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Subcellular localization of beta-catenin in
malignant cell lines and squamous cell
carcinomas of the oral cavity
A. Gasparoni1,2
A. Chaves1
L. Fonzi2
G. K. Johnson1
G. B. Schneider1
C. A. Squier1
1Dows Institute for Dental Research, College ofDentistry, University of Iowa, IA, USA and2Dipartimento di Scienze Biomediche,Universita0 di Siena, Italy
Correspondence to:Alberto GasparoniN439E Dows Institute for Dental Research,College of Dentistry, University of Iowa,Iowa City, IA 52242, USAe-mail: [email protected]
Accepted for publication January 16, 2002
Copyright � Blackwell Munksgaard 2002
J Oral Pathol Med . ISSN 0904-2512
Printed in Denmark . All rights reserved
AbstractBackground: Beta-catenin, an E-cadherin-associated proteininvolved in cell–cell adhesion and signaling, has been hypothe-sized to translocate to the nucleus and activate transcription inseveral human cancers, including oral squamous cell carcinomas(OSCC).Methods: In the present study, we analyzed the subcellularlocalization of beta-catenin in cultures of human oral normaland malignant (cell lines SCC15 and SCC25) keratinocytesand in 24 frozen samples of oral squamous cell carcinomasby a double-staining technique for nucleic acids and beta-catenin.Growth potential, as assessed by cell count at different timeperiods, was established for normal, SCC15 and SCC25 celllines; oral squamous cell carcinomas were classified accordingto the histopathological and malignancy indexes.Results: Beta-catenin localized at the plasma membrane in thenormal and SCC15 cells, not in the SCC25 cells, where itlocalized mostly in the perinuclear and nuclear areas. In thegrowth assays, SCC25 cell lines proliferated faster than innormal and SCC15 cells over a period of 6 days (cell numberswere significantly different, P<0.0001). Carcinoma sectionsshowed a combination of membranous, cytoplasmic and, infew invading epithelial islands of two tumors, nuclear localizationof beta-catenin.Conclusions: In oral squamous cell carcinomas, nuclear beta-catenin staining was observed only within invading islands of twocarcinomas deep in the underlying connective tissue. On thebasis of this study, we conclude that intranuclear beta-catenindoes not appear to be a common finding in oral squamous cellcarcinomas and that a clear association between intranuclearbeta-catenin and histopathological and malignancy indexes in vivocould not be established.
Key words: beta-catenin; confocal laser scanning microscopy;growth assay; oral squamous cell carcinomas; SCC15; SCC25
J Oral Pathol Med 2002: 31: 385–94
Beta-catenin is known to serve both a cell–cell adhesive function,
by providing the intracytoplasmic bond between the E-cadherin
tail and other components of the desmosomal and tight junc-
tions (1–3), and an effective signaling path in developing
embryos and tumors. As a signaling molecule in developing
embryos, overexpressed beta-catenin has been shown to
385
induce secondary axis formation in the frog Xenopus laevis (4),
and tumor formation and alteration in hair morphogenesis in the
adult mouse squamous stratified epithelia (5). The known
mechanism for signaling transduction in cancer involves the
adenomatous polypi coli (APC) gene, mutated in familial poly-
posis and in many colon cancers, which associates with beta-
catenin and GSK3b in a complex necessary for beta-catenin
phosphorylation and degradation (6–8). A mutation in the APC
gene or GSK3b or beta-catenin phosphorylation sites may cause
an increase in beta-catenin cytoplasmic levels, which in turn
facilitates binding with T-cell factor 1–4 (9) and lymphoid enhan-
cer factor (Lef-1), and induces nuclear translocation (10, 11).
Within the nucleus, the translocated complex causes activation of
transcription, whose target genes identified so far include the
urokinase-type plasminogen activator receptor (12) and c-myc
(13). High levels of stable beta-catenin have also been found to be
associated with proliferative potential in human keratinocytes
(14).
Mutations of beta-catenin causing increased cytoplasmic accu-
mulation have been shown in gastric carcinomas and gastric
cancer cell lines (15, 16). Increased cytoplasmic levels of beta-
catenin, consequent to alteration in phosphorylation pathways
either due to beta-catenin or APC mutation, have been observed
in breast carcinoma and breast cancer cells (17–19).
