Molecular Cancer Research Oncogenes and Tumor Suppressors Tumor Suppressor NF2 Blocks Cellular Migration by Inhibiting Ectodomain Cleavage of CD44 € hme1, Yong Li1, Monika Hartmann1, Liseth M. Parra1,2, Anne Ruschel1, Sandra Bo 1 2 1 Helen Morrison , Andreas Herrlich , and Peter Herrlich Abstract Ectodomain cleavage (shedding) of transmembrane proteins by metalloproteases (MMP) generates numerous essential signaling molecules, but its regulation is not totally understood. CD44, a cleaved transmembrane glycoprotein, exerts both antiproliferative or tumor-promoting functions, but whether proteolysis is required for this is not certain. CD44-mediated contact inhibition and cellular proliferation are regulated by counteracting CD44 C-terminal interacting proteins, the tumor suppressor protein merlin (NF2) and ERM proteins (ezrin, radixin, moesin). We show here that activation or overexpression of constitutively active merlin or downregulation of ERMs inhibited 12-O-tetradecanoylphorbol-13-acetate (TPA)-induced [as well as serum, hepatocyte growth factor (HGF), or plateletderived growth factor (PDGF)] CD44 cleavage by the metalloprotease ADAM10, whereas overexpressed ERM proteins promoted cleavage. Merlin- and ERM-modulated Ras or Rac activity was not required for this function. However, latrunculin (an actin-disrupting toxin) or an ezrin mutant which is unable to link CD44 to actin, inhibited CD44 cleavage, identifying a cytoskeletal C-terminal link as essential for induced CD44 cleavage. Cellular migration, an important tumor property, depended on CD44 and its cleavage and was inhibited by merlin. These data reveal a novel function of merlin and suggest that CD44 cleavage products play a tumor-promoting role. Neuregulin, an EGF ligand released by ADAM17 from its proform NRG1, is predominantly involved in regulating cellular differentiation. In contrast to CD44, release of neuregulin from its pro-form was not regulated by merlin or ERM proteins. Disruption of the actin cytoskeleton however, also inhibited NRG1 cleavage. This current study presents one of the first examples of substrate-selective cleavage regulation. Introduction cell-cycle arrest and tumor suppression (1–3). To achieve cell-cycle arrest, the tumor suppressor protein merlin (neurofibromatosis type 2; NF2) is recruited to the cytoplasmic tail of CD44, a location from which it inhibits Ras- and Rac-dependent signaling (1, 4). On the other hand, CD44 can counteract the tumor suppressor p53. In order for p53 to act as a tumor suppressor, CD44 expression needs to be downregulated (5). In addition, CD44 acts as coreceptor for receptor tyrosine kinases, the most prominent example being c-Met which depends on the presence of a CD44 splice variant comprising exon v6 (6). This second function of CD44 promotes tumor growth and metastasis formation (7–9). The tumor suppressor protein merlin (NF2), like CD44, is ubiquitously expressed in mammals. Mice carrying one mutated nf2 allele are at risk of developing several types of tumors (10). Merlin is kept inactive in proliferating cells but is activated by dephosphorylation of 2 serines upon cell–cell contact and/or hyaluronan binding (ref. 2 and unpublished data). Dephosphorylation is regulated by a signal transduction pathway emerging from cell–cell and/or hyaluronan–cell contact and involves all ERM proteins in addition to merlin. Interestingly, while merlin is activated by this process, the ERM proteins are inactivated (11–13). Several types of analyses have led to proposals on how merlin could act as a tumor suppressor, for example, by inhibiting mitogenic signaling, activating the Hippo pathway, and/or promoting the establishment of adherens junctions (reviewed by ref. 14). Several years ago, it was discovered that CD44—like numerous other transmembrane proteins—is subject to ectodomain cleavage by metalloprotease activity (15, 16), now identified as ADAM10 (a The ubiquitously expressed surface glycoprotein CD44 is involved in a number of cellular functions not all of which are understood in molecular terms. Its role in cell-cycle control has obtained most attention and it seems mechanistically best understood. Depending on extracellular ligands, intracellular partner proteins, and/or the inclusion of alternatively spliced exon sequences, CD44 can act as a tumor suppressor and mediate contact inhibition or can act alternatively as a tumor promoter and metastasis inducer. Binding of high-molecular-weight hyaluronan causes 1 Leibniz Institute for Age Research, Fritz Lipmann Institute, Jena, Germany. 2Harvard Institutes of Medicine, Renal Division, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts. Note: Supplementary data for this article are available at Molecular Cancer Research Online (http://mcr.aacrjournals.org/). Current address for Y. Li: Anhui University School of Life Sciences, Hefei, China. M. Hartmann and L.M. Parra shared first authorship and A. Herrlich and P. Herrlich shared senior authorship. Corresponding Authors: Peter Herrlich, Fritz Lipmann Institute, Leibniz Institute for Age Research, Beutenbergstr. 11, Jena 07745, Germany. Phone: 493641656257; Fax: 4903641656351; E-mail: herrlich@fli-leibniz.de; and Andreas Herrlich, Harvard Institutes of Health, Renal Division, Brigham and Women's Hospital, Boston, MA, E-mail: aherrlich@partners.org doi: 10.1158/1541-7786.MCR-15-0020-T 2015 American Association for Cancer Research. www.aacrjournals.org Implications: Investigating transmembrane protein cleavage and their regulatory pathways have provided new molecular insight into their important role in cancer formation and possible treatment. Mol Cancer Res; 13(5); 879–90. 