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Intraorganellar acidification by V-ATPases: a target in cell proliferation and cancer therapy Agustín Hernández*, Gloria Serrano, Rosana Herrera-Palau, José R. Pérez-Castiñeira, and Aurelio Serrano Instituto de Bioquímica Vegetal y Fotosíntesis, CSIC-Universidad de Sevilla, Avda. Américo Vespucio 49, 41092 Seville, Spain. * to whom correspondence should be addressed at IBVF-CSIC, Avda. Americo Vespucio 49, 41092 Seville, Spain. Phone: +34 954 489500. Fax +34 954 460065. E-mail: [email protected] Keywords: V-ATPase, Bafilomycin, Chondropsin, Concanamycin and Salicylihalamide. Running title: V-ATPase as a target in cancer chemotherapy. 1 Recent Pat Anticancer Drug Discov. 2010 Jun;5(2):88-98 DOI : 10.2174/157489210790936216
Abstract: V-ATPases are multicomponent proton pumps involved in the acidification of single membrane intracellular compartments such as endosomes and lysosomes. They couple the hydrolysis of ATP to the translocation of one to two protons across the membrane. Acidification of the lumen of single membrane organelles is a necessary factor for the correct traffic of membranes and cargo to and from the different internal compartments of a cell. Also, V-ATPases are involved in regulation of pH at the cytosol and, possibly, extracellular milieu. The inhibition of V-ATPases has been shown to induce apoptosis and cell cycle arrest in tumour cells and, therefore, chemicals that behave as inhibitors of this kind of proton pumps have been proposed as putative treatment agents against cancer. The present review will summarize the major types of V-ATPase inhibitors and their mechanisms of action and put them in relation to the patents registered so far for the treatment of cancer. 2
INTRODUCTION Transport of cargo and membranes from the endoplasmic reticulum to their final destinations is vital for eukaryotic cells. The major players in this flux of vesicles and proteins are the endoplasmic reticulum (ER, the site were both proteins and lipids are synthesized), the Golgi apparatus, early and late endosomes, other single-membrane vesicular organelles derived from these, such as peroxisomes and exocytic vesicles, and the lysosome. The latter, together with the plasma membrane, can roughly be considered as terminal destinations. Nevertheless, membrane and cargo can flow both ways, for example, from ER to the lysosome (anterograde) or from the plasma membrane to the ER (retrograde). The detailed mechanisms and players involved in fission, fusion and transport of vesicles are an active field of research. However, one of the requirements known for a correct function of the endo/exocytic pathway is the presence of an electrochemical gradient across the membranes of these organelles, mostly in the form of a proton gradient [1, 2]. The extent of this gradient is different in each compartment (Fig. 1). While ER remains at near-neutral pH and shows no remarkable difference with respect to the cytosol, lysosomes can hold a 3-pH unit gradient [2]. Other compartments show pH values somewhere in between these two extremes. As a rule of thumb, the extent of lumenal acidification for vesicular organelles is greater the farther they are from the ER and the closer they are to a terminal destination (plasma membrane or lysosome). Indeed, to think of these pH gradients only as part of the vesicle transport mechanism is an oversimplification. The acidification of the vesicular lumens are also necessary for the numerous functions of these organelles. For example, glycosylation of proteins in the Golgi apparatus is impaired if the pH gradient is abolished in this organelle [3, 4]. The generation of these positiveinside proton gradients is carried out by a class of proton pumping ATPases, usually called V- ATPases, in concert with counter ion conductance driven by channels and other transporters. It is also balanced by the intrinsic proton permeability of the membrane and the activity of proton consuming transporters such as H+ antiporters [2]. V-ATPases get their name because they were first 3
