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,1
* Department of Animal Science, Cornell University, Ithaca, New York 14853; and
Department of Obstetrics and Gynecology, Washington University, St. Louis, Missouri 63130
To whom requests for reprints should be addressed at 2 Department of Animal Science, Cornell University, Ithaca, New York 14853. E-mail: paj1{at}cornell.edu
| Abstract |
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Key Words: ovarian cancer epithelial cells OSE ovary hen
| Introduction |
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Few cases of ovarian cancer occur spontaneously in species other than the human, with one exception: the domestic hen (58). It has been shown by several investigators that the chicken spontaneously develops ovarian cancer (68). Interestingly, the hen is a persistent ovulator, laying almost daily, and therefore models the reproductive history of modern-day women, who often have 1020 years of monthly ovulations before 1 or 2 pregnancies, followed by 1020 years of ovulations prior to menopause. Fredrickson (8) conducted a 3.5-year study, in which he evaluated the incidence of reproductive tract neoplasia in white leghorn hens ranging from 2 to 7 years of age. He found that 24% of all hens developed age-dependent malignant ovarian adenocarcinoma. In evaluating the origin of ovarian tumors in the hen, Fredrickson (8) considered both the germinal (surface) epithelial layer and the thecal layer. The epithelial origin of the tumors was supported by the lack of detectable steroidogenic activity and lack of ultrastructural similarity between the tumors and theca layers. Although he did not observe any ingrowth of epithelial layer cells into the cortex of the ovary, Fredrickson (8) reported that there was moderate ultrastructural similarity between the germinal epithelium and ovarian adenocarcinoma cells. In addition, the malignant phenotype of the adenocarcinoma cells was consistent with epithelial cell origin (8).
More recently, Rodriguez-Burford et al. (9) further validated the occurrence of ovarian cancer in the hen by demonstrating that ovarian tumors were immunopositive for a panel of antibodies frequently used to characterize human ovarian tumors. In addition, Barnes et al. (10) showed that the incidence of ovarian cancer in hens could be manipulated by reproductive hormones/factors. These authors reported that treatment of hens with a progestin (medroxyprogesterone acetate) decreased the incidence of tumors in 4-year-old hens. We have recently reported (11) that apoptosis occurs in the OSE cells in the area of the ovulatory stigma of hens, and aberrations in this process could underlie malignant transformation. In addition, Murdoch et al. (12) have shown that epithelial cells near the stigma show evidence of oxidative DNA damage.
Although there has been abundant research on human OSE cells and tumor cell lines, and there has been significant recent interest in the hen as an animal model for the disease, no one has reported the isolation or culture of OSE cells from the ovary of the hen. To further develop this spontaneous model of ovarian adenocarcinoma, we studied the OSE of the hen. A primary aim of this study was to characterize this cell layer with conventional cell markers. In addition, we evaluated these markers on tumor tissue. Ultimately, we characterized cultured OSE cells, which are the likely source of the ovarian tumors of the hen, utilizing these same markers. The ability to isolate and culture these cells provides a tool to examine neoplastic alterations involved in ovarian carcinogenesis. The spontaneous occurrence of ovarian cancer in the hen means that questions related to etiology can be addressed in this model.
| Materials and Methods |
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General Design.
Study ICharacterization of Surface Epithelium of Normal Ovary and Ovarian Tumors.
Immunocytochemical and histologic markers were evaluated on paraffin-embedded ovarian sections to determine if these markers were specifically reactive with the chicken epithelial cell layer. Both normal ovarian tissues free of any neoplasms, as well as ovarian tumors that had been diagnosed as epithelial ovarian cancer, were examined with these markers. We evaluated tissues for cytokeratin, vimentin, proliferating cell nuclear antigen (PCNA), and progesterone receptor (PR). The procedure was performed at least three separate times with each marker, and we used ovarian sections from hens of 25 years of age. In an effort to identify appropriate tissue to recover proliferating OSE cells, we counted the number of PCNA-positive cells in histologic sections derived from the ovary proper (devoid of all yellow follicles; n = 6), small yellow follicles (SYF; n = 4), and the fifth largest follicle in the large yellow follicle (LYF) hierarchy (F5 follicles; n = 4). Positive cells were expressed as a proportion of the total OSE cells in a field of view. Five random fields of view were counted for each tissue.
