骨橋蛋白(Osteopontin,簡寫為OPN)是一個分泌型的磷酸化醣蛋白,在乳癌、前列腺癌、大腸癌、頭頸癌、肝癌與肺癌都有過度表現的情形,且在肺癌細胞中,過度表現的OPN與腫瘤的惡化及病人較差的預後有正相關性。OPN有三種剪接變異型,OPN-a、OPN-b及OPN-c,在肺癌病人組織及肺癌細胞株中OPN-a的表現量最高。以OPN-a處理肺癌細胞株時可觀察到CL1-5細胞生長受到抑制,但是卻不影響A549。進一步在這二株細胞中分析已知的OPN受體integrin及CD44表現後,我們發現OPN-a對細胞生長的影響是來自於integrin β3 (ITGβ3)表現量的差異,在原本不受影響的A549、H460及H1299細胞中過度表現ITGβ3之後,OPN-a即可抑制這三株細胞的生長;而抑制CL1-5的ITGβ3後,OPN-a不但失去抑制細胞生長的能力,還可以透過活化CD44/NF-kB這條訊息傳遞路徑促進細胞生長。也就是說,OPN-a對於肺癌細胞的生長是促進還是抑制取決於和何種受體結合。但是對於可表現ITGβ3的癌症細胞而言,OPN-a的存在對生長不利,這跟OPN普遍被認為是一個致癌蛋白的印象是矛盾的。因此我們假設,腫瘤表現出的OPN-a可能會刺激微環境中的其他細胞,例如纖維母細胞、免疫細胞等放出有利腫瘤細胞發展的細胞激素來促進腫瘤的生成。我們的結果也證實了這點,不論以含有OPN-a的條件培養液或是純化之OPN-a刺激纖維母細胞或是脾臟細胞後,所取得之條件培養液皆能促進CL1-5及LLC1細胞的生長。綜合以上結果,雖然OPN-a對於癌細胞本身的生長所扮演的角色是由細胞所表現的受體控制,但是來自於微環境的訊號則可以彌補或反過來促進腫瘤細胞生長,使腫瘤趨向惡化。
Osteopontin (OPN), a phosphorylated glycoprotein, is frequently overexpressed in cancer. Among the three OPN isoforms, OPN-a is the most highly expressed in lung cancer cell lines and lung tumors. Overexpression of OPN-a greatly reduced CL1-5 lung adenocarcinoma cell growth but had no effect on growth in A549 lung adenocarcinoma cells. Examination of the expression of integrins and CD44, which are possible OPN-a receptors, revealed that differences in integrin β3 levels might explain this discrepancy between CL1-5 and A549 cells. When integrin β3 was ectopically expressed in A549 cells, OPN-a inhibited their growth, whereas OPN-a increased cell growth following integrin β3 knockdown in CL1-5 cells. This OPN-a-induced increase in growth appeared to result from activation of the CD44/NFkB pathway. However, OPN-a inhibits the growth of cells with high integrin β3 levels is contradictory to the impression of OPN as an oncoprotein. Therefore, we hypothesised that cancer-secreted-OPN-a may stimulate cells in the microenvironment, such as fibroblast, immune cells, etc., to release cytokines in favour of cell growth. Our results revealed that OPN-a stimulated fibroblasts or splenocytes releasing cytokines into condition medium to promote CL1-5 and LLC1 growth. Thus, OPN-a not only interacts integrin β3 and CD44 to affect lung cancer cell growth but also through modulating microenvironment to create a better condition for tumorigenesis.