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AD Award Number: TITLE: Suppression of Breast Cancer Progression by Tissue Factor PRINCIPAL INVESTIGATOR: Wolfram Ruf, M.D. CONTRACTING ORGANIZATION: The Scripps Research Institute La Jolla, CA 92037 REPORT DATE: June 2005 TYPE OF REPORT: Annual PREPARED FOR: U.S. Army Medical Research and Materiel Command Fort Detrick, Maryland 21702-5012 DISTRIBUTION STATEMENT: Approved for Public Release; Distribution Unlimited The views, opinions and/or findings contained in this report are those of the author(s) and should not be construed as an official Department of the Army position, policy or decision unless so designated by other documentation. Z 5V1 i 073

REPORT DOCUMENTATION PAGE Form Approved The public reporting burden for this collection of information Is estimated to average 1 hour per response, Including the time for reviewing Instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of Information. Send comments regarding this burden estimate or any other aspect of this collection of Information, including suggestions for reducing the burden, to Department of Defense, Washington Headquarters Services, Directorate for Information Operations and Reports (0704-0188), 1215 Jefferson Davis Highway, Suite 1204. Arlington, VA 22202-4302. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information If it doees not display a currently valid OMB control number. PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ADDRESS. 1. REPORT DATE tdd-mm-yyyy) 2. REPORT TYPE 3. DATES COVERED (From - To) 01/06/2005 Annual 5May 04-4May05 4. TITLE AND SUBTITLE 5a. CONTRACT NUMBER Suppression of Breast Cancer Progression by Tissue Factor 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER Wolfram Ruf, M.D. 5e. TASK NUMBER 5f. WORK UNIT NUMBER E-Mail: ruf@scripps.edu 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION REPORT NUMBER The Scripps Research Institute La Jolla, CA 92037 9. SPONSORING/MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR'S ACRONYM(S) U.S. Army Medical Research and Materiel Command Fort Detrick, M aryland 21702-5012 1.S O S R M N T R S R P R 11. SPONSORIMONITOR'S REPORT NUMBER(S) 12. DISTRIBUTION/AVAILABILITY STATEMENT Approved for Public Release; Distribution Unlimited. 13. SUPPLEMENTARY NOTES 14. ABSTRACT Tissue Factor (TF) is the cell surface receptor that activates coagulation by binding the serine protease coagulation factor VIIa (VIIa). The activation of the coagulation cascade leads to thrombin generation, fibrin formation and platelet activation which together may aide tumor growth and metastasis. While the role of TF in metastasis through thrombin pathways is well established, evidence is increasing that TF may drive tumor development dependent on cell signaling pathways that involve either the cytoplasmic domain or proteolytic activation of protease activated receptors by TF associated proteases. A newly developed breast cancer model with a tetracycline regulated TF expression-cassette shows that TF enhances breast cancer tumor growth. This model will be useful to study mechanisms by which TF enhances breast cancer progression. Transgenic models are ongoing to test whether the TF cytoplasmic domaint overall supports of suppresses breast cancer progression. 15. SUBJECT TERMS Pathobiology, tumor progression, tumor suppression, cell signaling, immunology, angiogenesis 16. SECURITY CLASSIFICATION OF: 17. LIMITATION OF 18. NUMBER 19a. NAME OF RESPONSIBLE PERSON a. REPORT b. ABSTRACT c. THIS PAGE ABSTRACT OF PAGES U U U UU 6G 19b. TELEPHONE NUMBER (Include area code) Standard Form 298 (Rev. 8/98) Prescribed by ANSI Std. Z39.18

Table of Contents Cover... I SF 298...... 2 Table of Contents...... 3 Introduction...... 4 Body... 4 Key Research Accomplishments... 5... Reportable Outcomes....6 Conclusions... 6 References... Appendices...

