ABSTRACT
Testicular dysgenesis syndrome refers to a collection of diseases in men, including testicular cancer, that arise as a result of abnormal testicular development. Phthalates are a class of chemicals used widely in the production of plastic products and other consumer goods. Unfortunately, phthalate exposure has been linked to reproductive dysfunction and has been shown to adversely affect normal germ cell development. In this study, we show that mono-(2-ethylhexyl) phthalate (MEHP) induces matrix metalloproteinase 2 (MMP2) expression in testicular embryonal carcinoma NT2/D1 cells but has no significant effect on MMP9 expression. NT2/D1 cells also have higher levels of MYC expression following MEHP treatment. It is widely recognized that activation of MMP2 and MYC is tightly associated with tumor metastasis and tumor progression. Gelatin zymographic analysis indicates that MEHP strongly activates MMP2 in NT2/D1 cells. Addition of the MMP2-specific inhibitor SB-3CT inhibited MEHP-enhanced cell invasion and migration, demonstrating that MMP2 plays a functional role in promoting testicular embryonal carcinoma progression in response to MEHP exposure. Furthermore, we investigated genome-wide gene expression profiles of NT2/D1 cells following MEHP exposure at 0, 3, and 24 h. Microarray analysis and semiquantitative RT-PCR revealed that MEHP exposure primarily influenced genes in cell adhesion and transcription in NT2/D1 cells. Gap junction protein-alpha 1, vinculin, and inhibitor of DNA-binding protein-1 were significantly down-regulated by MEHP treatment, while claudin-6 and beta 1-catenin expression levels were up-regulated. This study provides insight into mechanisms that may account for modulating testicular cancer progression following phthalate exposure.
Keywords: embryonal carcinoma, invasion, MEHP, migration, MMP2, testis
MEHP, a phthalate metabolite found widely in the environment, promotes tumor metastasis and progression via the activation of MMP2 and dysregulation of cell adhesion molecules in testicular embryonal carcinoma cells.
INTRODUCTION
Testicular cancer is most prevalent in young adult men ages 15–40 yr and is approximately 5 times more common in Caucasians than in other races [1]. This disease has been reported to be correlated with other common testicular disorders that likely arise from shared mechanisms, such as poor semen quality and reduced sperm numbers, cryptorchidism, and hypospadias [2]. The incidence of these diseases has dramatically increased over only the last 50 yr, and it has been hypothesized that environmental influences rather than genetic defects account for this increase [2–7]. Together, these diseases are suggested to comprise testicular dysgenesis syndrome (TDS). Therefore, gaining insights into the mechanisms that underlie testicular cancer development and testicular tumor progression induced by environmental toxicants may also provide an understanding of the etiology of other testicular diseases.
Phthalates are synthetic chemicals that are widely used as plasticizers in order to provide flexibility in plastics [8, 9]. Phthalates are not covalently bound to plastic products and therefore can easily leach into the environment. Human populations can be exposed to phthalates through direct contact or general environmental contamination [10]. Phthalate exposure has been linked to reproductive dysfunction and may affect human health [11, 12]. Although it has been shown that phthalates induce hepatotoxicity and cause hepatocellular tumorigenesis through several mechanisms [13–15], little is known about the incidence of testicular cancer initiation and the mechanism(s) that accounts for tumor progression triggered by environmental stimuli. We previously discovered that mono-(2-ethylhexyl) phthalate (MEHP), the active metabolite of di(2-ehtylhexyl)phthalate (DE-HP), induces the activation of matrix metalloproteinase 2 (MMP2) in the seminiferous tubule [16], leading to impaired spermatogenesis. The ratio between MMP2 and its endogenous inhibitor, tissue inhibitor of matrix metalloproteinase 2 (TIMP2), is critical for maintaining normal germ cell development [16, 17] and also influencing the tumor metastasis in different types of tumors [18, 19]. Interestingly, it has been shown that the serum level of MMP2 is increased in patients with a diagnosis of testicular germ cell tumors [20]. It has been shown that in utero exposure to dibutyl phthalate (DBP) in rats has pathologic conditions similar to those in human TDS, such as cryptorchidism, hypospadias, infertility, reduced spermatogenesis, and multinucleated gonocytes [21, 22]. MEHP exposure also results in a decrease in testosterone levels and insulin-like factor 3 expression, which are directly associated with clinical features of TDS [23, 24]. These findings led us to test whether MEHP-activated MMP2 in the testis plays a role in regulating testicular cancer metastasis. We had also previously shown that MEHP-induced MYC expression is partially responsible for the down-regulation of TIMP2 in the testis [25]. It has been widely appreciated that MYC functions as a switch in tumor promotion by regulating proliferation or tumor suppression by modulating apoptosis [26]. Therefore, the study of the functional significance of MYC in testicular cancer progression in response to phthalate is of interests.
