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Substantial expression of luteinizing hormone-releasing hormone (LHRH) receptor type I in human uveal melanoma

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Substantial expression of luteinizing hormone-releasing hormone (LHRH) receptor type I in human uveal melanoma

Author: Treszl, Andrea; Steiber, Zita; Schally, Andrew Victor; Block, Norman L.; Dezső, Balázs; Oláh, Gábor; Rózsa, Bernadett; Molnár-Fodor, Klára; Buglyó, Armin; Gardi, János; Berta, András; Halmos, Gábor
Year: 2013
Source: https://dea.lib.unideb.hu/bitstreams/d153c51d-e85b-4171-93d2-951e7c749a19/download
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www.impac jou nals.com/onco a ge / Onco a ge , Oc obe , Vol.4, No 10
Subs an ial exp ession o lu einizing ho mone- eleasing
ho mone (LHRH) ecep o ype I in human u eal melanoma
And ea T eszl1,*, Zi a S eibe 2,*, And ew V. Schally3,4 , No man L Block3,4 , Balazs
Dezso5, Gabo Olah1, Be nade Rozsa1, Kla a Fodo 1, A min Buglyo1, Janos Ga di6,
And as Be a2 and Gabo Halmos1,3
1 Depa men o Biopha macy, Uni e si y o Deb ecen, Medical and Heal h Science Cen e , Deb ecen, Hunga y
2 Depa men o Oph halmology, Uni e si y o Deb ecen, Medical and Heal h Science Cen e , Deb ecen, Hunga y
3 Ve e ans A ai s Medical Cen e Miami, FL, Sou h Flo ida VA Founda ion o Resea ch and Educa ion, Miami, FL and
Depa men o Pa hology, Uni e si y o Miami, Mille School o Medicine, Miami, FL, USA
4 Di isions o Hema ology/Oncology and Endoc inology, Depa men o Medicine, Uni e si y o Miami, Mille School o
Medicine, Miami, FL, USA
5 Depa men o Pa hology, Uni e si y o Deb ecen, Medical and Heal h Science Cen e , Deb ecen, Hunga y
6 Depa men o Endoc inology, Uni e si y o Szeged, Facul y o Medicine, Szeged, Hunga y
* These au ho s con ibu ed equally o his wo k.
Co espondence o: Gabo Halmos, email: [email p o ec ed]
Co espondence o: And ew V. Schally, email: [email p o ec ed]
Keywo ds: u eal melanoma, lu einizing ho mone- eleasing ho mone (LHRH) ecep o
Recei ed: Sep embe 5, 2013 Accep ed: Sep embe 8, 2013 Published: Sep embe 10, 2013
This is an open-access a icle dis ibu ed unde he e ms o he C ea i e Commons A ibu ion License, which pe mi s un es ic ed use,
dis ibu ion, and ep oduc ion in any medium, p o ided he o iginal au ho and sou ce a e c edi ed.
ABSTRACT:
U eal melanoma is he mos common p ima y in aocula malignancy in adul s,
wi h a e y high mo ali y a e due o equen li e me as ases. Consequen ly, he
he apy o u eal melanoma emains a majo clinical challenge and new ea men
app oaches a e needed. Fo imp o ing diagnosis and designing a a ional and e ec i e
he apy, i is essen ial o elucida e molecula cha ac e is ics o his malignancy. The
aim o his s udy he e o e was o e alua e as a po en ial he apeu ic a ge he
exp ession o lu einizing ho mone- eleasing ho mone (LHRH) ecep o in human
u eal melanoma. The exp ession o LHRH ligand and LHRH ecep o ansc ip o ms
was s udied in 39 human u eal melanoma specimens by RT-PCR using gene speci ic
p ime s. The binding cha ach e is ics o ecep o s o LHRH on 10 samples we e
de e mined by ligand compe i ion assays. The p esence o LHRH ecep o p o ein
was u he e alua ed by immunohis ochemis y. The exp ession o mRNA o ype I
LHRH ecep o was de ec ed in 18 o 39 (46%) o issue specimens. mRNA o LHRH-I
ligand could be de ec ed in 27 o 39 (69%) o he samples. Se en o 10 samples
in es iga ed showed high a ini y LHRH-I ecep o s. The speci ic p esence o ull
leng h LHRH ecep o p o ein was u he con i med by immunohis ochemis y. A high
pe cen age o u eal melanomas exp ess mRNA and p o ein o ype-I LHRH ecep o s.
