Comparison of the Effects of Hormones on DNA Synthesis in ...land, were used for all these...

14
(CANCER RESEARCH 37, 2492-2504, August 1977] SUMMARY Mammary glands from virgin and perphenazine [1 ,2-hy droxyethyl- 4,3 -(2 - c hlo ro -10 - phenothiazinyl)piperazine] treated rats, hormone-dependent mammary tumors in duced by dimethylbenzanthracene, and hormone-inde pendent transplantable mammary tumors were digested with enzymes. Cells from the resulting epithelial microex plants and strorna were grown on plastic dishes in Medium 199 with fetal calf serum either with or without mammo trophic hormones. To determine the effects of marnrno trophic hormones on the growth of the cultured cells, triti ated thyrnidine was added during the growth phase and its uptake into DNA was measured. [3H]DNA synthesis of the stromal cells was not altered by the addition of mammotrophic hormones. [3H]DNA synthe sis of the epithelial cultures from the transplantable tumors was insensitive to mammotrophic hormones, whereas that from nonneoplastic mammary glands and from induced tumors was stimulated by the addition of prolactin, gluco corticoids, insulin, and progesterone. Epitheliai cultures from virgin and perphenazine-treated rats required both corticosterone and insulin for prolactin to initiate signifi cant increases in [3H]DNA synthesis, whereas prolactin alone stimulated [3HJDNA synthesis in epithelial cultures from dimethylbenzanthracene-induced tumors. The effects of hormones on DNA synthesis in cell cultures from the different mammary tissues were similar to the influence of these hormones on the growth of mammary tissues in vivo. carbohydrate synthesis. Most of these studies have been carried out on highly differentiated mammary gland such as those obtained from midpregnant or lactating animals. Al though some reparative DNA synthesis does occur in such organ cultures (22), this technique is not entirely suitable for studies on cell proliferation in neoplastic tissues, since only a small fraction of the cells replicate during the time of culture and the cell population within the explants consists of both epithelial and nonepithelial cells. A more suitable technique would be cell culture in which numbers of cells from a defined cellular population can be studied under controlled and isolated conditions (18). There may be diffi culties, however, in correlating results obtained with cell culture with those from intact organs due to possible changes caused by disrupting normal cell-cell relation ships, removal of cell surface receptors, and nonphysiologi cal growing conditions. Mammary tissue is an ideal tissue in which to evaluate the possible use of cell culture techniques to study the hormonal control of epithelium, as this tissue has been extensively studied both in the whole animal and in organ culture. This paper describes studies of the effects of hormones on primary cultures of rat normal mammary gland, rat mammary gland made hyperplastic after 2 injec tions of perphenazine,' mammary adenocarcinomas in duced by DMBA, and transplantable mammary adenocarci nomas. A preliminary report of part of this study has been published (17). MATERIALS AND METHODS INTRODUCTION Materials Medium TC 199 was purchased from Wellcome Reagents Limited, Beckenham, Kent, England; 2 batches of FCS, supplied by Difco Laboratories, West Molesey, Surrey, Eng land, were used for all these experiments and were not absorbed with dextran-coated charcoal to avoid the non I The abbreviations and trivial names used are: perphenazine, 1 ,2-hydroxy ethyl-4,3-(2-chloro-10-phenothiazinyl)piperazine; DMBA,dimethylbenzan thracene;FCS,fetalcalfserum;BSA,bovineserumalbumin;corticosteror@e, 11-/3,21-dihydroxy-4-pregnen-3,20-dione; cortisol, 11,17a,21-trihydroxy-4- pregnen-3,20-dione; 17a-estradiol, 1,3,5(10)-estratrien-3,17a-diol; 17$- estradiol 1 3,5(10)-estratrien-3; testosterone, 17f3-hydroxy-4-androsten-3- one; progesterone, 4-pregnen-3,20-dione; DEM , Dulbecco's modified Ea gle's medium; FGF, fibroblast growth factor; OGF, ovarian growth factor; EGF,epidermalgrowthfactor; i.g., intragastric. It is often difficult to both define and interpret the effects of a single hormone on its target cell in the breast either because of interrelated changes induced in the experirnen tal animals by the techniques being used or because of the heterogeneous cellular composition of the target organ. Organ culture (26), in which small pieces of intact mammary gland are maintained for up to 7 days in chemically defined medium , has been used by several investigators (13, 27) to demonstrate either the effects of single hormones or the interrelationships between a number of hormones and con trol of mammary DNA, RNA, and milk-specific protein and Received September 17, 1976; accepted May 6, 1977. 2492 CANCER RESEARCH VOL.37 Comparison of the Effects of Hormones on DNA Synthesis in Cell Cultures of Nonneoplastic and Neoplastic Mammary Epithelium from Rats Richard C. Hallowes, Philip S. Rudland, Richard A. Hawkins, Doreen J. Lewis, Dorothy Bennett, and Helga Durbin Imperial Cancer Research Fund, P.O. Box 123, Lincoln's Inn Fields, London, WC2A3PX, England(R. C. H., P. S. R., D. J. L., D. B., H. DI, and Department of Clinical Surgery, University Medical School, Edinburgh, EH8 9AG, Scotland (R. A. H.j Research. on November 1, 2020. © 1977 American Association for Cancer cancerres.aacrjournals.org Downloaded from

Transcript of Comparison of the Effects of Hormones on DNA Synthesis in ...land, were used for all these...

Page 1: Comparison of the Effects of Hormones on DNA Synthesis in ...land, were used for all these experiments and were not absorbed with dextran-coated charcoal to avoid the non I The abbreviations

(CANCER RESEARCH 37, 2492-2504, August 1977]

SUMMARY

Mammary glands from virgin and perphenazine [1,2-hydroxyethyl- 4,3 -(2 - c hlo ro -10 - phenothiazinyl)piperazine]treated rats, hormone-dependent mammary tumors induced by dimethylbenzanthracene, and hormone-independent transplantable mammary tumors were digestedwith enzymes. Cells from the resulting epithelial microexplants and strorna were grown on plastic dishes in Medium199 with fetal calf serum either with or without mammotrophic hormones. To determine the effects of marnrnotrophic hormones on the growth of the cultured cells, tritiated thyrnidine was added during the growth phase and itsuptake into DNA was measured.

[3H]DNA synthesis of the stromal cells was not altered bythe addition of mammotrophic hormones. [3H]DNA synthesis of the epithelial cultures from the transplantable tumorswas insensitive to mammotrophic hormones, whereas thatfrom nonneoplastic mammary glands and from inducedtumors was stimulated by the addition of prolactin, glucocorticoids, insulin, and progesterone. Epitheliai culturesfrom virgin and perphenazine-treated rats required both

corticosterone and insulin for prolactin to initiate significant increases in [3H]DNA synthesis, whereas prolactinalone stimulated [3HJDNA synthesis in epithelial culturesfrom dimethylbenzanthracene-induced tumors. The effectsof hormones on DNA synthesis in cell cultures from thedifferent mammary tissues were similar to the influence ofthese hormones on the growth of mammary tissues in vivo.

carbohydrate synthesis. Most of these studies have beencarried out on highly differentiated mammary gland such asthose obtained from midpregnant or lactating animals. Although some reparative DNA synthesis does occur in suchorgan cultures (22), this technique is not entirely suitablefor studies on cell proliferation in neoplastic tissues, sinceonly a small fraction of the cells replicate during the time ofculture and the cell population within the explants consistsof both epithelial and nonepithelial cells. A more suitabletechnique would be cell culture in which numbers of cellsfrom a defined cellular population can be studied undercontrolled and isolated conditions (18). There may be difficulties, however, in correlating results obtained with cellculture with those from intact organs due to possiblechanges caused by disrupting normal cell-cell relationships, removal of cell surface receptors, and nonphysiological growing conditions. Mammary tissue is an ideal tissue inwhich to evaluate the possible use of cell culture techniquesto study the hormonal control of epithelium, as this tissuehas been extensively studied both in the whole animal andin organ culture. This paper describes studies of the effectsof hormones on primary cultures of rat normal mammarygland, rat mammary gland made hyperplastic after 2 injections of perphenazine,' mammary adenocarcinomas induced by DMBA, and transplantable mammary adenocarcinomas. A preliminary report of part of this study has beenpublished (17).

MATERIALS AND METHODS

INTRODUCTION Materials

Medium TC 199 was purchased from Wellcome ReagentsLimited, Beckenham, Kent, England; 2 batches of FCS,supplied by Difco Laboratories, West Molesey, Surrey, England, were used for all these experiments and were notabsorbed with dextran-coated charcoal to avoid the non

I The abbreviations and trivial names used are: perphenazine, 1 ,2-hydroxy

ethyl-4,3-(2-chloro-10-phenothiazinyl)piperazine;DMBA,dimethylbenzanthracene;FCS,fetalcalf serum;BSA,bovineserumalbumin;corticosteror@e,11-/3,21-dihydroxy-4-pregnen-3,20-dione;cortisol, 11,17a,21-trihydroxy-4-pregnen-3,20-dione; 17a-estradiol, 1,3,5(10)-estratrien-3,17a-diol; 17$-estradiol 1 3,5(10)-estratrien-3; testosterone, 17f3-hydroxy-4-androsten-3-one; progesterone, 4-pregnen-3,20-dione; DEM, Dulbecco's modified Eagle's medium; FGF, fibroblast growth factor; OGF, ovarian growth factor;EGF,epidermalgrowth factor; i.g., intragastric.

