1. Introduction
Colorectal cancer (CRC) has become the third cancer types for the estimated new cases and deaths in United States, 2022 [
1]. The development of CRC is classically explained by Fearon and Vogelstein model; the sequential genetic changes including APC (adenomatous polyposis coli), KRAS, DCC (deleted in colorectal cancer, chromosome 18q), and P53 lead to CRC progression [
2]. However, CRC exhibits heterogeneous outcomes and drug responses. Therefore, the large-scale data analysis by an international consortium classified the CRC into four consensus molecular subtypes, including the microsatellite instability immune, the canonical, the metabolic, and the mesenchymal types [
3]. In addition, various marker proteins have been investigated for the prediction of prognosis and drug responses of CRC [
4,
5]. Among them, recent studies suggest that CD44 plays a critical role in tumor progression through its cancer-initiating and metastasis-promoting properties [
6].
CD44 is a polymorphic integral membrane protein, which binds to hyaluronic acid, and contributes to cell-matrix adhesion, cell proliferation, migration, and tumor metastasis [
7]. When the CD44 is transcribed, its pre-messenger RNA can be received alternative splicing and maturated into mRNAs that encode various CD44 isoforms [
8]. The mRNA assembles with ten standard exons and the sixth variant exon encodes CD44v6, which plays critical roles in cell proliferation, migration, survival, and angiogenesis [
9,
10]. Functionally, CD44v6 can interact with hyaluronic acid (HA) via the standard exons-encoded region [
11]. Furthermore, the v6-encoded region functions as a co-receptor of receptor for various cytokines, including epidermal growth factor, hepatocyte growth factor, hepatocyte growth factor, C-X-C motif chemokine 12, and osteopontin [
12]. Therefore, the receptor tyrosine kinase or G protein-coupled receptor signaling pathways are potentiated in the presence of CD44v6 [
13]. These functions are essential for homeostasis or regeneration in normal tissues. Importantly, CD44v6 overexpression plays a critical role in CRC progression. For instance, CD44v6 confers colorectal carcinoma invasiveness, colonization, and metastasis [
14]. Therefore, CD44v6 is a promising target for cancer diagnosis and therapy.
The clinical significance of CD44v6 in CRC deserves consideration. Anti-CD44v6 therapies mainly include the blocking of v6-encoded region by monoclonal antibody (mAb) [
12]. First, humanized anti-CD44v6 mAbs (BIWA-4 and BIWA-8) labeled with
186Re exhibited the therapeutic efficacy in head and neck squamous cell carcinoma (SCC) xenograft bearing mice [
15]. Furthermore, the humanized anti-CD44v6 mAb, bivatuzumab-mertansine (anti-tubulin agent) conjugate, was evaluated in clinical trials [
16]. However, the clinical trials were discontinued due to the severe skin toxicity, including a case of lethal epidermal necrolysis [
17]. The efficient accumulation of mertansine was most likely responsible for the high toxicity [
17,
18]. Therefore, the development of anti-CD44v6 mAbs with more potent and fewer side effects is desired.
We established the novel anti-CD44 mAbs, C
44Mab-5 (IgG
1, kappa) [
19] and C
44Mab-46 (IgG
1, kappa) [
20] by Cell-Based Immunization and Screening (CBIS) method and immunization of CD44v3-10 ectodomain, respectively. Both C
44Mab-5 and C
44Mab-46 recognize the first five standard exons-encoding sequences [
21,
22,
23]. Therefore, they can recognize both CD44s and CD44v (pan-CD44). Furthermore, C
44Mab-5 and C
44Mab-46 exhibited the high reactivity for flow cytometry and immunohistochemical analysis in oral [
19] and esophageal [
20] SCCs. We also examined the antitumor effects of C
44Mab-5 in mouse xenograft models [
24]. In this study, we developed a novel anti-CD44v6 mAb, C
44Mab-9 (IgG
1, kappa) by CBIS method, and evaluated its applications, including flow cytometry, western blotting, and immunohistochemical analyses.