In oral squamous cell carcinomas (OSCC), beta-catenin
staining has been shown to decrease when compared to normal
tissue. In both frozen and formalin-fixed/paraffin-embedded
OSCC, beta-catenin staining was found decreased (or even
lost in few cases) in the less differentiated tumors, usually
accompanied by low levels of E- and P-cadherin, alpha- and
gamma-catenins and beta-1 integrins (20, 21). This suggested a
close correlation between differentiation, invasive properties of
cancerous cells and the expression of their membranous
components, including members of the cadherin, integrin, and
catenin families. When membranous and cytoplasmic beta-cate-
nin were evaluated in OSCC in relation to tumor differentiation
stage, the results showed a significant association between loss of
beta-catenin membranous staining and loss of cell differentiation
(22).
The main goal of the present study was to analyze beta-catenin
localization (i.e. membranous, cytoplasmic, and nuclear) in cul-
tured human oral keratinocytes (normal gingival cells as controls,
and the malignant SCC15 and SCC25 cell lines) in relation to their
growth capability, as measured by the cell count at different time
points. Secondly, we analyzed frozen samples of OSCC to see
whether beta-catenin nuclear localization was associated with
malignancy or differentiation grade.
Materials and methods
Cell cultures
Six normal oral keratinocyte strains (from six individuals, num-
bered as 196, 287, 290, 291, 294, and 296 on the basis of the
chronological order of preparation) were used for all the experi-
mental procedures, immunocytochemical staining, and growth
curve assays. Normal keratinocyte cultures were prepared
according to the previously reported procedures (23) as follows:
gingival tissue samples were obtained from six healthy, non-
smoking patients, aged 12–50 years, undergoing crown-lengthen-
ing procedures according to the guidelines of the Institutional
Review Board (College of Dentistry, University of Iowa). Speci-
mens were washed in Dulbecco’s phosphate buffered saline,
containing penicillin (200 IU/ml), streptomycin (200 mg/ml)
and amphotericin B (5 mg/ml), and then placed overnight in
dispase (Grade II, Boheringer, Mannheim, Germany) at 48C
(24). After separation of the epithelial tissue from the connective
tissue, epithelial tissue was disaggregated by incubation in 0.25%
trypsin for 15 min with gentle pipetting. Isolated epithelial cells
were then seeded into T25 tissue culture flasks (Corning Costar
Co., Cambridge, MA) containing a feeder layer of mytomycin-
treated 3T3 murine fibroblasts (NIH, Bethesda, MD) (25). The
cultures were grown in a medium consisting of three parts of
Dulbecco’s modified Eagle’s media (DMEM)þ one part of Ham’s
F12 medium and 10% fetal bovine serum (FBS), supplemented
with hydrocortisone (400 ng/ml), cholera toxin (0.1 nM), epider-
mal growth factor (10 ng/ml), penicillin (100 IU/ml), streptomy-
cin (100 mg/ml), amphotericin B (2.5mg/ml), insulin (4.5 mg/ml),
and adenine (16.38 mg/ml). After the cells reached 70–80% con-
fluence, the feeder layer was removed by incubation in 0.012%
trypsin (Gibco, Grand Island, NY) for 2 min at 378C, keratinocytes
washed in phosphate buffered saline (PBS; Sigma Chemical, St.
Louis, MO) and released from the flask by incubation in 0.025%
trypsin�0.1 mM ethylenediaminotetraacetic acid (EDTA) in PBS
for 2 min at 378C. Keratinocytes were then counted in a hemo-
cytometer and seeded (4.3� 104 cells per well) in an eight-well
glass slide (Nunc, Fisher) for immunocytochemical analysis.
Cells were maintained in the absence of feeder layer in
0.15 mM calcium serum-free modified MCDB medium (KGM,
Clonetics Corp., San Diego, CA) containing 0.5 mg/ml hydrocor-
tisone, 5.0 mg/ml insulin, 7.5 mg/ml bovine pituitary extract,
0.1 mg/ml human recombinant epidermal growth factor,
50 mg/ml gentamicin, and 50 ng/ml amphotericin B.
SCC15 and SCC25 cells were cultured in T25 flasks containing
45% Ham’s F12 medium, 45% DMEM and 10% FBS, supplemented
Gasparoni et al.
386 J Oral Pathol Med 31: 385–94
with hydrocortisone (400 ng/ml), cholera toxin (2.5 mg/ml), peni-
cillin (100 IU/ml), streptomycin (100 mg/ml), and amphotericin B
(2.5 mg/ml) (26). Upon reaching 70–80% confluence, SCC cultures
were detached from the flask and seeded in a T75 flask or in an
eight-well glass slide, as previously described for normal cells.