It is often difficult to both define and interpret the effectsof a single hormone on its target cell in the breast eitherbecause of interrelated changes induced in the experirnental animals by the techniques being used or because of theheterogeneous cellular composition of the target organ.Organ culture (26), in which small pieces of intact mammarygland are maintained for up to 7 days in chemically definedmedium , has been used by several investigators (13, 27) todemonstrate either the effects of single hormones or theinterrelationships between a number of hormones and control of mammary DNA, RNA, and milk-specific protein and

Received September 17, 1976; accepted May 6, 1977.

2492 CANCER RESEARCH VOL. 37

Comparison of the Effects of Hormones on DNA Synthesis inCell Cultures of Nonneoplastic and NeoplasticMammary Epithelium from Rats

Richard C. Hallowes, Philip S. Rudland, Richard A. Hawkins, Doreen J. Lewis, Dorothy Bennett, and HelgaDurbin

Imperial Cancer Research Fund, P.O. Box 123, Lincoln's Inn Fields, London, WC2A3PX, England(R. C. H., P. S. R., D. J. L., D. B., H. DI, and Department ofClinical Surgery, University Medical School, Edinburgh, EH8 9AG, Scotland (R. A. H.j

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Mammary Epithe!ium in Ce!! Culture

development was more extensive than at 50 to 60 days (29).The rats were killed by an overdose of carbon dioxide andwere placed in 70% ethanol solution for 5 mm. The excessalcohol was removed by blotting, and the abdominal skinwas peeled back, leaving the mammary gland attached tothe abdominal wall. The lower 2 pairs of abdominal marnmary glands (5th and 6th) on each side were dissected free,placed in sterile plastic dishes, and gently minced withopposing scalpels. The mince was transferred to sterilepolythene discs and chopped into approximately [email protected] with the use of a mechanical Sorvall TC.2 tissuesectioner. The choppings were resuspended in Medium 199containing FCS plus collagenase (300 units/mI) and hyaluronidase (460 units/mI) at 37°.The suspension was inverted28 times/mm on a Matburn blood cell suspension mixer(Matburn Surgical Equipment Ltd. , Portsmouth, England)at 37°for 45 to 60 mm and then centrifuged at 100 x g for 3mm. The clear upper lipid layer and the cloudy digestionmixture were discarded, leaving an opalescent lipid layerand pelleted cellular material. These were resuspended infresh collagenase-hyaluronidase mixture that contained insulin (5 @tg/ml)and corticosterone (5 @g/ml),the mixturewas equilibrated to pH 7.3, and the 3-mi air space above theliquid level was gassed with 0.22-@rn line-filtered carbondioxide prior to closure. The sterile bottle containing thismixture was replaced on the Matburn mixer and rotatedat 20°overnight. Next morning (after 16 hr) the suspensionand mixer were replaced at 37°for 1.5 to 2 hr. The pooledmammary glands from 3 rats gave sufficient epitheliurn forplating up to 30- x 5-cm or 60- x 3.5-cm dishes.

Perphenazine-treated Mammary Gland. Although it waspossible to set up cultures of epitheliurn from mammaryglands of mature rats, the yield of epitheliurn per rat wassmall.Therefore,ratsofsimilarage were givens.c.injections of perphenazine, a phenothiazine derivative. This mdirectly increases lobuloalveolar development by decreasingthe hypothalamic secretion of prolactin-inhibitory factorwhich, in turn, raises the level of prolactin in serum (2).Initially, daily injections were given on 3 consecutive days toinduce maximum glandular development. However, thisregimen induced the secretion of milk in numbers of alveoli,and these alveoli floated in the culture medium and wouldnot attach readily to the culture dishes. Therefore, rats weregiven a s.c. injection of 0.2 ml of perphenazine (5 mg/mI)equivalent to 1.0 mg/200 g body weight 29 and 5 hr prior tokilling. The mammary gland was then processed as described for the normal gland.

DMBA-induced Mammary Tumors. Growing tumors, 10to 15 mm in diameter, were dissected free of capsule andattached mammary fat, rinsed in Medium 199, and slicedinto small pieces with opposed scalpel blades on sterilepolythene discs. The pieces were cut into 200-@rn cubesand resuspended in Medium 199 containing 5% FCS, collagenase (300 units/mI), and hyaluronidase (460 units/mI) at37°and then incubated on the mixer for 1.5 to 2 hr at 37°.

Transplantable Tumors. Eight tumors that were relativelyfree of hemorrhagic necrosis were sliced into small pieceswith opposed scalpels and resuspended in Medium 199containing 5% FCS, coliagenase (150 units/mI), and hyaluronidase (230 units/mi). The mixture was equilibrated and

specific absorption of unknown growth-promoting factors.Plastic dishes were from NUNC Plastics, Stone, Staffordshire, England; and BSA was from Armour PharmaceuticalCo., Ltd., Eastbourne, Sussex, England. PECAP monofilament cloth was supplied by Swiss Silk Bolting Cloth Manufacturing Co. Ltd. , Zurich, Switzerland.

Collagenase type 1 (150 units/mg), hyaluronidase type I(460 units/mg), crystalline insulin (26.4 lU/mg), type V calfthymus DNA, and thymidine were purchased from SigmaChemicals, Kingston-upon-Thames, Surrey, England.

Corticosterone, cortisol, 17a-estradiol, and 17f3-estradiolwere purchased from Steraloids, Croydon, England. Testosterone was purchased from BDH Biochemicals, Poole,Dorset, England, and was recrystallized from ethanol. Progesterone was purchased from G. D. Searle, High Wycombe, Buckingharnshire, England. NIH-P-S-il, 29.5 IU/rng (ovine prolactin), and NIH GH-B14, 1.04 lU/mg (bovinegrowth hormone), were generously donated by the NIH,Bethesda, Md. Bovine FGF (10) and OGF (11) were generously donated by Dr. D. Gospodarowitz, and mouse submaxillary EGF (8) was generously donated by Dr. S. Cohen.

Perphenazine was purchased from Allen and HanburysLtd ., London , England . [methy!-3H]Thymidine (18.3 Ci/rnrnole) was purchased from the Radiochernical Centre,Amersham, Buckinghamshire, England. Gold Label 3,5-diarninobenzoic acid hydrochloride was purchased fromAldrich Chemical Corp. , Gillingharn, Dorset, England.

Animals. The female Sprague-Dawley rats were obtainedfrom a closed colony of randomly bred rats maintained atthe Imperial Cancer Research Fund's Mill Hill Unit. Thenormal and perphenazine-treated rats were 90 to 120 daysold; a total of 12 and 24 rats, respectively, were used.Another 50 rats when 50 days old received 30 mg DMBAi.g. dissolved in 2 ml corn oil. Tumors subsequently developed in the mammary glands, and 40 growing tumors up to15 mm in diameter were used in this study.

Transplantable Tumors. Two workers, I. W. J. Wallace,F.R.C.S. , and D. Drewitt (Department of Clinical Surgery,Edinburgh University), induced mammary tumors in aninbred rat strain (ADRA-Sprague-Dawley; Animal DiseasesResearch Association, Moredun, Edinburgh, Scotland) byadministration of DMBA. This rat strain has normal bloodlevels of ovarian hormones, a low level of plasma prolactin,and a low tumor induction rate in response to i.g. DMBA (3,14). Two selected, induced tumors were subsequently passaged in rats from the same strain . After the 1St few passages, neither line of transplantable tumor regressed afteroophorectomy. However, tumor size in vivo was increasedby administration of 17f3-estradiol (1 pg/rat, equivalent toapproximately 5 pg/kg body weight) (21), and low levels ofestrogen receptor activity were present in the tumors.2Eight tumors (5 of TG3, passage 27; 3 of TG5, passage 18)growing in intact rats were chosen at random for this study.

Tissue Preparation

Normal Mammary Gland. Ninety- to 120-day-old rats werechosen because, by this age, the ductal and lobular alveolar

2 A. A. Hawkins, D. Drewitt, B. Freedman, E. Killen, D. Jenner, and E. H. D.

Cameron,in preparation.

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R. C. Hallowes et a!.

the air space was gassed prior to tube closure, as for theovernight digestion of normal mammary gland. The suspension was maintained at 4°and transferred overnight by railto London. The overnight mixture was centrifuged at 80 x gfor 3 mm, and the pelleted tissue was resuspended in adigestion mixture similar to that used for the DMBA-inducedtumors. The digestion was continued at 37° for 1 hr only.

For control of possible deleterious effects of the overnightdelay, both normal mammary gland and DMBA-inducedtumor tissue were left at 4°overnight in similar overnightmixtures prior to digestion at 37°.

