Characterization of 5-Oxo-L-prolinase in Normal and Tumor ... · enhanced in vivo tumor response to...
Transcript of Characterization of 5-Oxo-L-prolinase in Normal and Tumor ... · enhanced in vivo tumor response to...
Vol. 4, 131-138, Janua�’ /998 Clinical Cancer Research 131
Characterization of 5-Oxo-L-prolinase in Normal and Tumor Tissues
of Humans and Rats: A Potential New Target for Biochemical
Modulation of Glutathione1
Xiang Chen, Robyn L. Schecter,
Owen W. Griffith, Michael A. Hayward,
Lesley C. Alpert, and Gerald Batist2
McGill Center for Translational Research in Cancer, Lady DavisInstitute for Medical Research, Sir Mortimer B. Davis-Jewish GeneralHospital, McGill University, Montreal, Quebec, H3T 1E2 Canada
[X. C., R. L. S., L. C. A., G. B.], and Department of Biochemistry,Medical College of Wisconsin, Milwaukee, Wisconsin 53226[O.W.G.. M.A.H.]
ABSTRACT
5-Oxo-L-prolinase (5-OPase) is an enzyme of the y-glu-
tamyl cycle involved in the synthesis and metabolism ofglutathione (GSH), which is known to protect cells from thecytotoxic effects of chemotherapy and radiation. Previous
studies on rats have shown that administration of the cys-teine prodrug L-2-oxothiazolidine-4-carboxylate, a 5-oxo-L-proline analogue that is metabolized by 5-OPase, preferen-flabby increases the GSH content of normal tissues whileparadoxically decreasing it in the tumor and results in anenhanced in vivo tumor response to the anticancer drug
melphalan. These observations initiated the present study of5-OPase in experimental models and clinical specimens to
investigate the potential role of this enzyme in the selectivemodulation of GSH in normal and tumor tissues. First,
5-OPase activity was measured in tissues of tumor-bearing
rats, in the peripheral mononuclear cells of normal humansubjects, and in surgically resected tumor and the adjacentnormal tissues from patients. We found that the activity of5-OPase in human kidney, liver, and lung is significantly
lower than that found in rats. Second, we have raised apolyclonal IgG anti-5-OPase antibody by immunizing rab-bits with purified 5-OPase from rat kidney. This antibody
has very high affinity (shown by immunoprecipitation) and
specificity (shown by Western blot) and cross-reacts withhuman 5-OPase (shown by Western blot and immunohisto-chemistry). It was then used to examine the distribution of
Received 4/10/97; revised 9/16/97; accepted 10/10/97.
The costs of publication of this article were defrayed in part by thepayment of page charges. This article must therefore be hereby markedadvertisement in accordance with 18 U.S.C. Section 1734 solely to
indicate this fact.
I Supported by grants from the Cancer Research Society, Inc., Canadaand the National Cancer Institute of Canada.2 To whom requests for reprints should be addressed, at McGill Centerfor Translational Research in Cancer, Sir Mortimer B. Davis-JewishGeneral Hospital, 3755 Chemin de Ia Cote-Ste-Catherine, Suite D-127,Montreal, Quebec, H3T lE2 Canada. Phone: (514) 340-8248; Fax:(514) 340-8302.
5-OPase in paired normal and neoplastic human specimens
using Western blot and immunohistochemistry. Examina-
tion of paired normal and neoplastic tissues of stomach and
lung revealed a significantly lower level of 5-OPase in tumortissues than in the paired normal tissues. In colon tissues,
there is no significant difference in 5-OPase level betweenthe normal and tumor tissues. These findings could haveimplications for both carcinogenesis and therapy.
INTRODUCTION
5-OPase3 is one of the five enzymes involved in the -y-glu-
tamyl cycle, an interrelated series of reactions involved in the
synthesis and metabolism of GSH. 5-OPase catalyzes the ATP-
dependent hydrolysis of 5-oxo-L-proline to L-glutamate.
Whereas 5-oxo-L-proline is the metabolite of the -y-glutamyl
residue in GSH, L-glutamate is one of the three amino acid
substrates for GSH synthesis. Therefore, 5-OPase links the
reactions involved in GSH metabolism with those involved in
GSH synthesis in the ‘y-glutamyb cycle (1-3).