Cultures were grown for 4–10 days with changes in the medium
every 1–2 days at 378C in a humidified environment containing 5%
CO2 until confluence. Experiments (single and double labels and
growth curve) were carried out in triplicate for each cell strain and
cell line.
Immunocytochemistry
Slides containing normal and malignant cell cultures were washed
three times with PBS for 5 min each, fixed at 48C in 20% dimethyl-
sulfoxide (DMSO)�80% methanol for 20 min, washed again, and
blocked for 1 h in 5% bovine serum albumin (BSA) in PBS. Then,
the slides were incubated with a solution of 200 ml of polyclonal
rabbit antibody anti-human E-cadherin (Santa Cruz Biotechnol-
ogy, Santa Cruz, CA) or monoclonal mouse antibody IgG1 against
recombinant chicken beta-catenin (Sigma Chemical, St. Louis,
MO) (27), respectively, diluted 1:500 and 1:1000 in 5% BSA/PBS
for 1.5 h. The slides were then washed again in PBS and incubated
either with tetramethylrhodamine (TRITC)-labeled donkey anti-
rabbit IgG (Sigma Chemical, St. Louis, MO) diluted 1:1000 or
TRITC-labeled goat anti-mouse IgG diluted 1:300 in BSA/PBS
(Sigma Chemical, St. Louis, MO) for 1 h at room temperature.
To assess subcellular localization of beta-catenin, double-stain-
ing procedures were performed with a cytoplasmic and nuclear
marker. Keratinocytes were preincubated with 0.01% Tween-20 in
PBS for 15 min, washed and then exposed to a mixture composed
of antibodies against cytokeratin (CK) 14 (mouse IgM, diluted
1:400) and beta-catenin. This was followed by incubation with a
mixture of goat FITC-labeled anti-mouse IgM/goat TRITC-
labeled anti-mouse IgG (diluted 1:400 and 1:1000, respectively).
These slides were examined at high contrast (power of laser
beam: 30%; black gain: �20; iris: 6.2). The green and red channels
were maintained separately, saved as tagged image file formats
(TIFF) and merged using a dedicated software (Confocal Assis-
tant). Another set of slides was then stained with a mixture of
200 ml of propidium iodide (PI) 1:5000 in PBS and 200ml of the
same beta-catenin antibody solution. After washing, the slides
were incubated with a mixture of 1:400 in 5% BSA/PBS FITC-
labeled goat anti-mouse IgG for 1 h and then washed and covered
as previously described.
Positive controls were slides with cultures of oral normal
keratinocytes; negative controls were run by omitting the primary
antibody. All the keratinocyte cultures were examined by confocal
scanning laser microscopy (CSLM, Bio-Rad 1024 MRC) with
appropriate filters for FITC and TRITC fluorochromes. In sin-
gle-label experiments, observations were carried out applying the
same values of black level, gain, and laser beam intensity. Speci-
mens were sealed using Gel/Mount (Biomeda Corp., Foster City,
CA) and coverslipped for microscopic examination.
Growth curve
We assessed the growth capability of normal and SCC cell
cultures with a growth assay. Approximately 4� 104 normal (cell
strains labeled numerically according to the order of isolation: 290
and 291) and malignant (SCC15 and SCC25) cells were seeded in
a 24-well plate (Costar, Corning Inc., Corning, NY) in triplicate
samples. At days 1, 2, 4 and 6, cells were washed with PBS,
incubated with 500ml of 0.025 trypsin�0.1 mM EDTA in PBS for
15 min, detached and resuspended in 10 ml total of Isoton liquid
and counted in a Coulter Counter ZM (Coulter Electronics,
Hialech, FL). The total numbers of cells were calculated and
analyzed by two-way ANOVA; differences (at a level of P< 0.05)
were identified by Tukey’s test.
