CCR7: Roles in cancer cell dissemination, migration and metastasis formation
Daniel F. Legler
∗, Edith Uetz-von Allmen, Mark A. Hauser
BiotechnologyInstituteThurgau(BITg)attheUniversityofKonstanz,Kreuzlingen,Switzerland
Keywords:
Chemokinereceptor Cancer
Metastasisformation Cellmigration Lymphnodehoming
a b s t r a c t
TheCC-chemokinereceptor7(CCR7)coordinatesthemigrationofcancercellsaswellasimmunecells towardslymphaticorganswhereitstwoligandsCCL19andCCL21areconstitutivelyexpressed.Here weprovideatopologicalmodelofCCR7,whichbelongstotheclassAofG-proteincoupled,seven- transmembranespanningreceptors,anddescribehowCCR7expressionisregulated.Wefocusonitsrole incancercellmigrationandmetastasisformationanddiscusshowcancercellscanutilizeCCR7orits ligandstoescapefromimmunesurveillance.
1. Introduction
Cellmigrationisanessentialprocessinthedevelopmentand maintenance of multicellular organisms and is defined by the orchestrated movement of cells in a particular direction to a specificlocation.Locallyproducedchemokinescanformgradients (Weberetal.,2013)andrepresentmajorguidancecuesthatcontrol directionalcellmigrationinbothhealthanddisease,e.g.during cancerdissemination and metastasisformation. Migrating cells sensethechemokinegradientviaspecializedchemokinereceptors, whichbelongtothefamilyofG-proteincoupledreceptors(GPCRs) (Venkatakrishnan et al., 2013). The CC-chemokine receptor 7 (CCR7)wasidentifiedin1993asthefirstlymphocytespecific,but orphanGPCRandnamedEpstein–Barrvirus-inducedgene1(EBI1) (Birkenbachetal.,1993).Thesamegenewassubsequentlyiden- tifiedinahomologyscreenforchemokinereceptorsinBurkitt’s lymphomatwoyearslaterandtermedBurkitt’slymphomarecep- tor2(BLR2)(Burgstahleretal.,1995).EBI1/BLR2wasrenamedto CCR7aftertheidentificationofitschemokineligandELC(Yoshida etal.,1997).AdditionalsynonymsareCC-CKR-7,CMKBR7,CD197 andCDw197.TwoligandsforCCR7,termedCCL19(ELC)andCCL21 (SLC),have beenidentified (Willimannet al.,1998).BothCCR7
∗Correspondingauthorat:BiotechnologyInstituteThurgau(BITg)attheUniver- sityofKonstanz,Unterseestrasse47,CH-8280Kreuzlingen,Switzerland.
Tel.:+41716785030;fax:+41716785021.
E-mailaddress:daniel.legler@bitg.ch(D.F.Legler).
ligandsarepredominantlyproducedconstitutivelybystromalcells withinprimaryandsecondarylymphoidorgansandaretherefore consideredtobehomeostaticchemokines.CCL21isadditionally expressed by lymphatic endothelial cells in peripheral tissues (Forsteretal.,2008).
2. Structure
The gene encoding CCR7is locatedon humanchromosome 17q12-21.2andis composedof threeexonsthat encodeapro- tein of 378 amino acids (Schweickart et al., 1994).The mouse homologisonchromosome11andtheproteinshows86%iden- titytohumanCCR7.Structurally,CCR7belongstothelargeclass AsubgroupofGPCRswhichalsoincludesrhodopsin,monoamine and-adrenergicreceptors(Venkatakrishnanetal.,2013).Based on the 1-adrenergic receptor crystal structure (Huang et al., 2013),wehavemodeledaputativestructureofCCR7(Fig.1).Sys- tematic analysisof recentlysolved crystal structuresof class A GPCRshaverevealedstructuralexplanationsforcharacteristicfea- turesofconservedsequencesofGPCRs(AudetandBouvier,2012;
Venkatakrishnanetal.,2013).Mostprominently,asequenceele- menttermedtheDRYmotif(DRYVAIVinCCR7,Fig.1,lightgreen box)attheendoftransmembranedomain(TM)3playsanessential roleincontrollingreceptoractivityandG-proteincoupling.Inaddi- tion,thepresenceofapolarinteractionbetweenthearginineofthe DRYmotifandaglutamateinTM6stabilizestheinactivestateofthe receptor,formingthesocalled“ioniclock”(Fig.1,darkgreenbox).
