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The Journal of Clinical Investigation logoLink to The Journal of Clinical Investigation
. 1998 Apr 1;101(7):1301–1309. doi: 10.1172/JCI925

Thrombomodulin modulates growth of tumor cells independent of its anticoagulant activity.

Y Zhang 1, H Weiler-Guettler 1, J Chen 1, O Wilhelm 1, Y Deng 1, F Qiu 1, K Nakagawa 1, M Klevesath 1, S Wilhelm 1, H Böhrer 1, M Nakagawa 1, H Graeff 1, E Martin 1, D M Stern 1, R D Rosenberg 1, R Ziegler 1, P P Nawroth 1
PMCID: PMC508707  PMID: 9525972

Abstract

Thrombomodulin (TM), recognized as an essential vessel wall cofactor of the antithrombotic mechanism, is also expressed by a wide range of tumor cells. Tumor cell lines subcloned from four patients with malignant melanoma displayed a negative correlation between TM expression and cell proliferation in vitro and in vivo. Overexpression of wild-type TM decreased cell proliferation in vitro and tumor growth in vivo. TM mutants with altered protein C activation capacity lead to a similar effect. In contrast, transfection of melanoma cells with mutant TM constructs, in which a portion of the cytoplasmic or lectin domain was deleted, abrogated the antiproliferative effect associated with overexpression of wild-type TM. Experiments performed with either peptide agonists/antagonists of the thrombin receptor, with hirudin, or with inhibitors of thrombin-TM interaction did not alter the growth inhibitory effect of TM overexpression. These data suggest that TM exerts an effect on cell proliferation independent of thrombin and the thrombin receptor, possibly related to the binding of novel ligands to determinants in the lectin domain which might trigger signal transduction pathways dependent on the cytoplasmic domain.