Human surgical samples
Thirty-three frozen specimens of oral squamous carcinoma and
five specimens from dysplastic lesions were kindly provided by Dr
Nilton Herter (Head and Neck Surgery Department, Santa Rita
Hospital, Porto Alegre, Brazil). Of the tumor biopsies, nine were
eliminated because of unacceptable condition of the sample (four
cases), lack of clinical data (four cases), or because they were
metastatic tumors (one case). The 24 remaining carcinomas were
classified according to the histopathological grade (28) and
malignancy index (29) using sections of formalin-fixed/paraf-
fin-embedded hematoxylin–eosin-stained samples. The histo-
pathological grade was assessed by Dr R. Furian (Pathology
Department, Fundacao Faculdade Federal de Ciencias Medicas
de Porto Alegre, Porto Alegre, Brazil). The malignancy index has
been shown to provide better prognostic value and interobserver
agreement than the classification based on the proportion of
differentiated cells alone (29, 30). Two investigators (A.G. and
G.S.), one of whom (G.S.) was blinded as to the tumor biopsy,
graded malignancy independently. According to the methodology
proposed by Anneroth & Hansen (31) and modified by Bryne et al.
(29, 30), the parameters considered were: degree of keratiniza-
tion, nuclear polymorphism, number of mitoses, pattern of inva-
sion, and host–tissue relationship (leukocyte infiltration). Each
J Oral Pathol Med 31: 385–94 387
Subcellular localization of beta-catenin
parameter was assigned a value 1–4. The malignancy indexes
recorded by the two investigators were averaged (range of values:
10.6–18; mean: 13.88; median: 14.3) and classified into three
groups (22) as follows – group 1: <12; group 2: 12.1–14; group
3: >14.1.
Immunohistochemistry
Biopsies were snap-frozen in liquid nitrogen (�808C) and
embedded in OCT compound (Miles Inc., Elkhart, IN) for sec-
tioning in a cryostat. Positive controls were six biopsies of normal
gingival tissue discarded during crown-lengthening procedures at
the Department of Periodontics, University of Iowa; negative
controls were run as in cell cultures.
For each biopsy sample (normal tissue, dysplastic lesion,
and tumor biopsies), 10–12-mm sections were cut, fixed in cold
methanol for 20 min, washed and incubated with 0.01% Tween-20
in PBS for 15 min before incubation with the anti-beta-catenin/PI
mixture already described for cell culture staining. Two investi-
gators (A.G. and A.C.) independently assessed beta-catenin
nuclear, membranous and cytoplasmic staining; interobserver
agreement was assessed with the Kendall ranked correlation
coefficient.
Results
Cell cultures and immunocytochemistry
E-cadherin antibody staining was localized at the cytoplasmic
membrane in all keratinocytes, normal and SCC lines; the staining
appeared slightly decreased in intensity in SCC15 and SCC25 cell
lines (not shown). Similarly, due to either single staining (not
shown) or double staining with CK14 or PI and beta-catenin, beta-
catenin localized at the cytoplasmic membrane in normal
(Figs. 1A and D–F) and SCC15 cells (Figs. 1B and G–I). The latter
showed less intense membranous staining, sometimes resem-
bling a desmosomal-type junction (Fig. 1I). Most SCC25 cells
showed decreased membranous staining and more perinuclear
or nuclear staining (Figs. 1C and J–L), demonstrated by red dots
inside the nucleus (Fig. 1C) in double stains for CK14 and beta-
catenin. Decrease in membranous staining and increase in cyto-
plasmic and nuclear staining in the SCC25 cells was confirmed by
observing the cells stained for beta-catenin and PI (Figs. 1J–1L),
where areas of bright yellow color inside the nucleus suggested
colocalization of PI and beta-catenin.
Growth curve
Of the two normal cell strains (290, 291), the former increased in
number more rapidly than the latter, although this difference was
not significant (Fig. 2). Both cell strains increased in number
significantly less than the SCC15 cell line (P< 0.0001) at day 6. At
the same time point (day 6), SCC25 cells increased in number
significantly more than SCC15 cells and normal strains, and this
difference was significant (P< 0.0001).
Human surgical samples and immunohistochemistry
Characteristics of patients, tumors’ anatomical site and main
findings for membranous, cytoplasmic and nuclear beta-catenin
staining are shown in Table 1; it also reports the histopatho-
logical groups and the groups individuated by malignancy
grades.
The overall agreement between the two investigators for
membranous, cytoplasmic and nuclear staining in OSCC tissue
specimens was 0.65, 0.53 and 0.57, respectively (Kendall tau
correlation coefficient). Frozen sections of the upper layers of
normal (Fig. 3A) and differentiated areas of carcinoma tissue
(Fig. 3B, tumor 18) showed membranous staining for beta-catenin
throughout the epithelium, with PI uniformly staining the nuclei.
