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HerGa is a self-assembled tumor-targeted particle that bears both tumor detection and elimination activities in a single, two-component complex (Agadjanian et al., 2009, PNAS 106:6105–6110). Given its multifunctionality, HerGa (comprised of the fluorescent cytotoxic corrole macrocycle, S2Ga, noncovalently bound to the tumor-targeted cell penetration protein, HerPBK10) has the potential for high clinical impact, but its mechanism of cell killing remains to be elucidated, and hence is the focus of the present study. Here we show that HerGa requires HerPBK10-mediated cell entry to induce toxicity. HerGa (but not HerPBK10 or S2Ga alone) induced mitochondria membrane potential disruption and superoxide elevation, which were both prevented by endosomolytic-deficient mutants, indicating that cytosolic exposure is necessary for corrole-mediated cell death. A novel property discovered here is that corrole fluorescence lifetime acts as a pH indicator, broadcasting the intracellular microenvironmental pH during uptake in live cells. This feature in combination with two-photon imaging shows that HerGa undergoes early endosome escape during uptake, avoiding compartments of pH<6.5. Cytoskeletal disruption accompanied HerGa-mediated mitochondrial changes whereas oxygen scavenging reduced both events. Taxol-treatment indicated that HerGa uptake requires dynamic microtubules. Unexpectedly, low pH is insufficient to induce release of the corrole from HerPBK10. Altogether, these studies identify a mechanistic pathway in which early endosomal escape enables HerGa-induced superoxide generation leading to cytoskeletal and mitochondrial damage, thus triggering downstream cell death.
Whereas cancer treatment by porphyrins and related macrocyclic compounds has been investigated extensively for many decades 1, 2, the therapeutic potential of corroles has only recently been disclosed 3, 4. Sulfonated corroles are water soluble (amphipolar) macrocyclic compounds, whose Fe(III) and Mn(III) complexes are very active catalysts for decomposition of reactive oxygen and nitrogen species involved in a variety of relevant diseases. 5–9 Also noteworthy is the finding that Ga(III) and Al(III) derivatives are intensely fluorescent at relatively long wavelengths 10, 11. While these metal complexes are capable of undergoing endocytosis via co-uptake with, or noncovalent attachment to, serum proteins in vitro and in vivo, they are unable to penetrate cell membranes without facilitation by membrane-lytic molecules. Hence, toxic corroles, such as the Ga(III) derivative, are safe at pharmacologic doses but can kill cells when allowed to breach into the cytosol 12.
Our investigations of S2Ga, the Ga(III) –metallated derivative of the sulfonated corrole, have shown that it noncovalently attaches to the ligand-directed cell penetration protein HerPBK10 with sufficient stability as to not exchange with serum proteins 3, 12. We have further shown that HerGa (resulting from the noncovalent assembly of S2Ga and HerPBK10) can selectively target and kill HER2+ tumor cells in a mixed culture of HER2+ and HER2− cells 3 at submicromolar concentrations while the individual components comprising HerGa do not elicit cell death 3, 12.
Cell targeting by HerPBK10 is directed by the incorporation of the receptor-binding domain of heregulin, which has enhanced affinity for the human epidermal growth factor receptor (HER) heterodimer (HER2/3 or HER2/4) when the HER-2 subunit is amplified, such as in HER2+ tumors 13, 14. These tumors comprise the most aggressive and recalcitrant cancers with the worst prognosis among breast, prostate, and glioma tumors 15–19, thus patients could benefit from targeted interventions. Current targeted therapies aimed at blocking proliferative signaling are ineffective in up to 70% of cases likely due to signaling mutations accumulated in tumor cells 20, 21, hence alternative targeting strategies that circumvent signal inhibition (such as the direct delivery of toxic molecules into tumor cells) could provide needed improvements. Accordingly, HerPBK10 was designed to enter cells via HER binding and rapid ligation-triggered internalization, followed by endosomal penetration via the adenovirus-derived penton base domain engineered into the protein 3, 12, 22. Importantly, the current monoclonal antibodies used clinically for targeted therapy of HER2+ tumors do not undergo receptor-mediated endocytosis or membrane penetration.