Ou esul s suppo he me i o u he in es iga ion o LHRH ecep o s in human
oph halmological umo s. Since di e se analogs o LHRH a e in clinical ials o a e
al eady used o he ea men o a ious cance s, hese analogs could be conside ed
o he LHRH ecep o -based ea men o u eal melanoma.
INTRODUCTION
Al hough u eal melanoma is e y a e, i is he
mos common p ima y in aocula malignancy in adul s.
I s incidence in he Wes e n wo ld seems o be ela i ely
s able wi h abou 7 new cases pe yea pe 1 million
indi idual. Abou hal o he pa ien s al eady ha e
me as a ic disease by he ime o diagnosis. The ou come
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o hese is almos in a iably a al and dea h usually occu s
wi hin a yea o he onse o sys emic symp oms. [1,2]
T ea men by sys emic o in a-hepa ic chemo he apy
o pa ial hepa ec omy only a ely p olongs he su i al
[3], emphasizing he need o de elop mo e e icacious
he apies. Recen p og ess in ou unde s anding o he
molecula p ocesses unde lying u eal melanoma should
enable us o ad ance he diagnosis, p ognosis and
ea men o his malignancy.
The disco e y o speci ic ecep o s o pep ide
ho mones on cance cells has led o he de elopmen
o cy o oxic and adiolabeled ho mone analogs ha a e
use ul o umo localiza ion and a ge ed he apy. Va ious
p eclinical s udies ha e shown ha chemo he apy based
on cy o oxic pep ide conjuga es a ge ed o ecep o s on
umo s can imp o e he e ec i eness o ea men and
educe gene al side e ec s. [4]
The p esence o di e en iso o ms o Lu einizing
Ho mone-Releasing Ho mone (LHRH) also known as
Gonado opin Ho mone-Releasing Ho mone has been
iden i ied in e eb a es. LHRH is he p ima y link
be ween he b ain and he pi ui a y in he egula ion o
gonadal unc ion and plays a pi o al ole in e eb a e
ep oduc ion. The ac ions o LHRH a e media ed by
high a ini y ecep o s o LHRH. The disco e y o
LHRH has had a majo impac in medicine and has led
o a a ie y o clinical uses o LHRH analogs in oncology
and gynecology. [5] Recen ly, i has been shown ha
a ious cance cell lines, including cu aneous melanoma,
xenog a ed in o nude mice, can be inhibi ed by he
a ge ed cy o oxic LHRH analog AN-152 (AEZS-108).
[6] Since bo h cu aneous melanoma and u eal melanoma
ha e he same neu oec ode mal o igin, bu he p esence
o LHRH ecep o s has ne e been s udied in u eal
melanoma, we in es iga ed he exp ession o mRNAs
o LHRH-I ligand and o ype I LHRH ecep o in
specimens o human u eal melanoma. The p esence and
binding cha ac e is ics o LHRH ecep o p o ein we e
also examined.
RESULTS
Exp ession o human ype-I LHRH ecep o s in
human u eal melanoma
Ou specimens o u eal melanoma issue consis ed
o 11 epi helioid, 21 spindle and 7 mixed cell ype umo s.