described in vacuoles (the plant and fungal equivalent of the animal lysosome), but later they were found across the range of single-membrane organelles in all eukaryote organisms. Mitochondria and chloroplasts do not bear this kind of proton pumps but the closely related F0F1 type. At any rate, V- ATPases are not exclusive of the endo/exocytic system. They also exist and fulfil physiologically important functions at the plasma membrane of certain mammalian cell types, such as those at the vas deferens and osteocytes. Diseases like osteoporosis owe a great deal to plasma membrane V- ATPase dysfunction. In cancer they have been suggested to influence metastatic potential by providing an acidic extracellular environment that would ease protease action on the extracellular matrix [5]. Although it is a promising hypothesis that deserves future attention, the actual importance of V-ATPase-mediated extracellular acidification, as opposed to improvement of other intracellular organelle functions, has not been sufficiently addressed yet. Conversely, their effect on drug resistance and proliferation through acidification of endocellular compartments and cytosolic pH homeostasis seems, comparatively, well established. We will thus concentrate on V-ATPases and their inhibitors as modulators of lumenal and cytosolic pH in cancer. V-ATPASE STRUCTURE AND TRANSPORT MECHANISM V-type ATPases are very complex biochemical machines. A general model is depicted in Fig. 2. They are multimeric proteins consisting of two main domains (V0 and V1). From extensive experimentation on the yeast enzyme it is now known that the membrane-embedded domain (V0) is composed by 9 polypeptides: single copies of a, c', c'' d and e, and four copies of c. On its turn, the hydrophilic V1 domain is composed by 12 polypeptides: three A, three B, single copies of C, D, E, F and H and two copies of G. In mammals, subunit c' is substituted by another c subunit and an additional regulatory subunit (Ac45) is present. However, these differences do not alter significantly the catalytic mechanism or the general model for the mammalian enzyme. Proton pumping is achieved by a rotary mechanism similar to that observed in the closely related F0F1 proton pump in 4
mitochondria. Subunits A harbour catalytic domains that, by hydrolysing ATP, provide torque to the V1 domain that is transmitted to the V0 domain by stalk subunits D, F and subunit d at the V0 domain. This makes the membrane ring complex composed of subunits c4, c', c'' to rotate while subunit a and the A3B3 complex remain static. This movement provides a path for proton transport through two hemi-channels present in subunit a. One proton from the cytosol enters the first hemichannel and it is complexed to a protonable glutamate residue on subunits c, c' or c''. The cation remains associated to its ring subunit until sector V0 makes a new full turn; the stability of the cation-protein interaction is enhanced due to its direct contact with a non-polar environment such as the lipid milieu [6]. When a protonated c-like subunit in the rotor reaches again subunit a, the protonated residue enters in contact with the second polar hemi-channel and the cation is released into the lumen. Subunits B, albeit carrying ATP binding sites, are not capable of hydrolysis and are considered regulatory [6]. In vivo modulation of V-ATPase activity can be achieved by several mechanisms. V1 domains can exist as both soluble cytosolic complexes or bound to V0 domains. Since neither free V0 nor V1 domains are capable of proton transport or ATP hydrolysis, respectively, assembly and disassembly of V1 from V0 is believed to be a mechanism providing fast regulation of pump activity, especially in situations of dynamic glucose availability [1, 7]. Modulation of its H+/ATP transport stoichiometry is another mechanism of regulation. Subunit a holds both hemi-channels on its C- terminus and can produce V-ATPases with varying stoichiometry, depending on the integration of different isoforms of this polypeptide into the mature protein complex. For example, in yeast, V- ATPases bearing isoform Stv1p shows a stoichiometry of 1 proton per hydrolysed ATP, whereas if the same enzyme carries isoform Vph1p that parameter increases to 2 H+/ATP. Also, other subunits may, in theory, alter the ratio of transported protons per ATP as seen in mutagenesis studies over subunits A, C or d [8]. In mouse and humans there are four a subunit genes with at least three transcript variants for a1, in the case of humans. However, although in mammals it seems plausible that a similar mechanism applies, no detailed information is available as if it actually occurs. 5
