Background: Neuroendocrine tumors (NETs) of the gastrointestinal (GI) system are increasing in incidence with minimal improvement in prognosis. Although the cell of origin has been identified as the enterochromaffin (EC) cell, its secretory and proliferative regulation has not been defined at a mechanistic level. To date, the BON cell line has been the most widely used in vitro EC cell model despite its pancreatic origin. Using whole-genome mathematical analysis as well as secretory and proliferative studies, we compared the BON cell line to the small intestine (SI) EC cell-derived NET cell line, KRJ-I, to assess individual cell line validity and applicability for the investigation of GI-NET disease. Methods and Results: Principal component analysis and ANOVA of KRJ-I and BON transcriptomes (U133 Plus 2) identified substantially different (<10%) overlap in transcripts with minimal (R2 = 0.24) correlation in gene expression profiles. RT-PCR detected large variability (>12%) in neuroendocrine (NE) marker transcripts in the BON cell line and the absence of Tph-2, DDC, TGF βR2, and M3 transcripts in KRJ-I. The KRJ-I cell line secreted serotonin (5-HT) in response to isoproterenol (EC50 = 100 nM), noradrenaline (EC50 = 1.7 nM), and pituitary adenylate cyclase (PACAP, EC50 = 0.03 nM). Cholecystokinin (IC50 = 430 nM), somatostatin (IC50 = 400 nM), acetylcholine (IC50 = 3.7 nM), and γ-aminobutyric acid A (GABAA, IC50 = 2 nM) all inhibited 5-HT release, while gastrin and bombesin had no effect. 5-HT secretion in the BON cell line was stimulated by isoproterenol (EC50 = 900 nM), noradrenaline (EC50 = 20 nM), cholecystokinin (EC50 = 130 nM), PACAP (EC50 = 0.12 nM), bombesin (EC50 = 15 nM), and acetylcholine (EC50 = 0.2 nM). It was inhibited by somatostatin (IC50 = 300 nM) but not GABAA. KRJ-I responded with proliferation to connective tissue growth factor (CTGF, EC50 = 0.002 ng/ml), transforming growth factor-α (TGFα, EC50 = 0.63 ng/ml) and transforming growth factor-β (TGFβ, EC50 = 0.63 ng/ml). Epidermal growth factor (EGF) and somatostatin had no significant effect. BON cell proliferation was stimulated only by EGF and TGFα (EC50 = 15.8 and 10 ng/ml). TGFβ (IC50 = 0.16 ng/ml), MZ-4-147 (IC50 = 0.5 nM), and BIM23A761 (IC50 = 0.06 nM) all inhibited proliferation. CTGF and somatostatin had no effect. Conclusion: KRJ-I and BON cell lines demonstrate substantial differences in gene level transcripts, inconsistent receptor profile expression, wide variability in NE marker transcript levels, and significantly differential proliferative and secretory responses. Given the EC cell origin of KRJ-I, these results provide evidence that the BON cell line does not represent an EC cell system and is not a valid study model of (carcinoid) EC cell-derived NET.

1.
Modlin IM, Oberg K, Chung DC, Jensen RT, de Herder WW, Thakker RV, Caplin M, Delle Fave G, Kaltsas GA, Krenning EP, Moss SF, Nilsson O, Rindi G, Salazar R, Ruszniewski P, Sundin A: The current status of gastroenteropancreatic neuroendocrine tumors. Lancet Oncol 2008;9:61–72.
2.
Modlin IM, Lye KD, Kidd M: A 5-decade analysis of 13,715 carcinoid tumors. Cancer 2003;97:934–959.
3.
Halfdanarson TR, Rabe KG, Rubin J, Petersen GM: Pancreatic neuroendocrine tumors (PNETs): incidence, prognosis and recent trend toward improved survival. Ann Oncol 2008.
4.
Modlin IM, Kidd M, Latich I, Zikusoka MN, Shapiro MD: Current status of gastrointestinal carcinoids. Gastroenterology 2005;128:1717–1751.
5.
The US National Cancer Institute, Surveillance Epidemiology and End Results (SEER) data base, 1973–2004, http://seer.cancer.gov/. 2007.
6.
Spangeus A, Forsgren S, El-Salhy M: Effect of diabetic state on co-localization of substance P and serotonin in the gut in animal models. Histol Histopathol 2001;16:393–398.
7.
