2 Department of Experimental Pathology, F. Addarii Institute of Oncology, University of Bologna, Via S. Giacomo 14, 40126 Bologna, Italy; and 3 Pathology Unit, F. Addarii Institute of Oncology, University of Bologna, Bologna, Italy
Received on July 22, 2003; revised on September 2, 2003; accepted on September 2, 2003
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Abstract |
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Key words: cirrhosis / hepatocarcinoma / liver / Sambucus nigra agglutinin / sialyltransferases
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Introduction |
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Sialic acids are sugars bearing a negative electric charge at physiological pH values, frequently terminating the sugar chains of glycoproteins and glycolipids, whose presence profoundly affects the chemicophysical as well as the biological properties of the glycoconjugates (Schauer, 2000). A determinate number of principal sialyl linkages has been described so far: sialic acid may be linked either through an
2,3- or an
2,6-bond to subterminal galactose; through an
2,6-bond to N-acetylgalactosamine (GalNAc); or through an
2,8-bond to another sialic acid, forming polysialic acid. The different sialyl linkages are elaborated by different members of the sialyltransferase family, a class of glycosyltransferases sharing the CMPsialic acid as donor substrate but differing for the glycosidic structure on which they act and for the type of glycosidic linkage they form (Dall'Olio and Chiricolo, 2001
; Harduin-Lepers et al., 2001
).
ß-Galactoside 2,6-sialyltransferase I (ST6Gal.I according to the nomenclature proposed by Tsuji et al., 1996
) has long been thought to be the only sialyltransferase able to catalyze the
2,6-sialylation of galactose (Weinstein et al., 1982a
,b
, 1987
; Taatjes et al., 1988
). A second ß-galactoside
2,6-sialyltransferase gene has been recently cloned (ST6Gal.II), but because this enzyme sialylates mainly oligosaccharides (Takashima et al., 2002
; Krzewinski-Recchi et al., 2003
), ST6Gal.I remains the only
2,6-sialyltransferase acting on glycoproteins so far identified. The gene encoding ST6Gal.I maps in chromosome 3 (q21q28) (Wang et al., 1993
), spans at least 145,000 bp of genomic DNA and is made up of at least 9 exons (Figure 1).
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ST6Gal.I is expressed at a dramatically different level among tissues, and the liver is the tissue displaying the highest level of expression (Paulson et al., 1989; Kitagawa and Paulson, 1994
; Kaneko et al., 1995
). Furthermore, ST6Gal.I is one of the most frequently up-regulated glycosyltransferases in human cancers (reviewed in Dall'Olio, 2000
). In some malignancies, such as colon, the increased expression regards nearly 100% of the patients (Dall'Olio et al., 1989
, 2000
), whereas in other cancers, such as breast cancer, only a subset of patients display this modification (Recchi et al., 1998
). Further interest in the expression of hepatic ST6Gal.I stems from the observation that in rat (Kaplan et al., 1983
) and mouse (Dalziel et al., 1999
) it behaves like an acute phase protein in that during inflammation it is dramatically up-regulated and a large amount of the cell-bound enzyme is released in the blood stream as a soluble, enzymatically active fragment.
Despite the importance of ST6Gal.I in the glycosylation machinery of the liver cells, very little is known on the regulation of human liver ST6Gal.I in normal and pathological conditions. Sometimes conflicting investigations in experimental systems have suggested that the expression of hepatic ST6Gal.I can be profoundly affected by neoplastic transformation (Miyagi et al., 1988; Jain et al., 1993
; Pousset et al., 1997
) and differentiation (Shah et al., 1992
; Vertino-Bell et al., 1994
). In this study, we investigate the expression of ST6Gal.I and of its cognate oligosaccharide structure, the sialyl
2,6-lactosaminyl epitope, in normal human liver, as well as in hepatocarcinoma (HCC) and cirrhosis.
