Abstract
Most cancer deaths are a result of metastasis. To extend our understanding of the factors that influence the process, we aimed to developed a mouse model of pulmonary metastasis that can be assayed in multiple inbred mouse strains for further use in identification of host genetic variants that influence metastasis. We utilized intravenous injection of Sarcoma 180 (S180) cells, which can be tracked and quantified by bioluminescence imaging. We observed growth of S180 cells solely in the lung and observed a wide range of pulmonary metastasis among inbred mouse strains. Interestingly we noted that the BTBRT+tf/J strain exhibited complete clearance and provide evidence that the mechanism of resistance may involve immune factors, as strains subject to whole body irradiation are significantly more susceptible to tumor growth. One possible mechanism of resistance to pulmonary metastasis in BTBRT+tf/J mice may require T-cell function. Our experiments present a new mouse model for further characterization of the genetics and mechanisms of pulmonary metastasis.
Keywords: pulmonary metastasis, sarcoma 180 cells, inbred mice, bioluminescence imaging
Introduction
Metastasis is a multi-step process that begins when a primary tumor acquires mutations, becomes invasive, and cells eventually enter into the blood or lymph (1). After transportation and avoidance of anoikis, cells may rest in an organ through adherence, extravasation, proliferation and establishment within the microenvironment (2). Most tumor cells die from various stresses after they leave the primary tumor and only a low percentage of micrometastases progress into macrometastases after engraftment. The tissue microenvironment of the target organ, including stromal cells, stromal-associated cells (endothelium, macrophages), transient inflammatory cells, and parenchymal cells, in addition to tropic and angiogenic factors, all influence metastatic growth (3). Metastases arise most commonly in the lung, liver, brain, and bone. Interestingly the lung is the most common site for systemic sarcoma metastases because of the substantial vasculature that feeds into this organ, in addition to particular tropic factors (4). Other cancers that often metastasize to the lung include breast, colon, prostate, bladder, and various neuroblastomas (5).
Previous studies have focused on identifying somatic genetic events in tumor cells as these cells acquire metastatic properties at the site of the primary tumor. These studies have mainly focused on elucidating a role of various adhesion receptors, proteases, and angiogenic factors (6, 7). However, limited knowledge exists on inherited susceptibility to metastasis and the underlying host genetic variants that influence the process. Most strategies aim to treat cancers only once a gross lesion has developed, and have for the vast majority of cancers, not led to significant decreases in mortality. Hence, treatment and prevention strategies aimed to reduce the risk of or delay the development or recurrence of cancer, are one rational approach that can be aided through identification of host susceptibility factors.
Mouse models of metastasis may thus be useful; however, few exist to model the process (8). The few metastasis models that have been used, such as those for breast and prostate cancer, primarily rely on viral oncogenes (9, 10). Tumors induced by transgenes or carcinogens are not practical in studies of metastasis because they typically are less aggressive than human tumors, with weaker stromal reaction and very few metastases. One common lung metastasis model, utilizing Lewis lung carcinoma cells, involves injecting cells subcutaneously into nude mice or syngeneic C57BL/6 mice (8). After allowing a tumor to grow to a particular size, it is excised, which can initiate pulmonary metastases. However, this model is only amenable to use with syngeneic cell lines and does not permit phenotyping in multiple inbred strains for further identification of genetic susceptibility variants in quantitative trait mapping using linkage and genome wide association analysis.
The Sarcoma 180 (S180) mouse cell line is derived from a sarcoma carried in Swiss Webster mice and has been described to grow in multiple inbred mouse strains due to Beta-2 microglobulin deficiency, MHC class I destabilization and lack of recognition by host cytotoxic T-cells (CTLs) (11). Intraperitoneal injection of these cells results in strain-dependent killing due to accumulation of ascites fluid (11, 12). Recent studies have identified a spontaneous mutant of the BALB/c mouse, termed the spontaneous resistance/complete regression (SR/CR) mouse that exhibited resistance to S180 cell challenge. These studies suggested the existence of a resistance trait that is autosomal dominant and from a single-locus (13–15).