In the upper layers, membranous beta-catenin appeared
decreased in some dysplastic lesions and some carcinomas
(not shown); complete loss of membranous beta-catenin staining
in the upper layers was evident only in few tumors. Invading
epithelial islands showed alternatively cytoplasmic (Fig. 3C,
tumor 19) or membranous (Fig. 3D, tumor 8) staining. In most
tumors, cytoplasmic staining was usually observed with
decreased intensity of staining; areas with complete loss of
staining were rarely observed (tumors 8, 12, 18, 19, 22 and 24;
not shown). In localized regions of two tumors, alternating pat-
terns of membranous, cytoplasmic and nuclear staining for beta-
catenin were observed, where colocalization of PI and beta-cate-
nin in the nucleus was demonstrated by the color shift within the
same optical field from green to red and yellow (Figs. 3E and F,
tumor 18).
Discussion
In this study, we have demonstrated beta-catenin localization
by a recombinant chicken beta-catenin antibody (27) at the
388 J Oral Pathol Med 31: 385–94
Gasparoni et al.
Fig. 1. (A–C) Cultured oral keratinocytes stained with CK14 and beta-catenin: (A) normal keratinocytes (196); (B) SCC15 cell line; (C) SCC25 cell
line. Note the membranous staining in normal and SCC15 cells (arrowheads in A and B) and little membranous staining in SCC25 cells, with
perinuclear (asterisks in C) and nuclear staining (arrows in C). Magnifications: 630�, oil immersion; 400�, H2O immersion; 630�, oil immersion. (D–
L) Cultured oral keratinocytes stained with PI and beta-catenin: (D–F) normal keratinocytes (294); (G–I) SCC15 cells; ( J–L) SCC25 cells. Beta-catenin
nuclear staining appears increased in SCC25 cells, as observed by the yellow color shift (arrows in L). Arrowheads indicate membranous staining,
arrows indicate nuclear staining, and asterisks indicate cytoplasmic and perinuclear staining. Magnifications: (D–F) 400�, H2O immersion; (G–L)
630�, oil immersion.
J Oral Pathol Med 31: 385–94 389
Subcellular localization of beta-catenin
membranous levels in normal cultured oral keratinocytes and
SCC15 cell lines. Membranous beta-catenin decreased progres-
sively in SCC15 and SCC25 cells; staining appeared membranous
in normal and SCC15 cells and mostly cytoplasmic and nuclear in
SCC25 cells. Beta-catenin levels appeared to decrease in SCC15
and SCC25 cells compared to normal, as evaluated by staining
intensity. To show evidence of beta-catenin nuclear staining,
we used a double-staining technique (with an antibody for a
Fig. 2. Growth assay for normal keratino-
cytes, SCC15 and SCC25 cell lines. Over a
period of 6 days, SCC25 cells increased in
number more than SCC15 cells and SCC15
cells increased more than normal cells
(strains 290 and 291). No significant differ-
ence was observed between the normal cell
strains 290 and 291. The difference among
cell numbers at day 6 for normal, SCC15 and
SCC25 cells was significant (P< 0.0001).
Table 1. Patients’ characteristics and main findings on beta-catenin staining pattern in normal tissue, dysplastic lesions, and squamous cell
carcinomas of the oral cavity, with the corresponding histopathological and malignancy groups
Biopsy
type
Original case
number
Histopathological
grade
Malignancy
group
Lesion
site Sex Age Smoking Drinking
M. beta-
catenin
C. beta-
catenin
N. beta-
catenin
Normal 1 – – AGP F 39 S D þþ 0 0tissue 2 – – AGP M 35 S D þþ 0 0(cases 1–6) 3 – – LMG M 55 NS ND þþ 0 0
4 – – RMT F 62 NS D þþ 0 05 – – AGP M 53 MS ND þþ 0 06 – – LMG F 49 MS D þþ 0 0
Dysplasia 1 – – BT M 56 NS NI þ 0 0(cases 1–5) 2 – – FM M 62 S D þ 0 0
3 – – RTM M 52 S D þ 0 04 – – RTM M 58 S D þ 0 05 – – APA M 55 S ND þ 0 0