Our previous studies have shown that HerGa binds tumor cells through competitively-inhibitable HER binding, and undergoes endocytosis after receptor binding 12. We have also shown that the corrole (detected by virtue of its fluorescence) remains sequestered throughout the cytoplasm and excluded from the nucleus 3, 12, thus pointing to cytosolic rather than nuclear factors as the targets of corrole-mediated cytotoxicity in human breast cancer cells 12. The relevance of these studies to in vivo systems was demonstrated in tumor-implanted mice, which showed that HerPBK10 enables corrole targeting and uptake into HER2+ tumors that can be readily visualized due to the intense corrole fluorescence, and this tumor targeting resulted in tumor growth inhibition at >5-times lower dosage in comparison to systemic delivery of the chemotherapy agent, doxorubicin 3, 4. These initial successes in testing corroles for tumor-targeted therapy have highlighted the need to elucidate the underlying mechanisms that contribute to corrole-mediated cytotoxicity.
The focus of this study is to examine the intracellular changes taking place after HerGa uptake that precede cell death, so as to delineate the events that cause HerGa-mediated toxicity. The present study shows that HerGa, but not HerPBK10 or S2Ga alone, compromises mitochondrial membrane potential [ΔΨ(m)] and disrupts the cytoskeleton through superoxide elevation, for which escape from endosomal vesicles after cell uptake is key. While low pH does not induce corrole release from the carrier, HerGa avoids highly acidic intracellular compartments, as assessed by fluorescence lifetime imaging, two-photon imaging and through the use of endosomolytic-defective versions of the carrier protein. Importantly, the fluorescence lifetime characteristics of the corrole enabled us to identify the intracellular compartmental pH of its surrounding microenvironment during cellular uptake, thus acting as a pH indicator in live cells. Studies with taxol indicate that dynamic microtubules are required for HerGa uptake. These findings have allowed us to identify for the first time the intracellular events that facilitate HerGa interaction with target cells leading to corrole-mediated cytotoxicity, and may be applicable to a broad range of tumors depending on the delivery vehicle.
HerPBK10, HerK10, and Her protein and was produced in and isolated from a bacterial protein expression system as described previously 23. Gallium-metallated sulfonated corrole was synthesized, reconstituted in phosphate-buffered saline (PBS), and quantified as described previously 12. HerGa, HerGa-2 and HerGa-3 complexes were assembled by combining each protein and S2Ga at corrole:protein ratios of 30, 5, or 8, respectively, and incubating mixtures with gentle agitation on ice for 1h, followed by ultrafiltration through a 50 kDa MWCO Filter Column (Millipore, Billerica, MA, USA) that has been coated with 10% glycerol. The column was spun at 1000×G until the filtrate clarified and the volume was reduced to <500uL. Concentrations used for cell treatments are based on the corrole concentration in each complex, determined by obtaining the λmax absorption using UV/Vis spectroscopy and applying the equation: (absorbance at λmax/corrole extinction coefficient) × dilution factor = concentration (M).
MDA-MB-435 cells were obtained from the National Cancer Institute and maintained at 37°C in DMEM, 10% fetal bovine serum at 5% CO2. All cell treatments were performed at ~36h after plating to allow sufficient receptor re-expression and display on the cell surface.
At ~36h after MDA-MB-435 cells were plated in delta T chambers (105/well), the media was replaced with HBSS containing 1 uM HerGa or S2Ga, followed immediately by acquisition of confocal images every 5 minutes. To image HerGa internalization −/+ taxol, confocal images were acquired at different depths (~10 micron sections at 1 micron steps) every 5 min for 1h. Excitation and emission wavelengths at 560nm and 620nm+/−20nm, respectively, were selected for HerGa detection.