All Tissues. When the enzyme digestion was complete,the resulting mixture was centrifuged at 60 x g for 3 mm,the supernatant was discarded, and the cell pellet wasresuspended in 4 ml of Medium 199 containing 5% FCS.Then a further 16 ml of medium were added, and the pelletwas resuspended and recentrifuged. The supernatant wasdiscarded and the washing was repeated. The cell pelletwas finally resuspended in 6 to 10 ml of Medium 199 contaming 5% FCS, and the 2-mi aliquots were spread over thebase of 9-cm dishes, avoiding contact with the sides. Thedishes were placed in a gassed, water-saturated atmosphere (94% air, 6% carbon dioxide) in an incubator for up to2.5 hr to allow single strornal cells to attach to the dish. Theunattached epithelial microexplants (organoids) and singlecells were washed off the dishes with Medium 199 containing 5% FCS, filtered through PECAP 51-nm-pore-size clothfilter (to remove large clumps and to ensure a uniformplating suspension of organoids), collected by centrifugation, and the cell pellet was resuspended in sufficient Medium 199 containing 5% FCS 50 that 0.15 ml of suspensioncould be plated into the required number of 3-cm dishes(0.25 ml into each 5-cm and 1 ml into each 9-cm dish).Microexplants were plated at a density equivalent to 1 to 2 x10@cells/3-crn dish [estimated by completely digesting analiquot of final suspension with trypsin-EDTA solution (25)and counting the number of cells with an automatic cellcounter].

Preparation of Hormone-containing Medium

The basic culture medium was TC199, containing 5%FCS, penicillin (1,250 lU/mI), and streptornycin (100 @xg/rnI).Freshly prepared stock solutions of hormones were: insulin,5 mg/mI, in 0.005 N HCI; corticosterone and cortisol, 5 mgIml in ethanol; prolactin, 1 mg/mI in 0.0005 N NaOH; growthhormone, 1 mg/mI in 0.0005 N NaOH; 17a- and 17f3-estradiol, 0.01 mg/mI in ethanol; progesterone and testosterone, 0.1 mg/mI in ethanol; and growth factors, 5 to 50 j.@g/ml in 0.00025% BSA. These were added in @xlvolumes to 20ml of basic culture medium to give the required concentration.

Culture Procedure

A volume of twice-concentrated hormone-containing medium equal to the original volume of cell suspension wasadded to each dish, mixed with the cell suspension; thenthe total suspension was spread over the base of the dish.This was then transferred to a gassed incubator (94% air,

6% carbon dioxide) maintained at 37°.Twenty-four and 48hr later, the total medium was removed and replaced byfreshly prepared medium (2, 4, or 8 ml for 3-, 5-, or 9-cmdishes, respectively). Three x 3-cm or 2 x 5-cm dishes wereused for each experimental variable. At either 22, 43, or 67hr after the initial cell plating, 20 @d(40 p1 for 5-cm dishes)of a 0.2-mCi/mi solution of [3H]thymidmnewere added. Twohr later, the radioactive medium was removed and replacedby an equal volume of warm Medium 199 without serum.Five mm later, this was replaced by a similar volume of medium, and the cultures were left for 10 mm in the incubator.The medium was then removed, dishes were allowed todrain, and any further residual medium was also removed.

Biochemical Estimations

One ml of 1 N NaOH was added to each 3-cm dish (1.5 mlfor 5-cm dish), and then the dishes were placed on a mechanicalagitatoratroom temperaturefor90 mm. An equalvolume of 1 N HCI was added, it was mixed well with theNaOH solution, and the solution was transferred to a glasstube. This was centrifuged at about 300 x g for 5 mm topellet any insoluble material, and aliquots of the supernatant were taken for the various estimations.

Determiniation of [3H]Thymidine (27). One-rnl aliquotswere transferred to stoppered centrifuge tubes that contamed 0.4 ml BSA (1 mglml). Then 1.5 ml of 10% trichloroacetic acid (w/v) were added, and the mixture stood on ice for20 mm. The tubes were centrifuged at 1000 x g for 5 mm,the supernatant was discarded, and the tubes were drainedfor 5 mm. Then 0.1 ml perchloric acid (Analar grade, 69 to71%) plus 0.2 ml hydrogen peroxide (100 volumes) wereadded, the contents were mixed, and the tubes were stoppered and placed in a 60°waterbath for 30 mm. The tubeswere then removed and allowed to cool; 5 ml ethoxyethanolwere added, and the solution was transferred to a countingvial containing 10 ml of 0.6% PPO in toluene (w/v). The

radioactivity was determined in a liquid scintillationcounter.

Determination of Total DNA (15). To 500-p.I aliquots(ice cold) were added 100 p1of ice-cold 2 N perchloric acid;the solutions were mixed and left at 4°for 10 mm. Themixture was centrifuged at 1000 x g for 1 mm, the superna

tant was removed as completely as possible, and 20 @lof afreshly prepared aqueous solution of 4% 3,5-diaminobenzoic acid dihydrochloride were added. After mixing to breakup the deposit, the suspension was incubated at 60°for 30mm, then cooled and remixed. Then 200 @tlof 0.2 N perchloric acid were added, and the solutions were mixed andcentrifuged at 1000 x g for 1 mm. The supernatant fluid wastransferred to microtubes which were analyzed in anArninco Bowman spectrophotofluororneter. The excitationwavelength was 408 nm and the emission was measured at520 nrn. The DNA content was calculated from the emissions of external and internal standards of 0.2 to 10 @gDNA per ml in BSA (25 @g/rnl).

Mammary tissue from 12 normal and 24 perphenazinetreated rats, 40 DMBA-induced tumors, and 8 transplantable tumors have been used in this study. Each culture experirnent has been performed at least twice. The results

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Mammary Epithelium in Ce!! Cu!ture

were calculated initially as cpm/@xgDNA. Each biochemicaldetermination was done in duplicate. The results of all cornmon experimental points were pooled and the hormonaleffect was finally expressed as a ratio of its effect comparedto that in Medium 199 and FCS alone. Arithmetic mean ±S.E.'s were calculated where applicable, and the final resuits are shown as histograms; the number of cell pools foreach study is given.

Estimation of DNA Synthesis by Radioautography

Mammary glands and tumors were digested as described,but with DEM, a less complete medium than Medium 199.Microexpiants were plated at a cell density of 1 to 2 x 10@

cells/3-crn dish [estimated by completely digesting the organoids with trypsin-EDTA solution (25)] in 2.5 ml of DEMcontaining 2% FCS, 50 ng cortisol per ml and 50 ng insulinper ml for epithelium from normal mammary gland and 5%FCS,500 ng cortisolperml,and 50 p.ginsulinperml fortheother tissues. These media were changed to the test media26 hr later for normal mammary gland cultures and 48 hrlater for cultures from the other tissues. The cultures wereexposed to 3 pCi [3H]thymidine per ml at 1 j.@Mfrom 14 to 38hr after addition of test media to normal mammary glandcultures and from 6 to 36 hr for the other cultures. All thecultures were processed for radioautography (25). The fraction of colonial cells that contained labeled nuclei werecounted in 5 fields of at least 100 cells/field/dish, 2 dishesbeing used for each experimental point; i.e., 1000 total cellscounted per experimental point. Four cell pools were derived from normal rats, 4 from perphenazine-treated rats,and 1 pool each from 6 DMBA-induced tumors; these resuIts are expressed as percentages, mean ±S.E. One poolfrom each of 3 transplant tumors was also studied, and theresults are expressed as percentages only.

RESULTS

Morphological Observations

Stromal Cells. Before reproducible and meaningful resuits could be obtained from the cultures, it was necessaryto understand the behavior of the various cell populations inculture. The plating suspensions consisted of numeroussingle cells, probably originating from the strorna, andgroups or clumps of epithelial cells (organoids). Many of thesingle cells were derived from blood; they did not attach tothe plastic surface and their numbers were reduced at eachmedium change. They were most numerous in culturesfrom the transplantable tumors and least numerous in cultures from the normal and perphenazine-treated rats. In thelatter, most of the single cells attached during the 1st 2 hrafter plating. Each single cell spread out during 6 to 8 hr,and their number increased steadily up to confluence toform a dense layer of fibroblast-like cells. A few similar cellswere seen in suspensions from the tumors, but most of thecells that attached did so within 30 mm of plating butsubsequently failed to multiply during 96 hr when the cultures then consisted of a mixture of rounded and spread

cells. It was necessary to exclude as completely as possiblethese cell populations from the epithelial cultures for thefollowing reasons: (a) they occupied culture surface thatotherwise would have been available to the growing epithehum, (b) the effects of hormones on DNA synthesis of thesingle cells might be different from those of the epitheliurn,and (c) their DNA could contribute a large proportion of thetotal DNA per dish. Although it was possible to separatecompletely these stromal cells from the epithelium by washing the dishes after 2.5 hr of plating, it was not possible toseparate completely the epithelial cultures from somestromal cells by the present methods. Hence the effects ofhormones or growth factors on DNA synthesis of strornalcultures were studied where possible.

