Ectopic Notch1 activation alters mammary cell fate during puberty and promotes the development of lactating adenomas during pregnancy by Aaron Kucharczuk A thesis submitted in conformity with the requirements for the degree of Masters, Department of Molecular Genetics, University of Toronto ©Copyright by Aaron Kucharczuk 2009 Ectopic Notch1 activation alters mammary cell fate during puberty and promotes the development of lactating adenomas during pregnancy Aaron Kucharczuk Department of Molecular Genetics University of Toronto Masters Degree August 2009 Abstract The role that each of the Notch receptors play in controlling alveolar development and cell fate determination in the mouse mammary gland has remained unclear. By utilizing a cre-conditional constitutively active intracellular Notch1 knock-in I define, in vivo, that ectopic Notch1 activation is sufficient to inhibit ductal outgrowth, cause the formation of alveolar-like cell accumulations, and promote Elf5+/ER- cell fate, at the expense of ER+ cell fate, in the mammary gland of pubescent mice. Furthermore, ectopic Notch1 in the pregnant mammary gland is sufficient to promote the formation of pregnancy/lactation-dependent lactating adenomas. These lactating adenomas consist of differentiated secretory cells and normally regress during involution but progress into non-regressing tumours after multiple pregnancies. These lactating adenomas exhibit decapitation secretions characteristic of apocrine differentiation. Together these results suggest that Notch1 may function to promote Elf5+/ER- cell fate and may be misregulated in pregnancy-associated masses and apocrine-carcinoma of the breast in humans. ii Acknowledgments I wish to thank Dr. Sean Egan’s support, guidance, patience, vision, and instruction. From Sean I learnt important lessons on asking the right questions and he provided me the freedom to explore how to find the answers. Keli Xu and Kelvin Wang provided tremendous technical expertise and advice for which I will always be thankful. To the rest of the Egan lab, thanks for the many enlightening discussions about life past and present. I also wish to thank my parents for their constant support in so many aspects of my life. They not only gave me life but also filled it with all the love and affection one could wish for and for that I am forever grateful. I dedicate this thesis to them. iii Table of Contents Abstract…………………………………………………………………………………………………......ii Acknowledgements…………………………………………………………………………………..…….iii Table of Contents…………………………………………………………………………………………..iv List of Tables and Figures……………………………………………………………………………..…....v List of abbreviations…………………………………………………………………………………..…...vi 1. Introduction……………………………………………………………………………….………..…….1 1.1 Mammary Gland Development……………………………………………………..………1 1.1.1 Puberty…………………………………………………………………………..……….1 1.1.1.1 Estrogen and Ductal Outgrowth…………………………………………..………….7 1.1.1.2 Progesterone and Ductal Branching……………………………………..……….....10 1.1.2 Pregnancy…………………………………………………………………..…………..11 1.1.2.1 Wnt/Progesterone and Alveolar Specification………………………..…………….11 1.1.2.2 Prolactin and Lactogenic Differentiation…………………………..……………….12 1.2 Notch Signaling Pathway………………………………………………..…………………13 1.2.1 Notch and Breast Cancer…………………………………………………………….....14 1.2.2 Notch and Breast Cancer Models…………………………………………………...….15 1.2.3 Notch and Mammary Gland Development……………………………………………..16 2. Objective………………………………………………………………………………………..…...…19 3. Materials and Methods...........................................................................................................................20 3.1 Breeding/Strains…………………..…………………………………………………...…….20 3.2 Genotyping…………………………………………………………………………...……...20 3.3 Wholemount………………………………………………………………………...