Cells were plated at 104 cells per well in a 96 well dish. 36 hours later the media was aspirated and replaced with 50uL complete DMEM containing the indicated concentrations of HerGa. The cells were rocked at 37°C for four hours, after which an additional 50uL of complete media was added and cells continued incubation at 37°C without rocking. 24 hours after the start of the treatment the cell number was determined by the crystal violet (CV) assay. Briefly, the media was aspirated and cells were washed with PBS containing 0.01% Mg++ and 0.01% Ca++. The PBS was aspirated and each well was stained with 0.1% Crystal Violet at RT for 15 min. The cells were then washed in PBS with Mg++/Ca++ 4 times. After the final wash, each well received 100uL 95% ethanol to release the CV. The plate was incubated at RT for 10 minutes before the absorbance at 590nm was measured.
The distribution of the cationic dye, tetramethyl rhodamine methyl ester (TMRM), across the mitochondria membrane is governed primarily by the Nernst equation 24, whereas transmembrane potential collapse results in its diffusion into the cytosol and thus reducing its intracellular fluorescence intensity 25. MDA-MB-435 cells were plated in Delta T chambers at 104 cells/chamber, and incubated for 36 hours, after which media was aspirated from each chamber and replaced with 0.5 mL fresh complete media containing HerGa, S2Ga, HerPBK10, or PBS at the indicated concentrations. Each chamber was rocked for 4h at 37° C, 5% CO2, then received 0.5 mL additional media bringing the final volume to 1mL, after which chambers were incubated another 20 hours. The media was then aspirated and replaced with 20nM TMRM in PBS, and two-photon excited confocal TMRM fluorescence images were acquired at different z-depths after TMRM accumulation reached equilibrium (~1 hour). Mitochondrial membrane potential was quantified from a z-stacked maximum intensity projection of each acquired image by calculating the fluorescence intensity ratio of mitochondrial to cytoplasm sites (10, 11). In calculating the mitochondria/cytoplasm ratio, average fluorescence intensity for 10 different mitochondria regions and one mitochondria-free region (distinguishing the cytoplasm) within the same cells were measured respectively. This calculation was performed for all cells in each field of view from three independent experiments.
Fluorescence lifetime imaging was performed using a femtosecond (fs) pulsed laser (Mai Tai, Spectra Physics) light tuned to 424nm, at a repetition rate of 80Mhz, generated by the second harmonic of a fs pulsed laser at 848nm in a Beta Barium Borate (BBO) crystal, delivered to a Nikon Microscope through macro lenses, a diffuser, a band-pass filter (425±5nm), and several mirrors. The delivered light was reflected to the back focal plane of a 100x objective (Nikon 100x planfluor, NA: 1.3) for the excitation of the HerGa. Fluorescence emission from HerGa was collected by the objective and delivered onto a CCD connected with time-gated intensifier (TGI) (Lavison) through an emission filter (620±60nm), and then fluorescence lifetime images of HerGa acquired at indicated points.
MDA-MB-435 grown in 96 well plates at 1×104/well for 36 hours were aspirated of medium and received fresh medium containing HerGa or S2Ga (at 1 uM corrole concentration), HerPBK10 (at equivalent protein concentration to HerGa), or PBS (mock), followed by incubation for 1h at 37°C. The cells were then assayed for superoxide generation by measuring luminol oxidation following a commercial procedure (LumiMax Superoxide Anion detection kit; Agilent Technologies, Santa Clara, CA, USA). Light emission was recorded every 1 min for 30 min by a Veritas Microplate Luminometer (Promega Corporation, Sunnyvale, CA, USA). Where indicated, cells were pre-incubated in Tiron at the indicated concentrations for 1h before treatment. Superoxide detection in a cell-free system was performed by adding 1uM HerGa or S2Ga, HerPBK10 (at equivalent protein concentration to HerGa), or PBS directly to assay medium at 100 uL final volume in separate wells of a 96-well plate, and wells processed as described earlier to measure superoxide.
Cells were treated with HerGa or individual components as indicated, then processed for immunofluorescent histochemical staining following our previously established procedures 26. Where indicated, fixed cells were incubated for 1h with antibodies against actin (to assess microfilaments), or tubulin (to assess microtubules). Samples were imaged by laser scanning fluorescence confocal microscopy as described earlier 3.
