In vitro T-cadherin is implicated in regulation of cell growth, survival and proliferation. In cultured VSMC and primary
astrocytes, the expression of T-cadherin depends on proliferation status with maximum at confluency suggesting its regulation of cell growth by contact inhibition. Known mitogens such as
platelet-derived growth factor (PDGF)-BB,
epidermal growth factor (EGF) or
insulin-like growth factor (IGF) elicit a reversible dose- and time-dependent decrease in T-cadherin expression in cultured VSMCs. Expression of T-cadherin leads to complete inhibition of subcutaneous tumor growth in nude mice. Seeding T-cadherin expressing cells on plastic coated with recombinant aminoterminal fragments of T-cadherin resulted in suppression of cell growth and was found to be associated with increased expression of
p21. In T-cadherin deficient C6
glioma cell lines, its overexpression results in growth suppression involving
p21Cip1/
WAF1 production and
G2 arrest. T-cadherin loss in tumor cells is associated with tumor malignancy, invasiveness and metastasis. Thus, tumor progression in
basal cell carcinoma,
cutaneous squamous carcinoma, non-small cell
lung carcinoma (NSCLC),
ovarian cancer,
pancreatic cancer,
colorectal cancer correlates with
downregulation of T-cadherin expression. In
psoriasis vulgaris the hyperproliferation of
keratinocytes also correlates with the downregulation of T-cadherin expression. The mechanism for T-cadherin suppression is associated with
allelic loss or
hypermethylation of the T-cadherin
gene promoter region. Transfection of T-cadherin negative
neuroblastoma TGW and NH-12 cells with T-cadherin results in their loss of
mitogenic proliferative response to epidermal growth factor (EGF) growth stimulation. Re-expression of T-cadherin in human breast cancer cells (MDAMB435) in culture, which originally do not express T-cadherin, results in the change of the phenotype from invasive to normal epithelial-like morphology. Thus, it was hypothesized that T-cadherin functions as a tumor-suppressor factor; inactivation of T-cadherin is associated with tumor malignancy, invasiveness and metastasis. However, in other tumors T-cadherin expression could promote tumor growth and
metastasis. In primary lung tumors the loss of T-cadherin was not attributed to the presence of metastasis in
lymph nodes, and in
osteosarcomas T-cadherin expression was correlated with metastasis. Furthermore, T-cadherin overexpression was found to be a common feature of human high grade
astrocytomas and associated with malignant transformation of astrocytes.
Heterozygosity for
NF1 (
neurofibromatosis 1) tumor suppressor resulting in reduced attachment and spreading and increased motility also coincides with upregulated T-cadherin expression. Data show that HUVEC cells overexpressing T-cadherin after adenovirus infection enter S-phase more rapidly and exhibit increased proliferation potential. T-cadherin expression increases in
HUVEC under conditions of
oxidative stress, and production of reactive oxygen species (ROS) contributes to T-cadherin elevated expression. T-cadherin overexpression in HUVEC leads to higher
phosphorylation of
Phosphatidylinositol 3-kinase (PIK3) – target of Akt, and mTOR – target p70S6K (survival pathway regulator), resulting in reduced levels of
caspase activation and increased survival after exposure to oxidative stress. It was suggested that in vascular cells T-cadherin performs a protective role against stress-induced
apoptosis. Tumor cells can regulate gene expression in growing vessels and the surrounding
stroma during tumor neovascularization. T-cadherin expression was found to be altered in tumor vessels: in
Lewis carcinoma lung metastasis the expression of T-cadherin was upregulated in blood vessels penetrating the tumor, while T-cadherin was not detected in the surrounding tumor tissue. In tumor neovascularization of
hepatocellular carcinoma (HCC) T-cadherin is upregulated in intratumoral capillary
endothelial cells, whereas in surrounding tumor tissue as well as in normal liver no T-cadherin could be detected. The increase in T-cadherin expression in endothelial cell in HCC was shown to correlate with tumors progression. Presumably, T-cadherin could play a navigating role in the growing tumor vessels, which in the absence of contact inhibition from the
stromal cells, grow into the surrounding tumor tissue. ==Guiding molecules in vascular and nervous systems==