Ataxia-telangiectasia mutated is a protein kinase that is critical for the maintenance of genomic stability and proper cellular response to redox imbalance. Previous studies indicate that ataxia-telangiectasia mutated is also required for expression of the insulin-like growth factor-1 receptor in human fibroblasts. As insulin-like growth factor-1 receptor is critical in mammary gland development, we sought to determine the relationship between ataxia-telangiectasia mutated and insulin-like growth factor-1 receptor using mouse as a model system. Knockdown of ataxia-telangiectasia mutated in cultured mouse mammary epithelial cells resulted in a significant reduction in insulin-like growth factor-1 receptor mRNA levels. Using a conditional knockout mouse model, we observed that loss of ataxia-telangiectasia mutated resulted in a severe decrease in both insulin-like growth factor-1 receptor mRNA and protein expression. These results support the observation that insulin-like growth factor-1 receptor expression is ataxia-telangiectasia mutated -dependent in the mammary epithelium, and given the critical role that insulin-like growth factor-1 receptor plays in mammary gland development, suggests that ataxia-telangiectasia mutated may be critical in the development of this organ as well.
Ataxia-telangiectasia mutated (ATM) is a central protein kinase activated in response to DNA damage and redox imbalance [1]. Germ-line mutation of the ATM gene causes a rare, pleiotropic, recessive genetic disorder termed Ataxia-Telangiectasia (A-T) [1, 2]. The most consistent A-T phenotype is early-onset ataxia caused by progressive neurodegeneration within the cerebellum [3, 4]. Other symptoms of A-T are ocular telangiectasias, immunodeficiency, radiosensitivity, premature aging, and increased cancer predisposition, principally lymphoid tumors. Also, obligate female ATM heterozygotes have a modest increase in the relative risk of breast cancer development [5], and reduced ATM expression is commonly observed in sporadic breast cancers [6, 7].
Insulin-like growth factor (IGF) is a small peptide hormone fundamental for growth and survival. During puberty, release of growth hormone (GH) from the pituitary, stimulates the expression of both isoforms of IGF (i.e. IGF1 and IGF2) by the liver as well as numerous cell types within the body [8]. IGF1 and IGF2 are both synthesized by the stroma and ductal epithelium of the developing mammary gland and are necessary for normal gland development including formation of terminal end buds and ductal branching [9]. The effects of IGF are mediated through the IGF1 receptor (IGF-1R), a membrane-associated tyrosine kinase. Insulin receptor substrates 1 and 2 (IRS1 and IRS2), which act as signaling adaptors for both IGF-1R and the insulin receptor (InsR), dock with tyrosine phosphorylated IGF-1R at the cytosolic face of the receptor and activate numerous downstream signaling cascades such as the PI3K-AKT and RAS-MAPK-ERK1 signaling axes [10].
Owing to its central role in promoting mammary gland growth and development, it is unsurprising that IGF-1R is commonly dysregulated in breast cancer with approximately 50% of breast tumors expressing an activated form of IGF-1R [10]. Thus, unsurprisingly, studies have documented that IGF signaling is commonly associated with pro-oncogenic activities (reviewed in [11]). Paradoxically, other groups have documented that loss of IGF-1R is linked to tumor progression and less differentiated breast tumors, suggesting that IGF-1R may serve to constrain tumor development [12]. More recently, Obr and co-workers found that, using both mouse models and human breast cancer cell lines, reduction of IGF-1R function increases cell stress and cytokine production which promote a more pro-tumorigenic tumor microenvironment [13]. Further, IGF-1R signaling has been linked to resistance to anti-estrogen therapy [14].