Because GSH plays a critical role in protecting cells from
toxic oxygen species and various xenobiotics, including many
anticancer drugs and carcinogens, numerous studies have been
undertaken to modulate the cellular GSH levels to improve the
effect of chemotherapy on cancer or produce chemoprotection
against carcinogens. Most of the enzymes involved in the -y-glu-
tamyl cycle have been investigated thoroughly. However, nei-
ther 5-OPase itself nor its role in GSH modulation has been as
extensively studied (4-8). The main reason is the limited char-
acterization of the enzyme and lack of probes such as antibodies
for its study. Another reason may be the observation that under
normal conditions, cells do not necessarily depend on S-OPase
for GSH synthesis. because 5-oxo-L-proline has no significant
feedback inhibition on OSH synthesis, and glutamate from
many other sources is usually available and sufficient for this
purpose (9). Rare cases of an inborn deficiency of 5-OPase have
been reported that are associated with a variety of clinical
manifestations but do not necessarily lead to GSH deficiency (9.
10). However, several studies have shown that OTZ, an ana-
bogue of S-oxo-L-probine, can significantly increase the cellular
GSH level when cells are under oxidative stress ( 1 1-1 3). Be-
cause 5-OPase intracelbularly converts OTZ to L-cysteine. a
rate-limiting substrate for GSH synthesis, these studies suggest
that in certain circumstances, the role of 5-OPase in maintaining
cellular GSH content seems to be more important than under
normal conditions.
3 The abbreviations used are: 5-OPase, 5-oxo-t-prolinase: GSH, gluta-
thione; OTZ, L-2-oxothiazolidine-4-carboxylate; ECL. enhanced chemi-
luminescence.
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132 5-OPase in Cancer Chemotherapy
A number of studies have identified another potentially
important robe of 5-OPase in GSH modulation in the context of
cancer chemotherapy. It was observed that tumor cell lines
usually have lower 5-OPase content than normal cells in culture
(14). Russo et a!. (12) showed that OTZ administration can
increase the GSH content in a normal lung fibroblast cell line
but not in a lung cancer cell line, resulting in a selective
potentiation of the cytotoxicity of several anticancer drugs in the
cancer cells. We have recently shown that administration of
OTZ to tumor-bearing rats increases the GSH level in normal
tissue (including bone marrow) while paradoxically decreasing
the GSH bevel in the tumor (15), and administration of OTZ
together with the anticancer drug melphalan significantly en-
hances the in vivo tumor response to melphalan ( 16). Theseobservations stimulated our investigation of 5-OPase in exper-
imental models and clinical specimens. We have purified the
enzyme from rat kidney and generated a high-affinity antibody
against it. Here we present our results on the tissue distribution
of 5-OPase as well as the preliminary enzymatic and immuno-
examination of 5-OPase in rat and clinical human specimens.
MATERIALS AND METHODS
Reagents and Tissues
S-Oxo-L-[’4C]-proline was prepared by cyclization of
L-[’4C]-glutamate (DuPont New England Nuclear, Mississauga,
Canada) as described previously (17).
The animal model used in this study was the MatB tumor-
bearing female Fisher 344 rat. Five X i05 MatB cells (rat
mammary carcinoma cells) were s.c. injected into 10-12-week-
old rats, and a solid tumor was palpable in approximately 10
days. At that time, the rats were sacrificed, and tissue samples of
kidney, liver, lung, and bone marrow from limb long bones and
tumors were excised, assayed immediately for 5-OPase activity,
and processed routinely for histology. The bone marrow cells
were collected by centrifugation through Ficoll-Paque (Pharma-
cia Biotech, Uppsala, Sweden).
Human tissue samples were obtained immediately after
surgical excision. The tumor and normal tissues were dissected
by the pathologist (L. C. A.) and processed separately for
5-OPase activity and for histological analysis within 30 mm.
Samples of normal kidney included both cortex and medulla.
Samples of normal colon and stomach consisted of mucosa and
scant amounts of attached submucosa. Samples of normal lung
contained only subsegmental bronchi and alveolar parenchyma.
Human peripheral blood mononuclear cells were collected
from 13 normal donors in the fasting state before 10 a.m. and
purified by centrifugation through Ficoll-Paque.
