Macrophage migration inhibitory factor (MIF) is a proinflammatory cytokine expressed in many types of cells, including epithelial, endothelial, immune, and endocrine cells. It is an early mediator of both innate and acquired immune responses, and is rapidly upregulated in a variety of inflammatory conditions associated with septic shock, toxemias, development of neoplasia, atherosclerosis, autoimmune conditions, and hypoxia. For example, MIF levels in tissues and body fluids are elevated in acute inflammatory and in autoimmune conditions such as rheumatoid arthritis, glomerulonephritis, lupus erythematosus, asthma, and psoriasis. These diverse attributes of MIF have been reviewed comprehensively (
1–
4).
MIF is a homotrimer with each subunit (mol. wt. 12.5 kD, 115 amino acids for the human protein) containing two antiparallel α-helices and six β-pleated sheets (
5,
6). On the basis of the topological (but not sequence) homology of MIF to the bacterial enzyme oxalocrotonate tautomerase (
7,
8), it was speculated that mammalian MIF would possess enzymatic activity, and this was established by Rosengren (
9,
10), who showed that MIF had dopachrome and phenyl pyruvate keto-enol tautomerase activity. In analogy to the bacterial oxalocrotonate isomerase (
7,
8,
11,
12), the
N-terminal proline of each subunit of MIF is the catalytic base (
13). These proline residues reside in hydrophobic pockets, have very low p
Ka values, and are highly reactive with electrophiles such as isothiocyanates (
14).
Our interest in MIF was stimulated by three recent independent reports that MIF enzymatic activity is irreversibly inactivated by a number of isothiocyanates, among which sulforaphane [1-isothiocyanato-4
R (methylsulfinyl)butane] was especially potent (
14–
16). Sulforaphane was isolated in this laboratory from broccoli (
17), based on its high potency as an inducer for the widespread cytoprotective gene response regulated by the Keap1-Nrf2-ARE signaling system (
18–
20). There is much current interest in the use of sulforaphane to attenuate the severity of oxidant, electrophile, and inflammatory stresses that contribute to the pathogenesis of many chronic diseases (
18–
20). We therefore considered the possibility of using MIF enzymatic activity and its modulation by isothiocyanates as a quantitative biomarker of inflammatory severity and as a measure of the effectiveness of anti-inflammatory intervention. This strategy is also supported by observations that elevated MIF levels in various body compartments correlate with the intensity of diverse chronic diseases, and tend to normalize with attenuation of disease severity. It is especially interesting that deletion of MIF (e.g., in
mif−/− mice), or neutralization of MIF by anti-MIF antibodies, reduced the severity of some inflammatory conditions (
21–
23).
The use of MIF as a promising biomarker for inflammatory disease has been recently proposed by Grieb and colleagues (
4). Fulfilling this goal requires simple, quantitative, and specific methods for determining MIF levels in a variety of biological compartments (cells, tissues, and biological fluids). The majority of current analytical methods depend on antibodies generated to a wide variety of epitopes, including a sandwich enzyme-linked immunosorbent assay (ELISA). Although these methods have high sensitivity, their ability to distinguish minor structural modifications of MIF that may affect its biological activity depends on the specific antibody used (
14,
24). Since MIF has enzymatic activity, enzyme assays for MIF are more functionally specific. Although no natural substrate for MIF has been identified, and the relation between enzymatic activity of MIF and its immunomodulatory properties is incompletely understood, several studies have shown that inactivation of MIF tautomerase activity is sometimes, but not always, accompanied by attenuation of its biological activity
in vitro and
in vivo (
24–
30). Therefore, we chose to develop improved enzymatic assays for MIF since isothiocyanates, the inhibitors of potential therapeutic interest to us, inactivate MIF in a highly specific and chemically defined manner.
A suitable assay for determining MIF enzymatic activity depends on the spectrophotometric determination of the conversion of the methyl ester of 2-carboxy-2,3-dihydroxyindole-5,6-quinone (L-dopachrome) (a) to the methyl ester of 5,6-dihydroxyindole-2-carboxylate (b) by monitoring the rate of decline in absorbance of the dopachrome at 475 nm.

In this paper, we describe a highly quantitative and sensitive method for measuring the enzymatic (dopachrome tautomerase) activity of MIF, modified from Rosengren et al. (
10), and adaptation of this assay to 96-well microtiter plate format. The sensitivity of the assay has been greatly increased by modifying the buffer and pH, and thus reducing the nonenzymatic reaction rate. We have compared the potencies of a variety of isothiocyanates in inactivating mouse (cell and recombinant) and human MIF, and confirmed the high potency of sulforaphane as an inactivator. We demonstrate the presence and describe the rapid determination of MIF activity in human urine, and its inactivation in the urine of human volunteers who consumed glucoraphanin (the naturally-occurring glucosinolate precursor of sulforaphane) orally in the form of broccoli sprout extracts (
31).