doi:10.1369/jhc.6A6966.2006
Volume 54 (9): 1015-1020, 2006 Copyright ©The Histochemical Society, Inc. Immunolocalization of Full-length NK1 Tachykinin Receptors in Human Tumors
Departments of Pharmacology and Toxicology (StS,RS), Pathology (CR), Neuropathology (CM), and Obstetrics and Gynecology (SoS), Otto-von-Guericke-University, Magdeburg, Germany Correspondence to: Stefan Schulz, Dept. of Pharmacology and Toxicology, Otto-von-Guericke-University, Leipziger Strasse 44, 39120 Magdeburg, Germany. E-mail: Stefan.Schulz{at}Medizin.Uni-Magdeburg.de
Biological effects of substance P (SP) are mediated by the neurokinin-1 (NK1) receptor that exists as a full-length and as a carboxy-terminally truncated isoform in humans. Although NK1 receptor mRNA and binding sites have been detected in certain malignancies, little is known about the cellular and subcellular localization of NK1 receptor protein in human neoplastic tissues. We developed and characterized a novel anti-peptide antibody to the carboxy-terminal region of the human full-length NK1 receptor. Specificity of the antiserum was demonstrated by (1) detection of a broad band migrating at molecular mass 70,00090,000 Da in Western blots of membranes from NK1-expressing tissues; (2) cell-surface staining of NK1-transfected cells; (3) translocation of NK1 receptor immunostaining after SP exposure; and (4) abolition of tissue immunostaining by preadsorption of the antibody with its immunizing peptide. Distribution of NK1 receptors was investigated in 72 formalin-fixed, paraffin-embedded human tumors showing that NK1 receptors were frequently expressed in glioblastomas and breast and pancreatic carcinomas. Immunoreactive NK1 receptors were clearly confined to the plasma membrane and uniformly present on nearly all tumor cells. Development of this novel NK1 receptor antibody allows the efficient localization of NK1 receptor protein in human formalin-fixed, paraffin-embedded tissues. NK1 receptor visualization with this simple and rapid immunohistochemical method will facilitate identification of tumors with a sufficient receptor overexpression for diagnostic or therapeutic intervention using SP analogs. (J Histochem Cytochem 54:10151020, 2006)
Key Words: substance P tachykinin NK1 receptor neoplasm antibody immunocytochemistry Western blot
SUBSTANCE P (SP) is an undecapeptide belonging to the tachykinin family of peptides. SP is widely distributed in both central and peripheral nervous systems, where it plays a well-established role in neurotransmission, vasodilatation, and motor responses (Maggi et al. 1993
NK1 receptor mRNA and binding sites have been detected in a relatively high percentage in glioblastomas and breast and pancreatic cancers (Johnson et al. 1991
Although expression of NK1 receptors in human tumors has been well documented, the exact cellular and subcellular sites of NK1 receptor in human neoplastic tissues still need to be fully elucidated. Expression of NK1 receptors has previously been detected using binding autoradiography or reverse transcription-polymerase chain reaction (RT-PCR) (Hennig et al. 1995 In the present study we have generated and characterized antibodies directed to the carboxy-terminal tail of the NK1-Fl receptor. We have also developed an immunohistochemical (IHC) protocol that allows efficient detection of this receptor in formalin-fixed, paraffin-embedded human tissues. Generation of this novel antibody enabled us to determine the cellular distribution of NK1 receptor proteins in a variety of human tumors.
Patients, Tumors, and Tissue Preparation Seventy two tumor specimens were retrieved from the archives of the Department of Pathology. All tissue specimens had been fixed in formalin and embedded in paraffin. The following tumors were investigated: colorectal adenocarcinoma (n=5), ductal pancreatic adenocarcinoma (n=5), ductal invasive breast carcinoma (n=5), ovarian carcinoma (n=10), prostate cancer (n=4), thyroid carcinoma (n=6), carcinoid (n=15), pancreatic insulinoma (n=8), growth-hormone-producing pituitary adenoma (n=4), pheochromocytoma (n=2), glioblastoma (n=4), and meningioma (n=4). In addition, several fresh tumor specimens were immediately frozen in liquid N2 and stored at 70C until Western blot analysis. The following tumors were investigated: breast carcinoma (n=4) and ovarian carcinoma (n=4).
Generation and Purification of Antipeptide Antibodies
Immunocytochemistry
Western Blot Analysis
Immunohistochemistry
Assessment of Staining Patterns
Characterization of NK1 Receptor Antibodies Specificity of the antisera was monitored using Western blot analysis. When membrane preparations from stably transfected cells were electrophoretically separated and blotted onto nitrocellulose, the anti-NK1 {9042} antiserum detected a broad band migrating at molecular mass 70,000 to 90,000 Da only in cells transfected with its cognate receptor but not in cells transfected with an empty vector (Figure 1 ). Antisera were further characterized using immunofluorescent staining of transfected cells. When HEK-293 cells stably expressing NK1 were stained with the anti-NK1 antibody {9042}, prominent immunofluorescence localized at the level of the plasma membrane was detected (Figure 2A ). After incubation with SP, NK1 immunoreactivity (ir) was translocated from the plasma membrane into the cytosol indicating that the NK1 receptor was rapidly endocytosed in an agonist-dependent manner (Figure 2B). Next, the NK1 receptor antisera were tested for possible cross-reactivity with other proteins present in human tissues. When membrane preparations from human breast or ovarian carcinomas were electrophoretically separated and blotted onto nitrocellulose, the anti-NK1 antibody {9042} detected a broad band migrating at molecular mass 70,000 to 90,000 Da (Figures 3A and 3B). A few cases were observed in which this broad receptor band consisted of several narrower bands, suggesting that the NK1 receptor may exist in differently glycosylated forms (Figure 3B). All ir bands were completely abolished by preadsorption of the antibody with 10 µg/ml of its immunizing peptide (Figures 3A and 3B).
