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Correspondence to Christopher S. Chen: chrischen{at}seas.upenn.edu
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| Introduction |
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Cross talk between cellcell and cellsubstrate interactions may contribute to the effects of cadherins on proliferation. The introduction of E-cadherin into cells cultured on a nonadhesive surface not only decreases proliferation but also causes cells to aggregate into large clusters (St. Croix et al., 1998). When cultured on an adhesive substrate, cells expressing E-cadherin exhibit increased cell attachment to the substrate when compared with their nonexpressing counterparts (Watabe et al., 1994; Gottardi et al., 2001). Because such cadherin-induced changes in aggregation or adhesion to ECM can directly affect cell proliferation, the adhesive context in which cadherin engagement is manipulated may contribute to the different proliferative responses that have been observed. In studies of VE-cadherin, which is the major cadherin in endothelial cells, paradoxical effects on proliferation appear to depend on cross talk with cellular adhesion to the ECM. Engagement of VE-cadherin causes growth arrest with increasing cell densities, in part, by causing cells to decrease their adhesion and spreading against the underlying substrate (Nelson and Chen, 2002). In a setting where cell spreading is held constant, engagement of VE-cadherin causes an increase in proliferation (Nelson and Chen, 2003). It appears that various adhesive contexts need to be explored to fully appreciate the mechanisms by which cadherins regulate proliferation.
E-cadherin engagement influences several intracellular signaling pathways that are involved in the regulation of proliferation, including the canonical Wnt pathway, receptor tyrosine kinases, and Rho GTPase signaling (Wheelock and Johnson, 2003). Signaling to Rho GTPases has been of particular interest because of their involvement in regulating the stability of junctions and associated cytoskeletal structures (Braga, 2000; Yap and Kovacs, 2003). Specifically, E-cadherin activation of Rac1 has been observed by several groups (Nakagawa et al., 2001; Noren et al., 2001), and appears to lead to actin recruitment and physical strengthening of adherens junctions (Ehrlich et al., 2002; Chu et al., 2004). Rac1 is also involved in regulating progression through the G1 phase of the cell cycle (Olson et al., 1995; Coleman et al., 2004) by modulating p21 levels and cyclin D1 transcription (Mettouchi et al., 2001; Bao et al., 2002). However, because Rac1 activity appears to provide different functions in response to different stimuli (Ehrlich et al., 2002; del Pozo et al., 2004), Rac1 signaling induced by E-cadherin engagement may not be related to Rac1 signaling in proliferative regulation. Indeed, a link from E-cadherin engagement to proliferation through Rac1 has not been previously reported.
We examined the effects of E-cadherin engagement on proliferation of normal rat kidney epithelial cells (NRK-52E) and nontumorigenic human mammary epithelial cells (MCF-10A) under a variety of adhesive contexts. Limited degrees of cellcell contact, which were introduced at intermediate cell seeding densities or by forming pairs or small clusters of cells, stimulated cell proliferation, but further increasing cellcell contact by seeding to confluence inhibited proliferation. The proliferative stimulus was mediated by E-cadherin engagement and coordinated through Rac1 and p120-catenin, whereas the cellcell contact inhibition of proliferation was driven by a decrease in cell adhesion and spreading on the underlying ECM. These findings demonstrate that cellcell contact can either enhance or inhibit proliferation via distinct mechanisms, and suggest a novel pathway by which E-cadherin can locally modulate tissue growth in contexts such as development, tissue mass homeostasis, and wound healing.
| Results |
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Cellcell contactinduced proliferation is independent of adhesive context
It has previously been observed that increasing the degree of cell spreading increases proliferation (Folkman and Moscona, 1978; Chen et al., 1997). Because changes in cell spreading correlated with changes in proliferation in both NRK-52E and MCF-10A cells that were seeded at different densities, we examined whether changes in cell spreading were required for contact-induced proliferation. To control cell spreading, we seeded cells onto substrates patterned with microscale agarose wells of varying sizes (Nelson and Chen, 2002). The microwells were fabricated with walls of nonadhesive agarose on top of a glass substrate that was coated with ECM protein. Cells were seeded onto substrates with bowtie-shaped microwells such that two cells would settle into each bowtie. Each cell in the pair adhered to the base of the well and spread to fill half the well, making contact with each other through the center of the bowtie (Fig. 2 A).
