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- W2081869055 abstract "MDA-MB-231 human breast cancer cells belong to a highly invasive metastatic cell line that depends on phospholipase D (PLD) activity for survival when deprived of serum growth factors. In response to the stress of serum withdrawal, there is a rapid and dramatic increase in PLD activity. Concomitant with increased PLD activity, there was an increase in the ability of MDA-MB-231 cells to both migrate and invade Matrigel™. The ability of MDA-MB-231 cells to both migrate and invade Matrigel™ was dependent on both PLD and mTOR, a downstream target of PLD signals. Serum withdrawal also led to a PLD-dependent increase in the expression of the stress factor, hypoxia-inducible factor-1α. These data reveal that PLD survival signals not only prevent apoptosis but also stimulate cell migration and invasion, linking the ability to suppress apoptosis with the ability to metastasize. MDA-MB-231 human breast cancer cells belong to a highly invasive metastatic cell line that depends on phospholipase D (PLD) activity for survival when deprived of serum growth factors. In response to the stress of serum withdrawal, there is a rapid and dramatic increase in PLD activity. Concomitant with increased PLD activity, there was an increase in the ability of MDA-MB-231 cells to both migrate and invade Matrigel™. The ability of MDA-MB-231 cells to both migrate and invade Matrigel™ was dependent on both PLD and mTOR, a downstream target of PLD signals. Serum withdrawal also led to a PLD-dependent increase in the expression of the stress factor, hypoxia-inducible factor-1α. These data reveal that PLD survival signals not only prevent apoptosis but also stimulate cell migration and invasion, linking the ability to suppress apoptosis with the ability to metastasize. The conversion of a normal cell to a malignant cancer cell involves multiple genetic alterations that overcome the many protections built into cells that prevent unwanted proliferation (1Hanahan D. Weinberg R.A. Cell. 2000; 100: 57-70Abstract Full Text Full Text PDF PubMed Scopus (22387) Google Scholar). Perhaps the most crucial step in progression to malignancy is gaining the ability to migrate or metastasize to distant sites where the growth of multiple tumors ultimately causes the lethal consequences of the cancer. Although there are several cellular properties that correlate with increased metastatic potential, such as increased protease secretion (2Freije J.M. Balbin M. Pendas A.M. Sanchez L.M. Puente X.S. Lopez-Otin C. Adv. Exp. Med. Biol. 2003; 532: 91-107Crossref PubMed Scopus (155) Google Scholar), there has never been a clear genetic event that confers metastatic capability. However, it has been suggested that mutations occurring at early stages of tumorigenesis that confer a proliferative advantage may also contribute to the ability to metastasize at later stages of tumor progression (3Bernards R. Weinberg R.A. Nature. 2002; 418: 823Crossref PubMed Scopus (699) Google Scholar). Among the obstacles to be overcome in a developing tumor are default apoptotic programs that cause cells with faulty division signals to undergo apoptosis (1Hanahan D. Weinberg R.A. Cell. 2000; 100: 57-70Abstract Full Text Full Text PDF PubMed Scopus (22387) Google Scholar). A cell must generate “survival signals” to suppress these apoptotic programs (4Downward J. Semin. Cell Dev. Biol. 2004; 15: 177-182Crossref PubMed Scopus (678) Google Scholar, 5Foster D.A. Expert Rev. Anticancer Ther. 2004; 4: 691-701Crossref PubMed Scopus (32) Google Scholar, 6Luo J. Manning B.D. Cantley L.C. Cancer Cell. 2003; 4: 257-262Abstract Full Text Full Text PDF PubMed Scopus (1165) Google Scholar). Interestingly, signals that have been shown to suppress apoptosis have also been linked to cell migration, a hallmark of the metastatic phenotype. Both phosphatidylinositol 3-kinase and phospholipase D (PLD), 2The abbreviations used are: PLD, phospholipase D; HIF1α, hypoxia-inducible factor-1α; mTOR, mammalian target of rapamycin. which provide survival signals in human cancer cells (7Cantley L.C. Science. 