Enzymatic Assay of 5-OPase
Tissues or cells were homogenized in ice-cold buffer A [50
mM Tris (pH7.3), 0.1 msi EDTA, 2 msi DTf, and 5 nmi
S-oxo-L-probine]. Purification of 5-OPase followed the liquid
chromatography method described previously (18). The activity
of 5-OPase was determined by measuring the conversion rate of
5-oxo-L-[’4C1-proline to L-[’4C]-gbutamate (18). The stability of
5-OPase in tissues was tested by assaying the 5-OPase activity
in rat kidney after the kidney had been kept at 4#{176}Cfor different
time intervals up to 30 h after sacrificing the rat, and after the
dialyzed rat kidney solution was frozen at -80#{176}Cfor up to 1
week. Results showed no decline of 5-OPase activity in the
delayed assay samples as compared to the fresh tissue samples.
The enzyme activity was therefore stable under the conditions
tested. The standard curve of this assay method was tested with
purified rat kidney 5-OPase and proven to be linear and sensi-
tive even within the low range of 10-100 milbiunits (data not
shown).
Western Blot
An ECL Western blotting protocol (Amersham, Bucking-
hamshire, United Kingdom) was followed. The primary anti-
body at a 1:50,000 dilution was incubated for 3 h, and the
secondary antibody at a 1:2000 dilution was incubated for 1 h at
room temperature.
Immunohistochemistry
Histological sections of formabin-fixed paraffin-embedded
tissue samples were examined for immunodetectable 5-OPase
using standard techniques. The protein blocking agent, the sec-
ondary antibody solution, and the streptavidin peroxidase rea-
gent were from Lipshaw Immunon (Pittsburgh, PA). The avidin/
biotin blocking kit was from Vector Laboratories, Inc.
(Burlingame, CA). The primary antibody, diluted to 1:500 and
1: 1000 in 5% normal goat serum, was applied and incubated
overnight at 4#{176}C.Preimmune rabbit serum diluted to 1:750 was
used as control. Incubation with the biotinylated secondary
antibody and then with the streptavidin-peroxidase conjugate
was 30 mm each.
Antibody Production and Validation
5-OPase Purification and Immunization. Rat kidney
5-OPase was partially purified from frozen kidneys using a
previously described method (18). The 5-OPase in the semipu-
rifled pool was separated by preparative SDS-PAGE. The
5-OPase band, identified by its molecular weight (140,000; Ref.
19) and by the fact that it was the most dominant band on the
gel, was then cut from the gel, minced, and emulsified with an
equal volume of incomplete Freunds adjuvant (WA; Sigma
Chemical Co., St. Louis, MO) and injected into multiple i.m. or
s.c. sites (0.5-1 mI/site) of a New Zealand strain White rabbit.
The rabbit was bled 12 days after the priming immunization.
The same procedure was followed for additional boost immu-
nizations (once in 4-8 weeks or when the antibody titer was
found to be declining).
ELISA to Detect Antibody. 5-OPase was coated onto a
96-well microtiter plate (Dynatech Laboratories, Chantilly, VA)
at 0.2 p.g/well overnight under vacuum. ELISA followed pro-
tocobs described previously (20). A goat antirabbit IgG (H+L)
horseradish peroxidase conjugate (Bio-Rad, Richmond, CA)
was used as secondary antibody at a 1:4,000 dilution. The
primary antibody exposure was 2 h, and that of secondary
antibody was 1 h. The developing solution was 0.03% tetram-
ethylbenzidine [stock solution was 0.125% (v/v) tetramethyb-
benzidine in methanol] and 0.02% H202 in citrate phosphate
buffer [0.1 M Na2HPO4 (pH 5.0) and 0.05 M citric acid mono-
hydrate]. Development time was 30 mm. The plate was read on
a Dynatech ELISA reader (Dynatech; Fisher) at 405 nm wave-
Research. on March 17, 2020. © 1998 American Association for Cancerclincancerres.aacrjournals.org Downloaded from
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Clinical Cancer Research 133
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length. All experiments were done in triplicate. All steps were
carried out at room temperature. The result (Fig. lA) showed
that the preimmune and the priming immune serum did not
generate any antibody/antigen binding signal. After the first
booster immunization, even at a 1 :50,000 dilution of the serum,
a 25-fold stronger signal in the immune serum than in the
preimmune serum was detected. Therefore, this antibody was
produced in a significant titer in the rabbit.
Immunoprecipitation to Determine the Affinity of An-
tibody. Twenty-five p.g of 5-OPase (47 milbiunits) and the
primary antibody at various dilutions were mixed, and the
mixture was rotated for S h at 4#{176}C.This antigen/antibody
mixture was then mixed with protein A-Sepharose CL-4B
(Pharmacia LKB), rotated for 2 h at 4#{176}C,and then centrifuged.