MDA-MB-435 cells plated in Delta T chambers (104/chamber) received the following treatments at 36 hours after plating: media was replaced with 0.5 mL media containing HerGa (1 uM), the equivalent volume of PBS (Mock), or HerGa + 5 uM taxol (after a 15 min taxol pre-treatment, as previously described)26. All treatments included 0.25% DMSO. The chambers were rocked for 4 hours at 37° C, 5% CO2, followed by supplementation with an additional 0.5 mL of media and a further 20h incubation. Separate experimental treatments were independently assessed for TMRM uptake and superoxide levels as described earlier.
Evaluation of cellular uptake was performed by confocal fluorescence microscopy of live HER2+ MDA-MB-435 cells and examination of intracellular corrole fluorescence over time. The results show that HerGa (1 uM) undergoes internalization within minutes, whereas free untargeted corrole (S2Ga) at equivalent concentration (1 uM) displays no detectable accumulation microscopically (Fig. 1A) and by measurement of intracellular fluorescence intensity (Fig. 1C). Even at 1 hour after initial administration to cells, intracellular S2Ga fluorescence was not detectable, whereas it was very pronounced for HerGa treated cells (Fig. 1B). A direct relationship between these findings and cytotoxicity was elucidated from in vitro dosed toxicity analyses performed 24 h after incubation, showing that cell death plateaus at concentrations at and above 10 nM HerGa, with a CD50 of ~0.5 nM (Fig. 1D). This contrasts with the same analysis of S2Ga, which is not toxic up to 100 uM over the same time frame (Fig. 1D).
Based on the previous findings, we examined whether HerGa directly impacts mitochondria by using a Nernstian dye, tetramethyl rhodamine methyl ester (TMRM), to investigate the ΔΨ (m) of HerGa-treated MDA-MB-435 cells. In contrast to mock treatment, HerGa significantly reduced the ratio of mitochondrial to cytosolic intensity by 24 hours after treatment, while HerPBK10 or S2Ga alone had little effect (Fig. 2, D–E). The onset of ΔΨ (m) collapse could be detected as soon as 1h after HerGa treatment (Fig. 2E), suggesting a fairly early mitochondrial impact after uptake.
To determine whether endosomal escape is required to facilitate ΔΨ (m) disruption, we compared HerGa to similar complexes (designated HerGa-2 and HerGa-3) made with carrier protein (HerK10 and Her, respectively) lacking the endosomal-disrupting penton base domain (Fig. 3A) 23. In contrast to the reduced TMRM uptake in HerGa-treated cells, HerGa-2 and HerGa-3 at equivalent corrole dose (1 uM) had negligible effect (Fig. 3B and C; P<0.05 compared to HerGa), despite the ability of HerGa-2 and HerGa-3 to internalize into target cells (Fig. 3B, lower panels). HerGa-2 and HerGa-3 also were not cytotoxic to treated cells, in contrast to the significant reduction in cell survival induced by parental HerGa (Fig. 3D; P<0.05 compared to HerGa), altogether indicating that ΔΨ (m) disruption requires direct exposure to HerGa, and leads to cell death.
Our recent studies indicate that corrole fluorescence lifetime is altered during cell uptake 27, and specifically shortens in direct relation to microenvironmental pH when tested under controlled pH conditions (Fig. 4A). We took advantage of this property to determine the timing of endosome escape. During cellular uptake of HerGa, the corrole fluorescence lifetime exhibited a time-dependent decrease (Fig. 4B) that correlated with a transition from a neutral to mildly acidic (pH ~6.5) microenvironment within the first 15 min of uptake (Fig. 4A), but did not decrease below ~700 ps, thus avoiding a highly acidic (pH <6.5) compartment (Fig. 4B). To confirm whether this is indicative of early endosomal escape, we used two-photon fluorescence live cell imaging to monitor fluorescence yield and transit of HerGa during uptake. Intracellular depth analysis shows that HerGa is localized closer to the cell periphery (shown as two fluorescence peaks at 4 and 10 um depths) early (5 min) after uptake correlating with an increase in fluorescence intensity, indicative of sequestration into membrane-juxtaposed vesicles (Fig. 4C). Later time points show HerGa transiting deeper within the cell, away from the plasma membrane (indicated by a single peak at ~7 um by 1h) (Fig. 4C), concomitant with a reduction in fluorescence yield that is indicative of diffusion from vesicles. Taken together with the earlier findings using the endosomolytic-deficient mutants, these results provide comprehensive evidence that HerGa escapes relatively early from endosomal vesicles, thus avoiding entry into highly acidic compartments.
