Inhibition of urokinase-type plasminogen activator receptor induces apoptosis in melanoma cells by activation of p53

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ABSTRACT The urokinase-type plasminogen activator receptor (uPAR) is involved in several biological processes, including proteolysis, adhesion, migration and inflammation. Increased


expression of uPAR is associated with metastasis in several tumor types. We studied the biological role of uPAR in melanoma and found that inhibition of uPAR via RNA interference induced


massive death in three different metastatic cell lines. Annexin-V staining and caspase activation analysis revealed induction of the mitochondrial apoptotic pathway. The expression of


members of the Bcl-2 family (Bax, Bcl-2, Bak and Bcl-xL) was changed in a pro-apoptotic manner. uPAR inhibition induced the expression of the tumor suppressor p53 and of its downstream


target gene p21. Inhibition of p53 rescued cells from apoptosis indicating that p53 was critical for apoptosis induction. Apoptosis was observed in melanoma cells carrying activating BRAF


mutations and occurred in the presence of extracellular signal-regulated kinase (ERK) phosphorylation. uPAR can activate focal adhesion kinase (FAK), which is implicated in


adhesion-dependent tumor cell survival. However, inhibition of FAK did not induce apoptosis. Our data suggest a new function of uPAR acting as a survival factor for melanoma by


downregulating p53. Inhibition of uPAR induces a pro-apoptotic signalling pathway via p53 that is independent of ERK or FAK signalling. These findings may offer new treatment strategies for


metastatic melanoma. SIMILAR CONTENT BEING VIEWED BY OTHERS MECHANISTIC INSIGHTS INTO PROTEASOME INHIBITOR MG132 INDUCED APOPTOSIS IN MELANOMA A375 CELLS Article Open access 27 April 2025


LIMK2 PROMOTES MELANOMA TUMOR GROWTH AND METASTASIS THROUGH G3BP1-ESM1 PATHWAY-MEDIATED APOPTOSIS INHIBITION Article 16 March 2023 TARGETING FOCAL ADHESION KINASE IN CANCER CELLS AND THE


TUMOR MICROENVIRONMENT Article Open access 09 June 2020 MAIN Establishment of cancer requires the transformation into a malignant cell phenotype with characteristic features including


independence from growth signals, deficiency in apoptosis, sustained angiogenesis, tissue invasion and metastasis.1 The urokinase-type plasminogen activator receptor (uPAR) is a molecule


that has been implicated in several processes contributing to malignant transformation. It is part of the proteolytic plasminogen activator system. Many cell types synthesize and secrete the


urokinase-type plasminogen activator (uPA), which binds to uPAR. This leads to activation of cell surface bound plasminogen, which in turn cleaves many extracellular matrix components


providing pericellular proteolysis. Proteolysis of matrix components supports cell migration, for example, during metastasis. Interference with the plasminogen activator system reduces the


invasive and metastatic behavior of various tumors as demonstrated in an extensive array of studies2, 3 and inhibition of uPAR reduced metastasis in several types of cancer.4, 5, 6 Besides


its role in proteolysis, uPAR is involved in cell adhesion. uPAR associates with several integrins (e.g., _α_3_β_1, _α_5_β_1 or _α_M_β_2) and modulates their binding behavior to cell surface


ligands or to extracellular matrix molecules.7, 8, 9 Since cell migration is a process that includes tightly regulated steps of adhesion and de-adhesion, the counteracting effects of


proteolysis and adhesion mediated by uPAR may play a key role in cell migration and tumor cell invasion and metastasis.10 Furthermore, the ability of uPAR to associate with other cell


surface proteins can alter intracellular signalling pathways. For example, uPAR is found in focal adhesion sites containing integrins and caveolin that mediate signal transduction via focal


adhesion kinase (FAK) or Src kinases.11 In cell clones derived from an epidermoid carcinoma cell line uPAR association with _α_5_β_1 integrin activated signalling through FAK and Src


kinases. Inhibition of uPAR decreased phosphorylation of FAK, reduced active RAS and ERK and induced dormancy of certain tumor cells.12 Upon binding to fibronectin, complexes of uPA, uPAR,


_α_5_β_1 and fibronectin activated the EGF receptor independently of secreted growth factors.7 Melanoma, due to its tendency towards lymphogenic and hematogenous metastasis, is the most


aggressive form of skin cancer. Several studies support an important role of uPAR and the plasminogen activator system in this tumor type. Expression of uPA correlates with the metastatic


potential of melanoma cells and the expression of uPA and uPAR is increased in late stage melanocytic tumors.13, 14 Especially in hypoxic areas of melanoma, high uPAR expression was found.4


To study the biological role of uPAR in melanoma, we inhibited expression of uPAR via RNA interference in three metastatic melanoma cell lines. Unexpectedly, inhibition of uPAR induced


massive cell death via apoptosis. Cell death was accompanied by activation of caspase 3 and caspase 9 suggesting activation of the mitochondrial apoptotic pathway. Expression of members of


the Bcl-2 family was changed in a pro-apoptotic manner. uPAR inhibition activated the tumor suppressor p53 and its downstream target gene p21 and inhibition of p53 rescued cells from


apoptosis. Apoptosis was induced in cells carrying activating BRAF mutations and occurred without significant reduction of ERK phosphorylation. The observed cell death was not mediated by


FAK signalling because inhibition of FAK by RNA interference did not induce apoptosis. We conclude that uPAR expression is essential for survival of melanoma cell lines. Inhibition of uPAR


induces a new pro-apoptotic signalling pathway that is activated by p53 and that is independent of FAK signalling and of MAP kinase signalling involving ERK. RESULTS DESIGN AND ACTIVITY OF