Squamous 2 I 1 FM M 52 S D þ þ 0cell 8 I 1 VT, FM F 61 S D þ þ 0carcinomas 10 I 1 BT, FM F 63 S D þ þ 0(cases 1–24) 20 I 1 LBT M 58 S D þ þ 0
3 I 2 SP M 68 S D þþ 0 07 II 2 RTM M 63 S D þþ 0 05 I 2 RMT M 65 S D þ 0 09 I 2 BT, FM F 63 S D þþ 0 0
11 I 2 FM M 65 S D þ þ 012 I 2 VT, LBT M 47 S D þþ þ 016 I 2 VT M 65 S D þ 0 04 I 3 VT F 78 NS ND þþ 0 06 I 3 LBT M 63 S D þ þ 01 II 3 SP, APA M 48 S D 0/þ 0 0
13 I 3 SP, RMT M 70 S D þ 0 014 I 3 RMT, BT M 73 S D þþ 0 015 III 3 RMT M 59 S D þþ 0 017 III 3 VT M 59 S D þ 0 018 III 3 VT, LBT M 56 S D þþ þ þ19 I 3 VT M 47 S D þ þ 021 II 3 RMT M 73 S D þ 0/þ 022 I 3 SP M 70 S D þ 0/þ 023 II 3 VT F 58 S ND þ þ 024 III 3 VT M 52 S D 0/þ 0/þ þ
APA, anterior pillar amygdala; AGP, anterior gingival palate; BT, base of tongue; FM, floor of mouth; LBT, lateral border of tongue; LMG, lower mandibular gingiva; RMT,retromolar trigon; SP, soft palate; VT, ventral tongue; S, smoker; MS, moderate smoker; NS, non-smoker; D, drinker; ND, non-drinker; NI, no information available; M.,membranous staining; C., cytoplasmic staining; N., nuclear staining; 0/þ, weak positive staining; 0, no stain detectable; þ, stain detectable; þþ, stain of the highestintensity.
390 J Oral Pathol Med 31: 385–94
Gasparoni et al.
cytoplasmic antigen, CK14, and a nucleic acid marker, PI, with the
beta-catenin antibody). The first double staining (CK14/beta-
catenin) allowed an increase in the beta-catenin signal, reducing
the background (cytoplasmic signal); the second staining (PI/
beta-catenin) showed colocalization of the nucleic acid marker
and beta-catenin in the nuclei of SCC25 cells and in oral carci-
nomas. PI is a nucleic acid dye that after binding to DNA or RNA
fluoresces when irradiated by a 488-nm wavelength laser beam
(32, 33).
In our assay, we also considered E-cadherin staining, as it
binds beta-catenin (1–3). The decrease of cadherin staining in
SCC cells as compared to normal cells has been previously
Fig. 3. Normal tissue and oral squamous
cell carcinoma (OSCC) sections stained with
PI and beta-catenin. Beta-catenin is mostly
membranous in normal tissue (A) and
membranous (B: tumor 18; D: tumor 8) and
cytoplasmic (C: tumor 19) in OSCCs. Invad-
ing islands of less differentiated OSCCs show
alternate patterns of membranous, cytoplas-
mic and nuclear staining (E and F; F is a
detailed version of E: tumor 18). Magnifica-
tions: (A) 400�, H2O immersion; (B, D, F)
630�, oil immersion; (C) 40�; (E) 200�.
J Oral Pathol Med 31: 385–94 391
Subcellular localization of beta-catenin
demonstrated (34). The reduction in membranous E-cadherin
staining in SCC15 and SCC25 cell lines, but not complete loss of
staining, suggests that loss of membranous E-cadherin may not
be the only cause of beta-catenin cytoplasmic localization in
SCC25 cells (35). Instead, the increased beta-catenin cytoplasmic
levels might be due to a mutation either in the APC gene, as
described in colon cancers (11) and breast cancer cell lines (19),
or in the beta-catenin phosphorylation sites (15, 16, 18), rather
than to a non-functional E-cadherin (35). The cytoplasmic and
nuclear localization of beta-catenin in SCC cultures secondary
to beta-catenin gene alteration is consistent with findings in
human hepatocellular carcinomas (36). In contrast to a human
cancer breast cell line, DU4475, where beta-catenin levels were
shown to increase (19), beta-catenin levels in both SCC cells and
oral squamous cell carcinomas appeared, as evaluated by the
intensity of staining analysis, to be lower in our and in previously
reported (20–22) immunocytochemical assays. In our experience,
Western blot analysis of pellet and supernatant of normal and SCC
cells confirmed that beta-catenin steady-state levels in SCC25
cells decrease as compared to normal and SCC15 cells (not
shown).