2015 AACR. 879 Hartmann et al. Table 1. Primers used for mutagenesis Site-directed mutagenesis Forward primer 50 –30 CD44 KR-Mt CAGTAGGGCAGCGTGTGGGCAGGCGGCGGCGCTGGTGATC CD44DICD GCATTGCTGTCAACTGAAGGAGAAGGTG CD44Dstalk GTGATGGCACCTGGCTTATCATC disintegrin and metalloprotease 10; refs. 17–19). This is followed by g-secretase–dependent release of the cytoplasmic tail, which promotes the expression of proliferation-promoting genes in the nucleus. Given the tumor-suppressive role of hyaluronan-bound CD44, ectodomain cleavage would abolish this function. We therefore investigated how ectodomain cleavage of CD44 might be regulated. We report here that it is the tumor suppressor protein merlin itself that prevents CD44 cleavage, supporting the notion that proteolytic processing of CD44 promotes tumor growth and the hypothesis that naturally occurring Nf2 mutants that are prone to malignancies may fail to inhibit CD44 ectodomain cleavage and thereby its tumor-promoting role. This cleavage regulation is specific to CD44, as we show that NRG1, the pro-form of the EGF ligand neuregulin, an ADAM17 substrate and major regulator of cellular differentiation, is cleaved upon stimulation but is not regulated by merlin or ERM. Materials and Methods Reagents DNA oligonucleotides (Metabion GmbH); 12-O-tetradecanoylphorbol-13-acetate (TPA), DAPT, latrunculin B, and batimastat (BB94; Calbiochem); PD98059 (Cell Signaling Technology); angiotensin II (ARIAD Pharmaceuticals, Inc.), 4-OH tamoxifen, EGF, FGF (Sigma); hepatocyte growth factor (HGF) and plateletderived growth factor (PDGF; R&D Systems); and CK-548 (Tocris). Antibodies Anti-FLAG (M2 and SIG1-25; Sigma) and phosphospecific antibodies against ezrin (Thr567)/radixin (Thr564)/moesin (Thr558) and p44/42 MAPK (Thr202/Tyr204; Cell Signaling Technology); ADAM10 (735–749; Calbiochem or R&D Systems); ezrin (3C12; Thermo Fisher Scientific); ezrin (C-15), moesin (C15), radixin (C-15), c-Myc (9E10), HA (F-7), NF2 (C-19; C-18; B12), ERK 1 (K-23), NRG antibody (C-20), and actin (I-19; Santa Cruz Biotechnology Inc.); CD44 (IM7, Becton Dickinson); and a-tubulin (Abcam). Antibodies directed against human CD44: for an N-terminal epitope H-CAM F4 (Santa Cruz) and for a Cterminal epitope ARP61023-P050 (Aviva Systems Biology). Rabbit polyclonal antibody recognizing the N-terminus of APP was provided by Christoph Kaether (http://www.imb-jena.de/"; Fritz Lipmann Institute - Leibniz Institute for Age Research, Jena, Germany). All secondary antibodies were from Dako. Plasmids The sequence encoding the standard isoform of rat CD44 was subcloned into the NotI/XbaI sites of pFLAG-myc-CMV-21. CD44 mutants were generated by site-directed mutagenesis. The primers are listed in Table 1. Plasmids encoding mouse pro-neuregulin-1 (NRG1) have been described (20). FLAG-tagged NRG1 was subcloned into EcoRI and XhoI restriction sites of pFLAG-myc-CMV-21 (Sigma). Sequences encoding tagged CD44 were subcloned from pFLAG-myc-CMV-21 vector into the EcoRI site of the pCDH-CMVMCS.Bsd viral vector. All constructs were verified by sequencing. For stable downregulation of NF2, we used the viral vector pLV-H1GIPZ (provided by Cui Yan and Helen Morrison, Jena, Germany). 880 Mol Cancer Res; 13(5) May 2015 Reverse primer 50 –30 GATCACCAGCGCCGCCGCCTGCCCACACGCTGCCCTACTG CACCTTCTCCTTCAGTTGACAGCAATGC GATGATAAGCCAGGTGCCATCAC siRNA sequences siRNA SMARTpools, cocktail of 4 siRNAs and control "NonTARGETplus Pool" were from Thermo Scientific Dharmacon. Other siRNA oligonucleotides were from Applied Biosystems/ Ambion. The sequences of the siRNA oligonucleotides are listed in Table 2. For downregulation of ERM proteins, a mixture of oligonucleotides targeting ezrin, radixin, and moesin was used. Definition of growth conditions Low cell density (exponential growth) ¼ density recorded at 36 hours after seeding of 1.25 104 cells per cm2 (NIH3T3) or 3.65 104 cells per cm2 (RPM-MC). High cell density (confluent growth condition) ¼ density recorded at 36 hours after seeding of 3.5 104 cells per cm2 (NIH3T3 cells) or 10 104 cells per cm2 (RPMMC cells). Inhibition of cleavage conditions Metalloprotease activity was blocked with 5 mmol/L batimastat (BB94; Calbiochem) 15 minutes before TPA stimulation. g-Secretase activity was blocked by 5 mmol/L DAPT (Sigma) or by 10 mmol/L compound E (Enzo). Cell migration assays—scratch wound assay We isolated mouse embryonic fibroblasts from mice with cd44flox/flox [cd44fl/fl; GT(Rosa)26-CRE (B6/129)] and immortalized these by downregulation of p19ARF. Cd44 gene deletion was achieved by treatment with tamoxifen. Scratch wound assays were performed in triplicates in 6-well plates at high cell density (1.5 105 cells per well). Twenty-four hours after seeding, cells were serum-starved for another 24 hours. Scratches were introduced with a 200-mL pipette tip and cultures were resupplied with serumcontaining medium. Where indicated, cleavage was inhibited by adding 5 mmol/L batimastat. Scratches were imaged at 10, 24, and 36 hours after scratching. Wound areas were quantified using Photoshop and ImageJ software. Statistical analysis Intensity of immunoblot bands was quantified using ImageJ and Image Lab (BioRad) software. All values on histograms are reported as mean SD. P < 0.05 (Student t test) was considered significant. Table 2. siRNA oligonucleotides GenBank Target accession no. Human ADAM10 NM_001110 Luciferase (control) Human ezrin Human radixin Human moesin NM_003379 NM_002903 NM_002444 Sense strand sequence: 50 -. . .-30 GCUAAUGGCUGGAUUUAUU GGACAAACUUAACAACAAU CCCAAAGUCUCUCACAUUA GCAAGGGAAGGAAUAUGUA CGUACGCGGAAUACUUCGATT AACCCCAAAGAUUGGCUUUCC AAGCAGUUGGAAAGGGCACAA AGAUCGAGGAACAGACUAAGA Molecular Cancer Research Merlin/NF2 Blocks Ectodomain Cleavage of CD44 See Supplementary Data for Cell lines, transfections, TCA-DOC precipitations, coimmunoprecipitation, generation of cell lysates and analysis Results Increased cell density inhibits ectodomain cleavage of CD44 As has been reported previously, CD44 is subject to the metalloprotease ADAM10-dependent ectodomain cleavage and subsequent release of the cytoplasmic CD44 C-terminus by g-secretase (17–19). Aiming at understanding the regulation of CD44 ectodomain cleavage, we introduced expression constructs encoding doubly tagged (N- and C- terminal tags) CD44 proteins into NIH3T3, CD44/ MEFs, RPM-MC, or MDA-MB-231 cells and examined their proteolytic processing. The N-terminus of CD44 carried a FLAG tag, the C-terminus, a c-myc motif. RPM-MC human melanoma cells, as well as CD44/ MEFs, do not express endogenous CD44, which simplified detection of the transfected molecule, permitted to introduce CD44 mutants, and allowed to analyze signaling pathways independently of endogenous CD44. In NIH3T3 and MDA-MD-231 cells, we also investigated the cleavage of endogenous CD44. NRG1 was similarly tagged by N-terminal FLAG and C-terminal myc tag. CD44 and NRG1 cleavage was induced by TPA, a phorbol ester that mimics diacylglycerol and activates most protein kinase C (PKC) isoforms. Cleavage could also be induced by serum factors, by HGF and PDGF, and, if cells carried the appropriate G-protein–coupled receptor, by angiotensin II. In most experiments, g-secretase activity was blocked using the g-secretase inhibitor, DAPT, to quantitate only the products of the first processing event, ADAMdependent ectodomain cleavage. Omission of DAPT did not significantly alter our principal results on regulation, but caused further processing of the C-terminal ADAM-dependent cleavage product (Supplementary