Abstract
Melanoma, the most lethal form of skin cancer, often has worse outcomes in older patients. We previously demonstrated that an age-related decrease in the secreted extracellular matrix (ECM) protein HAPLN1 has a role in slowing melanoma progression. Here we show that HAPLN1 in the dermal ECM is sufficient to maintain the integrity of melanoma-associated blood vessels, as indicated by increased collagen and VE-cadherin expression. Specifically, we show that HAPLN1 in the ECM increases hyaluronic acid and decreases endothelial cell expression of ICAM1. ICAM1 phosphorylates and internalizes VE-cadherin, a critical determinant of vascular integrity, resulting in permeable blood vessels. We found that blocking ICAM1 reduces tumor size and metastasis in older mice. These results suggest that HAPLN1 alters endothelial ICAM1expression in an indirect, matrix-dependent manner. Targeting ICAM1 could be a potential treatment strategy for older patients with melanoma, emphasizing the role of aging in tumorigenesis.
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Data availability
All data generated or analyzed during this study are included in this article and its supplementary information and are available upon request. Complete data used to generate Fig. 4a is in Supplementary Table 1.
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Acknowledgements
G.E.M.-B. is supported by NRSA pre-doctoral fellowship 1F31CA261065-01A1 and R01CA232256. We thank the outstanding Core Facilities of the Wistar Institute, supported by P30CA010815 and of the Johns Hopkins Kimmel Cancer Center, P30CA00697356; A.E.C. is supported by R01CA232256 and GT15667. V.W. is supported by T32CA153952. Y.C. is supported by U01CA227550. A.T.W. is supported by grants P01 CA114046, U01CA227550, and R01CA232256, a Bloomberg Distinguished Professorship and the EV McCollum Endowed Chair. The funders had no role in study design, data collection and analysis, decision to publish or preparation of the manuscript. We thank J. Hayden and F. Keeney at the Wistar Imaging Facility for their training and guidance, especially with the two-photon experiment. This paper is dedicated to the memory of Judith Campisi.
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G.E.M.-B. and A.T.W. conceived the study and designed the experiments. G.E.M.-B. performed the majority of all experiments and analyses. Y.C. aided in experimental design, especially for the Qiagen screen (Fig. 4a) and animal study (Fig. 5), interpretation of data and revisions. A.D. and V.W. also assisted with revisions. Animal experiments were performed by G.E.M.-B., Y.C. and A.E.C., including injections and tissue processing. A.E.C. also aided in the design and interpretation of experiments necessary for the response to reviewers. L.H. aided in preparation of cellular-derived matrices, preparation of spheroids, interpretation of data and reviewer revisions. Skin reconstructs (Fig. 1f) and shRNA used for this study were created and validated by A.K. Y.L. performed and analyzed data from the ECIS experiment in the laboratory of T.S.K.E.-M. (Fig. 2d). S.D. performed experiments necessary for the response to reviewers in the laboratory of L.G. R.S. and S.G. aided in the experimental design of the spheroid assay in fibroblast-modified substrate (Fig. 1e). All authors participated in the reading and editing of the manuscript.
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A.T.W. is on the board of ReGAIN Therapeutics, unrelated to the presented work. The remaining authors declare no competing interests.
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Extended data
Extended Data Fig. 1 Increased angiogenesis in the absence of HAPLN1 is not mediated by increased endothelial cell proliferation.
(A) Immunohistochemistry (IHC) of CD31 in primary tumors from young mice treated intradermally with PBS (n = 5) and aged mice treated intradermally with rHAPLN1(n = 6) or PBS (n = 5). Graph represents quantification of stained region normalized to vessel number per area (one-way ANOVA, young +PBS vs. aged +PBS, **p = 0.004, aged +PBS vs. aged +rHAPLN1, *p = 0.02). Data are presented as mean values ± SEM. (B) Immunohistochemistry (IHC) of podoplanin (PDPN), vascular endothelial growth factor receptor-3 (VEGFR3), and lymphatic vessel endothelial hyaluronan receptor-1 (LYVE1) in primary tumors from young mice treated intradermally with PBS (n = 5) and aged mice treated intradermally with rHAPLN1 (n = 6) or PBS (n = 5). (C) Immunofluorescent microscopy of HUVECs cultured on indicated FDMs or control (gelatin coated dish) (n = 3 for all conditions) after 30 min of BRDU incorporation (0.03 mg/mL). BrdU+ (green), nuclei (DAPI stained). (D) Corresponding graph indicates fraction of BrdU+ nuclei compared to all DAPI+ in A (n = 3 for all conditions, one-way ANOVA shows no significance across any conditions). (E) qRT-PCR of 1205Lu human melanoma cells subjected to conditioned media (CM) from young or aged dermal fibroblasts. Graph indicates relative gene expression of HAPLN1 compared to positive control (young fibroblast line) and normalized to 18 s (one way ANOVA, ****p < 0.0001, n = 3). Data are presented as mean values ± SEM. (F) qRT-PCR of WM164 human melanoma cells subjected to CM from young or aged dermal fibroblasts. Graph indicates relative gene expression of HAPLN1 compared to positive control (young fibroblast line) and normalized to 18 s (one way ANOVA, ****p < 0.0001, n = 3). Data are presented as mean values ± SEM.
Extended Data Fig. 2 Confirmation of HAPLN1 knockdown in young fibroblast lines and in FDMs.
