDucells (P > 0.2). In the presence of TNF plus SF, MAb reducedmigration to levels similar to those observed with SF alone.

Cell Proliferation Assays. We evaluated the effects of TNFon proliferation in nine cell lines whose motility was stimulatedin at least one of the two migration assays. Complete curves ofcell count versus time of exposure to TNF for four cell lines(MDCK, YaOvBix2NMA, FaDu, and A253) are provided inFig. 2, / to L, respectively. As compared with controls, TNF(1, 10, or 20 ng/ml) had little or no effect on cell counts after4 to 6 days of exposure in three lines (YaOvBixl, YaOv-Bix2NMA, and YaOvBix2NMB). TNF caused mild to moderate inhibition of growth in four lines (FaDu, A253, A431, andCE48). Cells continued to proliferate, but counts were reducedby 0 to 17%, 7 to 36%, and 33 to 44% relative to controls at 1,10, and 20 ng/ml of TNF, respectively, after 4 to 6 days.Cytotoxicity was observed in two lines (MDCK and MCF-7);

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TNF STIMULATION OF EPITHELIAL TUMOR CELL MOTILITV

Table 3 Responses of various epithelial cell lines to TNF or SF in scatter and quantitative cell migration (microcarrier bead. Hoyden chamber) assaysAssays are described in "Materials and Methods." Mouse SF was used for H56 and C2 assays. Human SF was used for all other assays.

No. of migrated cells/10 fields"

CelllineMDCKYaOvBixlYaOvBix2NMAYaOvBix2NMBYaOvBix3MCF-7FaDuA253A431CE48Calu-1BT-20H56C2Control115727917415557131736374412329'1092013612433231Microcarrier

beadassayTNF

(20ng/ml)116±

11213±30"279

±39"384±61"222

±13"-'141±15"55

±4"39±4"53±8"''45

±964±4"-'12±339

±66±1SF

(50 units/ml)307

±29"162±12"260

±21"300±12"348±43"56

±8"59±4"38

±3"98±9"39±866±827

±4"104±4"28

±3"Control60

12106716

1268314411821210

42IO±19193

±1419±4527±3143±4NT'97

±21Chemotaxis

assay*TNF

(10ng/ml)372

±82"2361005412092125458643333146885518"16"27"18"31"87"82"37"41"27"''3NT242

±14"SF

(50 units/ml)462

±35"441±60"985±45"550±6"861±56"69

±8931±144"1204+

135"807±79"770±90"876±74"221±7"NT2265

±62"

" Migration with TNF or SF was compared with control using two-tailed / tests.* Boyden chambers were incubated for t = 18 h for all lines except YaOvBixl and YaOvBix2NMB (f = 4 h). Assay medium was DMEM + 2.5 mg/ml of bovine

serum albumin for all lines except YaOvBix2NMA. YaOvBix3. and MCF-7. which were assayed in DMEM + 5% fetal calf serum.' Mean ±SEM (>3 replicate assays).4 Comparisons for which P < 0.05.' For YaOvBix3, migration values at 50 and 100 ng/ml of TNF were 239 ±35 and 283 ±29 cells/10 fields, respectively; for A431 and Calu-1. maximum migration

values in bead assay were observed at 50 ng/ml of TNF: 57 ±3 and 74 ±9. respectively: for Calu-1, maximum migration in the chemotaxis assay occurred at 5 ng/ml of TNF: 816 ±43.

1 NT. not tested.

cell counts in these lines were reduced by more than 90% at 10to 20 ng/ml of TNF after 4 to 6 days. In the latter two lines,significant reduction in cell number relative to control required>2 days of exposure (Fig. 21), while motility stimulation occurred in <24 h. TNF also inhibited growth significantly in acell line whose motility was not affected (BT-20). Thus, TNFsantiproliferative activity did not appear to correlate with itsmotility-stimulating activity.