Introduction RUF, Wolfram DAMD 17-03-1-0385 Annual Report Tissue Factor (TF) is the cell surface receptor that activates coagulation by binding the serine protease coagulation factor VIIa (VIIa). The activation of the coagulation cascade leads to thrombin generation, fibrin formation and platelet activation which together may aide tumor growth and metastasis. While the role of TF in metastasis through thrombin pathways is well established, evidence is increasing that TF may drive tumor development dependent on cell signaling pathways that dependent either on the cytoplasmic domain or proteolytic activation of protease activated receptors by TF associated proteases. This grant specifically addresses the question whether the TF cytoplasmic domain acts as a brake of breast cancer progression by transfection studies as well as spontaneous tumor development in transgenic animals. Body 64- This application has on (XTF two specific aims. Aim 1 is 361 I... Ito... analyze... the role of the... TF a mi d m ainop b Tumor 13 14 15 16 17 18 19 20 21 22 23 transfecting TF negative ID + Tet - Tet breast cancer cells. Preliminary data with 2500 melanoma cells showed that 2000 transfection with full-length, Eo but not cytoplasmic domain.o 1500 deleted TF suppressed 0 10 tumor growth, indicating a ~ 00 1 regulatory role of the TF 500o cytoplasmic domain in certain tumor cells. In 0 1 3 10 17 24 31 38 45 52 61 67 74 81 88 response to the suggestions Day 172 1of the review committees, we identified TF negative Fig. 1:TF expression leads to enhanced tumor growth of breast cancer cells. Tet-regulated TF-expressing BMS cells were injected subcutaneously into mice. Top panel: tumors from untreated or tetracycline treated mice were lysed and homogenized in detergent and TF was immunoprecipitated from the homogenate. Expression of TF was determined by Western Blot. Lower panel: Tumor growth was followed for 3 months in mice receiving tetracyclin to suppress TF expression (black dots), or in untreated controls (white squares). breast cancer cells and transfected these cells with human TF under the control of tetracyclineregulated promoters. Tumors cells were injected subcutaneously into immunodeficient Scid/Scid mice. 4

RUF, Wolfram Annual Report Mice were treated with or without tetracycline in their drinking water. Tetracycline administration lead to the expected loss of human TF expression in the tumors. Contrary to the melanoma model, TF expression enhanced tumor growth of breast cancer cells (p < 0.05 using a two-tailed t-test). We could not detect phosphorylation of the TF cytoplasmic domain in these tumors and could not establish whether phosphorylailon of TF turned off suppressive functions of the TF cytoplasmic domain. Remaining tasks on Aim 1 were to test whether overexpression of WW-domains can release suppression of tumor growth by the TF cytoplasmic domain. The breast cancer tumor models indicates that the TF cytoplasmic domain may not suppress tumor growth in beast cancer and the originally proposed experiments to release suppression are considered not feasible. In conclusion, we established a breast cancer model that is suitable to study TF enhanced breast cancer growth. Aim 2 is to generate tumor prone animals that lack the TF cytoplasmic domain. The first strategy was to cross hormone regulated C3-TAg mice with TF cytoplasmic domain deleted (TF CDACD) mice. As proposed, we generated 56 mutant and 40 littermate-derived wild-type control mice that are transgene carriers and are following the cohort. 15 and 5 mice, respectively, have died prematurely at an average age of- 7 months and the oldest mouse in the colony is currently 9 months of age. Survival is thus longer than described in the literature for the same transgene on the FVB/N background. Most mice that died showed signs of wasting with progressive weight loss, but we have not found palpable tumors in the mammary glands of these mice. We are addressing this inconsistency with published phenotypes of the same transgene on different genetic backgrounds by (1) obtaining routine pathology of 3 wasting mice for the development of tumors in other organs and possible metastatic disease; (2) confirming transgene expression in the mammary gland; and (3) analyzing whether male mice develop the expected adenocarcinomas of the prostate that is described for this transgene. These experiments will provide insight into the utility of this model for breast cancer research. The grant proposed to generate an alternative breast cancer model using a cross with FVB/N-TgN(MMTVneu)202Mul mice. In considering the difficulties to control for strain effects resulting from the cross of the FVB strain with TFACDACD in the C57BL/6 background, we decided to follow an alternative strategy. PyMT mice became recently available to us in a pure C57BL/6 genetic background. Breast cancer development in this model has been documented and the breast cancer pathology of polyoma middle T transgenic animals mirrors the stages of human breast cancer progression. The crosses are ongoing and a cohort of this cross instead of the originally proposed strain will be followed for the remaining funding period of this grant. Key Research Accomplishments - Demonstrated enhanced tumor growth upon TF expression in breast cancer cells - Generated TFACD/cD/C3-TAg cohort and identified a strain specific shift in pathology with animals expressing the C3-TAg transgene. 5

RUF, Wolfram Annual Report Reportable Outcomes none Conclusions We have identified a potential strain specific reduction in breast cancer development in C3-TAg mice. Alternative tumor models are used to establish the role of the TF cytoplasmic domain in breast cancer progression. 6