Epithelium. The epithelial colonies always arose fromsmall groups or clumps of cells (microexplants/organoids)and not from single cells. The attachment of organoids tothe culture surface commenced after 2 to 3 hr for cells fromthe tumors and 3 to 8 hr for cells from normal or perphenazine-treated glands. The initial plating efficiency of the organoids was high, often approaching 100%, provided thatthe depth of the medium was reduced to restrict their movement. This movement also caused organoids to collect inthe central region of the culture dishes where the coloniesgrew and soon became confluent. By spreading the platingsuspension as a thin layer over the base of the culturedishes, it was possible to obtain an even distribution oforganoids, each with plenty of potential colony-formingspace. During the 1st 24 hr after plating, colony growthconsisted of cell mobilization and spreading from the organoid, and some cell division. The large organoids oftengave rise to extensive colonies just by this mobilizationprocess, the remnant of the organoid still being present atthe colony center. Therefore, a plating suspension wasused that contained a population of small organoids all ofsimilar size. For the biochemical estimations, no attemptwas made to count the numbers of either organoids orsingle cells plated into each dish. The plating suspensionwas adjusted so that 0.15 ml contained 1 to 2 x [email protected] plating density, when spread evenly over the surface ofthe dish, resulted in a cell growth that would not produceconfluent areas for 5 days. Stromal cells that remainedattached or reattached to the organoids, mobilized from theorganoids, and then attached to the dish and divided.Hence, at the end of digestion, the mixture was routinelyexamined by phase-contrast microscopy to ensure thatsingle cells of stromal origin were not still attached to thesmooth-surfaced epithelial organoids.

Mammary Gland Cultures from Virgin Rats 90 to 120 DaysOld

The glands were digested with enzymes until the ductsand alveoli were freed from attached stromal cells. Thisresulted in a mixture of large numbers of single cells (morethan 60% of the total cell pellet), tubular structures thatcontained ABC, ducts, and alveoli (organoids). Most ofthe single cells, as well as the blood vessels, attached to theculture surface within 2 hr, after which time the unattachedorganoids were collected and replated. The organoids at

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1B9.0E PG 11 18P4.Q( PC 1€ B0$OE PG 11

R. C. Hal!owes et a!.

tached during the next 24 hr, but few formed coloniesinitially. During the next 48 to 72 hr, colonies grew out frommost organoids; more colonial growth occurred from alveolar than from ductal structures. Each epithelial colony consiSted of a central area of isometric cells, often severallayers thick, and a peripheral rim of more elongated cells

usually in rnonolayers. Colonial growth slowed down 96 hrafter plating but continued up to confluence, provided that

the initial plating suspension was sufficiently free of fibroblasts. The remnant of the original organoid was oftenpresent at the center of each colony.

Effect of Hormones on [3H]DNA Synthesis

Apart from the addition of FCS, the media and hormone

concentrations used were similar to those reported in ourorgan culture studies (12, 13, 16, 17). The cultures wereexposed for 2 hr to [3H]thymidine from 67 to 69 hr, since thistime period gave adequate uptake of radioactivity into DNA.A 24-hr pulse of radioactivity was also used, and this gavesimilar patterns of results during 45 to 69 hr postplating asthose recorded for the original 2-hr pulse. For convenience,DNA synthesis in the 2-hr period was expressed as the ratio,rate of [3H]DNA synthesis per j.@gDNA in the basal medium

with additional hormones: rate of [3H]DNA synthesis per/Lg DNA in the basal medium alone, since different culturedtissues showed different absolute incorporation rates in thesame basal medium. The results were obtained from 4 poolsof mammary glands from 3 rats each (12 rats total).

Effect of Insulin, Corticosterone, Prolactin, and GrowthHormone with Medium 199 and 5% FCS. When the hormones (5 @g/rni)were added singly, only corticosterone

z

< b

0

0

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stimulated [3H]DNA synthesis (ratio, 2.25 ±0.18) above thatin Medium 199 and 5% FCS (1 .0), although insulin may haveinduced a marginal increase. Addition of insulin increasedthe rate of [3H]DNA synthesis with corticosterone (ratio, 3.5±0.25) but had little effect on the rate with other hormones.

The addition of prolactin (5 @g/rnl)further increased therate in insulin plus corticosterone (ratio, 5.25 ± 0.1),whereas growth hormone was without effect. Similar resultswere obtained when the hormones were added at 10 and100 ng/mI, but the degree of stimulation was lower. Of thevarious radioactive pulse periods tested, the maximum degree of stimulation occurred during 67 to 69 hr postplating;little stimulation was seen during 22 to 24 hr.

Effect of Additional 17p-Estradiol, Progesterone, andTestosterone. The effects of adding either estradiol (1 ng/ml), progesterone (100 ng/ml), or testosterone (10 ng/rnl)were examined during 67 to 69 hr postplating. Both 17/3-estradiol and progesterone initiated a slight increase in[3H]DNA synthesis in Medium 199 and 5% FCS, insulin pluscorticosterone, insulin plus corticosterone plus prolactin,and insulin plus corticosterone plus growth hormone. Testosterone had little effect on the rate in Medium 199 butreduced that in insulin plus corticosterone and in insulinplus corticosterone plus prolactin to the rate in Medium 199(Chart 1).

Mammary Gland Cultures from Perphenazine-treatedRats, 90 to 120 Days Old

The perphenazine treatment resulted in up to a 4-foldincrease in the yield of alveoli of high plating efficiency overorganoids from nontreated animals but without a corresponding increase in stromal cells. The epitheliai organoidsattached and started to form colonies by 24 hr (Fig. 1); thesecolonies continued to enlarge up to 72 hr (Fig. 2), afterwhich time they grew more slowly. The colonies were marginally larger and contained more cells than those from thenontreated rats; otherwise, the cultures appeared identical.

Effects of Hormones on DNA Synthesis

The results were obtained from 8 pools of epitheliumderived from 3 rats each (24 rats total).

Effect of Insulin, Corticosterone, Prolactin, and GrowthHormone in Medium 199 and 5% FCS. The relative effectsof individual hormones or combination of hormones at 10and 100 ng/rnI and at 5 @tg/mIwere similar (Chart 2) to thoseobtained from the epitheliurn of non-perphenazine-treatedrats (Chart 1), but the magnitudes of some of the effectswere greater. Insulin alone at both 100 ng/ml and 5 @g/mlstimulated [3H]DNA synthesis. Thus, both insulin and corticosterone were capable of a stirnulatory effect; corticosterone yielded the higher ratio, but the combination of insulinplus corticosterone resulted in an even higher ratio. Similarresults were obtained when cortisol replaced corticosterone. The addition of prolactin alone (10 ng/ml to 5 @.tg/mI)was without effect, whereas an increase in [3H]DNA synthesis occurred when prolactin was added to insulin plus corticosterone. Growth hormone did not show this effect.

il!b199+01 PG 11

Chart 1. [3H]Thymidine incorporation into epithelial DNA of normal mammary gland during 67 to 69 hr. Insulin (I), corticosterone (B), prolactin (P).and growth hormone(G)wereeach presentat 5 @g/ml,17$-estradiol(OE)at I ng/ml, progesterone (PG) at 100 ng/mI, and testosterone (TE) at 10 ng/ml in Medium 199 (199) and 5% FCS. The incorporation was calculated perlLg cell DNA and expressedas the ratio of uptake in Medium 199 pIusadditional hormones:uptake in Medium 199 (1600 cpm/.tg DNA). Each valuerepresents the mean ±SE. from duplicate cultures from 4 pools of mammary glands; each pool is taken from 3 rats (12 rats total).

CANCERRESEARCHVOL. 372496

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Mammary Epithe!ium in Ce!! Cu!ture

deficiencies due to reduced serum protein concentration inthe medium did not alterthe above results (data not shown).

Effect of Hormones and Growth Factors on [3H]DNASynthesis of Stromal Cells. The single cells that attachedduring the 1st 2 hr after plating and grew up to form confluent sheets of noncolonial fibroblastic cells were culturedand analyzed as for the epithelium (“Materialsand Methods―).The rate of [3H]DNA synthesis during 44 to 46and 67 to 69 hr after plating was higher in Medium 199plus 5% FCS than with additional insulin plus corticosterone or insulin plus corticosterone plus prolactin (5 @g/rnl).FGB (50 ng/mI) increased the rate of [3H]DNA synthesis,whereas epidermal and OGF (10 @g/ml)had little effect(Chart 3). Higher concentrations of growth factors wereinhibitory.

Cultures from Growing DMBA-induced Mammary Tumors10 to 15 mm In Diameter

Enzyrnic digestion of the DMBA-induced mammary tumors produced a suspension that consisted of large nurnbers of small, irregularly shaped epitheiial organoids andsingle cells including ABC. Only a relatively small number of single cells attached during the 1st 2 hr after plating,and most of these attached within 30 mm and spread duringthenext2 hr.The organoidscommenced toattachafter3

5000N0'MLlONG MI. IO5NG@ML

Chart 2. [3H]Thymidine incorporation during 67 to 69 hr into epithelialDNA of mammary gland from perphenazine-treated rats. Hormones (samesymbols as on Chart 1) were added to Medium 199 (199) and 5% FCS at either10,100,or 5000ng/mI. The incorporationwasmeasuredper @.tgof cell DNAand expressed as the ratio of uptake in Medium 199 plus additional hormones:uptake in Medium 199 (1950 cpm/@g DNA). Each value represents themean ±SE. from duplicate cultures from 4 pools of mammary glands; eachpool is taken from 3 rats (12 rats total).

