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[CANCER RESEARCH 57. 4455-4459. October 15. 1997] Advances in Brief Coding Region of NKX3.1, a Prostate-Specific Mutated in Human Prostate Cancers1 Homeobox Gene on 8p21, Is Not H. James Voeller, Meena Augustus,2 Victor Madike,2 G. Steven Bova, Kenneth C. Carter, and Edward P. Gelmann3 Division of Hemato/ogy/Oncology, Lombardi Cancer Center, Georgetown University Medical Center, Washington, DC 20007-2197 [H. J. V., E. P. GJ; Department of Molecular Biologv, Human Genome Sciences Inc., Rockville, Maryland 20850 [M. A., V. M., K. C. C.I; and Brady Urological institute, Johns Hopkins University, Baltimore, Maryland 21287 ¡G.S. B.I Abstract Loss of heterozygosity at chromosome 8p21-22 is common in human prostate cancer, suggesting the presence of one or more tumor suppressor genes at this locus. A homeobox gene that is expressed specifically in adult human prostate, NKX3.1, the expression of which is regulated by androgen, maps to chromosome 8p21. Fine structure in situ mapping showed that NKX3.I is proximal to MSRÃŒ2(macrophage scavenger receptor type II) and /./'/ (human lipoprotein lipase) and very close to NEFL (human neurofilament light chain) on 8p21. Single-strand conformational NKX3.1 in prostate cancer tissues to identify possible mutations that would be expected to occur in conjunction with LOH at 8p21 if NKX3.1 were a prostate cancer tumor suppressor gene. This assump tion was based on the paradigm of tumor suppressor gene inactivation that often involves deletion of one alÃ-eleand point mutation or other targeted disruption of the contralateral alÃ-ele. Materials and Methods poly FISH Mapping. Three cDNA probes, MSR (HSRAV71; 1.5 kb). LPL (HMSCL84; 2.5 kb), and NEFL (HKBIF36; 1.79 kb), obtained from the Human Genome Sciences database were used for cohybridization. in doubleand triple-label experiments. We determined that all three cDNAs were iden morphism analysis of 48 radical prostatectomy cancer specimens and 3 métastases for the entire coding region of NKX3.1 showed no tumorspecific sequence alterations in 50 specimens and total absence of the gene in 1 specimen known to have a biallelic deletion of 8p21. NKX3.1 was found to have a polymorphism at nucleotide 154 in codon 52 that resulted in a CGC—»TGCsequence change and an Arg—»Cys amino acid alter tical to MSRI, LPL, and NEFL in GenBank and the public domain using the BLAST algorithm (12). Prometaphase chromosome spreads were obtained from phytohemagglutinin-stimulated lymphocytes in normal male peripheral blood by conventional high-resolution chromosome preparation methods. Single-copy gene FISH methods were applied with minor modifications (13, ation (R52C). This polymorphism was present in 20% of DNA samples. If NKX3.1 is a target of the 8p21 LOH, it is not via disruption of the coding region of the gene. 14). The three marker cDNAs, MSR. LPL, and NEFL, were nick translated using both biotin 14-dATP and dig 11-dUTP and used as probes in various experiments. A biotin-labeled probe of the 20-kb A genomic DNA for NKX3.1 Introduction LOH,4 homozygous deletion, and methylation-associated was used consistently in all of the experiments for the sake of uniformity. In the double-label experiments, MSR, LPL, and NEFL cDNAs were cohybrid- silencing of genes within the chromosome region 8p21-22 are the most com monly described genetic aberrations in prostate cancer (1-8). This implies that one or more tumor suppressor genes reside on 8p and that one of the two alÃ-elesof the gene(s) is inactivated by the LOH at 8p21. NKX3.1 is a homeobox gene that is highly conserved in mouse and human DNA (9, 10). Human NKX3.I was initially isolated from cDNA libraries made from two samples of prostate cancer tissue. The gene was mapped to 8p21 (11). Expression of NKX3.1 in adult human tissues was found to be restricted to the prostate, with a very low level of expression also seen in testis. Among a large panel of cell lines tested, expression of NKX3.I was restricted to the LNCaP prostate cancer cell line, where it was induced by treatment of the cells with androgens (II).5 Because of its chromosomal location and the prostate-specific expression of this gene, we undertook fine mapping ofNKXJ.l to map its chromosomal location with respect to other 8p markers known to be deleted in prostate cancer. We also performed SSCP analysis of Received 6/26/97; accepted 8/28/97. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. ' This work was supported by NIH Grant CA57178 to E.P.G. and by an award from the CaPCURE Foundation. 2 These authors contributed equally to this work. 1 To whom requests for reprints should be addressed, at Division of Hematology/ Oncology. Lombardi Cancer Center. Georgetown University Medical Center. 3800 Res ervoir Road NW, Washington, DC 20007-2197. Phone: (202) 687-2207; Fax: (202) 7841229; E-mail: [email protected]. 4 The abbreviations used are: LOH, loss of heterozygosity; FISH, fluorescence in situ hybridization; SSCP. single-strand conformational polymorphism; DAPI, 4',6-diamidino2-phenylindole. 5 J. Prescott and D. Tindall. submitted for publication. ized with NKX3.1 on separate slides to fix the gene order along the chromo some. To determine the precise chromosomal location of the NKX3.1 with reference to the frequently used markers in the 8p21-22 region and to resolve the gene order in this minimal region of LOH on 8p with respect to NKX3.ÃŒ at 8p21, triple-label experiments were done using any two of the marker cDNAs and NKX3.ÃŒ.Each hybridization in the double-label experiments was per formed using a mixture of 100 ng of each marker (digoxigenin-labeled) and NKX3.1 (biotin-labeled). In the triple-label experiments, using NKX3.1 to gether with two of the markers simultaneously, orange signal was obtained by using a mixture of 50 ng each of the digoxigenin- and biotin-labeled probes. Detection was done using FITC-conjugated avidin and antidigoxigenin-conjugated rhodamine (Boehringer Mannheim) for the biotin and digoxigenin labels, respectively. Chromosomes were counterstained with DAPI and mounted with antifade. Color digital images containing both DAPI and gene signals were recorded using a triple-band pass filter set (Chroma Technology, Inc., Brattleboro, VT) in combination with a charge-coupled device camera (Photometries, Inc., Tucson, AZ) and variable excitation wavelength filters (15). Images were analyzed using the ISEE software package (Inovision Corp. Durham. NC). In isolated cases, some of the interfering background fluores cence on the slide but not on the chromosomes was electronically eliminated to improve signal visibility. The gene signals were analyzed and localized using the 850 band-resolution ideogram for chromosome 8 (16). Tissues. From our prostate tumor bank, we chose 35 confirmed cases of prostate cancer obtained at radical prostatectomy. Clinical stages ranged from T|C to T,. Histológica! grades (Gleason score) ranged from 5 to 9. One DNA from a liver metastasis was also used. In some instances. DNA was isolated from fresh tissue obtained at surgery and subsequently confirmed to contain prostate cancer. Cancerous tissue was dissected from paraffin-embedded tissue in regions that had been confirmed histologically to contain prostatic cancer. In addition, we analyzed 15 sets of tumor/normal pair DNAs from the Johns Hopkins University. These samples were cryostat dissected, and the tumor samples were estimated to contain at least 70% tumor nuclei by visual analysis 4455 Downloaded from cancerres.aacrjournals.org on August 11, 2017. © 1997 American Association for Cancer Research. NKX3.I IS NOT MUTATED IN PROSTATE CANCER of sections stained every 300 /urn during the dissection process. Twelve of these samples (10 prostate tissues and 2 lymph node métastases)had been shown to harbor chromosome 8p LOH ( I ). DNA from whole blood from human female volunteers was a gift from Jennifer Hu (Lombardi Cancer Center). DNA Isolation and SSCP Analysis. Genomic DNA was prepared from 50-200 mg of frozen prostate tumor tissue by digestion in 2 ml of DNA digestion buffer (100 mM NaCl. 10 mM Tris-Cl, pH 8, 25 mM EDTA, 0.5% SDS. and 0.1 mg/ml proteinase K) at 50°Covernight. The samples were then extracted once with phenol, and 10 ixg/ml RNase A was added at 37°Cfor I h. GAAAGC. right primer, CGCGCTGTCTCTGGCTGCTC; fragment 2, left primer, CGCTCACGTCCTTCCTCATCCAG, right primer, TCGGTCTCTGCCAGCGTCTCG: fragment 3, left primer, AGCCAGAGCCAGAGCCAGAGG, right primer, GCTGCGGAGGCGGGAAGGTC. Exon 2 56°C:frag Following further extractions with phenol-chloroform and chloroform, the DNA was precipitated with a one-fifth volume of 10 M ammonium acetate and 2 volumes of 100% ethanol. H&E-stained sections from prostate tumor