These contacts were stable over time, as the microwells prevented cells from migrating apart. As a control, single cells were seeded into triangular-shaped wells with areas equal to one half of a bowtie. We found that given the same degree of cell spreading, pairs of cells proliferated at a dramatically higher rate compared with single cells for both NRK-52E and MCF-10A cells (Fig. 2, B and C). This effect was observed for several different microwell sizes, demonstrating that the changes in cell spreading induced by cellcell contact were not necessary for contact-dependent up-regulation of proliferation.
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In summary, proliferation appears to respond biphasically to the amount of cellcell contact in both two- and three-dimensional culture contexts. Cells without any cellcell contact exhibit the lowest rate of proliferation. Low degrees of cellcell contact, such as those experienced by cells within small clusters, on the periphery of large clusters, in bowtie-shaped microwells, or in intermediate seeding densities, stimulate proliferation. But high degrees of contact, such as those experienced by cells within the interior of large clusters or at high densities, appear to inhibit proliferation.
E-cadherin is required for cellcell contactinduced proliferation
We then examined whether cadherins were involved in cellcell contactmediated changes in proliferation. We constructed an adenovirus containing a mutant of E-cadherin lacking the ß-cateninbinding domain (Ad-E
), which has previously been shown to act as a dominant negative by blocking E-cadherinmediated intercellular adhesion (Nagafuchi and Takeichi, 1988; Ozawa et al., 1990). Immunostaining of E-cadherin in Ad-E
infected cells confirmed the loss of cadherin localization at the cellcell junctions in both NRK-52E and MCF-10A cells (Fig. 3, A and D).
Infection with Ad-E
eliminated the contact-induced peak in proliferation seen at intermediate densities, when compared with Ad-GFPinfected control cells in both cell lines (Fig. 3, B and E). Interestingly, expression of E
did not affect proliferation of cells seeded at very high densities, which have many cellcell contacts, suggesting that E-cadherin is not required for the reduced levels of proliferation at confluence observed in this setting.
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blocked the proliferation stimulated by cellcell contact within microwell cultures in both epithelial cell types. Ad-E
reduced the proliferation of pairs of cells to the levels of single cells that were spread to the same degree (Fig. 3, C and F). We confirmed these results by using a blocking antibody against E-cadherin that prevented E-cadherin engagement in MCF-10A cells (Fig. 3 G). Inhibition of cadherin engagement with the blocking antibody abrogated the contact-induced peak in proliferation at intermediate seeding densities and the increase in proliferation of pairs of cells compared with single cells (Fig. 3, H and I). Similarly, knockdown of E-cadherin expression using siRNA also eliminated contact-induced proliferation (Fig. 3, JL). Together, these data suggest that E-cadherin is required for stimulation of proliferation induced by cellcell contact.
Interestingly, in all three methods of eliminating E-cadherin engagement and in both cell lines, E-cadherin engagement appears not to be required for the cellcell contactinduced proliferation arrest at high cell densities. An alternative possibility is that cellcell contact nonspecifically crowds cells to spread less against the underlying substrate, and this decrease in cellECM interaction arrests cells. To address this, G0-synchronized NRK-52E and MCF-10A cells were seeded overnight into microwells of different sizes, such that single cells attached in each microwell, and analyzed for S phase entry (Fig. 3 M). In both cell lines, the micropatterned islands decreased proliferation with decreased cell spreading, even in the absence of cellcell contact (Fig. 3 N). This inhibition of proliferation on micropatterns was not affected by infection of Ad-E
, confirming that E-cadherin is not involved in this regulation of proliferation by cell spreading, and that Ad-E
does not nonspecifically disrupt proliferation in these cells (Fig. S2, available at http://www.jcb.org/cgi/content/full/jcb.200510087/DC1). These data suggest that cellcell contact inhibits proliferation by decreasing cell spreading, and stimulates proliferation through E-cadherin engagement.
Engagement of E-cadherin is sufficient for stimulation of proliferation
Although the cadherin-blocking studies demonstrated that E-cadherin was required for the stimulation of proliferation observed at intermediate densities and in pairs of cells in bowtie-shaped microwells, it was unclear whether cadherins were inducing proliferation through juxtacrine influences or by acting as receptors themselves. To explore this further, we engaged cadherins of single, isolated, patterned MCF-10A cells using beads coated with a chimera of the ectodomain of human E-cadherin fused to the immunoglobulin Fc domain (hE-Fc; Fig. 4 A).
