©1995 by The American Society for Biochemistry and Molecular Biology, Inc.
Self-potentiation of Ligand-Toxin Conjugates Containing Ricin A Chain Fused with Viral Structures (*)

(Received for publication, January 20, 1995; and in revised form, July 5, 1995)

Roberto Chignola (§) Cristina Anselmi Mauro Dalla Serra (1)(¶) Antonia Franceschi Giulio Fracasso Marcella Pasti Elena Chiesa J. Michael Lord (2) Giuseppe Tridente Marco Colombatti (**)

From the  (1)Istituto di Immunologia e Malattie Infettive, Università di Verona, 37134 Verona, Italy, the Consiglio Nazionale delle Ricerche Centro di Fisica degli Stati Aggregati, 38050 Povo, Trento, Italy, and the (2)Department of Biological Sciences, University of Warwick, Coventry CV4 7AL, United Kingdom

ABSTRACT
INTRODUCTION
EXPERIMENTAL PROCEDURES
RESULTS AND DISCUSSION
FOOTNOTES
ACKNOWLEDGEMENTS
REFERENCES

ABSTRACT

A chimeric protein was obtained by fusing together the ricin toxin A chain (RTA) gene and a DNA fragment encoding the N terminus of protein G of the vesicular stomatitis virus. Chimeric RTA (cRTA) retained full enzymic activity in a cell-free assay, but was 10-fold less toxic against human leukemic cells than either native RTA (nRTA) or unmodified recombinant RTA (rRTA). However, conjugates made with cRTA and human transferrin (Tfn) showed 10-20-fold greater cell killing efficacy than Tfn-nRTA or Tfn-rRTA conjugates despite equivalent binding of the three conjugates to target tumor cells. As a consequence, by fusion of the KFT25 peptide to the RTA sequence, the specificity factor (i.e. the ratio between nonspecific and specific cytotoxicity) of Tfn-cRTA was increased 90-240 times with respect to those of Tfn-nRTA and Tfn-rRTA. cRTA interacted with phospholipid vesicles with 15-fold faster kinetics than nRTA at acidic pH. Taken together, our results suggest that the ability of vesicular stomatitis virus protein G to interact with cell membranes can be transferred to RTA to facilitate its translocation to the cell cytosol. Our strategy may serve as a general approach for potentiating the cytotoxic efficacy of antitumor immunotoxins.


INTRODUCTION

Cell-surface structures mediating the efficient internalization of cell-bound molecules are frequently selected as targets of monoclonal antibody/ligand-toxin conjugates (immunotoxins (IT)^1)(1) . Rapid internalization, however, is not always synonymous with fast intoxication rates of the target cells as a result of cell mechanisms leading to inactivation of the internalized IT molecules (e.g. recycling, degradation, slow routing to subcellular compartments competent for toxin translocation) (1) . The ricin toxin A chain (RTA) is a potent ribosome-inactivating enzyme used in the synthesis of highly selective IT. However, RTA-based IT exert their effect at relatively high concentrations due to poor translocation of RTA to the cell cytosol from the endocytic compartments where the IT are internalized(1) .

Viruses utilize specialized envelope structures that allow them to enter the cytosol of the infected cells. We reasoned that it might be possible to modify a cytotoxic enzyme (i.e. RTA) by fusing it to a protein structure derived from viral envelopes, thus conferring to the cytotoxic enzyme the cytosol targeting properties of the virus. A peptide representing the primary sequence of the 25 N-terminal amino acids of protein G of the vesicular stomatitis virus envelope (KFT25) was found to have pH-dependent membrane destabilizing properties(2, 3) . In particular, at low pH, KFT25 was shown to be hemolytic, to mediate hemagglutination, to be cytotoxic for mammalian cells, and to effect gross changes in cell permeability(2, 3) . Such a virus-derived structure might be endowed with the ability to facilitate the translocation of heterologous proteins across cell membranes when they are routed to acidic intracellular compartments.