Fig. S1). It is important to note that in our analysis of CD44 and NRG1 cleavage, we ensured that we focused exclusively on processing of the substrates after their proper insertion into the plasma membrane. To ascertain this, we carried out experiments very shortly after cell surface biotinylation, showing that biotinylated ectodomains, solCD44E and neuregulin, are indeed released into the supernatant (Supplementary Fig. S2), suggesting cleavage of substrates already present on the cell surface. However, the effect of transport regulation on cleavage has not been examined here. Figure 1A demonstrates the basic cleavage reaction: Transfected full-length CD44 molecule (CD44fl) is detected by antibodies directed against the C-terminal myc tag, and the cleaved-off soluble ectodomain (solCD44E) is recognized by anti-FLAG antibodies. As expected, vector-transfected control RPM-MC cells showed no staining (V). In the absence of the cleavage stimulus (TPA), there was relatively little spontaneous release of solCD44E, but cleavage was strongly enhanced after treatment with TPA (Fig. 1A). Both spontaneous and induced cleavages were blocked by batimastat, an inhibitor of ADAM protease activity. DAPT had no major effect on the result of ADAM-dependent cleavage regulation (Fig. 1B, see also control experiments in Supplementary Fig. S1). Because CD44 regulates contact inhibition of cells, we wondered whether its cleavage regulation was dependent on cell density. While spontaneous cleavage was reduced only slightly, TPA-induced cleavage was markedly diminished by increasing cell density from 5 105 to 9 105 cells per well of a 6-well plate (for www.aacrjournals.org quantitation. see the column diagram of 3 independent experiments; Fig. 1C). From previous reports, it has been known that high cell density causes dephosphorylation of both merlin and its counterplayers, the ezrin–moesin–radixin (ERM) proteins, by the same protein phosphatase-1 isoenzyme (2). Dephosphorylation of ERM proteins deactivates them whereas it activates merlin. In turn, phosphorylation of both ERM proteins and merlin depends on protein kinase activity during the exponential growth of cells (21–23). While little phosphoERM could be detected in the absence of a stimulus (left 3 lanes in Fig. 1C), ERM proteins were strongly phosphorylated upon TPA treatment of cells (compare lanes 1 and 4, Fig. 1C). As expected, phosphorylation of ERM proteins declined with increasing cell density, coinciding with decreased CD44 cleavage (lanes 5 and 6, Fig. 1C). Merlin dephosphorylation follows exactly that of the ERM proteins (data not shown and Supplementary Fig. S3A). The tumor suppressor protein merlin inhibits ectodomain cleavage of CD44 To investigate whether dephosphorylation of ERM proteins and reduced CD44 ectodomain cleavage with increasing cell density was not simply coincidental, we tested the effect of overexpression of merlin or of ERM mutants (see below) on CD44induced cleavage in RPM-MC cells. To this end, we first examined the effect of a constitutively active merlin mutant (NF2-S518A), which does not require dephosphorylation. These experiments were done under low cell density conditions at which endogenous merlin is phosphorylated and inactive, and activated ERM proteins drive proliferation. TPA induced solCD44E release in the absence of transfected merlin (Fig. 2A; compare lanes 1 and 4, WB: FLAG). However, expression of the singly mutated active merlin (NF2-S518A) was sufficient to inhibit solCD44E release in RPMMC cells (Fig. 2A; compare lanes 2 and 5, WB: FLAG; also see column diagram of quantification of 3 independent experiments), whereas the phospho-mimicking mutant S518D had no effect (see also similar data obtained in NIH3T3 cells, Supplementary Fig. S4). Cleavage of the ADAM17 substrate neuregulin (NRG1) in the same cells was not inhibited (Fig. 2B). Quantitations have been compiled as column diagram in Fig. 2A/B'. We can therefore conclude that the tumor suppressor merlin specifically inhibits CD44 cleavage by ADAM10 and that merlin does not interfere with a common signaling pathway addressing ADAM cleavage in general. We had previously shown that contact inhibition requires the binding of dephosphorylated active merlin to the C-terminus of CD44 via a membrane-proximal basic amino acid sequence, known as the KR motif (Supplementary Fig. S3B; initially described as an ezrin-binding site; ref. 1). We therefore followed the idea that cleavage regulation of CD44 might also require merlin binding to the C-terminus. To investigate this, we compared cleavage of wild-type CD44 and the CD44 mutant with a complete deletion of the intracellular domain, ICD (CD44DICD). First, we made sure, by confocal microscopy and immunostaining, that the deletion mutant was properly inserted into the plasma membrane (data not shown). Second, we confirmed that it was still processed by ADAM10 (as is CD44 wt). Release of solCD44E from CD44DICD was blocked by siRNA-dependent downregulation of ADAM10 (Fig. 3A, compare lanes 1 and 2) or by addition of the ADAM inhibitor batimastat (Fig. 3A, lane 1 vs. 3). Mol Cancer Res; 13(5) May 2015 881 Hartmann et al. Figure 1. Cell density–dependent regulation of CD44 ectodomain cleavage. A, TPA induced ADAM-dependent ectodomain cleavage of CD44. The CD44-negative cell line RPM-MC was transfected with a doubly tagged expression construct of standard isoform of wild-type CD44 (CD44s). V, vector control. All samples were treated with g-secretase inhibitor DAPT (5 mmol/L). Batimastat (5 mmol/L) was added as indicated. The cells were kept in logarithmic growth condition. Full-length CD44 (CD44fl) was detected by an antibody recognizing the C-terminal myc tag. The cleaved ectodomain (solCD44E) was detected in culture supernatants after TCA-DOC (see Supplementary Materials and Methods) precipitation by an antibody against the N-terminal FLAG tag. Treatment of the cells with 100 ng/mL phorbol ester (TPA) induced detectable cleavage within 15 minutes and led to accumulation of solCD44E in 3 to 4 hours. Here, TPA treatment was for 3 hours. Actin served as loading control. The cleavage is inhibited by the metalloprotease inhibitor batimastat. B, TPA induced ADAM-dependent ectodomain cleavage of CD44 in the absence of g-secretase inhibition (no DAPT). C, high cell density inhibits ectodomain cleavage of CD44. RPM-MC cells transfected with tagged CD44 as in A were seeded into 6-well plates at different densities, as indicated. Cells were treated with 100 ng/mL TPA for 4 hours. The amount of cell lysates loaded on the gel was normalized to actin