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Department of Metabolic and Endocrine Diseases, University Medical Center Utrecht, Lundlaan 6, 3584EA Utrecht, The Netherlands1 Pepscan Therapeutics BV, Runderweg 4-6, 8219PK Lelystad, The Netherlands2 Van't Hoff Institute for Molecular Sciences, Nieuwe Achtergracht 129, Faculty of Science, University of Amsterdam, 1018WV Amsterdam, The Netherlands3 Academic Biomedical Centre, University of Utrecht, Yalelaan 1, 3584CL Utrecht, The Netherlands
(Correspondence should be addressed to M J Hollestelle, Department of Clinical Chemistry and Haematology, University Medical Center Utrecht, G03.550, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands;; Email: m.j.hollestelle{at}umcutrecht.nl)
| Abstract |
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| Introduction |
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A number of reports demonstrated the important proliferative role of gastrin in a variety of gastrointestinal and non-gastrointestinal tumor types (Smith et al. 1995, 1996, Watson et al. 1996, Thorburn et al. 1998, Haigh et al. 2003). Furthermore, gastrin neutralization is studied in different clinical trials as a therapy for several types of tumors by preventing gastrin to bind to the CCK2 receptor. So far, clinical studies have been performed in pancreatic, colorectal, and gastric cancer patients (Smith et al. 2000, Watson & Gilliam 2001, Brett et al. 2002, Gilliam et al. 2004). Initial results of active gastrin vaccination in pancreatic cancer patients demonstrated prolonged survival for antibody responders compared with non-responders, providing evidence for the fact that gastrin plays an important role in pancreatic tumor development and progression (Brett et al. 2002). The pharmacological mode of action of gastrin in tumor development, however, is still unclear.
Concerning gastric acid secretion, several studies have shown that the carboxy-terminal tetrapeptide of gastrin contains all structural elements required for this physiological function (Tracy & Gregory 1964, Morley et al. 1965). A number of studies have focused on the importance of individual amino acid residues of gastrin-17 using acid secretion as read out. These studies revealed that the Trp14 (Morley 1968, Magous et al. 1982) and the carboxy-terminal Phe-amide residue are essential for gastrin-induced acid secretion mediated by the CCK2 receptor (Morley 1968). Removal of the carboxy-terminal Phe generates a gastrin derivative with antagonistic properties (Martinez & Bali 1984, Yasui et al. 1990). However, a more recent study concludes that the use of des-Phe analogs of gastrin is not a viable strategy for the development of antagonists for the human CCK2 receptor due to decreased receptor affinity (Ahmed et al. 2001). Met at position 15 could be successfully replaced by Leu or Norleucine without loss of activity (Morley 1968, Wunsch et al. 1982). These results suggest that Met15 functions as a spacer or contributes to hydrophobic interactions with the CCK2 receptor. In contrast, even the smallest modifications of the Asp residue at position 16 result in a dramatic loss of activity, suggesting that this residue is particularly important for CCK2 receptor binding and gastric acid secretion (Morley 1968).
In the present study, an in vitro gastrin-specific bioassay was employed to investigate the significance of all individual residues of gastrin-17 for gastrin-induced cell proliferation. To this end, gastrin-17-induced expression of a c-fos-luciferase reporter gene (Stepan et al. 1999) was used as a read out in the rat exocrine pancreatic tumor cell line AR42JB13 (Mashima et al. 1996). The individual residues of gastrin-17 were studied by the substitution of each amino acid with an Ala, except the Ala at position 11, which was substituted for a Gly residue. Furthermore, c-fos stimulatory activity of gastrin-17 was compared with that of other physiologically relevant progastrin processing intermediates, such as gastrin-34 and gastrin-17 extended with a Gly residue. In addition, pentagastrin (the carboxy-terminal pentapeptide of gastrin used in clinical practice (Jepson et al. 1968)), gastrin-17 without carboxy-terminal amidation, and gastrin-17 extended with a Cys residue at the carboxy-terminus were studied in the same bioassay. In this way, important information was obtained about which the residues of gastrin-17 are important for cell proliferation and on which part of the gastrin-17 molecule inhibitory therapy might be focused. In order to validate the relevance of our findings in the rat cancer cell line for such potential clinical application in humans, we also tested the gastrin-17 (Ala-substitution variants) in Colo320 cells, a human colon cancer cell line expressing the CCK2 receptor (Yu et al. 2004).