2002; 296: 1655-1657Crossref PubMed Scopus (4655) Google Scholar, 8Foster D.A. Xu L. Mol. Cancer Res. 2003; 1: 789-800PubMed Google Scholar, 9Foster D.A. Current Signal Transduction Ther. 2006; (in press)Google Scholar), have also been linked with cellular processes that contribute to cell migration (8Foster D.A. Xu L. Mol. Cancer Res. 2003; 1: 789-800PubMed Google Scholar, 10Sliva D. Curr. Cancer Drug Targets. 2004; 4: 327-336Crossref PubMed Scopus (134) Google Scholar). This correlation between survival and cell migration suggests that generating a survival signal early in tumorigenesis could also endow the cell with the ability to migrate. This raises the question as to how the migration would be triggered. One possibility is that although a primary tumor mass is forming, survival signals are selected for in cells deprived of blood serum to suppress the apoptosis that would occur in an unvascularized tumor mass. If the survival response of cells also includes increased cell migration, then in addition to suppression of apoptosis, the response would also include migration to sites where growth factors and nutrition could be obtained. We recently described a survival signal in the highly malignant human breast cancer cell line MDA-MB-231 that involves PLD and one of its downstream targets, mTOR, the mammalian target of rapamycin (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar). Under the stress of serum withdrawal, MDA-MB-231 cells undergo apoptosis if either PLD or mTOR was suppressed (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar, 12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar). We report here that depriving MDA-MB-231 and other human cancer cells of serum results in a PLD-dependent survival signal that also promotes cell migration. We propose that the ability to metastasize is part of a “survival program” that suppresses apoptosis and enhances migration of stressed cells to more hospitable conditions. Cells, Cell Culture Conditions, and Transfection—All human cancer cell lines used in this study were obtained from the American Type Culture Collection and were maintained in Dulbecco's modified Eagle's medium with 10% bovine calf serum. Transfections were performed using Lipofectamine 2000 reagent (Invitrogen) according to the manufacturer's instructions. Transfection efficiency was determined by transfection of pEGFP-C1 (Clontech), which expresses green fluorescent protein. The percentage of green cells was determined microscopically and was routinely in excess of 70%. The generation of MCF-7 cells expressing PLD2 (MCF-7-P2 cells) has been described previously (13Hui L Abbas T Pielak R. Joseph T. Bargonetti J. Foster D.A. Mol. Cell. Biol. 2004; 24: 5677-5688Crossref PubMed Scopus (55) Google Scholar). These cells represent a pool of clones selected for G418 resistance as described (13Hui L Abbas T Pielak R. Joseph T. Bargonetti J. Foster D.A. Mol. Cell. Biol. 2004; 24: 5677-5688Crossref PubMed Scopus (55) Google Scholar). Materials—Rapamycin was obtained from Sigma. Antibodies for hypoxia-inducible factor-1α (HIF1α), actin, and hemagglutinin were purchased from Santa Cruz Biotechnology. [3H]Myristic acid was obtained from PerkinElmer Life Sciences. Precoated silica 60A thin layer chromatography plates were from Whatman. Plasmid expression vectors for PLD2 (pCGN-mPLD2) and mPLD2-K758R (pCGN-mPLD2-K758R) (14Colley W.C. Sung T.C. Roll R. Jenco J. Hammond S.M. Altshuller Y. Bar-Sagi D. Morris A.J. Frohman M.A. Curr. Biol. 1997; 7: 191-201Abstract Full Text Full Text PDF PubMed Scopus (635) Google Scholar) were the generous gift of Dr. Michael Frohman (SUNY, Stony Brook). Western Blot Analysis—Extraction of proteins from cultured cells and Western blot analysis of extracted proteins was performed using the ECL system (Amersham Biosciences) as described (15Lu Z. Hornia A. Joseph T. Sukezane T. Frankel P. Zhong M. Bychenok S. Xu L. Feig L.A. Foster D.A. Mol. Cell. Biol. 2000; 20: 462-467Crossref PubMed Scopus (89) Google Scholar). Phospholipase D Assays—Cells were plated in 60-mm culture dishes at 1–2 × 105 cells/dish depending on their rate of growth with faster growing cells such as MDA-MB-231 cells being plated at the lower cell density. Two days later, cells were shifted to Dulbecco's modified Eagle's medium containing 0.5% bovine calf serum and kept overnight. Cells were then prelabeled for 4 h with [3H]myristate (3 