The supernatant and the Sepharose precipitate were used for the
enzymatic activity assay and Western blot experiment, respec-
lively. All samples were in duplicates. The result showed that
the preimmune serum had no specific effect on 5-OPase activity
in the supernatant (the small decline in the activity observed is
more likely due to the dilution of the reaction mixture), whereas
the amount of 5-OPase activity left in the supernatant after
precipitation by the immune serum was proportional to the
dilution of the serum. A I : I 1 .5 dilution of the immune serum
precipitated over 90% of the 5-OPase activity compared to that
of the control (Fig. 1B). The Sepharose resin of the 1 : 1 1.5
antiserum dilution sample was washed with SDS sample buffer
and subjected to Western blot analysis together with the super-
natant and 47 milliunits of purified 5-OPase as control. The
S-OPase band was not seen in the supernatant but appeared in
the ebution of the Sepharose (data not shown). These results
demonstrated that this polyclonal antibody recognizes and binds
to 5-OPase with very high affinity.
Western Blot to Test the Specificity of the Antibody.
An ECL Western blot was performed with the semipurified
5-OPase preparation. As shown in Fig. I C, at the position of the
5-OPase protein (Mr 140,000) on an ECL Western blot film, no
band was detected in the lane blotted with either the preimmune
serum (Lane 1) or the primary immune serum (lime 2), whereas
there was a strong band in the lane blotted with the first booster
serum (Lane 3). To test if the band density corresponds to the
amount of 5-OPase activity in tissue samples, both an ECL
Western blot and a 5-OPase activity assay were performed with
protein extracts from rat kidney, liver, lung, and MatB tumor.
The same amount of protein (20 p.g) was loaded on the gel. As
shown in Fig. 1D, a specific band with the correct molecular
weight was detected, and its density correlated with the S-OPase
activity measured in these samples.
Immunohistochemical Method to Test Specificity of the
Antibody. Immunohistological examination of 5-OPase in rat
and human kidney samples confirmed that the polyclonal anti-
Fig. I A, ELISA assay of the rabbit antirat antibody of 5-OPase. B.immunoprecipitation of rat kidney 5-OPase with rabbit antirat 5-OPase
antibody. In A and B: #{149}.immune serum; 0, preimmune serum. C.Western blot of rat kidney 5-OPase probed with rabbit antirat 5-OPaseserum. Lane I was blotted with preimmune serum, Lane 2 was blotted
with primary immune serum, and Lime 3 was blotted with first booster
serum. 1), Western blot band density of 5-OPase in comparison with
5-OPase activity in rat tissues.
Research. on March 17, 2020. © 1998 American Association for Cancerclincancerres.aacrjournals.org Downloaded from
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134 5-OPase in Cancer Chemotherapy
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Fig. 2 Immunohistochemical localization of 5-OPase in the kidney.
Normal human kidney reacted with preimmune rabbit serum served as
a negative control (A, X200). 5-OPase is localized in the normal kidney
of a human (B, X260) with kidney carcinoma and a rat (C. X200)bearing MatB tumor most strongly to cytoplasm of distal tubules (wide
arrows) and less strongly to proximal tubules (thin arrows). In theglomerulus, 5-OPase is localized to the podocytes (open arrow) lining
Bowman’s capsule.
body directed against rat kidney 5-OPase can specifically detect
5-OPase distribution in rat tissues and cross-reacts specifically
with human 5-OPase. As indicated in Fig. 2, the distribution of
5-OPase was very similar between the normal kidneys of hu-
mans and rats: 5-OPase was localized to the cytoplasm of cells
of the proximal and distal tubules and collecting ducts, being
slightly more immunointense in the distal than proximal tubules
and somewhat less intensively localized to collecting ducts in
. . , Table 1 5-OPase activity in the normal tissues of female Fisher ratsbearing MatB tumors, and patients with the corresponding cancer
, The experimental error was within 10% of the values. See “Mate-
. riabs and Methods” for experimental procedures.