In both unspread (300 µm2) and spread (750 µm2) conditions, cells that were bound to hE-Fccoated beads exhibited higher proliferation compared with cells that were bound to protein Acoated control beads (Fig. 4 B). These data demonstrate that the engagement of E-cadherin alone can stimulate proliferation independently of juxtacrine influences.
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8 h after seeding, and then decreased to baseline levels by 24 h (Fig. 5 B). The correlation between E-cadherin staining and Rac1 activity at 8 h after seeding supported the possibility that Rac1 was activated by cellcell contact.
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To determine whether the Rac1 activity induced by cellcell contact was involved in the proliferative response, G0-synchronized MCF-10A cells were infected with an adenovirus containing dominant-negative Rac1 (Ad-RacN17) and examined for S phase entry at different seeding densities. Infection of Ad-RacN17, like Ad-E
, eliminated the peak in proliferation at intermediate densities, and did not affect proliferation at high and low densities (Fig. 5 E). In the microwell system, where changes in cell spreading were prevented, expression of RacN17 reduced the proliferation of pairs of cells to that of single cells (Fig. 5 F). Immunostaining for E-cadherin in Ad-RacN17treated cells confirmed that dominant-negative Rac1 did not affect localization of E-cadherin at the cellcell junction (Fig. 5 G).
This inhibitory effect appeared to be specific to a Rac1-mediated pathway, as inhibition of RhoA signaling through its effector Rho kinase by exposure to 50 µM Y27632 did not inhibit proliferation at any density, but, interestingly, increased proliferation at the low densities (Fig. 5 H). Y27632 also had a stimulatory effect on proliferation of single and pairs of cells patterned in microwells, and did not appear to mediate these effects by altering E-cadherin localization to the cellcell contacts (unpublished data). Y27632 has been shown to activate Rac1 and cyclin D1 signaling in fibroblasts (Welsh et al., 2001). Supporting this possibility, infection of cells with Ad-RacN17 inhibited the increase in proliferation with Y27632 at low densities (unpublished data). These data demonstrated that cellcell contactinduced proliferation is mediated through Rac1, and not RhoA.
Rac1 activity lies downstream of E-cadherin engagement
Our findings indicated that E-cadherin and Rac1 activity are both required for the proliferation induced by cellcell contact, but the causal relationship between E-cadherin engagement and Rac1 activity remained unclear. To address whether E-cadherin is responsible for Rac1 activation at intermediate densities, we infected G0-synchronized MCF-10A cells with Ad-E
or Ad-GFP, and assayed for Rac1 activity 8 h after seeding. The increase in Rac1 activity observed at intermediate densities was abrogated by Ad-E
(Fig. 6 A), but baseline Rac1 activity at high and low densities were not significantly affected. Phalloidin-stained cells at intermediate densities revealed that Ad-E
diminished the previously observed membrane ruffling (Fig. 6 B).
Furthermore, the peak of cell spreading at intermediate densities was abolished by Ad-E
(Fig. 6 C). These data confirm that Rac1 and its functional effects on cytoskeletal processes lie downstream of E-cadherin at intermediate seeding densities, and suggest that E-cadherin stimulates proliferation through a Rac1-mediated pathway.
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and Ad-RacN17infected cells, MCF-10A cells infected with an adenovirus that expressed a kinase-dead mutant of Pak (Ad-PakR299) also lost the biphasic proliferative response (Fig. S3 A, available at http://www.jcb.org/cgi/content/full/jcb.200510087/DC1). However, this full-length dominant-negative Pak has been shown to interact with and inactivate Rac1. Expressing the more specific Pak-PID mutant, in contrast, showed no effect on the proliferative response to cell density (Fig. S3 B). Lastly, endogenous total Pak levels and Pak phosphorylation monotonically decreased with cell-seeding density (Fig. S3 C). Together, these data suggest that Pak signaling is not involved in the cadherin- and Rac1-induced proliferation.
p120-catenin is involved in E-cadherininduced proliferation and Rac1 activation
Cadherin engagement has been observed to stimulate Rho GTPases, in part by binding p120-catenin (p120) and abrogating the ability of p120 to inhibit Rho (Anastasiadis et al., 2000). To explore the role of p120 in E-cadherininduced proliferation via Rac1, we generated MCF-10A cell lines stably expressing p120-siRNA or empty vector alone as a control using the pRetroSuper retroviral system (Ireton et al., 2002). Cells with p120-siRNA expressed <30% of control levels of p120 (Fig. 7 A).