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Selected References

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  1. Boffa M. C., Burke B., Haudenschild C. C. Preservation of thrombomodulin antigen on vascular and extravascular surfaces. J Histochem Cytochem. 1987 Nov;35(11):1267–1276. doi: 10.1177/35.11.2821107. [DOI] [PubMed] [Google Scholar]
  2. Clarke J. H., Light D. R., Blasko E., Parkinson J. F., Nagashima M., McLean K., Vilander L., Andrews W. H., Morser J., Glaser C. B. The short loop between epidermal growth factor-like domains 4 and 5 is critical for human thrombomodulin function. J Biol Chem. 1993 Mar 25;268(9):6309–6315. [PubMed] [Google Scholar]
  3. Conway E. M., Nowakowski B., Steiner-Mosonyi M. Human neutrophils synthesize thrombomodulin that does not promote thrombin-dependent protein C activation. Blood. 1992 Sep 1;80(5):1254–1263. [PubMed] [Google Scholar]
  4. Conway E. M., Nowakowski B., Steiner-Mosonyi M. Thrombomodulin lacking the cytoplasmic domain efficiently internalizes thrombin via nonclathrin-coated, pit-mediated endocytosis. J Cell Physiol. 1994 Feb;158(2):285–298. doi: 10.1002/jcp.1041580211. [DOI] [PubMed] [Google Scholar]
  5. DeBault L. E., Esmon N. L., Olson J. R., Esmon C. T. Distribution of the thrombomodulin antigen in the rabbit vasculature. Lab Invest. 1986 Feb;54(2):172–178. [PubMed] [Google Scholar]
  6. Dittman W. A., Kumada T., Sadler J. E., Majerus P. W. The structure and function of mouse thrombomodulin. Phorbol myristate acetate stimulates degradation and synthesis of thrombomodulin without affecting mRNA levels in hemangioma cells. J Biol Chem. 1988 Oct 25;263(30):15815–15822. [PubMed] [Google Scholar]
  7. Dittman W. A., Majerus P. W. Structure and function of thrombomodulin: a natural anticoagulant. Blood. 1990 Jan 15;75(2):329–336. [PubMed] [Google Scholar]
  8. Esmon C. T., Owen W. G. Identification of an endothelial cell cofactor for thrombin-catalyzed activation of protein C. Proc Natl Acad Sci U S A. 1981 Apr;78(4):2249–2252. doi: 10.1073/pnas.78.4.2249. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Esmon C. T. The regulation of natural anticoagulant pathways. Science. 1987 Mar 13;235(4794):1348–1352. doi: 10.1126/science.3029867. [DOI] [PubMed] [Google Scholar]
  10. Esmon C. T. The roles of protein C and thrombomodulin in the regulation of blood coagulation. J Biol Chem. 1989 Mar 25;264(9):4743–4746. [PubMed] [Google Scholar]
  11. Esmon C. T. Thrombomodulin as a model of molecular mechanisms that modulate protease specificity and function at the vessel surface. FASEB J. 1995 Jul;9(10):946–955. doi: 10.1096/fasebj.9.10.7615164. [DOI] [PubMed] [Google Scholar]
  12. Esmon N. L., Owen W. G., Esmon C. T. Isolation of a membrane-bound cofactor for thrombin-catalyzed activation of protein C. J Biol Chem. 1982 Jan 25;257(2):859–864. [PubMed] [Google Scholar]
  13. Felgner P. L., Gadek T. R., Holm M., Roman R., Chan H. W., Wenz M., Northrop J. P., Ringold G. M., Danielsen M. Lipofection: a highly efficient, lipid-mediated DNA-transfection procedure. Proc Natl Acad Sci U S A. 1987 Nov;84(21):7413–7417. doi: 10.1073/pnas.84.21.7413. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Hamada H., Ishii H., Sakyo K., Horie S., Nishiki K., Kazama M. The epidermal growth factor-like domain of recombinant human thrombomodulin exhibits mitogenic activity for Swiss 3T3 cells. Blood. 1995 Jul 1;86(1):225–233. [PubMed] [Google Scholar]
  15. Healy A. M., Rayburn H. B., Rosenberg R. D., Weiler H. Absence of the blood-clotting regulator thrombomodulin causes embryonic lethality in mice before development of a functional cardiovascular system. Proc Natl Acad Sci U S A. 1995 Jan 31;92(3):850–854. doi: 10.1073/pnas.92.3.850. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Imada M., Imada S., Iwasaki H., Kume A., Yamaguchi H., Moore E. E. Fetomodulin: marker surface protein of fetal development which is modulatable by cyclic AMP. Dev Biol. 1987 Aug;122(2):483–491. doi: 10.1016/0012-1606(87)90312-5. [DOI] [PubMed] [Google Scholar]
