Abstract

One area of intensive investigation is to understand complex cellular and signaling interactions in the tumor microenvironment. Using a novel, although straightforward, microarray approach, we defined a gene expression signature from the lung tumor microenvironment in the murine A/J-urethane model of human lung adenocarcinoma. The tumor microenvironment is reflected by the composition of the cell types present and alterations in mRNA levels, resulting in a "Field Effect" around the tumor. The genes composing the Field Effect expression signature include proteases and their inhibitors, inflammation markers, and immune signaling molecules. By several criteria, the Field Effect expression signature can be attributed to the macrophage lineage, suggesting a qualitative change in the expression pattern of tumor-associated macrophages (TAM) observed in lung tumors. The protein expression levels for a number of Field Effect genes were verified by Western blot analysis of lung homogenates, and for their expression in macrophages and parenchymal cells outside of the tumors by immunohistochemistry. In addition, the Field Effect expression signature was used to classify bronchoalveolar lavage (BAL) cells from tumor-bearing or age-matched control mice. Using a variety of statistical measures, the Field Effect expression signature correctly classified the BAL cells >94% of the time. Finally, the protein levels for several Field Effect genes were higher in cell-free BAL fluid, indicating they may be secreted by the TAMs. This work suggests that TAMs generate a unique gene expression signature within the tumor microenvironment, and this signature could potentially be used for identifying lung cancer from BAL cells and/or fluid.

Highlights

  • Lung cancer continues to be the number one cause of cancer mortality in the United States, with >210,000 new cases and 160,000 deaths estimated for 2007 [1]

  • The increased protein expression for a number of these candidates was verified by immunohistochemistry of lung cancer tissue. These genes had strong predictive value when used to classify expression data from bronchoalveolar lavage (BAL)-derived macrophages from urethane-treated A/J mice in an independent study. These results suggest that gene expression information contained within samples from outside the tumor itself are informative for predicting tumor status, and that tumor-associated macrophages (TAM) play a central role in lung tumorigenesis

  • The following genes were verified by the methods described below and are listed here using their standardized gene symbol notation3 in alphabetical order for reference: acid phosphatase 5 (Acp5; tartrate resistant), C-C motif ligand 6 (Ccl6), CD68 antigen (Cd68), chitinase 3-like 1 (Chi3l1), cathepsin D (Ctsd), cathepsin K (Ctsk), cathepsin Z (Ctsz), coagulation factor VII (F7), lipoprotein lipase (Lpl), leucine-rich a-2-glycoprotein 1 (Lrg1), lymphocyte antigen 75 (Ly75), nephroblastoma overexpressed gene (Nov), prostaglandin-endoperoxide synthase 1 [Ptgs1; cyclooxygenase (COX)1], signal-regulatory protein a, secreted phosphoprotein 1

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Summary

Introduction

Lung cancer continues to be the number one cause of cancer mortality in the United States, with >210,000 new cases and 160,000 deaths estimated for 2007 [1]. Tobacco smoke is the most widespread risk factor accounting for lung cancer in 85% to 90% of cases [2, 3]. Note: Supplementary data for this article are available at Cancer Research Online (http://cancerres.aacrjournals.org/). Doi:10.1158/0008-5472.CAN-07-0988 with (cases) or without (controls) lung cancer, the greatest risk factors were current or exsmoker status (adjusted odds ratio, 13.5), and an elevated odds ratio was present even 25 years after smoking cessation [4]. Colorectal cancer had an overall 5-year survival rate of 64% over the same study period. Lung cancer is the most common cancer affecting both sexes, it had the third lowest 5-year survival rate, exceeding only liver and pancreatic cancers, which account for f50,000 cases per year combined

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