G0-synchronized cells were seeded at different densities and assayed for proliferation. p120 knockdown abolished the biphasic proliferative response to cell seeding density, and cells exhibited a higher level of proliferation at the lowest seeding densities, as compared with control cells (Fig. 7 B). To examine whether Rac1 was involved in this up-regulation of proliferation, we seeded control and siRNA-treated cells at 9 x 103 cells/cm2, and measured Rac1 activity. Cells lacking p120 exhibited increased Rac1 activity (Fig. 7 C). Furthermore, Rac1 was required for the proliferation observed in siRNA-treated cells, as Ad-RacN17 abolished the knockdown-induced proliferation (Fig. 7 D).
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; Reynolds and Roczniak-Ferguson, 2004), also exhibited low levels of Rac1 activity and proliferation at intermediate seeding densities. These data suggest that p120 may be involved in cadherin-induced Rac1 signaling and proliferation, and support a model in which p120 normally suppresses Rac1 and proliferation until engagement of E-cadherin sequesters p120, disinhibiting Rac1 activity. | Discussion |
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In propagating a proliferative signal, cadherins may act directly as receptors that cause intracellular signaling, or they may function primarily to bring cells into contact with each other to signal via other juxtacrine receptors. For example, E-cadherin has been shown to initiate signaling in an EGF receptordependent manner (Pece and Gutkind, 2000; Betson et al., 2002). Using E-cadherin-Fccoated beads to ligate E-cadherin, we found that the engagement of E-cadherin alone is sufficient to stimulate proliferation. Although these findings do not eliminate the possibility that juxtacrine signals can also contribute to the cadherin-mediated proliferative response, they add to the growing body of evidence that cadherins can provide direct, functionally relevant signaling beyond their structural role.
We demonstrate that E-cadherinactivated Rac1 and downstream effects on cell spreading and membrane ruffling only occurred with limited cellcell contact. Several mechanisms may be responsible for the activation of Rac1 in these limited cellcell contact settings. First, the dynamics of the cadherin contacts in a cell with only a few bordering cells may be distinct from those in a cell within a confluent monolayer. As in studies of integrin activation of Rho GTPases (Ren et al., 1999; del Pozo et al., 2000), such receptor dynamics may be important for cadherin activation of Rac1. Second, the mechanism for up- and down-regulation of Rac1 signaling may be distinct; for example, E-cadherin engagement at intermediate densities might activate Rac1 and the decrease in cell spreading at high densities might inhibit Rac1. This biphasic response demonstrates how multiple inputs are likely integrated by the Rac1 signaling pathway to produce a decisive response within the cell.
E-cadherin activation of Rac1 appears to involve p120. p120 has also been implicated in the regulation of other Rho GTPases by cadherins. In the case of RhoA, cadherin binding of p120 appears to compete with the ability of p120 to inhibit RhoA signaling (Anastasiadis et al., 2000). Although the role of p120 in mediating E-cadherininduced Rac1 activity has been less well characterized, our findings suggest that p120 may function analogously, whereby E-cadherin engagement shifts p120 between cadherin-bound and Rac-inhibitory roles. This model is also consistent with reports that Rac1 activation by E-cadherin engagement is inhibited by a mutation that prevents p120 from binding to E-cadherin (Goodwin et al., 2003).
E-cadherinmediated Rac1 activity stimulated proliferation. Rac1 activity has been shown to regulate cell cycle progression via MAPK signaling (Minden et al., 1995), as well as the NF
B pathway (Joyce et al., 1999). The Rac1 effector Pak has also been shown to activate numerous mitogenic pathways (Brown et al., 1996; Frost et al., 1996). However, our data suggest no role for Pak in E-cadherinmediated proliferation via Rac1. A viable alternative is that Rac1 signaling may feed back to affect cellmatrix interactions through changes in actin and integrin dynamics (Kiosses et al., 2001)a possibility that will require further study. Although Rac1-induced proliferation was evident before the current study, it has been unclear what physiologic situation might invoke the Rac1 proliferative pathway. Our results now suggest that E-cadherin engagement provides a physiologic stimulus for Rac1-mediated proliferation (Fig. 8).