5-OPase activity (milbiunits/mg)
Tissue Rat Human
Kidney 187.6 ± 23.5 (n = 6) 8.3 ± 2.3 (n = 6)Liver 26.1 ± 2.9 (n = 5) 19.6 (n 2)”
Lung 3.4 ± 1.6 (n = 5) 3.3 ± 2.4 (n = 4)
Colon 9.6±2.7(n= 12)Stomach 6.37 (n = 1)Breast 11.2 ± 7.2(n = 3)
Uterine 4.4 (n = 1)
BMb 2.1 (n = 2)
PBMC5C 11.3 ± 5.8(n 13)
Tumor 3.4 ± 2.6 (n
a Samples from two patients were assayed, and the 5-OPase activ-
ity was 30.0 and 9. 1 milliunits/mg, respectively.b BM, bone marrow.
‘. PBMCs, peripheral blood mononuclear cells.d Data from MatB mammary tumors grown in female Fisher rats.
the medulla of both human and rat kidneys. Immunopositivity
for 5-OPase was also found in the cells lining Bowman’s cap-
sule and in the podocytes of the glomeruli in both species.
5-OPase immunoreactivity was most pronounced in renal ade-
nocarcinoma cells with a granular cell phenotype.
These results strongly indicated that this polycbonal anti-
body had great affinity and specificity for 5-OPase and could be
used for additional studies on the bevel and distribution of
5-OPase in tissue samples of both rats and humans.
RESULTS
Enzymatic Characterization of 5-OPase in Rat and Hu-man Tissues. The 5-OPase activity in rat tissues presented a
very specific distribution pattern (Table 1). Rat kidney had the
highest activity [187.6 ± 23.5 milliunits/mg (n = 6)], followed
by liver [26. 1 ± 2.9 milliunits/mg (n = 5)], lung [3.4 ± 1.6
milliunits/mg (n = 5)], and bone marrow [2.1 milliunits/mg
(n 2)]. 5-OPase activity in MatB tumors [3.4 ± 2.6 milli-
units/mg (n = 5)] was relatively low. As a comparison, the
mean values of 5-OPase activity in normal tissues from patients
were: liver, 19.6 mibliunits/mg (two specimens, 30 and 9.11
milliunits/mg, respectively); peripheral blood mononuclear
cells, 1 1 .3 ± 5.8 milliunits/mg; breast tissue, 1 1 .2 ± 7.2 milli-
units/mg (n = 3); colon, 9.6 ± 2.7 milliunits/mg (n = 12);
kidney, 8.3 ± 2.3 milliunits/mg (n = 6); uterine smooth muscle,
4.4 milliunits/mg (n = 1); and lung, 3.3 ± 2.4 milliunits/mg
(n 4). Therefore, humans do not have a tissue distribution
pattern of 5-OPase activity similar to that of rat. It is noted that:
(a) whereas rat kidney had strikingly high 5-OPase activity [up
to 187.6 ± 23.5 milhiunits/mg (n 6)], human kidney only had
an average 5-OPase activity of 8.3 ± 2.3 milliunits/mg (n 6),
a 30-fold difference between species; and (b) 5-OPase activity
in humans presented a significant individual variation; in the
peripheral mononuclear cells, 5-OPase activity ranged from
5-25 milliunits/mg (5-fold intenndividual variation), and in the
normal colon mucosa, it ranged from 3.6-12.8 milliunits/mg
(3-fold interindividual variation).
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Clinical Cancer Research 135
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Fig. 3 The 5-OPase activity in the paired normal (U) and tumortissues (EJ) of cancer patients. The experimental error was within 10%
of the values. See “Materials and Methods” for experimental proce-dures.
To investigate whether 5-OPase activity changes along
with tumorigenesis in humans, paired specimens, i.e. , tumor and
the adjacent normal tissue from the same patient, were assayed
for 5-OPase activity. Among the eight colonic tumor and normal
tissue pairs studied, 5-OPase activity was higher in normal
cobonic mucosa than in the matched colonic carcinoma in three
pairs, lower in three pairs, and equal in two pairs. Therefore, no
consistent pattern of 5-OPase activity in normal cobonic mucosa
versus colonic carcinoma could be documented. 5-OPase activ-
ity level in these cobonic carcinomas did not seem to be related
to the grade of tumor differentiation, nor to the age or gender of
the patient. Similar results were found in four pairs of lung
samples but were less confident due to the limited number of
samples (Fig. 3).
