Abstract
In prostate and other epithelial cancers, E-cadherin (CDH1) is downregulated inappropriately by DNA methylation to promote an invasive phenotype. Though cancer frequently involves a reawakening of developmental signaling pathways, whether DNA methylation of Cdh1 occurs during organogenesis has not been determined. Here we show that DNA methylation of Cdh1 mediates outgrowth of developing prostate ducts. During the three-day gestational window leading up to and including prostate ductal initiation, Cdh1 promoter methylation increases and its mRNA and protein abundance decreases in epithelium giving rise to prostatic buds. DNA methylation is required for prostate specification, ductal outgrowth, and branching morphogenesis. All three endpoints are impaired by a DNA methylation inhibitor, which also decreases Cdh1 promoter methylation and increases Cdh1 mRNA and protein abundance. A CDH1 function-blocking antibody restores prostatic identity, bud outgrowth, and potentiates epithelial differentiation in the presence of the DNA methylation inhibitor. This is the first study to mechanistically link acquired changes in DNA methylation to the normal process of prostate organogenesis. We propose a novel mechanism whereby Cdh1 promoter methylation restricts Cdh1 abundance in developing prostate epithelium to create a permissive environment for prostatic bud outgrowth. Thus, DNA methylation primes the prostate primordium to respond to developmental cues mediating outgrowth, differentiation and maturation of the ductal network.
Keywords: Prostate, epigenetics, organogenesis, 5-aza-2′-deoxycytidine, urogenital sinus, lower urinary tract
Introduction
E-cadherin (Cdh1) fine tunes cell adhesion, migration, and intracellular signaling dynamics during epithelial development and is a defined mediator of breast, salivary gland, hair follicle, lung and intestinal epithelial morphogenesis (Boussadia et al., 2002; Ewald et al., 2012; Hermiston et al., 1996; Hirai et al., 1989; Hsu et al., 2013; Jamora et al., 2003; Nanba et al., 2001; Reardon et al., 2012; Tinkle et al., 2008; Walker et al., 2008; Young et al., 2003). Though Cdh1 is specifically required for early embryogenesis (Larue et al., 1994), the need for localized control of its activity persists throughout development and adulthood (Boussadia et al., 2002; Hermiston et al., 1996; Reardon et al., 2012). CDH1 also maintains mature epithelial homeostasis and its down-regulation associates with an invasive phenotype in some cancers (van Horssen et al., 2012).
Regulators of CDH1 expression have been identified in developing tissues, including growth factors like TGF-β and FGF, transcriptional repressors such as Snail and Slug and other signaling pathways like NOTCH and WNT (Carraro et al., 2010; Herfs et al., 2008; Jamora et al., 2003; Jamora et al., 2005; Sirour et al., 2011; Wang et al., 2012). These same pathways regulate Cdh1 in epithelial cancers, as do other regulators. One example is DNA methylation, which frequently down-regulates Cdh1 in epithelial tumors to create an invasive phenotype (Graff et al., 1995; Yoshiura et al., 1995). Whether DNA methylation also controls Cdh1 expression and epithelial behavior during organ morphogenesis has not been investigated. Here, for the first time we reveal a novel mechanism whereby DNA methylation of Cdh1 is necessary for prostate morphogenesis.
The prostate develops under the control of androgens in a region of the pelvic urethra known as the urogenital sinus (UGS). Prostate buds initiate as small epithelial projections that elongate into surrounding stroma, undergo branching morphogenesis, and arborize into the mature ductal network. How developing prostate ducts elongate into surrounding stroma during normal development is a particularly intriguing question because it may bear mechanistic similarities to the invasive behavior of prostate cancer. We describe an entirely new mechanistic link between DNA methylation and prostate ductal morphogenesis and the role of Cdh1 in this process. Cdh1 promoter methylation increases and its mRNA and protein abundance decrease in basal epithelial cells giving rise to prostate, and these events are necessary for ductal outgrowth and specification. We propose a priming mechanism whereby DNA methylation restricts Cdh1 abundance in cells that give rise to the prostate, thereby creating a permissive environment for continued development and morphogenesis of prostatic ducts. Our results are the first to reveal a requirement for DNA methylation and CDH1 in prostate development, and describe how these events are mechanistically linked to orchestrate prostate ductal morphogenesis.
