Here we demonstrate for the first time that c-Rel plays a causal role in tumorigenesis of the mammary gland in an MMTV-LTR-driven mouse model. Overall, one or more mammary tumors were detected in 31.6% of MMTV-c-
rel transgenic mice at an average age of 19.9 months. Histological analysis of the mammary tumors in four independent lines provided evidence for a wide spectrum of tumor subtypes, including adenocarcinomas, adenosquamous carcinomas, squamous carcinomas, a spindle cell carcinoma and a papillary carcinoma. One mouse developed pulmo-nary metastasis in addition to multiple mammary adenocarcinomas. In addition to mammary carcinomas, several mice had enlarged spleen or other abnormalities including lymphoid or myeloid hyperplasia or centrocytic lymphomas in the spleen, which can be correlated to the expression of the transgene in splenocytes (Fig. ), as also shown in previous studies of mammary tumors in transgenic mice using the same promoter (
55,
67). By contrast, only rare (<1%) spontaneous cases of mammary tumors were reported in the FVB/N strain, consisting of squamous carcinomas or keratoacanthomas (
42). Although the types of some tumors seen here are similar to those found in elderly FVB/N mice, the range and types of mammary tumors seen in the MMTV-c-
rel mice are entirely similar to those induced by the
wnt pathway (
51). The MMTV-c-
rel mammary tumors displayed sustained expression of the c-
rel transgene mRNA. Tumors were also typified by overexpression of c-Rel protein, and displayed elevated mRNA levels of cyclin D1, c-
myc, and
bcl-xl, three NF-κB target genes implicated in control of growth and cell survival. These increases were detected in normal mammary glands during and after the first cycle of pregnancy. Stable ectopic c-Rel expression in untransformed mammary epithelial cells led to elevated levels of p50/p105, p52/p100, and cyclin D1. Furthermore, c-Rel complexes with p50 or p52 activated the cyclin D1 promoter. While the v-
rel oncogene has been shown to be highly tumorigenic, our findings represent the first in vivo demonstration of the transforming ability of the c-Rel NF-κB subunit.
As expected, expression of c-
rel transgene mRNA was detected in all the c-Rel-induced tumors tested and also in some grossly normal transgenic mammary glands from multiparous mice. Total c-Rel protein and c-
rel transgene mRNA levels did not always correlate (Fig. and ), suggesting that endogenous c-Rel levels increased in some MMTV-c-
rel mammary tumors, as observed previously in patient primary tumor samples (
15,
59). Importantly, supershift analysis confirmed the presence of c-Rel in the NF-κB DNA binding complexes (Fig. and data not shown). EMSA and immunoblot analysis demonstrated the induction of other NF-κB subunits in the MMTV-c-
rel tumor mammary gland samples, including p50, p52, RelB, and RelA and the Bcl-3 protein in addition to the expected c-Rel. The vast majority of primary breast cancer specimens from patients display activation of multiple NF-κB proteins, including c-Rel, p50, p52, RelA, and RelB subunits and Bcl-3 protein (
15,
59). The genes encoding the p105/p50, p100/p52 and RelB proteins are known NF-κB targets (reviewed in reference
44), and ectopic c-Rel expression in MCF-10F cells induced p50 and p52 expression. These findings suggest that direct activation by c-Rel may be responsible for the induction of these NF-κB subunits. In the case of Bcl-3, we have found that it is normally expressed in the mouse mammary epithelial cell during development (data not shown). A modest increase in the RelA subunit level was observed in MMTV-c-
rel tumors by immunoblot, but not in the c-Rel transfected mammary epithelial cells. It is likely that the elevated level of this subunit observed in the tumors results indirectly from overexpression of the c-Rel transgene, e.g., activation of a cytokine such as tumor necrosis factor. If true, posttranslational modifications might explain the relatively high levels of RelA-containing complexes observed in EMSA in many of the mammary tumor samples. Lastly, it appeared that the level of c-Rel-containing complexes was relatively low, compared to the RelA subunit, suggesting that c-Rel may need to be modified or to interact with other proteins to efficiently bind the DNA. We are currently investigating factors that regulate c-Rel binding in mammary epithelial cells.