| Materials and methods |
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The following human (derived) peptides were used in the in vitro gastrin bioassay: gastrin-17 (pEGPWLEEEEEAYGWMDF, where pE means pyroglutamic acid as in the native peptide), gastrin-34 (pELGPQGPPHLVADPSKKQGPWLEEEEEAYGWMDF), pentagastrin (GWMDF), gastrin without carboxy-terminal amidation, Gly-extended gastrin-17, Cys-extended gastrin-17, and Cys-extended gonadotropin-releasing hormone (GnRH: pEHWSYGLRPGC as negative control). Furthermore, the individual residues of gastrin-17 were substituted with an Ala, except the Ala at position 11, which was substituted for a Gly. All peptides were synthesized by Pepscan Therapeutics BV (Lelystad, The Netherlands). All peptides were amidated at the carboxy-terminus, except when mentioned otherwise.
Cell culture, transient transfection, and c-fos-luciferase assay
The rat exocrine pancreatic tumor cell line AR42JB13 (Mashima et al. 1996) was kindly provided by Dr Marlène Dufresne (Institute Louis Bugnard, Toulouse, France) with the permission of Dr Itaru Kojima (Gunma University, Maebashi, Japan). The parental cell line AR42J was known to respond to gastrin-17 administration with induction of the c-fos promoter (Todisco et al. 1997, Stepan et al. 1999, Thommesen et al. 2001). The cells were cultured in Dulbecco's modified Eagle's medium supplemented with 10% fetal bovine serum (FBS) in 5% CO2. Colo 320 WT and Colo 320 cells, a human colon cancer cell line with or without stably transfected wild-type human CCK2 receptor respectively were cultured in an RPMI medium supplemented with 10% FBS in 5% CO2 (Yu et al. 2004). For the in vitro gastrin bioassay, the cells were seeded in 48- or 96-well plates and were transfected with lipofectamine reagent after 24 h according to the manufacturer's instructions (Invitrogen). The day after cotransfection with the human c-fos (–711 to +42)-luciferase reporter (Medema et al. 1991) and TK-Renilla-luciferase control reporter (pRL-TK vector, Promega), the cells were kept with serum-free medium for 24 h and then incubated for 5 h with or without various concentrations of human gastrin-17 or other peptides. In further studies, the cells were first preincubated for 30 min with the CCK2 receptor antagonist, L365,260 (Lotti & Chang 1989; a gift from Dr L Iversen, Panos Therapeutics Ltd, England) prior to the addition of gastrin-17. After this 5-h stimulation, the cells were washed (twice) and lysed in Promega lysis buffer. Luciferase and Renilla measurements were performed on a luminometer (Centro LB 960, Berthold Technologies, Vilvoorde, Belgium) using the Dual-Luciferase Reporter Assay System (Promega). Renilla values were used to correct the luciferase values for cell number and transfection efficiency.
RNA isolation and RT-PCR
Total RNA was isolated from AR42JB13 cells by acid guanidinium thiocyanate–phenol–chloroform extraction as previously described (Chomczynski & Sacchi 1987). RNA was quantified by measuring absorption at 260 nm. One microgram total RNA was reversed transcribed using superscript II RT RNase H– (Invitrogen). To demonstrate CCK2 receptor mRNA, a PCR was performed on the cDNA using specific primers (forward: 5'-GACCACTGCAAGCACGAGTA-3', reverse: 5'-CAGTAGCACGGACCAGGTTT-3') located in the exons 2 and 3 of the rat CCK2 receptor gene (Wank et al. 1992). This resulted in a single product of 194 bp, representing the CCK2 receptor mRNA.
