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Molecular Oncology, Markers, Clinical Correlates |
Section of General Thoracic Surgery, Departments of Surgery [G. C., T. G. G., M. D. I., M. B. O., D. G. B.], Biostatistics [C-C. H., K. A. S., J. M. G. T.], Pathology [T. J. G., D. G. T.], Pediatrics [D. E. M., S. M. H.], and Epidemiology [S. L. R. K.], University of Michigan, Ann Arbor, Michigan 48109
| ABSTRACT |
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Experimental Design: A series of 93 lung adenocarcinomas (64 stage I and 29 stage III) and 10 uninvolved lung samples were examined for quantitative differences in protein expression using two-dimensional PAGE. Candidate proteins were identified using matrix-assisted laser desorption/ionization mass spectrometry or peptide sequencing. The levels of the individual isoforms of nine proteins found to be overexpressed in the lung tumors were examined. Potential mechanisms for overexpression were examined by comparing mRNA expression levels, assessed using oligonucleotide arrays, to the protein values in the same samples.
Results: Antioxidant enzyme AOE372, ATP synthase subunit d (ATP5D), ß1,4-galactosyltransferase, cytosolic inorganic pyrophosphatase, glucose-regulated Mr 58,000 protein, glutathione-S-transferase M4, prolyl 4-hydroxylase ß subunit, triosephosphate isomerase, and ubiquitin thiolesterase (UCHL1) were identified as being significantly overexpressed in lung adenocarcinomas. The expression of these proteins was increased from 1.4- to 10.6-fold as compared with uninvolved lung tissue. The expression of the individual protein isoforms was correlated with 10 clinicopathological variables as well as with each genes mRNA level in the same sample. Both isoforms of glucose-regulated Mr 58,000 protein were found to be significantly correlated with their mRNA expression profiles (P < 0.05), indicating that increased transcription likely underlies the increased expression of these proteins.
Conclusions: Two-dimensional PAGE and mass spectrometry can identify proteins showing increased expression in lung adenocarcinoma. The association of specific isoforms of these proteins with clinical variables and understanding the regulation of their expression will aid in determination of their potential use as biomarkers in this cancer.
| INTRODUCTION |
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2D-PAGE3 is a powerful research technique, which makes it possible to simultaneously examine hundreds of polypeptides in a tissue sample. It has been widely used for the detection and identification of potential tumor markers (5) . This study analyzed 93 lung adenocarcinomas and 10 uninvolved lung samples for protein expression using 2D-PAGE. Analysis software were used to obtain quantitative measures for individual protein spots. Proteins of interest were identified using MALDI-MS or peptide sequencing. Associations between the proteins that were overexpressed in the lung adenocarcinomas and clinicopathological features of the tumor were determined. Evaluation of the same tumor samples for mRNA expression using oligonucleotide arrays was used to examine the mechanisms underlying the expression profiles identified by proteomic analysis.
| MATERIALS AND METHODS |
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2D-PAGE and Protein Quantification.
Analytical 2D-PAGE was performed as described previously (6)
. After separation, the protein spots were visualized by a photochemical silver-based staining technique (7)
. Each gel was scanned using a Kodak CCD camera. Spot detection was accomplished by using Bio Image Visage System software (Bioimage Corp., Ann Arbor, MI). Each gel generated 16002200 detectable spots, of which 820 spots were selected for quantitative measurement. The integrated intensity, which is the value of each spot, was calculated as the measured absorbance units multiplied by square millimeters. The protein spots from each gel were matched to the 820 spots on a "master" gel (8)
to allow identification of identical polypeptides between each gel. A total of 250 spots were chosen as ubiquitously expressed reference spots to allow adjustment for subtle variation in protein loading and gel staining. Each of the 820 spots was then mathematically adjusted in relation to the reference spots (9)
. The resulting data can be accessed with common spreadsheet software.
Mass Spectrometry and Polypeptide Sequencing.
