title: Tumor-associated antigen expression and growth requirements predict tumorigenesis in squamous cell carcinoma.
abstract: Squamous cell carcinomas (SCCs) are the most common malignancies in man. While clinical specimens are theoretically ideal to study tumor development and progression, practical difficulties such as normal cell contamination, the presence of different cell types. and limited material make preclinical studies of model systems involving a homogeneous population of normal or transformed cells preferable. Tumor-associated antigens (TAAs) found on the cell surface, including integrins, mucins, cadherins, growth factor receptors, membrane bound antigens, and glycoproteins are known to play an important role in squamous carcinogenesis. We hypothesized that (1) alterations in TAA expression in vitro predict in vivo alterations, (2) analysis of a group of TAAs would provide a better indication of SCC tumorigenesis than any single marker, and (3) SCCs with independence from exogenous growth factors in vitro would demonstrate the most aggressive growth in vivo. The cell line which grew best in vitro without serum or other supplements demonstrated the most rapid tumor growth. whereas cell lines which grew only with supplements rarely formed tumors. Normal keratinocytes. eight SCC and two immortal keratinocyte cell lines were evaluated by flow cytometry for the expression of 10 cell surface markers, including alpha and beta integrins, minor blood group-related carbohydrate determinants. carcinoembryonic antigen-related proteins, E-cadherin, and GA733 (epithelial glycoprotein. epithelial cell adhesion molecule). None of the cell lines with abnormal expression of < or = 2 markers formed tumors, whereas all lines with altered expression of > or = 3 markers formed tumors. Using GA733 expression as an example, we found that altered TAA expression in vitro predicted the presence of TAA alterations in clinical specimens. In summary, in vitro independence from supplements for optimal growth and altered expression of > or = 3 cell surface markers were good predictors of SCC tumorigenesis. These findings may be useful in decreasing the need for whole animal tumorigenicity experiments.
authors.affiliation: Department of Surgery, The Wistar Institute of Anatomy, Philadelphia, Pennsylvania 19104, USA. edward.sauter@mail.tju.edu
authors.forename: E R
authors.initials: ER
authors.lastname: Salter
authors.forename: D
authors.initials: D
authors.lastname: Tichansky
authors.forename: E E
authors.initials: EE
authors.lastname: Furth
authors.forename: A M
authors.initials: AM
authors.lastname: Herlyn
mesh_terms: D000951:Antigens, Neoplasm / Q000032:analysis*; D001769:Blood; D015820:Cadherins / Q000032:analysis; D002272:Carcinoembryonic Antigen / Q000032:analysis; D002294:Carcinoma, Squamous Cell / Q000737:chemistry / Q000276:immunology* / Q000473:pathology*; D015815:Cell Adhesion Molecules / Q000032:analysis; D002455:Cell Division; D000071858:Epithelial Cell Adhesion Molecule; D005434:Flow Cytometry; D006133:Growth Substances / Q000494:pharmacology; D006801:Humans; D007150:Immunohistochemistry; D016023:Integrins / Q000032:analysis; D015603:Keratinocytes / Q000737:chemistry / Q000276:immunology; D009077:Mucins / Q000032:analysis; D017978:Receptors, Growth Factor / Q000032:analysis; D014407:Tumor Cells, Cultured
chemical_list: D000951:Antigens, Neoplasm; D015820:Cadherins; D002272:Carcinoembryonic Antigen; D015815:Cell Adhesion Molecules; D000071858:Epithelial Cell Adhesion Molecule; D006133:Growth Substances; D016023:Integrins; D009077:Mucins; D017978:Receptors, Growth Factor