The Glaser laboratory initially reported that, using A-T patient cell lines,
that IGF-1R expression was markedly suppressed in fibroblasts that do not express
functional ATM [15]. Moreover, this study showed that IGF-1R expression could be
complemented in an A-T line by ectopic expression of full-length ATM, indicating
that IGF-1R expression is ATM-dependent. Transcriptional reporter assays
indicated that ATM was driving IGF-1R expression at the transcriptional level,
and that forced ectopic expression of IGF-1R in A-T cells could complement the
inherent radiosensitivity of these cells. Of note, other studies [16] indicated
that IGF-1R inhibition results in the accumulation of DNA double strand breaks
(DSBs) in cells as scored by accumulation of ATM-dependent phosphorylation of
histone H2AX (
To study ATM in mammary gland development and function, we generated a mouse line with conditional deletion of ATM in the mammary epithelium [18]. We documented that these mice display an associated defect in lactation as evidenced by a reduction in litter weight, reduced lobulo-alveolar structure, and significantly diminished expression of several milk protein genes. We also demonstrated that expression of the critical anti-oxidant gene Mn-dependent superoxide dismutase (MnSod or Sod2) was suppressed in ATM-deficient mammary glands and that the loss of Sod2 expression was likely responsible for, at least in part, the lactation defect as mice harboring Sod2-deficient mammary gland phenocopied lactation and structural defects observed in mice with ATM-deficient mammary glands. Given the importance of ATM and IGF-1R in mammary gland development and tumorigenesis, we sought to examine the relationship between ATM and IGF-1R expression within this critical organ.
NMuMG (CRL-1636) cells were obtained from ATCC (Manassas, VA). Cells were
cultured in DMEM supplemented with 10% fetal bovine serum at 37
For RNAi-mediated knockdown of ATM in cultured mouse cells, a shRNA lentiviral
vector (Clone V2LHS_89366) was obtained from Open Biosystems (Huntsville, AL).
Lentivirus encoding shRNA or pLKO.1 empty vector were packaged in Lenti-X cells
(Takara, Mt. View CA) by co-transfection with the packaging plasmids psPAX2 and
pMD2.G (Addgene, Cambridge, MA). Two days after transfection, spent medium was
collected, polybrene (final concentration of 10
Total RNA was isolated from cultured cells or dissected mouse mammary glands
using TRI Reagent (Ambion, Austin, TX) per manufacturer’s instructions. Two
ATM knockdown results in reduced IGF-1R mRNA levels. The mouse
mammary epithelial cell line NMuMG was transduced with lentivirus developed from
either an empty (control) plasmid (pLKO.1), or a plasmid encoding an ATM-specific
shRNA transcript followed by puromycin selection. (A). Extracts from ATM shRNA
and control NMuMG cells were immunoblotted with anti-ATM (top) or
anti-
SDS-PAGE and immunoblotting was performed using established protocols [20].
Following electrotransfer, nitrocellulose membranes were probed with anti-ATM
(Cat# 07-1286, Millipore, Billerica MA) or monoclonal anti-
A mouse line with LoxP sites flanking exon 58 of the mouse ATM gene was developed using conventional gene targeting as previously described [18]. Transgenic mice harboring a Cre recombinase transgene under control of the whey-acidic protein (WAP) promoter [B6.Cg-Tg(WAP-Cre)11738Mam; strain#01XA8] were obtained from the NCI Mouse Repository (mouse.ncifcrf.gov). Mice were maintained in a C57Bl/6 genetic background in an AAALAC approved facility managed by University of Florida Animal Care Services. All mouse husbandry and experimentation were conducted in accordance with protocols approved by the University of Florida IACUC.
DNA was isolated from tail snips (0.5-1.0 cm) taken from 3-week old pups and
placed in tubes with buffer containing 100 mM NaCl, 20 mM Tris (pH 8.0), 25 mM
EDTA (pH 8.0), 0.5% SDS, and 100
Mammary tissue was dissected and fixed in 4% paraformaldehyde overnight. The
next day, tissue was placed in 70% ethanol, processed and sectioned. Sectioned
tissues were then deparaffinized in xylene (5 min
All graphs are plotted as the mean with error bars representing
As outlined above, ATM is required for IGF-1R expression in cultured human fibroblasts [15]. To further explore this relationship in the mouse mammary gland, we scored IGF-1R expression by Q-PCR in the normal mouse mammary line NMuMG with shRNA-mediated knockdown of ATM expression. Immunoblot analysis of these cells with anti-ATM indicated that transduction of these cells with a lentivirus encoding ATM-specific shRNA resulted in a multi-fold decrease in ATM expression compared to cells transduced with a control (empty vector) lentivirus (Fig. 1A). Using Q-PCR we found a ~4-fold decrease in ATM transcript in ATM knockdown NMuMG cells (Fig. 1B). Consistent with previous findings, we measured a similar (~4-fold) reduction in IGF-1R mRNA in NMuMG cells with knocked down ATM expression (Fig. 1C).