levels. CD44 cleavage was detected by the release of CD44DE (membrane-bound cleavage product lacking the ectodomain) and by c-Myc immunoblot in cell lysates. TPA-induced generation of the membrane-bound cleavage product (CD44DE) was diminished with increasing cell density. At the same time, merlin (not shown) and the ERM proteins were dephosphorylated (middle). The 62-kDa band ( ) likely represents endogenous c-Myc; the 40-kDa band ( ) is unspecific. Representative blots are shown. The intensity of immunoblot bands was quantified with ImageJ. Histograms 5 5 5 show mean values of relative level of cleavage SD from 3 independent experiments ( , P ¼ 0.000924 for 5 10 vs. 7 10 and P ¼ 0.000211 for 5 10 5 5 vs. 9 10 ). Levels of phospho-ERM proteins relative to that at the density of 5 10 are indicated within the immunoblot. We then compared the action of merlin mutants on cleavage of full-length CD44 (WtCD44; first six lanes, Fig. 3B) and of CD44 with deletion of the ICD (CD44DICD; lanes 7–12, Fig. 3B; see also the top column diagram and the loading scheme in Supplementary Fig. S7) as well as on cleavage of the noncleaved mutant CD44-KR-Mt (bottom column diagram, Fig. 3B). Indeed, absence of the entire CD44 intracellular domain as well as mutation of the KR motif prevented the inhibitory effect of merlin on cleavage. The topmost first panel in Fig. 3B, shows the level of endogenous (inactive) merlin and of the transfected merlin mutants. The third panel shows detection of the released solCD44E and the fourth panel the full-length molecules (both detected with anti-FLAG antibodies). As already shown in Fig. 2, constitutively active NF2S518A, but not NF2-S518D, inhibited full-length CD44 cleavage (lanes 5 and 6, Fig. 3B). Interestingly, total absence of the cytoplasmic tail of CD44 caused significant spontaneous ectodomain cleavage (lane 7, Fig. 3B), suggesting that the ICD suppressed spontaneous cleavage and was required for TPA-induced 882 Mol Cancer Res; 13(5) May 2015 regulation. However, TPA was still able to increase cleavage to some extent (compare lanes 7 and 10, Fig. 3B; also see Discussion). Both spontaneous and induced solCD44E release from the CD44DICD mutant was resistant to inhibition by constitutively active merlin NF2-S518A (compare lanes 8 and 11, Fig. 3B). Note that NF2-S518D had little to no effect on this release (lanes 9 and 12, Fig. 3B). A quantitation of 3 independent experiments with CD44DICD is shown in the top column diagram. Strong cleavage coincided with the appearance of several solCD44E bands (Fig. 3A and B). We assume that this might be due to the presence of several ADAM10 cleavage sites on CD44. The CD44KR-Mt mutant was barely inducible by TPA and not inhibited by merlin (see bottom column diagram in Fig. 3B), as one would expect because the mutation destroys the merlin-binding site. For comparison, another ADAM substrate, the amyloid precursor protein, APP, is shown in the second panel of Fig. 3B. TPA induced cleavage of both CD44 and of APP (compare lanes 1 and 4, Fig. 3B); however, cleavage of the ADAM17 substrate APP was not affected by merlin Molecular Cancer Research Merlin/NF2 Blocks Ectodomain Cleavage of CD44 Figure 2. The tumor suppressor merlin (NF2) downregulates CD44 ectodomain cleavage. A, RPM-MC cells were cotransfected with tagged CD44 (as in Fig. 1) and merlin mutant expression constructs (or vector control, "V"). The cells were kept at low cell density so that endogenous merlin is not activated. Therefore, the vector control lanes show TPA-induced cleavage (lanes 1 and 4) similarly to Fig. 1A. The action of merlin can however be determined by introducing a mutant that mimics dephosphorylation. The dephosphorylation-mimicking merlin mutant NFS518A (constructs as described in ref. 46) inhibited CD44 cleavage (shown for the released solCD44E and the residual membrane-bound fragment CD44DE; compare lanes 2 and 5). The phospho-merlin mimicking inactive mutant NFS518D did not affect the cleavage induction (lanes 3 and 6). Because of the similar migration of merlin and CD44, these 2 proteins were detected on separate gels, and respectively 2 subsequent loading controls are shown. B, corresponding experiment as in (A) shows the result for another ADAM substrate, the neuregulin precursor NRG1. Merlin-dependent inhibition was specific for CD44, as NRG1 was not affected. The histograms in A/B0 show mean values of relative level of cleavage SD from 3 independent experiments ( , P ¼ 0.000337). (compare lanes 5, 6 and 11, 12, Fig. 3B). Also, cleavage of the ADAM10 substrate c-Met was merlin-resistant (data not shown). Consistent with this neither APP nor c-Met does, to our knowledge, carry a KR motif in its C-terminus. Our results using the CD44 ICD deletion and the KR-Mt mutant suggest that merlin interaction with the ICD of CD44 is necessary for its cleavage regulating function. Importantly, CD44 was coprecipitated with merlin only if its ICD was intact (Fig. 3C). Mutation of the KR motif abolished merlin interaction (Supplementary Fig. S3B), identical to the ICD deletion (Fig. 3C). Similarly, the absence of merlin regulation on neuregulin release (Fig. 2B) and the resistance of APP, c-Met, and NRG1 cleavage to regulation by merlin further strengthens the idea of substrate-specific regulation of ectodomain cleavage and confirms our assertion that merlin exerts a direct specific effect on CD44 and its cleavage, rather than interfering with a cleavage regulatory signaling pathway common to these 3 substrates. The action of ERM proteins and the mechanism of merlindependent inhibition of CD44 ectodomain cleavage CD44 C-terminally bound merlin mediates contact inhibition predominantly by blocking Ras and Rac activity. This is counteracted by ERM proteins, which promote Ras and Rac activation. www.aacrjournals.org A well-studied mechanism has shown that Ras is activated by ERM proteins interacting with both Ras and the guanine nucleotide exchange factor and activator of Ras, son of sevenless (SOS; ref. 24). Because active merlin inhibits CD44 ectodomain cleavage, we were wondering whether its Ras inhibitory action was required for this effect and in turn whether cleavage required ERM protein–dependent Ras activation. Upon downregulation of all 3 ERM proteins using siRNA, TPAinduced cleavage was indeed significantly reduced [detected by the reduced release of solCD44E (N-terminal FLAG tag) and of the membrane-bound cleavage product CD44DE (C-terminal c-myc tag); Fig. 4A]. Neuregulin release, however, was not affected by downregulation of ERMs (Fig. 4B). If the ERM-induced Ras