Here, we describe an inbred mouse model of experimental pulmonary metastasis which involves tracking of bioluminescent S180 cells that have been introduced intravenously into inbred strains of mice. These cells migrate to the lung and grow at varying rates in inbred strains. We have found that the BTBRT strain demonstrates complete resistance in this experimental metastasis model. Our studies further implicate a role of the immune system and T-cells in response to S180 cell challenge and suggest the framework for a model for the determination of the genetic susceptibility of pulmonary metastasis.
Materials and Methods
Cell culture and transfection
S180 cells were purchased from American Type Culture Collection (Manassa, VA) and grown in Dulbecco’s Modified Eagle Medium in the presence of 10% fetal bovine serum. To create a constitutively expressing Luciferase cell line, S180 cells were transfected with linearized pUB6-Fluc-mNLS-SR39TK-IRES-MGFP and selected for two weeks in the presence of 5 μg/mL blasticidin (16). Individual clones were selected, plated in equal numbers and imaged for bioluminescence after incubation for 10 minutes with 150 μg/mL D-Luciferin in Modified Earle’s balanced salt solution at 37°C. Cells were imaged with a charge-coupled device (CCD) camera-based bioluminescence imaging system (IVIS 100; Caliper, Cranbury, NJ; exposure time 1–60 seconds, binning 8, field of view 15 cm, f/stop 1, open filter). Signal on images was displayed as photons/sec/cm2/sr (17, 18). Corresponding grayscale photographs and color luciferase images were superimposed and analyzed with LivingImage (Xenogen) and Igor (Wavemetrics) image analysis software. Analyzed data were expressed as normalized photon flux (photons/sec). The clone with the highest photon flux was selected, termed S180-Fluc, and used for further studies.
Injection and imaging studies
Inbred mouse strains were purchased from Jackson labs and for the multi-strain assay included: A/J (n = 10), DBA/2J (n = 9), FVB/NJ (n = 5), C57BL/6J (n = 9), AKR/J (n = 5), NZW/LacJ (n = 5), C57BR/cdJ (n = 5), SM/J (n = 5), BTBR T+ tf/J (n = 4). Female mice were delivered at six weeks of age and injected at eight weeks. For injections and bioluminescence imaging in inbred strains, S180-Fluc cells were grown, trypsinized and harvested in Hank’s balanced salt solution (+ 5% fetal bovine serum). Cells were passed through a cell strainer to remove clumps and counted by a hemacytometer. Cells were diluted to 3.5 × 106 cells/mL and injected (0.2 mL, 7 × 105 cells) into the lateral tail vein using a 0.3 mL syringe fitted with a 29½-guage needle. Chest hair was depilated with Magic Gold shaving powder to control for coat color effects on signal output. For bioluminescence imaging of living animals, mice were injected intraperitoneally with 150 μg/g D-luciferin (Biosynth, Naperville, IL) in PBS, anesthetized with 2.5% isoflurane, and imaged as described above. Regions of interest (ROI) were defined manually over the thorax using Living Image and Igor Pro software. Data were analyzed by background subtraction and plotted as log(photons/sec). S180-Fluc cells were also tested for viability by Trypan Blue dye exclusion assay and were determined to be 100% viable from the time of harvest to after the injection of the last mouse in the group.
Histology
Lungs were removed from A/J and BTBRT mice at 15 days post S180-Fluc injection (7 × 105 cells), inflated (25 cm of gravity) with Tellyesniczky solution (70% ethanol, 2% formaldehyde and 5% acetic acid) and allowed to fix overnight. Solution was exchanged to 70% ethanol, lungs were embedded in paraffin, stained with hematoxylin and eosin. Lung sections were also stained using anti-PCNA (rabbit) and control anti-HA probe (rabbit) antibodies (Santa Cruz Biotechnology). All histology preparation was performed at the DDRCC (Digestive Disease Research Core Center) at Washington University School of Medicine.
