A significant proportion of human prostate cancers carry a chromosomal rearrangement resulting in the overexpression of the ETS transcription factor, ERG; however, the functional significance of this event is poorly understood. We report here that up-regulation of ERG transcript is sufficient for the initiation of prostate neoplasia. In agreement with measurements of ERG transcripts, we found that ERG protein is expressed in neoplastic human prostate epithelium. Overexpression of ERG in prostate cell lines increased cell invasion. Moreover, targeted expression of this transcript in vivo in luminal prostate epithelial cells of transgenic mice results in initiation of prostate neoplasia observed as the development of focal precancerous prostatic intraepithelial neoplasia (PIN). Similar to human cancers, luminal epithelial cells in these PIN lesions displace diminishing in numbers basal epithelial cells and establish direct contact with the stromal cell compartment. Loss of basal cells is considered to be one of the critical hallmarks of human prostate cancer; however, the mechanisms responsible for this event were unknown. We propose that up-regulation of ERG in human prostate cancer activates cell invasion programs that subsequently displace basal cells by neoplastic epithelium. Our data demonstrate that ERG plays an important causal role in the transformation of prostate epithelium and should be considered as a target for prevention or early therapeutic intervention.mouse models ͉ prostate cancer ͉ prostatic intrepithelial neoplasia (PIN) ͉ ETS family A n outlier identification approach for the analysis of transcript profiles recently identified recurrent chromosomal rearrangements in human prostate cancer (1). Fusion events joining the androgen-responsive TMPRSS2 gene and members of the erythroblastosis virus E26 oncogene (ETS) family result in the overexpression of a N-terminally truncated or full-length forms of the ERG transcription factor (⌬N-ERG and ERG). Subsequent studies have confirmed that TMPRSS2-ERG fusion is a common genetic event that occurs early in prostate carcinogenesis at the transition between benign and prostatic intraepithelial neoplasia (PIN) epithelium (2). This rearrangement has been correlated with tumor metastasis and negative patient outcome (3, 4). To determine the role of ERG overexpression in prostate carcinogenesis, we modeled this alteration in prostate epithelial cells in culture and in mouse prostate epithelium in vivo. We report that up-regulation of ERG activates prostate cell invasion and results in the displacement of prostate basal epithelium by the luminal cells and the development of PIN.
Results
ERG Expression Produces an Invasive Phenotype Mediated by SerineProtease Activity. Transcript profiling studies have demonstrated overexpression of the ERG transcription factor in the majority of human primary prostate cancers (5). To determine the presence, cell type specificity of expression, and intracellular localization of ERG protein we performed immunofluorescent staining...