(A) Western blot for HAPLN1 in young fibroblast lines transduced with indicated shRNA against HAPLN1 (n = 1). (B) Relative quantification of HAPLN1 bands in A normalized to HSP90 loading control. (C) qRT-PCR of HAPLN1 in indicated fibroblast lines. Graph represents relative gene expression normalized to 18 s. (ANOVA, **p = 0.001, ***p = 0.0008). Data are presented as mean values ± SEM. (D) Immunofluorescent microscopy of HUVECs on indicated matrices, with fibronectin (green) used as a readout for successful matrix deposition (red=VE-cadherin, blue=DAPI), Aged +PBS (n = 9), Young +shCTRL (n = 9), Aged+rHAPLN1 (n = 9), Young Fixed (n = 4), Young +shHAPLN1 (n = 9). (E) Mass spectrometry analysis on young vs. aged FDMs showing differentially expressed proteins.
Extended Data Fig. 3 Confirmation of FDM stiffness and spheroid viability staining.
(A) Immunofluorescent microscopy of HUVECs cultured on indicated FDMs (red=YAP, blue=DAPI, purple=double positive nuclei). (B) Quantification of the percent of double-positive nuclei in A based on consistent color and shape thresholding using ImageJ analysis (ANOVA, **p = 0.0012, 0.0013, 0.0029, 0.0032, ***p = 0.0001, ****p < 0.0001, n = 3 FDM experiments per condition). Data are presented as mean values ± SEM. (C) IHC of skin (young, n = 5; aged n = 5) and (D) tumor (aged +PBS n = 5; aged +rHAPLN1 n = 5) in mice using a biotinylated hyaluronic acid Probe. (E) HUVEC spheroids were embedded in the absence of fibroblasts in 1.5 mg/mL (n = 11), 3 mg/mL (n = 18), 5 mg/mL (n = 14), 7 mg/mL (n = 9). Images are spheroids after 24 h in brightfield (left column; centroid=white circle, sprouts=red outline) and fluorescent microscopy (right column) after 20 min of treatment with live/dead viability stain (red=ethidium homodimer/ dead cells, green=calcein-AM/ live cells). (F) Graph is a quantification of the area of red stain for all conditions in E as a proportion of total spheroid area. One-way ANOVA, 1.5 mg/mL vs. 5 mg/mL,1.5 mg/mL vs. 7 mg/mL, all ****p = 0.0001; 3 mg/mL vs. 5 mg/mL (**p = 0.006); 3 mg/mL vs. 7 mg/mL (*p = 0.02); 5 mg/mL vs. 7 mg/mL (not significant). Data are presented as mean values ± SD.
Extended Data Fig. 4 qRT-PCR confirmation of selected targets of HUVEC genetic screen.
qRT-PCR of HUVECs grown on indicated FDMs for 48 h. Graph represents relative gene expression normalized to 18 s (n = 1).
Extended Data Fig. 5 Confirmation of anti-ICAM1 therapy efficacy and identification of distal metastases.
(A) IHC for ICAM1 of primary tumors from control IgG (n = 8) or anti-ICAM1 (n = 7) treated aged mice. (B) Corresponding graph represents quantification of stained region in A (student’s t-test, unpaired, 2-tailed **p = 0.0060). Data are presented as mean values +/- SEM. (C) qRT-PCR for ICAM1 in Yumm1.7 melanoma cells treated for 24 h with either IgG control or neutralizing anti-ICAM1 in vitro compared to untreated HUVECs. Graph represents relative gene expression normalized to 18 s (ordinary one-way ANOVA, ****p = <0.0001, n = 3). (D) qRT-PCR of HUVECs treated in vitro with either IgG (n = 3) or neutralizing anti-ICAM1 (n = 3). Graph represents relative gene expression of ICAM1 normalized to 18 s (student’s t-test, ****p = <0.0001, n = 3 treatments per condition). (E) Representative images of H&E-stained lungs from control IgG or anti-ICAM1 treated aged mice. Arrows indicate macrometastases (>10 cells). (F) Representative confirmation of metastases in control IgG (n = 8) and anti-ICAM1(n = 7) treated aged mouse lungs. Metastases were identified if they stained positive in H&E (top row), MERTK (middle row), and Ki67 (bottom row). (G) Graph represents percentage mice with any number of macrometastases in their lungs based on H&E analysis (n = 8, Control IgG, n = 7, anti-ICAM1). (H) qRT-PCR for CDH5 in HUVECs treated in vitro with either IgG (n = 3) or neutralizing anti-ICAM1 (n = 3). Graph represents relative gene expression normalized to 18 s (student’s t-test, ***p < 0.0001) Data are presented as mean values± SEM. (I) qRT-PCR for ICAM1 in 1205Lu melanoma cells cultured on indicated FDMs compared to HUVECs cultured on young FDM. Graph represented relative gene expression normalized to 18 s (ANOVA, ****p < 0.0001, n = 3). Data are presented as mean values ± SEM.
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Marino-Bravante, G.E., Carey, A.E., Hüser, L. et al. Age-dependent loss of HAPLN1 erodes vascular integrity via indirect upregulation of endothelial ICAM1 in melanoma. Nat Aging 4, 350–363 (2024). https://doi.org/10.1038/s43587-024-00581-8
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DOI: https://doi.org/10.1038/s43587-024-00581-8
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