The transferrin receptor is a cell-surface structure known to deliver internalized protein-protein conjugates to acidic compartments (i.e. endosomes)(4, 5) . The physiology of the transferrin receptor and of its ligand has been well studied, and Tfn-toxin conjugates have found applications in the laboratory as well as in the clinic as antitumor reagents(6, 42) . Internalized Tfn and Tfn-toxin conjugates are directed to acidic prelysosomal compartments within the cell(4, 5) . Tfn was therefore chosen as an appropriate vehicle molecule to investigate whether RTA cell entry would be improved by fusion with KFT25.

In this preliminary report, we show that a KFT25-containing RTA (chimeric RTA (cRTA)) exhibits a greater cytotoxic activity when delivered to tumor cells by Tfn than analogous conjugates containing either native RTA (nRTA) or unmodified recombinant RTA (rRTA). These results open up the possibility of taking advantage of specialized viral structures to increase the cytosolic localization of toxins or other biologically active proteins within target cells.


EXPERIMENTAL PROCEDURES

Cloning and Expression of Recombinant Toxins

The vector pRICA, designed for expression of active RTA in the cytoplasm of Escherichia coli, has been described elsewhere(7) . The RTA coding region with an additional 26 base pairs at the 5`-end is contained in an 873-base pair BamHI fragment. Within the 26-base pair extrasequence and immediately downstream from the BamHI site, an XbaI restriction site is present. An XbaI-BamHI fragment containing the RTA sequence was isolated and ligated with a BamHI-XbaI oligonucleotide coding for the 25 N-terminal amino acids of vesicular stomatitis virus protein G into BamHI-digested pBR322. The resulting chimeric DNA fragment was then isolated and ligated into BamHI-digested pUC18 for sequencing and into pDS5/3 for expression(8) . The new expression vector was designated pRAK25.

For expression, pRICA or pRAK25 recombinant plasmids were introduced into E. coli strain SURE (Stratagene) by rubidium chloride-mediated transformation. Cultures were grown at 37 °C in 1 liter of M9 medium supplemented with 0.2% glucose, 1 mM MgSO(4), 0.1 mM CaCl(2), and 30 µM vitamin B(1) in the presence of 27 µM ampicillin to A = 0.8. The temperature of the growth culture was then lowered to 30 °C, and 1 mM isopropyl-beta-D-thiogalactopyranoside was added. After 3 h, the cells were pelleted, incubated for 15 min in prechilled lysis buffer (phosphate-buffered saline/EDTA (5 mM), phenylmethylsulfonyl fluoride (8 µl/g of pellet of a 8 mg/ml solution in isopropyl alcohol), lysozyme (80 µl/g of pellet of a 10 mg/ml solution), and sonicated on ice in four times 45-s bursts using a Labsonic-U ultrasonic disintegrator (B. Braun Bitech International). Lysates were cleared by centrifugation at 12,000 times g for 30 min at 4 °C. Cell-free lysates were dialyzed overnight against 5 mM phosphate buffer (pH 6.5) and passed through an ion-exchange column (2.5 times 12 cm) of CM-Sepharose equilibrated in dialysis buffer. Bound proteins were eluted with a 0-500 mM NaCl gradient, and fractions were then analyzed by SDS-polyacrylamide gel electrophoresis and Western blotting. The purity of rRTA- and cRTA-containing fractions was >90% as evaluated by scanning densitometry with a GS-300 gel-scanning apparatus (Hoefer Scientific Instruments). The biological activity of purified rRTA and cRTA was determined by their ability to inhibit [S]Met incorporation into proteins in a rabbit reticulocyte lysate (Boehringer Mannheim) and was compared with that of nRTA. nRTA was kindly provided by Dr. P. Casellas (Sanofi Recherche, Montpellier, France).