Effect of Other Cytokines and of Phorbol Esters in Scatterand Migration Assays. We examined the effects of basic FGF(1 to 100 ng/ml), IL-6 (4 to 200 ng/ml), IL-2 (1 to 100 ng/ml),and CSF-1 (4 to 200 ng/ml) in scatter and microcarrier beadmigration assays using MDCK and 11 lines of carcinoma cells.These four factors exhibited little or no motility-stimulatingactivity, nor did they potentiate SF-induced motility (data notshown). However, PMA, a tumor-promoting phorbol esterwhich activates and subsequently down-modulates PKC (23,24), scattered and stimulated migration of all 12 cell lines tested(see Table 5). Maximal responses to PMA were usually observed at concentrations of 5 to 10 ng/ml. PMA-stimulatedmigration was usually greater than TNF- or SF-stimulatedmigration. Combinations of saturating concentrations of (TNFplus PMA) or (SF plus PMA) usually induced more migrationthan did any agent alone (Table 5). Thus, for YaOvBix2NMBand FaDu, lines which respond to both TNF and SF, a combination of PMA plus TNF or PMA plus SF produced moremigration than PMA, TNF, or SF alone. For FaDu cells, acombination of TNF and PMA produced a 30-fold increase inmigration relative to 0 agent control. For MCF-7, a line whichresponds to TNF but not to SF, PMA plus TNF induced moremigration than either PMA or TNF alone, but PMA plus SFinduced similar migration to PMA alone. These findings suggest that PMA, TNF, and SF stimulate carcinoma cell motilityby mechanisms which are not identical.

Chemoinvasion Assays. We determined the effect of TNF oninvasion through a matrix of reconstituted basement membranein three tumor cell lines (FaDu, A253, and C2) (Fig. 3). TNFmarkedly stimulated invasion of FaDu and C2 cells at concentrations of 10 to 100 ng/ml but caused only a modest increase

(~50%) in A253 invasion. The modest increase in A253 invasion induced by TNF may be explained by the high basal rateof invasion in this cell line. SF (75 units/ml) induced a similarincrease in FaDu invasion to that induced by TNF (100 ng/ml). We have observed that SF stimulates invasion of a varietyof cell types (data not shown).

DISCUSSION

These studies indicate that TNF stimulates motility of avariety of human epithelial tumor cell types in four in vitroassay systems (scattering, migration of cells from microcarrierbeads to flat surfaces, chemotaxis, and invasion). The sets ofresponding cell lines and the dose-response relations variedsomewhat from one assay system to another. This may reflectdifferent aspects of motility measured in each type of assay.There was no correlation between the motility-stimulating andgrowth-inhibiting actions of TNF. TNF binds to a cell surfacereceptor with an extracellular domain similar to that of nervegrowth factor (25, 26). Our findings suggest that the postrecep-tor signalling systems involved in motility enhancement andgrowth inhibition differ. However, the possibility of a secondTNF receptor which selectively mediates motility cannot beruled out. Like TNF, scatter factor also stimulates motility ofnumerous carcinoma cell lines. However, several findings suggest that TNF and SF act differently: (a) the sets of cell linessensitive to each factor are not identical; (b) SF is not knownto exhibit antiproliferative activity; (c) a combination of saturating concentrations of TNF plus SF induces additive cellmigration; and (d) anti-TNF antibody blocks TNF- but not SF-stimulated cell migration. A cell surface receptor for HGF, abroad-spectrum mitogen for various normal tissue cell types(27-29), was recently identified as the c-met protooncogeneprotein product (30). Since SFs are very closely related to oridentical to HGFs (12, 14, 15), the c-met product may functionas a receptor for SF.

Other cytokines have been reported to scatter carcinoma cells.Acidic FGF scatters colonies of NBT-II rat bladder carcinomacells (31). IL-6, a cytokine associated with the tissue responseto injury, scatters and stimulates motility of two human breast

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o03

LUO

TNF STIMULATION OF EPITHELIAL TUMOR CELL MOTILITY

SCATTER FACTOR (units per ml) (• •¿�

0 1 10 100 0 1 10 100 0 1 10 100 0 1 10 100

A.. I J L

G

lililí

H

lililí

1200

1000

800

600

400

200

O

O .01 .1 1 10 100 O 0.01 .1 1 10 100 O .01 .1 1 10 100 O .01 .1 1 10 100

TNF(ngperml) (o o)

10'