NF-κB appears to promote cell proliferation and survival of mammary epithelial cells in culture (
34,
58,
59) and development of the normal mammary gland (
8,
10,
14). Thus, we hypothesized that c-Rel activation could contribute to tumor cell growth and survival through the induction of a number of NF-κB target genes, including regulators of cell cycle, proliferation, and survival (reviewed in references
33 and
47). The cyclin D1 promoter, which contains several κB elements, can be activated by classical NF-κB (
25,
26), although a more recent study has found Bcl-3/p52-mediated activation of the cyclin D1 promoter more potent (
65). Here, we demonstrate the ability of c-Rel/p52 and c-Rel/p50 complexes to induce the cyclin D1 promoter. Female mice null for the cyclin D1 gene fail to develop normal mammary glands (
18,
54). Overexpression of cyclin D1 has been implicated in breast cancer in humans and in rodent models (reviewed in reference
32). Importantly, MMTV-cyclin D1 mice develop mammary cancers (
64), and an increase in levels of cyclin D1 was seen in mammary tumors that develop in mice with enforced expression of Neu or Ras (
68). Female mice deficient for cyclin D1 are totally resistant to breast cancers induced by Neu and Ras, but not to those induced by Myc and Wnt-1 (
68). Interestingly, several groups, including our own, have shown that activated Neu and Ras induce functional NF-κB in mammary and liver epithelial and fibroblast cells (
4,
19,
45,
69). The human and mouse c-
myc promoters have been shown to be targets of NF-κB complexes, including those containing c-Rel, in breast epithelial and other cell types (
17,
31,
34,
39,
40). The c-
myc gene is overexpressed in breast neoplasia samples from patients (reviewed in reference
41). Targeted c-
myc expression in the mammary gland of mice using either the MMTV-LTR or the whey acidic protein promoter leads to mammary tumor development (
53,
61). The promoter of the
bcl-xl cell death antagonist gene is regulated by p50-p65- or p50-c-Rel-containing complexes (
13,
70). In the present study, we observed that many of the MMTV-c-
rel tumors display elevated levels of expression of cyclin D1,
bcl-xl, and c-
myc RNA. No correlation was noted between tumor latency and cyclin D1 levels; while, some correlation was seen with c-
myc mRNA levels, although, tumors numbers were too low to draw any firm conclusions. Change in expression profiles of these transcripts were also observed in normal mammary glands of transgenic mice, starting the first cycle of gestation. Transfection analysis suggested that the genes encoding cyclin D1, p52 and p50 are c-Rel targets. These findings are consistent with a direct role of c-Rel in the events leading to mammary gland tumorigenesis in the MMTV-c-
rel mice.
Aberrant activation of nuclear NF-κB/Rel has been found to correlate with oncogenesis in several other systems, including thyroid carcinoma, non-small cell lung carcinoma, colon carcinoma, ovarian carcinoma, prostate cancer (
62), Hodgkin's disease (
6), and various types of lymphomas (reviewed in reference
47). In hematopoietic tumors, amplification, overexpression, or rearrangement of the c
-rel,
nf-kb1,
nf-kb2, or
relA genes or the
bcl-3 gene; and mutations inactivating the IκB-α protein have been noted (reviewed in reference
47). Therefore, increased activation of NF-κB can occur by multiple mechanisms in tumor cells. Similarly, in breast cancer cells, multiple mechanisms that lead to aberrant activation of NF-κB have also been described. We observed that many human breast tumor specimens and cell lines in culture display constitutive IKK and protein kinase CK2 activity, which correlated with elevated levels of NF-κB binding activity (
50). Products of several oncogenes induce NF-κB activity in mammary epithelial cells, such as Her-2/neu (
45,
69). Presumably these oncogenes require downstream effectors that activate either an IκB kinase or CK2, thereby increasing the rate of IκB turnover, and basal NF-κB nuclear translocation and binding to the DNA. Recently, we have demonstrated that activation of NF-κB by Her-2 can be reduced upon inhibition of CK2 (
49). Interestingly, in vitro studies have suggested that Her-2/neu, Ras, and Raf preferentially induce classical p50/RelA complexes (
4,
19,
45,
69). The late-onset of tumor development and the variety in the tumor histological patterns in MMTV-c-
rel mice implies the requirement of additional pathways in the mammary gland tumorigenesis, in addition to overexpression of c-Rel. This phenotype is very reminiscent of the MMTV-CK2α subunit transgenic mice, which we have described recently (
38). These mice developed late-onset mammary carcinomas of heterogeneous histological profiles. Consistent with the biological properties of CK2, the MMTV-CK2 tumors expressed high levels of NF-κB activity, c-Myc, and activated β-catenin (
38). Altogether, our findings indicate that cellular c-Rel is able to transform mammal epithelial cells in vivo and thus represents a potential therapeutic target.