Materials and Methods
Animals
C57BL/6J mice were purchased from Jackson Laboratory (Bar Harbor, ME), housed in polysulfone cages containing corn cob bedding and maintained on a 12 hour light and dark cycle at 25±5°C and 20–50% relative humidity. Feed (Diet 2019 for males and Diet 7002 for pregnant females, Harlan Teklad, Madison, WI. USA) and water were available ad libitum. All procedures were approved by the University of Wisconsin Animal Care and Use Committee and conducted in accordance with the NIH Guide for the Care and Use of Laboratory Animals. Females were paired overnight with males to obtain timed-pregnant dams. The next morning was considered 0 days post coitus (dpc). Dams were euthanized by CO2 asphyxiation.
In situ hybridization (ISH)
ISH was conducted on paraformaldehyde (PFA) fixed urogenital sinus (UGS) which were cut into sections with a cryotome or vibrating microtome prior to staining, or stained in whole-mount as described previously (Abler et al., 2011a; Abler et al., 2011b; Keil et al., 2012a; Keil et al., 2012b). Detailed protocols for PCR-based riboprobe synthesis are available at www.gudmap.org. The staining pattern for all riboprobes was assessed in two sections from at least three litter-independent UGSs. Tissue sections were processed in the same tube as a single experimental unit to allow for qualitative comparisons among biological replicates and among treatment groups.
Organ Culture
Male or female UGSs were removed from 14 dpc embryos and cultured for four to seven days as described previously (Vezina et al., 2008). Media was supplemented with 10 nM 5α-dihydrotestosterone (DHT) and one or more of the following treatments; vehicle control (0.1% dimethyl sulfoxide, DMSO), 5 μM 5-aza-2′-deoxycytidine (5AzadC, A3635, Sigma-Aldrich, St. Louis, MO. USA), 100 μg/mL anti-CDH1 function blocking antibody targeting the fifth ectodomain repeat (EC5) of CDH1 (U3254, DECMA-1, Sigma-Aldrich). Media and supplements were changed every 2 days. Sodium azide, which was found to be toxic to explant tissue cultures (results not shown), was removed from the CDH1 blocking antibody prior to culture using a 10,000 molecular weight cutoff dialysis cassette (Pierce, Rockford, IL. USA).
Immunohistochemistry (IHC)
Immunofluorescent staining of ISH-stained and paraffin sections was performed as described previously (Abler et al., 2011a). Primary antibodies were diluted as follows: 1:200 rabbit anti-CDH1 (3195, Cell Signaling Technology, Beverly, MA. USA), 1:200 rabbit anti-KI67 (Ab15580, Abcam, Cambridge, MA. USA), 1:50 mouse anti-KRT14 (ms-115-p0, Thermo Fisher Scientific, Waltham, MA. USA), 1:200 rabbit anti-cleaved caspase 3 (Asp 175) (9661S, Cell Signaling Technology), 1:250 rabbit anti-AR (sc-816, Santa Cruz Biotechnology, Santa Cruz, CA. USA), 1:50 mouse anti-TRP63 (Sc-8431, Santa Cruz Biotechnology), 1:250 rabbit anti-pan cytokeratin (18-0059, Life Technologies, Grand Island, NY. USA). Secondary antibodies were diluted as follows: 1:250 Dylight 549-conjugated goat anti-rabbit IgG (111-507-003, Jackson ImmunoResearch, West Grove, PA. USA), 1:250 AlexaFluor 594-conjugated goat anti-rabbit IgG (A11012, Life Technologies), 1:250 Dylight 488-conjugated goat anti-mouse IgG (115-487-003, Jackson ImmunoResearch), 1:250 