The umo hickness ange was 6-12.9 mm acco ding o
ul asonog aphy. The umo basal diame e s as measu ed
wi h ul asonog aphy, anged om 9-19 mm. I he
umo hickness was mo e han 8 mm and/o he la ges
umo diame e was mo e han 13 mm, we enuclea ed
he eye wi hou p io ea men . In hose cases whe e
he hickness was less han 8 mm o he basal diame e
was less han 13 mm, bu he umo was g owing in spi e
o he p e ious anspupilla y he mo he apy and/o
Ru henium-106 plaque b achy he apy, enuclea ion was
pe o med. Based on ou ecen knowledge, ype I LHRH
ecep o has wo splice a ian s, bu only he ull leng h
ecep o is unc ional. Ou p ime se o LHRH ecep o
was designed o speci ically ampli y he mRNA o he
ull leng h ecep o , bu o gi e no signals o he splice
a ian s. We used LHRH ecep o p ime s encompassing
he open eading ame om exon 2 o exon 3, o e lapping
he missing pa in he abo e men ioned wo iso o ms.
The p edic ed size o he PCR ampli ied cDNA o
ype I LHRH ecep o was 241 bp. Fou y six pe cen
o ou samples exp essed ecep o s o ype I LHRH
ecep o (Fig. 1., Table 1.). Among epi helioid ype u eal
melanomas, 6 o 11 (55 %) we e ound o be posi i e
o he exp ession o LHRH ecep o while spindle ype
melanomas included 10 o 21 (48%) posi i e samples.
In he mixed cell ype g oup (con aining bo h epi helioid
and spindle cells, wi h no dominan pa e n), 2 o 7 (29%)
o he umo s exp essed ype I LHRH ecep o . The
p esence o ull leng h LHRH-I ecep o was con i med
by immunohis ochemis y and co ela ed well wi h he
indings by RT-PCR (Fig. 2.). Among he specimens o
RT-PCR posi i e u eal melanoma, he majo i y s ained
posi i e o LHRH ecep o s which could be de ec ed in
he o m o ed g anules.
The p esence o speci ic LHRH binding si es and
cha ac e is ics o binding o [125I][D-T p6]LHRH o
memb ane ecep o s on human u eal melanoma issue
was de e mined using ligand compe i ion assays. O
he 10 specimens examined, 7 showed LHRH ecep o
binding (Table 2.). Analyses o he ypical displacemen o
adiolabeled [D-T p6]LHRH by he same unlabeled pep ide
e ealed ha he one-si e model p o ided he bes i ,
indica ing he p esence o one class o high-a ini y LHRH
ecep o s in c ude memb anes de i ed om human u eal
melanoma specimens. The compu e ized nonlinea cu e-
i ing and he Sca cha d plo analyses o he binding da a
in he 7 ecep o -posi i e umo specimens indica ed ha
he single class o binding si es had a mean dissocia ion
Figu e 1: mRNA exp ession o LHRH-I (le panel)
and i s ype I ecep o ( igh panel) in he same issue
specimen se . L: 50 bp DNA-ladde (Fe men as); +: posi i e
con ol (human pi ui a y); -: no empla e con ol; No. 1-5:
ep esen a i e human u eal melanoma issues.
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Table 1: Clinicopa hological cha ac e is ics and RT-PCR esul s o enuclea ed u eal melanoma
samples
Numbe o pa ien
Age a enuclea ion
Sex His ology Ea lie he apy Eye LHRH-R LHRH ligand
1. 64 M Spindle - L + +
2. 39 M Epi helioid B achy he apy R +-
3. 70 M Spindle - R - +
4. 80 F Epi helioid - R +-
5. 47 M Epi helioid - L - -
6. 65 M Spindle - R +-
7. 76 M Spindle - R + +
8. 75 F Spindle - L - +
9. 84 F Spindle B achy he apy L + +
10. 39 M Mixed - R - +
11. 35 M Spindle - L - -
12. 30 F Spindle - L + +
13. 44 F Spinde - L - +
14. 68 F Spindle - L - +
15. 76 M Spindle - R + +
16. 79 F Mixed - L - +
17. 79 F Epi helioid - R + +
18. 67 M Epi helioid B achy he apy, TTT L+ +
19. 60 M Epi helioid B achy he apy (3x) R + +
20. 51 M Spindle - L - +
21. 66 M Epi helioid - R + +
22. 72 F Epi helioid - L - +
23. 76 M Spindle - L + +
24. 55 M Spindle - L - +
25. 54 M Epi helioid - R - +
26. 75 F Spindle - L + +
27. 64 F Epi helioid - R - +
28. 61 M Spindle - L - +
29. 50 F Spindle - R +-
30. 76 M Mixed - L + +
31. 38 M Spindle - R - +
32. 79 F Mixed - R - -
33. 53 M Epi helioid - R - +
34. 52 M Mixed - L - +
35. 45 M Mixed - R +-
36. 70 M Spindle - R +-
37. 43 M Spindle - L - -
38. 53 M Mixed - L - -
39. 51 M Spindle B achy he apy (3x) L - -
L: le , R: igh , TTT: T anspupilla y The mo he apy
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cons an (Kd) o 3.69 nM ( ange, 1.35 o 6.36 nM) wi h
a mean maximal binding capaci y (Bmax) o 384.5 mol/
mg o memb ane p o ein ( ange, 251.5 o 511.6 mol/mg
p o ein). Biochemical pa ame e s essen ial o es ablish
he iden i y o speci ic binding si es we e also de e mined.