Normal ovaries and tumors were fixed in buffered formalin, and paraffin-embedded blocks were prepared and cut by the Cornell Histology Laboratory. Sections were deparaffinized in xylene and rehydrated in reducing concentrations of ethanol, washed in phosphate-buffered saline (PBS), and boiled in 0.01 M citrate buffer for 10 min. Tissue sections were blocked with 10% goat serum in PBS for 30 min at 37°C and incubated with primary antibody overnight at 5°C. Primary antibodies were anti-cytokeratin peptide 18 (1:50; clone KS-B17.2; Sigma Chemical Co., St. Louis, MO), anti-vimentin (1:100; clone VIM 3B4; Research Diagnostics, Inc., Concord, MA), anti-PCNA (20 µg/ml; clone PC10; Santa Cruz Biotechnology, Santa Cruz, CA), and anti-PR (20 µg/ml; Clone hPRa 6; Affinity BioReagents, Inc., Golden, CO). Slides were washed in PBS three times and incubated with secondary antibody for 1 hr at 37°C. Secondary antibody was Alexa Fluor 488 goat anti-mouse IgG conjugate (1.0 µg/ml; Invitrogen Molecular Probes, Carlsbad, CA). Following washing, coverslips were applied and tissue sections examined with a Nikon E600 microscope under epifluorescence using fluorescein isothiocyanate excitation and barrier filter sets (Nikon Instruments Inc., Melville, NY). Photographs were taken with an RT slider Spot digital camera (Diagnostic Instruments, Inc., Sterling Heights, MI). Negative controls were incubated with blocking solution and showed no staining.
Study IICharacterization of Cultured OSE Cells.
Culture of OSE cells.
Initial attempts to isolate OSE cells from the ovary of the hen were modeled after those done in humans (13, 14). Scraping the ovarian surface in an area devoid of follicles was difficult to do in the hen, because the mature hens ovary is normally covered with follicles. We therefore scraped the surface of large yellow follicles and SYFs to isolate the OSE cells. Although the OSE cells were removed from the follicles, they appeared to roll up in balls and failed to attach to the dish, whereas fibroblast and endothelial-like cells attached very readily and grew well. Subsequently, we utilized the explant method (15) modified for the chicken. Initially, we used small (35 mm diameter) explants of ovarian tissue devoid of any macroscopic follicles. Contaminating cells prompted us to culture whole-follicle explants, which had fewer nonepithelial cells. Hens laying regular sequences were selected and euthanized by carbon dioxide asphyxiation at 1.53 hrs after oviposition for collection of tissue. SYF (812 mm in diameter), which are pedunculated in the hen and completely covered by the surface epithelial cells, were removed aseptically, washed and placed in culture dishes with media (Day 0) and incubated at 37°C under a humid atmosphere of 5% CO2 in air. Medium was RPMI (Gibco-BRL, Gaithersburg, MD) containing 10% fetal bovine serum (FBS; Gibco), penicillin G sodium (100 IU/ml; Gibco) and streptomycin sulfate (100 µg/ml; Gibco). Follicles were removed on Day 1 and fresh medium was applied. Cultures were maintained for 1, 3 or 10 days and examined for viability (trypan blue exclusion) or characterized with markers as given below.
In a separate study we examined the effect of follicle size on the relative size of cultured OSE cells. We also observed cultures for mitotic nuclei. Hens (n = 3) were euthanized and the five LYFs as well as the SYFs were removed from the ovary and cultured as described above. After 24 hrs, the follicles were removed, and the attached cells were washed and fixed. Cells were stained with propidium iodide (PI; 1 µg/ml in PBS) for 15 min at room temperature, washed, and coverslips mounted. Using epifluorescence, the number of nuclei was determined in five randomly chosen fields (2.5 x 103 mm2) for each follicle size. The study was replicated three times.
Characterization of cultured OSE cells.
Cultured cells were examined for the protein expression of cytokeratin, vimentin, and PCNA on Days 1, 3, and 10, and for PR on Day 10. Cells were fixed in acetone and milliQ water (80:20) for 3 min on ice, blocked, and treated with primary and secondary antisera, as described above. Negative controls were incubated with blocking solution instead of the primary antibody.