Dylight 488-conjugated goat anti-rat IgG (112-486-003, Jackson ImmonoResearch), 1:250 Dylight 488-conjugated goat anti-rabbit IgG (111-487-003, Jackson ImmunoResearch). Labeled tissues were counterstained with 4′,6-diamidino-2-phenylindole, dilactate (DAPI), to label cell nuclei or wheat germ agglutinin (W21505, Life Technologies) to label cell membranes and mounted in anti-fade media (phosphate buffered saline containing 80% glycerol and 0.2% n-propyl gallate). Whole mount immunohistochemistry on ISH stained tissue was performed as described previously (Keil et al., 2012a). Primary antibody was rabbit anti-CDH1 diluted 1:750 and secondary antibody was biotin conjugated goat anti-rabbit IgG diluted at 1:500 (BA-1000, Vector, Burlingame, CA. USA). Following ISH and IHC, some tissues were paraffin embedded and sectioned as described previously (Keil et al., 2012a) and counterstained with nuclear fast red. Brightfield images were captured using an Eclipse 80i compound microscope for sections and a SMZ1000 microscope for whole mount, fluorescent images were captured using an Eclipse E600 compound microscope (Nikon Instruments Inc., Melville, NY. USA) and merged using NIS elements imaging software (Nikon Instruments Inc.). All treatment groups were imaged using the same settings and captured at the same exposure.
Methylated DNA Immunoprecipitation (MeDIP)
Genomic DNA was isolated using the Qiagen DNeasy Blood and Tissue Kit (Qiagen, Valencia, CA. USA) according to manufacturer’s instructions. Two micrograms of genomic DNA was diluted into a 50 μl volume with phosphate buffered saline + 0.1% Tween 20 (PBS) and was fragmented by 30 cycles of 30 seconds on, 30 seconds off in an ice cold sonicating water bath (Chicago Electric 120v/60Hz/35W, model 3305). Agarose gel electrophoresis was used to confirm efficient DNA fragmentation to an average size of 200–1000 base pairs. Fragmented DNA was boiled for 10 minutes and cooled on ice for 10 minutes. Each sample was divided into two fractions with 10% of the divided fraction saved as input control. 2 μg anti-mouse IgG antibody (ab18413, Abcam) was added to one fraction, 2 μg anti-5-methyl cytidine antibody (33D3 ab10805, Abcam) was added to the other fraction and both fractions were incubated overnight at 4°C. The conjugated antibodies were captured during a 2 hour incubation at 4°C with 30 μL/mL of Protein A Agarose/Salmon Sperm DNA Beads (#16-157, Millipore, Billerica, MA. USA). Beads were washed with PBS, resuspended in 100 μL of digestion buffer (50 mM Tris pH8, 10 mM EDTA, 0.5% SDS) containing 0.4 mg/mL Proteinase K and incubated overnight on a rotating platform at 50°C to release the DNA. Samples were washed twice with digestion buffer and supernatant collected. MeDIP DNA was purified using the QIAquick PCR Purification Kit (Qiagen, #28104). Real time quantitative PCR (QPCR) was performed as described previously (Keil et al., 2012b) using gene specific primers for Cdh1: 5′-CACGGAGGGAGAACAATGTAAG-3′ and 5′-TATGCATCCCACATCCATCAG-3′ (Entrez gene ID 12550, NC_000074.6). Results were analyzed using the ΔCt method and expressed as enrichment over IgG (Livak and Schmittgen, 2001). Results are representative of at least three litter independent pools of DNA with at least five tissues per pool.
