Targeting tight junctions during epithelial to mesenchymal transition in human pancreatic cancer

Abstract

Pancreatic cancer continues to be a leading cause of cancer-related death worldwide and there is an urgent need to develop novel diagnostic and therapeutic strategies to reduce the mortality of patients with this disease. In pancreatic cancer, some tight junction proteins, including claudins, are abnormally regulated and therefore are promising molecular targets for diagnosis, prognosis and therapy. Claudin-4 and -18 are overexpressed in human pancreatic cancer and its precursor lesions. Claudin-4 is a high affinity receptor of Clostridium perfringens enterotoxin (CPE). The cytotoxic effects of CPE and monoclonal antibodies against claudin-4 are useful as novel therapeutic tools for pancreatic cancer. Claudin-18 could be a putative marker and therapeutic target with prognostic implications for patients with pancreatic cancer. Claudin-1, -7, tricellulin and marvelD3 are involved in epithelial to mesenchymal transition (EMT) of pancreatic cancer cells and thus might be useful as biomarkers during disease. Protein kinase C is closely related to EMT of pancreatic cancer and regulates tight junctions of normal human pancreatic duct epithelial cells and the cancer cells. This review focuses on the regulation of tight junctions via protein kinase C during EMT in human pancreatic cancer for the purpose of developing new diagnostic and therapeutic modalities for pancreatic cancer.

Key Words: Tight junctions, Claudins, Tricellulin, MarvelD3, Normal human pancreatic duct epithelial cells, Pancreatic cancer, Protein kinase C, Epithelial to mesenchymal transition

Core tip: There is an urgent need to develop novel diagnostic and therapeutic strategies to reduce the mortality of pancreatic cancer patients. In pancreatic cancer, some tight junction proteins, including claudins, are abnormally regulated and thus are promising molecular targets for Clostridium perfringens enterotoxin and monoclonal antibodies. Protein kinase C is closely related to epithelial to mesenchymal transition (EMT) of this cancer and regulates tight junctions of normal human pancreatic duct epithelial (HPDE) cells and pancreatic cancer cells. This review focuses on the regulation of tight junctions via protein kinase C during EMT in human pancreatic cancer compared to normal HPDE cells.

INTRODUCTION

Pancreatic cancer continues to be a leading cause of cancer-related death worldwide due to late detection, lack of therapeutic targets and ineffective therapies. At the time of diagnosis, few patients with pancreatic cancer present with localized disease amenable to surgical resection, while the remaining patients present with locally advanced or distant metastasis. It exhibits the poorest prognosis of all solid tumors with a 5-year survival rate < 5% and a median survival of 3-6 mo after diagnosis[1]. Thus, there is an urgent need to develop novel diagnostic and therapeutic strategies to reduce the mortality of these patients.

Transition of a cancer cell from an epithelial to mesenchymal morphology leads to increased migratory and invasive properties, and thus facilitates the initiation of metastasis in pancreatic cancer[2,3]. The epithelial to mesenchymal transition (EMT) is characterized by a loss of cell-cell contact and apicobasal polarity. The hallmarks of EMT in vitro and in vivo include the upregulation of mesenchymal markers, the downregulation of epithelial cell adhesion molecules including tight junction proteins, and dysfunction of the tight junction fence[4,5]. EMT is accompanied by loss of occludin and claudins as well as E-cadherin via the Snail family[6-9]. The transcription factor Snail, which has high to moderate expression in 78% of pancreatic ductal adenocarcinoma specimens, appears to promote metastasis and chemoresistance in pancreatic cancer[10,11]. The activation of protein kinase C (PKC) is known to be involved in EMT in various type of cancer including pancreatic cancer. The PKC activator 12-O-tetradecanoylphorbol 13-acetate (TPA) induces EMT in human prostate cancer cells[12] and pancreatic cancer cell line HPAC[13]. Expression of PKCα and PKCδ closely contributes to EMT in colon cancer cells[14,15]. Transforming growth factor-β1 (TGF-β1), which promotes EMT in pancreatic cancer cells[16], induces PKCα in poorly differentiated pancreatic cancer cell line BXPC-3[17].