In addition, cultured cells were examined on Days 1, 3, and 10 for the uptake of DiI acetylated low-density lipoprotein (DiI AcLDL; Molecular Probes), a fluorochrome-labeled complex that is taken up by macrophage and endothelial cells via scavenger receptors specific for the modified LDL (16). Cells were incubated in media containing 15 µg/ml DiI AcLDL for 1 hr at 37°C, washed, and examined under epifluorescence. Cells taking up the DiI AcLDL showed cytoplasmic staining and were considered to be endothelial or macrophage in origin (16). Negative controls were fibroblast cells, which showed no staining, whereas positive controls were bovine arterial endothelial cells (data not shown). The study was replicated three times using follicles from three hens in each replicate.
Statistical Analysis.
Data were analyzed with SAS using the GLM procedure (SAS Institute, Cary, NC). Differences among means were determined by Duncans multiple range test, with P < 0.05 considered significant.
| Results |
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Examination of cell colonies derived from either SYF or larger follicles and stained with PI showed no differences in morphology (data not shown). In addition, the mean number of cell nuclei counted within defined confluent areas of OSE colonies was not different among the follicle types (data not shown). Mitotic nuclei (Fig. 6
) were present on Day 1 in cultures derived from SYF and F5, but were rarely observed in cultures from larger follicles.
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| Discussion |
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We first evaluated our histologic markers on normal ovarian sections to determine their appropriateness for use on cultured OSE cells. Similar to the human (2), the hen has a single layer of flat to cuboidal surface epithelial cells covering the ovarian surface (Fig. 2A
). These surface cells demonstrate the cytoplasmic staining pattern of cytokeratin (Fig. 2B
), indicative of epithelial cells, and showed no staining when probed with an antibody to vimentin (Fig. 2C
). Furthermore, some surface epithelial cells were positive for PCNA, indicating mitotic activity in this layer (Fig. 2D
). Surface epithelial cells also demonstrated nuclear staining for PR (Fig. 2E
) similar to the human (17). These data agree with those of Isola et al. (18), who observed the most intense PR staining in the germinal epithelium of the ovary of the laying hen. Epidemiologic data suggest that progesterone may confer some protection from ovarian cancer in the human (19). Additionally, treatment of hens with a progestin was correlated with reduced incidence of the disease (10).
Evaluation of ovarian sections from hens diagnosed as having epithelial ovarian adenocarcinoma (Fig. 4
) indicated strong cytokeratin and weak vimentin staining in the gland-like areas. Furthermore, PCNA and PR were strongly expressed in these areas as well. The abundance of PCNA expression is suggestive of cellular proliferation, and the expression of PR may suggest hormone dependence/regulation of the tumor in the hen. Rodriguez-Burford et al. (9) examined ovarian adenocarcinomas from 2-year-old hens with a panel of antibodies that are frequently expressed in human ovarian cancer, and also observed strong cytokeratin and PCNA staining in the ovarian neoplasms.
Cultured OSE cells from a variety of species and human ovarian cancer cell lines have provided insight into the genetics and biology of epithelial ovarian cancer (20). Although scraping of the ovary is commonly used to initiate cultures of OSE cells in many mammalian species (13), this procedure has not been successful in the hen. Observation under a dissection microscope while scraping the follicle showed that cells often came off the surface of the ovary but failed to attach to the culture dish. We tried the explant method after numerous attempts with various substrates and media.