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Although cadherins were originally discovered to serve as a mechanical linkage between adjacent cells, it has become apparent that these receptors also regulate cell function via biochemical signaling pathways. The biphasic increase in Rac1 activity, cell ruffling and spreading, and proliferation via cellcell contact observed might be important in several physiological contexts. During both development and adult tissue homeostasis, the link between cellcell contact, Rac1, and proliferation may be in place to ensure that cells at the edges of epithelial sheets or masses ruffle, spread, and proliferate, whereas those fully constrained within these structures remain quiescent. In the context of loosely associated cells coming together to form new tissue, this system also would encourage tissue growth and rearrangement only when enough cells of the same type are associated with each other, but not when single cells are mislocalized or when cells have formed a sufficient mass. Thus, the ability of cells to sense varying degrees of cellcell contact through this biphasic cadherinRac1 pathway may provide a key element in focusing cellular activity to the appropriate coordinates within a multicellular tissue, and underscores the importance of the numerous transduction mechanisms that are regulated by cadherins and used by cells to navigate their complex, structured microenvironment.
| Materials and methods |
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-tubulin (Sigma-Aldrich); anti-GAPDH (Ambion); anti-Pak1/2/3 and antiphospho-Pak1(Thr423)/Pak2(Thr402) (Cell Signaling Technology); and Y27632 (Calbiochem). Myc-tagged RacN17 adenovirus, GFP-tagged PakR299, and GFP-tagged Pak-PID adenoviruses were gifts from A. Ridley (University College London, London, UK), W. Gerthoffer (University of Nevada, Reno, NV), and J. Chernoff (Fox Chase Cancer Center, Philadelphia, PA) and V. Weaver (University of Pennsylvania, Philadelphia, PA), respectively.
Proliferation assays
Cells were G0-synchronized by replacing growth medium with starvation medium (1% serum for NRK-52E or 0% serum for MCF-10A) for 24 h. Synchronization was confirmed in >90% of cells in G0/G1 by FACS analysis of propidium iodidestained (Invitrogen) cells (Fig. S1, A and C). To determine a time point for proliferation assays, cells were seeded onto 25 µg/ml fibronectin- or 50 µg/ml collagen-coated glass substrates, pulsed with BrdU, and analyzed for BrdU incorporation (GE Healthcare). In all proliferation experiments, cells were cultured in the presence of BrdU for a time period during which cells had entered S phase, but had not begun mitosis (as determined by examination of mitotic figures); 18 h for NRK-52E and 22 h for MCF-10A (Fig. S1, B and D), and then fixed and assayed for BrdU incorporation. Unless otherwise noted, at least 300 cells were examined across a minimum of three experiments for all conditions reported.
Three-dimensional culture
Collagen gels (2.5 mg/ml) were generated with a solution of acidic collagen (BD Biosciences), sodium bicarbonate (Sigma-Aldrich), Hepes buffer and 10x M199 (both from Invitrogen), which was neutralized with sodium hydroxide (Sigma-Aldrich). Cells were pelleted and resuspended within the collagen solution, and incubated at 37°C until the collagen solidified. Full serum media was added on top of the gel and proliferation was assayed as described in the previous section.
Micropatterned substrates
Microwell substrates were prepared as previously described (Nelson and Chen, 2002). In brief, stamps of polydimethylsiloxane (Dow Corning), which were cast from photolithographically generated master patterns, were treated with UV/ozone for 5 min before use. A 0.6% agarose/40% ethanol solution in water was flowed between the stamp sealed against a glass slide. Upon stamp removal, substrates were coated with fibronectin or collagen for at least 1 h. Cells were seeded and assayed for proliferation as described in the Proliferation assays section.
hE-Fccoated beads
hE-Fc was purified from conditioned media of CHO cells stably expressing a secreted human E-cadherin fused to the Fc region of IgG, as previously described (Kovacs et al., 2002), and was used at 100 µg/ml in 0.1% BSA for binding to protein A-coated latex beads (Bangs Laboratories, Inc.). Beads were applied to cells 2 h after seeding, and cells were fixed and analyzed for proliferation as described in the Proliferation assays section.