We performed a cell-free assay to determine whether S2Ga separates from HerPBK10 in different pH buffers adjusted to mimic a neutral/extracellular environment (7.5–7.0), mildly acidic environment such as that in the early endosome or tumor microenvironment (6.5–6.0), and moderately acidic environment such as that in late endosomes/lysosomes (5.5–5.0). Our results show that a pH decrease, even to values as low as 5.0, did not yield detectable corrole release from the carrier protein (Fig. 4D). Taken together with the previous endosomolytic and pH analyses, these findings suggest that the acidic endosomal microenvironment is insufficient to induce corrole release from the HerPBK10 carrier protein during uptake.
We assessed the contribution of reactive oxygen species (ROS) in the cell death mechanism of HerGa by using a luminol substrate to detect superoxide (O2−) in MDA-MB-435 cells after exposure to HerGa (1 uM) or individual components (HerPBK10 and S2Ga alone) for 1 hour. While HerPBK10 and S2Ga alone had minor to negligible effect on luminescence over mock (PBS) treatment, and all three compounds induced low levels of luminescence over untreated (Control) cells, HerGa induced the highest levels (3–5x the elevation of mock treatment) (Fig. 5A), suggesting that considerable O2− is generated by HerGa treatment. To assess whether O2− generation is due to any innate catalytic activity, we repeated this assay in cell-free conditions. Our results showed that none of the reagents used here produced detectable luminescence under these conditions (Fig. 5B), indicating that O2− generation occurs as a cellular response to HerGa treatment. To evaluate the contribution of endosomolysis on O2− generation, we measured luminescence from cells after treatment with the endosomolytic-defective complexes, HerGa-2 and HerGa-3. Both HerGa-2 and HerGa-3 exhibited considerably lower luminescence compared to HerGa, with HerGa-3 yielding no detectable luminescence over mock treatment, indicating that endosomal escape is necessary for HerGa-mediated O2− generation. To assess the contribution of O2− generation to mitochondrial damage, we evaluated HerGa-mediated ΔΨ (m) changes in presence of the superoxide scavenger, Tiron, which sufficiently reduces and prevents O2− generation at 1–5 mM (Fig. 5C), in agreement with established studies 28. Here, Tiron restored normal ΔΨ (m) in HerGa-treated cells in comparison to HerGa-treatment without Tiron (Fig. 5D), indicating that HerGa-induced O2− contributes to ΔΨ (m) disruption.
We examined the cytoskeletal effect of HerGa uptake by immunofluorescence analysis of treated MDA-MB-435 cells, and observed that, in comparison to the normal broad cytosolic distribution of actin filaments and microtubules as seen in mock and control (S2Ga and HerPBK10 alone) –treated cells, HerGa (1 uM) induced considerable cytoskeletal collapse by 24h after uptake (Fig. 6). To distinguish whether cytoskeletal disruption resulted as a direct impact from HerGa or as a downstream event of cell damage, we used the microtubule stabilizer, taxol, to assess whether preventing microtubule breakdown would affect ΔΨ (m) disruption and O2− elevation. Taxol significantly reduced HerGa-induced ΔΨ (m) breakdown (P<0.0001 compared to HerGa)(Fig. 7A) and O2− generation (Fig. 7B), suggesting that cytoskeletal disruption leads to ROS and mitochondrial damage. However, the oxygen scavenger, Tiron, prevented HerGa-mediated cytoskeletal breakdown (Fig. 8), thus suggesting that HerGa causes ROS-mediated cytoskeletal damage. To reconcile which events are causative, we examined the stage of HerGa uptake (detected by intracellular corrole fluorescence) affected by taxol treatment. Our findings show that taxol reduces intracellular accumulation by nearly 70%, (Fig. 7, C–D) indicating that microtubule stabilization prevents uptake/intracellular transit of HerGa, which in turn prevents the downstream events of ROS generation, and ROS-mediated damage to mitochondria and the cytoskeleton. These findings also indicate that dynamic microtubules are required for mediating HerGa uptake.