Immunocharacterization of 5-OPase. Because the
amount of tissue required for the activity assay of 5-OPase is
rarely available, and the heterogeneity of cells within tissue
samples may complicate interpretation of the 5-OPase activity,
we characterized 5-OPase in greater detail using Western blot
and immunohistochemistry methods. Paired normal and tumor
tissues from patients with stomach, lung, and colon cancer were
examined, because our interest in GSH has focused on 5-OPase
in the context of chemical carcinogenesis, and in these tumors,
dietary and environmental xenobiotics have been implicated.
Seven pairs of normal and neoplastic lung specimens were
examined by Western blot. Cases 1 and 2 and 4-6 showed a
13.0-, 47.8-, 4.1-, 10.3-, and 4.0-fold higher 5-OPase bevel in
normal lung specimens than in the corresponding tumors, re-
spectively. In case 7, 5-OPase was only detected in the normal
lung tissue and not in the tumor. Case 2 was classified as a large
cell undifferentiated carcinoma, and cases 1 and 4-7 were
classified as adenosquamous carcinomas. The tumor in case 3
was a bronchioboalveolar cell carcinoma, and here 5-OPase
bevels in normal and tumor lung were equivalent (Fig. 4A).
Another four separate pairs of tumor and normal lung tissues
were examined by immunohistochemistry; the columnar bron-
chial epithelial cells and chondrocytes in normal lung tissues
were strongly 5-OPase positive, as were alveolar macrophages.
Weak-to-moderate 5-OPase immunopositivity was found in
cells of tumors (bronchioloalveobar tumors or adenosquamous
tumors; data not shown).
Four pairs of normal stomach tissue and gastric tumor from
patients were examined by Western blot. 5-OPase levels in the
normal stomachs were shown to be 4.1-, 1.8-, 2.0-, and 10. 1-fold
(cases 1-4, respectively) higher than in the corresponding tu-
mors (Fig. 4A). By immunohistochemistry, the four normal
stomach specimens showed a consistent pattern in which
5-OPase immunopositivity was localized strongly to the cyto-
plasm of normal parietal cells and localized weakly to glands in
the normal gastric antral mucosa. In the areas where intestinal
metaplasia was observed, 5-OPase was also localized to the
cytoplasm of enterocytes in the superficial mucosa, being
mostly found in cytoplasm of columnar absorptive cells. How-
ever, immunohistochemistry showed a rather different pattern of
5-OPase immunoreactivity among the four stomach tumor spec-
imens, ranging from completely negative in the first case to
moderately positive in some other cases. This might be due to
the pathological differences among these tumors. The tumor in
case 1 was classified as a mucinous adenocarcinoma, in which
tumor cells were dispersed in abundant mucus, and virtually no
5-OPase immunopositivity was found by immunohistochemis-
try (Fig. 4B). Tumors from the three other cases (cases 2-4)
were solid and histologically classified as intestinal-type gastric
adenocarcinomas. In these tumors, tumor cell cytoplasm was
variably but convincingly immunoreactive for 5-OPase. On
average, tumors from cases 2 and 3 showed moderate immu-
nopositivity, whereas case 4 showed weak and only focally
moderate immunoreactivity (data not shown). These results
from immunohistochemistry correlated with those obtained
from Western blot experiments (Fig. 4A), in which we observed
a greater difference in 5-OPase level between normal and tumor
tissues in case 4 than in cases 2 and 3. Case 1 provided enough
tissue to perform 5-OPase activity assay and Western blotting as
well as immunohistochemistry. The activity assay revealed a
4.9-fold higher 5-OPase activity in the normal stomach tissue
(6.4 mibliunits/mg) compared to that in the tumor ( I .3 mibliunits/
mg). Western blot showed a 4.1-fold higher 5-OPase band
density in the normal stomach tissue than in the tumor (Fig. 4A).
Immunohistochemistry detected strong 5-OPase positivity in the
parietal cells in the normal tissue, but the tumor was 5-OPase
negative (Fig. 4B). These three approaches showed essentially
the same result and serve to validate the observation as well as
the utility of these different assay techniques.
In three paired human colon specimens, Western blot de-
tected no obvious or consistent difference of 5-OPase level
between the normal and neoplastic tissues, which is compatible
with the enzyme activity measured in eight other pairs of colon
samples. By immunohistochemistry, 5-OPase was localized to
colonic enterocyte cytoplasm in the superficial mucosa in two of
three cases. Tumor cell cytoplasm was immunopositive, varying
from nonreactive to focally moderately reactive (data not
shown).