activation was required for CD44 cleavage, a constitutively active Ras pathway should bypass ERM protein requirement and cause constitutive cleavage. We thus turned on the Ras pathway by transfecting an ERM-independent dominant-active SOS (DASOS, tagged with HA to visualize its expression; ref. 25; called SOS-F in ref. 26) and compared its effect on cleavage in control cells (empty vector, V), cells expressing CD44 full length (WtCD44), and cells carrying CD44 with a mutant KR domain (CD44 KR-MT), the motif required for interaction of CD44 with merlin and ERM proteins (see above; ref. 1). In control cells lacking CD44 expression (empty vector control lanes 1–4 Mol Cancer Res; 13(5) May 2015 883 Hartmann et al. Figure 3. The cleavage repression by merlin is substrate-specific and requires the intracellular domain (ICD) of CD44. A, complete deletion mutant of the CD44 ICD was transfected into RPM-MC cells. Immunostaining showed proper insertion into the plasma membrane (not shown). The cells were treated with TPA for 3 hours. Cleavage (lane 1) was absent upon downregulation of ADAM10 (lane 2; see reduced expression of the ADAM10 precursor A10P) or treatment with batimastat (lane 3). C, control siRNA. B, cleavage of CD44DICD is resistant to merlin inhibition. CD44 wild-type or CD44 lacking the ICD, both tagged with N-terminal FLAG, were cotransfected with plasmids encoding merlin mutants (or vector) as in Fig. 2. solCD44E is detected by anti-FLAG. In the same cells, the cleavage of endogenous amyloid precursor protein, APP, was determined by immunoblot using an ectodomain-specific antibody recognizing released solAPPE. CD44 cleavage was quantitated from 3 independent experiments as shown in the column diagram ( , P ¼ 0.000870). The full-length molecules of WtCD44 and CD44DICD show the size difference only in 6% gel. The ICD deletion mutant generated significant amounts of solCD44E in the presence or absence of TPA. This indicates that the ICD represses cleavage and is needed for regulated processing. Mutation of the KR motif of the ICD prevents induced cleavage and was like the ICD deletion, resistant to merlin (NF2, see column diagrams). C, we had shown in the past that activated merlin exerts its function upon binding to a basic amino acid stretch in the membrane proximal part of the cytoplasmic domain of CD44. Indeed, merlin coprecipitates CD44 only in the presence of the cytoplasmic tail (experiment shown was done in NIH3T3 cells). The KR mutant does not interact with merlin (Supplementary Fig. S3B). in Fig. 4C; see also the experimental setup table in Supplementary Fig. S7), DA-SOS caused phosphorylation of a downstream target of Ras, Erk, to the same degree, as did TPA stimulation (Fig. 4C, compare lanes 2 and 3). DA-SOS in the presence of TPA further enhanced phospho-Erk (Fig. 4C, lane 4), which might be explained, although does not prove, by their different mechanisms of action: DA-SOS activates Ras, whereas TPA acts downstream of Ras, adding to the activation of the pathway. DA-SOS did neither enhance spontaneous (Fig. 4C, lane 6) nor TPAinduced (Fig. 4C, lane 8) release of WtCD44 ectodomain (solCD44E). Cleavage of mutant CD44 KR-Mt barely responded to TPA treatment (Fig. 4C, compare lanes 9 and 11) and this block could not be overcome by DA-SOS (lanes 10 and 12). The column 884 Mol Cancer Res; 13(5) May 2015 diagram shows a quantitation of 3 independent experiments. Finally, an inhibitor of MEK, a downstream effector of Ras, blocked Erk phosphorylation but did not affect CD44 cleavage (Fig. 5A). We therefore conclude that CD44 cleavage is independent of an active Ras–Erk signaling pathway. Given that the SOS-Ras activating function of ERM proteins was not required for CD44 ectodomain cleavage, we explored other putative options. To this end, we exploited transfections with ezrin mutants. Overexpression of ezrin mutants should compete out endogenous ERM proteins. This is possible because in our cultured cells, all 3 ERM proteins are redundant with respect to Ras activation and this redundancy can be overcome by overexpression of an active mutant of one of the ERMs. We therefore tested Molecular Cancer Research Merlin/NF2 Blocks Ectodomain Cleavage of CD44 Figure 4. ERM proteins promote CD44 cleavage. A, downregulation of all 3 ERM proteins reduce CD44 cleavage. RPM-MC cells were transfected as in Fig. 1A. Cells were grown at low density. The expression of ERM proteins was downregulated in about 98% of the cells by a mixture of siRNAs targeting all 3 members of the ERM protein family, ezrin, radixin, and moesin (nontargeting siRNA "C" was used as control). Downregulation of ERM proteins inhibited ectodomain cleavage of CD44. B, NRG1 cleavage is resistant to downregulation of ERM proteins. Setup of the experiment as in A, except that double-tagged NRG1 was transfected as cleavage substrate. C, constitutive activation of the Ras pathway does not stimulate CD44 cleavage. Overexpression of an HAtagged dominant active SOS mutant (DA-SOS, 24) that is permanently membrane-associated, activates Ras—as detected by phosphorylated Erk—independently of the presence of ERM proteins and TPA treatment. Histogram shows mean values of relative level of solCD44E SD from 3 independent experiments (Wt: V vs. DA-SOS, P ¼ 0.53955; KR-Mt: V vs. DA-SOS, P ¼ 0.932614). whether overexpressed ezrin mutants could reveal the function of ERM proteins that was required for CD44 cleavage. Figure 5B shows the effect of overexpressed ezrin wt or ezrin mutants. In the absence of TPA stimulation, we detected no CD44 cleavage irrespective of transfected ezrin constructs (as detected by cleavage product CD44DE; lanes 1–5; Fig. 5B). TPA-induced cleavage is shown in lanes 6 to 10. Neither wild-type ezrin (Fig. 5B, compare lanes 6 and 7) nor a phospho-mimicking mutant T567D (Fig. 5B, lane 8) affected CD44 cleavage, suggesting that endogenous ERM proteins are so abundant that additional transfected ezrin constructs made no difference. Somewhat surprisingly, however, the "inactive" ezrin T567A mutant inhibited CD44 cleavage (Fig. 5B, lane 9) suggesting that it competed with the endogenous ERM proteins for a cleavage regulatory component. A possible lead toward this putative component and the cleavage regulatory function of ezrin was generated by the effect of the ezrin mutant R579A which cannot interact with F-actin (27). This mutant inhibited CD44 cleavage (Fig. 5B, lane 10), highlighting the possible need for an actin link to achieve CD44 cleavage. Interestingly, in respect to its inability to bind to actin, ezrin R579A mimics the cleavage inhibitory