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OPEN
Received: 28 June 2017
Accepted: 25 September 2017
Published: xx xx xxxx
The ANK repeats of Notch-4/Int3
activate NF-κB canonical pathway
in the absence of Rbpj and causes
mammary tumorigenesis
Ahmed Raafat, Sharon Bargo, David McCurdy & Robert Callahan
Transgenic mice expressing the Notch-4 intracellular domain (designated Int3) in the mammary
gland have two phenotypes exhibited with 100% penetrance: arrest of mammary alveolar/lobular
development and mammary tumorigenesis. Notch-4 signaling is mediated primarily through the
interaction of Int3 with the transcription repressor/activator Rbpj. Interestingly, WAP-Int3/Rbpj
knockout mice have normal mammary gland development but still developed mammary tumors with
a slightly longer latency than the WAP-Int3 mice. Thus, Notch-induced mammary tumor development
is Rbpj-independent. Here, we show that Int3 activates NF-κB in HC11 cells in absence of Rbpj
through an association with the IKK signalosome. Int3 induced the canonical NF-κB activity and P50
phosphorylation in HC11 cells without altering the NF-κB2 pathway. The minimal domain within
the Int3 protein required to activate NF-κB consists of the CDC10/Ankyrin (ANK) repeats domain.
Treatment of WAP-Int3 tumor bearing mice with an IKK inhibitor resulted in tumor regression. In a
soft agar assay, treatment of HC11-Int3 cells with P50-siRNA caused a significant decrease in colony
formation. In addition, Wap-Int3/P50 knockout mice did not develop mammary tumors. This data
indicates that the activation of NF-κB canonical signaling by Notch-4/Int3 is ANK repeats dependent,
Rbpj-independent, and is mediated by IKK activation and P50 phosphorylation causing mammary
tumorigenesis.
Notch plays an oncogenic role in human breast cancer development. The increase of intracellular Notch and
enhanced Notch signaling were observed in a variety of human breast carcinomas1–4. Also, Lobular and ductal
carcinomas expressed higher levels of Notch-1 and Notch-4 than the normal breast tissue5–7. The aberrant Notch
signaling has been involved in the EMT induction during which cancer cells acquire an invasive phenotype6–8.
These observations, together with the report that high expression of Jagged1 and/or Notch-1 are associated with
poor clinical outcomes1 has resulted in an intense interest in exploring Notch signaling as a therapeutic target
for breast cancer treatment5,9,10. Activation of Notch-1 or Notch-4 signaling pathways promoted the malignant
behaviors of cells; whereas deactivation of these signals led to the reversal of the malignant cellular behavior11–13.
A total of 8 gene fusion rearrangements involving either Notch-1 or Notch-2 were discovered in a panel of 89
breast cancer cell lines and tumors. These gene fusions lead to the expression of the Notch intracellular domain14.
The aberrant activation of Notch-4 signaling pathway has been proven to be associated with the development and
progression of breast cancers. High Notch-4 levels were detected in 81% of infiltrating ductal carcinomas (IDCs)
and 93% of infiltrating lobular carcinomas (ILCs)10 none of the normal breast tissues expressed high levels of
Notch-4.
Notch-4 was originally identified as a common integration site (CIS) for the mouse mammary tumor virus
(MMTV) in mouse mammary tumors15. The viral genome integrates within Notch-4 causing the aberrant expression of the portion of the Notch-4 gene encoding the intracellular domain (ICD designated Int3). The expression
of Int3 corresponds to a gain of function mutation. Expression of Int3 confers on HC11 normal mouse mammary epithelial cells the capability for anchorage independent growth in soft agar16. Int3 expressed as a transgene
under the control of either MMTV LTR or the whey acidic protein (WAP) promoter in transgenic mice has two
consequences that occur with 100% penetrance: the inability to lactate due to no mammary lobular/alveolar
Basic Research Laboratory, National Cancer Institute, National Institutes of Health, Bethesda, MD, 20814, USA.
Correspondence and requests for materials should be addressed to A.R. (email: raafata@nih.gov)
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development and the development of mammary tumors17,18. Recently we have shown that these two phenotypes
are a consequence of at least two different components of the Notch-4/Int3 signaling pathway13. Rbpj is a transcription repressor/activator that is a major partner in Notch signaling during development19,20. In the absence
of Notch-ICD it acts as a transcription repressor. In the presence of Notch-ICD it binds to the Notch-ICD and
becomes a transcription activator20. When we genetically crossed WAP-Int3 mice with Rbpj−/− knockout mice we
developed a WAP-Int3/Rbpj −/− mouse strain that exhibited normal mammary gland development which could
lactate. However, these mice still developed mammary tumors13. This is consistent with WAP-Int3 mammary
tumor development being independent of Notch-4/Int3-Rbpj signaling.
The specific roles and the underlying mechanisms of Notch-4 signaling pathway on the malignant behavior of
breast cancer are poorly understood. To date, the Rbpj-independent mechanism whereby Notch-4 promotes cell
transformation is not clear. The NF-κB family is among the targets of activated Notch21–25. NF-κB is a family of
transcription factors that play a critical role in regulating cell survival, inflammation, differentiation, and proliferation. The NF-κB subunits exist in inactive form in the cytoplasm due to binding to inhibitory proteins of the IκB
family (IκBs). Upon stimulation, an IKB kinase (IKK) complex is activated by IKK kinases26,27. This activated IKK
complex phosphorylates IκBs, leading to the degradation of IκB and release of NF-κB, enabling NF-κB subunits
to translocate to the nucleus26.
Several reports documented the cross talk between Notch signaling and NF-κB. Song et al.22, showed that
Notch-1 associates with IKKα and regulates IKK activity in cervical cancer cells. Also, Notch-1 regulates NF-κB
activity in hematopoietic progenitor cells28. Notch augments NF-κB activity by facilitating its nuclear retention24.