tissues, formalin-fixed and embedded in paraffin, were used as reference to distinguish regions of normal and tumor tissue. To prepare DNA. a 50-fiM section was mega, Madison, WI). Individual clones were sequenced using an ABI 377 dye terminator DNA sequencing system in the Macromolecular Synthesis/Se quencing Shared Resource Center of the Lombardi Cancer Center. Multiple clones were sequenced in each case. extracted twice with 1 ml of Americlear histology clearing solvent (Stephens Scientific. Riverdale, NJ) for 30 min at room temperature and then washed twice with 1 ml of 100% ethanol. Samples were air dried, resuspended in 0.5 ml of DNA digestion buffer, and treated as above. SSCP analysis was performed by PCR amplification of 50-100 ng of DNA in 10 /til of 1X PCR buffer [50 mM KC1, 10 mM Tris-Cl (pH 8.3), and 1.5 mM MgCy containing 5% DMSO. 50 ¿IMeach dNTP, 1 juCi [32P]dCTP, l /IM Results and Discussion oligonucleotide primers, and 0.25 units of Taq polymerase (Life Technologies, Gaithersburg, MD). Cycle conditions were 94°Cfor 30 s, 56-64°C (primerdependent) for 30 s, and 72°Cfor 30 s for 30 cycles followed by 72°C extension for 7 min. Sample aliquots were mixed with 4 volumes of 95% formamide sample buffer, heated to 85°Cfor 5 min, immediately snap frozen on dry ice, and then thawed on ice. Four n\ of each sample were loaded onto a 0.5 X mutation detection enhancement (MDE) gel (FMC Bio Products, Rockland, ME) containing 0-10% glycerol. Gels containing no glycerol were electrophoresed at 20 W with a cooling fan for 4 h; those containing 5 or 10% glycerol were run at 6 W for 18 h. Gels were then dried and autoradiographed. Primers used to generate PCR fragments of the two coding NKX3. ÃŒ exons were as follows. Exon 1, 64°C:fragment 1, left primer, CGGGAGGCGGAAAGT- ment 4, left primer, CCCATCCCTCCTTCCCCACTCTCC, right primer, TTGGGTCTCCGTGAGCTTGAGGTT; fragment 5, left primer, GAAGTACCTGTCGGCCCCTGAACG, right primer, CACCCTGGGGAAGGCAGTTTTTGA. Sequence Analysis. Aberrantly migrating bands from SSCP analysis were sliced from the gel. PCR amplified, and cloned into pGEM-T Vector (Pro- Chromosomal Fine Mapping of NKX3.1. Emi et al. (17) con structed a genetic linkage map of markers for the short arm of human chromosome 8. This unbroken map spanned 45 cM in males and 79 cM in females and included 14 DNA markers. These markers in cluded, among others, three genes (MSR, LPL, and NEFL) that were previously assigned to 8p. We used these three genes because they mapped within the 8p21-22 region of chromosome 8 where NKX3.ÃŒ was mapped, and they are loci frequently deleted or shown to undergo allelic losses in prostate cancer. Cumulatively, more than 30 metaphases were analyzed by eye, most of which had doublet signals characteristic of genuine hybrid ization for the given gene on at least one chromosome 8. Doublet signal was not detected on any other chromosome for NKX 3.1, MSR, or LPL. However, the NEFL probe showed strong secondary signal at 17qter (data not shown), which we disregarded for purposes of this report. Detailed analyses of more than 50 individual chromosomes, MSR NKX3.1 LPL NKX3.1 Fig. 1. Fine mapping of NKX3.ÃŒ.Double- and triple-label single-copy gene FISH was done as described in "Materials and Methods." A. three different examples of chromosome 8. each of which has undergone double-probe hybridization. B, two different examples of chromosome 8. each of which has undergone triple-probe hybridization. For both A and B. probe signal, identification, and color are indicated by the arrows. 2a. inverse black-and-white presentation of the DAPI staining pattern is shown for the chromosome depicted in 2b. showing the g-band like paltem. Chromosomes were counterstained with DAPI (blue). C. Interna tional System for Human Cytogenetic Nomencla ture ideogram of chromosome 8 showing the rela tive map positions of NKX3.1 (green bar) in relation to MSR. LPL, and NEFL (black bars: Ref. 16). Previously reported genetic distances are de picted in cM to the right of the map (3, 17). C. ^ MSR s+'NKXa.ì NEFL MSR LPL -NKX3.