Tumor susceptibility analyses in CSS mice yielded results consistent with loci previously mapped by conventional methods on Chrs 6, 11, and 17, but the increases in tumor multiplicity above that of B6 mice were modest at best. A similarly low urethane-induced tumor multiplicity of 5.6 tumors/mouse 32 wks after urethane was observed in a
Pas1A/J congenic on the B6 background(
23), consistent with our 4.1 tumors/mouse in CSS-6 mice at the same time point and confirming this epistatic effect of B6 alleles. These epistatic interactions prevented tumor formation and also altered the nature of which activating
Kras mutations appeared in, and presumably generated, the arising tumors. Negative as well as positive epistatic interactions have been observed among
Sluc (Susceptibility to lung cancer) loci that affect the overall lung tumor susceptibility phenotype(
31), and we previously reported epistatic interactions in A/J and BALB/c mouse lung tumor susceptibility(
12).
To characterize these interactions further, we examined different tumorigenesis protocols and latency of tumor formation in CSS6, B6, and A/J mice. Surprisingly, chronic urethane treatment over 6 wks increased tumor number and incidence in resistant B6 mice, resulting in lung tumor multiplicities higher than had been previously reported(
11). This increased lung tumor susceptibility could reflect the removal of pathogens from the Jackson Laboratory facilities, which has changed susceptibilities to diseases such as gallstones(
32), atherosclerosis(
33), colon carcinogenesis(
34), and asthma(
35) in some strains. This increased sensitivity to lung carcinogenesis induced by multiple urethane exposures will aid in evaluating the contribution of expression of specific proteins on lung carcinogenesis, since knock-out mice are often generated on the B6 background. When CSS6 mice were subjected to chronic urethane administration, they developed 21 tumors/mouse, similar to BALB/cByJ mice which develop 2–3 tumors/mouse in response to a single urethane injection and 25 tumors/mouse following chronic urethane exposure(
22). If a gene investigated for its effects on lung tumorigenesis is not located on Chr 6, CSS6 mice can effectively be used as the background strain in studies with transgenic or knockout mice. A/J and CSS11 mice chronically exposed to urethane also showed enhanced tumor multiplicities above those occurring with a single urethane administration, although the fold increases were not as dramatic as with CSS6 mice.
Differences in tumor number between CSS6 mice and A/J mice were not due to a slower tumor growth rate in CSS6 mice, as determined upon examining tumor multiplicity and size in B6, CSS6, and A/J mice at various times after urethane administration (). The number of tumors in CSS6 mice doubled with time following carcinogen application, but never approached the multiplicity of A/J mice. Tumor multiplicity remained unchanged in B6 mice at all intervals following urethane, emphasizing that their resistance is not due to a delay in tumor formation and suggesting that B6 mice remove or repair initiated cells more efficiently than A/J and CSS6 mice. Initiated lung epithelial cells in B6 mice do not retain a capacity to overcome growth controls at later times after carcinogen exposure; older studies by Heston(
36) reached similar conclusions.
B6 and CSS6 mice were also subjected to two-stage initiation/promotion carcinogenesis protocols (). Since B6 mice have previously been shown to be resistant to both single urethane and MCA-induced carcinogenesis(
11), we subjected them to a multiple urethane/BHT protocol to ensure that initiation occurred. As demonstrated previously(
11;
26), no matter which carcinogenesis protocol was employed, B6 mice do not increase their lung tumor number in response to BHT treatment. However, CSS6 mice developed a significant and reproducible increase in tumor number following BHT treatment with urethane as the initiating carcinogen similar to that observed previously in A/J mice(
26). As with B6 mice, CSS6 mice do not develop tumors in response to MCA. These studies indicate that while susceptibility to BHT-induced lung tumor promotion lies at least in part on Chr 6, genes regulating susceptibility to MCA-induced lung tumors reside elsewhere.
A major difference between A/J and CSS6 tumors was the nature and frequency of the
Kras initiating mutations. Other studies have indicated that tumors expressing the GLN → ARG substitution are more aggressive than tumors in which Kras has a GLN → LEU substitution(
29). This GLN→ ARG mutation predominated in the relatively resistant CSS and B6 strains, possibly because it is more aggressive and can overcome growth inhibitory signals from normal cells. If CSS6 mice are repeatedly exposed to carcinogen or allowed more time for tumor development, more tumors harbor the less aggressive GLN→ LEU substitution. Mechanisms by which the GLN → ARG substitutions cause more aggressive tumors than GLN → LEU substitutions have not been demonstrated. The presence or absence of a particular mutation may be due to mechanisms mice use to repair transversions
vs. transitions. B6 mice may be more efficient at repairing A → T transversions than A/J mice, and/or A/J mice may repair A → G transitions more readily. Previous studies indicated that the susceptibility of A/J mice to urethane-induced lung tumor development was due to the absence of one copy of a 37 base pair tandem repeat in intron 2 of the
Kras structural gene(
37). This polymorphism is not responsible for the difference in
Kras initiating mutations between A/J and B6 mice since CSS6 mice have the A/J intron 2 sequence but exhibit B6-like
Kras mutations.
In humans,
KRAS mutations were detected in 25–40% of precancerous atypical adenomatous hyperplasia (AAH), suggesting that it is an early event in lung tumorigenesis(
38).
Kras is mutated in about 25%(
39) of lung tumors from smokers but only in 15% of non-smokers(
40). Interestingly,
Kras mutations in smokers were predominantly transversions while those in never smokers were more likely to be transitions(
40). In both cases, activating mutations were predominantly in codon 12 with few in codons 13 and 61. Seventy-one percent of
Kras mutations in human lung tumors were G→T transversions, while G→A transitions and G→C transversions were found in equal numbers(
41). The type of
Kras mutation was influenced by race, geographical location(
42), and organ site. In human pancreatic tumors,
Kras mutations are predominantly G→T transversions(
43) while those in colon tumors are predominantly G→A transitions(
44). Lung tumors in African-Americans exhibit a higher rate of
Kras mutations and statistically more G→T transversions leading to codon 12 CYS substitutions in their lung tumors compared to other races(
42). Although there is controversy over whether lung cancer survival differs with the presence/absence of a
KRAS mutation(
41;
45), the substitution of a hydrophobic amino acid at codon 12 yields a better prognosis while substitution of CYS, ARG, or ASP has grimmer consequences(
41).
The results described herein indicate that the presence of susceptibility alleles may not result in increased neoplasia. CSS6 mice contain the locus previously determined to be responsible for 2/3 of the difference in susceptibility between A/J and B6 mice, yet display a tumor multiplicity more similar to resistant B6 mice. Epistatic interactions decrease susceptibility in these mice, cautioning that genetic testing at one or two loci may have little predictive power in whether a patient will develop lung cancer.