3. Discussion
In this study, we developed C
44Mab-9 using the CBIS method (
Figure 1), and determined its epitope as variant 6 encoded region (
Table 1). Then, we showed the usefulness of C
44Mab-9 for multiple applications, including flow cytometry (
Figure 2 and
Figure 3), western blotting (
Figure 4), and immunohistochemistry (
Figure 5).
Anti-CD44v6 mAbs (clone 2F10 and VFF4, 7, and 18) were previously developed and mainly used for tumor diagnosis and therapy. The 2F10 was established by the immunization of CD44v3-10-Fc protein produced by COS1 cells. The exon specificity of the 2F10 was determined by indirect immunofluorescent staining of COS1 cells transfected with human CD44v cDNAs, including CD44v3-10, CD44v6-10, CD44v7-10, CD44v8-10, and CD44v10 [
25]. Therefore, the 2F10 is thought to recognize peptide or glycopeptide structure of CD44v6. However, the detailed binding epitope of 2F10 has not been determined.
The VFF series mAbs were established by the immunization of bacterial expressed CD44v3-10 fused with glutathione
S-transferase [
26,
27]. Afterword, VFF4 and VFF 7 were used in immunohistochemical analysis [
28], and the VFF18 was humanized as BIWA-4 [
15], and developed to bivatuzumab-mertansine drug conjugate for clinical trials [
17,
18]. The VFF18 bound only to the fusion proteins, containing a variant 6 encoded region. Furthermore, the VFF18 recognized several synthetic peptides, spanning the variant 6 encoded region in ELISA, and the WFGNRWHEGYR peptide was determined as its epitope [
26]. As shown in
Table 1, C
44Mab-9 also recognized a synthetic peptide (CD44p351–370), which possesses above sequence. In contrast, a synthetic peptide (CD44p361–380) possesses FGNRWHEGYR sequence, which is not recognized by C
44Mab-9. Therefore, C
44Mab-9 and VFF18 recognize CD44v6 with similar variant 6-encoded region. The detailed epitope mapping for C
44Mab-9 is required in the future.
The clinical significance of CD44v6 expression in patients with CRC using immunohistochemical analysis remain controversial. The elevated expression has been associated with poor prognosis, linked to adverse prognosis [
29,
30]. However, others have reported that CD44v6 expression is associated with a favorable outcome [
31,
32]. Various clones of anti-CD44v6 mAbs appeared to influence the outcome of the clinical significance. Among these clinical studies, Saito
et al. used VFF18 and showed the similar staining patterns of C
44Mab-9 (
Figure 5). They also found that CD44v6 expression was observed in poorly differentiated CRC without E-cadherin expression. Furthermore, the high CD44v6 expression exhibited a significant inverse correlation with E-cadherin expression, and was found to be an independent poor prognostic factor in disease-free survival and overall survival [
33]. In the future, we should evaluate the clinical significance of the C
44Mab-9-positive CRC with E-cadherin expression.
CD44v6-positive CRC cells exhibited cancer-initiating cell property [
34]. Cytokines, HGF, C-X-C motif chemokine 12, and osteopontin, secreted from tumor associated fibloblasts, promote the CD44v6 expression in the cancer-initiating cells, which promotes migration and metastasis of CRC cells [
14]. Clinically, circulating-tumor cells (CTCs), which express EpCAM, MET, and CD44, identifies a subset with increased metastasis-initiating phenotype [
35], suggesting that CD44v6 plays an important role in cancer-initiating cell property cooperating with MET. In addition, CTC culture methods, including two-dimensional (2D) expansion, 3D organoids/spheroids culture, and xenograft formation in mice, have been developed to evaluate the character of CTCs [
36]. Therefore, the biological property to affect cell proliferation and invasiveness by C
44Mab-9 should be investigated because CD44v6 can potentiate the MET signaling by forming the ternary complex with HGF [
37]. Therefore, it would be valuable to examine the effect of C
44Mab-9 on the CTC proliferation
in vitro and metastasis
in vivo.
