CD9 has been reported to play a role in tumor metastasis suppression. However, it is not fully understood how CD9 affects the hematogenous spread of tumor cells. To clarify a new mechanism (or mechanisms), we generated HT1080 cells that had been transfected with a CD9-expressing plasmid. Ectopic expression of CD9 in HT1080 cells actually reduced their metastatic ability. CD9 expression reduced lung retention and platelet aggregation activity of the transfectants.Because HT1080 cells express the metastasis-promoting, platelet aggregation-inducing factor Aggrus/podoplanin on their surface, we examined the relationship between CD9 and Aggrus. We discovered that CD9 formed a complex with Aggrus via transmembrane domains 1 and 2 (TM1 and TM2) of CD9. Investigation of the interaction revealed that each CD9 and Aggrus interacted homophilically, and that they colocalized in lowdensity membrane fractions. Deleting TM1 and TM2 attenuated the ability of CD9 to interact homophilically or to localize in low-density membrane fractions. The expression of CD9-wild-type (WT), but not CD9 lacking TM1 and TM2, attenuated the platelet aggregation and metastasis induced by forced expression of Aggrus in CHO cells. Therefore, CD9 may act as a metastasis suppressor, at least in part, by neutralizing Aggrus-mediated platelet aggregation. (Blood. 2008;112:1730-1739)
IntroductionFour-pass transmembrane proteins of the tetraspanin family regulate cell migration, fusion, and signaling events by functioning as organizers of a multimolecular membrane complex called the tetraspanin web or tetraspanin-enriched microdomains. 1,2 The CD9 protein is a member of the tetraspanin family and has been identified as a suppressor of cancer spread. 3 Numerous previous studies have shown reduced CD9 expression in various cancers, which correlated with the presence of distant metastasis and a poorer prognosis. [4][5][6][7][8][9][10][11] The clinical importance of CD9 in the diagnosis, staging, and prognosis of tumors has been growing. 12 Recently, it was reported that adenoviral transduction of CD9 inhibited lymph node metastasis in an orthotopic lung cancer model. 13 The investigators evaluated metastatic growth in the mediastinal lymph nodes using gene delivery of CD9. These findings strongly suggest that CD9 plays indispensable roles in malignant tumor progression and shows the feasibility of gene therapy to prevent metastasis. However, we cannot say that the therapeutic application of CD9 is now available. Functions of tetraspanins, to a great extent, may depend on expression patterns of their counterparts or other molecules on the tetraspanin web. Actually, there are reports that overexpression of CD9 does not affect metastatic properties, 14 or that CD9 expression is downregulated at the primary site but reexpressed at the metastatic site. 15 So, the precise mechanisms of the metastasis suppression should be elucidated more clearly.Aggrus/podoplanin, a type-I transmembrane glycoprotein, has been shown to be up-regulated in a number of different cance...