I I I I I lililí 1 1 I I 1

7 1 7 1

TIME (days)Fig. 2. Assays of cell migration and proliferation. .4 to // show effects of TNF (O) or SF (•)on migration in microcarrier bead (.4 to D) and chemotaxis (E to //)

assays. (The arrows in E to H refer to the migration scale for the chemotaxis assays. Arrows pointing left represent the 0 to 500 cells/10-grid ordinale: arrows pointingright represent the 0 to 1200 cells/10-grid ordinate.) I to L show the effects of TNF on proliferation [0 (O). 1 ng/ml (A), 10 ng/ml (D), and 20 ng/ml (V)). Data arepresented for MDCK (A, E, /), YaOvBix2NMA (B, F. J), FaDu (C. G. A'), and A253 (D. H, L) cells. Assays are described in "Materials and Methods." Points, mean;

bars, SEM, of triplicate assays. For proliferation assays, SEMs were less than 15% of the mean.

carcinoma cell lines (32). We reported that acidic FGF did notscatter MDCK, A253, or FaDu cells (33). In this study, basicFGF, IL-6, IL-2, and CSF-1 showed little or no scatter ormigration-stimulating activity. Thus, TNF and SF may exhibita broader spectrum of epithelial motility-stimulating activitythan acidic FGF or IL-6.

The tumor-promoting phorbol ester PMA exhibited epithelial cell motility-stimulating activity qualitatively similar to thatof the cytokines TNF and SF. However, PMA-stimulated migration was usually greater than cytokine-stimulated migration,and, in contrast to TNF and SF, every cell line studied wassensitive to PMA. Treatment of DMJ-1 human epidermoidcarcinoma cells with PMA for 24 h induced down-modulationof PKC, disruption of intercellular junctions, and fibroblasticmorphological changes (34). We reported that both PMA andprotein kinase inhibitors (e.g., staurosporine, H-7, 7,8-dihy-

droxychlorpromazine) potentiated scattering and migration ofMDCK cells (35). PKC depletion by a 48-h preincubation witha high concentration of PMA also enhanced SF-induced scattering (35). These findings suggest that the enhanced motilityof PMA-treated epithelial cells may be related to down-modulation of PKC. A combination of saturating concentrations of(PMA plus TNF) or of (PMA plus SF) usually produced greaterstimulation of migration than did each agent individually, suggesting that the biochemical pathways activated by the cytokinesare not identical to those activated by PMA. Thus, tumor cellmotility may be mediated by a multiplicity of pathways.

The finding that TNF stimulates motility of some tumor celllines without producing cytotoxicity suggests that TNF mayenhance invasiveness of some tumors. TNF stimulated in vitroinvasion of several carcinoma lines through reconstituted basement membrane (Fig. 3). Administration of TNF i.p. to nude

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TNF STIMULATION OF EPITHELIAL TUMOR CELL MOTILITV

Table 4 Effect of a combination ofSF + TNF on migration of human carcinoma cells using the microcarrier bead assayMigration (% of 0 agent controlvalue)"Cell

lineYaOvBixl

(Experiment 1)YaOvBixl (Experiment2)YaOvBix2NMA

(Experiment 1)YaOvBix2NMA (Experiment2)YaOvBix2NMB

YaOvBix2NMBFaDu

(Experiment 1)FaDu (Experiment 2)Control100

±14C

100 ±12100

±11100 ±12100

±11100 ±11100

±8100 ±16SF

alone (50units/ml)225

±17332 ±35329

±26381±27221

±33221±33468

±34332±71TNF

alone (10or 20ng/ml)296

±41''271 ±26'353

±49*276±13'172

±1"207 ±9'399

±W364±24'SF

+TNF*463

±33649 ±85892

±25643 ±19318±

17329 ±14873

±1271281 ±127

* Assays were performed as described in "Materials and Methods."* Statistical comparisons of SF + TNF versus the larger of SF alone or TNF alone (two-tailed I test): YaOvBixl, P = 0.019, P = 0.029; YaOvBix2NMA, P <

0.001, P< 0.001; YaOvBix2NMB, P = 0.062. P = 0.043; FaDu, P = 0.04. P < 0.001.' Mean ±SEM (»3replicate assays).d TNF concentration. 10 ng/ml.' TNF concentration. 20 ng/ml.