Flow Cytometry
Single cell suspensions from pooled intact male 17 dpc UGSs (3–5 UGSs/pool) were generated as described previously (Lukacs et al., 2010). UGSs were dissected to remove seminal vesicle rudiments and the bladder was trimmed at the bladder neck. Cells were labeled with the following fluorescently conjugated primary antibodies: rat anti-CD49f-PE, rat anti-CD31-FITC, rat anti-CD45-FITC and rat anti-TER119-FITC (clones: GoH3, 390, 30-F11, and TER-119 respectively, eBioscience, San Diego, CA. USA) as described previously (Lukacs et al., 2010), washed in 0.5% BSA/PBS, fixed in 2% PFA for 10 minutes and permeabilized with PBS + 0.5% Tween20 at room temperature for 15 minutes. Cells were then incubated with unconjugated rabbit anti-CDH1 primary antibody diluted at 1:200 (3195, Cell Signaling Technology) at room temperature for 30 minutes, followed by incubation with APC-conjugated goat anti-rabbit secondary antibody diluted at 1:100 (Sc-3846, Santa Cruz) at room temperature for 30 minutes. Cells were washed in PBS and stored in 2% PFA protected from light until analyzed on a FACS Calibur flow cytometer (BD Biosciences, San Jose, CA. USA). Single antibody staining controls were used for each sample. Flow cytometry data were analyzed using FlowJo software (TreeStar Inc. Ashland, OR. USA).
Renal Grafting
Female UGSs removed at 14 dpc were cultured for seven days as described above in media containing 10 nM DHT and either vehicle control (0.1% DMSO) or 5 μM 5AzadC. Tissues were then placed under the renal capsule of intact male syngeneic (C57BL/6J) host mice and grown for 1 month. Graft volume was calculated using the modified ellipsoid formula of (Euhus et al., 1986; Tomayko and Reynolds, 1989).
Statistical analyses
Prostatic buds were counted as described previously (Keil et al., 2012a). Prostatic bud length, from the base to the distal tip, was measured for at least 6 buds per UGS in at least three UGSs per treatment group. The frequency of immunolabeled Ki-67 positive, KRT14 positive and double-positive cells was determined in at least two sections per UGS in at least three UGSs per treatment group. Image J software was used to determine the relative integrated density, a measure of the sum of converted grayscale values of the pixels in a field, for red and green channels captured from 3 basal epithelial fields per UGS in at least three litter independent samples per group. Statistical analysis was performed using R version 2.13.1. Homogeneity of variance was determined using Levene’s test. Student’s t-test, ANOVA or Kruskal-Wallis test followed by Tukey’s Honestly Significant Difference (HSD) were used to identify significant differences (p ≤ 0.05) between or among treatment groups.
Results
Cdh1 mRNA and protein expression are diminished in a prostate epithelial cell subpopulation during male prostatic bud initiation
In situ hybridization (ISH) and immunohistochemistry (IHC) were used to visualize Cdh1 mRNA and protein expression patterns within the male and female UGS prior to (14 dpc) and during (17 dpc) prostatic bud outgrowth in males. Prostate develops only in male C57BL/6J mice under normal hormonal conditions (Price and Williams-Ashman, 1961), though both sexes are competent to form prostatic buds in response to androgens during this time period (Bard et al., 1979; Price and Williams-Ashman, 1961; Lasnitzki and Mizuno, 1980). IHC sections were counterstained with the cell membrane marker wheat germ agglutinin to visualize the epithelial-mesenchymal boundary and to evaluate epithelial membrane density. Cdh1 is present in all epithelial cells at the stages examined, but differs in its relative abundance among epithelial layers (Fig. 1). Cdh1 mRNA and protein staining is abundant and ubiquitously expressed across male and female UGS epithelium at 14 dpc, but a graded pattern emerges in both sexes by 17 dpc when prostatic buds are forming in C57BL/6J male mice (Fig. 1A,B). The graded staining pattern features strong Cdh1 staining in epithelial cells closest to the urethral lumen and weak staining in cells closest to the basement membrane (Fig. 1C). The weakest Cdh1 mRNA and protein staining is in prostatic bud tips (Fig. 1). These results reveal a change in Cdh1 expression during the window when the UGS becomes competent to form prostate. Additional staining was used to determine that CDH1 diminishes specifically in KRT14+ basal epithelium, the epithelial cell type present in developing prostatic buds (Fig. 2A,B), and that is required for prostatic bud formation (Kurita et al., 2004; Signoretti et al., 2000). Because this change is observed across male and female UGS, it is not likely to be reliant on the presence of testicular androgens.