To evaluate the
in vivo effect, we previously converted the IgG
1 subclass of mAbs into a mouse IgG
2a, and produced a defucosylated version. These defucosylated IgG
2a mAbs exhibited potent antibody dependent cellular cytotoxicity
in vitro, and reduced the tumor growth in mouse xenograft models [
38,
39,
40,
41,
42,
43,
44]. Therefore, the production of a class switched and defucosylated version of C
44Mab-9 is required to evaluate the antitumor activity
in vivo.
4. Materials and Methods
4.1. Cell Lines
Mouse multiple myeloma P3X63Ag8U.1 (P3U1) and CHO-K1 cell lines were obtained from the American Type Culture Collection (ATCC, Manassas, VA, USA). These cells were cultured in RPMI-1640 medium (Nacalai Tesque, Inc., Kyoto, Japan), supplemented with 10% heat-inactivated fetal bovine serum (FBS; Thermo Fisher Scientific, Inc., Waltham, MA, USA), 100 U/mL penicillin, 100 μg/mL streptomycin, and 0.25 μg/mL amphotericin B (Nacalai Tesque, Inc.). Human colorectal cancer cell lines, COLO201 and COLO205 were purchased from ATCC and the Cell Resource Center for Biomedical Research Institute of Development, Aging and Cancer at Tohoku University, respectively. The COLO201 and COLO205 were cultured in RPMI-1640 medium (Nacalai Tesque, Inc.), supplemented with 10% heat-inactivated FBS, 100 units/ml of penicillin, and 100 μg/ml streptomycin (Nacalai Tesque, Inc.). All the cells were grown in a humidified incubator at 37°C with 5% CO2.
CD44s cDNA was amplified using HotStar HiFidelity Polymerase Kit (Qiagen Inc., Hilden, Germany) using LN229 cDNA as a template. CD44v3-10 ORF was obtained from the RIKEN BRC through the National Bio-Resource Project of the MEXT, Japan. CD44s and CD44v3-10 cDNAs were subcloned into pCAG-Ble-ssPA16 vector possessing signal sequence and N-terminal PA16 tag (GLEGGVAMPGAEDDVV) [
19,
45,
46,
47,
48], which is detected by NZ-1 [
49,
50,
51,
52,
53,
54,
55,
56,
57,
58,
59,
60,
61,
62,
63,
64]. CHO/CD44s and CHO/CD44v3-10 were established by transfecting pCAG-Ble/PA16-CD44s and pCAG-Ble/PA16-CD44v3-10 into CHO-K1 cells using a Neon transfection system (Thermo Fisher Scientific, Inc.).
4.2. Hybridoma Production
BALB/c mice (6-weeks old, female) were obtained from CLEA Japan (Tokyo, Japan). The mice were intraperitoneally immunized with CHO/CD44v3-10 (1 × 108 cells) and Imject Alum (Thermo Fisher Scientific Inc.). After three additional immunizations of CHO/CD44v3-10 (1 × 108 cells), a booster injection of CHO/CD44v3-10 was intraperitoneally administered 2 days before harvesting the spleen cells. The splenocytes were fused with P3U1 cells using polyethylene glycol 1500 (PEG1500; Roche Diagnostics, Indianapolis, IN, USA). The hybridomas were cultured in RPMI media supplemented with hypoxanthine, aminopterin, and thymidine (HAT; Thermo Fisher Scientific Inc.) for selection. The culture supernatants were screened using CHO-K1 and CHO/CD44v3-10 by SA3800 Cell Analyzers (Sony Corp. Tokyo, Japan).