Table 5 Effects ofphorbol ester on basal and cytokine-stimulated migration inthree human carcinoma cell lines

Migration was measured using microcarrier bead assays, as described in"Materials and Methods."

Agent(s)[concentration(s))Control

(0)PMA alone( 10 ng/ml)TNF-ir alone (20 ng/ml)SF alone (50 units/ml)PMA(10) + TNF-«(20)PMA(10) + SF(50)TNF-n (20) + SF (50)No.

of migrated cells/ 10fieldsYaOvBix2NMB96

±4°(15)*558 ±38 (3)c239 ±16(6)f224 ±14(3)c902 ±106(3)c666 ±6 (3)c291 ±4(3)'MCF-770

±10(15)204 ±11 (3)r143 ±15(18)f

48 ±8 (if381 ±43(3)c

202 ±45 (if122 ±15 (ifFaDu21

±2(6)347 ±18(4)''68 ±2 (4)c91 ±9(4)c

633 + 61 (6)c524 ±47 (6)c182 ±16(6)c

' Mean ±SEM.* Numbers in parentheses, number of replicate assays.' Statistical comparisons. Data were compared using two-tailed t tests. Values

for individual agents were compared with control (0 agent). Values for combinations of agents were compared with the larger of the two individual agent values.Comparisons for which P < 0.05.

d P > 0.2.' Comparisons for which 0.05 < P < 0.1.

ponents which must be degraded to allow penetration by tumorcells (e.g., types IV and V collagens, laminin, fibronectin, andvarious proteoglycans and glycoproteins). Plasminogen activators convert the latent proenzyme plasminogen into plasmin, abroad-spectrum serine protease that degrades various components of basement membrane and activates procollagenases andprostromelysins (38). In preliminary studies, both SF and TNFmarkedly enhanced tumor cell expression of plasminogen activators.4 Taken together, these considerations suggest that pro

duction of TNF by tumor cells or by host immune cells maycontribute to tumor metastasis.

Epithelial cells often exhibit a low degree of basal motility,suggesting roles for normal-tissue-derived cytokines such asTNF and SF in promoting invasion of tumor cells acrossbasement membrane or in stimulating epithelial migration during wound healing. In this regard, TNF and SF may act cooperatively to produce a greater effect.

100100AT1i

O i 0.1 1 10 100 i SF

TNF (ng/ml)

HODBOOJOO200BTi:0

0 20100TNF

(ng/ml)

I

O 100TNF (ng/ml)

Fig. 3. Effect of TNF on invasiveness of tumor cells. Chemoinvasion assayswere performed as described in "Materials and Methods." Data are shown for

FaDu human squamous carcinoma cells (A), A253 human squamous carcinomacells (B). and C2 rat hepatoma cells (C). Columns, mean for 3 to 5 replicateassays; bars, SEM. Statistical comparisons of stimulated versus control invasionwere made using two-tailed t tests. Comparisons were significant (P < 0.05) forFaDu (10 and 100 ng/ml of TNF, 75 units/ml of SF) and C2 (100 ng/ml ofTNF). For A253. P values were 0.075 and 0.085, respectively, at 20 and 100 ng/ml of TNF.

mice bearing a human ovarian carcinoma xenograft led toadhesion and invasion of the peritoneum and various abdominalorgans by tumor cells (36). Chinese hamster ovary cells trans-fected with the TNF gene showed increased ability to invadeperitoneal and liver surfaces and to metastasize to lung relativeto Chinese hamster ovary cells treated with transfection vectoronly (37). The basement membrane contains a variety of com-

ACKNOWLEDGMENTS

Basic FGF was provided by Dr. Ruth Halaban, Department ofDermatology, Yale University School of Medicine. TNF, anti-TNFmonoclonal antibody, IL-2, and IL-6 were provided to E. M. R. by theCetus Corporation. CSF-1 was provided to B. M. K. by the GeneticsInstitute.

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1991;51:5315-5321. Cancer Res   Eliot M. Rosen, Itzhak D. Goldberg, David Liu, et al.   Tumor Necrosis Factor Stimulates Epithelial Tumor Cell Motility

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