ÃŒ 21¿x D 21-2'T r **2 8 4456 Downloaded from cancerres.aacrjournals.org on August 11, 2017. © 1997 American Association for Cancer Research. NKX3.1 IS NOT MUTATED IN PROSTATE B CANCER Fragment 1 Fragment 2 1234567 Hi Fragment 3 1234567 1234567 CAAT TATA Exon[2 Exon 1 60 aa homeodomain T arg/cys polymorphism aa52 lililÃ- -•M «ft Exon 1 allelotype: C Fragment 4 Fragment 1 1234 5 67 8 9 123 A A B A B 4 5 A A B 678 9 10 11 12 Hf) 10 11 12 » UN Fragment 5 Fragment 2 Fragment 3 Fig. 2. A, genomic map of NKX3.1 showing two exons that contain the coding region of the gene (shaded}. The location of five PCR transcripts used for SSCP analysis of the gene are included above the map and numbered 1-5. The locations of the R52C polymorphism and the homeodomain are shown. B, SSCP analysis of exon 1 using cell lines and normal tissue DNA to demonstrate polymorphisms. In each panel: Lanes 1-4, prostate cancer cell line DNA from LNCaP, DU-145. PC-3. and TSU-Prl; Lane 5. human breast cancer cell line MDA-MB-435; Lane 6, human placental DNA; Lane 7, DNA from normal human thymus. Heterozygosity for fragment 2 is demonstrated in Lane I. The other lanes have DNA that is homozygous A/A or B/B. C, representative SSCP analysis of prostate cancer DNA specimens for fragments 1-3 of exon 1. The polymorphisms for fragment 1 are seen in Lanes 1-3 and 9, but no aberrant bands were observed. For fragment 2. A/B heterozygosity is seen in Lane 7. D, representative SSCP gels of fragments that overlap exon 2. The SSCP gels contain 12 prostate cancer DNA samples (Lanes 1-12). using fluorescence banding combined with high-resolution image analysis, indicated that NKX3.ÃŒ was situated within 8p21, flanked distally by LPL and MSR at 8p21.3 and 8p22, respectively. NEFL, which is among the closest known markers for the minimally deleted 8p21 region, colocalized with NKX3.1 but was sometimes seen slightly proximal ofNKXS.l at the border of 8pl2 and 8p21.3 (Fig. 1). However, in a double-blind analysis, NKX3.1 and NEFL could not be resolved along the longitudinal axis of the metaphase chromosome, indicating that these genes lay within approximately 2-3 Mb of each other (14). This helped confirm that the chromosomal location of the NKX3.ÃŒ gene was 8p21, probably closer to 8p21.2 than 8p21.3, and it indicated that the gene was contained within the minimally deleted region reported for some prostate cancers (7). The gene order for NKX3.1 and the three loci linked to LOH on 8p was established as 4457 Downloaded from cancerres.aacrjournals.org on August 11, 2017. © 1997 American Association for Cancer Research. NKX3.1 IS NOT MUTATED cen-NEFL/NKX.ÃŒJ-LPL-MSR-pter. The juxtaposition of NEFL to NKX3.1 along with the prostate-specific expression and androgen regulation of NKX3.1 strengthened the possibility that this was a tumor suppressor gene important for prostate cancer (11). Therefore, we did analyses aimed at detecting alterations of NKX3.1 in prostatic cancers. SSCP Analysis. The open reading frame of NKX3.1 is contained entirely in two exons, the second of which includes the homeodomain, the region of the homeobox gene that codes for the DNA-binding domain. On the basis of the transcription start site predicted from the genomic sequence, the portion of the gene coding for the protein would account for somewhat more than 1 kb of processed mRNA. Because Northern analyses indicated that the mature NKX3.1 mRNA was approximately 4 kb, there must be a long 3' untranslated region (<3.5 kb), which is likely encoded within the second exon compara ble to the structure of the mouse gene (9, 10). The organization of the human NKX3.1 gene and the location of PCR products that were used in SSCP are shown in Fig. 2A. SSCP analysis of exon 1 revealed the presence of two polymor phisms. These are demonstrated in an analysis of DNA from five cell lines, placenta, and normal thymus, as shown in in Fig. IB. Fragment 1 shows two distinct patterns indicative of a polymorphism. The DNAs in Lanes I and 2 have a migration pattern showing presence of both polymorphic alÃ-eles;those in Lanes 3-5 and 7 are homozygous for one alÃ-ele;and that in Lane 6 is homozygous for the other alÃ-ele. Nucleotide sequence analysis showed that the polymorphism of frag ment 1 was due to a single nucleotide change 15 bases upstream from the ATG in exon 1. The sequence of this region is: GGGCCGGGCGGGTGCATTCAGGCCAA(G/A)GGCGGGGCCGCCGGGATGCTCAGGA. PCR fragment 2 also showed two different SSCP migration pat terns. We have named these two patterns A and B because they represent one of two polymorphic amino acids at codon 52 of the NKX3.1 protein. The A alÃ-eleencodes an arginine and the B a cysteine at codon 52 (Fig. Z4). DNA in Lane 