Phosphorylation of the holoenzyme has also been reported. In insect cells, it was first described that C subunit was phosphorylated by protein kinase A and that this was instrumental for correct V1/V0 assembly [9]. Shortly after, yeast Dbf2p protein kinase was shown to phosphorylate both A and B subunits, moreover dbf2 deletion strains were unable to acidify their vacuoles [10]. In mammals, phosphorylation of epididymides V-ATPase by PKA has also been observed [11]. Yet another mechanism of transport regulation is the control of the number of pumps resident in an organelle. This regulation has been clearly observed for the plasma-membrane resident V-ATPase, where its number is affected by the rate of sequestration into recycling endosomes [8]. Indeed, changes in exo/endocytic flux dynamics could provide a possible explanation to the increased number of V- ATPases found at the plasma membrane of malignant tumor cells. However, to date, no indications exist as to whether a similar mechanism is at work in other membranes. IMPORTANCE OF V-ATPASES FOR A CANCER CELL A tumour cell's fast pace of growth is supported by an accelerated metabolism. This fuels the synthesis of new cellular components, such as proteins or lipids, that need to be transported to their final destinations. In this context, the importance of V-ATPases for tumor cell can be easily understood. Despite this, V-ATPases do not seem to be greatly overexpressed in neoplastic cells, as opposed to many other important proteins in rapidly dividing cells, such as mitosis-related proteins [12]. The subunit/gene complexity of these proton pumps probably makes the overexpression of all of them in a coordinated way a phenomenon very unlikely to occur. However, increased expression of several isoforms have been reported. For example, it has been shown that ATP6V1C1 human gene (encoding subunit C) is overexpressed in oral squamous carcinoma cells and that this may promote a greater degree of V1V0 assembly than in normal tissue (Otero-Rey 2008). Similarly, different subunit genes have been found to be overexpressed in drug-resistant cell lines, including ATP6L (ATP6V0C, subunit c) in the case of cisplatin resistance (Torigoe, 2002). Moreover, it has 6
been demonstrated that overexpression of proteolipid c leads to increased invasiveness in stable transfectants [13]. One of the consequences of this all is that tumour cells depend more heavily on the activity of V-ATPases than normal cells. This is exemplified by the well known apoptosis induction capability of V-ATPase inhibitors in tumour cells [14, 15]. It has been proposed that the acidic environment within endosomes helps dissociation of ligands from their receptors, helping thus the recycling of the later back to the plasma membrane [16]. Alternatively, inhibition of the V- ATPase would lead to endo/exocytic malfunction that, in turn, should cause receptors for growth factors such as EGFR to remain associated to their ligands in endosomes and not properly degraded [17]. In addition, alkalinization of intracellular vesicular compartments would lead to protein misorting. In yeast models, plasma membrane proteins have been observed to mislocalize in V- ATPase mutants [18]. In mammals, glycosyltransferases at the Golgi apparatus have been proven to be sensitive to the lumenal ion composition. In particular, these enzymes are rapidly missorted to endosomes if Golgi pH is affected by merely 0.4 pH units [3, 4]. This same phenomenon has been observed for secreted proteins such as chromogranin A [19] and viral VSV-G [20], although, in the later case, it might also be connected to the already mentioned redistribution of glycosyltransferases. Tumor cells live in a harsh microenvironment. Hypoxic conditions and rapid growth rates make these cells to rely on glycolysis and lactic acid fermentation to obtain the energy they need, rather than on respiration; this is the so-called Warburg Effect [21]. This anaerobic metabolism has the downturn of producing great amounts of protons that need to be neutralized from the cytosol. At the same time, deficient perfusion of solid tumors leads to low extracellular pH that, in turn can contribute to select cells able to thrive in such an environment because they can efficiently drive away protons from their cytoplasms. These cells could be more effective sequestering cytosolic protons into intracellular vesicular compartments or could be expelling them back to the intercellular milieu. In all of these cases, V-ATPases play an important role. It has been proven that V-ATPases are present at the plasma membrane of tumor cells and that their abundance correlates 7