UPAR-TARGETING SIRNAS The uPAR mRNA was screened for suitable siRNA targets. Several sequences were identified and siRNAs were designed (see Materials and Methods). Their efficacy to inhibit


uPAR expression was evaluated by transfection into 1205Lu metastatic melanoma cells and subsequent quantitative RT-PCR. All siRNAs efficiently reduced uPAR mRNA by 84–94% compared to


control siRNAs (Figure 1a). siRNA UP4 was most effective and was used throughout the experiments. A second siRNA, UP3, was also used throughout the experiments to exclude sequence-specific


effects of siRNA UP4 other than RNA interference.15 On the protein level, siRNA UP3 and UP4 reduced the total amount of uPAR as detected in Western blots (Figure 1b, upper panel). To test


whether uPAR inhibition was also accompanied with a reduction of cell surface-bound uPAR, cells were analyzed by FACS. Extracellular uPAR was significantly decreased by different siRNAs and


most prominently with siRNA UP4 (Figure 1b, lower panel). Similar results were obtained in two other metastatic melanoma cell lines on RNA and protein level (Figure 1c). To exclude


off-target effects due to immunostimulatory activity,16 siRNAs were examined for their potential to activate IFN_α_. When 1205Lu cells were treated with siRNAs for 10 h, no significant


induction of IFN_α_ mRNA was observed, whereas treatment with positive control poly(I:C) led to an approximately 100-fold increase in IFN_α_ mRNA (Figure 1d). Similar results were obtained


for other melanoma cell lines WM9 and WM239A (data not shown). Taken together, the results demonstrate an efficient inhibition of uPAR by RNA interference in melanoma cells with siRNA UP4


being more effective than UP3. Immunostimulatory activity of siRNA in melanoma cells was not detected. INHIBITION OF UPAR REDUCES THE AMOUNT OF VIABLE CELLS AND LEADS TO MELANOMA CELL DEATH


After extended exposure to uPAR siRNAs, reduced cell numbers were observed. Time-course experiments with three different metastatic melanoma cell lines revealed a reduction of cell viability


between day 3 and day 4 after transfection (Figure 2a). In a further set of experiments, viable cells were quantified at time points at which growth suppression was clearly discernible in


the respective cell lines. uPAR siRNAs revealed a significantly reduced amount of viable cells (Figure 2b). The siRNA UP4 was found to be more effective than UP3 leading to a decrease in


viable 1205Lu or WM239A cells to 25–30% after 5 days. WM9 cells were found to be more sensitive to uPAR inhibition with a reduction to 18% on day 4 after transfection. Microscopic evaluation


for longer time periods suggested that cell death contributed to the reduction of viable cells. When transfected with siRNA UP4 1205Lu cells displayed a more rounded phenotype on day 3 and


only a few cells remained on day 6 (Figure 2c, left panel). siRNA UP3 reduced cell numbers to approximately 50% on day 6 and almost complete cell death was observed on day 9. Other


uPAR-targeting siRNAs (UP1, UP2 and UP5) also led to morphologic changes and reduced cell numbers (data not shown). Similar results were obtained with other melanoma cell lines (Figure 2c,


right panel). Consistent with the cell viability assays, WM9 cells were most sensitive to uPAR inhibition with marked reduction of cell numbers already 3 days after transfection. Cell death


was confirmed and quantified by propidium iodide staining (Figure 2d). Depending on the cell line, the number of propidium iodide positive cells was significantly increased (two- to


four-fold) in siRNA UP4-treated cells, resulting in 30–80% propidium iodide positive cells. Again, siRNA UP3 treatment was less effective, resulting in a 1.5–2-fold increase. INHIBITION OF


UPAR INDUCES APOPTOSIS IN MELANOMA CELLS To delineate the mechanisms responsible for the observed cell death, cells were analyzed for an apoptotic phenotype by Annexin-V staining. A


significant increase in apoptotic cells was observed in 1205Lu cells with siRNA UP4 (Figure 3a). 1205Lu (28.7%) cells were positive for Annexin-V and the number of apoptotic cells was


approximately 10-fold lower when cells were treated with control siRNAs. Treatment with siRNA UP3 also increased the number of apoptotic cells, however to a less extent than UP4. These


experiments were extended also to other melanoma cell lines (Figure 3b). In WM239A cells, the number of apoptotic cells was increased by approximately seven-fold by siRNA UP4, resulting in


25% apoptotic cells. WM9 cells showed a 2.5-fold increase in apoptotic cells. The number of apoptotic cells in cell line WM9 was lower (10%) suggesting a different kinetic of the apoptotic


process. Next, cells were analyzed for caspase activation (Figure 3c). When effector caspase 3 was analyzed, the amount of active caspase 3 subunits was increased in all cell lines treated


with siRNA UP4. To characterize the type of apoptosis initiation, caspase 9, representative for the mitochondrial apoptosis pathway, and caspase 8, typically involved in receptor-mediated


apoptosis,17 were analyzed. The amount of active caspase 9 was clearly increased in all cell lines transfected with siRNA UP4. Analysis of caspase 8 revealed a less consistent activation


pattern. In 1205Lu cells, low amounts of procaspase 8 and no active subunits were detected. In WM9 cells, activation of caspase 8 was observed in cells after treatment with siRNA UP4,


whereas in WM239A only a small amount of active caspase 8 subunits was detectable. Taken together, these results suggest that inhibition of uPAR induces apoptosis in melanoma cell lines.


Caspase activation suggests that the apoptotic process is initiated predominantly by the mitochondrial pathway. UPAR INHIBITION CHANGES EXPRESSION OF BCL-2 FAMILY MEMBERS Proteins of the


Bcl-2 family were analyzed next, because they are typically involved in mitochondrial apoptosis and the ratio between pro- and antiapoptotic members is an important indicator for the


commitment to undergo apoptosis or not.18 In uPAR-inhibited cells, levels of the pro-apoptotic Bax were elevated, most prominently in 1205Lu cells (Figure 4). In contrast, protein levels of


antiapoptotic Bcl-2 were reduced in cells treated with uPAR siRNAs. Additionally, protein levels of pro-apoptotic Bak and antiapoptotic Bcl-xL were analyzed and, consistently, a


pro-apoptotic change in expression of these Bcl-2 family members was observed. The results were similar for all three cell lines (Figure 4). APOPTOSIS IN UPAR-INHIBITED CELLS IS MEDIATED BY