merlin whose Cterminus also cannot interact with F-actin (28, 29). These observations propose that disrupting F-actin would exert a similar inhibitory effect. We tested this assumption by adding an increasing amount of latrunculin, an inhibitor known to block actin polymerization (30). Short-term treatment (30 minutes) of the cells with 0.75 to 1.0 mg/mL of latrunculin indeed inhibited CD44 cleavage (Fig. 5C). This result made us wonder whether a link to the actin cytoskeleton were specific for the ERM-dependent substrate CD44. This was not the case: NRG1 cleavage depended also on an intact actin cytoskeleton (Fig. 5D). www.aacrjournals.org Physiologic stimuli induce ectodomain cleavage in different normal and cancer cells TPA mimics a signaling process that is activated by numerous physiologic stimuli. Therefore, such stimuli should also result in ectodomain cleavage. This is indeed the case: in HEK293T cells that stably overexpress the angiotensin receptor (HEKNE in Fig. 5D), angiotensin II strongly induced neuregulin release. In the triple-negative breast cancer cell line MDA-MB-231, we were able to induce either endogenous or transfected CD44 cleavage by serum (see below in Fig. 7B and C), HGF, PDGF, LPA and, moderately, by FGF and EGF (Fig. 6A and B). MDA-MB-231 cells were also responsive to TPA. TPA- or HGF-induced cleavage of endogenous CD44 or overexpressed CD44 was inhibited by expression of constitutively active merlin (S518A; Fig. 6B). CD44 cleavage was also induced in MEF cells (see below: Fig. 7A). We conclude that the pathway regulating CD44 cleavage is addressed by many extracellular stimuli. CD44 cleavage is required for cellular migration According to our data, CD44 cleavage is a property of proliferating cells. This property as well as its blockade by the tumor suppressor NF2 (contact inhibition) should also be relevant for the control of cancer cells. We therefore explored whether CD44 cleavage was needed for cancer-relevant cellular phenotypes related to their proliferative capabilities: mobility and migration. To this end, we subjected MEF and MDA-MB-231 cells grown in confluent monolayers to scratch assays and measured their ability to close the scratch wound. After plating and scratching, cells were supplied with FCS that contains factors like LPA that we have shown to induce ectodomain cleavage. Using MEFs from mice with floxed cd44 alleles, we could compare cells expressing Mol Cancer Res; 13(5) May 2015 885 Hartmann et al. Figure 5. Mechanism of ERM protein–dependent CD44 cleavage. A, inhibition of the Ras pathway does not affect CD44 cleavage. NIH3T3 cells were seeded in 6-well plates at low cell density. The cells were transfected as in Fig. 1A. Cells were pretreated with increasing concentrations of MEK1 inhibitor (PD98059) for 30 minutes and afterward stimulated with 100 ng/mL TPA for 4 hours. The effect of PD98059 was confirmed by its inhibition of Erk phosphorylation. Inhibition of the MEK-ERK pathway had no effect on CD44 cleavage. B, effect of overexpressed ezrin mutants on CD44 cleavage. RPM-MC cells were cotransfected with plasmids encoding N-terminal FLAG and C-terminal HA-tagged CD44 and plasmids encoding myc-tagged ezrin mutants (described in ref. 46): T567A (inactive), T567D (active), R579A (not interacting with F-actin) and treated as in Fig. 1A. Overexpressed mutant ezrins compete with endogenous ERM proteins for cleavage-relevant interactions. C, block of actin polymerization inhibits CD44 cleavage. RPM-MC cells were transfected with a plasmid encoding wild-type CD44 and treated with DAPT as in Fig. 1A. To block actin polymerization (F-actin), latrunculin B was added at the concentrations indicated. Thirty minutes after addition of latrunculin B, cells were stimulated with 100 ng/mL TPA for 30 minutes. D, neuregulin release is inhibited by interference with F-actin. HEKNE wt cells (HEK293T-AT1R þpB-Flag-NRG1-EGFP) were pretreated with a vehicle control (DMSO) or with the Arp2/3 inhibitor CK-548 in increasing concentrations (0–15 mmol/L) alone or before angiotensin II (1 nmol/L) stimulation. NRG1 cleavage was detected by immunoblotting using NRG1 antibodies. Angiotensin II was able to induce NRG1 cleavage in the absence (lane 2) but not in the presence of CK-548 (lanes 6–8). CD44 with CD44-null cells (after CRE-dependent excision) and we also could substitute the cells with CD44 mutants. Supplementary Figure S6 shows photographic examples of the original scratch assay. The left picture of each condition tested shows the scratch at time 0 and the original cell number as indicated in the square. The right picture of each condition tested shows the same scratch wound after 24 hours and the percentage of the wound area still open. Quantitation of 3 experiments has been compiled in Fig. 7A. Treatment with the ADAM inhibitor batimastat strongly inhibited wound closure of migration-competent cells. CD44 plus cells (cd44fl/fl) repaired the scratch wound efficiently (remaining wound area 21% after 24 hours, Supplementary Fig. S6, panel 1, and Fig. 7A). Downregulation of merlin (NF2) by stably integrated shRNA enhanced the migration (0% wound 886 Mol Cancer Res; 13(5) May 2015 remaining, Supplementary Fig. S6, panel 2, >2% in the quantitation of Fig. 7A). There was almost no wound closure by CD44null cells (CD44/ after CRE induction, see Supplementary Materials and Methods and Supplementary Fig. S5). In these cells, NF2 was also downregulated (Supplementary Fig. S6, panel 3, and Fig. 7A). Although cd44/:nf2þ/þ was not obtained, the data suggest that NF2 did not address a pathway other than CD44. However, re-introducing CD44 wt partly re-established migration (remaining wound area 30% after 24 hours in the absence of merlin, Supplementary Fig. S6, panel 4, and Fig. 7A). This partial rescue might be explained by the fact that CD44wt cDNA overexpression does not generate certain splice variants of CD44 that would be expressed under physiologic conditions but are missing in CD44/ cells. Most importantly, stable transfection of the Molecular Cancer Research Merlin/NF2 Blocks Ectodomain Cleavage of CD44 MDA-MB-231 A Myc-tagged transfected CD44 wt 1.4 1.2 1 0.8 Wt CD44 0.6 0.4 0.2 0 Control TPA B EGF PDGF FGF Myc-tagged transfected CD44 wt Endogenous CD44 1.2 0.8 0.6 –TPA +TPA 0.4 0.2 1 0.8 Control 0.6 +HGF 0.4 0.2 0 V S518A noncleavable mutant CD44-KR-Mt as well as of a CD44 mutant that lacks the stalk region including the ADAM cleavage site could not rescue the wound-healing deficiency of CD44-null MEFs (Supplementary Fig. S6, panels 5 and 6, and Fig. 7A). These results clearly