In this study, we investigated the effects of MEHP on stimulation of cell invasion and migration in testicular embryonal carcinoma cells. One mechanism that may account for the increase in invasion and migration following MEHP exposure is activation of MMP2. Microarray analysis demonstrated that cell adhesion molecules and transcription factors may also be responsible for tumor progression in the testis after MEHP exposure.
MATERIALS AND METHODS
Cell Line
The human testicular embryonal carcinoma cell line NTERA-2 cl. D1 (NT2/D1) was purchased from American Type Culture Collection (ATCC, Manassas, VA) and cultured in Dulbecco modified Eagle medium (ATCC) supplemented with 10% fetal bovine serum and 1% penicillin-streptomycin (all from Invitrogen, Carlsbad, CA) at 37°C in 5% CO2.
MEHP Treatment
NT2/D1 cells were treated with designated concentrations of MEHP (Wako Chemicals USA, Inc., Richmond, VA) diluted in dimethyl sulfoxide (DMSO) for various time periods. Cells treated with DMSO were used as control groups.
Western Blot Analysis
Total cellular proteins were extracted from NT2/D1 cells treated with MEHP or DMSO. Protein concentrations in samples were determined by Lowry protein assay using DC protein assay kit (Bio-Rad, Hercules, CA). Proteins (30 μg) were loaded into 4%–12% bis-Tris gradient gel (Novex, Invitrogen), separated at 150 V for 1 h and transferred to polyvinylidene fluoride membrane (Invitrogen) with NuPage transfer buffer (Invitrogen). Membranes were incubated with blocking buffer (5% skim milk in Tris-buffered saline plus Tween-20 [TBST]) at room temperature for 30 min and washed in TBST buffer (20 mM Tris-HCl, pH7.5, 150 mM NaCl, 0.1% Tween-20). Membranes were then incubated with primary antibodies against MYC, MMP2, MMP9 (1:1000 dilution; Abcam Inc., Cambridge, MA) and beta-actin (ACTB; 1:500 dilution; Santa Cruz Biotechnology Inc., Santa Cruz, CA) at 4°C overnight, after being washed twice with TBST buffer at room temperature for 10 min each and incubated with horseradish peroxidase-conjugated secondary antibodies (1:5000 dilution; Santa Cruz Biotechnology Inc.) at room temperature for 2 h. ECL substrate (Amersham Bioscience, Piscataway, NJ) was used as the detection reagent, and ACTB was used as a loading control. Images of Western blots were captured with a Kodak Gel Logic 100 imaging system (Kodak, Rochester, NY). Densitometry for bands on Western blots was determined by ImageJ software (National Institute of Mental Health, Bethesda, MD). The relative expression level of each protein was normalized by the value of ACTB expression.
Gelatin Zymography
MMP2 and MMP9 gelatinolytic activities in medium derived from NT2/D1 cells were assayed by gelatin zymography with minor modifications [16]. Briefly, 12 h after MEHP (200 μM) was added to 2 × 106 NT2/D1 cells, samples of conditioned medium were collected and directly applied to a 10% Zymogram gel (Invitrogen). After electrophoresis, the gels were washed twice for 15 min with 2.5% Triton X-100 in 50 mM Tris-HCl (pH 7.5) to remove the SDS and restore the enzyme activity and then incubated in developing buffer (50 mM Tris-HCl, pH 7.5, 200 mM NaCl, 10 mM CaCl2 and 0.02% sodium azide) overnight at 37°C. Gels were then stained with 30% methanol/10% acetic acid containing 0.5% (w/v) Coomassie Brilliant Blue R-250 for 30 min and destained in the same solution without dye. Clear bands shown on the blue background indicate enzyme activity.
Measurement of Soluble MMP2 Levels
NT2/D1 cells (2 × 106) were exposed to MEHP for various time periods. Culture medium samples were collected and centrifuged to remove cellular debris. The supernatant was rapidly frozen at −80°C until assayed for MMP2 by ELISA (R&D Systems, Inc.) following the manufacturer's protocol. The number of cells was counted to normalize the protein expression found by ELISA. According to the manufacturer's specifications, the limit of soluble MMP2 assay sensitivity was 0.165 ng/ml. Inter- and intra-assay precision coefficients of variation were 12.65% and 6.33%, respectively.