Preparation of Lipid Vesicles and Light Scattering Determinations

Small unilamellar vesicles (SUV) were prepared by sonication as described previously using egg phosphatidylcholine (PC) (Avanti Polar Lipids) and phosphatidylserine (PS) (Lipid Products) in a 1:1 molar ratio(9) . Briefly, the dried lipid mixture was dissolved in chloroform, and solvent was evaporated under reduced pressure. Lipids at a concentration of 6 mg/ml were suspended in phosphate-buffered saline containing 2 mM EDTA (phosphate-buffered saline/EDTA), vortexed, and sonicated for 30 min at room temperature by a pulsed sonicator (Vibracell VC500, Sonics & Material) equipped with a steppered microtip. All lipids were >99% pure and gave one spot by TLC.

Aliquots of lipid vesicles (12 µg) prepared as described above were introduced into a quartz cuvette (optical length of 1 cm) containing 1 ml of phosphate-buffered saline/EDTA. The increase in light scattering after addition of the toxins to the SUV suspension was measured using a FluoroMax spectrofluorometer (Spex Industries) at excitation and emission wavelengths of 340 nm. Data were acquired and then processed by computer analysis with dM 3000 software (Spex Industries). Data are expressed as arbitrary units. During light scattering determinations, the temperature was regulated and maintained constant at 25 °C by a circulating heating bath, and the solution in the sample cuvette was continuously stirred magnetically. The pH of the SUV solutions containing toxins was adjusted to the desired acidic values by addition of acetic acid. To compare the activity of the toxins in kinetic assays, we considered the time required to reach 50% of the maximal change in the light scattering properties of the SUV suspension (t).

Ligand-Toxin Conjugates

Transferrin-ricin toxin A chain conjugates (Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA) were synthesized and purified as described previously by means of disulfide-based N-succinimidyl 3-(2-pyridyldithio)propionate cross-linker (10) ; the synthesis reactions were carried out at the same time for the three conjugates. Aliquots of the conjugates were run through an SDS-polyacrylamide slab gel under both reducing and nonreducing conditions and blotted onto nylon membranes (Zeta-Probe, Bio-Rad). Blotted membranes were then incubated with a goat anti-Tfn antibody (Sigma) or with a rabbit anti-RTA antibody followed by a second step reagent (anti-goat or anti-rabbit Ig coupled to alkaline phosphatase, Sigma) and analyzed by a chemiluminescent reaction (3-(2`-spiradamantane)-4-methoxy-4-(3"-phosphoryloxy)-phenyl-1,2-dioxethane, Boehringer Mannheim) according to the manufacturer's instructions. The membranes were then exposed to Kodak Royal X-Omat film, and the lanes of the developed autoradiographs were subjected to scanning densitometry. The area occupied by the peaks corresponding to bands of different density was measured by integration analysis using a computer algorithm (GS-365 data system software, Hoefer Scientific Instruments).

To measure the amount of active toxin present in each conjugate, we performed cell-free assays of protein synthesis inhibition. Equal concentrations of Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA were preincubated overnight at 4 °C with 0.14 mM dithiothreitol in order to break the S-S bond introduced between Tfn and the toxins. This procedure was required because conjugated RTA is enzymically inactive(11) . The full reduction of the S-S bond was monitored by SDS-PAGE analysis. The samples were then serially diluted and added to a rabbit reticulocyte lysate. Incorporation of [S]Met into proteins was measured. Dithiothreitol did not interfere with the incorporation of the radiolabeled amino acid.