Thus he binding o [125I][D-T p6] LHRH was ound o be
e e sible, ime- and empe a u e-dependen , and linea
wi h p o ein concen a ion in he human u eal melanoma
specimens examined (da a no shown). The speci ici y o
LHRH binding was demons a ed by compe i i e binding
expe imen s using se e al pep ides s uc u ally ela ed o
un ela ed o LHRH (da a no shown).
The exp ession o mRNA o LHRH ecep o s was
accompanied by ligand binding in all samples examined.
Th ee o 10 umo specimens did no exhibi mRNA
exp ession o ype I LHRH ecep o s, o show ligand
binding; con e sely, all ecep o -posi i e specimens
exp essed a de ec able amoun o he ecep o gene (Table
2.). The e was no e iden co ela ion be ween ecep o
binding cha ac e is ics o mRNA exp ession and clinical
and pa hological indings.
Exp ession o mRNA o human ype I LHRH in
human u eal melanoma
In addi ion o he exp ession o ype-I LHRH
ecep o , we also s udied he p esence o LHRH ligand
in ou u eal melanoma samples. The majo i y o u eal
melanomas (27 o 39, 69%) showed ma ked exp ession o
mRNA o LHRH-I ligand (Table 1.). The expec ed size
o he PCR p oduc o 245 bp could be de ec ed in 8 o
11 (73% ) o epi helioid and 15 o 21 (71%) o spindle
ype umo s. In he mixed umo ype, 4 o 7 (57%)
exp essed LHRH-I (Fig. 1.). In 12 umo s (31%), bo h
LHRH-I ligand and ecep o we e exp essed. In 6 samples,
only ype I LHRH ecep o s we e p esen , while in 15
melanomas only LHRH-I ligand was p esen (Tabel 1.).
S a is ical analysis showed an associa ion be ween
age and LHRH ecep o mRNA and ligand co-exp ession
(p=0.0407): a 10-yea inc ease o age mean an es ima ed
87% inc ease in he odds o co-exp ession (OR=1.867,
95%CI 1.027 o 3.393). O he wise, he e we e no
co ela ions be ween LHRH-I ligand o ecep o mRNA
exp ession and umo sub ype o clinical pa ame e s. The
clinicopa hological cha ac e is ics o pa ien s wi h u eal
melanoma and he esul o mRNA exp ession analysis a e
summa ized in Table 1.
Figu e 2: Exp ession o LHRH ecep o p o ein in
enuclea ed human u eal melanoma issue samples
demons a ed by immunope oxidase s aining. A,
Hema oxylin-eosin s ained sec ion o a ep esen a i e sample
shows melanin-p oducing neoplas ic cells wi h spindle and
epi helioid pa e n. a-d, images o ep esen a i e samples
immunos ained o ype I LHRH ecep o ; B, umo sample
wi hou de ec able mRNA o ype I LHRH ecep o also
e ealed no iden i iable LHRH ecep o p o ein using IHC
s aining; C, ep esen a i e issue sec ion shows mild posi i i y
o ype I LHRH ecep o ( ain ed cy oplasms o umo cells).
