Human pancreatic beta cells are susceptible to infection by enteroviruses, especially Coxsackie B viruses, and such infections could contribute to the development of Type 1 diabetes. Enteroviruses gain entry via cell surface receptors, one of which, the Coxsackie and Adenovirus receptor (CAR), is a transmembrane cell adhesion protein which serves as a key entry receptor for Coxsackie B viruses and is thought to be localised mainly within regions where contacts are formed between adjacent cells. CAR exists as at least 5 isoforms and this study has examined their expression profile and distribution in the human pancreas utilising; formalin-fixed paraffin-embedded pancreatic sections from non-diabetic individuals, type 1 diabetes patients and a human tissue microarray. Isolated human islets, human pancreatic beta and ductal cell lines were also studied. Immunological and molecular approaches were employed to examine the expression and cellular localisation of the known CAR isoforms in human pancreas. One specific isoform of CAR (CAR-SIV) with a unique C terminal PDZ binding domain, was highly expressed in human beta cells at the protein level. Surprisingly, it was distributed in a punctate manner mainly within the cytoplasm of the cells, rather than at the cell surface. In human beta cells, within the cytoplasm CAR-SIV co-localised with ZnT8, PC1/3 and insulin but less so with proinsulin suggesting that CAR-SIV is associated with insulin secretory granules. Immunogold labelling and electron microscopic analysis revealed that CAR-SIV is localised both to maturing insulin secretory granules and to fully mature, dense-core (insulin) secretory granules. Intriguingly, CAR-SIV colocalises and interacts with a cytosolic protein, PICK1, which plays a role in the budding, maturation and trafficking of insulin secretory granules. On this basis, a model is proposed whereby CAR-SIV and PICK1 interact to regulate the maturation and trafficking of insulin secretory granules. Overall, this study suggests that the specialised role and subcellular localisation of CAR-SIV in human beta cells may contribute to their sensitivity to enteroviral infection following externalisation of the protein at the cell surface, during insulin exocytosis.

Der Coxsackie- und Adenovirus Rezeptor (CAR) ist als Bestandteil von Tight Junctions (TJ) an interzellulären Adhäsionsprozessen beteiligt und scheint eine wichtige Rolle in der Karzinogenese zu spielen. Diese ist jedoch insbesondere bei Entstehung von Darmkrebs weitgehend unklar. Ziel der Arbeit war es daher, die funktionelle Bedeutung, mögliche Interaktionspartner sowie die Expressionsregulation von CAR im kolorektalen Karzinom zu analysieren. In den Zelllinien CaCo2, Colo205, DLD1, HCT116, HT29, SW480 und T84 konnte die Expression von CAR (mRNA und Protein) nachgewiesen werden. Nach stabiler CAR-Überexpression durch Transfektion von CARcDNA in DLD1, HCT116 und SW480 wurde das Zellwachstum gehemmt und eine Abnahme von Migration und Invasion induziert. Eine stabile CAR-Inhibition nach Transfektion von CARsiRNA führte in diesen Zelllinien zum Anstieg der Proliferation sowie zu verstärkter Migrations- und Invasionsaktivität, die in DLD1 mit morphologischen Änderungen einhergingen. Eine Genexpressionsanalyse der Zelllinie DLD1 mit CAR-Inhibition identifizierte α-Catenin als das am stärksten regulierte Gen. Obwohl keine direkte Interaktion beider Proteine detektiert werden konnte, führte eine stabile Re-Expression von α-Catenin in DLD1 mit stabiler CAR-Inhibition zu einer deutlichen Reduktion von Proliferation, Migration und Invasion sowie zu einem Rückgang der zellmorphologischen Änderungen. Um den Einfluss von Differenzierung auf die Regulation der CAR-Expression zu untersuchen, erfolgte eine Behandlung aller Zelllinien mit Natriumbutyrat. Dies führte in fünf der sieben Zelllinien zu einer Aktivierung des CAR-Promotors sowie zu einer gesteigerten Expression und Immunoreaktivität von CAR an der Zelloberfläche. Die Zelllinie CaCo2 zeigte nach spontaner Differenzierung durch 21-tägiges Wachstum post Konfluenz ebenfalls eine verstärkte CAR-mRNA-Expression sowie eine erhöhte CAR-Präsenz an der Zelloberfläche. Die gewonnenen Daten konnten die funktionelle Bedeutung von CAR für die Kolonkarzinogenese sowie den Einfluss von α-Catenin auf diese Funktion deutlich machen. Es wurde gezeigt, dass die Expressionsregulation sowie die subzelluläre Verteilung von CAR durch den zellulären Differenzierungsstatus beeinflusst werden kann. / The Coxsackie and Adenovirus Receptor (CAR) is a transmembrane compound of the tight junctions in polarized epithelial cells mediating cellular adhesion. CAR was suggested to play a functional role in the development of epithelial malignomas but detailed knowledge is still lacking, especially for the colorectal carcinoma. Therefore, the functional impact and regulation of CAR expression in human colorectal carcinoma cell models were investigated. CAR protein and mRNA was detectable in the cell lines CaCo2, Colo205, DLD1, HCT116, HT29, SW480 and T84. Stable CAR over expression by transfection of CARcDNA in DLD1, HCT116 and SW480 led to reduced proliferation in vitro and in vivo. Also reduced migration and invasion were observed. Stable CAR inhibition by transfection of CARsiRNA in the same cell lines resulted in increased migration and invasion. In DLD1 morphological changes were found after CAR inhibition. Differential gene expression was detected in DLD1 cells with stable CAR inhibition revealing an 18-fold decrease in α-Catenin gene expression. Loss of α-Catenin was obtained on protein level, too. Although no direct interaction between CAR and α-Catenin could be proven ectopic re-expression of α-Catenin in DLD1 with CAR inhibition reversed the determined functional and morphological effects of a CAR knock down. Then, the impact of differentiation on regulation of CAR expression was investigated. Sodium butyrate treatment induced differentiation in all cell lines (determined by alkaline phosphatase activity), which was paralleled by an increase of CAR immunoreactivity at the plasma membrane in all cell lines but CaCo2. However, CAR protein and mRNA expression, as well as CAR gene promoter activity increased in 5 cell lines only, whereas in SW480 and CaCo2 a down regulation was observed. Spontaneous differentiation of CaCo2 after a growth period of 21 days post confluence resulted in up regulation of CAR mRNA expression as well as increased CAR presence at the plasma membrane. The data suggest that CAR plays a crucial role in the carcinogenesis of colorectal carcinoma which could be influenced by α-Catenin interaction. Differentiation determines the regulation of CAR expression and the subcellular distribution of CAR in colon cancer cells.