Microscopy, immunofluorescence, and image acquisition
Images of fixed samples were acquired at room temperature using an epifluorescence microscope (model TE200; Nikon) equipped with Plan Fluor 10x, 0.3 NA, and Plan Apo 60x, 1.4 NA, oil immersion lenses, Spot camera and software (Diagnostic Instruments), or an epifluorescence microscope (Axiovert 200M; Carl Zeiss MicroImaging, Inc.) equipped with 40x Plan-Neofluar, 1.3 NA, oil immersion, 63x Plan-Apochromat, 1.4 NA, oil immersion objectives, an Axiocam camera, and Axiovision software. For measurements of projected cell area, cells were outlined in 10x phase-contrast images and analyzed using Spot software. For immunostaining, cells were fixed in 1:1 methanol/acetone for 20 min (for E-cadherin) or formaldehyde followed by 0.05% Triton X-100 (for p120-catenin), blocked with goat serum (Invitrogen) in PBS, and incubated in primary and Alexa Fluor 594 or 488conjugated secondary antibodies (Invitrogen). Apotome and AxioVision software (Carl Zeiss MicroImaging, Inc.) were used to capture images in three-dimensional cultures. Some image levels were adjusted using Photoshop (Adobe).
Recombinant adenovirus construction
The cDNA fragment encoding human E-cadherin lacking 105 bps at the COOH-terminus (the ß-cateninbinding domain) was amplified by PCR from hEcad/pcDNA3 vector (a gift from C.J. Gottardi and B.M. Gumbiner, University of Virginia, Charlottesville, VA) using 5' (5'-GAGGCGGCCGCACCATGGGCCCTTGGAGCCGC-3') and 3' (5'-GAGCTCGAGTCAGGAGCTCAGACTAGCAGC-3') oligonucleotide primers. Recombinant adenoviruses encoding human E-cadherin bicistronic to GFP were prepared using the AdEasy XL system (Stratagene) as previously described (Nelson et al., 2004).
Rac1 activity assays and Western blotting
GTP-loaded Rac1 was measured using a commercially available kit (Upstate Biotechnology) as previously described (Glaven et al., 1999). Pak1-PBD beads were used as supplied and also made using GST-tagged recombinant Pak1-PBD produced in BL21 cells containing the pGEX-PBD vector (a gift from L. Romer, Johns Hopkins University, Baltimore, MD). Protein levels were determined by Western blot, detected with HRP-conjugated secondary antibodies (Jackson ImmunoResearch Laboratories), developed using ECL substrate (Pierce Chemical Co.), and quantified using Versadoc imaging system (Bio-Rad Laboratories).
siRNA transfection and infections
siRNA against E-cadherin (a gift from R. Assoian, University of Pennsylvania, Philadelphia, PA) was transfected using Lipofectamine 2000 (Invitrogen) 24 h after seeding MCF-10A cells at 5 x 104 cells/cm2. Cells were G0-synchronized and seeded onto appropriate substrates, and proliferation was assayed as described in the Proliferation assays section.
Retroviral supernatants were produced in Phoenix cell packaging line, as previously described (Ireton et al., 2002). Stable lines of MCF-10A cells expressing p120-siRNA were generated with pRetroSuper containing p120-siRNA. Cells were selected and maintained in 4 µg/ml puromycin. To generate cell lines reexpressing murine p120, some of both control and RNAi cell lines were infected with a second retrovirus (LZRS) containing p120 or p120
, and selected and maintained in 800 µg/ml G418. Empty vector controls were used in all cases. All retroviral reagents were gifts from A. Reynolds.
Online supplemental material
Fig. S1 shows the synchronization and proliferation profiles for NRK-52E and MCF-10A cells. Fig. S2 shows that E-cadherin is not required for inhibition of proliferation caused by reduced cell spreading in single-patterned cells. Fig. S3 shows that the Rac1 effector Pak is not involved in cellcell contactmediated proliferation. Online supplemental material is available at http://www.jcb.org/cgi/content/full/jcb.200510087/DC1.
| Acknowledgments |
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This work was supported by the National Institutes of Health (HL73305 and EB00262). W.F. Liu acknowledges the National Science Foundation for financial support, C.M. Nelson was supported by the Whitaker Foundation, and D.M. Pirone was supported by Ruth L. Kirschstein National Research Service Awards (HL 076060).
Submitted: 17 October 2005
Accepted: 4 April 2006
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