Invasion Assay
The in vitro invasion assay was performed using Transwell chambers with 8-μm-pore polycarbonate filters (Costar, Cambridge, MA) as previously described [27]. Transwell membranes were coated with Matrigel diluted in serum-free medium (1:3 dilution; BD Biosciences, San Diego, CA). Nontreated or MEHP-treated NT2/D1 (1 × 105) cells were seeded on Matrigel and incubated at 37°C for 18 h. Membranes coated with Matrigel were wiped with cotton swabs, fixed with methanol, and stained with 20% Giemsa solution (Sigma, St. Louis, MO). Cells attached to the lower surface of the filters were then counted using light microscopy (at 200× magnification) and photographed with a Canon 5D digital camera attached to the microscope.
Migration Assay
Cell migration was estimated by wound-healing test in NT2/D1 cells. Nontreated or MEHP-treated NT2/D1 (5 × 105) cells were seeded into 6-cm culture plates and grown to almost confluent cell monolayer. A pipette tip was used to scratch the cell monolayer to generate the cell-free zone in the middle of culture plates. Cell debris was removed by washing with PBS. Cells were then incubated at 37°C for up to 36 h. The number of cells that migrated to the cell-free zone was counted under light microscopy (200× magnification) and photographed with a Canon 5D digital camera attached to the microscope.
Gelatinase Inhibitor SB-3CT Treatment In Vitro
It has been shown that SB-3CT is able to inhibit the activity of endogenous gelatinases, including MMP2 [28]. NT2/D1 (5 × 105) cells were treated with 10 μM SB-3CT (Chemicon, Temecula, CA) in the presence of MEHP (200 μM) for 12 h. Treated cells were then used for invasion and migration assays.
Microarray and Data Analysis
Microarray analysis was performed using human whole-genome OneArray version 5 (Phalanx Biotech Group, Belmont, CA), carrying 29 187 human genome probes and 1088 experimental control probes. Total RNA from NT2/D1 cells treated with MEHP for 0, 3, and 24 h was isolated using Qiagen RNeasy kit (Qiagen, Valencia, CA). Array hybridization, image processing, signal intensity acquisition, and data normalization were performed by Phalanx Biotech Service Group. Three experimental sets were independently harvested and analyzed. Normalized values for each data point were averaged using these three biological replicates, and the fold change for individual gene expression levels among three time points was determined. Significant difference in expression level was defined as a P value of <0.05, and genes with a value greater than 2-fold change were selected by Cluster software (Stanford University and Massachusetts Institute of Technology). Selected genes were grouped according to their biological function and clustered using a hierarchical cluster method (TreeView, Stanford University and Massachusetts Institute of Technology).
Semi-Quantitative RT-PCR
To confirm the results derived from microarray analysis, we randomly selected 11 differentially expressed genes from the cluster analysis and measured their mRNA levels using semiquantitative RT-PCR. First-strand cDNA was prepared using 5 μg of total RNA with Superscript II reverse transcriptase and oligo(dT) primer (all Invitrogen). The primers used to amplify differentially expressed genes are listed in Table 1. Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) expression was quantified as an internal control. PCR assay was performed using 28 cycles of 92°C for 30 sec, 54°C for 1 min, and 72°C for 30 sec, followed by 72°C for 5 min with 1 unit of Taq DNA polymerase. PCR products were separated on a 1.5% agarose gel, and images were captured with a Kodak Gel Logic 100 imaging system. Densitometry for bands on PCR products was determined using ImageJ software. The relative expression level of each gene was normalized according to the value for GAPDH.
TABLE 1. .
Nucleotide sequences of RT-PCR primers designed to generate MEHP-regulated genes.

F, forward; R, reverse.
Statistical Analysis
All experiments were performed in triplicate and repeated using three independent sets of cell preparations. Data were subjected to Student t-test or a parametric one-way ANOVA followed by the Tukey test for post hoc comparisons. Statistical significance was considered to be achieved when P was <0.05.