In Notch-3 transgenic mice, NF-κB is constitutively active due to Notch-3 interaction with IKKα29. The activation
of NF-κB signaling pathway by Notch signaling11,22,25 suggests that Notch tumorigenic signaling pathway may be
mediated through the activation of NF-κB signaling pathway. Transcripts of NF-κB -regulated genes were found
elevated in tumor initiating cells30,31 and breast tumors, as compared to normal tissue31,32. Several studies revealed
high levels of constitutive NF-κB activity in many breast cancer cells30,33–35. Other studies showed NF-κB2 overexpression in breast and colon carcinomas35–37. NF-κB1 (P50) is overexpressed in colon, lung and breast cancers35,37.
Therefore it has been considered a potential anti-cancer target38,39. In the current study we analyzed the Notch-4/
Int3-Rbpj-independent tumorigenic signaling pathway. The data shows that Notch-4/Int3 activation of NF-κB
canonical signaling complex is Rbpj-independent. This activation is dependent on the CDC10/Ankyrin repeats
in Int3 which induces mammary tumors but not blockage of mammary gland development.
Materials and Methods
Mice, experiment design and preparation of tissue for morphology and histology analysis.
WAP-Int3 female mice used in this study are maintained in our colony and have been described previously18. To
delete P50 in mammary epithelial cells we crossed the WAP-Int3 mice with the P50−/− mice (Jacksons lab, Bar
Harbor, ME, USA). Tail DNA genotyping was performed by PCR for P50−/− knockout using the following primers: forward, 5′- GCAAACCTGGGAATACTTCATGTGACTAAG-3′; and reverse 5′- ATAGGCAAGGTCAG
AATGCACCAGAAGTCC-3′. DNA was amplified (94 C for 30 sec., 68 C for 30 sec., 72 C for 30 sec; 35 cycles,
72 C for 2 min) with a product size of 192 bp. To treat WAP-Int3-tumor-bearing mice with IMD-035439, primary
mammary tumors were palpated weekly. Tumor weight was determined as described previously12. When mammary tumors reached 400 mg, mice were euthanized and mammary tumors were collected as viable tissue. To
reduce inter-tumor variations, nulliparous FVB/N female mice from our colony were used at 10 weeks of age and
the inguinal mammary glands of these FVB/N mice served as the transplantation site of the primary WAP-Int3
viable tumor tissue. Viable tissue from each WAP-Int3 mammary tumor was placed in the inguinal mammary
gland of two separate FVB/N mice. Once tumors reached the desired weight, one mouse received IMD-0354 and
the matching control mouse received saline. Alzet mini osmotic pumps (Model 2001, pumping rate 1 µl/h, Durect
Corp., Cupertino, CA, USA), implanted subcutaneously on the dorsal side of the mouse, were used to deliver a
subcutaneous dose of IMD-0354 (5, 10 or 20 mg/mouse/week) or saline (control). Mammary whole mounts were
prepared from the fourth abdominal gland, as previously described13. Mice were kept under standard laboratory
conditions per the guidelines of the National Cancer Institute. All methods were performed in accordance with
the NIH Guide for the Care and Use of Laboratory Animals. The National Cancer Institute (NCI) Animal Care
and Use Committee approved all experimental procedures.
Cell culture and gene silencing. HC1140,41 and HC11-Int3 mouse mammary epithelial cells were grown in
RPMI medium. The HC11-Int3 cell line was generated as described previously42. Gene silencing using siRNA was
done as previously described43 Briefly, knockdown of proteins was achieved by the treatment of cells with siRNA
(siGenome SMART pool, Dharmacon/Thermo Scientific Lafayette, CO) according to the manufactures protocol.
The siRNA transient transfections were done with a final concentration of 50 nM in six-well plate or scaled up 10
cm-plate formats.
Evaluation of NF-κB activity.
The Active Motif (Carlsbad, CA, USA) TransAMTM NF-κB family ELISA
kit was used to facilitate the study of the NF-κB family transcription factors (P50, P52, P65 and Rel-B) in extracts
of HC11 and HC11-Int3 cells treated with Int3-siRNA or Rbpj-siRNA according to the manufacturer’s specifications. NF-κB activity was measured in nuclear protein extracts. The assay was performed according to the
manufacturer’s protocol as described previously22. Samples were analyzed using a microplate absorbance reader
Bio-rad680 (Bio-Rad, Hercules, CA, USA).
Construction of Int3 deletion mutants. The murine NICD-4 cDNA corresponding to a truncated
Notch4/Int3 cDNA (residues 4382–6043) has been described15,17. An oligonucleotide encoding hemagglutinin
(HA) tag was added to the 3′ end of NICD-4/Int3 cDNA. The HA-tagged NICD-4/Int3, RAM 23, CDC10/ANK,
SCIENTIFIC REPORTS | 7: 13690 | DOI:10.1038/s41598-017-13989-7
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RAM-ANK and PB-PEST expression vectors were generated through PCR using Pfu polymerase from StrataGene
(La Jolla, CA, USA) and cloned into the eukaryotic expression vector pcDNA3 as described previously44.
The nucleotide sequence of all NICD-4/Int3 deletion plasmids have been determined and their sequences
verified. The Int3 PCR deletion products were cloned into the NheI and XhoI site of the pcDNA3.1(−)
(Invitrogen, Carlsbad, CA, USA). The protein encoded by the PCR product was synthesized using TNT
Coupled Transcription/Translation System (Promega, Madison, WI, USA) according to the manufacturer’s
specifications and as described previously45. The synthesized protein was analyzed by electrophoresis on a 10%
SDS-polyacrylamide gel (SDS-PAGE) and autoradiography. To measure the ability of the Int3 deletion mutants to
activate NF-κB P50 signaling in HC11 cells containing an NF-κB reporter gene (Qiagen, Valencia, CA), cells were
transiently transfected with expression vectors containing the Int3 deletions.