Cytotoxicity Assays

The effects of IT or of unconjugated toxin treatment on tumor cells were compared in protein synthesis inhibition assays. Protein synthesis was assayed by dispensing 10^5 Jurkat cells in leucine-free, fetal bovine serum-free RPMI 1640 medium in 96-well flat-bottomed microtitration plates. Ten-fold dilutions of IT or of toxins were then added (final volume of 100 µl) in triplicates. After 6 h of incubation at 37 °C, fetal bovine serum was added to each well to a final concentration of 2.5%. Microcultures were incubated for a further 16 h. After this time, the cells were pulsed for 2 h with 1 µCi of [^14C]Leu (314.3 mCi mmol/liter; DuPont NEN). At the end of the assays, the cells were harvested onto glass-fiber filters, washed with water, and dried. Radioactivity incorporated by the cells was then measured in a beta-spectrometer. When the cell killing activity of the IT was assayed in the presence of monensin (5 times 10M in EtOH), experiments were carried out under the same general conditions described above with the difference that the assays were interrupted after 6 h.

Comparing Cytotoxicity of Free Toxins and of Their Tfn Conjugates

To compare the cytotoxic activity of nRTA, cRTA, and rRTA and their Tfn conjugates, the concentration of the cytotoxic agents inhibiting 50% of the protein synthesis of target tumor cells (IC) was considered. However, nRTA, cRTA, and rRTA as well as Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA displayed a similar but not identical enzymic activity in cell-free assays of protein synthesis inactivation (see ``Results and Discussion''), and therefore, the molar concentrations of the different compounds could not be taken for direct comparison of their cytotoxic effect in cell killing experiments. Thus, we normalized the concentrations of nRTA, cRTA, and rRTA and of their Tfn conjugates by setting 1 enzyme unit (EU) as the IT or toxin molar concentration inhibiting 50% (IC) of the incorporation of [S]Met in a rabbit reticulocyte lysate after 90 min at 30 °C. In all the cytotoxicity assays, the IT or toxin concentrations are expressed in enzyme units.

Binding of Tfn-Toxin Conjugates to Tumor Cells

Binding of Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA to Jurkat cells was evaluated following the method described by Ittelson and Gill(12) . Briefly, dose-response assays with the three IT were carried out in the presence of monensin. The cytotoxicity of the IT was inhibited by various concentrations of unconjugated Tfn (ranging from 0 to 3.6 times 10M) in separate dose-response assays; in each assay, a constant concentration of Tfn was present. Monensin was previously shown not to alter the binding of IT to target receptors(13) . Monensin was used in binding studies because it greatly potentiates the cytotoxicity of Tfn-RTA IT, thus allowing us to test the inhibiting effect of a higher range of Tfn concentrations. From each of several pairs of curves, we determined the IT concentrations (in enzyme units) required to give the same response in the presence (T`) or absence (T) of the inhibitor (Tfn). Dose ratios (T`/T) were calculated at a response level of 0.5 and plotted according to the method of Schild (14) against the log of the concentration of the inhibitor (I).


RESULTS AND DISCUSSION

Three forms of RTA were used in our experiments: nRTA (i.e. RTA prepared from native ricin that had been purified from the seeds of Ricinus communis), unmodified rRTA, and cRTA (recombinant RTA fused to KFT25). A cRTA cloning strategy was developed to preserve in the expressed cRTA molecule the N-terminal orientation possessed by the KFT25 peptide in vesicular stomatitis virus protein G (Fig. 1A). The insertion of the KFT25 DNA sequence at the 5`-end of the RTA coding region did not affect the expression level or the post-translational localization of cRTA with respect to rRTA. With both pRICA and pRAK25 expression vectors, the amount of toxin purified from bacterial cultures ranged from 1.5 to 2 mg/liter. No cRTA was found into the periplasmic fraction, in the culture medium, or stored into inclusion bodies (data not shown).


Figure 1: Cloning and purification of recombinant toxins. A, the BamHI-BamHI RTA coding region from pRICA(7) . The reported oligonucleotide sequence, corresponding to the KFT25 peptide, was ligated between BamHI and XbaI restriction sites present within the RTA fragment. A partial post-translational proteolytic cleavage of KFT25 from purified cRTA molecules takes place at Arg. B, SDS-PAGE migration and Western blot identification of purified nRTA (lane1), rRTA (lane2), and cRTA (lane3). The two electrophoretically separated cRTA forms were both recognized by anti-RTA antibody (arrowheads).



