Cathepsin D, a lysosomal protease, is overexpressed in primary breast
cancer and associated with increased risk of metastasis. We have shown
previously by transfection in rat tumor cells that overexpression of
cathepsin D increased both experimental metastasis in nude mice and in
vitro proliferation under low-serum conditions. In this study, we use
d the transfected cell lines to investigate the mechanism by which cat
hepsin D prevents density-dependent arrest of cell proliferation. This
effect was not associated with a general alteration of cell-substratu
m or cell-cell adhesiveness. As shown by coculture and conditioned med
ia experiments, control cells reaching saturation density released inh
ibitory activity that was able to prevent the growth of control or cat
hepsin D transfectants and decreased the cloning efficiency of normal
rat kidney fibroblasts in agar. By contrast, in media from two catheps
in D-transfected cell lines, this inhibitory activity was markedly red
uced. Cathepsin D overexpression did ndt affect cell sensitivity to th
e inhibitor but modified the secretion of several proteins. The increa
se in cell density appeared to be due to intracellular maturation of c
athepsin D since it was reversed by amine treatment that neutralizes t
he pH of acidic compartments within the cells. Moreover, the addition
of secreted pro-cathepsin D was unable to increase the saturation dens
ity of control clones. Finally, the inhibitory factor was partially ch
aracterized as a heat-labile, secreted protein. We conclude that cathe
psin D overexpression increases the growth of cancer cells to a higher
density via an intracellular mechanism, leading to a decreased secret
ion of growth inhibitor(s).