In colorectal cancer patients, prognosis is not determined by the primary t
umor but by the formation of distant metastases, Molecules that have been i
mplicated in the metastatic process are the proto-oncogene product c-Mct an
d CD44 glycoproteins. Recently, we obtained evidence for functional collabo
ration between these two molecules: CD44 Isoforms decorated with heparan su
lfate chains (CD44-HS) can bind the c-Met ligand, the growth and motility f
actor hepatocyte growth factor/scatter factor (HGF/SF). This interaction st
rongly promotes signaling through the receptor tyrosine kinase c-Met, In th
e present study, we explored the expression of CD44-HS, c-Met, and HGF/SF i
n the normal human colon mucosa, and in colorectal adenomas and carcinomas,
as well as their interaction in colorectal cancer cell lines. Compared to
the normal colon, CD44v3 isoforms,which contain a site for NS attachment, a
nd c-Met, were both overexpressed on the neoplastic epithelium of colorecta
l adenomas and on most carcinomas. Likewise, HGF/SF was expressed at increa
sed levels in tumor tissue. On all tested colorectal cancer cell lines CD44
v3 and c-Met were co-expressed. As was shown by immunoprecipitation and Wes
tern. blotting, CD44 on these cells lines was decorated with IIS. Interacti
on with HS moieties on colorectal carcinoma (HT29) cells promoted HGF/SF-in
duced activation of c-Met and of the Ras-MAP kinase pathway. Interestingly,
survival analysis showed that CD44-HS expression predicts unfavorable prog
nosis In patients with invasive colorectal carcinomas. Taken together, our
findings Indicate that CD44-HS, c-Met, and HGF/SF are simultaneously overex
pressed In colorectal cancer and that HS moieties promote c-Met signaling i
n colon carcinoma cells. These observations suggest that collaboration betw
een CD44-HS and the c-Met signaling pathway may play an important role In c
olorectal tumorigenesis.