Colony formation in soft agar and luciferase assay. The soft agar assay utilizes an agar medium to
assess the transformability of cells in an anchorage-independent manner. Soft agar assay was done as described
previously12. For luciferase Assays, cells were grown in DMEM medium containing 10% fetal bovine Serum.
Transfection and luciferase assays were conducted as previously described12.
Cell migration and invasion assays. Cell invasion and migration across a basement membrane matrix
were evaluated using a commercially available 12-well plate cell invasion/migration assay kit (Chemicon
International, Temecula, CA, USA) and following the manufacturer’s instructions46. Briefly, 2 × 105 cells were
seeded into individual invasion chambers, and subsequently placed in 12-well plates containing serum (10% FBS)
culture medium in the lower chamber and incubated for 24 and 48 h. Non-invading cells were carefully wiped
off the upper surface of the filters with a swab. Cells that invaded and migrated through the matrix-containing
membrane and reached the lower surface of the invasion chamber were stained with crystal violet and counted in
at least three different high power fields using a light microscope.
Immunoblotting and Immunoprecipitation. Cells were harvested with trypsin-EDTA (1x) (Gibco BRL,
San Francisco, CA, USA) and collected as a pellet by centrifugation at 4 °C. Cells were lysed and processed for
Western blot analysis as described previously43. After blotting, membranes were probed overnight with primary
antibodies to HA (ab1818, Abcam, Cambridge, MA, USA), Notch-4 (07–189, Millipore, Billerica, MA, USA),
IKKα (2682, Cell Signaling Technology, Danvers, MA, USA), IKKβ (2370, Cell Signaling Technology, MA, USA),
NF-kB/P50 (Santa Cruz SC114, Sacramento, CA, USA) or P50 blocking peptide (Santa Cruz SC114P, Sacramento,
CA, USA). Membranes were washed and incubated with horseradish the proper peroxidase (HRP)-conjugated
secondary antibody (1:5000; Amersham Biosciences, Piscataway, NJ, USA). ECL reagent (Amersham Biosciences,
Piscataway, NJ, USA) was used for detection. For Immunoprecipitation, cells were harvested in RIPA buffer supplemented with the protease inhibitor cocktail set 1 (Calbiochem, San Diego, CA, USA). Total protein concentration was determined with the BCA Protein Assay Kit (Pierce Biotechnology, Rockford, IL, USA). Total protein
lysate (500 µg) was immunoprecipitated, blotted and detected as described previously43.
Statistics. Quantitative values are represented as the mean of at least three experiments. All in vivo experiments were repeated at least three times, and at least five mice were used in each experiment. The statistical significance of the difference between groups was determined by the Wilcoxon rank sum test. Comparisons resulting
in P-values ≤ 0.01 were considered statistically significant and identified in the figures with an asterisk (*) or (**).
Results
Involvement of NF-κB signaling in Notch induced tumorigenesis has been suggested from studies that demonstrate its activation in Notch-1 tumors11,22. To investigate whether Notch-4/Int3 signaling activates NF-κB and
whether this activation is Rbpj-dependent or -independent, we used Notch-4-siRNA (Fig. 1A) and Rbpj-siRNA
(Fig. 1B) to inhibit Notch-4 and Rbpj-RNA expression in HC11-Int3 cells after incubating these cells with TNF-α.
TNF-α was added to stimulate the NF-κB pathway, however the used dose (5 ng) did not induce NF-κB in
absence of Int3 (Fig. 1A). The respective siRNA did knock down the levels of the target mRNA (Fig. 1A,B). We
investigated the effects of Notch4/Int3 on NF-κB activation/signaling by analyzing the effects of Int3 on activation of NF-κB promoter driven-reporter gene in HC11-Int3 cells in presence of increasing doses of Int3-siRNA
(Fig. 1C). Int3 significantly induced NF-κB promoter-driven luciferase. This activity is suppressed in presence of Int3-siRNA in a dose dependent manner. Previous data showed that Int3 mammary tumorigenesis is
Rbpj-independent13. To investigate if NF-κB -reporter activation is Rbpj-dependant/independent, HC11-Int3
cells were transfected with the NF-κB -reporter in presence of increasing concentrations of Rbpj-siRNA (Fig. 1C).
Rbpj-siRNA treatment did not affect the NF-κB -driven luciferase activity, indicating that Notch4/Int3 activation
of NF-κB is Rbpj-independent.
To verify that Int3 activation of NF-κB is Rbpj-independent and to investigate the activation of NF-κB
canonical (P50 and RelA/P65) and non-canonical (P52 and RelB) pathway transcription factors by Int3;
we quantified NF-κB transcription factors (P50, P52, P65 and Rel-B) activation when Int3 is knocked down
with Int3-siRNA using TransAm NF-κB kit. Binding of P50 to NF-κB binding site decreased significantly
in absence of Int3 in a dose dependent manner (Fig. 1D). Similarly, but to a lesser extent, P65 binding to the
NF-κB binding site decreased (Fig. 1D). P52 and Rel-B binding to the NFκB binding site do not appear to be
affected by Int3 expression. In addition, we performed experiments where HC11-Int3 cells are treated with
increasing doses of Rbpj-siRNA. Reduction of Rbpj expression in HC11-Int3 cells did not affect the binding
of P50 or P65 to the NF-κB binding site (Fig. 1E) indicating that the Int3/NFκB-P50 or P65 interaction/activation is Rbpj-independent. These results demonstrate that modulation of Int3 levels affects NF-κB activation, in
Rbpj-independent fashion. Since P65 binding to the NF-κB binding site was not significant we have focused on
Int3 interaction with the NF-κB1/P50.