The localization of 5-OPase in human breast, liver, and
kidney was also investigated by immunohistochemistry. In the
breast, 5-OPase was shown to be localized to cells of the
terminal ducts and ductules in normal breasts and also to the
cytoplasm of invasive ductal cancer cells (data not shown). In
normal liver, 5-OPase was detected in both hepatocytes and bile
duct epithelium. Hepatocyte cytoplasm was diffusely, mildly to
moderately immunoreactive, and no regional pattern was ob-
Research. on March 17, 2020. © 1998 American Association for Cancerclincancerres.aacrjournals.org Downloaded from
ALung
__i_____a__-3----4 5 6 7NTNT NTN T NTNTNT
5-OPase-
Band density 130:1
ratio (N vs. T)
Stomach
B
__478:1 1:1 4.1:1 10.3:1 4.0:1
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136 5-OPase in Cancer Chemotherapy
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4.1:1 1.8:1 2.0:1 10.1:1
Fig. 4 A. Western blot of 5-OPase in seven pairs of normal and tumor lung tissues and in four pairs of normal and tumor stomach tissues. The densityof bands was measured using NIH Image 1.60 software. N, normal tissue; T, tumor tissue. B, immunohistochemical localization of 5-OPase in normal
human stomach (b, X 130) and stomach cancer (c, X260) in the tissues of stomach case 1, as in A. Negative control (a, X 130) was reacted with
preimmune serum. 5-OPase is localized to cytoplasm of parietal cells (arrow) in benign body mucosa (b) and is weakly reactive in thismucin-producing gastric adenocarcinoma (c).
served. Immunointensity of S-OPase was slightly more marked
in bile duct epithelium, where positive staining was mostly
supernuclear (data not shown). In the kidney, as shown in
“Materials and Methods,” 5-OPase was localized to the cyto-
plasm of cells of the proximal and distal tubules and collecting
ducts, being slightly more immunointense in the distal than
proximal tubules and somewhat less intensively localized to
collecting ducts in the medulla. Immunopositivity for 5-OPase
was also found in the cells lining Bowman’s capsule and in the
podocytes of the gbomeruli (Fig. 2). Renal adenocarcinoma cells
were weakly to moderately 5-OPase positive as compared to the
normal renal cells (data not shown); 5-OPase immunoreactivity
was most pronounced in cells with a granular cell phenotype.
DISCUSSION
This is the first report on 5-OPase activity in rat tissues by
measuring the conversion rate of L-[’4C1-5-oxOproline to
L-[’4C]-glutamate, which directly reflects the activity of
5-OPase. Our results (Table 1) reflected a pattern of 5-OPase
distribution in rat tissues consistent with a previous study (2)
that showed that the relative rates of oxidation of L�[i4C]�5�
oxoprobine to 14CO2 in rat kidney (9.7 milliunits/mg dry tissue
weight), spleen (2.7 milliunits/mg dry tissue weight), liver (1.6
milliunits/mg dry tissue weight), intestine (0.26 milliunit/mg dry
tissue weight), heart muscle (0.25 milliunit/mg dry tissue
weight), and brain (0. 14 milliunit/mg dry tissue weight) are
100:29:16:2.7:2.7:1.4.
Previous studies of 5-OPase focused on its catalytic mech-
anism and its activity in some animal tissues (2, 17). This is also
therefore the first report on 5-OPase activity and cellular distri-
bution in human tissues. The present study shows that: (a)
compared to rats, human 5-OPase activity is generally lower,
and, unlike rats, whose 5-OPase is mainly localized to the
kidney and liver (2), human 5-OPase shows no obvious prefer-
entiab organ distribution pattern; and (b) in humans, there is
significant individual variation of 5-OPase, as indicated by the
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Clinical Cancer Research 137
enzymatic assay of 5-OPase in the normal colon (n = 12; 3-fold
individual variation) and peripheral mononuclear cells (ii = 13;
5-fold individual variation). Despite the limited number of sam-
ples, this individual variation in 5-OPase activity may suggest
heterogeneity of cells within the tissue samples, different expo-
sures to inducers of 5-OPase, or a genetically based polymor-
phism yet to be defined.