Statistical analysis
Statistical significance was calculated using the one-sample t-test, unless mentioned otherwise.
| Results |
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To check whether the CCK2 receptor gene is expressed in the cell line AR42JB13, used in our experiments, an RT-PCR to demonstrate the presence of CCK2 receptor mRNA is performed (Fig. 1A). After stimulation with 10 nM gastrin-17, a significant and reproducible induction of a c-fos-luciferase reporter was observed (Fig. 1B). Furthermore, AR42JB13 cells were stimulated with 10 nM gastrin-17 after pretreating the cells for 30 min with L365,260, a highly selective CCK2 receptor antagonist (Lotti & Chang 1989). This resulted in a dose-dependent inhibition of the c-fos-luciferase activity, demonstrating that the gastrin-17-induced luciferase activity in our assay is mediated by the CCK2 receptor (Fig. 1B). Also in human Colo 320 cells, a significantly increased c-fos-luciferase signal was detected after stimulation with 10 nM gastrin-17 and complete blocking of the response was achieved with 1 µM L365,260 (Fig. 2A). The effect of gastrin-17 stimulation of Colo 320 cells could be increased by stable transfection with the human wild-type CCK2 receptor (=Colo 320 WT cells) at gastrin-17 concentrations of 1 nM or higher (Fig. 2B).
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The degree of c-fos induction by gastrin-17 was comparable with that of gastrin-34 (90±4.3% compared with gastrin-17), one of the other biologically active forms of gastrin (Fig. 3). Pentagastrin (G5), used as gastrin analog in clinical practice (Jepson et al. 1968), consists only of the five carboxy-terminal amino acids of gastrin-17 and gastrin-34. G5 was found to induce moderate, but highly reproducible, activation of the c-fos-luciferase gene (78±7.5% compared with gastrin-17), demonstrating the importance of the five carboxy-terminal amino acids. Interestingly, when gastrin-17 was extended at the carboxy-terminus with a Gly residue, which yields a naturally occurring processing intermediate of progastrin, or with a Cys residue, the c-fos activation was almost completely abolished (P<0.001 and P=0.004 respectively). This observation that gastrin activity was almost completely lost by extending gastrin with an additional amino acid at the carboxy-terminus confirms the importance of the carboxy-terminal part of gastrin. Furthermore, substitution of the carboxy-terminal amide end of gastrin-17 for a free carboxy-terminus (G17-a) completely inactivates the gastrin molecule (P=0.002).
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In this Ala-substitution study, complete inactivation (when compared with gastrin-17) was seen at 50 or 10 nM in AR42JB13 and Colo 320 cells respectively, when one of the four carboxy-terminal amino acids was substituted (P
0.001). The residual/background activity of these four gastrin variants was comparable with that of GnRH, an arbitrary peptide used as negative control (Fig. 4). This observation correlates very well with the finding that pentagastrin induces moderate c-fos gene expression in AR42JB13 cells (78±7.5% compared with gastrin-17, P=0.064), demonstrating the importance of especially the last four amino acids of gastrin-17. Interestingly, in the Colo 320 cells, the Met15/Ala-substitution variant was significantly more active than the Trp14/Ala or Phe17/Ala variant, indicating that the amino acid at position 15 is less critical when compared with these other carboxy-terminal amino acids with respect to gastrin-17-mediated CCK2 receptor activation (Fig. 4B, P=0.035 and 0.045 respectively using an independent sample t-test; P=0.058 for Met15/Ala versus Asp16/Ala). Furthermore, a decrease in c-fos gene expression of 32% when compared with gastrin-17 was observed for the Gly2/Ala-substitution variant in AR42JB13 cells (Fig. 4A). The same phenomenon was not seen for the Colo 320 cells, which indicates therefore that Gly2 is only important for binding to the rat CCK2 receptor and not to the human CCK2 receptor. Substitution of the Glu8–10 residues and Tyr12 caused a decrease in c-fos gene expression in the Colo 320 cells, demonstrating that also these amino acids play a role in activation of the human CCK2 receptor (Fig. 4B). Furthermore, when Pro3 is substituted for Ala, a slight but significant increase in c-fos gene expression was seen in Colo 320 cells, but not in AR42JB13 cells.