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Figure 1. Int3 and NF-κB cross-talk. Int3 (A) and Rbpj (B) siRNA treatment of HC11-Int3 cells caused a
significant reduction in Int3 and Rbpj expression. Levels of Rbpj and Int3 in HCll and HC11-Int3 mammary
epithelial cells was conducted as described in the Materials and Methods. (C) Int3 modulates NF-κB
signaling in Rbpj-independent manner. Luciferase assays in HC11 and HC11-Int3 cells expressing the NFκB-luc promoter reporter and the control Renilla luciferase reporter were either mock transfected (Crl Si)
or transfected with increasing doses of Int3-siRNA or Rbpj-siRNA. NF-κB-promoter activity is significantly
reduced when Int3-siRNA increased. *P ≤ 0.01, compared to HC11-Int3-NF-κB-Luc. (D) Int3 binding to
NF-κB transcription factors. HC11-Int3 cells were cultured and treated with increasing doses of Int3-siRNA
(12.5, 25 and 50 ng) as described in the Materials and Methods. (E) Binding of Int3 to NF-κB promoter in
absence of Rbpj. HC11-Int3 cells were cultured and treated with increasing doses of Rbpj-siRNA (12.5, 25 and
50 ng) as described in the Materials and Methods. For panel D and E; nuclear proteins from each treatment were
extracted and incubated with plate bound NF-κB-DNA. The effects of siRNA treatment on the levels of DNA
binding to NF-κB subunits were assessed by the TransAM-NF-κB Family ELISA-Kit. Results are reported as
the mean ± SEM (n = 3) and the data are expressed considering 1.0 as the relative binding capacity of untreated
HC11 cells *P < 0.01 compared to HC11-Int3. In all panels, each bar represents the mean ± SEM of a minimum
of a duplicate of three independent experiments for each experimental group.
Although various homo- and heterodimeric combinations possibly function in the NF-κB/Rel family, the
heterodimers of NF-κB1/P50 and RelA/P65 in the canonical pathway as well as the heterodimers of NF-κB2/
P52 and RelB in the non-canonical pathway are considered to be predominant components of the respective
pathways26,27,47. To examine the effects of Notch-4-Int3 on the status of P105/P50 we employed P50 antibody. To
test the specificity of the P50 antibody Western blots analysis of HC11 and HC11-Int3 nuclear and cytoplasmic
extracts were reacted with the antibody. Major bands were detected at 105 KD and 50 KD (Fig. 2A). Reactivity
with these bands was blocked by the P50 blocking peptide (Fig. 2B). We have further characterized this interaction in the mammary glands of late pregnant FVB and WAP-Int3 mice, the P105 precursor of P50 is more abundant in the FVB mammary gland whereas in the WAP-Int3 gland total p50 and phosphorylated P50 are more
abundant than in the FVB gland (Fig. 2C), indicating activation of P105 by Int3. This data is in agreement with
previous studies11,21,23,48,49.
To obtain evidence that Int3 and P50 physically interact, an immune-precipitate (IP) and Western blot
(wb) analysis was performed on TNF-α treated HC11-Int3-HA cell. cytoplasmic and nuclear protein extracts
(Fig. 2D). Cytoplasmic and nuclear protein extracts were subjected to immunoprecipitation with HA antibody.
Western blot of the immunoprecipitates were probed with the anti-P50 (Fig. 2D) antibody. Immunostaining
analysis revealed a predominant Int3 binding to P50 in both cytoplasmic and nuclear extracts. Western blot analysis of HC11-Int3-HA cytoplasmic and nuclear extracts showed that the predominant species in the cytoplasmic
fraction was P105 precursor and in the nuclear fraction the predominant species was P50 (Fig. 2E), indicating
activation of P105 in presence of Int3.
The capability for anchorage-independent growth by tissue culture cells in soft agar is accepted as a measure
of their tumor-inducing potential. We have shown previously13,16 that the HC11 mouse mammary epithelial cells
cannot grow in soft agar, whereas HC11-Int3 cells do have this capability13. To investigate the effect of NF-κB
canonical pathway knockout on HC11-Int3 soft agar growth capability, we treated HC11 and HC11-Int3 cells
with, P50-siRNA or Int3-siRNA (Fig. 2F). If the Int3/P50 complex is required to activate NF-κB pathway and
confer the capability for Int3 anchorage-independent growth of HC11-Int3 cells, then blocking the expression of
P50 should block growth in soft agar of these cells. As shown in Fig. 2F, soft agar growth significantly decreased in
absence of P50 compared to HC11-Int3. Knocking down Rbpjk with siRNA has little or no effect on the ability of
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Figure 2. Physical binding of Int3 to NF-κB-P50 and NF-κB-P65. (A) and (B) P50 antibody control panels.
(A) Western blot analysis of cytoplasmic and nuclear protein extracts of HC-11 and HC-11- Int3 cells. P50 AB
detected P105 and P50 proteins. (B) Western blot analysis of cytoplasmic and nuclear protein extracts of HC11
and HC11-Int3. Protein extracts treated with P50 peptide. P50 antibody did not detect P50 in presence of the
competing P50 peptide. (C) Western blot analysis of the levels of P50, phosphorylated P50 in total protein
extracts of mammary glands from late pregnant FVB/N and WAP-Int3 mice. The extract loading control was
evaluated by reacting the blot with β-actin antibody. (D) Interaction of Int3 and P50. Cytoplasmic and nuclear
protein extracts were immunoprecipitated with antibody to the HA tag expressed in HC11-Int3-HA cells. The
immunoprecipitates and cell extracts were electrophoretically separated on a polyacrylamide gel and transferred
to a nitrocellulose filter. The filters were reacted with antibody to NF-κB-P50, indicating binding of Int3 to
P50.Western blot analysis of P50 (E) levels in cytoplasmic and nuclear extracts of HC11-Int3-HA cells. Int3
induces P105 processing in HC11-Int3-HA cells. (F) The effect of siRNA treatment on soft agar growth of HC11
and HC11-Int3 cells. HC11 and HC11-Int3 cells were treated with siRNA for Rbpj, NF-κB P50 and Int3. In
each assay 15,000 cells were plated in soft agar to measure their capability for anchorage independent growth.