Fig. 1B shows the SDS-PAGE migration and Western blot identification of rRTA and cRTA following expression in E. coli and purification by ion-exchange chromatography. Control nRTA typically migrated in two distinct bands because of the different glycosylation of the toxin molecules(15) . As expected, rRTA migrated faster than glycosylated nRTA. cRTA separated instead into two electrophoretically distinct forms, both recognized by anti-RTA antibody. Microsequencing of proteins recovered from SDS-PAGE revealed the presence of a proteolytic cleavage site at Arg responsible for the removal of the KFT25 peptide in 30% of cRTA molecules (Fig. 1), which accounted for the doublet in lane3.

To investigate whether cRTA retained the enzymic properties of the original molecule, the protein synthesis inhibition activity of nRTA, rRTA, and cRTA was compared in a rabbit reticulocyte lysate. cRTA inhibited protein synthesis in a manner that was comparable to nRTA and rRTA (IC = 10, 26.6, and 40 pM, respectively). These results demonstrated that fusion to KFT25 had not affected the enzymic properties of RTA.

Protein G of the vesicular stomatitis virus, reconstituted in phospholipid vesicles, was shown to induce liposome fusion at pH <5.0 using PC/PS (1:1 molar ratio) SUV as target vesicles(16) . The rate of fusion dramatically increased at pH values in the range 2.0-4.0(16) .

Lipid vesicles possess the well defined property of deviating light in a way highly dependent on their dimensions and aggregation state. Hence, the amount of light scattered by the lipid suspension is a very sensitive parameter of phenomena leading to liposome aggregation and/or fusion that may be triggered by the interaction of a protein with the lipid layer(17, 18, 19) . To directly evaluate the acquired pH-dependent membrane destabilizing properties of cRTA, we have measured the changes in the light scattering shown by a PC/PS (1:1 molar ratio) SUV suspension in the presence of cRTA at different pH values. For comparison, phospholipid vesicles were also treated with nRTA.

Fig. 2shows the pH dependence of the changes in light scattering of SUV treated with cRTA and nRTA. At pH values below 5.0, the light scattering of SUV increased rapidly following the addition of cRTA (t approx 2 s; Fig. 2A, inset). The kinetics of interaction of nRTA with PC/PS SUV were instead slower (t geq 30 s; Fig. 2B, inset). Even though at early times cRTA had a greater effect than nRTA on PC/PS SUV (Fig. 2A), at later times (stationary state), both toxins induced a comparable increase in the light scattering properties of the SUV suspension (Fig. 2B). These results confirm previous observations that the ricin A chain has intrinsic properties of membrane interaction(20, 21) . It is noteworthy that the results shown for cRTA in Fig. 2A overlap those obtained for the pH-dependent protein G-mediated fusion of PC/PS vesicles reported by Eidelman et al. (16) and therefore are a direct demonstration that at least part of the membrane destabilizing properties of protein G have been transferred to the ricin A chain by linkage of the KFT25 peptide with the toxin sequence.


Figure 2: pH dependence of the effects of cRTA and nRTA on PC/PS SUV. cRTA () and nRTA (bullet) at a final concentration of 165 nM were added to a PC/PS (1:1 molar ratio) SUV suspension, and the light scattering properties of the liposome mixtures at different pH values were measured in kinetic experiments. The plots represent light scattering measurements at the time points of 20 s (A) and 125 s (stationary state; B) after addition of the toxins to the lipid vesicles. Insets, kinetics of the changes in the light scattering properties of the liposomes induced by treatment with cRTA (A) and nRTA (B) at the reported pH values. In both insets, the arrows show the time at which the toxins (TOX) were added to the SUV suspension. a.u., arbitrary units.