μCi, 40 Ci/mmol) in 3 ml of medium. PLD catalyzed transphosphatidylation in the presence of 0.8% 1-BtOH, and the extraction and characterization of lipids by thin layer chromatography were performed as described previously (16Shen Y. Xu L. Foster D.A. Mol. Cell. Biol. 2001; 21: 595-602Crossref PubMed Scopus (186) Google Scholar). Migration and Invasion Assays—The assays were carried out using BIOCOAT™ cell culture inserts that had polyethylene terephthalate filters (8-μm pore size) on the bottom. For migration assays, inserts were used directly without coating; and for invasion assays, the inserts were coated with Matrigel™ purified from the Engelbreth-Holm-Swarm mouse sarcoma, a tumor rich in extracellular matrix proteins, which closely mimics the basement membrane in vivo. Single cell suspensions in varying serum concentrations were added into the inserts. The inserts were set into 24-well plates that held 0.75 ml/well growth medium with the indicated serum concentration and incubated under normal growth condition for 24 h. Cells that had not penetrated the filters were wiped out with cotton swabs, and cells that had migrated or invaded to the lower surface of the filters were fixed in methanol and then stained with a 0.2% (v/v) solution of crystal violet in 2% (v/v) ethanol. The number of migrated or invaded cells was counted under microscope. The mean of five individual fields in the center of the filter where migration or invasion was the highest was obtained for each well. Serum Withdrawal Increases PLD Activity in MDA-MB-231 Cells—We reported previously that PLD activity is elevated in MDA-MB-231 human breast cancers cells relative to the PLD activity in MCF-7 cells (12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar). Importantly, the elevated PLD activity in MDA-MB-231 cells provides an mTOR-dependent survival signal that suppresses apoptosis when these cells are deprived of serum (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar, 12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar). Much of our previous work evaluating PLD activity in breast cancer cell lines was performed under low serum conditions to reduce background PLD activity. We were therefore surprised to find that serum actually suppressed PLD activity in MDA-MB-231 cells. Shown in Fig. 1A is the PLD activity in MDA-MB-231 cells in 10 and 0.5% serum. Surprisingly, there was more than 20-fold higher PLD activity in low (0.5%) serum than in high (10%) serum. Significant increases in PLD activity could be observed by 10 min after serum withdrawal (Fig. 1A). Adding back serum to MDA-MB-231 cells led to the immediate suppression of PLD activity, which could be observed within 10 min (Fig. 1B). These data indicate that the elevated PLD activity observed in MDA-MB-231 cells is a response to the lack of serum growth factors. Serum Withdrawal Increases Cell Migration and Invasion in MDA-MB-231 Cells—As indicated in Fig. 1, serum withdrawal results in elevation of PLD activity. The absence of serum in culture mimics in part the lack of vascularization in an evolving tumor. To survive under these conditions, cells need to either stimulate vascularization or migrate to a site where oxygen, growth factors, and nutrition can be obtained. To investigate whether the removal of serum enhances cell migration, we examined the ability of MDA-MB-231 cells to migrate in the presence and absence of serum. To examine cell migration, we used the Transwell cell migration assay and found that MDA-MB-231 cells migrate 10 times better in low serum than in high serum (Fig. 2A). We also examined the ability to invade Matrigel™, a hallmark of metastasis. As shown in Fig. 2B, serum withdrawal also increased the ability of the MDA-MB-231 cells to invade Matrigel™ by about 10-fold. These data reveal a correlation between increased PLD activity in response to serum withdrawal and increased ability to migrate and invade Matrigel™. The Migration and Invasion of MDA-MB-231 Cells is Dependent on PLD—We next examined whether the increased ability to migrate and invade Matrigel™ was dependent upon the increased PLD activity. To suppress PLD activity in the MDA-MB-231 cells, we introduced a catalytically inactive PLD2 (K758R), which we have used previously as a