*P < 0.01 compared to HC11, **P < 0.01 compared to HC11-Int3. Each bar represents the mean ± SEM of a
minimum of a duplicate of three independent experiments for each experimental group.
HC11-Int3 cells to form colonies in soft agar, indicating that Int3 colony formation is Rbpj-independent13. These
results are compatible with the conclusion that the ability of HC11-Int3 cells for anchorage-independent growth
in soft agar is independent of an Int3/Rbpj signaling pathway13 and is NF-κB dependent. As a positive control we
used Int3-siRNA to block Int3 expression in the HC11-Int3 cells and as expected colony formation was knocked
down (Fig. 2F).
Others have shown that Notch-1 binds to the IKKα signalosome22. Therefore, to better understand the
cross-talk between Noth-4-Int3 and NF-κB we investigated the binding of Int3 to IKKα and IKKβ. Protein
extracts were prepared from HC11-HA and HC11-Int3-HA cells treated with either Int3-siRNA or Rbpj- siRNA.
Immunoprecipitates were prepared using an antibody to the HA tag and electrophoretically separated on a polyacrylamide gel followed by blotting on a filter. The filters were reacted with an antibody to either IKKα or IKKβ.
As shown in Fig. 3A (lane c) when HC11-Int3-HA cells were treated with Int3-siRNA the level of reactive IKKα
and IKKβ was decreased to similar levels as seen in HC11 extracts (Fig. 3A, lane a). Whereas in extracts from
cells treated with Rbpj-siRNA (Fig. 3A, lane d) the levels of bound IKKα and IKKβ were similar to that found
in immunoprecipitates from untreated HC11-Int3-HA cells (Fig. 3A, lane b). We conclude that both IKKα and
IKKβ interact with Int3 independent of Rbpj.
IKK signalosome phosphorylation of IκB leads to its proteosomal degradation and the translocation of P50/
P65 hetrodimers to the nucleus. IMD-0354 is a specific IκB kinase-β (IKKβ) inhibitor39 that blocks NF-κB
nuclear translocation. To ascertain whether members of the NF-κB family are involved in Notch-4/Int3-induced
mammary tumorigenesis, first we treated HC11, HC11-Int3 with IMD-0354 in the presence and absence of
Int3-siRNA (Fig. 3B). Blocking of NF-κB nuclear translocation by IMD-0354 significantly reduced Notch-4/Int3
transformation capacity to levels similar to those observed when HC11-Int3 cells were treated with Int3-siRNA.
To further investigate the role of NF-κB in Int3 tumorigenesis, we undertook a dose-response study to determine
the effects of IMD-0354 on WAP-Int3 tumor-bearing mice. Mice treated with a 20 mg/week dose showed significant reduction in the tumor weight compared to the saline treated WAP-Int3 tumor bearing mice (Fig. 3C).
Therefore, a dose of 20 mg/week was used in all subsequent experiments. Histological analysis of hematoxylin
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Figure 3. The interaction between Int3 and IKKα and IKKβ. (A) Co-immuno-precipitation of Int3 with IKKα
and IKKβ. Protein extract were prepared from untreated (a) HC11, (b) HC11-Int3 cells and HC11 Int3 cells
treated with either (c) Int3-siRNA or (d) Rbpj-siRNA (d) were immunoprecipitated with HA antibody. The
immunoprecipitates were analyzed by Western blot analysis using IKKα or IKKβ antibody as described in the
Materials and Methods. Decreased levels of IKKα and IKKβ were bound to Int3 in HC11-Int3 cells treated
with Int3 siRNA as compared to untreated cell or cells treated with Rbpj siRNA. (B) Int3 transformation ability
is IKKβ dependent. Blocking of IKKβ with inhibitor IMD-0354 (5 µM) in HC11-Int3 caused a significant
reduction in colony formation in soft agar assay. The reduction is comparable to blocking of Int3 expression by
siRNA. (C) Treatment of WAP-Int3 tumor bearing mice with the IKKβ inhibitor IMD-0354. A dose response
to 5, 10 and 20 mg/kg/day of IMD-0354. Note that the tumors regressed in the tumor bearing mice receiving
20 mg/kg/day. *Significantly different than day 1, **significantly different from saline control. n = 8 mice/time
point. (D) Effect of IMD-0354 treatment on WAP-Int3 Rbpj−/− mammary tumors. WAP-Int3 and WAP-Int3
Rbpj−/− tumor bearing mice were treated for 5 days with 20 mg/kg/day. *Significantly different from day 1. Note
that the tumor regression in both strains was virtually identical. n = 8 mice/time point (E) When treatment was
terminated (day 5) the tumors grew back. n = 8 mice/time point.