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Results |
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Expression of 2,6-sialylated sugar chains in tissue homogenates
The 2,6sialyl-specific lectin from Sambucus nigra (SNA) is a widely used probe for the detection of
2,6-linked sialic acid, which is the product of ST6Gal.I (Shibuya et al., 1987
). A representative SNA dot-blot analysis of the 42 liver specimens is provided in Figure 2, and the intensity of the dots (mean of at least three experiments) is reported in Table I. As shown, the reactivity of neoplastic tissues is in some cases markedly increased (cases 3, 11, 12, 21), but in a few cases it is dramatically decreased (patients 4 and 10). Statistical analysis (t test for paired samples) reveals that the SNA reactivity of HCC samples is significatively higher than that of noncancer samples (p = 0.014). Analysis of SNA reactivity by groups of specimens (Table II) suggests that the grade 34 specimens are slightly more reactive than grade 2 specimens (2.63 versus 2.16). Regarding the relationship between the expression of ST6Gal.I and that of
2,6-linked sialic acid, data reported in Table I indicate that the changes observed in SNA reactivity often correlate with the ST6Gal.I changes, but in some cases there is a dramatic discrepancy. The most striking example is provided by patient 15, in which the level of ST6Gal.I activity in HCC decreased, whereas the level of SNA reactivity strongly increased. A plot of the ST6Gal.I activity versus the SNA reactivity of the 42 specimens (Figure 2B) indicates the lack of a simple linear relationship between the two parameters (r = 0.057; p = 0.72); this is consistent with the notion that the regulation of
2,6-sialylation of glycoproteins is multifactorial and is not simply a function of the ST6Gal.I level.
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Table I reports the intensity of the coding region as well as of the YZ and the H bands, normalized for the internal ß-actin standard obtained with the 42 specimens. As shown, ST6Gal.I transcripts dramatically accumulate in HCC tissue of several patients (cases 8, 13, 15, 16, 17). However, in two patients a marked reduction is observed (cases 9 and 12), whereas in the other cases the level of transcript shows little or no changes. A comparison of the mean ST6Gal.I mRNA levels expressed by groups of specimens (Table II) indicates a tendency toward an accumulation in grade 2 (2.22 versus 1.60), but not in grade 34 HCC (1.58 versus 1.6) and in HCC developed without underlying cirrhosis (2.64 versus 1.43), but not in HCC developed on preexisting cirrhosis (1.44 versus 1.77). As observed for ST6Gal.I enzyme activity, the mRNA expression is also lower in female HCC tissues, compared with male HCC tissues (1.35 versus 2.41). The most remarkable increase of transcript expression is observed in patient 8, which shows also the most dramatic elevation of ST6Gal.I activity. Nevertheless a comparison of the ST6Gal.I activities with the respective level of mRNA also reveals marked inconsistencies. For example, in case 15 the transcript level is markedly increased in cancer tissue, but the enzyme activity is reduced. This reveals that the level of ST6Gal.I transcript may not directly correlate with the enzyme activity and suggest a multifactorial control. Multiplex RT-PCR analysis reveals that the H form is the major transcript expressed in all the 42 specimens examined (Table I). The expression of the YZ form is, in many cases, below the detection limit of this technique (50 fg cDNA); in other cases it is clearly detectable but expressed as a minor form; and in three cases (4T, 20N, and 21N) the H and YZ forms are expressed at a similar level. As already observed for sample 1N, in many cases the total level of ST6Gal.I transcript (coding region) does not appear to be supported by an adequate amount of either of the two forms. For this reason the nature of the sequences 5'-flanking exon I in sample 1N was investigated.