Cesium-137 γ-irradiation
A/J (n = 5) and BTBRT (n = 5) mice (with Bactrim antibiotic in drinking water) were treated with supralethal irradiation (18 Gy) from a cesium source, and along with non-irradiated control mice (n = 5 per strain), received 7 × 105 S180-Luc cells via tail vein injection within 4 h of irradiation. Bioluminescent imaging of the thorax was performed at day 1, 2, 3 and 7.
Flow cytometry
A/J and BTBRT mice were injected with S180-Fluc cells and 1 and 7 days later, lungs were removed, digested, and prepared for flow cytometry as previously described (19). All antibodies used were purchased from BD Pharmingen or eBioscience and conjugated with FITC, PE, PerCP, APC or APC-750. Sorting was performed on a MoFlow (Dako-Cytomation) sorter at the High-Speed Cell Sorter Core of the Siteman Cancer Center at Washington University School of Medicine.
T-cell depletion
BTBRT mice were injected intraperitoneally with anti-CD4 (GK1.5, BioXcell) and anti-CD8 (53.6.72, BioXcell) antibodies or normal rat IgG (BioXcell) (250 μg/mouse) every two days (5 mice/group), beginning 4 days prior to S180-Fluc (7 × 105) tail vein injection. Antibody injection was continued and bioluminescent imaging of the lung was performed at days 1 and 7.
Results
The aim of this study was to develop a mouse model of pulmonary metastasis that can be applied to and quantified in multiple inbred strains of mice. The utility of developing such a model is that identification of strain-dependent phenotypes in inbred strains can be used for gene discovery using linkage studies and whole genome association analysis. However, few cell lines that are introduced intravenously will survive the host immune system in multiple inbred strains. S180 cells have previously been shown to grow in the peritoneum of multiple inbred strains, hence we created an S180 cell line (S180-Fluc) constitutively expressing Firefly luciferase. Previously published studies on S180 cell-induced mouse death by intraperitoneal delivery demonstrated that A/J strain mice survived 2–3 weeks post injection (11). Guided by these observations, we introduced S180-Fluc cells (2 × 105 and 7 × 105) via the lateral tail vein into eight week-old female A/J mice. We postulated that the S180-Fluc cells would enter the venous system, travel through the heart, and form emboli or migrate across the vascular endothelium to establish tumors in the lung. Whole body bioluminescence imaging was performed at 1, 7, and 15 days post S180-Fluc injection and bioluminescent signal was consistently and predominantly observed over the thorax (Figure 1a). Thoracotomy and dissection of the thorax followed by imaging directly showed a bioluminescent signal in the lungs and further removal of the lungs revealed gross enlargement of all lobes, compared to a control injected A/J mouse at 15 days post-injection (Figure 1a). The signal in the area over the lungs increased approximately 1000-fold from day 1 to day 15 (Figure 1b). Death of A/J strain mice occurred between days 15–21 solely due to tumor growth in the lung, as determined by whole body necroscopy in which the signal magnitude was generally in the 109–1010 photons/sec range (data not shown).
Determination of a differential strain response to S180-Fluc tumor cell challenge would suggest host genetic control of the phenotype. We tested nine strains, A/J, FVB/NJ, C57BL/6J, NZW/LacJ, SM/J, DBA/2J, C57BR/cdJ, AKR/J and BTBRT+tf/J, for their response to pulmonary tumor phenotypes. Tumor bioluminescence data were quantified in the region of interest of the lungs, on days 1 and 7 post injection with 7 × 105 S180-Luc cells. Bioluminescent signal in the lungs of most inbred strains at day 7 ranged from 106 to 108 photons/sec (Figure 2a). However, no signal above background was observed in the lungs of BTBRT (BTBRT+tf/J) mice at day 7 (Figure 2b, c). Interestingly, the BTBRT strain was the only strain tested that did not die. These mice remain healthy even several months later, suggesting complete clearance of S180 cells. We also tested to see whether the BTBRT strain was resistant to S180 cells by intraperitoneal injection of 7 × 105 S180-Luc cells. Contrary to what was observed by intravenous injection through the tail vein, both A/J and BTBRT strains were susceptible to S180-cell induced death by intraperitoneal injection, suggesting that the pulmonary environment prevented the growth and/or facilitated the clearance of S180 tumor cells (Figure 2d).