Disruptionofthe“ioniclock”ofthe2-adrenergicreceptorresults
Konstanzer Online-Publikations-System (KOPS) URL: http://nbn-resolving.de/urn:nbn:de:bsz:352-0-258852
Erschienen in: The International Journal of Biochemistry & Cell Biology ; 54 (2014). - S. 78-82 https://dx.doi.org/10.1016/j.biocel.2014.07.002
Fig.1.CCR7:Topologicalorganizationandsignalingparadigm.ThreedimensionalillustrationoftheseventransmembranetopologicalconformationofCCR7.Themodel wascreatedusingPyMOL(www.pymol.org)andbasedonthe1-adrenergicreceptorcrystalstructure(accessionnumber4GPOinthePBDdatabase).Conservedstructural featuresofclassAGPCRsarehighlighted:DRYmotifinlightgreen,NPXXYmotifinred,ioniclockindarkgreen.Inaddition,thepositionoffourknownreceptoractivation residuesaremarkedinblue.(Forinterpretationofthereferencestocolorinthisfigurelegend,thereaderisreferredtothewebversionofthisarticle.)
inanoutwardmovementofTM6creatingacrevicefortheinterac- tionwiththeheterotrimericG-protein.Furthermore,thetyrosine residueinthewellconservedNPXXYmotifattheendofTM7(Fig.1, redbox)isrepositionedastheentiremotifmovesinwardinthe activestateofthereceptorasdemonstratedforopsin.Thisreposi- tioningpreventsthereversemovementofTM6andhencestabilizes theopenconformationofthereceptorthatformsthecradleforthe G-protein.Althoughchemokinereceptorsgenerallydonotsignalin theabsenceofligands,severalsinglepointmutations–primarily atthecytoplasmicendsofTM3andTM6–resultinginconstitu- tiveactivereceptorswithinvolvementincancerformationhave beenreported(Han,2014).Apartfromhighconservationamong certainsequencefeaturesandTMdomainsofGPCRs,substantial differencesarefoundintheextracellularloop(EL)domains,espe- ciallyinEL2,providingspecificityforligandsenteringthereceptor bindingpocket.Principally,chemokinesarethoughttobindtotheir receptorsbya“two-step/two-site”mechanism(Crumpetal.,1997).
First,theN-terminusofthereceptorbindstotheextendedloop ofthechemokine(site1)followedbythechemokineN-terminus bindingtoasecondsite (pocket)ofthereceptorcausingrecep- toractivation.For CCR7, fourreceptor activationresidueswere identifiedtobecrucialforCCL19/CCL21-mediatedreceptoracti- vation, but not for highaffinity ligand-binding(Fig. 1, in blue) (Ottetal.,2004).Suchstructure–function-relationsarekeyforthe rationaldesignofnoveltherapeuticdrugs.Suchanapproachhas successfullybeenpersuitedtodevelopCCR5antagonists(likeTAK- 779,maravirocandpiperidinecorecontainingleadcompounds)to interferewithCCL5-mediatedprostatecancerproliferationand/or invasion(Arnattetal.,2013).
3. Expression,activationandturnover
CCR7 is naturally a homeostatic chemokine receptor and expressedonvarioussubtypesof immune cellsthat migrateto andwithinlymphoidorgans(Comerfordetal.,2013;Forsteretal., 2008).CCR7-expressingimmune cells encompassnaïve,central memoryand regulatoryTcells, Bcells, NKs,subsets of thymo- cytes and (semi-)mature dendritic cells (DCs). Generally, Tcell subsets constitutivelyexpress CCR7 enabling them to circulate between thebloodstream, lymphatics and secondary lymphoid organs.Incontrast,DCsacquireCCR7expressionuponpathogen encountering,whichenableshomingtolymphnodesandantigen- presentationtocognateTcells.Ofnote,thisCCR7-mediatedhoming ofDCsiscrucialfortheinitiationofanadaptiveimmuneresponse.