We used independent markers and methodology to further investigate the relationship between basal epithelial cell identity and CDH1 abundance. CD49f (also known as integrin alpha 6, Itga6) marks mature prostate basal epithelium (Lukacs et al., 2008; Lukacs et al., 2010; Lawson et al., 2007) and we confirmed it also marks fetal prostate basal epithelium within the urethra and developing prostate buds (Fig. 2C, inset). We conducted flow cytometry on lineage (Ter119, CD45, CD31) negative intact 17 dpc male UGS cells to exclude erythrocytes (TER-119), hematopoetic (CD45) and endothelial (CD31) cells. The cells were then sorted on the basis of CD49f and CDH1 abundance. The CD49fHigh, CDH1Low (quadrant 1) illustrate that basal epithelial cells have low CDH1 expression (Fig. 2D), consistent with our results in Figure 1. The CD49fHigh, CDH1High (quadrant 2) cells likely represent proximal rudiments of ejaculatory duct which remain even after removal of seminal vesicle and maintain high CDH1 and CD49f expression at this stage (Fig. 2C). The CD49fLow, CDH1Low cells (quadrant 3) represent stromal cells and the CD49fLow, CDH1High cells (quadrant 4) represent the non-basal cells within the epithelium. These results in conjunction with those in Figure 1 support the hypothesis that during prostate ductal initiation, Cdh1 mRNA and protein expression are decreased in basal epithelium giving rise to prostatic buds.
Cdh1 promoter methylation increases in UGS epithelium during the period of prostatic bud outgrowth
Our next objective was to determine why Cdh1 abundance diminishes in UGS basal epithelium during prostate development. Two factors led us to consider DNA methylation as a possible mechanism: DNA methylation represses Cdh1 expression in prostate and other cancers (Yoshiura et al., 1995, Graff et al., 1995) and the enzymes responsible for catalyzing DNA methylation, the DNA methyltransferases, increase in abundance at the same time and in the same basal epithelial cell population where Cdh1 abundance diminishes during prostate development (Keil et al., 2013). We compared Cdh1 methylation prior to (14 dpc) and during (17 dpc) prostatic bud formation. UGSs at both stages were treated with trypsin, microdissected to separate epithelium from stroma (Fig. 3A) and the purified epithelium was analyzed by MeDIP-QPCR. Cdh1 DNA methylation significantly increased in UGS epithelium between 14 and 17 dpc (Fig. 3B). Therefore, at the same time Cdh1 abundance decreases in UGS epithelium, Cdh1 methylation increases.
DNA methylation is required for prostatic bud specification and outgrowth of prostate epithelium
In prostate cancer, CDH1 abundance and activity are inversely associated with cell invasiveness and motility (Graff et al., 1995; Yoshiura et al., 1995; van Horssen et al., 2012). We surmised that these same cell behaviors guide prostatic bud outgrowth into surrounding stroma. To test this hypothesis, we examined prostate development in the presence of a DNA methylation inhibitor, which we expected to increase CDH1 abundance and impair prostatic bud outgrowth.
The DNA methylation inhibitor 5-aza-2′-deoxycytidine (5AzadC) interferes with testicular development (Cisneros and Branch, 2003; Choi et al., 2013). Since associated changes in testicular androgen synthesis would confound our study, we used an in vitro approach that recapitulates many features of in vivo prostate development (Doles et al., 2005) but isolates the UGS from influences of testes and other tissues. Female 14 dpc UGSs were used since they are naïve to high levels of circulating androgen prior to the culture period (vom Saal, 1989), are capable of forming prostate in the presence of androgens (Lasnitzki and Mizuno, 1980), and form the same number of prostatic buds as male UGSs grown under equivalent conditions in androgen-containing medium (Keil et al., 2012a). UGS explants were grown for seven days in a defined serum-free culture medium containing androgen, 5α-dihydrotestosterone (DHT, 10 nM) and graded concentrations of 5AzadC.