4.3. ELISA
Fifty-eight synthesized peptides (Sigma-Aldrich Corp., St. Louis, MO, USA), which cover the CD44v3-10 extracellular domain [
21], were immobilized on Nunc Maxisorp 96-well immunoplates (Thermo Fisher Scientific Inc) at a concentration of 1 µg/mL for 30 min at 37 °C. After washing with phosphate-buffered saline (PBS) containing 0.05% (
v/v) Tween 20 (PBST; Nacalai Tesque, Inc.), wells were blocked with 1% (
w/v) bovine serum albumin (BSA)-containing PBST for 30 min at 37°C. C
44Mab-9 were added to each well, and then incubated with peroxidase-conjugated anti-mouse immunoglobulins (1:2000 diluted; Agilent Technologies Inc., Santa Clara, CA, USA). Enzymatic reactions were performed using 1 Step Ultra TMB (Thermo Fisher Scientific Inc.). The optical density at 655 nm was mesured using an iMark microplate reader (Bio-Rad Laboratories, Inc., Berkeley, CA, USA).
4.5. Flow Cytometry
CHO-K1 and CHO/CD44v3-10 were isolated using 0.25% trypsin and 1 mM ethylenediamine tetraacetic acid (EDTA; Nacalai Tesque, Inc.) treatment. COLO201 and COLO205 were isolated by brief pipetting. The cells were treated with primary mAbs, or blocking buffer [0.1% bovine serum albumin (BSA; Nacalai Tesque, Inc.) in phosphate-buffered saline (PBS)] (control) for 30 min at 4˚C. Subsequently, the cells were incubated in Alexa Fluor 488-conjugated anti-mouse IgG (1:2,000; Cell Signaling Technology, Inc.) for 30 min at 4˚C. Fluorescence data were collected using the SA3800 Cell Analyzer and analyzed using SA3800 software ver. 2.05 (Sony Corporation).
4.6. Determination of Dissociation Constant (KD) by Flow Cytometry
Serially diluted C44Mab-9 was suspended with CHO/EpCAM, COLO201, and COLO205 cells. The cells were further treated with Alexa Fluor 488-conjugated anti-mouse IgG (1:200). Fluorescence data were collected using BD FACSLyric and analyzed using BD FACSuite software version 1.3 (BD Biosciences). To determine the dissociation constant (KD), GraphPad Prism 8 (the fitting binding isotherms to built-in one-site binding models; GraphPad Software, Inc., La Jolla, CA, USA) was used.
4.7. Western Blot Analysis
The cell lysates (10 μg of protein) were separated on 5%–20% polyacrylamide gels (FUJIFILM Wako Pure Chemical Corporation, Osaka, Japan) and transferred onto polyvinylidene difluoride (PVDF) membranes (Merck KGaA, Darmstadt, Germany). After blocking (4% skim milk [Nacalai Tesque, Inc.] in PBS with 0.05% Tween 20), the membranes were incubated with 10 μg/mL of C44Mab-9 or 1 μg/mL of anti-β-actin (clone AC-15; Sigma-Aldrich Corp.), and then incubated with peroxidase-conjugated anti-mouse immunoglobulins (diluted 1:1,000; Agilent Technologies, Inc.). Finally, the signals were detected with a chemiluminescence reagent, ImmunoStar LD (FUJIFILM Wako Pure Chemical Corporation) using a Sayaca-Imager (DRC Co. Ltd., Tokyo, Japan).
4.8. Immunohistochemical Analysis
The paraffin-embedded oral SCC tissue was obtained from Tokyo Medical and Dental University [
65]. Histologic sections of colorectal carcinoma tissue array (Catalog number: CO483a) were purchased from US Biomax Inc. (Rockville, MD, USA). The sections were autoclaved in citrate buffer (pH 6.0; Agilent Technologies Inc.) for 20 min. After blocking with SuperBlock T20 (Thermo Fisher Scientific, Inc.), the sections were incubated with C
44Mab-9 (1 μg/mL) and C
44Mab-46 (1 μg/mL) for 1 h at room temperature and then treated with the EnVision+ Kit for mouse (Agilent Technologies Inc.) for 30 min. The color was developed using 3,3′-diaminobenzidine tetrahydrochloride (DAB; Agilent Technologies Inc.) for 2 min. Hematoxylin (FUJIFILM Wako Pure Chemical Corporation) was used for the counterstaining. Leica DMD108 (Leica Microsystems GmbH, Wetzlar, Germany) was used to examine the sections and obtain images.