Histological assessment of lung tissue post tail vein injection revealed significant differences in tumor cell growth between A/J and BTBRT strains. Lungs sections were stained with hematoxylin and eosin to evaluate lung architecture, which clearly indicated dense staining of S180-Fluc cell colonization and growth in A/J strain on day 15 (Figure 3a). The BTBRT strain did not establish any visible tumor nodules which is consistent with the lack of bioluminescence (Figure 3b). Staining of a representative A/J lung nodule at day 15 with Proliferating Cell Nuclear Antigen (PCNA) indicated that these large, proliferative cells are likely the S180 tumor cells (Figure 3a). Limited proliferative staining was observed in regions with no tumor nodules or in BTBRT mouse lung (Figure 3b).
To additionally address whether the immune system plays a role in our pulmonary metastasis model, we subjected both A/J and BTBRT strains to supralethal irradiation (18 Gy, Cesium-137) which ablates radiosensitive immune cells (20, 21). Approximately 4 hours post irradiation, S180-Fluc cells were tail vein injected and bioluminescence was monitored over 7 days. Both irradiated A/J and BTBRT mice were more susceptible to S180-Fluc growth in the lung than non-irradiated controls (Figure 4). Differences between irradiated and control mice injected were apparent at day 3 for both A/J (p = 0.0005) and BTBRT mice (p = 0.05). None of the irradiated A/J mice were alive at day 7, presumably due to the rapid growth of tumor cells. At day 7, two of five BTBRT mice were alive and exhibited substantial tumor load compared to control mice which had completely cleared tumor (p = 0.0002). We validated the debilitating effect of supralethal irradiation on the immune system through flow cytometry analysis and observed absence of radiosensitive T-lymphocytes 1 day post irradiation (data not shown).
Previously published data described induction of the innate immune system in response to S180 cell intraperitoneal challenge (15). We therefore assayed a variety of immune cells from whole lung at 1 day post S180-Fluc cell tail vein injection since this was the point at which differences between A/J and BTBRT were observed (Figure 2c, p = 0.03). We examined populations of T-cells (CD4+ CD90+ and CD8+ CD90+), natural killer cells (NK1.1+ CD90.2−), macrophages/monocytes (Cd11blo CD11c+), dendritic cells (CD11b+ CD11c+), and neutrophils (Ly6G+ GR1+) in A/J and BTBRT strains with and without S180-Fluc challenge. Very few natural killer cells were found in the lung in the absence or presence of S180 cells, and macrophage, neutrophils, and T-cell populations did not vary significantly with S180 cell challenge (Figure 5a, b). We did observe a significant 2 fold increase in a population of CD11b+ CD11c+ dendritic cells at days 1 and 7, in response to tumor cells in both A/J (p = 5 × 10−6) and BTBRT strains (p = 0.02) (Figure 5c, d). Interestingly we also observed strain dependent differences in the absolute amount of CD11b+ CD11c+ (2 fold, p = 0.003), and CD4+ T-cells (3 fold, p = 0.00056) and CD8+ T-cells (3 fold, p = 0.0028), between A/J and BTBRT strains.
To address the role of T-cells in the engraftment and growth of S180 cells in the lungs of BTBRT mice, we injected anti CD4/CD8 neutralizing antibodies to abrogate T-cell function. We hypothesized that depletion of T-cells would enhance pulmonary metastasis. We observed a 40 fold increase in pulmonary engraftment at day 7 (1 tailed t-test, P = 8 × 10−5) suggesting T-cell function is in fact involved in regulating growth of S180 cells in the lung (Figure 5e).