Tissue explants were stained to visualize CDH1 and the earliest marker of prostate identity expressed by prostatic buds, NK-3 transcription factor, locus 1 (Nkx3-1) (Bhatia-Gaur et al., 1999; Bieberich et al., 1996; Keil et al., 2012a; Sciavolino et al., 1997) (Fig. 4A–E). This dual staining approach enabled us to objectively assess whether buds expressed Nkx3-1 and were therefore appropriately specified as prostate, to quantify the number and length of buds formed in culture, and to determine whether buds underwent branching morphogenesis, a normal aspect of continuing ductal development. 5AzadC decreases prostatic bud length (Fig. 4F) and reduces the number of buds with detectable Nkx3-1 staining (Fig. 4G) without changing overall number of buds formed per UGS (Fig. 4H). 5AzadC also blocks branching morphogenesis (Fig. 4A–E). We used an independent marker of developing prostate identity, ectodysplasin A receptor (Edar) (Keil et al 2012a) to confirm the results observed with 5AzadC and Nkx3-1. 5AzadC also reduces the number of buds with detectable Edar staining (Fig. S1). Together these results indicate that the DNA methylation inhibitor, interferes with prostatic bud specification (expression of Nkx3-1 and Edar), elongation and branching morphogenesis.
High concentrations of 5AzadC are capable of decreasing proliferation, inducing apoptosis, and altering differentiation status of cells grown in vitro (Konieczny and Emerson, 1984; Patra et al., 2011). We determined that 5AzadC impaired bud outgrowth without causing obvious changes in formation of basal epithelium (Fig. S2A,B), percentage of proliferating cells within basal epithelium, stroma or the distal most tips of buds (Fig. S2C,D), cell death (Fig. S3A–C), androgen receptor (AR) protein expression, or distribution of androgen responsive steroid 5 alpha reductase 2 (Srd5a2) (Abler et al., 2011a; Matsui et al., 2002) (Fig. S3D–G).
To determine if inhibition of DNA methylation during prostatic outgrowth impairs continued glandular development, we grew UGS explants for seven days in a defined serum-free culture medium containing androgen (10 nM DHT) and either 5μM 5AzadC or its vehicle (control), and then grew them for one month under the renal capsule of intact adult male syngeneic (C57BL/6J) host mice. The host mice were untreated during this period. Control grafts develop extensive, organized prostate ductal structures with evident secretory products (Fig. 4I). 5AzadC treated tissues are significantly smaller (Fig. 4J) and feature smaller, disorganized ducts with few secretions (Fig. 4K). These results suggest that DNA methylation during the initial phases of prostate outgrowth is required for continued prostate ductal maturation.
DNA methylation is required for appropriate CDH1 expression in basal epithelium
We next tested if 5AzadC reduced Cdh1 DNA methylation and increased Cdh1 abundance in UGS epithelium. To assess Cdh1 DNA methylation, MeDIP-QPCR was conducted on isolated UGS epithelium from 14 dpc female mouse UGS tissues cultured in the presence of androgen ± 5AzadC (5μM). 5AzadC significantly reduces Cdh1 promoter methylation (Fig. 5A) and increases Cdh1 mRNA staining intensity in basal epithelium (Fig. 5B,C). Also within basal epithelium, 5AzadC increases relative integrated density (sum of converted grayscale pixel values) of CDH1 protein (green) when normalized to cell membrane density (red, unaltered by treatment) in 5AzadC versus control tissues (Fig. 5D). These results reveal that 5AzadC reduces CDH1 promoter methylation and increases relative CDH1 abundance in basal epithelium.