Cetin Y, Kuhn M, Kulaksiz H, Adermann K, Bargsten G, Grube D, Forssmann WG: Enterochromaffin cells of the digestive system: cellular source of guanylin, a guanylate cyclase-activating peptide. Proc Natl Acad Sci USA 1994;91:2935–2939.
8.
Quinn LA, Moore GE, Morgan RT, Woods LK: Cell lines from human colon carcinoma with unusual cell products, double minutes, and homogeneously staining regions. Cancer Res 1979;39:4914–4924.
9.
Kolby L, Bernhardt P, Ahlman H, Wangberg B, Johanson V, Wigander A, Forssell-Aronsson E, Karlsson S, Ahren B, Stenman G, Nilsson O: A transplantable human carcinoid as model for somatostatin receptor-mediated and amine transporter-mediated radionuclide uptake. Am J Pathol 2001;158:745–755.
10.
Van Buren G, 2nd, Rashid A, Yang AD, Abdalla EK, Gray MJ, Liu W, Somcio R, Fan F, Camp ER, Yao JC, Ellis LM: The development and characterization of a human midgut carcinoid cell line. Clin Cancer Res 2007;13:4704–4712.
11.
Evers BM, Townsend CM Jr, Upp JR, Allen E, Hurlbut SC, Kim SW, Rajaraman S, Singh P, Reubi JC, Thompson JC: Establishment and characterization of a human carcinoid in nude mice and effect of various agents on tumor growth. Gastroenterology 1991;101:303–311.
12.
Christofi FL, Kim M, Wunderlich JE, Xue J, Suntres Z, Cardounel A, Javed NH, Yu JG, Grants I, Cooke HJ: Endogenous adenosine differentially modulates 5-hydroxytryptamine release from a human enterochromaffin cell model. Gastroenterology 2004;127:188–202.
13.
Kim M, Cooke HJ, Javed NH, Carey HV, Christofi F, Raybould HE: D-glucose releases 5-hydroxytryptamine from human BON cells as a model of enterochromaffin cells. Gastroenterology 2001;121:1400–1406.
14.
Jang HJ, Kokrashvili Z, Theodorakis MJ, Carlson OD, Kim BJ, Zhou J, Kim HH, Xu X, Chan SL, Juhaszova M, Bernier M, Mosinger B, Margolskee RF, Egan JM: Gut-expressed gustducin and taste receptors regulate secretion of glucagon-like peptide-1. Proc Natl Acad Sci USA 2007;104:15069–15074.
15.
von Mentzer B, Murata Y, Ahlstedt I, Lindstrom E, Martinez V: Functional CRF receptors in BON cells stimulate serotonin release. Biochem Pharmacol 2007;73:805–813.
16.
Vikman S, Essand M, Cunningham JL, de la Torre M, Oberg K, Totterman TH, Giandomenico V: Gene expression in midgut carcinoid tumors: potential targets for immunotherapy. Acta Oncol 2005;44:32–40.
17.
Ishizuka J, Beauchamp RD, Sato K, Townsend CM Jr, Thompson JC: Novel action of transforming growth factor beta 1 in functioning human pancreatic carcinoid cells. J Cell Physiol 1993;156:112–118.
18.
Ishizuka J, Beauchamp RD, Townsend CM Jr, Greeley GH Jr, Thompson JC: Receptor-mediated autocrine growth-stimulatory effect of 5-hydroxytryptamine on cultured human pancreatic carcinoid cells. J Cell Physiol 1992;150:1–7.
19.
Zikusoka MN, Kidd M, Eick G, Latich I, Modlin IM: The molecular genetics of gastroenteropancreatic neuroendocrine tumors. Cancer 2005;104:2292–2309.
20.
Modlin I, Moss S, Chung D, Jensen R, Snyderwine E: Priorities for improving the management of gastropancreatic neuroendocrine tumors. J Natl Cancer Inst 2008;100:1–8.
21.
Duerr E, Mizukami Y, Ng A, Xavier R, Kikuchi H, Deshpande V, Warshaw AL, Glickman J, Kulke M, Chung D: Defining molecular classifications and targets in gastropancreatic neuroendocrine tumors through DNA microarray analysis. Endocr Relat Cancer 2008;15:243–246.
22.
Kulke MH, Freed E, Chiang DY, Philips J, Zahrieh D, Glickman JN, Shivdasani RA: High-resolution analysis of genetic alterations in small bowel carcinoid tumors reveals areas of recurrent amplification and loss. Genes Chromosomes Cancer 2008;47:591–603.
23.