1 has both alÃ-eles(A/B); DNAs in Lanes 2, 4, 6, and 7 are homozygous for A; and DNAs in Lanes 3 and 5 are homozygous for B. We know that the fragment 2 SSCP migrations represent two alÃ-elesbecause we isolated each of these bands from the SSCP gel for nucleotide sequencing and showed that the A alÃ-elecorrelated with a T at nucleotide 154 encoding an arginine at codon 52 and the B alÃ-elecontained a cytosine at nucle otide 154, encoding a cysteine. PCR fragment 3 gave a uniform migration of the seven samples, suggesting that there were no se quence differences between the samples. An example of SSCP analysis of exon 1 of prostate cancer tissue is shown in Fig. 2C. Thirty-six different prostate cancer tissue DNAs were analyzed initially. We observed the R52C polymorphism in the coding region of exon 1 in seven samples, but saw no other aberrant bands. The sequence of the R52C polymorphism was confirmed in four of seven cases of prostate cancer in which it was observed by SSCP. SSCP analysis of all seven cases showed identical gel migra tion and a ratio of band intensities consistent with the presence of a polymorphism. We analyzed exon 2, which contains the homeodomain region, using PCR fragments 4 and 5 shown in Fig. 2A. No aberrations in SSCP migration were seen in 36 samples tested. Fig. ID shows examples of SSCP migration of two PCR fragments that span exon 2. To be certain that we had not missed NKX3.Õmutations due to tissue heterogeneity or sample selection, we analyzed 15 paired DNA samples from matched tumor/normal tissues from individuals with prostate cancer, 12 of which contained known 8p21 LOH. One of the 12 had no amplifiable signal in the tumor DNA, suggesting the possibility of a total deletion of the gene. The other 14 samples had no IN PROSTATE CANCER aberrations of the NKX3.ÃŒcoding region in SSCP analysis. One of these 14 samples contained A/B heterozygosity of exon 1 and did not display LOH of either alÃ-ele.Therefore, in a total of 51 prostate cancer DNAs, one specimen had a biallelic deletion of NKX3.I and 50 samples had no mutations. Because we found a polymorphism in the deduced NKX3.1 protein sequence, we asked whether the occurrence of the B polymorphism was different in the prostate cancer tissue compared to DNAs from normal tissue. Four of 26 normal tissues from prostate cancer patients and 8 of 50 cancer specimens contained the B polymorphism and displayed A/B heterozygosity by SSCP. Therefore, it did not appear that the B alÃ-elewas preferentially retained or lost in cancer speci mens. We also analyzed DNA from normal female peripheral blood and found the A/B heterozygosity in 8 of 37 DNA samples. Definitive analysis of the sex- and population-based frequencies of the R52C exon 1 polymorphism in NKX3.1 is currently under way. NKX3. /isa homeobox gene as determined by the presence of a 60-amino acid homeodomain. The homeobox family of genes are recognized as playing a central role in the development of organs and body patterns in a wide variety of organisms. These genes encode proteins containing a conserved 60-amino acid region, the homeodo main, which in several cases has been shown to bind specifically to DNA and to be involved in transcription regulation. Although the role of NKX3.1 in prostate cancer remains unknown, its tissue-specific expression and androgen regulation make it an important subject for further studies. Because NKX3.1 is expressed in hormone-responsive but not hor mone-unresponsive prostate cancer cell lines, it will be interesting to see whether this pattern of expression is recapitulated in prostate cancer tissues. Only one of the samples we analyzed, a DNA extracted from a liver metastasis, came from hormone-refractory cancer tissue that had progressed after androgen ablation. NKX3.1 was not mutated in this sample. The other 50 tissues came from 48 primary prostate cancers and 2 lymph node métastasesobtained at the time of initial prostate surgery and had not been exposed to androgen ablation. The one case that showed homozygous deletion of NKX3.1 had not been subjected to hormone therapy at the time the tissue was obtained. Therefore, it would be important to examine the state of the NKX3.1 locus in androgen-independent prostate cancer tissues. Acknowledgments Gilben Jay and Cory Abate-Shen shared unpublished data. 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