……….21 3.4 Histology: Immunohistochemistry and Immunofluorescence ……………………………....21 3.5 Flow Cytometry……………………………………………………………………………...22 3.6 Transmission Electron Microscopy………………………………………………………….26 4. Results………………………………………………………………………………………………….29 4.1 Generation of Transgenic System for Analysis of Notch1 Function in the Developing Mammary Gland……………………………………………………………………………..29 4.2 Pubertal Phenotype of Ectopic Notch1IC Expression ……………………………………….35 4.2.1 Notch1IC Inhibits Ductal Growth when Activated in Body Cells………………………..35 4.2.2 Notch1IC Expression Causes the Formation of Alveolar-Like Structures within Ducts……………………………………………………………………………………..46 4.2.3 Notch1IC Cell Autonomously Promotes Specification of Hormone Receptor Negative Cells……………………………………………………………………………58 4.3 Effects of Ectopic Notch1IC Expression during Pregnancy…………………………………65 4.3.1 Notch1IC Expression Promotes Formation of Pregnancy-Dependent Lactating Adenomas………………………………………………………………………………..65 4.3.2 Notch1IC-Induced Adenomas Contain Highly Proliferative Luminal Secretory Cells with Two Distinct Morphologies………………………………………………….69 4.3.3 Notch1IC-Induced Adenomas Exhibit Irregular Subcellular Structures and Morphologies…………………………………………………………………………….81 4.4 Other Effects of Ectopic Notch1IC Expression……………………………………………...88 4.4.1 Notch1IC Induces Facial Tumours and Lymphoma…...................………………………88 5. Discussion……………………………………………………………………………………………...93 5.1 Pubertal Effect of Ectopic Notch1IC Expression…………………………………………….93 5.2 Effects of Ectopic Notch1IC Expression during Pregnancy………………………………….95 6. References……………………………………………………………………………………………...99 iv List of Figures Figure 1……………………………………………………………………………………………………4 Figure 2……………………………………………………………………………………………………6 Figure 3……………………………………………………………………………………………………9 Figure 4……………………………………………………………………………………………………28 Figure 5……………………………………………………………………………………………………32 Figure 6……………………………………………………………………………………………………37 Figure 7……………………………………………………………………………………………………39 Figure 8……………………………………………………………………………………………………41 Figure 9……………………………………………………………………………………………………43 Figure 10…………………………………………………………………………………………………..45 Figure 11…………………………………………………………………………………………………..49 Figure 12…………………………………………………………………………………………………..51 Figure 13…………………………………………………………………………………………………..53 Figure 14…………………………………………………………………………………………………..55 Figure 15…………………………………………………………………………………………………..57 Figure 16…………………………………………………………………………………………………..60 Figure 17…………………………………………………………………………………………………..62 Figure 18…………………………………………………………………………………………………..64 Figure 19………………………………………………………………………………………………67, 68 Figure 20…………………………………………………………………………………………………..72 Figure 21…………………………………………………………………………………………………..74 Figure 22…………………………………………………………………………………………………..76 Figure 23…………………………………………………………………………………………………..78 Figure 24…………………………………………………………………………………………………..80 Figure 25…………………………………………………………………………………………………..83 Figure 26…………………………………………………………………………………………………..85 Figure 27…………………………………………………………………………………………………..87 Figure 28…………………………………………………………………………………………………..90 Figure 29…………………………………………………………………………………………………..92 List of Tables Table 1……………………………………………………………………………………………………..24 Table 2……………………………………………………………………………………………………..34 v List of Abbreviations ADAM17 ADAM metallopeptidase domain 17 CD24 Heat stable antigen CD29 Beta1 integrin CD49f Alpha6 integrin CD61 Beta3 integrin C/EBPβ CCAAT/enhancer binding protein beta DAB 3,3'-Diaminobenzidine Dpc Days post coitum eGFP Enhanced green fluorescent protein EGFR Epidermal growth factor receptor Elf5 E74-like factor 5 ER Estrogen receptor FBS Fetal bovine serum FSC Forward scatter Gata3 GATA binding protein 3 H&E Hematoxylin and eosin HER2 Human Epidermal growth factor Receptor 2 Hes Hairy and enhancer of split Hey Hairy/enhancer-of-split related with YRPW motif Id2 Inhibitor of DNA binding 2 IGF2 Insulin-like growth factor 2 IHC Immunohistochemistry Int3 Insertional site 3 Ires Internal ribosome entry site Jak2 Janus kinase 2 K8 Cytokeratin 8 K14 Cytokeratin 14 MMTV Mouse mammary tumour virus MMTV LTR Mouse mammary tumour virus long terminal repeat Notch1IC Intracellular Notch1 domain PBS Phosphate Buffered Saline PCNA Proliferating Cell Nuclear Antigen PI Propidium iodide PR Progesterone receptor Prlr Prolactin receptor RANKL Receptor Activator for Nuclear Factor κ B Ligand RBPJκ Recombination signal binding protein for immunoglobulin kappa J region shRNA Small hairpin Ribonucleic acid SSC Side scatter Stat5 Signal transducer and activator of transcription 5 TEB Terminal end bud TEM Transmission electron microscopy WAP Whey Acidic Protein vi 1. Introduction 1.1 Mammary Gland Development The murine mammary