We have previously shown that CD44 partly mediates ovarian cancer cell
attachment to peritoneal mesothelium through recognition of mesotheli
al-associated hyaluronate. CD44 is a major receptor for hyaluronate an
d exists as a standard 90-180-kDa form (CD44H), as well as several hig
her molecular mass variant forms produced by alternative splicing. To
determine whether functional differences exist between CD44H and its v
ariants we have investigated the relationship between CD44 isoform exp
ression and mesothelial adhesion in 12 ovarian cancer cell lines. Eigh
t lines were CD44 positive (range, 83-94%) and demonstrated significan
t binding to mesothelium and hyaluronate, whereas two lines showed red
uced CD44 levels (3-13%) and demonstrated decreased binding. Interesti
ngly, two other lines (OVC-3 and SW626) expressed CD44 in the majority
of cells (>93%) and yet bound weakly to mesothelium. Mean linear fluo
rescence intensity of CD44 expressed by OVC-3 and SW626 cells was appr
oximately one-half that of strongly binding cell lines, suggesting tha
t the ability to adhere may be partly related to CD44 surface density.
However, immunoprecipitation and immunoblot analyses revealed that st
andard CD44H represented only 23-31% of total CD44 in weakly binding c
ells, with the majority of species being comprised of CD44 variants. I
ndirect immunofluorescence of OVC-3 and SW626 cells confirmed the pres
ence of CD44 variants containing exons v3, v6, and v9. In contrast, CD
44H represented the majority (75-86%) of total CD44 expressed by stron
gly binding cell lines such as CAOV-3 and UPN36T. Transfection of CD44
H cDNA into weakly binding OVC-3 cells restored significant mesothelia
l binding which was partly blocked by anti-CD44 antibody. These data s
uggest that the expression of CD44 is necessary but not sufficient for
mediating attachment of ovarian cancer cells to mesothelium. Although
CD44 variants may constitute the major CD44 species in certain ovaria
n cancer cell lines, it appears that these CD44 species are not always
capable of mediating significant binding to mesothelium or hyaluronat
e. Rather, an adequate level of CD44H is the critical determinant of b
inding in this system. The role of CD44 variants in the process of ova
rian cancer metastasis will require further investigation.