dominant negative mutant that suppresses both PLD activity and survival signals in these cells (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar, 12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar, 16Shen Y. Xu L. Foster D.A. Mol. Cell. Biol. 2001; 21: 595-602Crossref PubMed Scopus (186) Google Scholar). The introduction of PLD2-K758R into the MDA-MB-231 cells via transient transfection suppressed the PLD activity in these cells to less than 50% of a vector control (Fig. 3A). The dominant negative PLD2 also suppressed both cell migration (Fig. 3B) and the invasion of Matrigel™ (Fig. 3C). For reasons that are not clear, invasion was consistently more sensitive to suppression of PLD activity than migration. We demonstrated previously that survival signals generated by PLD in MDA-MB-231 cells are dependent upon mTOR (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar). We therefore examined the effect of rapamycin, which inhibits mTOR, on the ability of MDA-MB-231 cells to both migrate and invade Matrigel™. Rapamycin also blocked both cell migration (Fig. 4A) and invasion (Fig. 4B). These data indicate that PLD-induced cell migration and invasion, like PLD-induced survival (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar), is through mTOR. The sensitivity to rapamycin also further indicates that cell migration and invasion in low serum are dependent on PLD because PLD activates mTOR in these cells (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar). Elevated PLD Activity in MCF-7 Cells Enhances Cell Migration—Many studies have compared MDA-MB-231 cells with MCF-7 cells to distinguish between relatively benign phenotypes (MCF-7) and aggressive malignant phenotypes (MDA-MB-231) (17Sliva D. Rizzo M.T. English D. J. Biol. Chem. 2002; 277: 3150-3157Abstract Full Text Full Text PDF PubMed Scopus (136) Google Scholar, 18Jackson D. Zheng Y. Lyo D. Shen Y. Nakayama K. Nakayama K.I. Humphries M. Reyland M.E. Foster D.A. Oncogene. 2005; 24: 3067-3072Crossref PubMed Scopus (50) Google Scholar). MDA-MB-231 cells have a much more malignant phenotype than MCF-7 cells with regard to cell motility (17Sliva D. Rizzo M.T. English D. J. Biol. Chem. 2002; 277: 3150-3157Abstract Full Text Full Text PDF PubMed Scopus (136) Google Scholar, 18Jackson D. Zheng Y. Lyo D. Shen Y. Nakayama K. Nakayama K.I. Humphries M. Reyland M.E. Foster D.A. Oncogene. 2005; 24: 3067-3072Crossref PubMed Scopus (50) Google Scholar). We reported previously that MDA-MB-231 cells have as much as 50-fold higher levels of PLD activity than MCF-7 cells (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar, 12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar, 19Chen Y. Zheng Y. Foster D.A. Oncogene. 2003; 22: 3937-3942Crossref PubMed Scopus (171) Google Scholar). We therefore wished to examine the impact of elevated PLD activity on cell migration in MCF-7 cells. As observed previously, the MDA-MB-231 cells have substantially elevated PLD activity relative to the MCF-7 cells and also have a substantially increased ability to migrate (Fig. 5, A and B). MCF-7 cells were stably transfected with PLD2, and pools of clones (MCF-7-P2 cells) were examined for PLD activity and for the ability to migrate. As shown in Fig. 5, C and D, the MCF-7-P2 cells had substantially elevated levels of PLD activity relative to vector control MCF-7v cells and had increased ability to migrate. Although the ability of the MCF-7-P2 cells to migrate was substantially increased relative to the MCF-7v cells, these cells did not migrate nearly as efficiently as the MDA-MB-231 cells, indicating that there are greater differences between MDA-MB-231 cells and MCF-7 cells than different PLD activity levels. However, because elevated PLD activity confers a survival signal in MCF-7 cells (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar), the data provided here further link survival and migration signals in human breast cancer cells. Serum Withdrawal from MDA-MB-231 Cells Increases Expression of HIF1α—In response to the stress of hypoxia, cells increase expression of HIF1α (20Semenza G.L. Curr. Opin. Cell Biol. 2001; 13: 167-171Crossref PubMed Scopus (897) Google Scholar, 21Semenza G.L. Cancer Metastasis Rev. 2000; 19: 59-65Crossref PubMed Scopus (211) Google