RESULTS
MEHP Treatment Up-Regulates MMP2 Expression and Activity in NT2/D1 Cells
Changes in expression levels and activities of both MMP2 and MMP9 in response to MEHP exposure were determined by several approaches. The MMP2 protein level in NT2/D1 cells was significantly increased at 3 h after MEHP exposure and then remained steady until 24 h of incubation (2.53-fold compared to that of the nontreated group) (Fig. 1A, left panel). Lower doses of MEHP treatment showed no significant effects on MMP2 expression, while 200 μM MEHP strongly induced MMP2 protein levels after 12 h of incubation (2.38-fold compared to that of nontreated group) (Fig. 1A, right panel). No significant change in MMP9 expression was observed after MEHP exposure. The amount of soluble MMP2 secreted from NT2/D1 cells was measured by ELISA. Figure 1B shows the time-dependent increase in soluble MMP2 level after MEHP exposure (4.23 ± 0.02 ng/ml at 0 h; 18.87 ± 1.06 ng/ml at 24 h of incubation). Higher doses of MEHP treatment were found to stimulate a significant production of soluble MMP2 (3.25 ± 0.17 ng/ml at 0 μM; 13.41 ± 2.32 ng/ml at 200 μM) (Fig. 1B), even though soluble MMP2 production was decreased at a dose of 400 μM (7.48 ± 0.11 ng/ml). The activities of MMP2 and MMP9 in vitro, as determined by gelatin zymography (Fig. 1C), indicated that MMP2 was time- and dose-dependently activated by MEHP treatment. MMP9 level was relatively low compared to that of MMP2 and was slightly increased by MEHP exposure, suggesting that MEHP exposure has a major effect on MMP2 activity but not on MMP9.
FIG. 1. .
MMP2 protein expression and activity in NT2/D1 cells are increased by MEHP exposure. A) Total protein from NT2/D1 cells treated with or without MEHP were analyzed by Western blot analysis. Time- and dose-dependent induction of MMP2 were detected following MEHP exposure (left and right panel, respectively). However, MMP9 expression was not altered by MEHP treatment. ACTB serves as the loading control. The quantified relative protein levels of MMP2 and MMP9 are shown under the blot images. Values are means ± SEM. Asterisks denote significant differences between the treated and control groups (n = 9; *P < 0.05; Student t-test). B) The amount of soluble MMP2 released from NT2/D1 cells was measured by ELISA. Time- and dose-dependent inductions of soluble MMP2 were detected in response to MEHP exposure (upper and lower panels, respectively). Values are means ± SEM. Asterisks denote significant differences between the treatment and control groups (n = 9; *P < 0.05; **P < 0.01; Student t-test). C) Gelatinolytic activities of MMP2 and MMP9 in medium were determined by gelatin zymography. Clear bands the blue background indicate enzyme activity. MEHP treatment caused an increase in MMP2 activity in a time- and dose-dependent manner. MMP9 activity was relatively weaker than that of MMP2, while it was increased by MEHP exposure as well.
MEHP Induces MYC Expression in NT2/D1 Cells
Western blot analysis of MYC protein in NT2/D1 cells showed that its expression was up-regulated shortly after treatment with 200 μM MEHP (1.52-fold compared to that in the nontreated group), decreased at 3 h, and then increased after 12 h of incubation (Fig. 1A, left panel). In addition, MEHP treatment significantly enhanced MYC levels as concentration increased (3.22-fold at 200 μM compared to that in the nontreated group) (Fig. 1A, right panel), indicating that the induction of MYC by MEHP exposure is dose-dependent.
SB-3CT Suppressed MEHP-Induced MMP2 Activation in NT2/D1 Cells
The specific gelatinase inhibitor SB-3CT and MEHP were applied to NT2/D1 cells. After 12 h of incubation, samples of conditioned medium were collected, and MMP2 activity was further analyzed. ELISA results indicated that a low dose of SB-3CT treatment (5 μM) significantly reduced the amount of soluble MMP2 compared to that of MEHP treatment alone (10.27 ± 1.73 ng/ml compared to control group 4.79 ± 0.02 ng/ml, respectively) (Fig. 2A). Figure 2B shows that MMP2 gelatinase activity was enhanced by MEHP but decreased dose-dependently when SB-3CT was added.
FIG. 2. .

SB-3CT inhibited MEHP-induced MMP2 activation in NT2/D1 cells. NT2/D1 cells were treated with various doses of SB-3CT and 200 μM of MEHP for 12 h, and conditioned medium was collected. A) The amount of soluble MMP2 released from NT2/D1 cells was measured by ELISA. SB-3CT treatment slightly decreased the amount of free MMP2. Values are means ± SEM. Asterisks denote significant differences between the treatment and control groups (n = 9; *P < 0.05; **P < 0.01; Student t-test). B) Gelatinolytic activities of MMP2 and MMP9 in the medium were determined by gelatin zymography. MMP2 activity was reduced by SB-3CT and MEHP cotreatment compared to that with MEHP treatment only in a dose-dependent manner. No change in MMP9 activity was observed.