Inse is a nega i e con ol o he s aining-speci ici y (see
Me hods); D, ep esen a i e umo sample exhibi s in ense
exp ession o ype I LHRH ecep o in nea ly 100% o umo
cells (in ense ed cy oplasmic s aining) which co ela ed wi h
he co esponding mRNA le els. O iginal magni ica ions o
all images: 40x. Images B-D a e immunope oxidase s ained
sec ions wi h hema oxylin nuclea coun e s aining.
Table 2: Exp ession o mRNA and binding
cha ac e is ics o ype I ecep o s o LHRH
(LHRH-R) in 10 human u eal melanoma
specimens.
Pa ien
No.
LHRH-R
mRNA
Bmax
( mol/mg p o ein) Kd (nM)
4. +294.6 1.35
6. +398.7 1.37
9. +264.7 3.73
11. - - -
12. +495.7 6.03
15. +251.5 4.81
20. - - -
24. - - -
30. +511.6 6.36
35. +474.7 2.18
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DISCUSSION
Pa ien s wi h u eal melanoma ace a dismal
p ognosis as e en ually abou 45% o hem die o
me as asis, ega dless o he ac ha he umo is mos
o en diagnosed and locally cu ed be o e any signs o
clinical dissemina ed disease appea . [7] This ga e ise
o he heo y ha mic ome as ases a e al eady p esen
ea ly in he disease p ocess, bu emain do man o yea s
be o e a clinically de ec able mac ome as asis de elops.
[8] Mos small and medium-sized u eal melanomas a e
cu en ly managed by di e en o ms o adio he apy
and local esec ion. Howe e , i emains unclea wha
e ec his ea men has on pa ien su i al. Sys emic
ea men op ions o u eal melanoma a e e y limi ed.
Adju an sys emic he apy is mainly used in pa ien s a
high- isk o me as asis o in pa ien s who ha e al eady
de eloped me as asis, bu he esponse a es o classical
chemo he apeu ic agen s emain as low as 7%–25%. [9]
Despi e he imp o emen s in diagnosis and he apy o
p ima y u eal melanoma in he las 20–30 yea s, he e
has been no signi ican dec ease in me as asis- ela ed
dea hs. [10,11] Thus, he de elopmen o new he apeu ic
modali ies is manda ed.
The p esence o ecep o s o LHRH in a ious
cance s and cance cell lines o igina ing om o gans
o he han hose o he ep oduc i e sys em has been
demons a ed by se e al au ho s. [6,12-15] I was
sugges ed ha he signal- ansduc ion mechanisms
media ed by ype I o LHRH ecep o a e di e en in
he pi ui a y and in cance cells. [16,17] I appea s ha
in cance cells LHRH analogs in e e e wi h mi ogenic
signal ansduc ion o g ow h- ac o ecep o s and ela ed
oncogene p oduc s associa ed wi h ac i i ies o y osine
kinases. [17,18] I has been shown ha cu aneous
melanomas also exp ess ecep o s o LHRH. [6,13]
The ea men o melanoma cells by agonis s o LHRH
o cy o oxic analogs o LHRH signi ican ly inhibi s cell
p oli e a ion. [6,13] As u eal melanoma and melanoma o
he skin a e bo h o neu al c es o igin and sha e ce ain
gene ic cha ac e is ics, we analyzed he exp ession o
LHRH ecep o s in u eal melanoma by RT-PCR, ligand
compe i ion assay and immunohis ochemis y. As only
he ull leng h ype I LHRH ecep o is unc ional, ou
p ime se was designed o selec i ely ampli y ecep o
mRNA encoding he ull leng h ype I LHRH ecep o
bu no i s known splice a ian s. The an ibody used
o immunohis ochemis y was also chosen o de ec
ull leng h p o ein. In ou p esen s udy, we ound
ha 47% o ou samples exp essed ype I ecep o s o
LHRH. Fu he mo e, using ligand compe i ion assay we
examined he binding o [
125
I][D-T p
6
]LHRH o memb ane
p epa a ions o 10 u eal melanoma specimens. We
ound ha 70% o he human u eal melanoma samples
in es iga ed possessed speci ic ype I LHRH ecep o s
wi h a mean Kd o 3.69 nM and wi h a mean Bmax o
384.5 mol/mg memb ane p o ein. I is also impo an
o no e ha all ecep o -posi i e specimens exp essed a
de ec able amoun o he ecep o gene. The ecep o
p o ein encoded by mRNA o ype I LHRH ecep o s
was also demons a ed by immunohis ochemis y in umo
specimens.