Effect of Estradiol, Progesterone, and Testosterone.The relative effect on [3HJDNA synthesis of either a singleaddition of any one of these steroid hormones to eitherMedium 199 and 5% FCS, insulin plus corticosterone, orinsulin plus corticosterone plus prolactin was similar tothose obtained from non-perphenazine-treated rats, but themagnitudes were greater. Estradiol (1 ng/ml) (ratio, 7.3 ±0.5) added to insulin plus corticosterone (5 @g/ml)(ratio,5.9 ±0.2) increased the rate of [3H]DNA synthesis more thanwhen added at 0.1 ng/ml (ratio, 6.5 ±0.7); whereas, at 10ng/ml, the rate was depressed below that in insulin pluscorticosterone. 17a-Estradiol (0.1 to 10 ng/rnl) was withouteffect. Progesterone added at 25, 50, and 100 ng/rnl (ratios,6.5 ±0.2, 7.2 ±0.3, and 8.2 ±0.8, respectively) increasedthe rate of [3H]DNA synthesis above that measured in insulinplus corticosterone. Testosterone (1 and 10 ng/ml) reducedtheratetothatinMedium 199 plus5% FCS. Similareffectson [3H]DNA synthesis were seen when these steroid hormones were added to insulin plus corticosterone plus prolactin.

Effect of Serum Concentration. The evidence of a hormonal effect on DNA synthesis was the finding that a hormone raised or lowered the uptake of [3H]thymidmne intoDNA compared with that in Medium 199 and 5% FCS. Therefore the effect of altering the FCS concentration was studied. Epitheliai suspensions were plated in Medium 199 withadditional hormones and 5% FCS to ensure attachment ofthe cells.Twenty-fourhr later,the culturemedium wasremoved and the cells were washed well with Medium 199alone, and then fresh Medium 199 and 1, 2.5, or 5% FCSplus the additional hormones were added. When theeffect of serum concentration was compared 48 hr later,the rate of [3H]DNA synthesis in 1% FCS was lower (ratio,0.25) than that in 2.5% FCS (ratio, 0.85), which was lowerthan that in 5% FCS. The rate in 1% FCS was so low that theeffects of the additional hormones were not detected, butthe relative hormonal effects in 2.5 and 5% FCS were similar(cf. with tumors). The addition of BSA to counter osmotic

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Chart 3. Comparison of [3H]thymidine incorporation into DNA during 67 to69 hr after plating either epithelium from DMBA-induced tumors or fibroblasts from mammary glands of perphenazine-treated rats (NMG). EGF andOGF at 10 ng/ml and FGF at 50 ng/ml were present in Medium 199 (199) plus2.5% FCS. Growth factors were added in BSA (250 @.tg/ml),and similarconcentrations of BSA in medium were used as controls, as shown. Theincorporation was expressed as the ratio of uptake in Medium 199 plus eitheradditional hormones or growth factors:uptake in Medium 199. Each valuerepresents the arithmetic mean from duplicate cultures of either epitheliumfrom 3 DMBA-induced tumors or fibroblasts from 3 pools of mammary glandsfrom perphenazine-treated rats.

AUGUST 1977 2497

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R. C. Ha!!owes et a!.

hr, most of them had attached within 12 hr of plating, andthe epithelial cells had mobilized from the organoids andspread onto the plastic by 24 hr after plating (Fig. 3). Themedium was changed at 24 hr to remove the unattachedsingle cells and ABC. During the next 72 hr, the coloniesspread rapidly and were composed of 2 cell types similar tothose observed in cultures of normal glands. The centraltwo-thirds of the colonies contained isometric, retractilecells usually several layers thick in some places; the outerone-third contained elongated less refractile cells usuallyspreading in a monolayer. The colonies maintained thisappearance as they continued to grow up to confluence, sothat confluent cultures consisted of large colonies of iso

metric cells separated by elongated cells (Fig. 4). The largercolony size, the increased cell density within each colony,and the progressive, steady growth of most colonies up toconfluence distinguished cultures of cells from DMBA-induced tumors from those of normal or hyperplastic mammary glands. The cultures from DMBA-induced tumors wereplated to yield a similar total cellular DNA content per dishto those from the nonneoplastic gland so that any possibleeffects due to changes in cell density were minimized (9).

Effects of Insulin, Corticosterone, Prolactin, and GrowthHormone with Medium 199 and 5% FCS. When these horrnones were added singly at 10 ng/rnl, only corticosteroneincreased the rate of [3H]DNA synthesis (ratio, 1.8 ±0.2);little stimulatory effect could be demonstrated with insulin(ratio, 1.1 ±0.2). The addition of insulin (5 @g/rnl)increasedthe rate in medium that contained corticosterone (ratio, 2.1± 0.25) but had little effect on the rate with the other

hormones. A greater degree of stimulation occurred during67 to 69 hr than during 43 to 45 hr after cell plating (Chart 4).Similar response patterns were seen at hormone concentrations of 100 and 1000 ng/ml, but prolactin alone also appeared to stimulate [3H]DNA synthesis, and the effect wasgreater at 100 (ratio, 1.7 ±0.2) than at 10 ng/rnl (ratio, 1.4 ±0.25); 5 @g/rnIinhibited [3H]DNA synthesis. The optimumconcentration of prolactin alone occurred between 100 and

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Chart 5. [3H]Thymidine incorporation during 43 to 45 hr into DNA forepithelium from DMBA-induced tumors. Insulin, corticosterone, and prolactin (5 @g/ml),17f3-estradiol(1ng/mI), progesterone(100ng/mI), andtestosterone (10 ng/ml) were present in Medium 199 (199) and 5% FCS. Each valuerepresents the arithmetic mean from duplicate cultures of epithelium from 3individual DMBA-induced tumors. Uptake in 199 alone = 2315 cpm4@gDNA.

500 ng/rnl. No similar effect could be demonstrated forgrowth hormone. The absolute response to the same combination of hormones varied from tumor to tumor, but duplicate cellular pools from the same tumor gave closely similarresults. The hormonal combination insulin plus corticosterone plus prolactin at 5 p.g/ml produced a greater rate of[3H]DNA synthesis during 22 to 24, 43 to 45, 67 to 69, or 91to 93 hr in cultures derived from each of the 40 DMBAinduced tumors than did any other combination of thesehormones (Chart 4).

Effect of Estradiol, Progesterone, and Testosterone.The relative effect on DNA synthesis of a single addition ofany one of the hormones to Medium 199 and 5% FCS withinsulin, corticosterone, insulin plus corticosterone, or insuun plus corticosterone plus prolactin was similar to that

. 22-24HR 43-45HR 91.93HR obtained in cultures from perphenazine-treated rats. How

ever, 2 differences were noted. The addition of 17/3-estra. diol (1 ng/rnl) to insulin plus corticosterone plus prolactin

. (100 ng; 5 @.tg/rnl) decreased the rate of [3H]DNA synthesis

.@@ h almost to the level in insulin plus corticosterone (Chart 5).

. The addition of progesterone (100 ng/mI) to insulin plus

. . . corticosterone plus prolactin (100 ng; 5 @g/ml) increased

the rate of [3H]DNA synthesis (Chart 5). The addition of both. estradiol and progesterone to insulin plus corticosterone

plus prolactin resulted in a rate of synthesis usually slightly. __________ _________ greater than in insulin plus corticosterone plus prolactin,

199+ lB SF BC 19Ff IS lIP IBG 199+ lB IBP IBG but less than insulin plus corticosterone plus prolactin plus

progesterone. When 17a-estradiol replaced the /3 isomer atChart 4. Comparison of [3H]thymidine incorporation into DNA during 4 the same concentration, no effect on [3H]DNA synthesis was

pulse periods for epithelium from DMBA-inducedtumors. The hormonal detected. The addition of testosterone (10 ng/mI) had littleabbreviations and the expression of incorporation are as for the preceding effect on [3H]DNA synthesis in Medium 199 and 5% FCScharts.The ratiosof incorporationduring 22 to 24 hr and 91 to 93 hr werederived from 3 tumors only and represent arithmetic means, whereas those alone but inhibited synthesis in insulin plus corticosteroneduring 43 to 45 and 67 to 69 hr were derived from 40 tumors and represent and insulin plus corticosterone plus prolactin.arithmetic means ±SE. The values in the Medium 199 column are the mean Effect of Serum Concentration. The serum concentracpm x102/@g DNA and were used to calculate the ratios during that selected 2-hr incorporation period. tions tested were 0.5, 1 .0, 2.5, and 5%, and these were

2498 CANCER RESEARCH VOL. 37

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Cultures were initially plated in Medium 199 and 2.5% FCS; 16 hr later, the medium was changed to those shown in the tabl[3H]DNA synthesis was determined during either 43 to 45 hr or 67 to 69 hr after the medium change.e

andthe[3H]DNA

synthesis (cpm/@gDNA)43-45

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1% 2.5% 5% 0.5% 1% 2.5%5%

Mammary Epithe!ium in Ce!! Cu!ture

no differences between cultures from tumors digested byeither protocol (data not shown).