In several human cancers, including pancreatic cancer, some tight junction proteins are abnormally regulated and therefore promising molecular targets for diagnosis and therapy[18,19]. The current review will focus on the roles of tight junction proteins, including claudins, and PKC signaling with regard to the potential applicability for diagnosis, prognosis and the therapy during EMT in pancreatic cancer.

TIGHT JUNCTION AND ITS PROTEINS

Epithelial cells including pancreatic epithelial cells are bordered by two functionally and biochemically different membranes[20]. This integrity is maintained by intercellular junctional complexes, such as tight junctions, adherent junctions, and desmosomes[21]. Tight junctions are the most apical components of intercellular junctional complexes in epithelial and endothelial cells. They separate the apical and basolateral cell surface domains, maintaining cell polarity (termed the “fence” function), and selectively control solute and water flow through the paracellular space (termed the “barrier” function)[22-25]. They also participate in signal transduction mechanisms that regulate epithelial cell proliferation, gene expression, differentiation and morphogenesis[26]. The tight junction is formed by integral membrane proteins and peripheral membrane proteins. The integral membrane proteins are claudins[27,28], occludin[29], tricellulin[30], marvelD3[31] and junctional adhesion molecules[32] (Figure 1). Peripheral membrane proteins include the scaffold PDZ-expression proteins zonula occludens (ZO)-1, ZO-2, ZO-3, multi-PDZ domain protein-1, membrane-associated guanylate kinase with inverted orientation-1 (MAGI)-1, MAGI-2, MAGI-3, cell polarity molecules atypical PKC isotype-specific interacting protein/PAR-3, PAR-6, PALS-1, and PALS-1-associated tight junction, as well as the non-PDZ-expressing proteins cingulin, symplekin, ZONAB, GEF-H1, aPKC, PP2A, Rab3b, Rab13, PTEN, and 7H6[21,33,34]. These tight junction proteins are regulated by various cytokines and growth factors via distinct signal transduction pathways including PKC[35,36].

Figure 1 Claudins, occludin, tricellulin, marvelD3 and junctional adhesion molecules. A: Schematic representation of human claudin, occludin, tricellulin, and marvelD3. These molecules contain four transmembrane domains with two extracellular loops. Claudins consist of at least 27 members. Occludin has several variants. MarvelD3 has two isoforms. aa: amino acid; B: Models of tight junction protein locations in paracellular space. The bicellular tight junction is the interface between two cells, whereas the vertex where three cells meet is termed the tricellular tight junction. The tight junction strands within both bicellular and tricellular regions are composed of claudins (black ellipses). MarvelD3 (green ellipses), occludin (orange ellipses), and tricellulin (red spheres) incorporated into claudin-based tight junction strands. Occludin and tricellulin are primarily found at bicellular and tricellular regions, respectively, whereas marvelD3 is present at both sites. Tricellulin is unique in that it is present at the tight junction and along the lateral membrane.

The claudin family, which consists of at least 27 members, is solely responsible for forming tight junction strands and has four transmembrane domains and two extracellular loops[21,37] (Figure 2). The first extracellular loop is the coreceptor of hepatitis C virus[38] and influences the paracellular charge selectivity[39], and the second extracellular loop is the receptor of Clostridium perfringens enterotoxin (CPE)[40].

Figure 2 Structures of claudins. The first extracellular loop of claudin-18 targeted for therapy using monoclonal antibodies and the second extracellular loop of claudin-4 targeted for therapy using monoclonal antibodies, Clostridium perfringens enterotoxin and C-Clostridium perfringens enterotoxin.

Both occludin and tricellulin (marvelD2) contain the tetra-spanning MARVEL (MAL and related proteins for vesicle trafficking and membrane link) domain that is present in proteins involved in membrane apposition and concentrated in cholesterol-rich microdomains[41]. The novel tight junction protein marvelD3 contains a conserved MARVEL domain like occludin and tricellulin[31,42].