THE TUMOR SUPPRESSOR P53 In an attempt to identify intracellular pathways relevant for the observed cell death, an array-based screening for cancer-associated mRNAs was carried out. In these


experiments, an increased expression of Bax and p21 mRNA was identified. Since both molecules are targets of p53, p53 was analyzed and a strong increase was found in 1205Lu cells when


treated with uPAR-targeting siRNAs. Likewise, p21 RNA and protein were strongly elevated after uPAR siRNA treatment (Figure 5a, upper panel). When other melanoma cell lines were analyzed,


strong induction of p53 and p21 was observed to a similar degree (Figure 5a, lower panel). If apoptosis is mediated by p53, inhibition of p53 should rescue uPAR-inhibited cells from


apoptosis. Therefore, a p53-targeting siRNA was designed and transfected alone or together with siRNA UP4 (Figure 5b). At 24 h after transfection, the efficacy of cotransfected siRNAs was


evaluated by RT-PCR. Each siRNA inhibited its corresponding gene efficiently and cotransfection with siRNA UP4 and siRNA p53 reduced mRNA levels of both p53 and uPAR (Figure 5b, upper


panel). When the respective proteins were analyzed 3 days after siRNA transfection, uPAR protein was reduced in cells treated either with siRNA UP4 alone as well as together with siRNA p53,


confirming the results on RNA level (Figure 5b, lower right panel). When p53 protein was analyzed, siRNA p53 reduced basal as well as uPAR-induced p53 levels (Figure 5b, lower left panel).


Five days after transfection, 1205Lu cells were examined for apoptosis (Figure 5c). Whereas UP4 alone induced apoptosis, cotransfection with siRNA p53 reduced the amount of apoptotic cells


to almost basal levels. To further evaluate the role of p53 in regulation of p21, expression of p21 was analyzed in 1205Lu cells treated with p53- and uPAR-targeting siRNAs. Treatment with


siRNA p53 reduced basal, as well as siRNA UP4-induced levels of p21 mRNA and protein (Figure 5d). Taken together, these data suggest that uPAR inhibition activates p53 leading to increased


expression of p53 targets, for example, p21. Blocking expression of p53 reduced uPAR siRNA-mediated p53 induction, decreased induction of p21 and rescued cells from apoptosis. This suggests


that uPAR promotes melanoma cell survival by downregulation of p53. SIGNALLING OF ERK AND FAK IS NOT INVOLVED IN APOPTOSIS OF UPAR-INHIBITED MELANOMA CELLS Previously, high uPAR expression


was shown to support cell proliferation via activation of MAP kinase signalling in an epidermoid carcinoma cell line.7 High expression of uPAR leads to phosphorylation of ERK mediated by


FAK.12 Activation of ERK plays an important role in cell proliferation and survival and high activity of ERK was found to be critical for survival of melanoma cells.19 We, therefore,


assessed the activation status of ERK in uPAR-inhibited cells. Surprisingly, immunoblots of uPAR siRNA-treated cells showed only slightly reduced amounts of phosphorylated ERK suggesting


that uPAR-induced apoptosis is not critically mediated by ERK signalling (Figure 6a). Besides its effect on ERK activation, FAK is an important transducer of adhesion-dependent cell survival


signalling. High FAK activity is observed in many malignancies including melanoma20 and inhibition of FAK can support apoptosis of tumor cells.21 FAK can directly interact with p53 and is


able to prevent cells from p53-mediated apoptosis.22 Since inhibition of uPAR can reduce FAK activity,12 we reasoned that apoptosis of melanoma cells may be caused by reduced FAK signalling


that leads to activation of p53. When FAK activation was analyzed by immunoblotting in uPAR-inhibited cells, a slight to marked reduction of phosphorylated FAK was observed (Figure 6b).


Interestingly, total FAK protein was decreased as well, indicating that a transcriptional downregulation of FAK may be involved in uPAR-inhibited cells. Activation of p53 in uPAR-inhibited


cells may contribute to that effect because p53 can suppress FAK expression by binding to the FAK promoter.23 To test whether FAK signalling is indeed relevant for apoptosis in melanoma cell


lines, we inhibited FAK by RNA interference. Two FAK-targeting siRNAs were designed and Western blotting revealed strong suppression of total and phosphorylated FAK to lower levels than


observed in uPAR-inhibited cells (Figure 6c). Melanoma cells were transfected with FAK or control siRNAs and analyzed for apoptosis (Figure 6d). In contrast to uPAR siRNA treatment, cell


viability was not affected by inhibition of FAK, whereas treatment with siRNA UP4 resulted in a decrease in viable cells to 20–40% (Figure 6d, upper panel). Furthermore, in contrast to siRNA


UP4-treated cells, the number of apoptotic cells was not increased by FAK siRNAs in 1205Lu and WM239A cells (Figure 6d, lower panel). These results were confirmed by analysis of caspase 3


activation (data not shown). In contrast, in WM9 the number of apoptotic cells was increased by FAK inhibition, suggesting that FAK is partially involved in apoptosis of these cells. Because


the number of viable WM9 cells was not significantly decreased, this effect seems to play a minor role in cell death of WM9. Taken together, these data suggest that apoptosis induced by


uPAR inhibition occurs in the presence of active ERK suggesting an ERK-independent survival pathway in melanoma. Furthermore, FAK-associated survival pathways play a minor role in apoptosis


since FAK activity was only slightly decreased by uPAR inhibition and inhibition of FAK by RNA interference did not induce apoptosis. INHIBITION OF UPAR REDUCES TUMOR GROWTH IN HUMAN


MELANOMA SKIN RECONSTRUCTS To assess the influence of uPAR inhibition in a more natural context, human skin reconstructs were utilized. This model provides the analysis of growth and


invasion of melanoma cells in a context similar to human skin. Skin reconstructs consist of a collagen matrix containing primary fibroblasts, representing the dermis, and a multilayer of


keratinocytes on the collagen matrix, representing the epidermis.24 When 1205Lu cells treated with siRNA UP4 were included in the skin reconstruct, tumor growth was significantly reduced


compared to cells treated with control siRNA. Representative histological sections are shown in Figure 7. Four independent skin reconstructs for each siRNA were analyzed and the average


volume of tumor nests was found to be approximately three-fold smaller. Furthermore, tumor spread and tumor thickness were found to be decreased by approximately 50%. This indicates that


inhibition of uPAR reduces tumor growth of melanoma cells in a three-dimensional (3D) environment that resembles human skin _in vivo_. DISCUSSION Here, we report that uPAR, a receptor that


is associated with proteolysis and cell migration, acts as a survival factor in melanoma. Effective inhibition of uPAR by RNA interference induced apoptosis leading to near complete cell


death after 4–14 days depending on the inhibitory strength of the different siRNAs. To our knowledge, such a critical role of uPAR for tumor cell survival has not been described previously.