Our previous studies have established that HerGa binds target HER2+ cells in vitro specifically through HER ligation, as confirmed through competitive inhibition by free ligand, and undergoes receptor-mediated endocytosis in response to receptor binding 12. These same studies also showed that HerPBK10 enabled corrole toxicity at low (submicromolar) doses in contrast to the free corrole (not attached to HerPBK10), which required daily doses as high as 35 uM for 3 days to induce appreciable cytotoxicity. These previous studies suggest that the relatively low dose required for HerGa therapeutic efficacy is due to the known internalization and membrane-penetration attributes of HerPBK10 that also enable gene delivery elsewhere 23, while the inability of the free corrole to penetrate the cell membrane prevents effective toxic impact on target cells, even if it can undergo endocytosis through attachment to or co-uptake with serum proteins 12. In support of that hypothesis, we show here that HerGa undergoes internalization, as seen by the accumulation of intracellular corrole fluorescence over time, whereas free, untargeted corrole (S2Ga) at equivalent concentration (1 uM) showed no detectable accumulation microscopically. Correspondingly, HerGa elicited cytotoxicity whereas S2Ga did not, altogether indicating that HerPBK10 is needed for corrole internalization and mediating corrole toxicity, especially at low and pharmacologically relevant doses.
One unexpected discovery while conducting these studies has been the direct relationship between HerGa fluorescence lifetime and pH. This unique property has been useful here for reporting the intracellular environmental conditions during uptake and could possibly be exploited in future studies for diagnostic monitoring of the microenvironment in vivo. Together with two-photon imaging and intracellular depth analysis, the fluorescence lifetime changes of HerGa during cell uptake indicate that HerG accumulates into membrane-juxtaposed vesicles of slightly acidic pH, followed by transit away from the plasma membrane and deeper within the cell that corresponds to escape from endosomal vesicles. Cytosolic exposure would enable HerGa to transit along cytoskeletal pathways connecting the plasma membrane to organelles, including the mitochondria. In agreement, the taxol-mediated reduction of intracellular HerGa indicates that dynamic microtubules are required for initial transit into the cell and throughout the cytoplasm. The prevention of ΔΨ (m) disruption and O2− elevation by taxol also indicates that the cytoskeletal network is necessary for transport of HerGa to the proximity of oxygen sources, such as the mitochondria. The prevention of cytoskeletal collapse by Tiron indicates that HerGa-mediated actin and tubulin disruption lies downstream of O2− elevation. These findings altogether suggest that the cytoskeletal network is necessary to provide the initial means of HerGa transport in the cell to oxygen-generating sources (such as the mitochondria) where HerGa-mediated O2− elevation takes place, and as a result, ultimately becomes a target of oxidative damage.
Another unexpected finding was that a pH as low as 5.0 does not induce corrole release from the HerGa complex, thus suggesting that the environment encountered through receptor-mediated endocytosis and endocytic maturation does not affect complex integrity. Either the corrole stays bound to the carrier throughout cell entry or is released through a pH-independent process. Whereas a microscopic analysis of corrole release from HerGa in cells could verify these findings, the processing required for immunofluorescence assay has produced fixation artefacts showing false nuclear accumulation of corrole fluorescence (not shown), thus confounding appropriate evaluation.
Here we find that HerGa, but not its individual constituents, induce ΔΨ (m) collapse that is mediated through the elevation of superoxide. Moreover, we find through the use of endosomolytic-deficient mutants that direct exposure of HerGa to the cytosol is necessary for these events to occur. Taken altogether, these studies have identified the following stepwise pathway mediating the cytotoxic mechanism of HerGa: HerPBK10 is required to mediate uptake (Fig. S1, step a) and early endosomal release (Fig. S1, step b), thus enabling HerGa to avoid low pH compartments such as the late endosome and lysosome after cell entry. Cytosolic entry is necessary to facilitate downstream O2− elevation (Fig. S1, step c), which in turn mediates both cytoskeletal and ΔΨ (m) disruption (Fig. S1, steps d and e). As superoxide generation would cause oxidative damage to cellular processes and structures, and ΔΨ (m) loss would disrupt cellular metabolic activity, these specific phenomena explain how HerGa mediates death to target cells.