Scholar). HIF1α is a component of the HIF1 transcription factor that stimulates transcription of several genes that promote angiogenesis such as vascular endothelial growth factor and the vascular endothelial growth factor receptor (20Semenza G.L. Curr. Opin. Cell Biol. 2001; 13: 167-171Crossref PubMed Scopus (897) Google Scholar). Elevated HIF1α expression in cancer cells has been correlated with the “Warburg Effect” whereby there is increased aerobic glycolysis during normoxia (22Karni R. Dor Y. Keshet E. Meyuhas O. Levitzki A. J. Biol. Chem. 2002; 277: 42919-42925Abstract Full Text Full Text PDF PubMed Scopus (102) Google Scholar, 23Lu H. Forbes R.A. Verma A. J. Biol. Chem. 2002; 277: 23111-23115Abstract Full Text Full Text PDF PubMed Scopus (647) Google Scholar). Because of the link between oxidative stress and the stress of serum withdrawal, we examined the effect of serum withdrawal on HIF1α expression in the MDA-MB-231 cells. As shown in Fig. 6, there was a substantially higher level of HIF1α in cells in 0.5% serum than in cells maintained in 10% serum. The dependence of HIF1α on PLD activity was assessed using the “alcohol trap” assay (16Shen Y. Xu L. Foster D.A. Mol. Cell. Biol. 2001; 21: 595-602Crossref PubMed Scopus (186) Google Scholar) whereby primary but not tertiary alcohols are preferentially utilized over water in the hydrolysis of phosphatidylcholine to a corresponding inert phosphatidylalcohol rather than phosphatidic acid. As shown in Fig. 6, the elevated HIF1α seen in low serum was suppressed by primary but not tertiary butanol, indicating a dependence upon PLD activity. Consistent with PLD dependence, the dominant negative PLD2-K758R mutant also suppressed the increase in HIF1α expression induced by serum withdrawal (Fig. 6). The data in Fig. 6 indicate that the elevated PLD activity in MDA-MB-231 cells contributes to elevated expression of the stress factor HIF1α. The Effect of Serum Withdrawal Increases Cell Migration in Other Cancer Cell Lines—To determine whether the effect of serum withdrawal on MDA-MB-231 cells was a general response of cancer cell or restricted to the MDA-MB-231 cells, we examined the effect of serum withdrawal upon migration, invasion, and PLD activity in a panel of human cancer cell lines with very different properties. The cell lines examined included the breast cancer cell lines MCF-7, MDA-MB-468, MDA-MB-435s, BT-549, T47D, and SK-BR3. We also examined T24 bladder carcinoma and Calu-1 lung carcinoma cells, which have highly elevated levels of PLD activity. Cells were grouped according to their PLD activity as indicated in Fig. 7A. Cells could be put into three categories. The first category included those with highly elevated levels of PLD activity, which included the T24 and Calu-1 cells in addition to the MDA-MB-231 cells. It was very apparent that the PLD activity in this group of cells was substantially higher in 0.5% serum than in 10% serum. In the second category were cell lines that had detectably elevated PLD activity in the presence of serum but did not have increased PLD activity when serum was reduced. These cell lines included BT-549, MDA-MB-468, and MCF-7 (Fig. 7A). In the third category, several cancer cell lines had very low levels of PLD activity in both low and high serum, including MDA-MB-435s, T47D, and SK-BR3 (Fig. 7A). Thus, there appears a pattern: 1) where PLD activity is elevated as a stress response (MDA-MB-231, T24, and Calu-1); 2) where PLD is elevated but not in response to stress (BT-549, MDA-MB-468, and MCF-7); and 3) where there is no elevated PLD activity (MDA-MB-435s, T47D, and SK-BR3). We next evaluated the ability of these cancer cell lines to migrate and invade Matrigel™. Five of the cell lines exhibited strong migration and invasive behavior. Interestingly, all five of these cell lines migrated (Fig. 7B) and invaded Matrigel™ (Fig. 7C) far more efficiently in 0.5% serum than in 10% serum. The five cell lines with enhanced migration and invasive behavior included not only all three cell lines where PLD activity was elevated in low serum (MDA-MB-231, T24, and Calu-1) but also included the MDA-MB-435s and BT-549 cells (Fig. 7, B and C). The MDA-MB-435s cells had very little PLD activity, and the BT-549 cells had elevated PLD