In general, cancer cells lose their specific functions and polarity with a decrease in the development of tight junctions. It is thought that the loss of tight junction functions in part leads to invasion and metastasis of cancer cells[43].

Tight junction proteins are dysregulated during carcinogenesis and EMT. Expression of some claudin family members is significantly altered by epigenetic regulation in human cancer[44-46].

EXPRESSION PATTERNS AND THE ROLE OF TIGHT JUNCTION PROTEINS IN NORMAL PANCREAS

Several tight junction proteins are expressed in a tissue-specific and organ-specific manner[47-49]. Normal ductal and acinar structures of the pancreas express claudin-1, -2, -3, -4, and -7, whereas endocrine cells within the islets of Langerhans express claudin-3 and -7 (Figure 3)[50,51]. Pancreatic duct cells deliver the enzymes produced by acinar cells into duodenum and secrete a HCO₃^--rich fluid to neutralize gastric acid from the stomach[52]. Tight junctions of the pancreatic duct form the pancreatic ductal barrier. Freeze-fracture analysis of the pancreatic duct reveals that tight junctions contained a parallel array of three to five continuous sealing strands and the pancreatic enzymes cannot leak out from the lumen into the intercellular spaces (Figure 3)[53,54]. Tight junctions of the pancreatic duct are also regulators of physiologic secretion of the pancreas. Pancreatic ductal tight junctions, which is leaky and has the function of selective permeability, may play a role of channels of Na⁺ and HCO₃^-via paracellular pathway[55,56].

Figure 3 Localization and structures of tight junctions in normal human pancreas. In normal pancreatic ducts which express CK (Cytokeratin)7, occludin (OCLN), ZO-1 and claudin (CLDN)-1, -4 are observed by immunostaining. In freeze-fracture (FF) replica, well-developed tight junction strands are observed in normal pancreas.

The tight junctions of pancreatic duct epithelial cells and exocrine cells are dynamic structures that can be disrupted by various external stimuli including ductal hypertension[57,58]. The disruption of pancreatic duct tight junctions is an early event in different types of pancreatitis[59-64]. Although dysfunction of tight junctions in pancreatic duct is observed by various pathological conditions, the regulatory mechanisms of tight junctions remain unknown even in normal human pancreatic duct epithelial (HPDE) cells.

EXPRESSION PATTERNS OF TIGHT JUNCTION PROTEINS IN PANCREATIC CANCER

The tight junction protein expression pattern varies between normal pancreatic tissue and pancreatic cancer. Claudin-1, -4, -7 and -18 are positive in pancreatic adenocarcinoma, whereas endocrine tumors are negative for claudin-1 and -4. Claudin-3 and -7 proteins are detected in endocrine tumors, whereas claudin-13 is negative in ductal adenocarcinoma[18,50,51]. Claudin-1, -2 and -4 are detected in exocrine tumors[65]. In borderline cystic tumors the level of claudin-1, -4 and -7 protein expression is between that of benign and malignant tumors[65]. This supports the sequential development theory regarding mucinous cystic tumors.

Liver metastasis of pancreatic cancer is strongly positive for claudin-4, weakly positive for claudin-1, and negative or faintly positive for claudin-7[66]. It is interesting that claudin-3 is positive in liver metastasis of pancreatic cancer whereas claudin-3 staining is not detected in primary pancreatic cancer[50,66].

A study investigating ZO-1 in pancreatic cancer showed that expression of ZO-1 was increased in pancreatic adenocarcinoma samples in comparison with normal samples[67]. In pancreatic cancer cells, ZO-1 protein translocalizes from apical and apicolateral areas to the cytoplasm and nucleus, and translocation of ZO-1 is involved in the induction of invasion through epidermal growth factor receptor (EGFR) activation[68].

We established human telomerase reverse transcriptase-transfected HPDE cells as models of normal pancreatic duct epithelial cells[51]. The hTERT-HPDE cells are positive for HPDE cell markers such as CK7, CK19 and carbonic anhydrase isozyme 2 and express epithelial tight junction molecules claudin-1, -4, -7 and -18, occludin, tricellulin, marvelD3, JAM-A, ZO-1, and ZO-2[51]. The expression patterns of tight junction molecules in the hTERT-HPDE cells are similar to those of pancreatic tissues in vivo[51].