Some of the polypeptides included in the analysis had been identified prior to this study on the basis of sequencing (10)
. For MALDI-MS, the protein spots identified for analysis were cut from preparative 2D gels using extracts from A549 lung adenocarcinoma cells (American Type Culture Collection, Rockville, MD). The run parameters were the same as those used for the analytical 2D gels. Identification of proteins was performed by trypsin digestion, followed by MALDI-MS. This allowed for a "fingerprint" to be created for each protein spot based on the molecular weight of the trypsin-digested products. The masses were compared with the known trypsin digest databases using the MS-FIT database.4
The results were given as probability matches to known tryptic digest patterns established by multiple databases.
Affymetrix Oligonucleotide Microarrays.
Total RNA was isolated from 76 of the tumors and 9 of the normal lung samples using Trisol reagent (Life Technologies, Inc.). The resulting RNA was subjected to further purification using RNeasy spin columns (Qiagen, Inc., Valencia, CA) and used to generate cRNA probes. All protocols used for mRNA reverse transciptase, second strand synthesis, production of cDNA and cRNA amplification, hybridization, and washing conditions for the 6800 gene HuGeneFL oligonucleotide arrays were as provided by the manufacturer (Affymetrix, Santa Clara, CA). The arrays were scanned using a GeneArray scanner with data analysis performed using GeneChip 4.0 software (Affymetrix). Details of data trimming and normalization are described elsewhere (11)
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K-ras Mutational Status.
Genomic DNA was isolated from each tumor sample, and 50 ng were subjected to PCR amplification using the primers that encompass codons 12 and 13 of the K-ras gene. The sequences of forward and reverse primers are 5'-TATAAGGCCTGCTGAAAAT-3' and 5'-CCTGCACCAGTAATATGC-3', respectively. Two ng of purified PCR products containing the exon 1 of the K-ras gene were then subjected to thermal cycle sequencing with an internal nested primer (5'-AGGCCTGCTGAAAATGACT-3') and resolved in 8% urea PAGE gels, dried, and exposed to PhosphorImage screens and visualized using a PhosphorImage scanner (Molecular Dynamics, Sunnyvale, CA). The mutations were determined by comparing each tumor DNA sequence of K-ras 12th and 13th codon to its wild-type sequence GGTGGC.
2D Western Blotting.
Protein extracts of A549 lung adenocarcinoma cells were run on 2D gels using the identical conditions as used for the analytical 2D gels. The separated proteins were transferred onto polyvinylidene fluoride membranes and incubated for 2 h at room temperature with a blocking buffer consisting of TBST (Tris-buffered saline, 0.01% Tween 20) and 5% nonfat dry milk. Individual membranes were washed and incubated with anti-Erp57 (GRP58) mouse monoclonal antibody (SPA-725, 0.6 µg/ml; StressGen Biotechnologies Corp., British Columbia, Victoria, Canada) and anti-UCHL1 (PGP9.5) rabbit polyclonal antibody (0.6 µg/ml; Biogenesis, Kingston, NH) for 1 h at room temperature. After additional washes with TBST, the membranes were incubated with a secondary antibody conjugated with horseradish peroxidase at a 1:5000 dilution for 1 h, further washed, and then incubated 1 min with ECL (enhanced chemiluminescence; Pierce, Rockford, IL).
Immunohistochemistry of Tissue Microarrays.
A tissue microarray block was constructed according to the method of Kononen et al. (12)
and used the best representative morphological areas of the tumors in this study. Deparaffinized sections of the pulmonary adenocarcinoma tissue microarray were microwaved after pretreatment in citric acid to retrieve antigenicity. The sections were incubated with blocking solution containing PBS and 1% bovine serum album for 60 min at room temperature. The antibodies examined included the anti-UCHL1 (PGP9.5) rabbit polyclonal antibody, anti-Erp57 (GRP58) mouse monoclonal antibody (used for frozen tissue sections), and anti-p53 mouse monoclonal antibody (1.0 µg/ml; Dako Corp., Carpinteria, CA). The sections were incubated with primary antibodies overnight at 4°C. The immuno-complex was visualized by the immunoglobulin enzyme bridge technique using a Vector ABC-peroxidase kit (Vector Laboratories, Burlingame, CA) with 3,3'-diaminobenzidine tetrachloride as a substrate. The sections were lightly counterstained with hematoxylin.
mRNA in Situ Hybridization of Tissue Microarrays.
