Mammary Gland Cell Death Also Involves Lysosomal Autophagy

Considering the coordinated regulation between cell survival and cell death that must be maintained for normal growth, it is not surprising that apoptosis has emerged as a fundamental component in the regulation of tissue homeostasis. Therefore, it is feasible that cell survival and apoptosis are regulated through a common pathway; however, such a divergent mechanism has not been previously described [1]. Apoptosis of the secretory mammary epithelium occurs during the post-lactational involution of the mammary gland. This is evidenced by morphological and biochemical changes that are characteristic of this type of cell death [2, 3]. The involution is characterized by an increase in the number of apoptotic events in the luminal epithelial layer of the lobulo-alveolar compartment soon after weaning [4, 5]. This is followed by proteolytic degradation of supporting basement membrane and major remodeling of the gland. There is also marked activity of lysosomal enzymes during apoptosis of the mammary gland [6, 7]. The expansion of the lysosomal compartment is paralleled by a substantial increase in the synthesis, secretion, and activity of several lysosomal hydrolases that degrade components of the basement membrane [8, 9]. Lysosomes contain over 40 lytic enzymes that can degrade all classes of macromolecules.

Maintenance of the differentiated structure of the gland and survival of the secretory epithelium during lactation depends upon a combination of extracellular survival signals originating from neighboring basement membrane, cell adhesion molecules, lactogenic hormones, and as yet, undefined local factors [2]. Disruption of these signals is known to potentiate apoptosis of mammary epithelial cells, but the downstream effectors of these pro-apoptotic signals remain elusive. For instance, in the absence of estrogen, the secretory epithelial cells of the mammary gland undergo successive waves of cell death coincident with extensive reorganization of the surviving tissue.

In this report, we show that the mammary gland displays the characteristic morphological features of apoptotic cells in response to hormone ablation induced by weaning. In addition, we demonstrate the expansion of the lysosomal compartment and that the enzymatic activities of several lysosomal hydrolases are significantly elevated during apoptosis in the mammary gland. These results indicate that lysosomes are actively involved in degrading the post lactating gland as it involutes.

In order to determine whether lysosomes play a role in post-lactational apoptosis in mammary glands, we used an in situ assay to localize these organelles. Acid phosphatase (AP), a marker enzyme for lysosomes [10], was used to identify lysosomes. The histochemical examination of AP in post weaning mammary glands is shown in Fig. 1. The gland was a healthy secretory gland at the onset of weaning, day 0 (Fig. 1, panels a and c). Negligible AP staining was detected on day 0. However, four days post weaning (day 4), the mammary gland was highly vacuolated as evidenced by the loss of connective tissue (Fig. 1, panels b and d). Day 4 glands displayed marked positive AP staining, which is indicative of the presence of lysosomes, shown as dark granules (Fig. 1 panels b and d). These results indicate that the gland is histolyzed by lysosomal enzymes, which can degrade all macromolecules.

We postulated that the increase in AP staining from the above studies could be the result of increased enzymatic activities of lysosomal hydrolases. Consequently, we determined the activities of three major lysosomal enzymes found in the mammary gland: cathepsin B, β-N-acetylhexosaminidase, and acid phosphatase. The activities of all of the enzymes investigated were statistically higher in day 4 involuting gland extracts compared to the values in day 0 gland extracts (Figs. 2,3,4). These data support the notion that the synthesis of these three lysosomal enzymes is upregulated during the cell death of the mammary gland.

Apoptosis plays important roles in mammary development from early embryonic formation of the mammary gland to the regression that follows cessation of cycling [4]. The most dramatic occurrence of apoptosis is found during mammary involution. This is an important element in the developmental repertoire ensuring tissue homeostasis and proper disposal of cells that are no longer needed, such as milk-producing epithelial cells in the mammary gland after lactation. Involution of the mammary gland following weaning is divided into two distinct phases. Initially, milk stasis results in the induction of local factors that cause apoptosis in the alveolar epithelium [11]. Secondly after a prolonged absence of suckling, the consequent decline in circulating lactogenic hormone concentrations initiates remodeling of the mammary gland to the virgin-like state. Morphological studies and gene expression have suggested that apoptosis during involution is comprised of two phases: an early limited apoptosis in response to hormone ablation and later protease promoted widespread apoptosis in response to altered cell-matrix interactions and loss of anchorage [4]. Our data agree with those of Djonov et al. [12] who reported that the cell death that accompanies the involution of the mammary gland was only partly due to apoptosis.

The expression levels of lysosomal hydrolases have been used to monitor disease response and drug treatment in breast cancer patients [13]. These authors demonstrated that tamoxifen may have its anti-tumor effects by regulating the expression of several tumor marker enzymes, including those of lysosomal origin. The detection assays for these enzymes are inexpensive, quick, and are accurate. Our studies suggest that novel therapies for carcinomas of the breast may involve activation of lysosomal enzymes in tumor cells.