Cell death by uPAR inhibition was observed with two different siRNA sequences in three different metastatic melanoma cell lines. In addition, potential off-targets effects of the siRNAs were


addressed by (i) testing the immunostimulatory activity represented by induction of IFN_α_ (Figure 1d) and (ii) by lowering the siRNA concentration: A four-fold reduced siRNA concentration


resulted in a similar efficiancy of uPAR inhibition, p53 induction and apoptosis thereby minimizing the probability of off-target effects, which would rather apear at high siRNA


concentrations (data not shown). Our data suggest that uPAR inhibition induced cell death via apoptosis. Reduction of invasive and metastatic as well as mitogenic properties due to uPAR


inhibition has been documented in various tumors,25 but induction of _apoptosis_ by uPAR inhibition has only been described in two other cell types: (i) in a glioma cell line, inhibition of


uPAR induced apoptosis26 and led to tumor regression in mice.5 Since melanocytic cells derive from the same precursors in the neural crest as neuronal cell types, the survival function of


uPAR might be similar in both cell types. (ii) Recently, induction of apoptosis was observed in a prostate cancer cell line by inhibition of both uPAR and uPA.27 Several of our findings


argue for a different mechanism in melanoma: (i) inhibition of uPAR alone, without inhibition of uPA, was sufficient to induce apoptosis; (ii) inhibition of binding of uPA to uPAR with small


molecule inhibitors did not result in cell death (data not shown); and (iii) ERK activation was only slightly reduced in some uPAR-inhibited melanoma cells (Figure 6a), but strongly reduced


in the prostate cell line. The tumor suppressor p53 plays a central role in cellular responses to stress stimuli by triggering cell cycle arrest or apoptosis. In human cancer p53 is often


mutated leading to apoptosis deficiency and to genetic instability of tumor cells.28 Surprisingly, in melanoma, p53 is rarely mutated despite the marked resistance of melanoma cells to


irradiation or other stress stimuli. Studies suggest impaired functionality of p53 in melanoma because overexpression of p53 did not induce apoptosis and irradiation led to p53 accumulation


but not to apoptosis.29 On the other hand, inactivation of p53 contributes to the development of melanocytic tumors in mice30 and a recent study demonstrated p53-mediated apoptosis of


melanoma cells in a 3D context.31 Our study suggests intact functionality of p53 in melanoma: (i) p53 accumulates in uPAR-inhibited melanoma cells and apoptosis is initiated via the


mitochondrial pathway that is typical for p53-mediated apoptosis;32 (ii) the induction of p53 correlated with an increased expression of its target gene p21; and (iii) inhibition of p53


rescued cells from apoptosis mediated by uPAR inhibition. Overexpression of Bcl-2 can prevent p53-dependent apoptosis, leading to cellular senescence33 and high intrinsic expression of Bcl-2


has been observed in melanocytic cells.34 We found that expression of Bcl-2, as well as antiapoptotic Bcl-xL, was not increased, but reduced by uPAR inhibition, again pointing towards an


antiapoptotic effect of uPAR. In a recent study, p53-mediated apoptosis was observed in cells with low _α_v_β_3 integrin expression when cultivated in collagen gels.31 Since uPAR can


activate several integrins including _α_v,35 inhibition of uPAR may reduce activation of integrin _α_v thereby contributing to apoptosis. Despite the observation of apoptosis in melanoma


cells in this and our study, several differences exist: (i) in the study by Bao _et al._, activation of p53 was induced by post-translational modification with constant amounts of p53


protein, whereas we observed increased amounts of p53; (ii) the expression pattern of p53 targets and apoptosis-related proteins was different, for example, the expression of Bax and Bcl-2


was not altered in that study; (iii) apoptosis was dependent on reduced ERK activity, whereas we observed apoptosis in the presence of active ERK; and (iiii) apoptosis was only induced when


cells were cultivated in a collagen gel, whereas we observed apoptosis under conventional cultivation conditions. Nevertheless, reduced _α_v integrin activation in uPAR-inhibited melanoma


cells may have contributed to apoptosis in skin reconstructs, for example, by post-translational p53 modification. Activated ERK can rescue cells from apoptosis and inhibition of ERK


signalling can induce apoptosis in melanoma.19 Inhibition of uPAR is known to reduce ERK activity.7, 12 Surprisingly, ERK phosphorylation was only slightly reduced in uPAR-inhibited cells


(Figure 6a), yet, these cells underwent apoptosis.This could be due to other activation mechanisms in melanoma, for example, autocrine growth factor stimulation or BRAF mutations.36, 37


Sequencing analysis revealed that 1205Lu and WM9 carried the more common V600E, whereas WM239A carried a V600D mutation (data not shown), both activating mutations.37 At any rate, our


results do not support that ERK is important for apoptosis in uPAR-inhibited melanoma cells and suggest that an ERK-independent survival pathway is activated by uPAR. FAK is an important


mediator of adhesion-dependent survival.38 In several tumor types, high activity of FAK can promote survival and may contribute to anchorage-independent growth.21, 39 Our data showed that


FAK was reduced in some uPAR-inhibited melanoma cells (Figure 6b). However, reduction of FAK to lower levels than observed in uPAR-inhibited cells did not induce apoptosis (Figure 6c and d).


These results suggest that FAK is not important for survival of melanoma cells. Since high activity of ERK can rescue cancer cells from apoptosis induced by FAK inhibition,39 it may be


speculated that constitutive BRAF activation compensates reduced FAK signalling in melanoma. We aimed at testing the effect of uPAR inhibition in an _in vivo_ model to evaluate tumor growth


and invasion of uPAR-inhibited cells. The application of siRNAs in animal models suffers from low stability and high elimination rates. We, therefore, utilized human skin reconstructs. This


model resembles the natural skin environment, that is, cell–cell or cell–matrix cross-talk and allows to analyze growth and invasion of uPAR-inhibited melanoma cells. siRNA-mediated


inhibition of uPAR was very effective, because a single treatment with siRNA resulted in reduction of tumor growth and invasion after 15 days. Additional apoptosis-promoting mechanisms may


have contributed to the observed effect, for example, due to the cultivation of cells under 3D conditions in the skin reconstruct.31 We also analyzed the skin reconstructs for apoptosis and