NK1 Receptor IHC Staining in Neoplastic Human Tissues The anti-NK1 antibodies were then subjected to IHC staining of human tissues. Initial experiments showed that heat-induced epitope retrieval is required for efficient IHC staining of paraffin-embedded tissues (not shown). All three anti-NK1 antisera yielded essentially identical IHC staining patterns with prominent ir predominantly localized to the plasma membrane of the tumor cells, although with different staining intensity (Figure 4 ). Immunostaining for each antiserum was completely abolished by preadsorption with 10 µg/ml of the immunizing peptide (Figure 4B). The anti-NK1 antibody {9042} produced the most prominent immunostaining and was therefore used throughout the study. Prevalence of NK1 receptors in human neoplasms is summarized in Table 1 . Immunoreactive NK1 receptors were frequently detected in pancreatic adenocarcinomas (80%), breast carcinomas (75%), and glioblastomas (75%). In most of these tumors, ir NK1 receptors were homogeneously present on nearly all tumor cells (Figures 4A, 4C, 4F). However, a few tumors were observed with heterogeneous NK1 expression, i.e., tumor cells with strong to moderate NK1 receptor staining were seen next to tumor cells lacking ir NK1 receptors (Figures 4D and 4E). Immunoreactive NK1 receptors were also found in 4/10 ovarian carcinomas (40%), 2/6 thyroid carcinomas (30%), and 1/4 growth hormone-producing pituitary adenomas (25%). In contrast, ir NK1 receptors were not detected in neuroendocrine tumors including carcinoid or insulinoma. NK1 receptors were also not observed in meningiomas, pheochromocytomas, or prostate and colorectal cancer.
It is well established that NK1 receptors are overexpressed in certain malignancies including glioblastomas and breast and pancreatic carcinomas; however, little is known about their cellular and subcellular localization in human neoplastic tissues. We therefore generated antibodies that exert selective specificity for the human NK1-Fl receptor. We show that the cytoplasmic tail of this receptor can serve as an epitope for the generation of antisera that effectively stain formalin-fixed, paraffin-embedded human tissues. Several lines of evidence indicate that this antibody specifically detects its targeted tachykinin receptor and does not crossreact. First, in Western blots of membranes from transfected cells, the anti-NK1 antibody detected a band migrating at molecular mass 70,000 to 90,000 Da only in NK1-transfected cells but not in cells transfected with an empty vector. Second, the anti-NK1 antibody revealed prominent cell surface staining of NK1-transfected cells. This immunostaining translocated from the cell surface into the cytosol after agonist exposure indicating rapid endocytosis of the NK1 receptor. Third, in Western blots of membranes from receptor-expressing tumors, the anti-NK1 antibody detected a broad band migrating at molecular mass 70,000 to 90,000 Da, which corresponds to a glycosylated form of the receptor. Fourth, tissue immunostaining of the anti-NK1 antiserum was completely abolished by preadsorption with homologous but not heterologous peptides. Finally, it should be noted that three of three NK1 antisera yielded similar results.
Availability of NK1 receptor antibodies will facilitate further basic morphological investigation of NK1 expression in human normal and neoplastic tissues. The IHC NK1 receptor evaluation offers several major advantages. This method can analyze NK1 receptors in routinely processed archival paraffin-embedded material of any diagnostic pathology center. It requires only an immunopathological laboratory to perform the test, which can be carried out without costly and time-consuming receptor autoradiography (Hennig et al. 1995
SP can affect the growth of human tumor cells in vivo and in vitro. Whereas growth-promoting activities have been reported for SP, growth-inhibiting properties have been found for NK1 antagonists in various tumor models (Luo et al. 1996
It is believed that the human NK1 gene could generate NK1-Fl and NK1-Tr transcripts (Fong et al. 1992 In conclusion, we have generated and extensively characterized anti-NK1 antibodies. Development of this novel antibody enabled us to visualize NK1-Fl receptors in human formalin-fixed, paraffin-embedded tissues. It is now possible to determine the exact cellular and subcellular sites of NK1 receptor protein in normal human and neoplastic tissues. Rapid immunocytochemical NK1 receptor visualization may also be helpful to identify those tumors with sufficient receptor overexpression for diagnostic or therapeutic intervention.
We thank Beate Peter and Dana Mayer for skillful technical assistance.
Received for publication March 12, 2006; accepted April 19, 2006
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