A CDH1 function-blocking antibody bypasses the requirement for DNA methylation in prostatic bud elongation
Because 5AzadC is a non-specific DNA methylation inhibitor and likely to reduce DNA methylation at many sites across the genome, we next wanted to pinpoint whether Cdh1 hypomethylation and an associated increase in Cdh1 abundance are responsible for its impairment of prostatic bud morphogenesis. Female 14 dpc UGS explants were grown in culture media containing androgen and either 5AzadC, a CDH1 function-blocking antibody or both 5AzadC and antibody (Fig. 6A–D). This antibody is directed against the extracellular fifth ectodomain repeat (EC5) of CDH1 which disrupts homotypic interactions (Ozawa et al., 1990; Vestweber and Kemler, 1985) and has been used successfully to impair CDH1 function in salivary gland and lung explant cultures (Tsao et al., 2008; Walker et al., 2008). CDH1 function-blocking antibody penetrates UGS stroma and localizes to its intended target in UGS epithelium (Fig. S4). 5AzadC reduces prostatic bud length by 31% when added to culture medium without the CDH1 function blocking antibody (Fig. 6E). Though the antibody does not independently change prostatic bud number, length or number of branched tips per bud in UGSs grown without 5AzadC (Fig. 6), it restores prostatic bud outgrowth in 5AzadC-treated UGSs (compare Fig. 6B to 6D) and increases Nkx3-1-positive bud percentage in tissues treated with or without 5AzadC, without changing total bud number (Fig. 6E-G). These results show that 5AzadC impairs prostatic bud specification and outgrowth through a CDH1 dependent mechanism. This mechanism is specific to the initial phases of prostatic development because the CDH1 function-blocking antibody does not restore branching morphogenesis in 5AzadC-treated UGSs (Fig. 6H-J).
Cdh1 controls the rate of prostate ductal maturation
In control UGS tissues, the CDH1 function-blocking antibody increases the number of buds undergoing branching morphogenesis (Fig. 6H-J), suggesting additional roles for CDH1 activity in later stages of prostate development. The CDH1 function-blocking antibody accelerates several hallmarks of prostate ductal maturation. It causes precocious bud lumen formation (Fig. 7A, asterisks). Prostatic ducts do not typically form lumens until several days after birth and are not typically observed in 14 dpc explants cultured for seven days (Doles et al., 2005; Keil et al., 2012a; Sugimura et al., 1986). The CDH1 function-blocking antibody also changes the pattern of basal epithelium from a uniform distribution around the bud and extending into the urethra, to a localized concentration in prostatic bud tips and discontinuous single cell layer extending into the urethra (Fig. 7B,C; arrowheads). The formation of a discontinuous basal epithelium is especially striking since this pattern typically occurs postnatally in normal prostate (Fig. 7D) at a stage much older than that achieved by the six day organ culture. A schematic representation of how the CDH1 function-blocking antibody alters prostate bud epithelial organization is illustrated in Fig. 7E. Together these results suggest that CDH1 not only impacts prostate bud specification and outgrowth but also the maturation and differentiation of prostatic bud epithelium. Therefore Cdh1 DNA methylation not only primes UGS epithelium for prostatic bud specification and outgrowth but, permits continued development and morphogenesis of prostatic ducts.
Discussion
Our results are the first to establish a mechanistic link between DNA methylation and prostate morphogenesis in addition to providing evidence for the role of CDH1 during prostate ductal development and maturation. We reveal Cdh1 DNA methylation during prostate initiation is a priming event that creates a permissive environment for outgrowth and continued morphogenesis of prostatic ducts during later stages of development (Fig. 8). Our results suggest that a temporal reduction of Cdh1 activity in basal epithelium is necessary for prostatic bud maturation. Prostatic bud outgrowth is impaired under conditions of elevated CDH1 abundance (the presence of a DNA methylation inhibitor) and restored under conditions that neutralized CDH1 activity (the presence of a blocking antibody). Prostatic buds can form without Cdh1 methylation. However, we show that the specific role of Cdh1 methylation is to promote bud elongation, maintenance and acquisition of prostate identity through the reduction of CDH1 activity. We also show that CDH1 activity influences prostatic bud lumen formation and arrangement of ductal epithelium. These events are needed to establish the architecture of mature prostate glandular epithelium. Thus, fine tuning of Cdh1 expression by DNA methylation during development, at least in part, controls the timing and sequence of several prostate ductal maturation events.