Fig. 3shows the dose-dependent pattern of the change in the light scattering of SUV as a function of the amount of cRTA added at pH 3.1. cRTA increased the light scattering of PC/PS SUV at low concentrations, and this increase appeared to reach a plateau at the higher concentrations tested (Fig. 3). At the end of the assays, visible precipitates of phospholipid vesicles were observed, indicating a great extent of vesicle aggregation and/or fusion. It should be noted that cRTA is active on phospholipid vesicles at acidic pH at concentrations comparable to those observed also for diphtheria toxin, whose pH-dependent membrane destabilizing properties are well documented(22) .


Figure 3: Dose dependence of the effects of cRTA on the light scattering properties of PC/PS SUV at pH 3.1. Varying amounts of cRTA were added to lipid vesicles. The total effect at pH 3.1 on PC/PS (1:1 molar ratio) SUV was measured after 125 s (stationary state). a.u., arbitrary units.



The membrane destabilizing properties of KFT25 are activated at pH values below 6.0 in erythrocytes and nucleated cells(2, 3) . On the other hand, Tfn is internalized and transported within endosomes whose pH was shown to be 5.5(23) . To investigate whether cRTA had acquired cytosol localizing properties, we synthesized Tfn-cRTA conjugates and compared their cytotoxic effect with that of Tfn-nRTA and Tfn-rRTA conjugates. SDS-PAGE analysis of the three conjugates under reducing and nonreducing conditions followed by Western blot analysis with anti-Tfn and anti-RTA antibodies and scanning densitometry revealed the presence of comparable amounts of nRTA, cRTA, and rRTA conjugated to Tfn (Tfn/RTA ratios of 1:1.27, 1:1.32, and 1:1.33 for Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA, respectively). To make sure that the conjugation procedures had not inactivated the enzymic properties of nRTA, cRTA, and rRTA, the protein synthesis inhibition activity of the three conjugates was compared in a rabbit reticulocyte lysate. The measured IC values were 7, 14, and 10 pM for Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA, respectively, further demonstrating that the three conjugates have comparable enzymic and biochemical properties. It should be noted that these IC values are calculated for molecules with M(r) values of 118,100, 119,600, and 119,900 for Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA, respectively, and hence, they are not directly comparable with those obtained with unconjugated toxins (see above). Correction of IC values obtained with Tfn-toxin conjugates for molecular composition revealed that the toxins were not inactivated by the conjugation procedures.

We then investigated the cell killing potential of Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA and of free toxins against tumor cells. As shown in Fig. 4(upperpanel), Jurkat cells were equally intoxicated by unconjugated nRTA and rRTA (IC = 1.5 times 10^4 and 2.2 times 10^4 EU, respectively). cRTA was instead 10-fold less toxic against target cells (IC = 1.6 times 10^5 EU) despite an enzymic activity that was comparable to that of nRTA and rRTA (see above). cRTA conjugated to Tfn (Tfn-cRTA) was, however, 10-20-fold more toxic against tumor cells than Tfn-nRTA or Tfn-rRTA (IC = 1.6, 37, and 20 EU, respectively, in a 24-h protein synthesis inhibition assay) (Fig. 4, center panel). Results comparable to those obtained with Jurkat cells were also observed with Raji, CEM, K562, and MCF7 cell lines (data not shown). Addition of the Tfn-RTA IT enhancer monensin increased the cytotoxicity of Tfn-cRTA, Tfn-nRTA, and Tfn-rRTA (IC = 1.2, 0.6, and 2.0 EU, respectively, in a 6-h assay) (Fig. 4, lower panel). Monensin also abrogated the differences in cell killing between Tfn-cRTA and the other two conjugates. Monensin neutralizes the pH of endocytic vesicles(24) . Thus, the higher cytotoxic activity observed for Tfn-cRTA in the absence of monensin strongly suggests that the pH-dependent membrane destabilizing properties of KFT25 might facilitate the translocation of cRTA to the cell cytosol.