5'-RACE analysis of normal liver tissue
RACE allows the PCR amplification of the unknown terminal portions of a cDNA whose central part is known. The RNA from sample 1N was reverse-transcribed and a short oligonucleotide of known sequence (Generacer, Figure 5A) was linked to the 5' ends of the obtained cDNAs. The ST6Gal.I cDNAs were then PCR amplified, using Generacer primer, complementary to Generacer sequence as forward primer, and primer EIIR.5, complementary to exon II, which is shared by all known ST6Gal.I mRNAs, as reverse primer. The result of this PCR amplification is shown in Figure 5B. A single product of about 420 nt was obtained. This size is consistent with the presence of a very short sequence between Generacer and exon I. This product was cloned, and the several clones that were sequenced were all found to contain, beside exon I, the 5'-UT sequence of the H form. However, the different clones differed for the length of the hepatic sequence (Figure 5C), revealing that transcription through the P1 promoter can initiate in at least three different points (marked with an asterisk in Figure 5C). Clone 1 starts at position +11 (position 1 is the first nucleotide of the longest form), clones 2 and 3 start at position +8, and clone 4 starts at position +1. Moreover, clone 2 contained a T instead of A at position +10, revealing the existence of a possible polymorphism at this position, which generates a stretch of nine T residues: PCR amplification of the four cloned sequences with left primers HepL.1 and EIIL.2 (Figure 5D) reveals that although all the four clones were efficiently amplified with primer pair EIIL.2/EIIR.5, only clone 4 and at a much lesser extent clone 3 were amplified with primer pair HepL.1/EIIR.5. Because primer HepL.1 overlaps completely only with the longest form (clone 4), it is possible that the poor amplification yield given by some samples with HepL.1 reflects a higher proportion of shorter forms. Moreover, the difference between the amplification yields between clones 2 and 3 (which are of identical length but differ for the A/T substitution at position +10) suggests that also this difference (which creates a mismatch with primer HepL.1) contributes to a lower amplification efficiency with the H-specific primer in some samples. These data conclusively demonstrate the expression by authentic human normal liver of the H form and indicate that these transcripts are heterogeneous with respect to the length of their 5'-ends.
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Discussion |
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Although the number of cases examined in this article does not allow us to reach a definitive conclusion, we observed that ST6Gal.I expression in HCC is influenced by the grade of the tumor, by the underlying presence of cirrhosis, and by the sex of the patient. A lower ST6Gal.I expression by the less differentiated tumors, a tendency more evident at the mRNA level, is in agreement with a recently published article that reports a down-regulation of the ST6Gal.I enzyme protein in less differentiated HCC specimens (Cao et al., 2002). The fact that cirrhosis does not alter the expression of ST6Gal.I is unexpected because inflammatory conditions are well known to induce an up-regulation of this enzyme through a mechanism that, in mice, involves an IL-6-mediated transcription through the P1 promoter (Dalziel et al., 1999
). Moreover, in HCC developed without preexisting cirrhosis the average ST6Gal.I mRNA is increased, but in those developed on a preexisting cirrhosis this tendency is not observed. This difference could be explained if it is hypothesized that different pathways of transformation are preferentially activated in the two conditions and that ST6Gal.I is modulated only by given pathways. ST6Gal.I expression, both at the enzyme activity and mRNA level, is lower in female than in male HCC specimens, although in noncancer specimens this tendency is less evident. In considering this observation, it should be kept in mind that ST6Gal.I can be modulated by steroids, such as dexamethasone, in rat hepatoma cells (Wang et al., 1989
), suggesting that transcription of the gene might be affected by sexual steroid hormones.
In this study we have also demonstrated that in both normal and HCC tissues ST6Gal.I transcription occurs mainly through the P1 promoter, resulting in the H form as the major mRNA species. However, as occurs in colonic tissues (Dall'Olio et al., 1999, 2000
), the P3 promoter can also be utilized by liver tissues and the contribution of the H and YZ transcripts to the total mRNA pool is variable. As previously observed in HepG2 cells (Lo and Lau, 1996
), transcription through the P1 promoter can start in different points, giving rise to 5'-UTRs of different lengths. Even though the biological significance of a differential use of P1 and P3 promoters in human liver remains to be investigated, a recent study has shown that knockout mice specifically unable to express ST6Gal.I through the P1 promoter show a reduced ST6Gal.I expression beside a surprisingly normal level of
2,6-sialylation of serum glycoproteins (Appenheimer et al., 2003
). Interestingly, on challenge with Salmonella typhimurium these mice show a greater accumulation of neutrophils in the peritoneal space and an increased bacterial burden in liver and spleen, suggesting that the P1-driven ST6Gal.I expression can play a role in antimicrobial defense mechanisms.