with proliferation and metastatic potential [5]. However, it is still unclear if many of the phenotypes observed in these cells are caused by V-ATPases at the plasma membrane or due to concomitant increased endo/exocytic rates. Cathepsins, matrix metalloproteases and other proteases involved in metastasis, have been invoked as the beneficiaries of increased plasma membrane proton extrusion and acidification of the extracellular medium since they need an acidic environment to loosen the extracellular protein matrix. However, bearing in mind that there are several other factors involved, it is still difficult to ascertain to which extent plasma membrane V-ATPases contribute to extracellular acidification. Moreover, many of these proteases are intracellular in normal cells but in neoplastic ones become overexpressed and secreted [22]. This differential location can be greatly influenced by enhanced activity of endocellular V-ATPases which would make transit of the overproduced proteases more speedy and become secreted, as a side effect. At any rate, more work is needed to shed light to the influence of plasma membrane V-ATPases on extracellular acidification. Under the mentioned growth conditions, internal pH homeostasis is of paramount importance: on the one hand, protons are rapidly produced in glycolysis-lactic acid fermentation and, on the other, they also tend to invade the cytosol from the acidic extracellular medium. In this context, a robust V-ATPase activity, either at the plasma membrane or on intracellular compartments can represent a clear proliferative advantage by transporting protons away from the cytosol. Moreover, it is known that acidic conditions at the cytosol promote apoptosis while a mildly alkaline pH at the cytoplasm is a requisite for proliferation [23]. At the same time, a neutral to mildly alkaline cytosol and the establishment of well formed pH gradients across intracellular vesicular compartments such as the lysosome is vital for drug resistance since many drugs are cationic. This means that alkaline cytosols provide a barrier against drug diffusion across the plasma membrane and, once inside, drugs tend to get sequestered in the lumen of acidic intracellular compartments [24, 25]. Remarkably, tumour cells that are able to maintain greater pH gradients in these compartments are more drug-resistant than normal ones [26, 27]. 8
INHIBITORS OF V-ATPASES Due to the great importance of V-ATPases in many physiological and pathological situations, including cancer, there has been an active search for specific inhibitors that could be used both in the clinic and in research. As a result, nowadays there are a large amount of different inhibitors against V-ATPases that fall into different categories, although they tend to share some common characteristics. On the whole, with the exception of the indoles and azaindoles, all inhibitors may be considered polyketides, i.e. large structures that are putatively synthesized in a manner akin to the first steps of fatty acid synthesis (Claisen condensation of propionyl or acetyl residues). Futhermore, many fall in the category of macrolides (structures with large lactone rings). This complexity in the structures has made the search for simpler, easier to synthesize compounds and active field of research but, to date, successes have been few. The effect of treatment of tumour cells with V-ATPase inhibitors has been majoritarily analysed using the classical macrolide inhibitors bafilomycin A and concanamycin A; however, most of the effects seen have been confirmed with other types of inhibitors. As expected, inhibition of proton transport by V-ATPases results in alkalinization of intracellular vesicular compartments and acidification of the cytosol [28, 29]. In B cell lymphoma lines, this process has been observed to be concomitant to an increase in reactive oxigen species that, in turn, induced cell death [29]. In these conditions, sequestration of hydrogen peroxide with N-acetylcisteine inhibited cell death but inhibition of caspase activity was ineffective. In all reports where cell death details have been investigated so far, apoptosis is the described mechanism ensued from inhibition of V-ATPases [15, 30-33], albeit not all types of compounds have been studied as to their mode of cell death induction. Thus, there exist no data yet for archazolids and indoles, and very few in the case of benzolactone enamides. Nevertheless, with the exceptions noted above, the intrinsic pathway of apoptosis is involved in this process through mitochondrial depolarization and liberation of cytochrome c to the cytosol [15, 29, 34, 35]. Furthermore, caspases are central for V-ATPase inhibitor-induced apoptosis 9
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Figure legends Fig.(1). Traffic between intracellular compartments and their characteristic pH. Vesicle flux between single membrane organelles is shown by arrows. Fig.(2). Subunit structure of V-ATPases. Subunits A to F constitute the hydrophilic V1 domain; subunits a to e comprise the V0 membrane-embedded domain. Fig. (3). Structure of some plecomacrolides. A, bafilomycin A; B, concanamycin A. Fig.(4). Examples of benzolactone enamides. A, salicylihalimide A; B, lobatimide A; C, apicularen A. Fig.(5). Other diverse V-ATPase inhibitors. A, chondropsin A; B, Archazolid A; C, NiK12192 (indole). 25