Rindi G, Kloppel G: Endocrine tumors of the gut and pancreas tumor biology and classification. Neuroendocrinology 2004;80(suppl 1):12–15.
24.
Arany I, Rady P, Evers BM, Tyring SK, Townsend CM Jr: Analysis of multiple molecular changes in human endocrine tumours. Surg Oncol 1994;3:153–159.
25.
Kulke MH, Lenz HJ, Meropol NJ, Posey J, Ryan DP, Picus J, Bergsland E, Stuart K, Tye L, Huang X, Li JZ, Baum CM, Fuchs CS: Activity of sunitinib in patients with advanced neuroendocrine tumors. J Clin Oncol 2008;26:3403–3410.
26.
Kloppel G, Perren A, Heitz PU: The gastroenteropancreatic neuroendocrine cell system and its tumors: the WHO classification. Ann N Y Acad Sci 2004;1014:13–27.
27.
Leu FP, Nandi M, Niu C: The effect of transforming growth factor beta on human neuroendocrine tumor BON cell proliferation and differentiation is mediated through somatostatin signaling. Mol Cancer Res 2008;6:1029–1042.
28.
Nakakura EK, Sriuranpong VR, Kunnimalaiyaan M, Hsiao EC, Schuebel KE, Borges MW, Jin N, Collins BJ, Nelkin BD, Chen H, Ball DW: Regulation of neuroendocrine differentiation in gastrointestinal carcinoid tumor cells by notch signaling. J Clin Endocrinol Metab 2005;90:4350–4356.
29.
Yang J, Weinberg RA: Epithelial-mesenchymal transition: at the crossroads of development and tumor metastasis. Dev Cell 2008;14:818–829.
30.
Modlin IM, Kidd M, Pfragner R, Eick GN, Champaneria MC: The functional characterization of normal and neoplastic human enterochromaffin cells. J Clin Endocrinol Metab 2006;91:2340–2348.
31.
Kidd M, Eick GN, Modlin IM, Pfragner R, Champaneria MC, Murren J: Further delineation of the continuous human neoplastic enterochromaffin cell line, KRJ-I, and the inhibitory effects of lanreotide and rapamycin. J Mol Endocrinol 2007;38:181–192.
32.
Pfragner R, Wirnsberger G, Niederle B, Behmel A, Rinner I, Mandl A, Wawrina F, Luo J, Adamiker D, Hoeger H, Ingolic E, Schauenstein K: Establishment of a continuous cell line from a human carcinoid of the small intestine (KRJ-I): characterization and effects of 5-azacytidine on proliferation. Int J Oncol 1996;8:513–520.
33.
Parekh D, Ishizuka J, Townsend CM Jr, Haber B, Beauchamp RD, Karp G, Kim SW, Rajaraman S, Greeley G Jr, Thompson JC: Characterization of a human pancreatic carcinoid in vitro: morphology, amine and peptide storage, and secretion. Pancreas 1994;9:83–90.
34.
Kidd M, Modlin IM, Mane SM, Camp RL, Eick G, Latich I: The role of genetic markers – NAP1L1, MAGE-D2, and MTA1 – in defining small-intestinal carcinoid neoplasia. Ann Surg Oncol 2006;13:253–262.
35.
Kidd M, Nadler B, Mane S, Eick G, Malfertheiner M, Champaneria M, Pfragner R, Modlin I: GeneChip, geNorm, and gastrointestinal tumors: novel reference genes for real-time PCR. Physiol Genomics 2007;30:363–370.
36.
Vandesompele J, De Preter K, Pattyn F, Poppe B, Van Roy N, De Paepe A, Speleman F: Accurate normalization of real-time quantitative RT-PCR data by geometric averaging of multiple internal control genes. Genome Biol 2002;3:RESEARCH0034.
37.
Kidd M, Drozdov I, Joseph R, Pfragner R, Culler M, Modlin I: Differential cytotoxicity of novel somatostatin and dopamine chimeric compounds on bronchopulmonary and small intestinal neuroendocrine tumor cell lines. Cancer 2008;113:690–700.
38.
Kidd M, Schally AV, Pfragner R, Malfertheiner MV, Modlin IM: Inhibition of proliferation of small intestinal and bronchopulmonary neuroendocrine cell lines by using peptide analogs targeting receptors. Cancer 2008;112:1404–1414.
39.
Mosmann T: Rapid colorimetric assay for cellular growth and survival: application to proliferation and cytotoxicity assays. J Immunol Methods 1983;65:55–63.