Discussion
We have developed an inbred mouse model of pulmonary metastasis using bioluminescence imaging of S180-Fluc cell growth in the lung. Tail vein injection of these cells led to engraftment and growth in the lung at different rates across inbred strains suggesting a differential host genetic response or susceptibility. This model of ‘experimental metastasis’ suggests a framework for further genetic studies for the identification of genetic variants that underlie the process of pulmonary metastasis. The advantages of this include the ability to measure tumor load across strains using sensitive bioluminescence imaging over a broad dynamic range, short tumor latency, and the consistent targeting and growth in the lung. We also recognize the limitations of our tail vein injection model of S180 cell metastasis to lung. Although this method of delivery of cells is commonly used, and termed ‘experimental metastasis’, it does bypass the initial steps of metastasis, i.e., primary site invasion and dissemination. However it does model the latter steps of metastasis, i.e., survival, adhesion, extravasation and colonization. Interestingly, recent evidence suggests that invasion and dissemination can occur early and cells can remain clinically dormant for extended periods, prior to colonization. These studies have shown that single tumor cells in the bone marrow from breast cancer patients shared few chromosomal aberrations with the breast tumor suggesting that metastatic cells had left the primary tumor early, before clonal expansion in the breast occurred (22, 23). Another recent study showed that normal mammary cells injected via tail vein into the blood stream of a mouse were able to survive in the lungs for up to 16 weeks (24). Subsequent activation of Myc and oncogenic K-Ras in these cells resulted in tumor growth of the breast cells in the lung. Hence, disseminated normal cells were able to remain ‘silent’ in the lung until receiving signals to promote malignancy.
Genetic control of pulmonary metastasis susceptibility may function through a variety of mechanisms including regulation of adherence, extravasation, angiogenesis and immune recognition. Clearance of tumor cells may be a function of a differential ability of the immune response to identify and clear tumor cells. As previously mentioned, the unique SR/CR mouse mutant is able to survive repeated intraperitoneal challenges with S180 cells that were otherwise lethal to other inbred strains (14). It was observed that the SR/CR mouse mounted a rapid immunological response involving natural killer cells, neutrophils and macrophages (14, 15). However, the gene(s) and variants responsible for this have yet to be determined. Our observations with the resistant BTBRT strain, which exhibits complete resistance to S180 cells by tail vein injection, may be thought to be analogous to the SR/CR mouse resistance phenotype. However, we observed that BTBRT strain mice are in fact susceptible to death by intraperitoneal introduction of S180 cells, but not by tail vein injection. Hence the resistance to S180 cells appears specific to the environment of the lung versus the peritoneal space. Furthermore, we do not observe massive recruitment of neutrophils, macrophages and natural killer cells in the lungs of BTBRT mice, which was observed in the peritoneal space of the SR/CR mouse, but rather tumor dependent changes in dendritic cells, and differences in absolute numbers of T-cells between strains. This suggests a different mechanism is responsible for susceptibility phenotypes observed in our model of pulmonary metastasis and our T-cell depletion experiments show that the cells of the adaptive immune system may very well regulate this process.
Our data using supralethal doses of irradiation suggest that the immune system plays a significant role in the survival and growth of S180-Fluc cells, as tumor growth in both A/J and BTBRT strains was significantly enhanced post-irradiation. It has been well established that cells of the immune system are particularly radiosensitive and in particular T lymphocytes (20, 21). Although such large radiation doses also cause central nervous system defects and denudation of the GI tract, the observations that the BTBRT strain becomes susceptible post irradiation, is consistent with an immune mediated role. These additional consequences of whole body irradiation are possibly the explanation as to why irradiated and non-irradiated BTBRT don’t exhibit differences until day 2–3. While tumor vascularization can also be affected by supralethal irradiation, the results of the delayed angiogenesis would most likely result in slower tumor growth and thus our data further supports the assumption that in our model irradation affects immune-mediated clearance of tumor (25–27).