CLAUDIN-1 IN NORMAL PANCREATIC DUCT AND CANCER

Claudin-1 is expressed in various types of epithelial cells, and plays an important role in epithelial cell polarity and cancer invasion and metastasis[69-72]. However, its role remains controversial far in various cancers. In pancreatic cancer, claudin-1 expression is responsible for tumor necrosis factor α-dependent cell growth signals that lead to apoptosis and the inhibition of cell proliferation[73]. Claudin-1 is localized at the cell membranes of normal pancreatic ducts and well-differentiated pancreatic carcinoma, whereas in poorly differentiated pancreatic carcinoma it is weakly detected in cytoplasm[74].

EMT is associated with the simultaneous repression of the genes encoding E-cadherin, claudins and occludin[8]. The transcription factors Snail and Slug, which play a central role in EMT, bind to the E-box motifs present in the claudin-1 promoter and have a critical negative regulatory role in malignant cancer cell lines that express low levels of the claudin-1 transcript[8,75]. Treatment with TGF-β1 induces EMT in pancreatic cancer cells and TGF-β upregulates Snail and downregulates claudin-1, -4 and occludin in PANC-1 cells[74]. Taken together, this indicates that claudin-1 may be a potential biomarker for the development of pancreatic cancer. Thus further investigation of the significance of claudin-1 in pancreatic cancer cells and normal pancreatic duct epithelial cells is required.

CLAUDIN-4 IN NORMAL PANCREATIC DUCT AND CANCER

DNA microarray, immunohistochemical, and quantitative real-time reverse transcription-polymerase chain reaction analyses have provided evidence that claudin-4 is upregulated in pancreatic cancer tissues[76]. Furthermore, claudin-4 is also overexpressed in pancreatic intraepithelial neoplasia (PanIN), intraductal papillary neoplasia (IPMN), and mucinous cystic neoplasia (MCN), and is correlated with the histological tumor grade in both IPMN and MCN[77,78]. On the other hand, overexpression of claudin-4 decreases the invasiveness and metastatic potential of pancreatic cancer cells in vitro[19]. Patients with high expression of claudin-4 mRNA and protein survive longer than those with low claudin-4 expression[79].

Claudin-4 is also a high-affinity receptor of CPE[80]. The 35-kDa polypeptide CPE causes food poisoning in humans, binds to its claudin receptor, and then causes changes in membrane permeability via formation of a complex on the plasma membrane followed by the induction of apoptosis[81]. Full-length CPE with a direct cytotoxic effect and the COOH-terminal receptor-binding domain of CPE (C-CPE) without a cytotoxic effect are employed as selective treatment and drug delivery systems against claudin-4 expressing pancreatic tumors[82,83].

CPE induces an acute dose-dependent cytotoxic effect in claudin-4-expressing nude mouse xenografts of PANC-1, which is a poorly differentiated pancreatic cancer cell line[82,84]. In the pancreatic cell lines PANC-1, BXPC-3, HPAF-II and HPAC, claudin-4 is found not only at the apicalmost regions but also at basolateral membranes[85]. When these pancreatic cancer cell lines are treated with CPE, it induces dose-dependent cytotoxic effects in all of them[85]. Furthermore, in HPAC cells, the cytotoxicity of CPE is significantly decreased by knockdown of claudin-4 by siRNAs[85].

In hTERT-HPDE cells cultured with 10% FBS, claudin-4 is localized at the apicalmost regions, which are tight junction areas[85]. When hTERT-HPDE cells cultured with 10% FBS in which the expression of claudin-4 protein is as high as in pancreatic cell lines in Western blotting, are treated with CPE, cytotoxicity is not observed even at high concentrations of CPE[85]. These findings suggest that, in pancreatic cancer cells, CPE binds to the free second extracellular loop of claudin-4 outside of tight junctions and that, in normal HPDE cells, it cannot bind to that of claudin-4 in tight junction areas.