ATM expression and conditional deletion in the mouse mammary
gland. (A). Mammary glands from a mature female virgin C56/BL6 mouse were
dissected, fixed, sectioned and stained with anti-ATM (left) or
non-immune (control) rabbit IgG (right) followed by incubation in
diaminobenzidine (DAB) and subsequent H&E staining. Note the strong, largely
nuclear immunoreactivity (brown staining) observed in gland incubated with
anti-ATM. Scale bar = 250
As previously outlined, we sought to investigate the role of ATM within functional mammary glands and, to this end, we chose mouse as a model system for the study. To examine ATM expression within the mammary gland of mice, a 10-week old virgin C57/BL6 female was sacrificed and an abdominal (#4) mammary gland was embedded, sectioned and stained with an anti-ATM antibody or control (non-immune) rabbit IgG, and counterstained using hemotoxylin/eosin (Fig. 2A). As can be readily seen, ATM was detectable throughout the mammary gland with positive staining noted in the luminal and basal epithelium, stromal cells surrounding the ductal structures and adipocytes within the mammary parenchyma. Moreover, staining was principally noted in the cell nuclei, consistent with the previously reported localization of ATM within cultured cells and expression of ATM within all cell types in the mammary gland is in keeping with other reports indicating the largely ubiquitous nature of ATM expression in various tissues and cell types within the body [21].
ATM knockout results in reduced IGF-1R abundance in mouse
mammary epithelium. (A). Total RNA was harvested from lactating control dams
(#141,143,144) and AtmcKO dams (#145,150) and relative IGF-1R transcript
abundance was determined by Q-PCR (GAPDH used as internal standard). Q-PCR
reactions were run, at a minimum, in triplicate; histograms represent the average
relative mRNA abundance (error bars =
Previous work from our laboratory outlined that female mice with germline
deletion of ATM exhibit severely abrogated development of their mammary glands
and that to study ATM function in this organ, required the development of a novel
mouse line with conditional deletion of ATM in the mammary epithelium [18]. These
mice were developed by insertion of LoxP sites flanking exon 58 of the mouse
ATM gene (Fig. 2B). To obtain deletion of ATM in the mammary
epithelium we mated these mice with mice harboring a transgene which places the
cre recombinase cDNA under the control of the Whey Acidic Protein (WAP)
promoter [22]. Fig. 2C displays the results of PCR genotyping analysis of female
mice containing various combinations of wild type and ATM alleles
containing LoxP sites (i.e. floxed allele) and the WAP-cre transgene.
Mice with the conditional ATM knockout genotype
(ATM
Transcription from the wap promoter does not occur until pregnancy day 13, persists through lactation and ceases as the mammary gland undergoes involution [22]. We previously observed that deletion of exon 58 from genomic dna harvested from atmflox/flox;wap-cre dams was detectable at lactation day 1 (L1) [18]. using both gapdh and an epithelium-specific cytokeratin, krt18, as internal standards for q-pcr analysis we detected a statistically significant decrease in atm in the #4 mammary gland harvested from l1 atmcko mice (Fig. 2D). when mammary glands from control (Atmflox/flox) and atmcko dams were subjected to ihc staining with anti-atm or control rabbit igg, we observed a notable decrease in atm immunoreactivity in atmcko mice [18] consistent with diminished atm mrna and protein in atmcko dams.
We next assayed the expression of IGF-1R in mammary glands dissected from three control and two AtmcKO dams using Q-PCR. We observed that IGF-1R mRNA abundance was significantly reduced in mammary glands from lactating AtmcKO glands compared to glands dissected from lactating control dams (Fig. 3A). Finally, immunohistochemical analysis was conducted to examine IGF-1R protein expression in an AtmcKO and a control dam. As was clearly evident, IGF-1R staining was prominent in the luminal epithelium of the control dam but dramatically reduced in the gland dissected from the lactating AtmcKO dam (Fig. 3B), supporting the conclusion that ATM is required for IGF-1R expression in the mammary epithelium of mouse.