cell proliferation by immunhistochemistry and found no difference between siRNA UP4-treated and control melanoma cells (data not shown). This may be due to the late time point of analysis,


which was 15 days after start of 3D cultivation as opposed to 5 days when onset of apoptosis was observed in 2D cultivation. In conclusion, we found that uPAR is an essential survival factor


for melanoma cells. uPAR inhibition results in massive cell death via apoptosis. Apoptosis was mediated by p53 and occurred in the presence of active ERK signalling in melanoma cells that


carry activating BRAF mutations. This pathway is independent of FAK signalling, because inhibition of FAK did not induce apoptosis in melanoma cells. These results are of particular


importance because active ERK can rescue tumor cells from various apoptotic stimuli and is constitutively activated in melanoma. Therefore, the identification of new ERK-independent cell


death-promoting pathways is of interest for the understanding of melanoma biology and may open new strategies for the treatment of melanoma. MATERIALS AND METHODS REAGENTS AND ANTIBODIES


Anti-uPAR (II7D) antibody was a kind gift of V Magdolen (Technical University of Munich, Germany) or was from R&D Systems (Wiesbaden-Nordenstadt, Germany). Anti-Bax (2D2), anti-ERK1/2,


antiphospho-ERK1/2 (E-4), anti-p21 (F-5) antibodies and HRP-conjugated goat anti-rabbit IgG were purchased from Santa Cruz Biotechnology (Heidelberg, Germany). Anti-caspase 3, anti-caspase 8


(1C12), anti-caspase 9, anti-FAK, anti-Bak, anti-Bcl-xL and HRP-conjugated horse anti-mouse IgG were obtained from New England Biolabs (Frankfurt, Germany). Anti-Bcl-2 (Ab-1) and anti-p53


(Ab-6) antibodies were from Merck Biosciences (Schwalbach/Ts., Germany), anti-_β_-actin (AC-15) antibody was from Sigma (Taufkirchen, Germany) and antiphospho-Y397 FAK antibody was from


Biosource (Solingen, Germany). Small interfering RNAs (siRNAs) were purchased from Thermo Electron (Ulm, Germany) or MWG Biotech (Ebersberg, Germany). PCR primers were obtained from MWG


Biotech. SIRNA DESIGN siRNAs targeting uPAR (RefSeq number NM_002659) FAK (RefSeq number NM_005607) or p53 (RefSeq number NM_000546) were designed according to the published guidelines.40,


41 3′ overhangs were carried out as dTdT. Sequences of non-silencing control siRNAs were designed to contain random sequences that do not match within the human genome. According to


recommendations,15 two siRNAs and two control siRNAs were used for most experiments. The sequences of the 19 nt sense strand of each siRNA are: UP1: CGGACUGGCUUGAAGAUCA; UP2:


GCCGUUACCUCGAAUGCAU; UP3: CAUUUCCUGUGGCUCAUCA; UP4: GAUCCAGGAAGGUGAAGAA; UP5: CCAAUGGUUUCCACAACAA; FK1: ACACCAAAUUCGAGUACUA; FK2: GAAGUCUAACUAUGAAGUA; C1: GCGCAUUCCAGCUUACGUA; C2:


GCGCUAUCCAGCUUACGUA; C3: UUCUCCGAACGUGUCACGU and p53; CUACUUCCUGAAAACAACG. CELL CULTURE Human melanoma cell lines were a kind gift of M Herlyn (Wistar Institute, Philadelphia, PA, USA). All


were metastatic and isolated from clinically and histologically defined lesions. WM239A and WM9 cells are derived from lymph nodes and 1205Lu was isolated from a lung metastasis. They were


maintained in a culture medium consisting of MCDB153 (Sigma) with 20% Leibovitz's L-15 (PAA Laboratories, Coelbe, Germany), 2% FBS (PAA Laboratories), 1.68 mM CaCl2 (Sigma) and 5 


_μ_g/ml insulin (Sigma). For analysis, cells were detached as described42 with 0.2% EDTA in PBS in order to maintain intact uPAR on the cell surface. Keratinocytes and fibroblasts used in


skin reconstructs were isolated from neonatal human foreskins and cultivated as described.43 TRANSFECTION WITH SIRNAS siRNA (240 pmol) diluted with Opti-MEM (Invitrogen, Karlsruhe, Germany)


to a final volume of 100 and 6 _μ_l Oligofectamine (Invitrogen) in 30 _μ_l Opti-MEM were mixed and incubated for 30 min at room temperature for complex formation. Transfection mixture was


added together with culture medium to cells in 3.5 cm dishes to give a final volume of 1 ml. Transfection with FITC-labelled siRNA revealed approximately 90% of cells with increased


fluorescence when analyzed by FACS after 24 h. Preliminary experiments showed that medium replacement strongly decreases cellular fluorescence as well as inhibitory activity of siRNA.


Therefore, an individual transfection scheme was established that was appropriate for each cell line in longer lasting experiments. Unless indicated otherwise, 1205Lu and WM239A cells were


re-transfected on day 3 after first transfection by adding new transfection mixture in 1 ml culture medium, whereas WM9 cells were transfected only once. Cotransfection studies in Figure 5b


were carried out with 120 pmol of the respective inhibiting siRNAs (siRNA p53 and UP4) or 240 pmol of control siRNA (C2). RNA EXTRACTION AND QUANTIFICATION Total RNA was extracted from cells


using Trizol (Invitrogen) as described by the manufacturer and analyzed by quantitative RT-PCR. RNA (1 _μ_g) was reverse transcribed using Expand Reverse Transcriptase (Roche Diagnostics,


Mannheim, Germany) and poly(dT) oligonucleotide (Roche) according to the manufacturer's protocol. Quantitative PCR was performed using the FastStart DNA Master SYBR Green I Kit (Roche)


with 2 _μ_l of cDNA and 10 pmol of each primer as described.44 Relative gene expression was expressed as a ratio of the expression level of the gene of interest to that of


Hypoxanthine-phosphoribosyl-transferase (HPRT) RNA determined in the same sample. Reaction conditions were 4 mM MgCl2 (95°C for 10 s, 61°C for 15 s, 72°C for 30 s) for uPAR (P1:


GCTGTACCCACTCAGAGAAGAC; P2: GTCACCACATCCAGGCACTGTT), 2 mM MgCl2 (95°C for 10 s, 55°C for 15 s, 72°C for 15 s) for IFN_α_ (P1: GTGAGGAAATACTTCCAAAGAATCAC; P2: TCTCATGATTTCTGCTCTGACAA) and 2 


mM MgCl2, (95°C for 10 s, 50°C for 15 s, 72°C for 25 s) for HPRT (P1: GACTTTGCTTTCCTTGGTCA; P2: GGCTTTGTATTTTGCTTTTCC). Specific amplification was controlled by melting curve analysis and by


gel electrophoresis.45 IMMUNOBLOT ANALYSIS Adherent and supernatant cells were lyzed in a buffer containing 50 mM Tris; pH 7.4, 0.25 M NaCl, 1 mM EDTA, 0.1% Triton X-100, 0.1 mM EGTA, 5 mM


Na3VO4, 50 mM NaF and protease inhibitors (Complete, Mini, EDTA-free, Roche). Gel electrophoresis and blotting were carried out with 5–10 _μ_g denatured protein lysate utilizing the Xcell


_SureLock_ Mini-Cell apparatus with 4–12% Gels in MES SDS buffer and PVDF membranes, according to the manufacturer's protocol (Invitrogen). After blocking (Western blocking reagent in


PBS, Roche), blots were incubated with primary antibodies for 1 h at room temperature or overnight at 4°C. Following washes with 0.1% Tween-20 (Sigma) in PBS and 1 h of incubation with


HRP-conjugated secondary antibodies, blots were washed and visualized (ECL plus Western Blotting Detection System, Amersham Pharmacia Biotech, Freiburg, Germany). Protein levels of _β_-actin


were analyzed as a control for constant loading and transfer. QUANTIFICATION OF VIABLE CELLS Viable cells were quantified in six-well dishes utilizing a fluorimetric assay (CellTiter-Blue


Cell Viability Assay, Promega, Mannheim, Germany). Viable cells with intact metabolism are determined by their ability to reduce cell-permeable resazurin to fluorescent resorufin. Medium was


replaced with 750 _μ_l of culture medium and 150 _μ_l of CellTiter-Blue reagent. After 1 h incubation at 37°C fluorescence was measured. QUANTIFICATION OF APOPTOTIC AND DEAD CELLS Adherent


and supernatant cells were analyzed by staining with FITC-labelled Annexin-V (Roche) and propidium iodide (Sigma). Annexin-V staining was performed according to the manufacturer's


instructions. Propidium iodide was added to a final concentration of 0.5 _μ_g/ml and cells were analyzed by flow cytometry and CellQuest software (Becton Dickinson, Heidelberg, Germany).


SKIN RECONSTRUCTION Skin reconstructs were prepared as described with modifications.43 Three days before seeding, 1205Lu melanoma cells were transfected with siRNAs. 6 × 105 keratinocytes


were mixed with transfected melanoma cells at a ratio of 8:1 and seeded on each contracted collagen gel. Experiments were terminated 15 days after seeding. Tumor growth in the reconstructs


was evaluated by microscopic determination of the size and invasion of each tumor nest. Tumor invasion was defined by the maximum invasion of the tumor cells into the dermis, that is,


collagen matrix. STATISTICAL ANALYSIS For statistical analysis Student's _t_-test was used to assess the significance of mean differences between uPAR and control siRNA-treated cells.


Differences were considered significant at a _P_-value of 0.05, two-tailed. ABBREVIATIONS * uPAR: urokinase-type plasminogen activator receptor * uPA: urokinase-type plasminogen activator *


ERK: extracellular signal-regulated kinase * FAK: focal adhesion kinase REFERENCES * Hanahan D, Weinberg RA . The hallmarks of cancer. _Cell_ 2000; 100: 57–70. Article  CAS  PubMed  Google


Scholar  * Sidenius N, Blasi F . The urokinase plasminogen activator system in cancer: recent advances and implication for prognosis and therapy. _Cancer Metastasis Rev_ 2003; 22: 205–222.


Article  CAS  PubMed  Google Scholar  * Krol J, Kopitz C, Kirschenhofer A, Schmitt M, Magdolen U, Kruger A _et al_. Inhibition of intraperitoneal tumor growth of human ovarian cancer cells


by bi- and trifunctional inhibitors of tumor-associated proteolytic systems. _Biol Chem_ 2003; 384: 1097–1102. CAS  PubMed  Google Scholar  * Rofstad EK, Rasmussen H, Galappathi K, Mathiesen


B, Nilsen K, Graff BA . Hypoxia promotes lymph node metastasis in human melanoma xenografts by up-regulating the urokinase-type plasminogen activator receptor. _Cancer Res_ 2002; 62:


1847–1853. CAS  PubMed  Google Scholar  * Mohan PM, Chintala SK, Mohanam S, Gladson CL, Kim ES, Gokaslan ZL _et al_. Adenovirus-mediated delivery of antisense gene to urokinase-type


plasminogen activator receptor suppresses glioma invasion and tumor growth. _Cancer Res_ 1999; 59: 3369–3373. CAS  PubMed  Google Scholar  * Quattrone A, Fibbi G, Anichini E, Pucci M,


Zamperini A, Capaccioli S _et al_. Reversion of the invasive phenotype of transformed human fibroblasts by anti-messenger oligonucleotide inhibition of urokinase receptor gene expression.