EFFECT OF C-CPE TARGETING CLAUDIN-4 AGAINST PANCREATIC CANCER

The functional domains of CPE can be separated into a receptor-binding region (C-terminal of CPE, C-CPE) and cytotoxic region (N-terminal of CPE). C-CPE is a C-terminal fragment composed of the CPE amino acids 184 to 319[80]. The receptor binding region of CPE has been reported to be in the C-terminal 30 residues (amino acids 290 to 319) of CPE[86].

C-CPE is a nontoxic molecule that disrupts the tight junction barrier function and enhances cellular absorption[87]. It enhances the effectiveness of clinically relevant anticancer agents such as Taxol and carboplatin against cancer cells[88]. In our study, when HPAC cells were treated with C-CPE, the barrier function was markedly decreased at a nontoxic concentration of C-CPE and recovered in the absence of C-CPE (personal data). C-CPE may enhance the effectiveness of clinically relevant chemotherapies in pancreatic cancer.

The development of molecular imaging approaches using tissue- and cell-specific tracers plays a crucial role to improve early diagnosis and therapy in cancer. Claudin-4 is utilized as a target for imaging of pancreatic cancer. Non-cadmium-based quantum dots bioconjugated to claudin-4 monoclonal antibodies are used as highly efficient, nontoxic optical probes for imaging live pancreatic cancer cells in vivo and in vitro[89]. C-CPE labelled with a cyanine dye with novel optical imaging methods, 2D planar fluorescence reflectance imaging technology and 3D fluorescence-mediated tomography, enables noninvasive visualization of claudin-4 positive pancreatic cancer and its precursor lesions[90]. Furthermore, it is thought that C-CPE can be used as a carrier for other bacterial toxins to claudin-4-positive cancer cells. A claudin-4-targeting antitumor molecule that consisted of C-CPE fused to protein synthesis inhibitory factor derived from Pseudomonas aeruginosa exotoxin or diphtheria toxin fragment A (DTA) were especially toxic to claudin-4 positive cancer cells in vivo and in vitro[83,91,92].

CLAUDIN-7 IN NORMAL PANCREATIC DUCT AND CANCER

Claudin-7 is expressed in various types of epithelial cells and directly interacts with EpCAM, forming a complex with CD44 variant isoforms and tetraspanins outside of tight junction areas[93,94]. Furthermore, EpCAM is one of the surface markers in pancreatic cancer stem cells[95], and claudin-7 regulates the EpCAM-mediated functions in tumor progression such as proliferation, migration, and anti-apoptosis[96,97]. Claudin-7 supports tumorigenic features of EpCAM by provoking EpCAM cleavage and its cotranscription factor activity, and is directly engaged in motility and resistance to apoptosis in rat pancreatic cancer[98].

In human pancreatic ductal adenocarcinoma, there is a gradual decline in membrane-bound expression of claudin-7 immunoreactivity in parallel with the degree of tumor differentiation[99]. Claudin-7 expression also appears to be inversely associated with the gland size in tumors, with large neoplastic glands displaying more frequent claudin-7 positivity than smaller glands[99]. There is no association between claudin-7 and tumor size, the presence of nodal metastases or survival of the patients, indicating that while expression of claudin-7 is related to differentiation of ductal pancreatic adenocarcinoma it does not influence tumor progression[99].

In a human pancreatic cancer cell line and hTERT-HPDE cells, ELF3 is associated with claudin-7[51]. ELF3 belongs to the ELF (E74-like factor) subfamily of the ETS transcription factors, but it is distinguished from most ETS family members by its expression pattern, which is specific in epithelial tissues of the lung, liver, kidney, pancreas, prostate, small intestine, and colon mucosa[100]. ELF3 controls intestinal epithelial differentiation[101]. It is reported that the expression of claudin-7 in epithelial structures in synovial sarcoma is regulated by ELF3[102]. Thus, the expression of claudin-7 and its regulation via ELF3 may be important as potential therapeutic targets for pancreatic cancer.