MEHP Exposure Promotes Invasive Activity and Migration Capability of NT2/D1 Cells
In order to estimate the effect of MEHP treatment on cell invasion, nontreated or MEHP-treated NT2/D1 cells were tested by Transwell invasion assay. Interestingly, after MEHP exposure, NT2/D1 cells had a more robust ability to digest and pass through Matrigel. Figure 3A shows that the number of invasive cells was significantly increased in the MEHP-treated group compared to that in the nontreated group (3.23-fold changes from 3.97 ± 1.04 to 12.83 ± 1.62 cells per view, respectively). In addition to accounting for cells' invasive ability, we also counted the number of cells that migrated into the cell-free zone. More cells are observed in the cell-free zone after MEHP treatment (1.59-fold at 36 h compared to that in the control group; actual cell numbers changed from 90.14 ± 14.50 to 143.33 ± 16.86 cells per view, respectively), indicating that MEHP facilitated the migration of NT2/D1 cells (Fig. 3B).
FIG. 3. .
That invasion and migration activities of NT2/D1 cells were enhanced by MEHP exposure and suppressed by SB-3CT shows the compensatory effect on MEHP treatment. A) In vitro invasion assays were performed using Transwell chambers coated with Matrigel. Nontreated, MEHP-treated, and SB-3CT/MEHP cotreated cells were seeded on Matrigel and incubated overnight. Invasive cells were stained with Giemsa solution. Cells attached to the lower surface of the filter were observed using light microscopy (original magnification, ×200). The quantified numbers of cells penetrating Matrigel were counted. Values are means ± SEM. Asterisks denote significant differences between the treatment and control groups (n = 9; **P < 0.01; Student t-test). B) Wound-healing migration assay was performed to determine the change in migration rate of NT2/D1 cells after MEHP treatment or SB-3CT/MEHP cotreatment. Cells were observed using a light microscope (original magnification, ×200). The number of cells migrating to the cell-free zone was evaluated. Values are means ± SEM. Asterisks denote significant differences between the treatment and control groups (n = 9; *P < 0.05; Student t-test).
SB-3CT Shows Inhibitory Effects on MEHP-Enhanced Invasion and Migration in NT2/D1 Cells
To determine whether the activated MMP2 was necessary for MEHP-enhanced cell invasion and migration, SB-3CT was applied to NT2/D1 cells in the presence of MEHP. The addition of SB-3CT and MEHP cotreatment suppressed the number of invasive cells (down to 0.68-fold compared to that of MEHP-treated groups; cell number changes from 12.83 ± 1.6 to 8.72 ± 2.33 per view) (Fig. 3A). SB-3CT treatment was also able to decrease the number of cells that migrated in the presence of MEHP (down to 0.81-fold compared to that of MEHP-treated group; actual cell numbers changed from 143.33 ± 16.86 to 116.10 ± 10.97 per view) (Fig. 3B). These results suggest that gelatinases play an essential role in testicular cancer invasion and migration, stimulated by MEHP exposure.
