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© The Rockefeller University Press, 0021-9525/1999/10/89/ $5.00
The Journal of Cell Biology, Volume 147, Number 1, October 4, 1999 89-104


Original Article

Tumor Dormancy Induced by Downregulation of Urokinase Receptor in Human Carcinoma Involves Integrin and MAPK Signaling

Julio A. Aguirre Ghisoa, Katherine Kovalskia, and Liliana Ossowskia
a Rochelle Belfer Chemotherapy Foundation Laboratory, Division of Medical Oncology, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029

Correspondence to: Liliana Ossowski, One Gustave L. Levy Place, New York, NY 10029. Tel:(212) 241-3194 Fax:(212) 996-5787 E-mail:l_ossowski{at}smtplink.mssm.edu.

Mechanisms that regulate the transition of metastases from clinically undetectable and dormant to progressively growing are the least understood aspects of cancer biology. Here, we show that a large (~70%) reduction in the urokinase plasminogen activator receptor (uPAR) level in human carcinoma HEp3 cells, while not affecting their in vitro growth, induced a protracted state of tumor dormancy in vivo, with G0/G1 arrest. We have now identified the mechanism responsible for the induction of dormancy. We found that uPA/uPAR proteins were physically associated with {alpha}5ß1, and that in cells with low uPAR the frequency of this association was significantly reduced, leading to a reduced avidity of {alpha}5ß1 and a lower adhesion of cells to the fibronectin (FN). Adhesion to FN resulted in a robust and persistent ERK1/2 activation and serum-independent growth stimulation of only uPAR-rich cells. Compared with uPAR-rich tumorigenic cells, the basal level of active extracellular regulated kinase (ERK) was four to sixfold reduced in uPAR-poor dormant cells and its stimulation by single chain uPA (scuPA) was weak and showed slow kinetics. The high basal level of active ERK in uPAR-rich cells could be strongly and rapidly stimulated by scuPA. Disruption of uPAR–{alpha}5ß1 complexes in uPAR-rich cells with antibodies or a peptide that disrupts uPAR–ß1 interactions, reduced the FN-dependent ERK1/2 activation. These results indicate that dormancy of low uPAR cells may be the consequence of insufficient uPA/uPAR/{alpha}5ß1 complexes, which cannot induce ERK1/2 activity above a threshold needed to sustain tumor growth in vivo. In support of this conclusion we found that treatment of uPAR-rich cells, which maintain high ERK activity in vivo, with reagents interfering with the uPAR/ß1 signal to ERK activation, mimic the in vivo dormancy induced by downregulation of uPAR.

Key Words: tumor dormancy, uPAR, mitogen-activated protein kinase, integrin activation, fibronectin


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