activity but no significant increases in PLD activity in low serum. Thus, although there was a correlation between a stress-induced increase in PLD activity and increased cell migration, there were also cases where there was a stress-induced migration that was apparently independent of PLD activity. In all cases, the ability to migrate and invade Matrigel™ was enhanced under the stress of serum withdrawal, indicating that the migration and invasive properties of these cancer cells was a stress response. In an emerging tumor, cells have to be able to survive in the absence of serum growth factors prior to vascularization. In this report, we have provided evidence that in response to the stress of serum withdrawal, there is an increase in PLD activity in MDA-MB-231 and other human cancer cells. The elevated PLD activity, which suppresses apoptosis in MDA-MB-231 cells under these conditions (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar, 12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar), also stimulates increased cell migration and invasion. In addition, there was a PLD-dependent increase in the expression of HIF1α, which is elevated in response to oxidative stress and promotes vascularization (21Semenza G.L. Cancer Metastasis Rev. 2000; 19: 59-65Crossref PubMed Scopus (211) Google Scholar). These data indicate that in response to the stress of serum withdrawal, there is the activation of a PLD-dependent survival program in MDA-MB-231 cells that suppresses apoptosis and enhances cell migration and invasion. Elevated PLD activity was also observed in T24 bladder carcinoma and Calu-1 lung carcinoma cells upon serum withdrawal, and there was also increased migration and invasion in response to serum withdrawal. The implication is that the genetic alterations that suppress default apoptotic pathways early in tumorigenesis are the same genetic alterations that ultimately facilitate cell migration and metastasis. It is not unreasonable to postulate that survival and cell motility are linked. In the absence of blood serum, if the cell is to survive, it needs to first suppress default apoptotic signals, but ultimately it needs to provide a means for obtaining needed factors provided by blood serum, including oxygen, nutrients, and growth factors. This involves bringing serum to the dividing cells either by stimulating the generation of blood vessels or, alternatively, by inducing migration to sites where blood vessels already exist. This is shown schematically in Fig. 8, where in an emerging tumor mass lacking vascularization there is a selection for cells with suppressed apoptosis. This could involve the activation of PLD or perhaps another survival pathway such as the phosphatidylinositol 3-kinase pathway (24Vivanco I. Sawyers C.L. Nat. Rev. Cancer. 2002; 2: 489-501Crossref PubMed Scopus (5139) Google Scholar). In this model, the activation of survival signals also stimulates cells to migrate to sites where serum growth factors are available. At the core of stress responses may be mTOR, which regulates a variety of stress responses including those for nutrients, oxygen, and growth factor deprivation (25Abraham R.T. Curr. Top. Microbiol. Immunol. 2004; 279: 299-319Crossref PubMed Google Scholar, 26Schmelzie T. Hall M.N. Cell. 2000; 103: 253-262Abstract Full Text Full Text PDF PubMed Scopus (1729) Google Scholar). In this regard, the finding that mTOR has a phosphatidic acid requirement (27Fang Y. Vilella-Bach M. Bachmann R. Flanigan A. Chen J. Science. 2001; 294: 1942-1945Crossref PubMed Scopus (868) Google Scholar) likely represents a distinct mechanism for responding to stressful conditions. The PLD activity elevated in response to serum withdrawal in MDA-MB-231 cells generates an mTOR-dependent survival signal that suppresses apoptosis (11Chen Y. Rodrik V. Foster D.A. Oncogene. 2005; 24: 672-679Crossref PubMed Scopus (100) Google Scholar) and as reported here stimulates cell migration in an mTOR-dependent manner. mTOR is also targeted by survival signals generated by phosphatidylinositol 3-kinase (24Vivanco I. Sawyers C.L. Nat. Rev. Cancer. 