  17. Imada S., Yamaguchi H., Imada M. Differential expression of fetomodulin and tissue plasminogen activator to characterize parietal endoderm differentiation of F9 embryonal carcinoma cells. Dev Biol. 1990 Oct;141(2):426–430. doi: 10.1016/0012-1606(90)90397-2. [DOI] [PubMed] [Google Scholar]
  18. Imada S., Yamaguchi H., Nagumo M., Katayanagi S., Iwasaki H., Imada M. Identification of fetomodulin, a surface marker protein of fetal development, as thrombomodulin by gene cloning and functional assays. Dev Biol. 1990 Jul;140(1):113–122. doi: 10.1016/0012-1606(90)90058-q. [DOI] [PubMed] [Google Scholar]
  19. Jackson D. E., Mitchell C. A., Bird P., Salem H. H., Hayman J. A. Immunohistochemical localization of thrombomodulin in normal human skin and skin tumours. J Pathol. 1995 Apr;175(4):421–432. doi: 10.1002/path.1711750410. [DOI] [PubMed] [Google Scholar]
  20. Jimenez A., Davies J. Expression of a transposable antibiotic resistance element in Saccharomyces. Nature. 1980 Oct 30;287(5785):869–871. doi: 10.1038/287869a0. [DOI] [PubMed] [Google Scholar]
  21. Kennel S. J., Lankford T., Hughes B., Hotchkiss J. A. Quantitation of a murine lung endothelial cell protein, P112, with a double monoclonal antibody assay. Lab Invest. 1988 Nov;59(5):692–701. [PubMed] [Google Scholar]
  22. Lager D. J., Callaghan E. J., Worth S. F., Raife T. J., Lentz S. R. Cellular localization of thrombomodulin in human epithelium and squamous malignancies. Am J Pathol. 1995 Apr;146(4):933–943. [PMC free article] [PubMed] [Google Scholar]
  23. Margolskee R. F., Kavathas P., Berg P. Epstein-Barr virus shuttle vector for stable episomal replication of cDNA expression libraries in human cells. Mol Cell Biol. 1988 Jul;8(7):2837–2847. doi: 10.1128/mcb.8.7.2837. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Maruno M., Yoshimine T., Isaka T., Kuroda R., Ishii H., Hayakawa T. Expression of thrombomodulin in astrocytomas of various malignancy and in gliotic and normal brains. J Neurooncol. 1994;19(2):155–160. doi: 10.1007/BF01306457. [DOI] [PubMed] [Google Scholar]
  25. Maruyama I., Bell C. E., Majerus P. W. Thrombomodulin is found on endothelium of arteries, veins, capillaries, and lymphatics, and on syncytiotrophoblast of human placenta. J Cell Biol. 1985 Aug;101(2):363–371. doi: 10.1083/jcb.101.2.363. [DOI] [PMC free article] [PubMed] [Google Scholar]
  26. McCachren S. S., Diggs J., Weinberg J. B., Dittman W. A. Thrombomodulin expression by human blood monocytes and by human synovial tissue lining macrophages. Blood. 1991 Dec 15;78(12):3128–3132. [PubMed] [Google Scholar]
  27. Ogura M., Ito T., Maruyama I., Takamatsu J., Yamamoto S., Ogawa K., Nagura H., Saito H. Localization and biosynthesis of functional thrombomodulin in human megakaryocytes and a human megakaryoblastic cell line (MEG-01). Thromb Haemost. 1990 Oct 22;64(2):297–301. [PubMed] [Google Scholar]
  28. Owen W. G., Esmon C. T. Functional properties of an endothelial cell cofactor for thrombin-catalyzed activation of protein C. J Biol Chem. 1981 Jun 10;256(11):5532–5535. [PubMed] [Google Scholar]
  29. Patthy L. Detecting distant homologies of mosaic proteins. Analysis of the sequences of thrombomodulin, thrombospondin complement components C9, C8 alpha and C8 beta, vitronectin and plasma cell membrane glycoprotein PC-1. J Mol Biol. 1988 Aug 20;202(4):689–696. doi: 10.1016/0022-2836(88)90550-5. [DOI] [PubMed] [Google Scholar]
  30. Raife T. J., Lager D. J., Madison K. C., Piette W. W., Howard E. J., Sturm M. T., Chen Y., Lentz S. R. Thrombomodulin expression by human keratinocytes. Induction of cofactor activity during epidermal differentiation. J Clin Invest. 1994 Apr;93(4):1846–1851. doi: 10.1172/JCI117171. [DOI] [PMC free article] [PubMed] [Google Scholar]
  31. Rasmussen U. B., Gachet C., Schlesinger Y., Hanau D., Ohlmann P., Van Obberghen-Schilling E., Pouysségur J., Cazenave J. P., Pavirani A. A peptide ligand of the human thrombin receptor antagonizes alpha-thrombin and partially activates platelets. J Biol Chem. 1993 Jul 5;268(19):14322–14328. [PubMed] [Google Scholar]