40.
Partek: Partek® Genomics Suite™. St Louis, Partek, 2008.
41.
Jolliffe IT: Principal Component Analysis. Berlin, Springer, 1986.
42.
Gautam D, Han SJ, Duttaroy A, Mears D, Hamdan FF, Li JH, Cui Y, Jeon J, Wess J: Role of the M3 muscarinic acetylcholine receptor in beta-cell function and glucose homeostasis. Diabetes Obes Metab 2007;9(suppl 2): 158–169.
43.
Schmid SW, Modlin IM, Tang LH, Stoch A, Rhee S, Nathanson MH, Scheele GA, Gorelick FS: Telenzepine-sensitive muscarinic receptors on rat pancreatic acinar cells. Am J Physiol 1998;274:G734–G741.
44.
Modlin IM, Kidd M, Eick G, Champaneria M: The functional characterization of normal and neoplastic EC cells. Journal of Clinical Endocrinology and Metabolism 2006;91:2340–2348.
45.
Kidd M, Modlin I, Gustafsson B, Drozdov I, Hauso O, Pfragner R: The luminal regulation of normal and neoplastic EC cell serotonin release is mediated by bile salts, amines, tastants and olfactants. Am J Physiol Gastrointest Liver Physiol 2008;295:G260–G272.
46.
Koopmans KP, Brouwers AH, De Hooge MN, Van der Horst-Schrivers AN, Kema IP, Wolffenbuttel BH, De Vries EG, Jager PL: Carcinoid crisis after injection of 6–18F-fluorodihydroxyphenylalanine in a patient with metastatic carcinoid. J Nucl Med 2005;46:1240–1243.
47.
Holzer P, Holzer-Petsche U: Tachykinins in the gut. I. Expression, release and motor function. Pharmacol Ther 1997;73:173–217.
48.
Kuhn M, Kulaksiz H, Cetin Y, Frank M, Nold R, Arnold R, Boker K, Bischoff SC, Manns MP, Forssmann WG: Circulating and tissue guanylin immunoreactivity in intestinal secretory diarrhoea. Eur J Clin Invest 1995;25:899–905.
49.
Cleary S, Phillips JK, Huynh TT, Pacak K, Fliedner S, Elkahloun AG, Munson P, Worrell RA, Eisenhofer G: Chromogranin A expression in phaeochromocytomas associated with von Hippel-Lindau syndrome and multiple endocrine neoplasia type 2. Horm Metab Res 2007;39:876–883.
50.
Wang L, Erlandsen H, Haavik J, Knappskog PM, Stevens RC: Three-dimensional structure of human tryptophan hydroxylase and its implications for the biosynthesis of the neurotransmitters serotonin and melatonin. Biochemistry 2002;41:12569–12574.
51.
Jaffa AA, Usinger WR, McHenry MB, Jaffa MA, Lipstiz SR, Lackland D, Lopes-Virella M, Luttrell LM, Wilson PW: Connective tissue growth factor and susceptibility to renal and vascular disease risk in type 1 diabetes. J Clin Endocrinol Metab 2008;93:1893–1900.
52.
Rosado de Christenson ML, Abbott GF, Kirejczyk WM, Galvin JR, Travis WD: Thoracic carcinoids: radiologic-pathologic correlation. Radiographics 1999;19:707–736.
53.
Gazdar AF, Helman LJ, Israel MA, Russell EK, Linnoila RI, Mulshine JL, Schuller HM, Park JG: Expression of neuroendocrine cell markers L-DOPA decarboxylase, chromogranin A, and dense core granules in human tumors of endocrine and nonendocrine origin. Cancer Res 1988;48:4078–4082.
54.
Oates T, Jensen D: The effects of training set size on decision tree complexity. Proc14th Int Conf on Machine Learning. Nashville, Morgan Kaufmann, 1997.
55.
Davies AH, Larsson G, Ardill J, Friend E, Jones L, Falconi M, Bettini R, Koller M, Sezer O, Fleissner C, Taal B, Blazeby JM, Ramage JK: Development of a disease-specific quality of life questionnaire module for patients with gastrointestinal neuroendocrine tumours. Eur J Cancer 2006;42:477–484.
56.
Orlefors H, Sundin A, Lu L, Oberg K, Langstrom B, Eriksson B, Bergstrom M: Carbidopa pretreatment improves image interpretation and visualisation of carcinoid tumours with 11C-5-hydroxytryptophan positron emission tomography. Eur J Nucl Med Mol Imaging 2006;33:60–65.