gland is a powerful system for the study of normal development and transformation. Uniquely, mammary glands develop almost entirely post-natally, making analysis of their growth and development from start to finish relatively easy to perform. Furthermore, recent advances have made possible the identification and isolation of mammary stem cells, which can be transplanted into an epithelial cell divested mammary fat pad to generate a complete and functional mammary gland in recipient mice1,2. Indeed, the mammary system has been used to model stem cells in human breast cancer, a disease that according to the World Health Organization accounts for 10.4% of all cancer incidences and is the fifth most common cause of cancer death. 1.1.1 Puberty Development of the mammary gland occurs largely under control of the female reproductive hormones estrogen, progesterone, and prolactin3. At birth, the mouse mammary gland consists of a nipple and a small arborized gland in the underlying mammary fat pad. Following birth, the gland grows isometrically with the rest of the body until puberty when a rapid influx of hormones induces substantial growth and differentiation. Terminal end buds (TEBs) are highly proliferative structures, enriched in mammary stem/progenitor cells, which invade the mammary fat pad and drive ductal development4. Terminal end buds consist of a single outer layer of undifferentiated cap cells and multiple layers of inner body cells. As the duct grows, trailing edges of the cap cell layer differentiate into myoepithelial cells5. Body cells closest to the cap cell layer tend to be highly proliferative, supporting forward growth of the 1 duct. These cells give rise to both hormone receptor positive and hormone receptor negative luminal cells. Body cells furthest from the cap cell layer undergo apoptosis to create a lumen in the developing duct (Figure 1)6. Hormone receptor positive cells are cuboidal and express the estrogen receptor (ER), the progesterone receptor (PR), and the prolactin receptor (Prlr)7. In contrast, hormone receptor negative cells are morphologically columnar and express both Elf5, an Ets transcription factor required for lobuloalveolar development and milk production, and CCAAT/enhancer binding protein beta (C/EBPβ), required for ductal morphogenesis and alveolar differentiation8,9. As TEBs invade the fat pad they bifurcate to form a branched ductal tree-like structure. The TEBs persist and continue to move forward until the ducts have reached the outer limits of the fat pad, at which point they regress. Distinct from TEB bifurcation, lateral or side branching grow from sites along the developed ductal structure. These side branches are dependent on recurrent estrous cycles and/or pregnancy and are thought to consist largely of alveolar precursors9. During the estrous cycle, these side branches develop small alveolar buds, which will either develop into milk producing structures if the animal becomes pregnant or will apoptose in a non-pregnant animal (Figure 2)10. In the past few years, thanks to advances in transplantation methodologies and flow cytometric analyses, various mammary cell types have been identified and isolated. For examples, flow cytometric analysis was used to identify three populations on the basis of CD24 expression: CD24Negative, CD24Low, and CD24High, which were confirmed by quantitative PCR to be non-epithelial, myoepithelial, and luminal cells, respectively11. Interestingly, it was found that transplantations in cleared mammary fat pads resulted in extensive mammary gland repopulation in myoepithelial CD24Low cells, whilst luminal CD24High cells were unable to recapitulate the mammary gland in the divested mammary fat pad11. Indeed, it has been 2 Figure 1. Cellular architecture of terminal end buds and mature ducts during puberty. An illustrated depiction of cap cells (orange) and body cells (blue) within terminal end buds of the growing duct. The mature duct consists of myoepithelial cells (red) that differentiated from cap cells as well as hormone receptor positive (green) and hormone receptor negative (black) luminal cells that differentiated from body cells. 3 4
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