Poster No. 71 Title: The Tumor Microenvironment Meets Epigenetics: Regulation of E-cadherin Expression in Squamous Cell Carcinoma Progression through DNA Methylation Authors: Teresa DesRochers, Yasusei Kudo, Takashi Takata, Jonathan Garlick Presented by: Teresa DesRochers Departments: Department of Anatomy and Cellular Biology, Tufts University School of Medicine; Department of Oral and Maxillofacial Pathology, Tufts University School of Dental Medicine; Department of Oral Maxillofacial Pathobiology, Hiroshima University Abstract: Epigenetic silencing of E-cadherin through DNA hypermethylation of the promoter has been well documented in many cancer types. The observed pattern of gene silencing is heterogeneous throughout the tumor and changes during cancer progression indicating a possible role for the tumor microenvironment in the regulation of epigenetic-mediated silencing. As it is well established that the tumor microenvironment has a significant impact on the phenotypic properties of a broad spectrum of cancers, we propose that the microenvironment modifies epigenetic control of gene expression, thereby regulating transient changes in the expression of key proteins during tumor progression. We have studied whether the tumor microenvironment plays a role in the epigenetic control of E-cadherin expression during the progression of oral squamous cell carcinoma (OSCC). We have used bio-engineered, 3D human tissue models that mimic various stages of OSCC progression to elucidate if methylation-mediated gene silencing of E-cadherin is regulated by the tissue microenvironment. Tumor cells were derived from a lymph node metastasis that originated as an OSCC and a clonal isolate (C1-Inv-1) was characterized in 2D, monolayer culture and in 3D, engineered tissues. E-cadherin expression was analyzed by Western blot, immunofluorescence, and RT-PCR while the methylation status of the E-cadherin promoter was examined by both methylation-specific PCR (MSP) and bisulfite sequencing (BSP). In 2D culture, C1-Inv-1 cells demonstrated complete loss of E-cadherin expression due to promoter hypermethylation. We observed that methylation was limited to only a few distinct CpGs rather than being widespread throughout the CpG island of the E-cadherin promoter, suggesting regulated DNA methylation in these cells. When C1-Inv-1 cells were grown as a 3D tissue at an air-liquid interface in order to induce homotypic cell-cell interactions in a tissue that mimicked the premalignant stage of tumor progression, E-cadherin expression and localization were restored in cells in the suprabasal layers of the tissue. In addition, tumor cells manifested their 77 Poster No. 71 in vivo behavior and spread as single cells into the underlying stroma. These invasive cells maintained loss of E-cadherin expression, suggesting that continued suppression of E-cadherin and the acquisition of invasive properties were dependent upon contact with the stromal microenvironment that sustained promoter hypermethylation. Currently, we are examining the methylation state of the E-cadherin promoter in those cells that maintained E-cadherin loss as they invaded into the underlying stroma in comparison to those cells that re-expressed E-cadherin as they stratified above the epithelial-stromal interface. Initial work has revealed an increase in methylation in those cells grown in 3D tissues compared to 2D monolayer culture, and a significant change in the methylation of specific CpGs in the E-cadherin promoter between those cells that maintained loss of E-cadherin and invaded into the stroma and those that re-expressed E-cadherin and stratified above the epithelial-stromal interface. We propose a model in which transient and heterogeneous patterns of E-cadherin expression during cancer progression are due to epigenetic control that is dynamically sensitive to regulation by the microenvironment and results in the unstable and reversible tumor cell phenotypes seen in invasive and metastatic human cancers. 78