CLAUDIN-18 IN NORMAL PANCREATIC DUCT AND CANCER

In pancreatic cancer, claudin-18 is as highly expressed as claudin-4[18]. Claudin-18 has two alternatively spliced variants, claudin-18a1 and claudin-18a2, which are highly expressed in the lung and stomach, respectively[103]. Claudin-18a2 is activated in a wide range of human malignant tumors, including gastric, esophageal, pancreatic, lung, and ovarian cancers, and can be specifically targeted by monoclonal antibodies against the first extracellular loop[44]. Claudin-18 is highly expressed in PanIN, IPMN, MCN, pancreatic duct carcinoma, and metastases of pancreatic cancer, and serves as a diagnostic marker[18,78,99,104-106]. Neuroendocrine neoplasia is found positive with low rates[105]. Thus, claudin-18 could be useful as a putative marker and therapeutic target for neoplasia of the pancreas. Furthermore, because claudin-18 expression is most pronounced in well-differentiated pancreatic cancers, and patients with high expression of claudin-18 survive longer than those with low claudin-18 expression[18], its expression level may also have prognostic implications for patients with pancreatic cancer.

TRICELLULIN IN NORMAL PANCREATIC DUCT AND CANCER

Tricellulin was identified as the first marker of the tricellular tight junction, which formed at the meeting points of three cells[30]. It is required for the maintenance of the transepithelial barrier and expressed in both the normal pancreatic duct and pancreatic cancer[30,107,108]. It is one of three members of the tight junction-associated MARVEL protein family. The other two members are occludin and marvelD3[31,42]. Occludin and tricellulin are present at bicellular and tricellular tight junctions, respectively, whereas marvelD3 is present at both sites[31,42]. Both normal and neoplastic pancreatic exocrine tissues express tricellulin, whereas no expression is seen in normal or neoplastic endocrine cells[108]. Tricellulin expression in pancreatic ductal adenocarcinomas shows a significant negative correlation with the degree of differentiation[108].

Tricellulin expression in tricellular tight junctions is strongly regulated together with the barrier function via the c-Jun N-terminal kinase (JNK) transduction pathway[109]. Activation of JNK promotes the development of various tumors[110-112]. Furthermore, JNK inhibitors decrease the growth of human and murine pancreatic cancers in vitro and in vivo[113]. Tricellulin expression and the barrier function are upregulated together with the activity of phospho-JNK by treatment with the JNK activator anisomycin in HPAC cells[109]. In hTERT-HPDE cells, tricellulin expression is significantly increased by all JNK activators, similar to the response in HPAC cells[109]. JNK may be involved in the regulation of tight junctions, including tricellulin expression and the barrier function in normal pancreatic duct epithelial cells, and may be a potential therapeutic target for pancreatic cancer.

MARVELD3 IN NORMAL PANCREATIC DUCT AND CANCER

MarvelD3, the novel tight junction protein, is transcriptionally downregulated in poorly differentiated pancreatic cancer cells, whereas it is maintained in well-differentiated human pancreatic cancer cells and normal pancreatic duct epithelial cells[114]. Furthermore, marvelD3 is transcriptionally downregulated in Snail-induced EMT during the progression of pancreatic cancer[114]. Therefore, marvelD3 could be a new marker during pancreatic cancer progression. However, little is known about the detailed role of marvelD3 in epithelial tight junctions and how it is regulated in various types of cells, including normal pancreatic duct epithelial cells and pancreatic cancer cells.

ROLE OF PKC IN TIGHT JUNCTIONS DURING EMT IN NORMAL PANCREATIC DUCT AND CANCER

PKC belongs to the family of serine-threonine kinases and regulates various cellular functions[115]. It has been shown to induce both assembly and disassembly of tight junctions depending on the cell type and conditions of activation[116-118]. At least 12 different isozymes of PKC are known and can be subdivided into three classes (classic or conventional, novel and atypical isozymes) according to their responsiveness to activators[119,120]. The levels of PKCα, PKCβ1, PKCδ and PKCι are higher in pancreatic cancer, whereas that of PKCε is higher in normal tissue[121,122]. In pancreatic cancer, tumorigenicity is directly related to PKCα expression, as demonstrated by decreased survival when it is overexpressed[123]. The increased level of PKCα is also associated with pancreatic cancer cell proliferation[124].

