Elsevier

Surgery

Volume 130, Issue 5, November 2001, Pages 834-843
Surgery

Original Communications
Alternative mRNA splicing in colon cancer causes loss of expression of neural cell adhesion molecule*

https://doi.org/10.1067/msy.2001.116415Get rights and content

Abstract

Background. The neural cell adhesion molecule (NCAM) has numerous isoforms resulting from alternative splicing of mRNA. The 3 major isoforms found in adult tissue are (1) a 120-kDa protein that is linked to the plasma membrane by glycosylphosphatidylinositol; (2) a 140-kDa form that has a transmembrane component and a cytoplasmic tail with unknown function; and (3) a 180-kDa isoform that has an intracellular protein that binds the cytoskeleton. NCAM is capable of homotypic binding and therefore plays a role in cell-cell adhesion for cells expressing the 180-kDa isoform by anchoring groups of cells into epithelial sheets. NCAM-180 is the isoform found in colonocytes, and loss of expression is associated with clinically aggressive colon cancers. Methods. Western blotting and reverse transcriptase-polymerase chain reaction were used to screen commercially available cell lines for NCAM-180 expression. For cell-line pairs with differential NCAM-180 expression, exon analysis was performed with reverse transcriptase-polymerase chain reaction to determine where the molecule was spliced, culminating in failed expression. These results were confirmed with exon analysis in colon cancers harvested at the time of laparotomy. Results. Analysis of a SW480 cell line (derived from a patient's primary colon cancer lesion) revealed NCAM-180 expression, whereas no expression was found in the SW620 cell line (derived from a metastatic lesion from the same patient). Exon analysis of NCAM mRNA transcripts from SW620 revealed that the transcripts were truncated after exon 12. This region correlates to an area between 2 fibronectin-III domains on the NCAM protein. Conclusions. The most common site for NCAM alternative splicing is between the 2 fibronectin-III domains corresponding to the border between exons 12 and 13 of the NCAM gene. Loss of NCAM-180 expression in aggressive colon carcinoma results from a splice defect in the same area, which may result in defective intracellular adhesion between colonocytes. (Surgery 2001;130:834-43.)

Section snippets

Colon cancer cell lines

The following 5 human colon cancer cell lines were obtained from the American Tissue Culture Collection (ATCC) (Rockville, Md):

  • 1.

    LS 174T (colon, adenocarcinoma CCL-188; passage number: 104)

  • 2.

    WiDr (colon, adenocarcinoma CCL-218; passage number: 19)

  • 3.

    COLO 205 (colon, adenocarcinoma CCL-222; passage number: unknown [6 at ATCC])

  • 4.

    SW620 (colon, adenocarcinoma, lymph node metastasis CCL-227; passage number: 83)

  • 5.

    SW480 (colon, adenocarcinoma CCL-228; passage number: 96).

The cell lines were grown according to

Cell-line screening

RT-PCR screening for NCAM exons 17 to 18 is presented in Fig 3.

. Expression of NCAM exons 17 to 18 in colon cancer cell lines. Six cell lines were screened for the presence of NCAM sequences from exons 17 to 18 in their mRNA. Glyceraldehyde-3-phosphate dehydrogenase is found in all cells and served as a positive control to ensure adequate RNA was extracted from cells and that the PCR reaction was complete. Human brain is known to contain large amounts of NCAM-L 180 and was used as a control for

Discussion

Previous studies from our laboratory demonstrated that NCAM-L 180 is present in normal colonic epithelium and benign colonic tumors. NCAM is an adhesion molecule capable of both heterotypic and homotypic binding. Adjacent cells expressing NCAM bind together via homotypic NCAM adhesion. NCAM-L 180 is found in mature neural tissues,20 and because the intracelluar protein expressed by exon 18 links NCAM to the cytoskeleton,16 the 180-kDa isoform is believed to mediate cellular adhesion. Colonocyte

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    *

    Reprint requests: Edward H. Livingston, MD, Chief, Department of Surgery (10H2), VA Greater Los Angeles Health Care System, 11301 Wilshire Blvd, Los Angeles, CA 90073.

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