Microarray Analysis of Gene Expression in NT2/D1 Cells Following MEHP Exposure
Of nearly 30 000 putative probes, 1289 genes in the testicular embryonic carcinoma NT2/D1 cell line were significantly altered by MEHP exposure. Forty-five genes displayed more than 2-fold changes in mRNA levels following MEHP exposure (Fig. 4A) and were grouped into seven categories on the basis of their biological functions, including adhesion molecules, metabolism modifiers, transcription factors, translation components, cell-cycle regulators, signal transduction mediators, and miscellanea (Fig. 4B). Among these categories, the cell adhesion molecule (9 of 45 genes, 19%) appears to be the group most strongly altered in response to MEHP treatment. This group of genes includes pleckstrin homology domain containing family O member 1 (PLEKHO1), vinculin (VCL), gap junction protein alpha 1 (GJA1), WD repeat domain 1 (WDR1), leucine rich repeat containing 8 family member A (LRRC8A), N-cadherin (CDH2), claudin-6 (CLDN6), beta 1-catenin (CTNNB1), and MMP2. Seven genes (16%) were grouped as transcription factors, including inhibitor of DNA binding 1 (ID1), inhibitor of DNA binding 2 (ID2), inhibitor of DNA binding 3 (ID3), TEA domain family member 4 (TEAD4), polyhomeotic homolog 1 (PHC1), zinc finger protein 429 (ZHF429), and DNA damage-inducible transcript 3 (DDIT3). Seven genes (16%) were grouped as metabolism modifiers, including neurotensin (NTS), methionine adenosyltransferase II alpha (MAT2A), 3-hydroxy-3-methylglutaryl-CoA synthase 1 (HMGCS1), phosphoglucomutase 1 (PGM1), phosphoserine aminotransferase 1 (PSAT1), phosphatidylinositol-specific phospholipase C, X domain containing 1 (PLCXD1), and phosphoserine phosphatase (PSPH). Four genes (9%) are components of the translation process, including ribosomal protein L36a (RPL36A), methionyl-tRNA synthetase (MARS), NOP58 ribonucleoprotein homolog (NOP58), and eukaryotic translation initiation factor 4E binding protein 1 (EIF4EBP1). Seven genes (16%) are related to cell cycle, including cyclin D1 (CCND1), fibroblast growth factor receptor 3 (FGFR3), transmembrane protein 158 (TMEM158), growth differentiation factor 3 (GDF3), WEE1 homolog (WEE1), growth arrest and DNA damage-inducible beta (GADD45B), and sestrin 2 (SESN2). Six genes are involved in signal transduction, including LFNG O-fucosylpeptide 3-beta-N-acetylglucosaminyltransferase (LFNG), interleukin 17 receptor D (IL17RD), myosin light chain 12A (MYL12A), BMP and activin membrane-bound inhibitor homolog (BAMBI), perilipin 2 (PLIN2), and transgelin (TAGLN). The remaining five genes were grouped as miscellanea, including immunoglobulin superfamily, DCC subclass, member 3 (IGDCC3); and splicing factor proline/glutamine-rich (SFPQ), ribonucleotide reductase M2 (RRM2), solute carrier family 3 member 2 (SLC3A1), and TRK-fused gene (TFG).
FIG. 4. .
Microarray analysis of the gene expression profile in NT2/D1 cells treated or untreated with MEHP. Microarray analysis was performed using human whole-genome OneArray chips version 5 (Phalanx Biotech Group), carrying 29 187 human genome probes and 1088 experimental control probes. NT2/D1 cells were treated with MEHP for 0, 3, and 24 h. A) Forty-five genes differentially expressed (more than 2-fold) in response to MEHP exposure are identified, and their mRNA levels are shown as hierarchical clustering. Relative expression levels of these genes are color coded on the bottom. B) Forty-five differentially expressed genes were grouped into seven categories on the basis of biological functions. C) Semiquantitative RT-PCR was performed in order to confirm the results derived from the microarray analysis. Eleven randomly selected genes were assayed, and GAPDH expression serves as the control. Values means ± SEM. Significant difference among groups are denoted by bars with different letters (n = 9; *P < 0.05; ANOVA).
Semiquantitative RT-PCR was performed to verify mRNA expression of 11 MEHP-regulated genes (6 genes for down-regulation and 5 for up-regulation), which were randomly selected from microarray results, including NTS, ID1, VCL, GJA1, LFNG, IL17RD, CLDN6, CTNNB1, MARS, MMP2, and DDIT3 (Fig. 4C). Among adhesion molecules, semiquantitative RT-PCR confirmed the fact that GJA1 was significantly down-regulated by MEHP treatment (0.54-fold at 24 h compared with the 0-h group), while CLDN6 and CTNNB1 were up-regulated (2.77- and 1.38-fold at 24 h). RT-PCR confirmed the fact that VCL expression was reduced by MEHP at 3 h (0.79-fold), while no changes were observed at 24 h, which is not consistent with microarray data. Microarray analysis and RT-PCR data both revealed that MMP2 mRNA expression in NT2/D1 cells was significantly increased at 24 h after MEHP stimulation (2.87- and 1.61-fold, respectively). Even though RT-PCR showed that MMP2 level was strongly induced at 3 h of incubation, microarray analysis indicated that MMP2 levels were not induced at 3 h. Among transcription factors, RT-PCR results showed that ID1 and PHC were decreased after MEHP treatment (0.45- and 0.78-fold at 3 h), and DDIT3 was increased (1.81-fold at 3 h). However, NTS expression pattern was not consistent according to microarray and RT-PCR results. Down-regulation of LFNG and IL17RD expression were consistent in both microarray and RT-PCR data (down to 0.65- and 0.72-fold, respectively, at 24 h compared with 0-h group). Microarray results revealed that MARS mRNA level was elevated at 24 h after MEHP exposure, while RT-PCR data indicated that MEHP-induced MARS mRNA expression occurred as early as 3 h of exposure.