We have raised a polyclonal antibody against rat kidney
5-OPase and proved that it has high affinity and specificity and
cross-reacts with human 5-OPase in various tissues. Using this
antibody, we showed a similar distribution pattern of 5-OPase in
the normal kidney of both rats and humans: 5-OPase is localized
to the renal tubular cells. This result is consistent with those of
a previous study that measured the 5-OPase activity in micro-
disected renal segments and showed that rat 5-OPase activity
was highest in the renal tubules and low in the gbomeruli (21).
Because the physiological role of renal tubules, especially the
proximal tubules, is to reabsorb the glomerular filtrate including
massive amount of amino acids (22), the -y-glutamyl cycle is an
active inward amino acid transporter system (22), and rat kidney
is the richest source for 5-OPase in rats (2), our results on
5-OPase distribution in the kidney are consistent with these
physiological aspects and suggest that 5-OPase has an important
function in the -‘y-glutamyb cycle at this site. This deduction is
further substantiated by our observation of 5-OPase distribution
in colon tissue: 5-OPase is strongly, if not exclusively, localized
to the enterocytes in the superficial mucosa, whose function is to
reabsorb several types of substances, including amino acids
(23).
5-OPase was also clearly localized to cells involved in
secretory functions such as the parietab cells that secrete hydro-
chloric acid in gastric mucosa and the cells of the ducts,
ductules, and lobules that secrete milk in breasts as well as the
cells of bile ducts, which also have secretory functions (23). The
functional relevance of this distribution might be that the ab-
sorptive function of cells may be up-regulated when its secretion
is elevated as compared to other cells.
The focus of this report is to compare the bevels of 5-OPase
in tumors and their adjacent normal tissues in humans. Because
of the implication of chemical carcinogens in their genesis and
the robe of GSH in their detoxification mechanisms, we focused
on lung, colon, and stomach cancers. Two of four pairs of lung
specimens studied by enzymatic assay, six of seven separate
pairs by Western blot, and four of six separate pairs by immu-
nohistochemistry showed lower levels of 5-OPase in tumors as
compared to the paired normal tissues. Four pairs of stomach
specimens were examined by both Western blot and immuno-
histochemistry, all of which showed a higher 5-OPase level in
the normal tissues than in the paired tumors. These results are
consistent with the previous finding that in culture, tumor cells
usually have lower 5-OPase levels than normal cells (14). In all
cases studied, the heterogeneity of tumor cells is significant, and
their 5-OPase positivity ranged from completely negative in
some cases to moderately positive in some other cases. Because
the stomach and lung contain several cell types, the cellular
origins of gastric and lung neoplasms have yet to be conclu-
sively elucidated. The absence of 5-OPase in foveolar cells (that
typically secrete mucin) and in mucinous adenocarcinoma may
thus be significant. The presence of 5-OPase in intestinal meta-
plastic columnar absorptive cells and in intestinal-type cancers
may also reflect derivation of this histological subset from this
cell type. In comparison with paired stomach and lung tissues,
paired colon specimens showed a rather inconsistent relation-
ship between the 5-OPase levels in normal and tumor tissues.
The mechanism by which 5-OPase expression is decreased
in particular tumors is of interest to future studies. We have
previously demonstrated decreased expression of another GSH-
related enzyme, OSH S-transferase a and p., in human breast
tumor tissues compared to adjacent normal tissues (24). The
significance and mechanism of this phenomenon will be more
easily studied once the 5-OPase gene and its regulatory elements
are isolated and characterized.
Our findings in this report also have potential implication
for cancer chemotherapy. 017, a 5-oxo-L-proline analogue and
a substrate for 5-OPase, has been shown to differentially in-
crease the GSH level in normal tissues while decreasing it in
tumor tissues, thus accentuating the relative susceptibility of
tumor cells to the anticancer drug melphalan (13, 14). An ideal
model in which to explore this selectivity of OTZ should have
significantly lower 5-OPase levels in the tumor than in the
paired normal tissue. Although the physiological significance of
differences in 5-OPase level in normal versus tumor tissue is not
yet certain in both stomach and lung cancers, a lower 5-OPase
level was found in the tumor tissues as compared to normal
tissues, suggesting that a decrease in this particular enzyme
occurs at some point in the process of tumorigenesis. Because
OTZ is metabolically activated by 5-OPase, these data suggest
a potential use of OTZ as a biochemical modulator in the
treatment of these cancers. Although we have not assessed
human bone marrow 5-OPase activity, previous reports demon-
strated that OTZ is activated in this tissue and may result in a
protective effect (25).
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