and eosin (H&E)-stained liver and kidney sections from IMD-0354-treated mice did not show any evident morphological alterations such as necrosis or inflammatory changes due to toxicity (data not shown). These results
demonstrate that WAP-Int3 mammary tumors are sensitive to IMD-0354 and further provide a strong rationale
that the activation of one or more of the NF-κB target transcription proteins, in the context of Int3 signaling,
likely contributes to tumor growth. To determine if this tumor regression by IKKβ inhibition is affected by Rbpj
status, we treated WAP-Int3/Rbpj−/− tumor-bearing mice with 20 mg/week IMD-0354 for one week and monitored tumor weight (TW) daily. At the end of the treatment period, TW was significantly reduced (Fig. 3D) in
all mice. When the pumps were depleted of IMD-0354 after day 6 (Fig. 3E), there was a resumption of tumor
growth, suggesting that continuous inhibition of IMD-0354 targets (IKKβ) is needed to effectively inhibit tumor
growth. These results demonstrate that Notch4/Int3 mammary tumors are sensitive to IKKβ/NF-κB inhibition
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Figure 4. Effect of NFκB P50 deletion in WAP-Int3 mice on mammary gland development and mammary
tumorigenesis. (A) Whole mount of number 4 inguinal mammary gland at day 1 of first lactation of FVB,
WAP-Int3 and WAP-Int3/P50−/−. (B) Histological analysis showed impaired side-branching and alveolar
development in the WAP-Int3 and WAP-Int3/P50−/− compared to FVB. Note there is no discernible difference
between the WAP-Int3 and WAP-Int3/P50−/− mammary glands. (C) In vivo effects of P50 deletion on Int3
mammary tumorigenesis. Multiple subclinical tumors can be observed in whole mounts of WAP-Int3 and
WAP-Int3 Rbpj−/− mice at their second lactation. This is not the case in mammary glands from WAP-Int3
P50−/−. A total of at least 8 mice were used for each experiment.
Strain
Pregnancy
Lactation
Tumor
WAP-Int3
2
No
80%
WAP-Int3/P50 −/−
4:5
No
0%
Table 1. Lactation and tumor development in WAP-Int3 and WAP-Int3/P50−/− mice mammary glands. In fact,
even after 4–5 pregnancies WAP-Int3/P50−/− do not develop tumors (n = 8) whereas after 2 pregnancies 80% of
WAP-Int3 parous females have developed mammary tumors (n = 8).
and further provide a strong evidence that the Notch-4/Int3 mammary tumorigenesis is NF-κB dependent and
Rbpj independent.
To further dissect these results, we have examined the effect of loss of NF-kB-P50 on WAP-Int3 mammary
tumor development by developing a WAP-Int3/NF-κB-P50−/− mouse strain. It should be noted that the parental NF-kB-P50−/− female mice have no mammary gland developmental phenotype50. Like WAP-Int3 mice,
WAP-Int3/NF-κB-P50−/− mice cannot lactate due to an arrest in mammary lobular/alveolar development
(Fig. 4A,B). In whole mounts of Wap-Int3 and Wap-Int3/Rbpj−/− mammary glands one can observe multiple
independent tumor-like growths13 (Fig. 4C). Significantly, WAP-Int3/NF-κB-P50−/− mice do not develop mammary tumors even after 4–5 pregnancies (Table 1). These results provide further evidence that Notch-4/Int3
mammary tumor development is NF-κB1 dependent and Rbpj independent.
To further define the minimal region of Int3 required for activating NF-κB, we have created a series of
Int3-HA tagged deletion mutants that encode the RAM, ANK/CDC10, RAM-ANK and PB-PEST regions.
Shown in Fig. 5A is a map of the regions of Int3 remaining in the deletion mutants. In Fig. 5B is shown the in
vitro translated gene products expressed by the different deletion mutants. We have assayed HC11 cells transfected with expression vectors expressing these Int3 deletion mutants for NF-κB reporter activity (Fig. 5C). The
HC11-RAM and HC11-PB-PEST cells were unable to activate the NF-κB reporter gene whereas HC11-ANK
and HC11-RAM-ANK cells were capable of activating the reporter gene (Fig. 5C). In addition, HC11-ANK and
HC11-RAM-ANK cells were capable of forming colonies in soft agar assay (Fig. 5D). Similarly, HC11-ANK and
HC11-RAM-ANK cells showed significant increase in the number of invading cells in an invasion assay (Fig. 5E).
These results are consistent with the Int3-ANK region being responsible for the activation of NF-κB.
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Figure 5. Characterization of the minimal regions of Notch4/Int3 required for intermolecular activation of
NF-κB. (A) To map the region(s) of NICD4/Int3 that mediate interaction with NF-κB, we generated a series
of Int3 deletion constructs. The regions of Int3 that remain in each deletion mutant is indicated. The numbers
above the maps indicate an amino acid residue at indicated boundaries. (B) In vitro translation products of the
Int3 deletions. RAM (lane 1), ANK (lane 2), RAM-ANK (lane 3), PB-PEST (lane 4) and full length Int3 (lane 5).
(C) NF-κB reporter assay of HC11, HC11-Int3, HC11-RAM, HC11-ANK, HC11-RAM-ANK, HC11-PB-PEST
cells. The ANK repeats region of Int3 caused the highest activation of NF-κB reporter. **P < 0.01 compared
HC11 cells. (D) HC11 cells were transfected with expression vectors expressing the Int3, RAM, ANK, RAMANK, and PB-PEST deletion mutants compared to HC11 and HC11-Int3 cells for their ability to confer on
HC11 cells the capability for anchorage independent in soft agar. (E) HC11 cells expressing Int3, RAM, ANK,
RAM-ANK and PB-PEST deletion mutants compared to HC11 and HC11-Int3 cells in an invasion assay (see
Materials and Methods). In panel (C–E), each bar represents the mean ± SEM of a minimum of a duplicate of
three independent experiments for each experimental group.