2002; 2: 489-501Crossref PubMed Scopus (5139) Google Scholar) and has been the subject of much discussion on the targeting of mTOR in the treatment of cancer (5Foster D.A. Expert Rev. Anticancer Ther. 2004; 4: 691-701Crossref PubMed Scopus (32) Google Scholar, 28Sawyers C.L. Cancer Cell. 2003; 4: 343-348Abstract Full Text Full Text PDF PubMed Scopus (178) Google Scholar). However, clinical trials with rapamycin derivatives have been largely disappointing (28Sawyers C.L. Cancer Cell. 2003; 4: 343-348Abstract Full Text Full Text PDF PubMed Scopus (178) Google Scholar). One important complication in targeting mTOR in cancer cells is the observation that elevated PLD activity leads to rapamycin resistance (19Chen Y. Zheng Y. Foster D.A. Oncogene. 2003; 22: 3937-3942Crossref PubMed Scopus (171) Google Scholar), presumably because of a competition between phosphatidic acid and rapamycin for mTOR (27Fang Y. Vilella-Bach M. Bachmann R. Flanigan A. Chen J. Science. 2001; 294: 1942-1945Crossref PubMed Scopus (868) Google Scholar). Therefore, although targeting mTOR in cancer makes sense because of its role in survival and migration signals, the effectiveness of treatment may depend upon reducing PLD activity to reduce the level of phosphatidic acid and consequently the level of rapamycin needed to block mTOR. This point underscores the importance of knowing whether PLD activity is elevated in a given tumor. In this regard, it is possible that anti-angiogenesis strategies, by limiting the supply of serum growth factors, could actually elevate PLD activity in tumors and increase the dose of rapamycin needed to suppress mTOR. Thus, suppressing PLD activity could be important for targeting mTOR with rapamycin derivatives. It is not yet clear how PLD activity is elevated in MDA-MB-231 cells. There is elevated expression of PLD1 in these cells (12Zhong M. Shen Y. Zheng Y. Joseph T. Jackson D. Beychenok S. Foster D.A. Biochem. Biophys. Res. Commun. 2003; 302: 615-619Crossref PubMed Scopus (77) Google Scholar); however the increased expression does not account for the high level of activity seen in these cells. Moreover, the increase seen in response to serum withdrawal occurs before significant protein synthesis could occur. Although little is known about what activates PLD activity in MDA-MB-231 cells, it is of interest that the regulators of PLD1, RalA and Arf6 (8Foster D.A. Xu L. Mol. Cancer Res. 2003; 1: 789-800PubMed Google Scholar, 29Luo J.Q. Liu X. Frankel P. Rotunda T. Ramos M. Flom J. Jiang H. Feig L.A. Morris A.J. Kahn R.A. Foster D.A. Proc. Natl. Acad. Sci. U. S. A. 1998; 95: 3632-3637Crossref PubMed Scopus (119) Google Scholar, 30Luo J.Q. Liu X. Hammond S.M. Colley W.C. Feig L.A. Frohman M.A. Morris A.J. Foster D.A. Biochem. Biophys. Res. Commun. 1997; 235: 854-859Crossref PubMed Scopus (79) Google Scholar, 31Xu L. Frankel P. Jackson D. Rotunda T. Boshans R.L. D'Souza-Schorey C. Foster D.A. Mol. Cell. 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If metastasis is also part of a survival program acquiring the capability to metastasize early might explain, at least in part, the recent controversy over the benefits of mammography in reducing breast cancer mortality (50Feig S.A. Breast J. 2005; 1: S3-S6Crossref Scopus (21) Google Scholar). Gøtzsche and Olsen (51Gøtzsche P.C. Olsen O. Lancet. 2000; 355: 129-134Abstract Full Text Full Text PDF PubMed Scopus (707) Google Scholar) have provided evidence that mammography does not significantly reduce breast cancer mortality. Although this report has been widely criticized, it is remarkable that one could even make a case for no impact on mortality. If metastasis is a late event in tumorigenesis, then the impact of early detection should have an enormous effect on mortality. Whether there is an effect or not, it is clear that the impact of mammography is not as great as expected. This could be explained by the coupling of survival signaling and metastasis. In tumors where the processes are linked, metastasis may occur much earlier, and earlier detection may not have much of an impact on mortality. Therefore it is critical to know the genetic defects in a cancer cell that may define whether it has metastatic potential linked with survival mechanisms. We thank M. Frohman (SUNY, Stony Brook) for the PLD2 genes used to generate the inducible PLD expression vectors." @default.
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