Knowledge of potential mechanisms are important because this can inform future positional cloning efforts after genetic mapping studies. Our studies show that CD11b+ CD11c+ dendritic cell numbers are increased in the lungs of both A/J and BTBRT strains post tumor cell challenge. Although induced in both strains, the higher absolute levels in the BTBRT strain may be responsible for the differential response to tumor. Although dendritic cells typically present antigen to the adaptive immune system, they also posses qualities of innate immune cells as they have been characterized to mediate TNF-mediated apoptotic killing of cancer cells (28, 29). We also observed a larger percentage of both CD8+ (cytotoxic T) and CD4+ (helper T) cells in the lungs of BTBRT mice (p < 0.05). Subsequent depletion of these cells through injection of CD4 and CD8 neutralizing antibody resulted in increased pulmonary engraftment of S180 cells. Hence T-cells clearly play a role in resistance by the BTBRT strain. It is possible that a subset of T-cells, T-Helper 17 cells, known to highly express IL-17A and which have been shown to be required for inhibition of metastasis of melanoma cells to the lung (30), may be involved in the process. Future experiments will be aimed at elucidating the role of T-Helper 17 cells in suppression of metastasis in BTBRT strain.
It remains possible that susceptibility mechanisms include non-immunological responses. In human pathologic specimens, tumors which metastasize to the lung are devoid of infiltrating leukocytes (31). In fact, this characteristic is used by pathologists to aid in determination of whether a malignancy located in the human lung is a primary or metastatic tumor. It is thus probable that “edited” metastatic tumors are unrecognized by the immune system, raising the possibility that host genetics determining the growth pattern of such tumors are non-immunologic in nature (e.g., growth, angiogenic, tropic factors) and shaped mostly by local “tissue intrinsic” factors present at the specific site of metastasis. We did test to see if there was any increased detection of apoptosis in A/J and BTBRT lungs at one and seven days post S180 injection, however no tumor- or strain-dependent changes were observed (data not shown). Nevertheless, we remain open to the possibility that tissue intrinsic factors shape the susceptibility to metastasis. It is also possible that day 1 and day 7 phenotypes may describe different processes. The day 1 phenotype could model the ability for the tumor to seed in the lung, and the day 7 phenotype could model the ability to survive, extravasate, colonize and grow in the lung.
It is important to note that metastasis of a primary cancer can occur much earlier than the initial clinical diagnosis of the primary cancer. Some patients can present with metastatic disease, and have an unknown primary disease or well differentiated tumor, suggesting that dissemination of tumor cells can occur early. Hence discovery of genetic susceptibility variants and then development of preventive protocols in model organisms, such as inbred mice, would aid in the understanding and treatment of the human condition.
Our study forms the basis of an inbred mouse model of cancer cell metastasis to the lung that shows differential metastatic load in a variety of inbred strains. These observations also suggest that gene loci responsible for S180 cell growth have the potential to be mapped through A/J × BTBRT F2 linkage mapping. In addition, recent advances in single nucleotide polymorphism discovery have provided researchers with the necessary resources to explore a wide range of genetic variation in laboratory mice (32). The use of dense SNP maps in inbred mice has proven successful in the identification and fine mapping of major quantitative trait loci and the identification of new genetic determinants of complex traits (33–37). Hence, the measurement of S180-induced pulmonary metastasis in 30 + inbred mouse strains would permit the use of genome-wide association studies to enhance susceptibility gene discovery, and is a current focus of our laboratory.
Acknowledgments
We would like to thank Jay Tichelaar, Michael James, and Pengyuan Liu for critical review of the manuscript. This work was supported by NIH grant #R01CA134433. We would also like to acknowledge support of the DDR Core Center (Grant #P30 DK52574), the Molecular Imaging Center (Grant #P50 CA94056) and the Alvin J. Siteman Cancer Center for the use of the High Speed Cell Sorter Core (Grant #P30 CA91842).
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