Discussion
The WAP-Int3 transgenic mice exhibit two phenotypes with 100% penetrance18. One phenotype is the blockage
of mammary gland lobulo-alveolar development resulting in an inability of WAP-Int3 females to lactate. We have
previously shown that this phenotype is dependent on the interaction of the Notch4-ICD/Int3 with the transcription repressor/activator Rbpj13. The other phenotype is the development of mammary tumors in all females that
is independent of Int3/Rbpj signaling13. The aim of the present study is to investigate and dissect the Notch/Rbpj
independent signaling pathway. A limited microarray analysis of HC11-Int3 RNAs revealed high steady-state levels of IL1, IL6, IL-8, CXCL1 and CXCL2, as compared to control HC11 cells (our unpublished data). These genes
are targets for the NF-κB transcription factors51,52. NF-κB pathways are important for normal mammary gland
development as well as for breast cancer tumorigenesis and cancer stem cell biology31,53. In response to multiple
stimuli, IKB kinase (IKK) complex is activated by IKK kinases26. Activated IKK complex consisting of two catalytic subunits (IKKα and IKKβ) and an IKKγ regulatory subunit in turn phosphorylates IκBs at two conserved
serine residues in the N-terminal domain, leading to its proteasome mediated degradation. As a result, NF-κB
translocates to the nucleus and induce a variety of genes encoding matrix metalloproteinases, inflammatory and
chemotactic cytokines, and antiapoptotic proteins26,47,54. Several animal model studies linked NF-κB canonical
and non-canonical pathway to inflammation and cancer. The canonical pathway is activated by IκB kinase (IKK
α/β/γ complex), activation of RelA/P50 and the non-canonical pathway activated by NF-κB -inducing kinase
(NIK) and IKKα, activation of RelB/ P52 pathways26.
A reporter assay showed that activation of NF-κB by Int3 is Rbpj-independent (Fig. 1C). The activation of
NF-κB by Notch-4/Int3 indicates that in addition to a role for Notch in proliferation, differentiation, and survival
of tumor cells44,55, Notch-4/Int3 may also have critical functions in the immune response, inflammation, viral
infection, and apoptosis through control of NF-κB-mediated gene expression. Int3 enhanced P50, and to a lesser
extent P65 (Rel-A), binding to the NF-κB DNA binding site but did not affect the binding of P52 or Rel-B to this
site. High levels of P50 in presence of Notch-4/Int3, can alter the ratio of p50/p50 versus p65/p50 NF-κB dimers,
thereby affecting the selectivity of the canonical NF-κB-dependent transcription. In addition, we have shown that
Int3 binding to P50 is Rbpj-independent (Fig. 1E). Furthermore, knocking down P50 prevents anchorage independent growth by HC11-Int3 cells in soft agar (Fig. 2E) regardless of Rbpj presence. This suggests that the ability
of Int3 to confer on HC11 cells the capability of anchorage independent growth is a consequence of Int3 activating
the canonical NF-κB signaling pathway. In contrast, it has been reported that Notch-1-ICD interacts with the
P50 subunit of NF-κB56, but not P6522, and blocks the formation of P50/ P65 heterodimers to NF-κB binding
sites, thereby interfering with NF-κB-induced transcriptional regulation. Song et al.22 have shown that Notch-1
activation of NF-κB in CaSki cells is Rbpj dependent. The crosstalk between NF-κB and Notch pathways is quite
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Figure 6. Proposed model. Int3 activates PI3K through PDGFR and cKit, leading to phosphorylation of ILK
and AKT. This results in phosphorylation (deactivation) of GSK3β, and subsequent activation of canonical
NF-κB pathway through induced processing of P105 to P50.
complex and depends on the exact pathophysiological context. Thus, the difference between what we have found
and what has been reported in the literature may reflect either the cellular context the assays were performed in
or the divergence between the Notch-1 and Notch-4-ICDs.
Others have shown that Notch-ICD Interacts with NF-κB-P50 and the IKK signalosome22. Therefore, our
observation that Int3 binds to IKKα/IKKβ raised the possibility that inhibition of IKK could inhibit the ability
of Int3 to induce tumor growth. Therefore, we treated mice bearing WAP-Int3 tumors with the IκB kinase-β
(IKKβ) inhibitor IMD-035439 that blocks NF-κB nuclear translocation39,57. In each case using 20 mg/kg/day the
tumors totally regressed and the effect of the drug was independent of presence or absence of Rbpj. When the
drug was removed the tumor grew back. These results, along with the inhibition of HC11-Int3 cells anchorage independent growth in soft agar by P50-siRNA, are consistent with the hypothesis that it is the canonical
NF-κB signaling that Int3 activates during mammary tumorigenesis. To test this hypothesis, we have developed
a WAP-Int3/NF-κB-P50−/− mouse strain. It should be noted that the parental NF-κB-P50−/− mouse strain has
no mammary gland developmental phenotype50. Like WAP-Int3 mice, WAP-Int3/NF-κB-P50−/− can’t lactate due to the absence of lobulo-alveolar development that we have previously shown to be a consequence
of Int3/Rbpj signaling13. 80% of WAP-Int3 females develop tumors after the second pregnancy13, however,
WAP-Int3/NF-κB-P50−/− mice did not develop mammary tumors after 4–5 pregnancies (Table 1). These results
are consistent with the conclusion that the consequence of the Int3/NF-κB1-P50 interaction is mouse mammary
tumorigenesis. Interestingly, we were also able to obtain two WAP-Int3/NF-κB-P50−/−/Rbpj−/− females which
could lactate and did not develop mammary tumors i.e. no phenotype (data not shown). Again, consistent with
the conclusion that Int3/Rbpj signaling affects mammary gland development and Int3/NF-κB canonical signaling
results in mammary tumorigenesis.
Previously MacKenzie et al. demonstrated that the Notch-4 induced inhibition of endothelial sprouting
requires the ANK repeats in the ICD-for Rbpj dependent and independent signaling58. Subsequently we showed
that the Tacc3 protein binds specifically to the Notch-4 ANK repeats and inhibits Notch-4/Rbpj signaling59.