The high incidence o posi i i y o ype I LHRH
ecep o in u eal melanoma sugges s ha his umo ype
migh be a good candida e o he apy wi h LHRH analogs
including he a ge ed cy o oxic pep ide, AN-152 (AEZS-
108). AN-152 is al eady in phase III clinical ials in
women wi h endome ial and o a ian cance s [18-20] and
in phase I/II ials in men wi h cas a ion esis an p os a e
cance [21, Liu S, Schally AV, Do TB, Tsao-Wei DD,
G oshen SG, Xiong S, Hawes D, Quinn DI, Tai YC,
Block NL, Engel J, Pinski JK. A phase I/II ial o AN-
152, a a ge ed cy o oxic LHRH analog, in cas a ion- and
axane- esis an p os a e cance . ASCO Annual Mee ing
June 3-7, 2011, Chicago, Abs ac #74003] and pa ien s
wi h u o helial ca cinoma [Fe nandez GL, Schally AV,
Ko u-Sengul T, Me chan JR, Flo es AM, Jo da M, Da a
R, Benede o PW, Singal R, Block NL, Engel J. A phase
I/II ial o AEZS-108 in locally ad anced un esec able
o me as a ic lu einizing ho mone- eleasing ho mone
(LHRH) posi i e u o helial ca cinoma (UC) pa ien s
who ailed pla inum based chemo he apy. ASCO Annual
Mee ing June 3-7, 2011 Chicago, Abs ac # 83230].
Ta ge ed he apy wi h cy o oxic pep ide analogs consis ing
o a pep ide molecule conjuga ed o a cy o oxic moie y
such as doxo ubicin, should be mo e e ec i e and less
oxic han con en ional sys emic chemo he apy [20,22].
Thei only side e ec appea s o be myelosupp ession
caused by he occasional chemical clea age o he
cy o oxic adical doxo ubicin. [4,5,18-20,22] The
subs an ial exp ession o LHRH-I ligand (69%) and
equen co-exp ession o i s ecep o (31%) in ou sample
se may be indica i e o he p esence o an au oc ine/
pa ac ine egula o y sys em based on LHRH in u eal
melanoma. The egula ion o se e al p o eins associa ed
wi h cell p oli e a ion and cell mo ili y is media ed by
ype I LHRH ecep o /LHRH-I sys em, sugges ing hei
impo an ole in me as asis o ma ion. [23] Howe e , he
ole o his high exp ession o LHRH ound by us is no
clea .
To he bes o ou knowledge, ou indings ep esen
he i s iden i ica ion o LHRH and i s ecep o s in human
u eal melanoma. Since he he apy o his malignancy
is no adequa e, ou wo k may help o iden i y speci ic
molecula a ge s o he p e en ion o me as asis o
u he p oli e a ion o al eady dissemina ed me as ases.
Ou indings ha a high pe cen age o human u eal
melanoma specimens exp ess ecep o s o LHRH suppo
he iew ha a ge ed cy o oxic LHRH analogs such as
AN-152 could be used o an e ec i e ea men o u eal
melanoma.