SCC25 cells have been shown to have higher colony-forming
efficiency than SCC15 cells (26). In our assay, SCC25 cells
increased in number significantly more than SCC15 cells, and
SCC15 cells increased significantly more than normal cells over a
period of 6 days; no significant difference was detected between
the cell numbers of normal cells. Our immunocytochemical
staining suggested that the cell cultures with the largest increase
in cell number (SCC25) have the highest levels of intranuclear
beta-catenin staining. This could be due to the association
between beta-catenin transcription activation and cell growth
potential, as suggested for normal keratinocytes (37). Our obser-
vations of sections of frozen normal and OSCC sections suggest
that, together with a decrease in membranous beta-catenin,
nuclear localization happens in a limited subset of the invading
cells of few tumors. The reasons of this observation should be
carefully considered: a likely correlation to the tumor differentia-
tion stage, as evaluated by the malignancy index (22), does not
seem to be the case, although our observations would suggest
that only the tumors with higher histopathological and malig-
nancy grades (group 3) showed clear cytoplasmic and nuclear
staining, where beta-catenin-positive nuclei were found in invad-
ing epithelial islands organized in circular, whirl-like shapes,
surrounded by other unstained nuclei. The areas with cyto-
plasmic and nuclear staining also appeared to be less differ-
entiated, while membranous beta-catenin was apparently
associated with more differentiated cells (Fig. 3B). Still, we cannot
rule out the possibility that epithelial islands with nuclear staining
could also be found deeper in the connective tissue in other
tumors, with lower malignancy scores. Whether for an external
stimulus, such as Wnt signaling (36), or internal events such as
mutation in the APC/beta-catenin pathway, our observations
suggest that nuclear localization of beta-catenin might occur as
a consequence of a random mutation in some, but not all, invading
cells. This interesting data would as well suggest that nuclear
beta-catenin might be directly associated not only with cell
dedifferentiation but also with tissue invasion by activating tissue
protease transcription in these cells. Alternatively or concur-
rently, transcription of genes directly related to proliferative
events, such as c-myc (13), might be involved. In both cases,
the agent leading to beta-catenin nuclear translocation should be
clarified.
The nuclear staining present only in a subset of invading cells
would be confirmed by the observation that most cultured SCC25
cells showed an increased nuclear staining, while SCC15, another
oral carcinoma cell line, showed less nuclear staining. This
observation should be confirmed by either Western blot analysis,
or immunoprecipitation assays of nuclear proteins, or by control-
ling the expression of genes directly related to the beta-catenin
transcription activation.
Another question concerned the observation of the positively
stained nuclear membrane: whether it is due to the cross-
reactivity of some components of the nuclear envelope with
the antibody or to the actual localization of beta-catenin at
this level. Lastly, if the levels of nuclear beta-catenin can
be different in different SCC cell lines, the reasons could be
different: on one hand, this difference might be explained by
the fact that keratinocytes would tend to oppose the increased
cytoplasmic levels of beta-catenin, for example by activating
p53 transcription (39), and that only the cells where selective
pressure is overcome and beta-catenin translocates to the
nucleus, can activate transcription of genes relative to tissue
invasion and proliferation.
The activation of c-myc by beta-catenin nuclear localization or
the interaction with Lef and Tcf factors (12, 38) might help to
understand beta-catenin role and its relevance to tissue invasion
and growth potential.
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J Oral Pathol Med 31: 385–94 393
Subcellular localization of beta-catenin
Acknowledgements
Support for Dr Anna Cecilia Chaves was provided by the Brazilian Post-
graduate Federal Agency: CAPES (Coordenacao de Aperfeicoamento de
Pessoal de Nıvel Superior). Support for Dr Alberto Gasparoni was
provided by University of Siena and University of Iowa. Authors are
grateful to the following collaborators in this project. Dr Nilton Herter
(Head and Neck Surgery Department, Santa Rita Hospital, Porto Alegre,
Brazil) and Dr Roque Furian (Pathology Department of the Fundacao
Faculdade Federal de Ciencias Medicas de Porto Alegre, Brazil) for
providing frozen samples and hematoxylin–eosin-stained sections of oral
squamous cell carcinoma biopsies. Connie Organ (Dows Institute for
Dental Research, College of Dentistry, University of Iowa, Iowa City) for
help in providing cultures of oral normal keratinocytes, SCC15 and SCC25
and Xian Jin Xie (Dows Institute for Dental Research) for help in carrying
out statistical analysis.
394 J Oral Pathol Med 31: 385–94
Gasparoni et al.