This study establishes a novel mechanism by which integrins regulate growth factor expression. Specifically, our findings demonstrate the ability of a specific integrin (α6β4), which has been implicated in carcinoma progression (
Mercurio and Rabinovitz, 2001), to stimulate the translation of VEGF and sustain a VEGF autocrine loop that is essential for survival. More specifically, we define a signaling pathway regulated by α6β4 that involves the preferential ability of this integrin to stimulate the phosphorylation of 4E-BP1 by activating the PI-3K–Akt pathway. As shown previously, this phosphorylation event dissociates 4E-BP1 from eIF-4E, enabling this key elongation factor to mediate the translation of VEGF and other functionally important molecules (
De Benedetti and Harris, 1999;
Gingras et al., 1999,
2001b;
McKendrick et al., 1999). Moreover, the polysome analysis and antisense eIF-4E results we provide indicate that α6β4 stimulation of VEGF translation is cap dependent and probably doesn't involve the internal ribosome entry sites that are present in the VEGF mRNA (
Huez et al., 1998;
van der Velden and Thomas, 1999). Our data extend earlier reports on the involvement of eIF-4E, VEGF, and α6β4 in carcinoma progression by linking these molecules in a common signaling pathway that promotes tumor survival. Furthermore, they reveal a role for integrins in regulating growth factor expression by stimulating protein translation.
An important and novel aspect of our findings is that they add a new dimension to the understanding of how integrins promote cell survival. The widely accepted notion is that integrins, often in concert with growth factor receptors, activate specific signaling pathways that sustain survival (
Taylor et al., 1999;
Liu et al., 2000). We demonstrate here that the survival function of integrins may not only be mediated by the activation of a key survival kinase such as Akt and the consequent effects of Akt on apoptotic signaling (
Datta et al., 1999) but also by the Akt-dependent translation and expression of growth factors, such as VEGF, that promote survival in an autocrine, and possibly paracrine, fashion. In other terms, our results reveal that VEGF is a novel target of Akt signaling by integrins that is important for survival and distinct from known survival factors that are downstream of Akt, such as Bad (
Datta et al., 1999). Importantly, our recent observation that VEGF stimulates the PI-3K–Akt pathway in carcinoma cells (
Bachelder et al., 2001), in conjunction with our finding that α6β4 signaling enhances VEGF expression, leads to the conclusion that integrin-mediated activation of PI-3K–Akt is amplified by integrin-stimulated VEGF expression. Moreover, we show that this amplification of PI-3K–Akt activity is important for carcinoma survival.
Although α6β4 activates PI-3K in carcinoma cells (
Gambaletta et al., 2000;
Nguyen et al., 2000;
Hintermann et al., 2001;
Trusolino et al., 2001), no attempt had been made to link this signaling event with downstream effectors that regulate protein translation, namely mTOR and 4E-BP1. One reason that this possibility had not been explored is because a role for α6β4 in regulating either protein translation or growth factor expression was not obvious. In fact, almost all of the functional studies on α6β4 in carcinoma cells have focused on its role in promoting migration and invasion, and on the mechanism by which α6β4-mediated signaling influences these processes (
Mercurio, 1990;
Shaw et al., 1997;
Gambaletta et al., 2000;
Trusolino et al., 2001). Our motivation to examine a possible connection between α6β4 and VEGF translation was based on our interest in understanding the mechanisms by which these molecules promote the survival of carcinoma cells. Indeed, our results establish a role for α6β4 in survival signaling by regulating VEGF translation, but the implications of these findings are more widespread. For example, recent studies that have argued that α6β4 is necessary for growth factor receptor (erbB2, c-met) activation of PI-3K (
Gambaletta et al., 2000;
Trusolino et al., 2001) raise the interesting possibility of an intimate functional association among specific growth factor receptors, α6β4, VEGF, and PI-3K, all of which have been implicated in tumor progression.
Surprisingly, few studies have examined the role of integrin signaling in regulating protein translation (e.g.,
Pabla et al., 1999). Indeed, there has been much more interest in defining the contribution of integrins to transcription. The ability of integrins to regulate translation, however, provides a mechanism for altering cell function rapidly, by increasing the expression of specific proteins. This possibility is exemplified by our finding that ligation of the α6β4 integrin resulted in a significant increase in VEGF protein within 60 min ( C). Given the fact that eIF-4E is rate limiting for the translation of proteins involved in growth control and other critical cell functions (
De Benedetti and Harris, 1999), the hypothesis can be formulated that integrin-mediated regulation of translation contributes to the ability of cells to alter their behavior rapidly in response to changes in their microenvironment. This hypothesis is particularly relevant to our interest in the regulation of VEGF expression. Although much of the work in this area has focused on the ability of hypoxia to stimulate VEGF transcription and increase the stability of VEGF mRNA (
von Marschall et al., 2001), it has become apparent that translational control is also important (
Kevil et al., 1996;
De Benedetti and Harris, 1999). Moreover, our recent finding that VEGF is essential for the survival of breast carcinoma cells in normoxia substantiates the functional importance of integrin-mediated regulation of VEGF expression (
Bachelder et al., 2001).
The fact that our data implicate eIF-4E in tumor cell survival is of considerable interest because recent studies have revealed an important role for this elongation factor in cancer (
DeFatta et al., 1999,
2000;
Ernst-Stecken, 2000;
Berkel et al., 2001). Overexpression of this factor in NIH3T3 cells, as well as other “normal” cells, stimulates division and can induce their transformation (
Fukuchi-Shimogori et al., 1997). These findings are consistent with the reports that the expression of eIF-4E is elevated in solid tumors compared with normal tissue (
De Benedetti and Harris, 1999). Moreover, hypoxia, a pathophysiological stress that provides a selective pressure for the survival of aggressive tumor cells, enhances eIF-4E expression (
DeFatta et al., 1999). Together, these observations highlight an important role for translational control in human cancer. This role is substantiated by the fact that eIF-4E controls the translation of not only VEGF but also other molecules that influence tumor growth and survival such as c-Myc, cyclin D1, and FGF-2 (
De Benedetti and Harris, 1999). From our perspective, we are intrigued by the reports that the α6β4 integrin is associated with the progression of many solid tumors, and its expression has been correlated with a poorer prognosis in patients with some of these tumors (
Mercurio and Rabinovitz, 2001). Our finding that α6β4 can induce the translational function of eIF-4E by regulating the phosphorylation of 4E-BP1 provides one mechanism to account for the role of this integrin in cancer.