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METHODS
Pa ien s and Tissue Samples
Human u eal melanoma specimens we e ob ained
om 39 pa ien s, 30-84 yea s o age a he ime o
enuclea ion, a he Depa men o Oph halmology,
Uni e si y o Deb ecen, Hunga y. No mal pi ui a y
samples (an e io lobe) we e collec ed a au opsy a he
Depa men o Pa hology, Uni e si y o Deb ecen and
we e used as posi i e con ols. A e su gical emo al,
selec ed po ions o he melanoma issues we e lash
ozen and s o ed a -70°C. His opa hological examina ion
o each specimen was unde aken o con i m he diagnosis.
The local Ins i u ional E hics Commi ee app o ed he
collec ion and use o hese specimens o he cu en s udy
and in o med consen was ob ained om hese pa ien s.
RNA isola ion, Re e se ansc ip ion and RT-
PCR
To al RNA was isola ed using AllP ep DNA/
RNA/P o ein Mini ki acco ding o he manu ac u e ’s
ins uc ions (Qiagen, Hilden, Ge many). Two
hund ed i y nanog ams o RNA om each sample
we e e e se ansc ibed in o cDNA by Quan iTec
Re e se T ansc ip ion ki (Qiagen) in a inal olume
o 20 µl. Two p ime se s we e designed o e alua e
he exp ession o ype I LHRH ecep o s (sense:
5’-GGTGGCATCAAGCATTTTAT-3’, an isense: 5’–
ACATAGTAGGGAGTCCAGCAGACA-3’) and LHRH
ligand (sense: 5’–GGCCTTATTCTACTGACTTGG-3’,
an isense: 5’-TCTTCTGCCCAGTTTCCTCT-3’). As
in e nal con ol, β-ac in housekeeping gene (sense:
5’-GGCATCCTCACCCTGAAGTA-3’, an isense
5’-GGGGTGTTGAAGGTCTCAAA-3’) was used. In
all PCR eac ions, 1 µl o cDNA was ampli ied in a 25
µl solu ion con aining 1.5 mM MgCl2, 1x PCR bu e
(Fe men as GmbH, S . Leon-Ro , Ge many), 0.3 mM o
each deoxynucleo ide (P omega, Madison, WI), 1 uni o
T ueS a Ho S a DNA polyme ase (Fe men as) and 0.25
µM o each p ime . Samples we e dena u ed o 3 min a
95°C, hen subjec ed o 40 cycles a 95°C o 45 s, 59°C
o 30 s, hen 72°C o 1.5 min wi h a inal ex ension a
72°C o 10 min. Ten µl o each ampli ica ion eac ion
was hen elec opho e ically sepa a ed on 1.5% aga ose
gel, s ained wi h e hidium b omide, and isualized unde
UV ligh .
P epa a ion o memb anes and adioligand
binding s udies
P epa a ion o memb anes o ecep o s udies
was pe o med as desc ibed p e iously. [24] B ie ly, he
samples we e hawed, cleaned, and hen homogenized
in 50 mM T is-HCl bu e (pH 7.4), supplemen ed wi h
p o ease inhibi o s (0.25mM Phenylme hylsul onyl
Fluo ide, 0.4% ( / ) Ap o inin and 2 µg/ml Peps a in
A) using an Ul a-Tu ax issue homogenize (IKA
Wo ks, Wilming on, NC) on ice. The homogena e was
cen i uged a 500x g o 10 minu es a 4 ºC o emo e
nuclea deb is and lipid laye . The supe na an con aining
he c ude memb ane ac ion was ul acen i uged
(Beckman L8-80 M) wice a 70,000x g o 50 minu es a
4 ºC a e esuspending in esh bu e . The inal pelle was
esuspended in homogeniza ion bu e and s o ed a -80
ºC un il assayed. P o ein concen a ion was de e mined by
he me hod o B ad o d using a Bio-Rad p o ein assay ki
(Bio-Rad Labo a o ies, He cules, CA).