_Cancer Res_ 1995; 55: 90–95. CAS  PubMed  Google Scholar  * Liu D, Aguirre Ghiso J, Estrada Y, Ossowski L . EGFR is a transducer of the urokinase receptor initiated signal that is required


for _in vivo_ growth of a human carcinoma. _Cancer Cell_ 2002; 1: 445–457. Article  CAS  PubMed  Google Scholar  * May AE, Kanse SM, Lund LR, Gisler RH, Imhof BA, Preissner KT . Urokinase


receptor (CD87) regulates leukocyte recruitment via beta 2 integrins _in vivo_. _J Exp Med_ 1998; 188: 1029–1037. Article  CAS  PubMed  PubMed Central  Google Scholar  * Wei Y, Lukashev M,


Simon DI, Bodary SC, Rosenberg S, Doyle MV _et al_. Regulation of integrin function by the urokinase receptor. _Science_ 1996; 273: 1551–1555. Article  CAS  PubMed  Google Scholar  * Chapman


HA, Wei Y . Protease crosstalk with integrins: the urokinase receptor paradigm. _Thromb Haemost_ 2001; 86: 124–129. Article  CAS  PubMed  Google Scholar  * Wei Y, Yang X, Liu Q, Wilkins JA,


Chapman HA . A role for caveolin and the urokinase receptor in integrin-mediated adhesion and signaling. _J Cell Biol_ 1999; 144: 1285–1294. Article  CAS  PubMed  PubMed Central  Google


Scholar  * Aguirre Ghiso JA . Inhibition of FAK signaling activated by urokinase receptor induces dormancy in human carcinoma cells _in vivo_. _Oncogene_ 2002; 21: 2513–2524. Article  PubMed


  Google Scholar  * de Vries TJ, Quax PH, Denijn M, Verrijp KN, Verheijen JH, Verspaget HW _et al_. Plasminogen activators, their inhibitors, and urokinase receptor emerge in late stages of


melanocytic tumor progression. _Am J Pathol_ 1994; 144: 70–81. CAS  PubMed  PubMed Central  Google Scholar  * Quax PH, van Muijen GN, Weening-Verhoeff EJ, Lund LR, Dano K, Ruiter DJ _et al_.


Metastatic behavior of human melanoma cell lines in nude mice correlates with urokinase-type plasminogen activator, its type-1 inhibitor, and urokinase-mediated matrix degradation. _J Cell


Biol_ 1991; 115: 191–199. Article  CAS  PubMed  Google Scholar  * The editors of Nat Cell Biol Wither RNAi? _Nat Cell Biol_ 2003; 5: 489–490. * Hornung V, Guenthner-Biller M, Bourquin C,


Ablasser A, Schlee M, Uematsu S _et al_. Sequence-specific potent induction of IFN-alpha by short interfering RNA in plasmacytoid dendritic cells through TLR7. _Nat Med_ 2005; 11: 263–270.


Article  CAS  PubMed  Google Scholar  * Green DR . Apoptotic pathways: paper wraps stone blunts scissors. _Cell_ 2000; 102: 1–4. Article  CAS  PubMed  Google Scholar  * Oltvai ZN, Milliman


CL, Korsmeyer SJ . Bcl-2 heterodimerizes _in vivo_ with a conserved homolog, Bax, that accelerates programmed cell death. _Cell_ 1993; 74: 609–619. Article  CAS  PubMed  Google Scholar  *


Eisenmann KM, VanBrocklin MW, Staffend NA, Kitchen SM, Koo HM . Mitogen-activated protein kinase pathway-dependent tumor-specific survival signaling in amelanoma cells through inactivation


of the proapoptotic protein bad. _Cancer Res_ 2003; 63: 8330–8337. CAS  PubMed  Google Scholar  * Hess AR, Postovit LM, Margaryan NV, Seftor EA, Schneider GB, Seftor RE _et al_. Focal


adhesion kinase promotes the aggressive melanoma phenotype. _Cancer Res_ 2005; 65: 9851–9860. Article  CAS  PubMed  Google Scholar  * Golubovskaya VM, Gross S, Kaur AS, Wilson RI, Xu LH,


Yang XH _et al_. Simultaneous inhibition of focal adhesion kinase and SRC enhances detachment and apoptosis in colon cancer cell lines. _Mol Cancer Res_ 2003; 1: 755–764. CAS  PubMed  Google


Scholar  * Golubovskaya VM, Finch R, Cance WG . Direct interaction of the N-terminal domain of focal adhesion kinase with the N-terminal transactivation domain of p53. _J Biol Chem_ 2005;


280: 25008–25021. Article  CAS  PubMed  Google Scholar  * Golubovskaya V, Kaur A, Cance W . Cloning and characterization of the promoter region of human focal adhesion kinase gene: nuclear


factor kappa B and p53 binding sites. _Biochim Biophys Acta_ 2004; 1678: 111–125. Article  CAS  PubMed  Google Scholar  * Berking C, Herlyn M . Human skin reconstruct models: a new


application for studies of melanocyte and melanoma biology. _Histol Histopathol_ 2001; 16: 669–674. CAS  PubMed  Google Scholar  * Blasi F, Carmeliet P . uPAR: a versatile signalling


orchestrator. _Nat Rev Mol Cell Biol_ 2002; 3: 932–943. Article  CAS  PubMed  Google Scholar  * Yanamandra N, Konduri SD, Mohanam S, Dinh DH, Olivero WC, Gujrati M _et al_. Downregulation of


urokinase-type plasminogen activator receptor (uPAR) induces caspase-mediated cell death in human glioblastoma cells. _Clin Exp Metastasis_ 2000; 18: 611–615. Article  CAS  PubMed  Google


Scholar  * Pulukuri SM, Gondi CS, Lakka SS, Jutla A, Estes N, Gujrati M _et al_. RNA interference-directed knockdown of urokinase plasminogen activator and urokinase plasminogen activator


receptor inhibits prostate cancer cell invasion, survival, and tumorigenicity _in vivo_. _J Biol Chem_ 2005; 280: 36529–36540. Article  CAS  PubMed  Google Scholar  * Vousden KH, Lu X . Live


or let die: the cell's response to p53. _Nat Rev Cancer_ 2002; 2: 594–604. Article  CAS  PubMed  Google Scholar  * Satyamoorthy K, Chehab NH, Waterman MJ, Lien MC, El-Deiry WS, Herlyn


M _et al_. Aberrant regulation and function of wild-type p53 in radioresistant melanoma cells. _Cell Growth Differ_ 2000; 11: 467–474. CAS  PubMed  Google Scholar  * Bardeesy N, Bastian BC,


Hezel A, Pinkel D, DePinho RA, Chin L . Dual inactivation of RB and p53 pathways in RAS-induced melanomas. _Mol Cell Biol_ 2001; 21: 2144–2153. Article  CAS  PubMed  PubMed Central  Google


Scholar  * Bao W, Stromblad S . Integrin {alpha}v-mediated inactivation of p53 controls a MEK1-dependent melanoma cell survival pathway in three-dimensional collagen. _J Cell Biol_ 2004;