  32. Sharon N., Lis H. Lectins as cell recognition molecules. Science. 1989 Oct 13;246(4927):227–234. doi: 10.1126/science.2552581. [DOI] [PubMed] [Google Scholar]
  33. Soff G. A., Jackman R. W., Rosenberg R. D. Expression of thrombomodulin by smooth muscle cells in culture: different effects of tumor necrosis factor and cyclic adenosine monophosphate on thrombomodulin expression by endothelial cells and smooth muscle cells in culture. Blood. 1991 Feb 1;77(3):515–518. [PubMed] [Google Scholar]
  34. Stern D., Brett J., Harris K., Nawroth P. Participation of endothelial cells in the protein C-protein S anticoagulant pathway: the synthesis and release of protein S. J Cell Biol. 1986 May;102(5):1971–1978. doi: 10.1083/jcb.102.5.1971. [DOI] [PMC free article] [PubMed] [Google Scholar]
  35. Suehiro T., Shimada M., Matsumata T., Taketomi A., Yamamoto K., Sugimachi K. Thrombomodulin inhibits intrahepatic spread in human hepatocellular carcinoma. Hepatology. 1995 May;21(5):1285–1290. [PubMed] [Google Scholar]
  36. Sugden B., Marsh K., Yates J. A vector that replicates as a plasmid and can be efficiently selected in B-lymphoblasts transformed by Epstein-Barr virus. Mol Cell Biol. 1985 Feb;5(2):410–413. doi: 10.1128/mcb.5.2.410. [DOI] [PMC free article] [PubMed] [Google Scholar]
  37. Suzuki K., Nishioka J. A thrombin-based peptide corresponding to the sequence of the thrombomodulin-binding site blocks the procoagulant activities of thrombin. J Biol Chem. 1991 Oct 5;266(28):18498–18501. [PubMed] [Google Scholar]
  38. Suzuki K., Nishioka J., Hayashi T., Kosaka Y. Functionally active thrombomodulin is present in human platelets. J Biochem. 1988 Oct;104(4):628–632. doi: 10.1093/oxfordjournals.jbchem.a122523. [DOI] [PubMed] [Google Scholar]
  39. Tamura A., Matsubara O., Hirokawa K., Aoki N. Detection of thrombomodulin in human lung cancer cells. Am J Pathol. 1993 Jan;142(1):79–85. [PMC free article] [PubMed] [Google Scholar]
  40. Tezuka Y., Yonezawa S., Maruyama I., Matsushita Y., Shimizu T., Obama H., Sagara M., Shirao K., Kusano C., Natsugoe S. Expression of thrombomodulin in esophageal squamous cell carcinoma and its relationship to lymph node metastasis. Cancer Res. 1995 Sep 15;55(18):4196–4200. [PubMed] [Google Scholar]
  41. Traynor A. E., Cundiff D. L., Soff G. A. cAMP influence on transcription of thrombomodulin is dependent on de novo synthesis of a protein intermediate: evidence for cohesive regulation of myogenic proteins in vascular smooth muscle. J Lab Clin Med. 1995 Sep;126(3):316–323. [PubMed] [Google Scholar]
  42. Vassallo R. R., Jr, Kieber-Emmons T., Cichowski K., Brass L. F. Structure-function relationships in the activation of platelet thrombin receptors by receptor-derived peptides. J Biol Chem. 1992 Mar 25;267(9):6081–6085. [PubMed] [Google Scholar]
  43. Weiler-Guettler H., Aird W. C., Rayburn H., Husain M., Rosenberg R. D. Developmentally regulated gene expression of thrombomodulin in postimplantation mouse embryos. Development. 1996 Jul;122(7):2271–2281. doi: 10.1242/dev.122.7.2271. [DOI] [PubMed] [Google Scholar]
  44. Weiler-Guettler H., Yu K., Soff G., Gudas L. J., Rosenberg R. D. Thrombomodulin gene regulation by cAMP and retinoic acid in F9 embryonal carcinoma cells. Proc Natl Acad Sci U S A. 1992 Mar 15;89(6):2155–2159. doi: 10.1073/pnas.89.6.2155. [DOI] [PMC free article] [PubMed] [Google Scholar]
  45. Wong V. L., Hofman F. M., Ishii H., Fisher M. Regional distribution of thrombomodulin in human brain. Brain Res. 1991 Aug 9;556(1):1–5. doi: 10.1016/0006-8993(91)90540-c. [DOI] [PubMed] [Google Scholar]
  46. Yates J. L., Warren N., Sugden B. Stable replication of plasmids derived from Epstein-Barr virus in various mammalian cells. 1985 Feb 28-Mar 6Nature. 313(6005):812–815. doi: 10.1038/313812a0. [DOI] [PubMed] [Google Scholar]
  47. Zhang Y., Deng Y., Luther T., Müller M., Ziegler R., Waldherr R., Stern D. M., Nawroth P. P. Tissue factor controls the balance of angiogenic and antiangiogenic properties of tumor cells in mice. J Clin Invest. 1994 Sep;94(3):1320–1327. doi: 10.1172/JCI117451. [DOI] [PMC free article] [PubMed] [Google Scholar]

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