DISCUSSION
We previously identified several important molecular factors that are critical in controlling normal germ cell development, including MYC and MMP2, which are altered following phthalate exposure [16, 25] and have been shown to be tightly associated with tumor metastasis and tumor progression [29–31]. Because MYC controls cell proliferation, cell differentiation, and self-renewal [32, 33], up-regulation of MYC seen in testicular embryonal carcinoma following MEHP exposure may suggest that phthalates affect both normal cell differentiation and tumor cell development. Exposure to a high level of DE-HP results in liver lesions and an increased incidence of hepatocellular carcinoma in rodents [34, 35], and those studies also suggest that DE-HP is a potential tumor promoter but is not genotoxic. A recent study indicates that DBP exposure promoted the vulnerability of fetal germ cells and was possibly related to testicular germ cell tumor formation [36]. In addition, it has been suggested that DBP decreases the methylation of MYC gene in rat livers, resulting in the activation of the MYC gene [37]. Therefore, the effect of phthalate exposure on the regulation of testicular cancer progression and further investigation of epigenetic regulation of MYC pathway in the testis are of interests.
The tumor-promoting activity of phthalates has been reported in liver and breast cancer [38–40]. Matrigel invasion and wound-healing migration assays are well-developed methods used to observe the ability of tumor cells to metastasize and are strongly related to MMP2 and MMP9 activities [41–43]. In the current study, after MEHP exposure, testicular embryonal carcinoma NT2/D1 cells have the stronger ability to digest and pass through the Matrigel. In addition, our data show that MEHP promotes the migration of cancer cells. These results suggest that MEHP exposure may enhance the potential of testicular cancer cells to become more metastatic and malignant. It is then reasonable to conclude that the molecular mechanism that accounts for this alteration can be explained by the activation of MMP2. Using specific MMP2 inhibitor, SB-3CT, we were able to suppress endogenous MMP2 activity stimulated by MEHP, both in vitro and in vivo [16, 17]. We found that the addition of SB-3CT to NT2/D1 cells partially inhibited MEHP-induced invasion and migration. Therefore, MEHP-induced MMP2 activation appears to be important in regulating the metastatic status of testicular germ cell tumor.
In addition to analyzing MMP2 and MYC activation, we performed microarray analysis in order to examine the gene expression pattern altered by MEHP exposure on a genome-wide basis. Phthalate exposure has been demonstrated to impair junctional connections in the seminiferous tubule by altering junctional protein expression [17, 44]. Interestingly, MEHP influences primarily cell adhesion molecules and transcription factors, which are also closely related to tumorigenesis. Hence, we further investigated the functional significance of distinct genes in testicular cancers following toxicant exposure.
Gap junctional intercellular communication controls cell growth, development, and differentiation [45]. Inhibition of gap junctional communication has been proposed to be related to tumor promotion [46, 47]. The GJA1 gene encodes the connexin 43 (Cx43) protein, forming the main structure of the gap junction. Mutation or deficiency in the GJA1 gene leads to a variety of human diseases or disorders [48, 49]. Interestingly, it has been shown that the reduction of Cx43 enhances the invasion capacity of human glioblastoma cells [50]. In the mouse testis, a decrease in Cx43 protein level and the change in Cx43 localization have been observed after DE-HP exposure [44]. Similar results also demonstrate that DE-HP treatment inhibits gap junctional communication in vitro [51]. Our current results indicate that MEHP exposure leads to a decrease in GJA1 mRNA expression in NT2/D1 cells. The reduction of GJA1 expression following MEHP exposure may partially explain the mechanism of MEHP-enhanced invasion in NT2/D1 cells. On the other hand, although DE-HP-induced tumorigenesis in liver is strongly correlated with the inhibition of gap junctional communication in rodents, it appears that this phenomenon is species-specific [14, 52]. Therefore, the role of GJA1 suppression in human testicular cancer progression by phthalates remains an open question.
The vocal adhesion molecule VCL is important for maintaining the structure of adherens junction through interaction with actin filament and integrin [53, 54]. We previously showed that MEHP exposure breaks down laminin/integrin complex at the ectoplasmic specialization [17]. In this study, we further found that MEHP treatment reduces vinculin mRNA level in testicular cancer cells, suggesting that phthalate impairs primarily the junctional connection in the testis. Overexpression of VCL has been shown to suppress tumorigenesis [55]. Immunostaining results also demonstrated that vinculin expression is negatively correlated with the metastasis of squamous cell tumor [56], indicating that reduced cellular adhesion is strongly associated with the metastasis of malignant tumor. Therefore, MEHP-decreased VCL may be involved in regulating the invasive and migration ability of testicular cancer cells in parallel with the activation of MMP2.