167: 745–756. Article  CAS  PubMed  PubMed Central  Google Scholar  * Schuler M, Bossy-Wetzel E, Goldstein JC, Fitzgerald P, Green DR . p53 induces apoptosis by caspase activation through


mitochondrial cytochrome c release. _J Biol Chem_ 2000; 275: 7337–7342. Article  CAS  PubMed  Google Scholar  * Schmitt CA, Fridman JS, Yang M, Lee S, Baranov E, Hoffman RM _et al_. A


senescence program controlled by p53 and p16INK4a contributes to the outcome of cancer therapy. _Cell_ 2002; 109: 335–346. Article  CAS  PubMed  Google Scholar  * Bowen AR, Hanks AN, Allen


SM, Alexander A, Diedrich MJ, Grossman D . Apoptosis regulators and responses in human melanocytic and keratinocytic cells. _J Invest Dermatol_ 2003; 120: 48–55. Article  CAS  PubMed  Google


Scholar  * Carriero MV, Del Vecchio S, Capozzoli M, Franco P, Fontana L, Zannetti A _et al_. Urokinase receptor interacts with alpha(v)beta5 vitronectin receptor, promoting


urokinase-dependent cell migration in breast cancer. _Cancer Res_ 1999; 59: 5307–5314. CAS  PubMed  Google Scholar  * Satyamoorthy K, Li G, Gerrero MR, Brose MS, Volpe P, Weber BL _et al_.


Constitutive mitogen-activated protein kinase activation in melanoma is mediated by both BRAF mutations and autocrine growth factor stimulation. _Cancer Res_ 2003; 63: 756–759. CAS  PubMed 


Google Scholar  * Davies H, Bignell GR, Cox C, Stephens P, Edkins S, Clegg S _et al_. Mutations of the BRAF gene in human cancer. _Nature_ 2002; 417: 949–954. Article  CAS  PubMed  Google


Scholar  * Ilic D, Almeida EA, Schlaepfer DD, Dazin P, Aizawa S, Damsky CH . Extracellular matrix survival signals transduced by focal adhesion kinase suppress p53-mediated apoptosis. _J


Cell Biol_ 1998; 143: 547–560. Article  CAS  PubMed  PubMed Central  Google Scholar  * Golubovskaya V, Beviglia L, Xu LH, Earp III HS, Craven R, Cance W . Dual inhibition of focal adhesion


kinase and epidermal growth factor receptor pathways cooperatively induces death receptor-mediated apoptosis in human breast cancer cells. _J Biol Chem_ 2002; 277: 38978–38987. Article  CAS


  PubMed  Google Scholar  * Reynolds A, Leake D, Boese Q, Scaringe S, Marshall WS, Khvorova A . Rational siRNA design for RNA interference. _Nat Biotechnol_ 2004; 22: 326–330. Article  CAS 


PubMed  Google Scholar  * Ui-Tei K, Naito Y, Takahashi F, Haraguchi T, Ohki-Hamazaki H, Juni A _et al_. Guidelines for the selection of highly effective siRNA sequences for mammalian and


chick RNA interference. _Nucleic Acids Res_ 2004; 32: 936–948. Article  CAS  PubMed  PubMed Central  Google Scholar  * Marschall C, Lengyel E, Nobutoh T, Braungart E, Douwes K, Simon A _et


al_. UVB increases urokinase-type plasminogen activator receptor (uPAR) expression. _J Invest Dermatol_ 1999; 113: 69–76. Article  CAS  PubMed  Google Scholar  * Berking C, Takemoto R,


Schaider H, Showe L, Satyamoorthy K, Robbins P _et al_. Transforming growth factor-beta1 increases survival of human melanoma through stroma remodeling. _Cancer Res_ 2001; 61: 8306–8316. CAS


  PubMed  Google Scholar  * Besch R, Giovannangeli C, Kammerbauer C, Degitz K . Specific inhibition of ICAM-1 expression mediated by gene targeting with Triplex-forming oligonucleotides. _J


Biol Chem_ 2002; 277: 32473–32479. Article  CAS  PubMed  Google Scholar  * Besch R, Giovannangeli C, Schuh T, Kammerbauer C, Degitz K . Characterization and quantification of triple helix


formation in chromosomal DNA. _J Mol Biol_ 2004; 341: 979–989. Article  CAS  PubMed  Google Scholar  * Luther T, Magdolen V, Albrecht S, Kasper M, Riemer C, Kessler H _et al_. Epitope-mapped


monoclonal antibodies as tools for functional and morphological analyses of the human urokinase receptor in tumor tissue. _Am J Pathol_ 1997; 150: 1231–1244. CAS  PubMed  PubMed Central 


Google Scholar  Download references ACKNOWLEDGEMENTS We thank Viktor Magdolen for reagents, Ursula Nägele for technical assistance and Phillip Bruhns for support in the statistical analysis.


This work was supported by Deutsche Krebshilfe, Dr. Mildred Scheel Stiftung (Grant 10-2173-De 1) and by the DFG (Graduiertenkolleg 1202). AUTHOR INFORMATION AUTHORS AND AFFILIATIONS *


Department of Dermatology and Allergology, Ludwig-Maximilian University, Munich, Germany R Besch, C Berking, C Kammerbauer & K Degitz Authors * R Besch View author publications You can


also search for this author inPubMed Google Scholar * C Berking View author publications You can also search for this author inPubMed Google Scholar * C Kammerbauer View author publications


You can also search for this author inPubMed Google Scholar * K Degitz View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR


Correspondence to R Besch. ADDITIONAL INFORMATION Edited by M Blagosklonny RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Besch, R., Berking, C.,


Kammerbauer, C. _et al._ Inhibition of urokinase-type plasminogen activator receptor induces apoptosis in melanoma cells by activation of p53. _Cell Death Differ_ 14, 818–829 (2007).


https://doi.org/10.1038/sj.cdd.4402065 Download citation * Received: 10 July 2006 * Revised: 04 September 2006 * Accepted: 13 October 2006 * Published: 17 November 2006 * Issue Date: 01


April 2007 * DOI: https://doi.org/10.1038/sj.cdd.4402065 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable


link is not currently available for this article. Copy to clipboard Provided by the Springer Nature SharedIt content-sharing initiative KEYWORDS * melanoma * urokinase receptors * apoptosis


* tumor suppressor protein p53 * RNA interference