Because of the lack of availability of an antibody, the presence and cellular abundance of mRNA for TPI was determined using ISH with the tissue microarrays. Biotinylated oligonucleotides (*GCCCCATTAGTCACTTTGTAGC) and (*CAGAGGGACTCG GAGTAATCG) were synthesized using the published TPI mRNA sequence (13)
. ISH was carried out as described previously (14)
. The sections were deparaffinized, hydrated, and washed with PBS for 10 min. Next, they were treated with proteinase K (20 µg/ml in PBS) for 10 min at 37°C, followed by treatment with 0.2 M HCl. Postfixation was performed using 4% (w/v) paraformaldehyde. The sections were then hybridized overnight at 42°C with the labeled oligonucleotides. After hybridization, the sections were washed using increased stringency with SSC (0.15 M NaCl, 15 mM sodium citrate, pH 7.2) and then subjected to immunostaining with a mouse anti-biotin monoclonal antibody. After amplification of the biotin-antibody complex with biotin-labeled horse antimouse IgG and alkaline phosphatase-labeled streptavidin, the sites of alkaline phosphatase were visualized with nitroblue tetrazolium/5-bromo-4-chloro-3-indolyl phosphate as reported previously (14)
. For each run, hybridization with an antisense probe and without the antisense probe (control) was used. ISH of ß-actin (a gift from Dr. Sakiyama, Chiba, Japan) was performed on tissue microarray sections of all of the lung tissue specimens to assess their mRNA integrity. The sections were lightly counterstained with nuclear fast red.
Statistical Analysis.
S-plus software (Insightful Corp., Seattle, WA) was used to investigate the specific features of protein expression. t tests were used to identify the differences in mean values between comparison groups. The relationship between the levels of protein and mRNA expression was examined using the Spearman correlation coefficient statistical method (15)
. P < 0.05 (two-sided) was considered statistically significant.
| RESULTS |
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TPI mRNA analysis of tumor arrays using ISH indicated a higher level of mRNA expression in the cytoplasm of the tumor cells as compared with normal lung tissue (Fig. 4, E and F)
. This finding is consistent with the increased TPI mRNA in lung tumors relative to normal lung tissue determined using the oligonucleotide arrays (Table 3
; P < 0.0001).
| DISCUSSION |
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The candidate tumor markers in this study were found using quantitative assessment with 2D-PAGE gels and mass spectrometry, and a number were increased in lung adenocarcinomas (1.410.6-fold) as compared with normal lung tissue. Among these, AOE372, PPase, GSTM4, and UCHL1 were increased 10.6-, 7.6-, 4.0- and 3.5-fold, respectively. The frequency of elevated expression in lung adenocarcinomas was found to range from 35.5 to 96.8% among the 93 tumors examined. GSTM4 was the most consistently overexpressed protein, being present in 96.8% of the tumors. Correlations were observed between overexpression of some proteins and specific clinicopathological variables, including tumor differentiation (AOE372 and TPI), tumor subhistology (PPase), a positive smoking history (PPase, TPI and UCHL1), and a positive lymphocytic response (P4HB). Additional studies will determine the potential implications of these findings.
Oligonucleotide microarray analysis make it possible to survey the expression of thousands of genes in parallel, with applications in expression monitoring, polymorphism analysis, and sequencing (19) . To date, however, there have been only a limited number of studies in which both DNA microarrays and proteomic technologies have been compared by applying them to the same sample to describe potential mechanisms of regulation of protein expression (20) . Both isoforms of the GRP58 were significantly correlated with their respective mRNA levels. GRP58 mRNA levels were also significantly increased in lung adenocarcinomas as compared with normal lung tissue. This suggests that the increase in protein expression in these tumors reflects increased GRP58 transcription. The lack of correlation observed among the other proteins with their mRNA levels may reflect other posttranslational regulation differences.