Under certain pathological conditions, CCR7-dependentnaïveT cellmigrationtochronicallyinflamednon-lymphoidtissuescon- tributestothedevelopmentof autoimmunediseases, including rheumatoidarthritis(Comerfordetal.,2013).
An association of CCR7 with cancer was recognized in T cell leukemia patients where T cell leukemia cells from adult patientswithlymphoidorganinfiltrationexpressedsignificantly higherlevelsofCCR7thannormalTcellsorleukemiacellsfrom patientswithoutlymphoidorganinvolvement (Hasegawaetal., 2000).Subsequently,ahallmarkstudyidentifiedacrucialrolefor chemokinereceptors,includingCCR7,inbreastcancermetastasis formation (Muller et al., 2001). In fact, expression of a single chemokinereceptorgeneincancercells,asexemplifiedbyCCR7 onmelanoma,resultsinasignificantincreaseinmetastasisfor- mationindraininglymphnodes,suggestingthatcancercellscan
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adoptnormalmechanismsoflymphnodehoming(Wileyetal., 2001).ExpressionofCCR7ontumorcellshasmainlybeenreported forbreastcancer,melanoma,non-smallcelllungcancer,prostate cancer, head-and-neck cancer, chronic lymphocytic leukemia, non-Hodgkin’slymphoma,Tcellleukemia,stomachcancer, and colorectalcancer(Zlotniketal.,2011).
ThecorrelationbetweenaberrantCCR7expressionandmore aggressive,metastatictumorsassociatedwithdecreasedsurvival hasencouragedresearchonhowCCR7expressionandfunctionis regulatedbothundernormalconditionsandduringdisease.Onthe transcriptionallevel,anumberoftranscriptionfactorsandregula- toryelementsintheCCR7promoterregionhavebeendescribed.
SeveralbindingsitesforNF-Bhavebeenidentified inthepro- moterregionandconstitutiveNF-Bactivitywasassociatedwith theup-regulationofCCR7expressiononHodgkin’sdisease-derived cells(Hopkenetal.,2002;Mburuetal.,2012).Moreover,ithasbeen shownthatNF-BandAP1cooperativelyregulateCCR7expression inmetastaticsquamouscellcarcinomaoftheheadandneck(Mburu etal.,2012).
Inadditiontotranscriptionalregulation,CCR7expressionwas alsoshowntobemodulatedbylipidderivatives.Forinstance,over- expressionofCOX-2, anenzymethat convertsarachidonicacid (derivedfromphospholipids)toprostaglandins,aswellastreat- mentwithprostaglandin(PG)E2 wasshowntoup-regulateCCR7 expressionin breast cancercells, thereby increasing theirlym- phaticinvasion(Panet al.,2008).COX-2/PGE2-dependentCCR7 expressioninthesecellswas,atleastinpart,mediatedbyAKT- inducedactivationofthetranscriptionfactorSp1(Chuangetal., 2013). Notably, PGE2 also significantly enhances DC migration towardsCCR7ligands(Legleretal.,2006)(seealsoSection5).
Onceexpressed,CCR7seemstoberatherlong-lived(Oteroetal., 2006)andinformationonhowCCR7expressionisdown-regulated issparse.However,Runx3 wasfoundtoberequiredfor TGF- mediatedtranscriptionalinhibitionofCCR7inDCs(Fainaruetal., 2005).Moreover,tumor-derivedoxysterolwasshowntointerfere withCCR7expressiononDCs(Villablancaetal.,2010)(seealso Section5).
Meanwhile,othermechanismshavebeenidentifiedthatrender cellsnon-responsivetoCCR7ligands.Oneofthesemechanisms involvesscavengingofchemokinesbyso-calleddecoyreceptors.