Cultures from Growing, Transplanted Mammary Tumors

The suspensions that resulted from digestion of the 8transplanted tumors differed from those of DMBA-inducedtumors. Very large numbers of ABC and single cellswere present, the epithelial organoids were very variable insize and shape but were usually small, and the total yield oforganoids was less than 50% of that from a DMBA-inducedtumor of similar size. The histological appearance (Fig. 5) ofeach tumor was variable although similar to that of DMBAinduced mammary tumors (29). Hemorrhagic necrosis wasoccasionally present, as well as cystic formation. One additional tumor (not used for this study) showed areas ofmarked squamous rnetaplasia. The final suspension fromthe digested tumor was washed several extra times in medium, and the organoids were collected by centrifugation at60 x g for 3 mm to reduce the large numbers of ABCpresent. The ABC interfered with the attachment of theorganoids. Numerous single cells attached during the 1st 2hr after plating, but these cells did not grow to form eithercolonies or cell rnonolayers.

The plating efficiency of the organoids was about onehalf that expected from similar-sized DMBA-induced tumors. Each attached organoid produced a colony, but therewas a marked variation between the appearance of individual colonies and their rate of growth. Some resembledthose seen in cultures from DMBA-induced tumors but grewmore slowly. The remainder showed different degrees ofspatial asymmetry, often being “commashaped,―and thesecolonies grew even more slowly. The cells in such colonieswere more elongated than isometric. The appearance of thecultures is shown in Fig. 6. Few intercolonial single cellswere present.

Effects of Hormones and Serum Concentration on [3H]DNASynthesis

The rate of uptake of [3H]thyrnidine per @gDNA in epithehal cultures grown in Medium 199 and 5% FCS was 4 to 5

Table 1

added as described for cultures from perphenazine-treatedrats. Although cell growth was higher in media that contamed 2.5 or S% serum than in lower serum concentrations,the patterns of hormonal responses were similar at all 4serum concentrations tested. During the 67 to 69 hr aftercell plating, the ratios of insulin plus corticosterone plusprolactin, and insulin plus corticosterone plus prolactinplus progesterone, were greater in medium containing 0.5%serum than in Medium 199 and 5% serum. This was due tothe lower level of [3H]DNA synthesis occurring in Medium199 and 0.5% serum than that in Medium 199 and 5% serum(Table 1).

Effect of Hormones FGF, EGF, and OGF on [3H]DNA Synthesis of Colonial Cells. The growth factors (1 and 10 ng/ml) were added to Medium 199 and 2.5% FCS with or without insulin plus corticosterone (100 ng/mI) for pools from 3tumors only, because of the small amounts of growth factors available. As the growth factor solution also containedcrystalline BSA (250 @g/rnl),this was also added as a control, but alone it had no effect on the rate of [3H]DNAsynthesis. FGF had little effect in Medium 199 and FCSwith or without insulin plus corticosterone, whereasboth EGF and OGF increased this rate. Although neitherEGF nor OGF appreciably affected the rate of [3H]DNA synthesis when added at a concentration of 1 ng/ml to insulinplus corticosterone, at a concentration of 10 ng/mI, bothEGF and OGF stimulated either a greater or equal rate ofsynthesis, respectively, to that observed in insulin plus corticosterone plus prolactin (Chart 3).

Effect of Intermediate Storage at 4°in Half-StrengthDigestion Mixture for 18 Hr during the Tissue DissociationProtocol. Since the transplanted tumors used in later sections were sent from Edinburgh to London (597 km), anovernight refrigerated rail journey was required, duringwhich time the tissue was suspended in half-strength digestion mixture. However, no effect was observed either in theplating or colony-forming efficiency or in the pattern ofcolonial growth between organoids from 3 DMBA-inducedtumors dissociated by either the standard or overnight protocol. Measurements of the patterns of responses to insulinplus corticosterone, insulin plus corticosterone plus prolactin with or without estradiol, and progesterone at 2 differenthormone concentrations (100 ng/ml and 5 pg/mI) showed

Comparison of effects of varying serum concentrations on hormone-stimulated DNA synthesis in epithelial cultures from 3 DMBA-inducedtumors

Medium199 1140±20° 1184±15 1225±10 1784±18 534±16 1438±8 1266±30 1587±20Medium 199+ I―+ B 2219 ±40 1869±15 2503 ±18 2350 ±30 1726±12 3456 ±32 3314 ±62 3101 ±46Medium 199+ I+ B 3131±50 3089±31 3773±42 3827±95 2871±17 4754±46 4794±81 4608±120

+PMedium 199+ I+ B 3451±80 3380±45 4527±70 4409±78 3669±40 6090±122 5614±140 5582±118

+ P + PG

a Mean ± SE.

b@ insulin (5 @g/ml); B, corticosterone (5 @tg/mI); P, prolactin (5 pg/mI); PG, progesterone (0.1 .tg/ml).

AUGUST 1977 2499

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R. C. Ha!!owes et a!.

times the value found in cultures from DMBA-induced tumors which were plated to give similar amounts of DNA!dish. This rate of uptake remained almost constant in cultures from each transplanted tumor when insulin, corticosterone, prolactin, growth hormone, estradiol, and progesterone were added either singly or in combination at concentrations similar to those previously used (Chart 6).

The effect of lowering the serum concentration was examined in 3 of the 5 tumors. In 1 tumor (Chart 7), the rate of[3H]DNA synthesis in Medium 199 and 1% FCS was aboutone-third that in Medium 199 and 5% FCS. The addition ofcorticosterone (5 pg/mI) to Medium 199 and 1% FCS morethan doubled the rate, but this was unaffected by the addition of insulin (5 @g/ml).No similar effect of corticosteroneon [3H]DNA synthesis could be demonstrated in Medium199 and 5% FCS, nor could it be demonstrated in the other 2tumors with a serum concentration of either 1% (ratios of0.9 to 1.3) or 5% (ratios of 0.7 to 1.3). It was still possiblethat the overnight intermediate tissue dissociation step wassomehow affecting the subsequent hormonal responses inculture. In a control experiment, therefore, a tumor wasrandomly chosen from those being routinely used at Edinburgh and was sent by rail to London. The effect of hormones and serum on DNA synthesis of cells cultured fromthis tumor were similar to those obtained from cultures ofthe DMBA-induced tumors used in London (data notshown).

Radioautographic Analysis of the Effects of Hormones onDNA Synthesis of Mammary Epithelium from Perphenazinc-stimulated Rats, DMBA-induced Tumors, and Transplanted Tumors

The effects of various combinations of insulin, hydrocortisone, prolactin, and growth hormone on DNA synthesis inmammary epithelial cultures from different tissue sourceswas studied by a radioautographic technique. This technique measures directly the fraction of cells synthesizingDNA and is relatively insensitive to changes in the specificactivities of the radioactive DNA precursors or precursorpool size in the cell. Dulbecco's modified Eagle's medium

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Chart 7. (3H]Thymidine incorporation during 67 to 69 hr into DNA ofepithelium from 1 transplanted mammary tumor. Insulin, corticosterone, andprolactin (5 @g/ml),17$-estradiol (1 ng/mI), progesterone (100 ng/ml). andtestosterone (10 ng/mI) were present in Medium 199 (199) plus 1, 2, or 5%FCS. BSA was added to the 1 and 2% serum medium to maintain a constantprotein concentration. The incorporation was expressed as the ratio ofuptake in Medium 199 with either additional serum or hormones as mdicated:uptake in Medium 199 and 1% FCS (2265 cpm/@g DNA). Each ratiorepresents the arithmetic mean ±S.D. from triplicate cultures of epitheliumfrom the tumor.

was used in place of Medium 199, as it is routinely used forsimilar studies on cell lines. The concentration of serum inthe medium was reduced to 0.5% to produce relatively quiescent cultures (24) so that the ability of the hormones toreinitiate DNA synthesis was determined, rather than theirability to stimulate, maintain, or inhibit ongoing DNAsynthesis. The epithelial cultures could be subdivided into2 main groups as in the previous sections: (a) those whereepithelial DNA synthesis was stimulated by addition of themammotrophic hormones, namely, mammary glands fromnormal and perphenazine-treated rats and from DMBA-induced tumors; and (b) those where DNA was relatively unaffected by hormonal additions, namely, epithelium from thetransplantable tumors (Table 2). In the hormone-responsiveepithelium, prolactin alone stimulated a marked degree ofDNA synthesis in cultures from the DMBA-induced tumors,whereas a much smaller response was seen in both normaland hyperplastic epithelium. The total combination of insuun, cortisol, and pituitary hormones gave the maximumincrease in DNA synthesis, in general agreement with theresults obtained from the measurement of the rates of incorporation of [3H]thymidine into DNA. Growth hormoneappeared to have a more marked stimulatory effect on reinitiating DNA synthesis in quiescent cultures in medium contaming 0.5% serum than was demonstrated in proliferatingcultures grown in medium containing 5% serum.