We also provide evidence that appropriate DNA methylation patterns are required for prostatic ductal branching morphogenesis. Approximately 20% of buds form at least one branch in UGSs cultured for seven days in basal medium containing androgen, but branching formation is completely inhibited by a DNA methylation inhibitor and cannot be restored by neutralizing CDH1 activity (Fig. 4,6). These results indicate a CDH1-independent role of DNA methylation in branching morphogenesis. Focused studies on the identity of methylated genes during prostatic branching morphogenesis, and the developmental timeframe in which methylation is required, will improve understanding of how DNA methylation functions to coordinate organogenesis of the prostate and other developing organs.
A question raised by our results is whether DNA methylation intersects or functions in parallel with other known Cdh1 transcriptional regulators. Cdh1 has previously been shown to be down-regulated by localized actions of beta-catenin (CTNNB1) and the Snail family of genes (Jamora et al., 2003, Jamora et al., 2005). Though Ctnnb1 is required for formation of UGS basal epithelium and prostatic buds, conditional deletion or activation of Ctnnb1 signaling during prostatic bud formation does not appear to alter Cdh1 abundance in basal epithelium (Francis et al., 2013; Mehta et al., 2013). These results indicate that down-regulation of Cdh1 expression in fetal prostate epithelium is likely to happen independently of CTNNB1 function. Similarly, the Snail family of transcriptional repressors do not localize exclusively to developing prostate basal epithelium (gudmap.org), however some are present in this cell population and elsewhere during prostatic bud formation. One function of Snail family members is to down-regulate Cdh1 through chromatin modifications (Espada et al., 2011; Herranz et al., 2008; Hou et al., 2008; Lin et al., 2010; Peinado et al., 2004). An intriguing avenue of future study will be to identify whether factors such as the Snail family members recruit chromatin modifiers to the Cdh1 promoter during prostate development, to fine tune epithelial morphogenesis by acting in concert with or upstream of DNA methylation.
Cdh1 promoter methylation occurs inappropriately in several cancers, including prostate cancer, where it is associated with tumor invasiveness (Behrens and Birchmeier, 1994; Costa et al., 2010; Takeichi, 1993; van Horssen et al., 2012). Why CDH1 becomes methylated in cancer is not known and difficult to determine in part because of the need to capture tumor cells precisely as DNA methylation occurs. We have revealed a specific window during mouse prostate development (14 dpc to 17 dpc) during which Cdh1 methylation increases and Cdh1 mRNA and protein become less abundant in cells giving rise to the prostate. Having defined the window, we are now poised to uncover mechanisms controlling Cdh1 methylation, which may inform future studies of how CDH1 methylation occurs inappropriately in prostate and other cancers.
Though Cdh1 abundance diminishes in early tumor progression, it often increases in remote sites of metastases to re-establish cell adhesion (Graff et al., 2000). This raises the question of whether methyl marks are removed from CDH1 once prostate development is completed. Determining if there is plasticity in Cdh1 methylation during all stages of prostate development will be critical in determining regulatory mechanisms for Cdh1 DNA methylation.
The identified role of DNA methylation in priming prostate development may also shed light on mechanisms by which endocrine disrupting chemicals perturb prostate development in utero. Bisphenol A and others are capable of altering prostate development (Anway et al., 2006; Dolinoy et al., 2007; Gupta, 2000; Ho et al., 2006; Timms et al., 2005; Walker, 2011) and have been shown to alter DNA methylation in prostate and elsewhere (Ho et al., 2006; Tang et al., 2012; Walker, 2011). The critical window during which CDH1 methylation occurs overlaps the known window of action for some of these chemicals (Dolinoy et al., 2007; Gupta, 2000; Ho et al., 2006; Tang et al., 2012), raising questions about whether their teratogenic actions are mediated in part through DNA methylation.
Supplementary Material
Highlights.
E-cadherin abundance is temporally down-regulated in epithelial cells giving rise to the prostate
DNA methylation restricts Cdh1 abundance in the prostate primordium
Restricted Cdh1 abundance and activity is crucial for bud outgrowth
Acknowledgments
Grant Sponsors: National Institutes of Health Grants DK083425, DK070219, DK096074 and ES001332, and National Science Foundation Grant DGE-0718123. We thank Robert Lipinski and Deborah Anderson for comments on the manuscript.
Footnotes
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