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Epithelial tissues are highly organized systems that have the remarkable homeostatic ability to maintain their organization through development and cell turnover. This robust self-organizing system, however, is progressively disrupted during tumor development. At the beginning of tumor development, individual mutant cells arising from oncogene activation or tumor-suppressor gene inactivation emerge within an epithelial layer. When this transformed "pro-tumor cell" evades a suppressive environment, disrupts epithelial organization, and begins uncontrolled proliferation, tumorigenesis occurs 1. During the past few decades, outstanding technological advances in genetics and molecular biology have made remarkable progresses on cancer research. In particular, recent studies using the genetically mosaic analysis tools in Drosophila melanogaster, such as FLP-FRT (flippase recombinase/flippase recombinase target) mitotic recombination 2 and flip-out-GAL4-UAS (upstream activating sequence) systems 3, have greatly contributed to better understanding the genetic mechanisms involved in the formation and metastasis of tumors 4,5,6.
Studies of a group of conserved Drosophila tumor-suppressor genes, lethal giant larvae (lgl), discs large (dlg), and scribble (scrib), highlighted the critical relationship between loss of epithelial organization and tumor development, as these genes play key roles in regulation of apical-basal cell polarity and cell proliferation in epithelial tissues 7. While Drosophila imaginal discs are normally monolayered epithelia, homozygous mutations in any of these three genes cause cells to lose structure and polarity, fail to differentiate, overproliferate, and ultimately form multilayered amorphous masses that fuse with adjacent tissues 7. Similarly, disruption of these genes in mammals is involved in the development of malignant tumors 8,9. The neoplastic phenotypes exhibited by the mutant tissues have led to the classification of these three genes as conserved, neoplastic tumor-suppressor genes (nTSGs) 7,8. However, when homozygous nTSG mutant cells are sporadically generated in developing wild-type imaginal discs using FLP-FRT-mediated mitotic recombination, mutant cells are eliminated from the tissue through c-Jun N-terminal kinase (JNK)-dependent apoptosis 10,11,12,13,14, extrusion 15,16, or engulfment and phagocytosis by neighbors 17. In this genetically mosaic epithelia, apoptosis is mostly detected in nTSG mutant cells located at the clone boundary, suggesting that adjacent normal cells trigger the apoptosis of nTSG mutant cells 10,11,12,18. Recent studies in mammalian cells have confirmed that this cell competition-dependent elimination of pro-tumor cells is an evolutionarily conserved epithelial self-defense mechanism against cancer 19,20,21,22,23.
A recent study in Drosophila imaginal discs, however, showed that mosaic nTSG-knockdown clones induces neoplastic tumors in specific regions of wing imaginal discs 16. Initial tumor formation was always found in the peripheral "hinge" region and never observed in the central "pouch" region of the wing disc epithelium, suggesting that the tumorigenic potential of nTSG-knockdown cells depends on the local environment. The central pouch region functions as a "tumor coldspot" where pro-tumor cells do not show dysplastic overgrowth, whereas the peripheral hinge region behaves as a "tumor hotspot" 16. In "coldspot" pouch regions, nTSG-knockdown cells delaminate from the basal side and undergo apoptosis. In contrast, as "hotspot" hinge cells possess a network of robust cytoskeletal structures on their basal sides, nTSG-knockdown cells delaminate from the apical side of the epithelium and initiate tumorigenic overgrowth 16. Therefore, analysis of tumor phenotypes in imaginal discs requires careful consideration of the region-specific susceptibility to tumorigenic stimuli.
Here, we describe a protocol to induce neoplastic tumor formation in the Drosophila wing imaginal discs utilizing the GAL4-UAS-RNAi system by which nTSG-knockdown cells are generated in normal wing disc epithelia. Although these experimental systems are useful to study the early stages of cancer, a clear classification method to evaluate the stages of tumor progression in imaginal disc epithelia has not been clearly described before. Therefore, we also propose a diagnosis method to classify pro-tumor clonal phenotypes induced in the wing disc epithelia into three categories: hyperplasia (accumulation of an excessive number of normal-appearing cells with increased proliferation), dysplasia (premalignant tissue composed of abnormally appearing cells), and neoplasia (benign or malignant tumor composed of cells having an abnormal appearance and abnormal proliferation pattern).