DISCUSSION

There have been few studies on the proliferative effects ofmammotrophic hormones on cell cultures from rat mammary glands. Cohen et a!. (7) reported the establishment ofa cell line from a normal mammary gland and from a singleDMBA-induced mammary tumor from Sprague-Dawley rats.Both nonneoplastic and neoplastic cell lines retained someof their parental biological characteristics, and the growthof the tumor cell line was affected by prolactin and estradiolafter 40 to 50 passages (6). Malan et a!. (19) showed that inprimary cultures of normal rat mammary epithelium the

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2500 CANCERRESEARCHVOL. 37

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Table2Comparisonof the effects of hormones on epithelial nuclear-labelingindexCultures

from normal mammary glands were grown in DEM and 2% FCS, insulin (50ng/ml),and cortisol (50 ng/ml) for 26 hr; cultures from the other tissues were grown inDEMand5% FCS, insulin (50 ng/mI), and cortisol (500 ng/mI) for 48 hr. The medium wasthenchanged

to those shown in the table, and the fraction of cells synthesizing DNA from 14to38hr after medium change for normal mammary gland cultures and 6 to 36 hraftermedium

change for other tissues was determined. The results pooled from 2dishes/experimentalpoint are expressed as the percentage of labeled epithelial nuclei fromatleast

100 epithelial cells (mean ±S.E.), each from 4 pools derived from normal rats,4poolsfrom perphenazine-treated rats, and 1 pool each from 6 DMBA-induced tumors.Onepool

from each of 3 transplant tumors was also studied, and the results are shownaspercentagesonly.Pools

of mammary epitheliumfromRats

TumorsPerphena-

Transplantzine-treatedDMBA-in

Culture medium Normal (6)@ (4) duced (6) G HJDEM

+ 0.5% FCS 0.5 ±0.2― 3.1 ±0.5 5.0 ±1.0 37 6322DEM+ l@+ F 5.0 ±1 .3 4.9 ±0.1 9.6 ±1 .2 27 5739OEM+ P 1.5 ±0.4 4.7 ±1.4 11.0 ±2.1 26 4627DEM+ I + F + P 6.7 ±1.9 15.1 ±2.8 14.0 ±2.4 26 4731DEM+ G 0.3 ±0.1 4.0 ±0.5 10.0 ±2.2 35 4721DEM+l+F+G

3.2±0.1 11.0±1.3 8.4±1.3 34 4531DEM+l+F+P+G7.9±1.7 17.0±1.0 27 4822DEM

+ 10% FCS 4.0 ±1.2 42.0 ±2.0 12.0 ±1.0 28 45 34

Mammary Epithelium in Ce!! Culture

a Numbers in parentheses, number of rats.

b Mean ± SE.

C @,insulin (50 ng/ml); F, cortisol (50 ng/ml); P,

hormone (500 ng/ml).prolactin (500 ng/ml); G, growth

hormonal combination of insulin, aldosterone, prolactin,estradiol, and progesterone was optimal for growth anddifferentiation. We have used similar methods of tissuedissociation to obtain primary cultures, but hyaluronidaseand serum were added to the dissociation mixture to increase the yield of viable epithelium. Large numbers ofreplicate cultures could be set up as routinely and as efficiently from normal and hyperplastic mammary glands asfrom mammary tumors. The numbers of stromal cells couldbe kept to a minimum by use of plating techniques thatdepend on differential rates of cellular attachment to plasticculture dishes. The cultures then consisted almost entirelyof epithelium at least for the 1st 96 hr after plating. Manualkilling of the stromal cells (7) was impractical due to thelarge number of dishes being used, and medium selectivitywith D-valine was ineffective (24). Gradient separation (28)was more effective, but the gradients were easily overloaded by the numbers of organoids available. Aecent studies suggest that the most efficient method for removing theoccasional contaminating strornal cell is mild Pronase treatment (D. Bennett, unpublished observation). Such shortterm epithelial cultures are probably more likely to retaintheir physiological response to hormones than either longterm cultures or established epithelial cell lines. Since thehormones may exert different effects on populations ofgrowing cells than on those from more quiescent confluentcultures, this study was mainly performed during the growing phase of the cultured cells, it was confined to [3H]DNAsynthesis, and the cultures were set up so that the maximum number of cells were capable of responding togrowth-promoting stimuli.

In this study, DNA synthesis was mainly measured by theincorporation (cpm) of [3Hjthymidmne into DNA during 2 hr.This experimental value is a reflection of both the averagespecific activity of the intracellular thymidine pool and therate of DNA synthesis. In the present experiments, we didnot attempt to determine either the size of soluble precursorpools or the effects of hormones on such pools for thefollowing reasons. The actual number of cells in the initialplating suspension could be determined only indirectly, andwe had no control over how manyof these cells wouldreplicate and help to produce the epithelial colonies. Also,both epithelial and myoepithelial cells are present within thebasement membrane-bound epithelial structures (29), andboth partake in colony formation (24). In a further study(24), we have been able to establish secondary culturesusing known numbers of cells of known plating and colonyforming potential. In that study, we have shown that thepatterns of increases or inhibitions induced by differenthormones on [3H]thymidine uptake into DNA were similar indirection to those found autoradiographically in the fractionof cells synthesizing DNA and in changes in cell numbers,in both primary and secondary epithelial cell cultures fromhyperplastic mammary glands and hormone-dependentmammary tumors. Similarly, in these experiments, the samepattern of hormonal effects on the fractions of cells withradioactively labeled cell nuclei was also observed for thecorresponding thymidine incorporation studies in the normal, hyperplastic, hormone-dependent, and hormone-independent tumors. Thus the measurement of [3H]thymidineuptake into DNA in these systems may be a reflection ofDNA synthesis, and ultimately of cell multiplication.

AUGUST 1977 2501

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R. C. Ha!!owes et a!.

Epithelial cells from all tissues grew up to form confluentsheets in Medium 199 and FCS. The nonneoplastic epithehum showed a requirement for higher concentrations ofserum (5 to 10%) than that from tumors for maximum ratesof DNA synthesis. Although the rates of thymidine incorporation into DNA were measured in proliferating cultures inthe presence of serum, it was still possible to show reproducible stimulation of the basal rates when additional hormones were added to the medium, and the general patternof hormonal stimulation was independent of serum concentration. The enzymes used to digest the mammary tissues,collagenase and hyaluronidase, contain contaminating proteases that can stimulate DNA synthesis when added tocultured fibroblasts (4) and possibly cause temporary damage to the surface of the epithelial cells. However, theintegrity of the primary cells was sufficiently maintained toobserve the normal surface topography and ultrastructureof epithelial cells (24) and to reproduce faithfully someaspects of their physiological response in culture. In addition, this response was maintained for epithelial cells subcultured from the original primaries (24).

The overall pattern of hormonally induced increases inDNA synthesis was similar in similar tissues, but each experimental cell pool showed different absolute syntheticrates measured as cpm/@g DNA in a 2-hr period for thesame additions. Similar variations in hormonal responsesbetween pools of explants from different DMBA-inducedmammary tumors (23) and from cell suspensions from different DMBA-induced tumors (1) have been reported recently. Therefore, the ratio of the absolute synthetic rate inhormone-containingmedium to the absoluteratein mediurn without hormones was used for comparing hormonaleffects on DNA synthesis between different cell pools anddifferent tissues. These ratios were lower in cultures fromneoplastic than from nonneoplastic tissues. This wascaused by the higher background rates of DNA synthesis inMedium 199 and 5% FCS in cultures from the neoplasticglands. These rates could be lowered, at least for the epitheiium from DMBA-induced tumors, by reducing the serumconcentration to 1 or O.5%.

Some differences were observed between the results obtamed from our epithelial cell cultures and those from ourprevious studies on organ cultures from nonneoplastic andneoplastic rat mammary tissues (12, 16) maintained in Medium 199 without serum addition but with hormones atsimilar concentrations. Insulin alone induced little if anyincreased rate of DNA synthesis in cell culture of mammarytissues, whereas it markedly increased DNA synthesis inorgan cultures of both normal mammary gland (12) andDMBA-induced tumors (16). The hormonal combination,insulin plus corticosterone plus prolactin, stimulated maximum rates of DNA synthesis in cell cultures from bothnonneoplastic glands and from all 40 of the DMBA-inducedtumors cultured, whereas this was not the case in organcultures of either nonneoplastic glands or in 16 out of 32DMBA-induced tumors. Estradiol stimulated small increases in the rate of DNA synthesis in insulin plus corticosterone plus prolactin in cultures from nonneoplastic glands,whereas it inhibited DNA synthesis in organ cultures fromsimilar tissues. Cell cultures from 40 DMBA-induced tumors

all gave similar patterns of effects of hormones on DNAsynthesis, whereas, in organ cultures, 32 tumors could beclearly subdivided into 3 groups on the basis of their hormonal responses (16). Therefore, it may be rewarding tocompare the effects of hormones on DNA synthesis of organoids that are encouraged to grow on surfaces to formcolonies, as reported here, and those that are preventedfrom colonial growth in identical culture media.