How HerGa directly interacts with the mitochondrion to elicit these cell-death mediators remains to be elucidated. Consistent with observations in our previous studies 3, 12, corrole fluorescence is observable throughout the cytoplasm after HerGa uptake and is not necessarily specifically targeted to mitochondria. Given the structural similarity of corroles to porphyrins, HerGa may indirectly affect mitochondrial ROS levels by activating the mitochondrial benzodiazapine receptor, for which several porphyrins are endogenous ligands 29. On the other hand, HerGa could impact extra-mitochondrial sources of superoxide generation, including NADPH oxidase on the plasma membrane and cytoplasmic enzymes such as xanthine oxidase and nitric oxide synthase 30, which could lead to mitochondrial damage as well as other downstream apoptotic-like events. Our cell-free studies show that the corrole itself cannot directly catalyze ROS generation, hence interactions with host factors are required.
Whereas ROS can activate the intrinsic apoptotic pathway 31, our initial investigations on the contribution of apoptosis have yielded atypical findings. Mitochondrial permeabilization typically releases cytochrome c, which activates the caspase cascade resulting in cell death. Here, moderate but significant elevation in DNA fragmentation, an indicator of apoptotic cell death, was observed in HerGa but not control –treated cells (Fig. S2, A). However, other ‘classical’ markers of apoptosis were lacking, including phosphatidylserine (PS) externalization (Fig. S2, A), and elevation of activated caspase 9 and 3 (Fig. S2, B). Moreover, cytochrome c release was not detected unless the cells were exposed to HerGa at a 10-fold higher dose over the therapeutic range (Fig. S2, C). Alternative cell death pathways may account for these anomalies. For example, caspase-independent fragmentation of DNA in the absence of PS exposure has been observed in HER2+ T-47D tumor cells undergoing autophagy 32. Elsewhere, selective release of Smac/DIABLO and Omi/HtrA2, but not cytochrome c, from mitochondria can result from S100A8/A9-induced death in tumor cells 33. Mitochondrial release of Smac/DIABLO has been observed in cells undergoing anchorage-dependent cell death, or anoikis 34, and can function independently of cytochrome c 35. Importantly, Schafer et al 36 demonstrated that antioxidants inhibit anoikis in breast cancer cells, suggesting that elevated ROS are required in detachment-mediated cell death. These examples indicate that further studies are warranted for determining the contribution of non-classical cell death pathways to HerGa-mediated toxicity, and are currently ongoing.
Given our recent successful demonstration that targeted corroles eliminate tumor growth 3, the investigations presented here shed light on the mechanism of corrole-mediated cell death. These studies will direct our future efforts in engineering modifications into the corrole and carrier protein that may enable even greater potency and specificity for tumor cells, thus yielding a therapeutic with optimized efficacy and safety.
Figure S1. Mechanism of HerGa-mediated cell death. Schematic shows intracellular interactions mediating HerGa cytotoxicity. Based on the studies presented here and supported by our previous studies3, 12, the schematic shows that HerGa undergoes HerPBK10-mediated uptake (a), followed by early endosome escape (b), thus enabling superoxide (O2−) generation (c), which in turn mediates actin and microtubule disruption (d), and collapse of mitochondrial membrane potential (e).