57.
Gronstad KO, Zinner MJ, Nilsson O, Dahlstrom A, Jaffe BM, Ahlman H: Vagal release of serotonin into gut lumen and portal circulation via separate control mechanisms. J Surg Res 1988;44:146–151.
58.
Lindstrom E, Hakanson R: Neurohormonal regulation of secretion from isolated rat stomach ECL cells: a critical reappraisal. Regul Pept 2001;97:169–180.
59.
Schubert ML, Peura DA: Control of gastric acid secretion in health and disease. Gastroenterology 2008;134:1842–1860.
60.
Verspohl EJ, Ammon HP, Williams JA, Goldfine ID: Evidence that cholecystokinin interacts with specific receptors and regulates insulin release in isolated rat islets of Langerhans. Diabetes 1986;35:38–43.
61.
Ahren B: The insulin response to gastric glucose is reduced in PAC1 and GRP receptor gene deleted mice. Nutr Metab Cardiovasc Dis 2006;16(suppl 1):S17–S21.
62.
Chaudhry A, Oberg K, Gobl A, Heldin C, Funa K: Expression of transforming growth factors β1, β2, β3 in neuroendocrine tumors of the digestive system. Anticancer Res 1994;14(5B):2085–2091.
63.
Chaudhry A, Oberg K: Transforming growth factor alpha and epithelial growth factor receptor in neuroendocrine tumors of the digestive system. Diagn Oncol 1993;3:81–85.
64.
Oberg K: Expression of growth factors and their receptors in neuroendocrine gut and pancreatic tumors, and prognostic factors for survival. Ann NY Acad Sci 1995;733:46–55.
65.
Kidd M, Eick G, Shapiro MD, Camp RL, Mane SM, Modlin IM: Microsatellite instability and gene mutations in transforming growth factor-beta type II receptor are absent in small bowel carcinoid tumors. Cancer 2005;103:229–236.
66.
Kidd M, Modlin IM, Pfragner R, Eick GN, Champaneria MC, Chan AK, Camp RL, Mane SM: Small bowel carcinoid (enterochromaffin cell) neoplasia exhibits transforming growth factor-β1-mediated regulatory abnormalities including up-regulation of C-Myc and MTA1. Cancer 2007;109:2420–2431.
67.
Kidd M, Modlin I, Shapiro M, Camp R, Mane S, Usinger W, Murren J: CTGF, intestinal stellate cells and carcinoid fibrogenesis. World J Gastroenterol 2007;13:5208–5216.
68.
Guillermet-Guibert J, Lahlou H, Cordelier P, Bousquet C, Pyronnet S, Susini C: Physiology of somatostatin receptors. J Endocrinol Invest 2005;28:5–9.
69.
Wimmel A, Wiedenmann B, Rosewicz S: Autocrine growth inhibition by transforming growth factor β1 (TGFβ1) in human neuroendocrine tumor cells. Gut 2003;52:1308–1316.
70.
Kidd M, Modlin IM, Eick GN, Camp RL, Mane SM: Role of CCN2/CTGF in the proliferation of Mastomys enterochromaffin-like cells and gastric carcinoid development. Am J Physiol Gastrointest Liver Physiol 2007;292:G191–G200.
71.
Hopfner M, Sutter AP, Gerst B, Zeitz M, Scherubl H: A novel approach in the treatment of neuroendocrine gastrointestinal tumours. Targeting the epidermal growth factor receptor by gefitinib (ZD1839). Br J Cancer 2003;89:1766–1775.
72.
Jaquet P, Gunz G, Saveanu A, Dufour H, Taylor J, Dong J, Kim S, Moreau JP, Enjalbert A, Culler MD: Efficacy of chimeric molecules directed towards multiple somatostatin and dopamine receptors on inhibition of GH and prolactin secretion from GH-secreting pituitary adenomas classified as partially responsive to somatostatin analog therapy. Eur J Endocrinol 2005;153:135–141.
73.
Kreiss C, Schwizer W, Erlacher U, Borovicka J, Lochner-Kuery C, Muller R, Jansen JB, Fried M: Role of antrum in regulation of pancreaticobiliary secretion in humans. Am J Physiol 1996;270:G844–G851.
74.
Kuntz E, Pinget M, Damge P: Cholecystokinin octapeptide: a potential growth factor for pancreatic beta cells in diabetic rats. JOP 2004;5:464–475.
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