The Glaser laboratory was first to report that, in fibroblasts cultured from a human A-T patient, expression of the IGF-1R protein and mRNA were notably diminished [15]. Moreover, this defect was complemented by ectopic expression of recombinant ATM, clearly indicating that IGF-1R expression in this cell type is dependent upon ATM function. We also observed that loss of ATM, either by RNAi in cultured mouse mammary epithelial cells or genetic disruption in the mouse mammary gland, led to a dramatic disruption in IGF-1R mRNA and protein levels. Using reporter assays, Peretz et al. [15] concluded that ATM loss was negatively impacting transcription of the IGF-1R gene. Similarly, we found that diminished ATM led to reduced steady-state mRNA abundance, strongly supporting the notion that ATM positively promotes transcription of the Igf-1R gene in mouse cells as well.
Studies have established that ATM, either directly or indirectly, influences
gene transcription [23, 24, 25, 26, 27]. For example, our group as well as other
groups documented that ATM is required for basal activity of the transcription
factor complex NF
During puberty, a surge of the ovarian hormone estrogen synergizes with pituitary growth hormone (GH) to stimulate the mammary stroma to produce IGF-1 [34]. In support of this, Igf-1-/- mice and growth hormone receptor knockout (Ghr-/-) mice have impaired ductal development during puberty and treatment of Igf-1-/- mice with exogenous estrogen and growth hormone did not restore ductal outgrowth; however, this phenotype was rescued with the addition of IGF-1 and estrogen [35], demonstrating IGF-1 action is downstream of growth hormone. Also, administration of IGF-1 to these animals did not stimulate development illustrating a requirement for synergistic actions between estrogen, growth hormone and IGF-1 [12, 34]. Richards et al. [36] confirmed the local production of IGF-1 is necessary for ductal outgrowth by utilizing mice with a liver-specific deletion of the Igf-1 gene. This caused a reduction in overall IGF-1 serum levels, but IGF-1 transcript levels were normal in the mammary gland and mammary gland development progressed as normal [36].
Consistent with IGF-1 being a mediator of ductal morphogenesis, the IGF-1R is similarly critical for normal pubertal development of the mammary gland [37]. Given that ATM is required for IGF-1R expression in mammary epithelium, logic follows that ATM would similarly be required for mammary gland development. Likely stemming from severely blunted ovarian development in ATM-/- mice, females are anovuatory and display a clear lack of estrous cycling [38]. Unsurprisingly, we documented that the mammary glands in ATM-/- females also show severe developmental defects [18]. To limit off-target deletion of ATM, we used the WAP-cre model to delete ATM within the mammary gland. As WAP expression is limited to late pregnancy and lactation, this model does not allow us to analyze a requirement for ATM in mammary gland development during or prior to puberty. Clearly, development of new conditional mouse models that allow an analysis of the requirement for ATM in pubertal mammary gland development is required to adequately address this issue.
In sum, our findings clearly indicate that ATM is required for the expression of IGF-1R in cultured mouse mammary epithelial cells and the lactating mouse mammary gland. As this defect is linked to reduced steady-state levels of IGF-1R mRNA, it is likely that ATM is positively effecting transcription of the IGF-1R gene through a mechanism that is currently unknown. Given the importance of IGF-1R in mammary gland development, and the requirement for ATM in IGF-1R expression, future studies aimed at determining the requirement for ATM in mammary gland development are needed to further understand the nature of ATM/IGF-1R signaling within the developing mammary gland.
The authors are grateful to Drs. Dr. Lingbao Ai and Eugene Izumchenko for technical assistance and suggestions. LMD was supported by a predoctoral fellowship from the US Department of Defense Breast Cancer Research Program (BC111581). This work was supported by funding from NIH (R03 CA125824), and the Florida Department of Health to KDB.
The authors declare no competing interests.