Figure S2. Evaluation of apoptotic markers in treated MDA-MB-435 cells. A, Assessing the earliest and latest apoptotic markers. Cells were treated in triplicate with S2Ga or HerGa at 0.5 uM final corrole concentration. Parallel treatments included HerPBK10 alone (at equivalent protein concentration to HerGa) or 2 ug/mL anisomysin (an apoptosis-inducing control). At 24h after treatment, cells were monitored for specific apoptotic markers: (Upper panel) surface phosphatidylserine (PS), or (Lower panel) DNA laddering (TUNEL), as described (Procedures follow below). Bars represent marker elevation normalized by values obtained from mock-treated cells, or experimental/control ± 1 SD. *, P<0.05 compared to untreated as determined by 2-tailed unpaired t-test. B, Evaluating caspase activation. Cytosolic fractions from cells treated with 1 uM HerGa or S2Ga, HerPBK10 alone (at equivalent protein concentration to 1 uM HerGa), or PBS (Mock) for 24h were isolated as described (see following Methods) and immunoblotted for the activated forms of caspase 9 and 3 using antibodies from Abcam (Cambridge, MA, USA). C, Evaluating mitochondrial cytochrome c release. Micrographs show fluorescence confocal images of cells after treatment with HerGa (10 or 1 uM), S2Ga (1 uM), HerPBK10 alone (at equivalent protein concentration to 1 uM HerGa), or PBS (Mock). Red, mitochondria; Green, cytochrome c. n, nucleus. Bar, ~8 microns. These findings represent at least three independent experiments. Procedures. MDA-MB-435 cells receiving the indicated treatments were assayed by terminal deoxynucleotidyl transferase dUTP nick end labeling (TUNEL) or annexin V binding at 24h after treatment. Specifically, treated cells were washed with PBS and fixed in suspension in 1% paraformaldehyde. To process the cells for TUNEL, cells were washed with PBS and incubated with terminal deoxyuridine 5′-triphosphate TdT, BrdUTP, followed by washing and incubation with Alexa Fluor 488 –conjugated anti-BrdU mouse monoclonal antibody for 30 min using a TUNEL assay kit (Molecular Probes Invitrogen, Carlsbad, CA, USA). To process the cells for annexin V binding, the cells were incubated with propidium iodide in binding buffer (50 mM HEPES, pH 7.4; 700 mM NaCl, 12.5 mM CaCl2), washed, and incubated for 30 min with Alexa Fluor 488–labeled annexin V using a surface phosphatidylserine labeling kit (Molecular Probes Invitrogen, Carlsbad, CA, USA). For both assays described earlier, cells were assessed by flow cytometry at 10,000 total events for each sample.
To assess for activated caspases, MDA-MB-435 cells growing in T75 flasks were treated with HerGa or S2Ga (each at 1 uM corrole concentration), equivalent dose of HerPBK10, or PBS in a 5 mL total volume of complete media for 4h with rocking at 37°C/5% CO2, followed by supplementation with 5 mL complete media, and cell harvest 24h later for isolation of cytosolic fractions using a commercial extraction kit (Abcam, Cambridge, MA, USA), following the manufacturer’s procedures. Aliquots from each fraction (40 ug each) were electrophoresed and immunoblotted using indicated antibodies from Abcam (Cambridge, MA, USA). HRP-conjugated secondary antibody blotting and chemiluminescence detection were performed following standard established procedures.
Cytochrome c release was assessed in treated cells growing on coverslips at 24h after indicated treatments. The media was replaced with the prewarmed (37°C) staining solution containing MitoTracker® probe (50nM final), and incubated at 37°C for 30 minutes, followed by fixation and permeabilization before cytochrome c staining using an Alexa fluor 488 cytochrome c apoptosis detection kit (Invitrogen), following the manufacturer’s protocol. Immunostained cells were imaged using a Leica confocal microscope to assess cytochrome c and mitochondria localization (cytochrome c - ex: 488nm, em:510–560nm, mitochondria – ex: 535nm, em: 560–590nm).
LKM-K thanks JC, DR, and MM-K for continued support. This work was supported by grants to LKM-K from the NIH (R21 CA116014, R01 CA102126, R01 CA129822, and R01 CA140995), the DoD (BC050662), the Susan G. Komen Breast Cancer foundation (BCTR0201194), and the Donna and Jesse Garber Award. Work at Caltech was supported by NIH DK019038 and the Arnold and Mabel Beckman Foundation. Work at the Technion was supported by The Herbert Irving Cancer and Atherosclerosis Research Fund.