indicate that CD44 cleavage is required for a cancer relevant phenotype, cellular migration and that this function is negatively controlled by merlin. MDA-MB-231 cells closed the scratch wound faster than MEFs. At 24 hours after scratching, wounds were totally closed (note that wound area normalized to the 0 time point; Fig. 7B). Expression of active merlin (NF2S518A) inhibited wound healing. Inactive merlin (NF2S518D) had less effect (Fig. 7B and C). Interestingly, spontaneous migration was enhanced and the inhibition by merlin rescued by expression of solCD44E (Fig. 7C) suggesting a role of CD44 ectodomain cleavage in migration. Discussion The activity state of both merlin and ERM proteins is controlled by signaling pathways that address specific protein kinases (e.g., PAK) and phosphatases (e.g., PP1). A hyaluronan–CD44–dependent signaling pathway (or cell–cell contact) favors dephosphorylation of ERM proteins and merlin, deactivating ERM proteins and activating merlin, thus establishing tumor suppression capabilities. Growth factor stimulation, in turn, activates ERM proteins and inactivates merlin, favoring growth and tumor development. In this context, our results on CD44 cleavage inhibition by merlin permit the following conclusions: When activated by a cell density–dependent signaling pathway, merlin prevents CD44 ectodomain cleavage, coinciding with and preserving contact inhibition of cells. www.aacrjournals.org Relative levels of CD44DE 1 0 * LPA 1.2 Relative levels of CD44DE Figure 6. Induction of CD44 cleavage by physiologic stimuli in the breast cancer cell MDA-MB-231. A, growth factor–dependent cleavage induction. MDA-MB-231 cells were transfected with the double-tagged CD44 construct as in Fig. 1A. B, merlin inhibits TPA- or HGF-induced CD44 cleavage in MDA-MB-231 cells. Left, detection of cleavage of endogenous CD44 expression using human CD44 specific antibodies. Right, cells had been transfected with tagged CD44. A and B, cells were treated for 1 hour with 50 ng/mL of growth factors or 100 nmol/L TPA. Relative levels of CD44DE 1.6 S518D V S518A S518D Regulation by merlin represents an example of substrateselective cleavage regulation. NRG1 and APP, in our cells studied, are subject to substrate-specific regulation different from CD44. CD44 cleavage appears to serve a tumor-promoting process by enhancing proliferation/migration of cells, including cancer cells. TPA-induced CD44 shedding from the cell surface is regulated by ERM proteins and merlin, in contrast to other ADAM substrates, such as NRG1, c-Met, and APP. Interestingly, in neural cells, purinergic P27 receptor–induced APP cleavage required ERM proteins (31). Rather than direct interaction of the APP ICD with ERM proteins, this event required downstream signaling induced by ERM proteins. However, ERM activation was not always associated with the induction of APP shedding. Nerve growth factor (NGF) and benzoylbenzoyl ATP triggered ERM phosphorylation, but only the latter led to APP shedding (31). Apparently, signaling pathways can diverge after ERM activation. Similar to our results with CD44, TPA-induced L-selectin shedding in lymphocytes was regulated by direct interaction of ERM proteins with a proximal basic amino acid region in the cytoplasmic domain of L-selectin (32). The important conclusion from these reports is that substrates are specifically selected for cleavage. Does this mean we can disregard other forms of regulation? Not at all. Regulation of ADAM activity has been widely studied (33– 36). As example, we have seen ADAM activation by TPA in one of our experiments, where despite constitutive cleavage of the ICDless CD44, TPA was still able to increase cleavage to some extent (compare lanes 7 and 10, Fig. 3B). However, CD44 is, in addition, specifically selected for cleavage on the substrate level. * * Mol Cancer Res; 13(5) May 2015 887 Hartmann et al. MDA-MB-231 C A ** ** **** +Batimastat Control 80 +solCD44E 60 40 20 0 % Wound gap remaining –/ – –/ – MDA-MB-231 NF2D 100 80 Control 60 +solCD44E 40 20 0 V 60% Control 50% NF2S518A 40% NF2S518D 30% 20% 10% 0% 10 24 48 Hours after scratching NF2A NF2D After 36 h % Wound gap remaining % Wound gap remaining NF2A After 24 h –/ – B 100 V –/ – % Wound gap remaining 80 70 60 50 40 30 20 10 0 Control % Wound gap remaining After 12 h MEFs 100 80 Control 60 +solCD44E 40 20 0 V NF2A NF2D Figure 7. Merlin inhibits cellular migration through block of CD44 cleavage. A, quantitation of 3 series of scratch assays using immortalized MEFs from mice with fl/fl floxed cd44 alleles (Cd44 ; GT(Rosa)26-CRE (B6/129) and derivatives of these cells. Examples of the original photographs are shown in Supplementary Fig. S6. fl/fl fl/fl Cd44 cells express the endogenous CD44. Cd44 /shNF2, same cells with stable downregulation of merlin. After CRE-induced disruption of the cd44 / alleles (cd44 ), the cells were infected with viral constructs encoding CD44 wt or the noncleavable mutants: CD44-KR-Mt and CD44stalk-del. Supplementary Figure S5 shows the levels of merlin and CD44 in the analyzed MEFs lines. B and C, scratch assays using MDA-MB-231 cells. The cells were infected by lentiviral merlin constructs where indicated. C, rescue of cleavage-dependent migration by expression of the soluble CD44 ectodomain. To resolve the time course better, the temperature was reduced to 30 C. Importantly, regulation of ectodomain cleavage by a tumor suppressor protein has not been observed previously. It suggests that CD44 cleavage serves a tumor-promoting function. This notion is further strengthened by the documentation that CD44 cleavage participates substantially in the regulation of cellular migration. Migration is inhibited by merlin and can be rescued by soluble CD44 ectodomain (Fig. 7). A role of CD44 in cellular migration has been observed previously (15, 17, 37–42). For instance, CD44 promoted invasion of glial cell tumor cells by its ability to bind hyaluronan (37). CD44 mediated migration of pancreatic cancer cells in conjunction with MT1-MMP (38). It has been suggested that cleavage is involved by the fact that inhibition of metalloproteases reduced migration (15); conversely, coexpression of metalloprotease with CD44 enhanced migration (42). We have described elsewhere that CD44 homodimerization is a precondition for ectodomain cleavage (M. Hartmann and colleagues; submitted for publication). Expectedly, ligation by antiCD44 antibodies induced metalloprotease-dependent CD44 888 Mol Cancer Res; 13(5) May 2015 ectodomain release and migration in the aggressive tumor cell line U251MG (17, 41). Ligation-induced