Tight junction proteins are regulated by various cytokines and growth factors via distinct signal transduction pathways including PKC[35,36]. In various cancer cells, the regulation of tight junctions via PKC pathway is reported. The assembly of ZO-1 and occludin is involved in PKC-dependent signaling in gastric cancer cells[125]. The activation of c-Abl-PKCδ signaling pathway is critically required for the claudin-1-induced acquisition of the malignant phenotype in human liver cells[72]. PKC activation causes an increase in claudin-1 transcription and claudin-1 appears to contribute to cell invasion in human melanoma cells[126]. PKCε activation regulates an α5 integrin-ZO-1 complex and correlates with invasion and unfavorable prognosis in lung cancer cells[127].

We have previously reported that the regulation of tight junctions in normal human pancreatic duct epithelial cells and pancreatic cancer cells is closely associated with PKC and PKC-induced transcriptional factors[13,51,74,104,109,128]. To confirm whether the PKC signal pathway was closely associated with the regulation of tight junctions, hTERT-HPDE cells and pancreatic cancer cells were treated with the PKC activator TPA and the specific PKC isoform inhibitors. Treatment with TPA enhanced expression of claudin-1, -4, -7, and -18, occludin, JAM-A and ZO-1, -2[51]. The upregulation of claudin-4 by TPA was prevented by a PKCα inhibitor and the upregulation of claudin-7, occludin, ZO-1 and ZO-2 was prevented by a PKCδ inhibitor[51]. In HPAC cells, tricellulin was in part regulated via PKCδ and PKCε pathways[109], and the expression of claudin-18 and localization of claudin-4 and occludin were in part regulated via a PKCα pathway[13,104,128]. Claudin-18 mRNA and protein, indicated to be claudin-18a2, were markedly induced by TPA in well- and moderately differentiated human pancreatic cancer cell lines HPAF-II and HPAC and hTERT-HPDE cells[104]. The upregulation of claudin-18 by TPA in human pancreatic cancer cell lines was prevented by inhibitors of PKCδ, PKCα and PKCε, whereas the upregulation of claudin-18 by TPA in hTERT-HPDE cells was prevented by inhibitors of PKCδ, PKCα and PKCθ[104].

On the other hand, a PKCα inhibitor enhances sensitivity of HPAC cells to CPE by preventing mislocalization of claudin-4[13], and prevents downregulation of claudin-1 during EMT of pancreatic cancer cells[74]. The TGF-β-PKCα-PTEN cascade is a key pathway for pancreatic cancer cells to proliferate and metastasize[129]. The PKC may be a useful target for pancreatic cancer therapy[119] and PKCα inhibitors may be potential therapeutic agents against the malignancy of human pancreatic cancer cells[130]. Further study of the tight junctions of normal HPDE cells and pancreatic cancer cells via PKC pathways including isoforms is important for not only physiological regulation of tight junction molecules but also for therapeutic targeting of pancreatic cancer cells. In addition to PKC pathway, other signaling pathways including Ras/ERK1/2, Smad/STAT3, Notch, Wnt and Src are closely related to EMT of pancreatic cancer[131-135]. However, the regulation of tight junctions in normal pancreatic duct and pancreatic cancer via these signal pathways remain unknown.

CONCLUSION

The signaling pathways including PKC regulate tight junctions during EMT in pancreatic cancer. By using hTERT-HPDE cells, we found that the expression of tight junction proteins in normal HPDE cells was regulated by various factors. For developing new diagnostic and therapeutic modalities via tight junction molecules in pancreatic cancer, it is necessary to investigate the profile and the regulation of tight junctions in normal HPDE cells as well as pancreatic cancer cells.