There were slight differences between the effects of hormones on DNA synthesis in cultures from normal, hyperplastic mammary gland and DMBA-induced tumors and major differences between these hormone-responsive culturesand the nonresponsive cultures from transplantable, nonresponsive tumors. The pattern of responses in DNA synthesisseen in cell culture was similar to that of the mammotrophic hormones on growth and development of mammaryglands and tumors in rats (5, 20). It is concluded that the cellculture system described here accurately reflects the hormonal modulation of the growth of tissues in the intactanimal, and it represents a suitable system in which to studyvarious aspects of the growth regulation of mammary tissues derived from different biological states in the rat. Inaddition, it may provide a useful model system for thestudy of the growth control of normal, dysplastic, neoplastic human mammary epithelium and its stroma.

ACKNOWLEDGMENTS

The authors wish to thank the Photographic Department of the ImperialCancer Research Fund for their assistance and A. Nash and C. A. Hallowesfor typing the manuscript.

REFERENCES

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2. Ben-David,M. Mechanismof Inductionof MammaryDifferentiationinSprague-Dawley Female Rats by Perphenazine. Endocrinology, 83:1217-1223, 1968.

3. Boyns,A. A., Buchan,R.,CoIe, E. N.. Forrest,A.P.M.,andGriffiths,K.Basal Prolactin Blood Levels in Three Strains of Rat with DifferingIncidence of 7,12-Dimethylbenz(a)anthracene Induced Mammary Tumours. European J. Cancer. 9: 169-171 , 1973.

4. Burger, M. M. Proteolytic Enzymes Initiating Cell Division and Escapefrom Contact Inhibition of Growth. Nature, 227: 170—171, 1970.

5. Ceriani, A. L. Hormonesand Other FactorsControlling Growth in theMammary Gland: A Review. J. Invest. Dermatol., 63: 93-108, 1974.

6. Chan,P. 0., Tsuang.J., Head,J., andCohen,L. A. Effectsof Estradioland Prolactin on Growth of Rat MammaryAdenocarcinomaCells inMonolayerCultures. Proc. Soc. Exptl. Biol. Med., 151: 362-365, 1976.

7. Cohen, L. A., Tsuang, J. , and Chan, P. 0. Characteristics of Rat NormalMammary Epithelial Cells and Dimethylbenzanthracene-induced Mammary Adenocarcinoma Cells Grown in Monolayer Culture. In Vitro, 10:51-62, 1974.

8. Cohen, S. Isolation of Mouse Submaxillary Gland Protein AcceleratingCisor Eruption and Eyelid Opening in the Newborn Animal. J. Biol.Chem., 237: 1555-1562, 1962.

9. Des, N. K., Hosick, H. L., and Nandi, 5. Influence of Seeding Density onMulticellular Organization and Nuclear Events in Cultures of Normal andNeoplastic Mouse Mammary Epithelium. J. NatI. Cancer Inst., 52: 849-'861, 1974.

10. Gospodarowicz, D. Localisation of Fibroblast Growth Factor and ItsEffects Alone and with Hydrocorticosterone on 3T3 Cell Growth. Nature,249: 123-127, 1974.

11. Gospodarowicz, D., Jones, K., and Sato, G. Preparation of a GrowthFactor for Ovarian Cells from Bovine Pituitary Glands. Proc. NatI. Aced.Sci. U. 5., 71: 2295-2299, 1974.

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12. Hallowes, A. C., Wang, D. Y., and Lewis, D. J. The Lactogenic Effects ofProlactin and Growth Hormone on Mammary Gland Explants from Virginand Pregnant Sprague-Dawley Rats. J. Endocrinol., 57: 253-264, 1973.

13. Hallowes, R. C., Wang, D. Y., Lewis, D. J., Strong, C. A., and Dils, A. TheStimulation by Prolactin and Growth Hormone of Fatty Acid Synthesis inExplants from Rat Mammary Glands. J. Endocrinol., 57: 265-276, 1973.

14. Hawkins, A. A., Drewitt, D., Freedman, B., Killen, E., Jenner, D., andCameron, E. H. D. Plasma Hormone Levels and the Incidence of Carcinogen-mnducedMammary Tumours in Two Strains of Rats. Brit. J. Cancer,34: 546-549, 1976.

15. Kissane, J. M., and Robins, E. The Fluorimetric Measurement of Deoxyribonucleic Acid in Animal Tissues with Special Reference to the CentralNervous system. J. Biol. Chem., 233: 184-188, 1958.

16. Lewis, D. J., and Hallowes, A. C. Correlation between the Effects ofHormones on the Synthesis of DNA in Explants from Induced Rat Mammary Tumours and the Growth of the Tumours. J. Endocrinol. , 62:225—240,1974.

17. Lewis, D. J., and Hallowes, A. C. The Possible Use of Histoculture for inVitro Culture of Human Biopsies. In: P. P. Dendy (ed.), Human Tumoursin Short TermCulture. Techniquesand Clinical Applications,pp. 219-226.NewYork: AcademicPress,Inc., 1976.

18. Macintyre,E. H.CellCulturein the Studyof the Mechanismof HormoneAction. In: H. V. Rickenberg (ed), Biochemistry, Series 1, Vol. 8, pp.305-329. London: Butterworth & Co., Ltd., 1974.

19. Malan, L. B., Janss, D. H., Dc Angelo, A. B., Kelley, 5. P., and Dailey, M.A. Development and Hormonal Control of Primary Epithelial CulturesIsolated from Rat Mammary Gland. In Vitro, 12: 146, 1976.

20. Meites, J. Relation of Prolactin and Estrogen to Mammary Tumorgenesisin the Rat.J. NatI.CancerInst.,48: 1217-1224,1972.

21. Miller, W. A. The in Vitro Effect of Prolactin upon Testosterone Metabolism by Rat Mammary Adenocarcinomata. European J. Cancer, 12: 679-682, 1976.

22. Mukherjee, A. S., Washburn, L. L., and Banerjee, M. A. The Role ofInsulin as a “Permissive―Hormone in Mammary Gland Development.Nature, 246: 159-160, 1973.

23. Pasteels, J. L., Heuson, J. C., Heuson-Stiennon, J., and Legros, N.Effectsof Insulin, Prolactin, Progesterone and Estradiol on DNA Synthesis in Organ Culture of 7,12-Dimethylbenz(a)anthracene-induced RatMammary Tumors. Cancer Res., 36: 2162-2170, 1976.

24. Rudland, P. 5., Hallowes, R. C., Durbin, H., and Lewis, D. J. MitogenicActivity of Pituitary Hormones on Monolayer Culture of Normal andCarcinogen-induced Tumor Epithelium from Rat Mammary Glands. J.Cell Biol., In press.

25. Rudland, P. 5. , Seifert, W. , and Gospodarowicz, D. Growth Control inCultured Mouse Fibroblasts: Induction of Pleiotypic and Mitogenic Responses by a Purified Growth Factor. Proc. NatI. Aced. Sci. U. S., 71:2600-2604. 1974.

26. Trowell, 0. A. The Culture of Mature Organs in a Synthetic Medium.Exptl. Cell Res., 16: 118-147, 1959.

27. Wang, D. V., Hallowes, A. C., Smith, A. H., Armor. V., and Lewis, D. J. ABiochemical Comparison of the Lactogenic Effect of Prolactin andGrowth Hormone on Mouse Mammary Gland in Organ Culture. J. Endocrinol., 52: 349-358, 1972.

28. Whitescarver,J. Problemsof in Vitro Culture of Human Mammary TumorCells. J. Invest. Dermatol., 63: 58—64,1974.

29. Young, S.. and Hallowes, R. C. Tumours ofthe Mammary Gland. In: V. S.Turusov (ed), Pathology of Tumours in Laboratory Animals. 1. Tumourof the Rat, pp. 31-74. Lyon, France: World Health Organization, 1973.

Fig. I . Epithelium from mammary gland of perphenazine-treated rats. Colony after 21 hr of growth in Medium 199 and 5% FCS plus insulin, corticosterone,and prolactin (5 j.tg/mI). Phase contrast, x 200.

Fig. 2. Part of colony In Fig. 1, but after 48 hr of further growth. Phase contrast, x 200.Fig. 3. Epithelium from DMBA-induced mammary tumor. Colony after 21 hr of growth in medium similar to that in Fig. 1. Phase contrast, x 200.Fig. 4. Part of colony in Fig. 3 but after 48 hr of further growth. Phase contrast, x 200.Fig. 5. Transplanted rat mammary tumor. Histological appearance. H & E, x 200.Fig. 6. Epithelium from transplanted rat mammary tumor. Part of a colony after 69 hr of growth in medium similar to that in Fig. 1. Phase contrast, x 200.

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Mammary Epithe!ium in Cell Culture

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1977;37:2492-2504. Cancer Res   Richard C. Hallowes, Philip S. Rudland, Richard A. Hawkins, et al.   Epithelium from RatsCell Cultures of Nonneoplastic and Neoplastic Mammary Comparison of the Effects of Hormones on DNA Synthesis in

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