Having established that Int3 binds to P50 we have genetically dissected, using deletion analysis, the region(s) of
Int3 that are responsible for binding to P50. We found that Int3-ANK and RAM-ANK, but not RAM or PB-PEST,
activates the expression of NF-κB reporter gene in HC11 cells. We conclude that only the ANK region is required
for activation of NF-κB, since RAM by itself did not induce NF-κB reporter activity.
Dumont E., et al., showed that the ANK region of Notch1-ICD is required for neoplastic transformation in
collaboration with Adenovirus E1A protein and is independent of transcription activation by Rbpj signaling60. In
contrast Wang et al. reported that Notch-1 inhibits NF-κB mediated gene expression through a region N-terminal
to the ANK repeat, namely, aa 1773–188156. The differences between Notch-1 and Notch-4 regions that bind to
NF-κB may reflect the divergence between the amino acid sequences of their ICDs.
Several reports have described the crosstalk between NF-κB and Notch. Most of these studies investigated
interaction between Notch-1 and NF-κB. The reports have been conflicting, numerous studies indicated that
Notch receptors activate NF-κB. This activation involves a group of components along the signal transduction
pathway at multiple levels. For example, Notch activates NF-κB by increasing transcription expression of NF-κB
subunits and NF-κB dependent genes24,28,61. Two different mechanisms have been elucidated in the physical
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interaction of Notch with NF-κB. First, physical interaction between Notch and P50/Rel-A21,24, trapping activated
NF-κB in the nucleus. Second, interaction with the components of the signalosome. Recently, it has been shown
that overexpression of Notch-1-ICD activates NF-κB by interacting with the IKKα/β signalosome and enhancing
IKKα/β kinase activity in Caski cells22. Notch-3 can increase the association between IKKα and NIK, resulting
in P50/P65 heterodimer nuclear entry and subsequent cell proliferation62. Notch signaling activation mediated
by Jagged-1 is reported to induce IKK kinase activity in human keratinocytes63 and murine erythroleukemia64.
In terms of Notch-4-Int3, it activates NF-κB by both mechanisms, interaction with P50 and interaction with the
signalosome.
Several factors drive breast cancers to estrogen independence including down regulation of estrogen receptor (ER) expression, modulation of regulation of signal transduction pathways and ER mutations. It has been
suggested that in ER independent breast tumors NF-κB expression contributes to a highly invasive and metastatic tumor that is chemotherapy resistant64–66. NF-κB was overexpressed in a majority of ER negative primary
breast tumors and breast cancer cell lines compared to ER positive breast tumors and tumor cell lines64,67,68.
Nakshatri et al.64 proposed that breast cancers that lack functional ER overexpress NF-κB-regulated genes. Also
in the ERα positive cells, estrogen inhibited Notch signaling5. Indicating a cross-talk between ER, Notch and
NF-κB signaling. This proposal is supported by our observations in the MMTV-Int3 transgenic mice, where
endogenous ovarian estrogen secretion in the post-pubertal MMTV-Int3 mice blocked Int3 inhibitory effects on
normal mammary development, namely ductal elongation13,19. Because of these considerations NF-κB has been
regarded as a potential target for therapeutic intervention of ER negative breast cancer65,69,70. This inhibition can
be achieved by blocking Notch signaling in the ER negative breast cancers.
Inhibition of NF-κB enhanced the sensitivity of tumor cells to apoptosis induced by chemo drugs and radiation71–73.
However, there is no specific NIK inhibitor for pharmaceutical use yet. Because of its important role in both
canonical and non-canonical NF-κB pathways in the immunity and the severe phenotype of NIK-deficient
mice74, inhibiting NIK may also cause severe side effects. A good alternative would be the agents that targets
Notch signaling, such as tyrosine kinase inhibitors (Gleevec). Previously we showed that expression of activated
Notch-4 -ICD (Int3) led to the up regulation of c-Kit and PDGFR-RNA expression12. Further, we showed that
treating cells with the c-Kit/PDGR inhibitor Gleevec, leads to the activation of GSK3β43 (non-phosphorylated
form of GSK3β). We have demonstrated that activated GSK3β was associated with the phosphorylation of Int3,
its ubiquitination and subsequent degradation in the proteasomes43. Interestingly Foltz at al., have reported that
Notch-1-ICD is also a target for GSK3β phosphorylation75, however in this case the phosphorylated Notch-1-ICD
is stabilized from proteasome-mediated degradation. This is consistent with the differential modulation of some
components of Notch signaling by GSK3β. Demarchi et al., have reported that GSK3β also regulates the stability
of the NF-κB-P50 precursor P10576. In the absence of GSK3β activity or the GSK3β protein, P105 is constitutively
processed to P50. Phosphorylation of P105 by GSK3β and subsequently by IKK leads to proteasome-mediated
degradation of P10577,78. Using this model (Fig. 6) we propose that Notch-4-Int3 activates c-Kit and PDGFR,
leading to activation of GSK3β and NF-κB signaling. In presence of Gleevec, GSK3β is dephosphorylated and as
a result it will phosphorylate Int3 leading to its ubiquitination and degradation43. As a result, the ability of Int3 to
induce P105 processing and NF-κB activation is diminished. Thus, Gleevec treatment of a Notch-4-ICD or Int3
positive mammary tumors/estrogen negative would be expected to be associated with proteasome-mediated degradation of P105, inhibition of NF-κB canonical pathway and subsequent remission of mammary tumor growth.
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Author Contributions
R.C. study design, data evaluation and manuscript preparation, S.B. and D.M. generated data, A.R. generated and
evaluated the data, also contributed to overall study design and manuscript preparation.
Additional Information
Competing Interests: The authors declare that they have no competing interests.
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