Radio-iodina ed de i a i es o [D-T p6]LHRH
we e p epa ed by he chlo amine-T me hod and pu i ied
by e e se-phase HPLC in ou labo a o y. [24] LHRH
ecep o binding assays we e ca ied ou as epo ed [24]
using in i o ligand compe i ion assays based on binding
o [125I][D-T p6]LHRH as adioligand o u eal melanoma
memb ane ac ions. This adioligand has been well-
cha ac e ized p e iously and shows high-a ini y binding
o human and a pi ui a ies as well as human b eas ,
p os a e, and o he cance s. [4-6,22,24] In b ie , memb ane
homogena es con aining 50-160 µg p o ein we e incuba ed
in duplica e o iplica e wi h 60-80,000 cpm [125I][D-T p6]
LHRH and inc easing concen a ions (10-12 - 10-6 M) o
non adioac i e pep ides as compe i o s in a o al olume
o 150 µl o binding bu e . A he end o he incuba ion,
125 µl aliquo s o suspension we e ans e ed on o he
op o 1 ml o ice-cold binding bu e con aining 1.5%
bo ine se um albumin in siliconized polyp opylene
mic ocen i uge ubes (Sigma-Ald ich GmbH, Munich,
Ge many). The ubes we e hen cen i uged a 12,000x g
o 3 minu es a 4 ºC (Beckman J2-21M). Supe na an s
we e aspi a ed and he bo oms o he ubes con aining
he pelle we e cu o and coun ed in a gamma coun e
(Mic omedic Sys em, Hun s ille, AL). P elimina y
expe imen s we e pe o med wi h memb ane p o ein
concen a ions anging om 20-250 µg/ ube in o de
o de e mine he minimal amoun o p o ein equi ed o
assess speci ic binding a a sa is ac o y le el. Ou wo k
showed ha accu a e esul s can be ob ained o e a ange
o 40-180 µg o memb ane p o ein in an incuba ion
olume o 150 µl.
Onco a ge 2013; 4:1727
www.impac jou nals.com/onco a ge
Immunohis ochemis y (IHC)
Fo malin- ixed pa a in-embedded issue samples
om enuclea ion we e immunos ained as desc ibed
ea lie . [24] B ie ly, ollowing an igen- e ie ing (pH:
6.0) and endogenous pe oxidase-block, 3 μm hick
sec ions we e incuba ed wi h monoclonal an ibody o
LHRH-RI (NCL-GnRHR A9E4; No ocas a Labo a o ies
L d., UK) a oom empe a u e o 1 hou . A e insing 3
imes in phospha e-bu e ed saline (PBS; pH:7.4, 5 mins
each), sec ions we e ea ed wi h an i-mouse IgG (Fab)2-
coupled o ho se- adish-pe oxidase (HRP) o EnVision+-
HRP de ec ion ki using amino-e hyl-ca basol (AEC; ed;
Vec o Labs, UK) pe oxidase subs a e acco ding o he
manu ac u e ’s ins uc ions. The use o ed ch omogenic
subs a e a oided he colo -in e e ence be ween he
b own melanin pigmen s o melanomas and he posi i e
s aining o IHC. Human pi ui a y glands (an e io lobe)
ob ained om au opsy we e used as posi i e con ols.
Nega i e con ols in which p ima y an ibody was eplaced
by no mal se um we e also included o each IHC- un.
S a is ical analysis
Va iables we e desc ibed using s anda d s a is ics.
Associa ion be ween ca ego ical a iables we e assessed
using Fishe ’s exac es s, while hose be ween con inuous
explana o y a iables and bina y ou comes we e assessed
using logis ic eg ession, and exp essed in e ms o odds
a io (OR) and 95% con idence in e als (CI).
ACKNOWLEDGEMENT
This wo k was suppo ed by Zol an Magya y
Pos doc o al Fellowship suppo ed by EEA G an s and
No way G an s (A.T.), Hunga ian Scien i ic Resea ch
Fund (OTKA) K 81596 (G.H.) and TAMOP 4.2.2.A-
11/1/KONV-2012-0025 p ojec (G.H.). The p ojec is
co- inanced by he Eu opean Union and he Eu opean
Social Fund. No po en ial con lic o in e es exis s o
he au ho s.
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