In terms of biological processes, the proteins identified in this study can be divided into two main groups. One group includes the enzymes involved in energy-related pathways: ATP5D (energy generation), PPase (phosphate metabolism), TPI (glycolysis), B4GALT (lactose biosynthesis), and UCHL1 (protein degradation). The elevated expression of these enzymes may relate to the increased requirements of both energy and protein synthetic and degradation pathways in rapidly growing tumors. The other group of proteins may be involved in antioxidation or detoxification reactions or related pathways and include: AOE372 (oxidoreductase), P4HB (oxidoreductase), GRP58 (protein disulfide isomerase), and GSTM4 (stress response). These enzymes may help clear the toxic byproducts resulting from elevated metabolism in these tumors.
As a method of validation of the 2D-PAGE protein expression data, 2D Western blot and immunohistochemistry were used with the same antibodies. The specific isoforms identified by 2D Western blot of UCHL1 and GRP58 were revealed as the same spots identified by MS. Furthermore, the expression of UCHL1 and GRP58 were substantially elevated within the cytoplasm of the tumor cells. UCHL1 (PGP9.5) belongs to the ubiquitin carboxyl-terminal hydrolase (UCH) family that is a part of the cellular proteolytic pathway that regulates many cellular processes, including cell cycle progression and cell death (21) . PGP9.5 is widely expressed in neuronal tissues at all stages of differentiation, and more recently, it has been found that PGP9.5 mRNA and protein are highly expressed in lung cancer tissues (55%), independent of neuronal differentiation (21) , and thus similar to our findings. Recently, our group demonstrated that autoantibodies to PGP9.5 are detectable in the sera from 9 of 64 patients with lung cancer (22) .
Some of the other proteins examined in this study have shown a prior relationship to cancer. GRP58, isoform of protein disulfide isomerase is present in lung tissue (23) , and increased following the v-src transformation of normal rat kidney cells and NIH3T3 cells (24) . Interestingly, GRP58 (isoform 353) expression was significantly increased in tumors containing the 12th/13th codon K-ras gene mutations. TPI, a key component of the glycolytic pathway that converts dihydroxyacetone phosphate to glyceraldehyde 3-phosphate, shows increased expression in bladder and colon carcinomas (25) . Elevated expression of TPI mRNA was present in the lung tumors, and TPI (isoform 1161) was significantly higher in stage III tumors relative to stage I tumors (P < 0.02).
Because of differential protein processing and posttranslational modifications, multiple protein isoforms of individual proteins can be identified on 2D gels (20)
. In this study, TPI, UCHL1, GRP58, and P4HB express two or three different isoforms, respectively, in lung tumors (Fig. 1)
. These isoforms likely reflect phosphorylation or other modifications and interestingly were found to correlate with different clinicopathological variables. For example, the levels of P4HB (isoform 320) were highly elevated in lung tumors but reduced in patients showing a positive lymphocytic response. These findings suggest that the different protein isoforms may be correlated with specific features or functions of lung tumors. Thus, they may provide useful diagnostic information and further indicate the need to identify the specific modifications underlying these specific protein isoforms.
| ACKNOWLEDGMENTS |
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| FOOTNOTES |
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1 Supported by NCI Grant U19 CA-85953. ![]()
2 To whom requests for reprints should be addressed, at General Thoracic Surgery, MSRB II, B560, Box 0686, University of Michigan Medical School, Ann Arbor, MI 48109-0686. E-mail: dgbeer{at}umich.edu ![]()
3 The abbreviations used are: 2D-PAGE, two-dimensional PAGE; MALDI-MS, matrix-assisted laser desorption/ionization mass spectrometry; ISH, in situ hybridization; AOE372, antioxidant enzyme; ATP5D, ATP synthase subunit d; B4GALT, ß1,4-galactosyltransferase; PPase, cytosolic inorganic pyrophosphatase; GRP58, glucose-regulated Mr 58,000 protein; GSTM4, glutathione-S-transferase M4; P4HB, prolyl 4-hydroxylase, ß subunit; TPI, triosephosphate isomerase; UCHL1, ubiquitin thiolesterase (PGP9.5). ![]()
4 University of California at San Francisco internet address: http://prospector.ucsf.edu/ucsfhtml3.2/msfit.htm. ![]()
Received 12/18/01; revised 4/15/02; accepted 4/15/02.
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