CCR7ligandscanbescavengedbyACKR4(CCX-CKR)andACKR5 (CRAM-B)(Comerfordetal.,2013).Knock-outanimalsforeither oneofthetwodecoyreceptorsrevealaroleinadaptiveimmunity and are prone todevelop EAE more rapidly.A further mecha- nismisreceptordesensitization.Interestingly,CCR7stimulationby CCL19,butmuchlessbyCCL21,leadstorobustreceptordesensiti- zation,whichismediatedbyCCR7phosphorylationand-arrestin bindingresultinginareducedchemotacticcellresponse(Kohout etal.,2004).Finally,analternativemechanismofrenderingcells non-respondingtochemokinesisthroughligand-mediatedrecep- torendocytosis.CCR7wasshowntoberapidlyendocytosedvia clathrin-coatedpitspredominantlyuponbindingofCCL19(Otero etal.,2006).Ofnote,inendosomes,CCR7dissociatesfromCCL19 and recyclesvia theTGNbacktothe plasmamembrane tore- participateinchemotaxis,whereasCCL19issortedforlysosomal degradation(Oteroetal.,2006;Schaeubleetal.,2012).
4. Biologicalfunctions
TheCCR7-CCL19/CCL21axisiswellcharacterizedforitscrucial roleintheformationofsecondarylymphoidstructuresunderphys- iologicalconditionsmainlythroughorchestratingtherecruitment ofimmunecellstothesestructures(Comerfordetal.,2013;Forster etal.,2008).MicelackingeitherCCR7(bygenetargeting)orits ligands(intheplt/pltmice,aspontaneousmutantstrainlacking
CCL19andthelymphoidformofCCL21)showanalteredarchitec- tureoflymphoidorgansduetoimpairedhomingoflymphocytes andDCs.Consequently,thesemicehavedeficitsinmultipleaspects ofdevelopmentandexecutionofanadaptiveimmunity.Moreover, CCR7-deficientmicearepronetodevelopgeneralizedmulti-organ autoimmunityalthoughtheyhaveanormallifespananddonotsuf- ferfromclinicallyapparentautoimmunedisease(Comerfordetal., 2013;Forsteretal.,2008).
Incancer,chemokinesingeneralcanfulfillseveralfunctions.
Inparticular,chemokinesarepartofthenetworkofinflammatory mediators.Theyarealsoimportantforrecruitingtumor-infiltrating immunecellsandcanactasangiogenicfactors(Balkwill,2012).
Thechemokine receptor CCR7,however,fulfills adistinct func- tion.TheCCR7-CCL19/CCL21axisisprimarilyresponsibleforlymph nodemetastasisformationbyrecruitingtumorcellstotheTcell zoneoflymphnodes(Rehmetal.,2011;Zlotniketal.,2011).The chemokineCCL21isimmobilizedonlymphaticendothelialcellsvia itsheparin-bindingdomain(Fig.2)andtherebyformsagradient thatgraduallydecreasesinthedirectionoftheinterstitium(Weber etal.,2013).Cancercellsofseveraltumorsup-regulateCCR7and disseminatefromtheprimarytumorpresumablybysensingthe immobilizedCCL21gradientandactivelymigratetowardsthenext lymphaticvessel(Fig.2).Moreover,metastaticcancercellswere showntoproduceCCR7ligandsthat,underinterstitialflow,create anautologous,transcellularchemokinegradientpermittingcan- cercellstomigratetowardsdraining lymphatics(Shieldsetal., 2007).Remarkably, CCL21 released from lymphaticendothelial cellsalsopromotesadirectedgrowthofmelanomacellstowards thelymphatics(Emmettetal.,2011).Interestingly,underinflam- matoryconditions,CCL19andCCL21werefoundtobeup-regulated in endothelialcells of theblood–brainbarrier (Altetal., 2002) enablingacuteTcellleukemiacells toinfiltrateintothecentral nervoussystemina CCR7-dependentmanner(Buonamicietal., 2009).Furthermore,CCR7alsocontributestotumorcellsurvival byactivatingthePI3K/Aktsignalingpathway(Wangetal.,2005).