The expression of 2,6-sialylated glycoconjugates has been studied using SNA as a probe. The specificity of this lectin has been reported to include the
2,6-sialylated lactosamine (the ST6Gal.I product) as well as the sialyl-Tn (sialic acid
2,6-linked to N-acetylgalactosamine), which is the product of different sialyltransferases (Shibuya et al., 1987
). However, histochemical studies have revealed that the contribution of sialyl-Tn to SNA reactivity of tissue sections is negligible (Murayama et al., 1997
) and SNA can be considered a specific tool for the ST6Gal.I product.
2,6-Sialylated glycoconjugates show a significative tendency to accumulate in HCC tissue specimens, even though in a minority of patients we observed a lower expression, and histochemical studies reveal that the tissue distribution of these compounds in HCC can be markedly altered. In fact, in normal liver
2,6-sialylated glycoconjugates are mainly expressed along the sinusoids, but in HCC they often accumulate as dense aggregates in the cytoplasm of neoplastic hepatocytes. This latter observation is consistent with that obtained with another
2,6-sialyl-specific lectin, the CD22 molecule (Cao et al., 2002
) and suggests an alteration of the mechanisms of intracellular transport in HCC. These data demonstrate that factors other than the ST6Gal.I level can influence the accumulation of
2,6-sialylated glycoconjugates and explain why we observed that the relationship between the expression of ST6Gal.I and that of
2,6-sialylated glycoconjugates is often loose. Although transfection studies have convincingly demonstrated that the expression of the ST6Gal.I cDNA is by itself sufficient to induce the appearance of
2,6-sialylated glycans on the cell surface (Dall'Olio et al., 1995
; Lee et al., 1989
), studies aimed at establishing the quantitative relationship between ST6Gal.I expression and
2,6-sialylation have revealed that such a relationship may be very loose not only in tissues (Dall'Olio et al., 2000
; Kaneko et al., 1995
) but also in cell lines transfected with the ST6Gal.I cDNA under the control of a constitutive promoter (Dall'Olio et al., 2001
). In this strictly controlled artificial system, the amount of
2,6-linked sialic acid on the cell surface depends strongly on the cell line used, not only on the level of ST6Gal.I enzyme activity.
In conclusion, our study demonstrates that the expression of ST6Gal.I and of 2,6-sialylated glycoconjugates can undergo dramatic variations as a consequence of neoplastic transformation of hepatocytes. The identification of the molecular events at the basis of such alterations will require further work.
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Materials and methods |
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Sialyltransferase assay and blot analysis
Tissues were potter-homogenized in ice-cold distilled water; the protein concentration of the homogenate was measured by the Lowry method and adjusted to 10 mg/ml. ST6Gal.I activity was measured in whole homogenates in the range of linearity with respect to time and enzyme concentration as incorporation of [14C]-labeled sialic acid on asialotransferrin (prepared by mild acid hydrolysis of human transferrin) as detailed elsewere (Dall'Olio et al., 1996). For dot-blot analysis, 10 µg of the homogenates was applied to Hybond nitrocellulose membrane (Amersham, Little Chalfont, U.K.). Membranes were probed with 1 µg/ml digoxigenin-conjugated SNA (SNA-dig) (Boehringer) which was detected with horseradish peroxidaselabeled antidigoxigenin antibodies (Boehringer). The reaction was finally developed with SuperSignal West Pico Chemiluminescent Substrate (Pierce, Rockford, IL) and detected by autoradiography. Intensity of the dots was quantitated by the Kodak Digital Science 1D software. Details on dot-blot procedure have been reported previously (Dall'Olio et al., 2000
). For lectin blot analysis, 100 µg of proteins from total tissue homogenates was electrophoresed under reducing conditions on a 10% polyacrylamide gel and electrotransferred to Hybond membrane. After a wash with phosphate buffered saline with Tween, the blot was processed as detailed for dot-blot.