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| Discussion |
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Although gastrin-17 has been studied intensively, almost nothing is known about the importance of the first 12 amino acids of gastrin-17 for interaction with the CCK2 receptor. Here we show for the first time the significance of the Gly2 residue for activation of the rat CCK2 receptor (Fig. 4A) and of Glu at positions 8–10 and Tyr12 for activation of the human CCK2 receptor (Fig. 4B).
From an in vivo study in dogs, by measuring acid secretion, Morley et al. concluded that Asp16 is the most important residue of gastrin-17, because all amino acid changes at this position lead to virtually inactive compounds (Morley et al. 1965). In our study, substitution of Asp16 for Ala also showed complete inactivation of c-fos gene expression, but Trp14 and Phe17 were equally sensitive to Ala substitutions, as seen both in AR42JB13 cells (Figs 4A and 5) and in Colo 320 cells (Fig. 4B).
Furthermore, previous studies showed that the Met15 could be changed into Leu or norleucine without loss of acid secretion activity and even a replacement of this amino acid by Ala still showed some activity (Morley et al. 1965, Morley 1968). Our study demonstrates very clearly that substitution of Met15 into Ala resulted in complete loss of c-fos-induced luciferase activity in AR42JB13 cells and almost complete loss of activity in Colo 320 cells, indicating that for cell proliferation Met15 is essential (Fig. 4). Similarly, the Phe17/Ala-substitution variant was shown to be still active on gastric acid secretion, although to a lesser extent when compared with the native peptide (Morley 1968), whereas in our study no activity of the Phe17/Ala-substitution variant with respect to c-fos induction was observed using a concentration of 50 nM (in AR42JB13 cells, Fig. 4A) or 10 nM (in Colo 320 cells, Fig. 4B). The apparent discrepancies between our and previous results can be due to different experimental approaches. Our study focuses on c-fos activation, while previous studies on gastric acid secretion. Furthermore, the effective concentrations of the peptides that are used cannot be compared properly between these different studies. When the concentration of the four carboxy-terminal Ala mutants of gastrin-17 was increased to 1 µM or more, c-fos-induced luciferase activity was observed, and almost comparable with that of gastrin-17 (Fig. 5). This result indicates that these Ala substitutions probably decrease the affinity of gastrin-17 for the CCK2 receptor to a large extent, but that these gastrin variants are not completely inactive. The finding that even a tenfold excess of these four carboxy-terminal Ala mutants of gastrin-17 did not have an inhibitory effect on gastrin-17-induced c-fos activation (Fig. 6) is in agreement with the notion that these mutants indeed have a much lower affinity for the CCK2 receptor. This indicates also that such molecules are unlikely to be successful as competitive inhibitors of gastrin in a therapeutic setting.
The functional importance of the carboxy-terminus of gastrin-17 for cell proliferation was further demonstrated by the (almost) complete loss of activation of the rat CCK2 receptor, when gastrin-17 was extended with a Gly or Cys next to the carboxy-terminal Phe (Fig. 3). Previously, it was also demonstrated that gastrin-17 is able to upregulate c-fos gene expression in AR42J cells, whereas Gly-extended gastrin had no effect (Todisco et al. 1995). In addition, amidation of the carboxy-terminal Phe was shown to be an absolute requirement for biological activity, i.e., stimulation of gastric acid secretion (Sugano et al. 1985, Matsumoto et al. 1987, Hilsted 1991). Our results show that removal of the carboxy-terminal amide also completely inactivates gastrin-17-induced c-fos expression (Fig. 3) in agreement with the notion that carboxy-terminal amidation is essential for biological activity of many polypeptide hormones (Merkler 1994).
In conclusion, our results show that the four carboxy-terminal amino acids of gastrin-17 are essential for its stimulatory effect on c-fos gene expression, regulating cellular proliferation. Ala-substitution variants of each of these four carboxy-terminal amino acids showed strongly reduced CCK2 receptor activation but could not act as competitive inhibitors of native gastrin. A few other amino acids of gastrin-17 showed minor effects on CCK2 receptor-mediated c-fos induction. Overall, this knowledge can be used in the development of novel strategies for therapeutic inhibition of gastrin's proliferative actions, notably involved in gastrointestinal cancer.
| Acknowledgements |
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