Adrenomedullin (AM)1 is a recently identified hypotensive peptide initially isolated from human pheochromocytoma (1). AM and its gene-related peptide, proadrenomedullin N-terminal 20 peptide (PAMP), are the two known bioactive products generated from post-translational enzymatic processing of the 185-amino acid prepro-AM molecule (1-3). Both AM and PAMP are amidated peptides. However, they have been shown to mediate their vasodilatory effects through distinctly different receptor systems (4). AM stimulates adenyl cyclase activity which elevates cAMP levels in smooth muscle cells. It is structurally related to calcitonin gene-related peptide (CGRP), and its vasodilatory effect is inhibited by the CGRP antagonist, CGRP 8 -37 (5-10). Conversely, PAMP has no amino acid sequence homology to AM or CGRP and its biological effects are not blocked by CGRP 8 -37 suggesting the involvement of a separate receptor system (4). Human AM cDNA has been cloned and mRNA expression identified in the adrenal glands, lung, kidney, and heart (2). A high degree of base sequence homology has been found between AM mRNAs isolated from other mammalian species, including rat and pig (11,12). AM has been also implicated as an important regulator of renal function having natriuretic and diuretic action (13, 14), a potent bronchodilator (15), a regulator of certain central brain actions (16,17), and a suppressor of aldosterone, adrenocorticotropin and insulin release (18 -20). The receptor for AM (AM-R) was recently cloned and sequenced (21); it contains seven transmembrane domains and belongs to the G protein-linked receptor superfamily. Finally, we and others have shown that AM is expressed in a variety of human tumors of both pulmonary and neural lineage including small cell lung cancer, adenocarcinoma, bronchoalveolar carcinoma, squamous cell carcinoma, and lung carcinoids; and ganglioblastoma and neuroblastoma (22,23). In an attempt to further study the distribution of AM and its receptor in human tumors and determine their role in these malignant disorders, we have used molecular, biochemical, and in vitro techniques to analyze a variety of human cancer cell lines of lung, breast, brain, ovary, colon, prostate, and hemopoietic lineages.
MATERIALS AND METHODS
Cell Lines and NormalTissue-Tumor cell lines evaluated in this study were as follows: small cell lung carcinomas (SCLC, H60, H69c, H82, H146, H187, H209, H345, H446, N417, H510, N592, H735, H774, H889, H1092), non-small cell lung carcinomas (NSCLC, H23, H157, H460, H676, H720, H727, H820, H1264, H1385, H1404, H2087, H2228, A549, UMC11), breast (SK-BR-3, ZR75-1, MCF-7, BT-20, MDA-MD231, BT-474, H2380), colon (H630, SNUC-1), nervous system (T98G (glioblastoma), TC106, CHP100, TC17, PNET, Peii, SY5Y, AS, LAN-1, KCNR-C, KCNR-DRA (neuroblastomas of the peripheral nervous system)), ovarian (NIH:OVCAR-3, SKOV3, OVT2, A2780, CP70), prostate (DU-145), adrenal (H295), chondrosarcoma (SW578), and chronic monocytic leukemia (U937). Additional NSCLC cell lines used to evaluate AM-R that are not ...