CTNNB1, an oncogene, has been demonstrated to be involved in various biological processes, including cell adhesion, cell growth, and tumorigenesis. Accumulation of CTNNB1 in germ cell nuclei, associated with abnormal OCT3/4 expression, leads to the malignant transformation of seminoma [57]. Activation of CTNNB1 signaling may cause Sertoli cell tumor formation [58]. DE-HP induces the up-regulation of alpha-catenin and N-cadherin in rat testes [59]. Fetal exposure to DE-HP in mice causes the delay in liver development and the alteration of glycogen metabolism through the activation of WNT/CTNNB1 signaling [60]. Here we show that CTNNB1 mRNA level is up-regulated by MEHP in NT2/D1 cells, demonstrating that phthalate has the potential to promote tumor progression by up-regulation of oncogenes. In addition, MYC expression can be regulated by the WNT/CTNNB1/TCF signaling pathway, resulting in colorectal and skin carcinogenesis [61, 62]. Therefore, we speculate that MEHP-induced CTNNB1 up-regulation may play a role in modulating the differentiation status of testicular cells by influencing MYC expression.
CLDN6, belonging to claudin superfamily, is a key component of tight junctions. Several studies had suggested that claudin-6 functions as a tumor suppressor in breast cancer, accompanied by the alteration of MMP activity [63–65]. The frequency of epigenetic silencing in the CLDN6 gene by methylation is increased in esophageal squamous cell carcinomas [66]. However, overexpression of claudin-6 increases the invasiveness, migration, and proliferation rate of human gastric adenocarcinoma cell line [67]. CLDN6 is also potentially a diagnostic marker for atypical teratoid/rhabdoid tumor (AT/RT) [68]. These observation demonstrate that the function of claudin-6 in promoting or suppressing tumor progression may be cell-specific. In testicular embryonal carcinoma, we reveal that MEHP exposure increases the mRNA level of CLDN6. Interestingly, CLDN6 expression appears to be limited in some testicular embryonal carcinoma and immature epithelial teratocarcinoma [69] and may developmentally regulate adipogenesis and epithelialization of embryos [70–72]. Therefore, claudin-6 not only serves as a basis of tight junction structure but also is important for cell differentiation that may be MYC-dependent.
ID proteins are transcription factors, which are important for cell cycle, cell development, and tumorigenesis [73, 74]. Surprisingly, MEHP exposure significantly reduces the mRNA level of three ID genes in testicular embryonal carcinoma, demonstrating that phthalates influence the dynamic expression of transcriptomes in the tumor. In the murine testis, ID3 expression is regulated by follicle-stimulating hormone (FSH) [75]. MEHP has been shown to disrupt FSH signaling [76, 77]. Hence, impaired FSH signaling may be responsible for the decreases in ID genes after MEHP exposure.
Findings of the current study indicate that cellular mechanisms triggered by MEHP exposure act to enhance tumor progression/metastasis in testicular embryonal carcinoma cells (NT2/D1). We observed that (1) NT2/D1 cells had the increased ability to digest and migrate into Matrigel matrix following MEHP exposure and that this was dependent on the increased activity of MMP2, as the enhancing effects of MEHP exposure can be partially inhibited by addition of the specific MMP2 inhibitor SB-3CT. (2) We showed that MEHP not only increases the activation of MMP2 but also down-regulates the expression of both the tight-junction (GJA1) and adherens junction (VCL) genes, which could further aid in the capacity for invasion and migration of NT2/D1 cells. Finally, (3) we describe the activation of the MYC transcription factor after MEHP exposure. Because MYC plays a role in promoting the expression of CLDN6 and inhibits TIMP2 expression, disruption of MYC expression could provide an underlying mechanism to account for MMP2 activation after MEHP treatment. Taken together, these novel findings provide important mechanistic insights by which exposure to environmental toxicants, such as the phthalates, can enhance testicular cancer metastasis and invasion.
Footnotes
Supported in part by grants ES016591 to J.H.R. and T32 ES07247 to Y.L. from the National Institute of Environmental Health Sciences/National Institutes of Health and from the Center for Molecular and Cellular Toxicology to Y.L.
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