5. CCR7atthecross-roadbetweencancerandimmunecells
Sinceimmunecellscanrecognizeandkilltumorcellsdepending ontheirantigenprofile,tumorshavedevelopedwaysofescaping theimmunesurveillance,whichinvolvestheCCR7-CCL19/CCL21 axis.Forinstance,melanomatumorshavebeenproposedtocre- ate an immunotolerant microenvironment by releasing CCL21 andtherebyinducingalymphoid-likereticularstromalnetwork (Shieldsetal.,2010).Thistumor-associatedmicroenvironmentis rich inTGF and infiltratedby regulatoryTcells and myeloid- derivedsuppressorcells.Othertumorcells havebeenshownto produceoxysterolsthatactivateliverXreceptor␣(LXR␣)onDCs (Villablancaetal.,2010).LXR␣activationonDCscausesthedown- regulationofCCR7andconsequentlyimpairsDChoming,thereby preventingtheinductionofananti-tumorimmuneresponse.How- ever,tumorcellsalsoproducePGE2(Fig.2).Inthisscenario,PGE2 isrequiredfortheformationofnewbloodvesselssupplyingsolid tumorswithnutrition,aswellasforthesecretionofmatrixmetallo- proteinasesMMP2andMMP9crucialfortumorcellinvasion(Wang andDubois,2010).Notably,PGE2notonlyinducesCCR7expression ontumorcells(Panetal.,2008),butalsoonDCs(Legleretal.,2006).
Moreover,PGE2counteractsoxysterol-mediateddown-regulation ofCCR7onDCs,restoring–atleastinpart–theabilityofDCsto migrateandhometolymphnodes(Bruckneretal.,2012).
In summary, the CCR7-CCL19/CCL21 axis is simultaneously involvedincancercelldisseminationandmetastasisformationas wellasinadaptiveimmunecellhomingtolymphoidorgans.Its ambiguousroleincellhomingtolymphoidorgansseemstomake it difficulttopharmaceutically target CCR7in cancertherapies.
Fig.2.CCR7:Centralrolesintumorcelldissemination,migrationandmetastasisformation.Cancermetastasisisaprocesshighlydependentontheinteractionsbetween tumorandhoststromalcells.CCL21promotesmigrationandinvasionofcancercellsviaCCR7.Cyclooxygenase2(COX2)expressedintumorcellsgeneratesprostaglandin E2(PGE2)thatamplifiestumorcellproliferationandextracellularmatrix(ECM)degradationbymetalloproteinase2(MMP2)andMMP9.InresponsetoCCL21tumorcells polarize,resultinginaleadingedgethatprotrudesoutward,coupledwithcontractileforcesatthebackandsidesofthecellthatleadstomovementtowardstheCCL21 source.CancercellsmigratealongtheCCL21gradientuntiltheyreachthesiteforsecondarycolonization,e.g.theTcellzoneoflymphnodes.
However,accumulatingevidenceisemergingthatboththetumor and the immune system simultaneously evolve strategies to interfereeachotherbymeansoftheCCR7-CCL19/CCL21axis.Thus, co-evolutionmight beinherited to develop novel strategies to preventtumorcellmigrationwhilstleavingimmunecellmigration unaffected.FurtherstudiesonCCR7,particularlyonitsregulation ofexpressionandondistinctsignalingpathways,arethusrequired forabetterunderstandingofthisfundamentalprocessofhoming.
Acknowledgments
WethankSarahVanesforcommentsonthemanuscript.This workwassupportedbyresearchfundingfromtheSwissNational Science Foundation (SNF 31003A-143841/1), the Thurguische Krebsliga,theNovartisFoundationformedial-biologicalresearch, theThurgauischeStiftungfürWissenschaftundForschung,andthe SwissStateSecretariatforEducationandResearchtoD.F.L.M.A.H.
holdsascholarshipfromtheResearchTrainingGroup1331founded bytheGermanResearchFoundation.
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