cleavage and migration was counteracted by expression of a dominant-negative Rac mutant (17, 41), suggesting that Rac signaling preceded cleavage. Our results are compatible with these data. Merlin action on cleavage did, however, not need to interfere with Ras/Rac (see below). Expression of soluble CD44 ectodomain, however, prevented cleavage (M. Hartmann and colleagues; submitted for publication) which seems to contradict our finding that expression of soluble CD44 enhanced migration. We have no straightforward explanation for this observation. Further analyses will be needed. The influence on migration may depend on the substratum the cells are placed on, the time course of adhesion/deadhesion and on adhesion molecules other than CD44. The cleavage-promoting role of ERM proteins matches their overexpression in tumors (43–45). However, we ruled out that ERM-induced cleavage regulation requires their activation of the Ras and Rac pathway by demonstrating that an ERM-independent Molecular Cancer Research Merlin/NF2 Blocks Ectodomain Cleavage of CD44 constitutive activation of Ras did not influence CD44 cleavage. Ezrin mutants defective in activating guanine nucleotide exchange factors, for example, R579A or T567A prevented induced cleavage (Fig. 5B and data not shown). On the basis of the dominantnegative effect of the ezrin actin-link mutant R579A and our results using actin-disrupting latrunculin, we hypothesize that a CD44 F-actin link plays a role in the induction of its proteolysis. We have shown previously that short-term treatment with latrunculin causes only highly specific pathway disruptions (46). What the F-actin link might contribute is currently speculative. Does it support the assembly of CD44 and its protease ADAM10 in the plane of the plasma membrane? Interestingly, neuregulin release was also sensitive to an actin poison. We do however not know whether and how NRG1 is linked to F-actin. Another intriguing observation has been reported: the induction of CD44 cleavage by treating cells with hyaluronate oligosaccharides (16). Low-molecular-weight hyaluronan does not cause activation of merlin whereas high-molecular-weight hyaluronan does (1, 3). We assume that the oligosaccharides activate cleavage-inducing signaling pathways in a CD44-independent manner (47). The oligosaccharides induce metalloprotease expression in the absence of CD44 (47). Also, the hyaluronate receptor TLR-4 (48) may cause the phenotype observed. How does merlin interfere with CD44 cleavage? If ERMinduced Ras activity is not needed for cleavage regulation, one could assume that merlin also does not act through its Rasinhibiting function. Our merlin mutant data indeed prove this to be correct. Ras inhibition by merlin requires that the protein is dephosphorylated at position S518 (ref. 2 and unpublished data). Dephosphorylation of S518 does not suffice for tumor suppression (but is followed by a second dephosphorylation at S272 upon cell–cell contact; unpublished data). However, the merlinmutant NF2-S518A used in our studies, mimicking the single dephosphorylation, sufficed to inhibit CD44 cleavage. Because S272 dephosphorylation does not occur in growing cells (unpublished data), our data indicate that full tumor suppressor activity of merlin, and thus Ras pathway blockade was not required for inhibition of CD44 cleavage. How then does merlin act? Merlin does not carry a C-terminal F-actin–binding domain. Thus, by replacing ERM proteins on the CD44 C-terminus, it likely disrupts the link to the actin cytoskeleton. We consider this a plausible mechanism. In the end, it is likely that ERM phosphorylation is needed to promote cleavage. Structural studies of moesin showed that phosphorylation releases an inhibitory interaction of its C- and N-terminus (39). In this context, it is puzzling that inactive ezrin T567A exerts a dominant-negative effect on cleavage. Interestingly, a corresponding inactive moesin mutant, T558A, inhibits the formation of microvilli-like structures (40), suggesting that ezrin T567A could still compete with a cleavage-relevant interaction partner. We leave a few questions open that we cannot answer at this point. Only a fraction of CD44 is subjected to induced (or spontaneous) cleavage (see also Fig. 1 in ref. 46). One does not need to demand complete cleavage because the reaction is to generate highly active components, particularly evident in the release of growth factors. Mechanistically, partial cleavage indicates, however, that in addition to the ICD modification, another condition must be met to induce proteolysis. Possibly, this condition is fulfilled if the CD44 ICD is deleted. Then no regulation is required and cleavage becomes constitutive (Fig. 3B). Another open and highly interesting question concerns the role of CD44 cleavage in vivo, particularly in cancer. One might expect that tumors shed CD44 ectodomain at an increased rate and via this mechanism not only generate CD44 ICD, which drives the expression of proliferation-inducing genes in the nucleus, but also that cleavage products of the CD44 ectodomain might exert additional defined roles in cancer. Disclosure of Potential Conflicts of Interest No potential conflicts of interest were disclosed. Authors' Contributions Conception and design: M. Hartmann, A. Herrlich, P. Herrlich Development of methodology: M. Hartmann, Y. Li, H. Morrison Acquisition of data (provided animals, acquired and managed patients, provided facilities, etc.): M. Hartmann, L.M. Parra, A. Ruschel, S. B€ ohme Analysis and interpretation of data (e.g., statistical analysis, biostatistics, computational analysis): M. Hartmann, L.M. Parra, A. Ruschel, Y. Li, P. Herrlich Writing, review, and/or revision of the manuscript: M. Hartmann, L.M. Parra, A. Herrlich, P. Herrlich Administrative, technical, or material support (i.e., reporting or organizing data, constructing databases): L.M. Parra, S. B€ ohme Study supervision: P. Herrlich, H. Morrison, A. Herrlich Other (figure design): P. Herrlich, L.M. Parra Acknowledgments The authors thank the administrative staff of the institute for help, their technicians, laboratory manager Birgit Pavelka, Christoph Kaether for advise on APP and for providing reagents. Grant Support This study was supported by the Leibniz Institute for Age Research and the Jungstiftung (fellowship to M. Hartmann). A. Herrlich was supported by NIDDK R00DK077731, M. Hartmann by a fellowship of the Jung Foundation, and P. Herrlich by DFGHE551. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. 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