RT-PCR analysis
Total RNA was extracted from normal and neoplastic tissues by RNAZolB B (Biotecx Laboratories, Houston, TX) method. Two micrograms of total RNA were reverse-transcribed using the TaKaRa RT-PCR kit Ver 2.1 (TaKaRa, Shuzo, Japan), using random 9-mers primers, according to the manufacturer's instructions. Two to five microliters of the cDNAs were amplified by a multiplex RT-PCR approach, which allows the simultaneous amplification of the YZ form, the H form, and the coding region of ST6Gal.I as well as of the ß-actin cDNA as an internal control. The PCR reaction contained in a final volume of 50 µl: 1x Taq polymerase buffer; 1.7 mM MgCl2; 0.2 mM each dATP, dCTP, dGTP, dTTP; 0.5 U InViTAQ DNA polymerase (Eppendorf, Milan, Italy); and the following concentrations of primers (the approximate position of the primers is indicated in Figure 1):
After a denaturation step for 1 min at 94°C, amplification was performed for 35 cycles of the following program: denaturing 94°C, 1 min; annealing 60°C, 1 min; elongation 72°C, 2 min. PCR products were analyzed on a 2% agarose gel stained with ethidium bromide. The intensity of the bands was quantified by the Kodak Digital Science 1D software and compared with that given by known amounts of YX and H cDNA standards, prepared as follows. The cDNA from HepG2 cells, a cell line known to express both the YZ and the H forms (Dall'Olio et al., 1999) was used as a source for the PCR amplification of the two forms. After gel isolation, the PCR products were cloned in pGEM-T easy vector (Promega, Madison, WI). The concentration of the purified plasmids was carefully determined by A260 optical density and brought to a concentration of standard cDNA of 25 fg/µl.
5'-RACE
The whole procedure was made according to the instructions of the GeneRacer kit (Invitrogen, Carlsbad, CA). Five micrograms of normal liver total RNA were reverse-transcribed using random primers, and the resulting cDNA was 5'-ligated with GeneRacer oligonucleotide (Invitrogen) and subjected to PCR amplification with GeneRacer primer (Invitrogen) and oligonucleotide EIIR.5 (5'-AATCAGACCCCATGGCCAATTTCC-3') as follows: preliminary denaturing step: 94°C, 1 min, then 37 cycles of the following program: denaturing 94°C, 1 min; annealing 62°C, 1 min; extension 72°C, 1 min. The resulting PCR product was gel isolated, cloned by using the TOPO TA cloning kit (Invitrogen), and sequenced. All sequence analysis were performed automatically using a Beckman-Coulter CEQ2000XL DNA analysis system.
SNA staining of histological sections
Sections were deparafinized in xylene, rehydrated in graded ethanol, and subjected to antigen retrieval (boiling in 10 mM citrate buffer, pH 6, for 15 min). Previous experiments had shown that this treatment maximizes SNA reactivity. SNA-dig staining and detection with alkaline phosphataseconjugated antidigoxigenin antibodies (Boehringer) were as previously described (Dall'Olio and Trere, 1993).
In situ hybridization
Nonisotopic in situ hybridization was performed essentially as described previously (Fiorentino et al., 1999). Digoxigenin-labeled probes were prepared from the linearized pGEM-T easy vector containing the ST6Gal.I cDNA from HepG2 cells (see previous discussion). Sense and anti-sense RNA probes were generated with T3 and T7 RNA polymerase for 2 h at 37°C in 1x transcription buffer; 35 U RNAase inhibitor; 1 mM each ATP, CTP, GTP; and 1 mM of a mixture of unlabeled UTP and digoxigenin UTP (6.5:3.5 ratio) (Boehringer). The size of the probes was reduced to 50100 nucleotides by means of alkaline hydrolysis. Before hybridization, tissue specimens were digested with 10 mg/ml proteinase K (Sigma, St. Louis, MO) 30 min at 37°C. Hybridization was performed at 46°C overnight with 10 pM of digoxigenin-labeled probe in 25 µl hybridization buffer (50% deionized formamide, 2x saline sodium citrate, 10% dextran sulfate, 1% sodium dodecyl sulfate). Posthybridization washes were at 60°C in 50% deionized formamide 2x saline sodium citrate for 30 min. Antidigoxigenin antibodies 1:500 diluted were applied overnight at 4°C. Detection was accomplished with nitro-blue tetrazolium/ 5-bromo-4-chloro-3-indolyl-phosphate for 36 h. Sections were then counterstained in methyl green. Control for specificity was performed with sense probe.
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Acknowledgements |
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Footnotes |
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Abbreviations |
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References |
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