We based our explant method on procedures used in humans (15). Small excised explants of ovary proper, devoid of any macroscopic follicles, were placed into culture. The OSE from this tissue was shown to have a relatively high proportion of PCNA-positive cells, based on observations made on paraffin sections of normal ovary (Fig. 3
). Epithelial-like colonies were observed following removal of the explanted tissue, but contaminating cells were also present. Efforts to control the growth of the contaminating cells were unsuccessful and, therefore, we used whole-follicle explants. The culture of SYF for 1 day prior to removal resulted in epithelial-like colonies. Although some contaminating cells were initially observed surrounding the colonies, fibroblasts and endothelial cells often crowded the OSE cultures by Day 10. In subsequent work (data not shown), we reduced this problem by leaving the follicle in culture for less than 1 day and by scraping the dish to remove these contaminating cells early in the culture. Uptake of DiI AcLDL, a marker for endothelial and macrophage cells (16), was not observed for the OSE cells at any time. Endothelial and/or macrophage cells were often present on the margins of the colonies, and were positive for this marker. The OSE cells were positive for cytokeratin throughout the study, but expression had decreased in some cells by Day 10 (Fig. 5
). Auersperg et al. (13) found primary cultures of human OSE cells to be characteristically, but not invariably, positive for cytokeratin. In the present study, vimentin appeared to be absent initially, but was weakly expressed in some epithelial cells by Day 10 (Fig. 5
). In the human, vimentin was expressed in cultured OSE cells (13) and was independent of passage. Furthermore, human OSE cells are known to coexpress cytokeratin and vimentin filaments in vivo (21). The cultured cells can undergo epithelialmesenchymal conversion (2) and lose the epithelial marker, keratin, over time. The reason for this conversion has not been defined, but can be influenced by many factors, including substrates, epithelial growth factor, and sera (2).
Expression of PCNA was observed at Days 1 and 3 (Fig. 5
), but was rarely observed in cells cultured for 10 days. PR was evaluated only on Day 10, and was absent in media devoid of estrogen. Addition of estrogen to the media for 24 hrs, however, stimulated expression of PR (Fig. 5
). The effect of estrogen on the expression of PR has been previously documented in the hen (18, 22). This normal physiologic response of PR expression after estrogen (18, 22) may be taken as evidence of health of the cultures. However, expression of PR has also been observed in the OSE in the absence of estrogen treatment in the immature chick (23). This finding differs from our observations in the mature laying hen. Although minimal growth was observed in cultures of surface epithelial cells, they were still viable, as determined by viability staining at Day 10.
Our initial studies utilized SYF primarily because this size follicle was more suitable to our culture system. There is considerable variation in follicle size on the hens ovary and in the rate of growth of these follicles. We hypothesized that there may be a difference in the size or rate of division of the OSE cells related to follicle size. We examined cultures derived from small and larger follicles on Day 1 and observed no differences in the relative size of the cells. Additionally, we observed mitotic nuclei in OSE cells derived from SYF and F5 follicles, suggesting some proliferation was present initially. Although culture conditions may not be optimal for the sustained proliferation of cultured chicken OSE cells, viability was maintained, as well as the expected physiologic response to estrogen.
In related studies, we utilized a variety of media and media combinations, including M199, Dulbeccos modified Eagles medium (DMEM), DMEM:M199, MEM, MCDB:M199, and Williams and Waymouths MB752/1 media (data not shown). In addition, various sera, including fetal calf, cow, and chicken, were used at different times, with levels varying from 0% to 20 % (data not shown). Furthermore, a variety of substrates (plastic, glass, gelatin, laminin, matrigel, fibronectin, lysine, and collagens I and IV) and growth factors (e.g., epidermal growth factor, insulin-transferrin-selenium mixture, estrogen, progesterone, hydrocortisone) have been used. Although contaminating cell types preferred one or another media, no observable difference in growth was seen in the OSE cells. The OSE cells did not attach and/or grow following trypsin or nonenzymatic dissociation procedures, and have not been successfully passaged or frozen.
In summary, we have characterized specific cell markers for the OSE cell layer of the hen and evaluated these cell markers on ovarian tumors. We have also isolated, cultured, and characterized the OSE cells from the hen. The ability to isolate and culture these cells in vitro provides the means to examine the potential progenitor cells of ovarian adenocarcinoma and to modify their environment. These studies are important in further developing this unique model of spontaneous ovarian cancer. Although further improvements are needed in the system to prolong and expand these cells in vitro, they should prove beneficial in providing insight into the early events associated with ovarian cancer in the hen and ultimately aid in our understanding of the origin of the disease in humans.
| Acknowledgments |
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| Footnotes |
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1 L. M. Olson is currently at Abbott Bioresearch Center, Worcester, MA. ![]()
Received for publication October 12, 2005. Accepted for publication May 18, 2006.
| References |
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and -ß, progesterone receptor and androgen receptor mRNA in normal and malignant ovarian cells. Proc Natl Acad Sci U S A 96:57225727, 1999.This article has been cited by other articles:
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