Figure 4: Cell killing effects of toxins and Tfn-toxin conjugates on Jurkat cells. Upperpanel, protein synthesis inhibition activity of nRTA (bullet), rRTA (), cRTA (), and scRTA () in a representative 24-h assay; center and lower panels, cytotoxicity of Tfn-nRTA (bullet), Tfn-rRTA (), Tfn-cRTA (), and Tfn-scRTA () in 24-h assays (centerpanel) or in 6-h assays carried out in the continuous presence of monensin (lowerpanel). The assays were repeated two to four times with <10% variability. IT or toxin concentrations are expressed in enzyme units (see ``Experimental Procedures'').



The KFT25 peptide contains a potentially reactive Cys residue that could intervene in the disulfide-based linkage of cRTA molecules to Tfn during IT synthesis. To rule out that the greater cytotoxic effect shown by Tfn-cRTA in the absence of monensin could be due to a spacer effect(25) , we also created a new chimeric toxin (scRTA) by genetically fusing to the RTA gene an oligonucleotide coding for the the 25-amino acid unrelated peptide Gly-Ser-(Gly)(3)-(Ser-(Gly)(4))(3)-Ser-(Gly)(2)-Cys-Pro. The scRTA sequence was then expressed in E. coli, and the purified toxin was conjugated to Tfn following the same experimental procedures as described for cRTA and rRTA. As shown in Fig. 4, unconjugated scRTA as well as Tfn-scRTA displayed cytotoxic activity against Jurkat cells comparably to nRTA and rRTA and their Tfn-toxin conjugates. These results demonstrate that the Cys residue present in the KFT25 peptide is unlikely to play a role in the molecular mechanisms leading to the higher cytotoxic activity of Tfn-cRTA.

Cell intoxication by IT is a multistep process, first involving binding of the IT molecules at the cell surface. It is well known that the cell killing kinetics of the IT are strictly dependent on the affinity of the interaction between the IT and the target receptors(26) . To rule out that the higher cytotoxic effect shown by Tfn-cRTA was due to a more efficient binding to target cells, we compared the binding capacity of Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA on Jurkat cells by applying the method described by Schild (14) as modified by Ittelson and Gill(12) . This method is based on the inhibition by a specific competitor (i.e. Tfn) of the cytotoxic effects mediated by a cytotoxin (i.e. Tfn-RTA conjugates). It should be mentioned that this procedure allows the K(d) of the competitor and not of the cytotoxin to be measured. However, if the competitor inhibits to the same extent the cytotoxic effect of different cytotoxins directed against the same receptor, then it can be concluded that the cytotoxins bind the common receptor with equal affinity. This procedure was chosen because it does not require radioisotope labeling of the molecules involved, thus preventing inactivation of the ligands or alteration of the ligand/receptor interactions. Moreover, the sensitivity of this method is considerable because it is based on the biological activity of enzymic cytotoxins (e.g. RTA). As shown in Fig. 5, binding of Tfn-nRTA, Tfn-cRTA, and Tfn-rRTA to Jurkat cells was comparable. Displacement of Tfn-vehicled toxins by Tfn also demonstrated that the three conjugates bound the transferrin receptor in a specific manner.


Figure 5: Schild plot of the antagonism by Tfn of the cytotoxic action of Tfn-toxin conjugates on Jurkat cells. Dose ratios (T`/T) calculated at a response level of 0.5 from several pairs of dose-response curves with Tfn-nRTA (bullet), Tfn-rRTA (), or Tfn-cRTA () were plotted against the log of the concentration of the inhibitor Tfn (I). The linear relationship between log((T`/T) - 1) and log(I), with a slope of alpha = 1, is the result expected if Tfn and Tfn-toxin conjugates compete for a common cellular target. Linear regression through data points revealed overlapping binding properties of the three conjugates.



Unlike other pharmacological antitumor reagents, IT are effective at very low concentrations both in vitro and in vivo(1) . However, the fraction of IT molecules reaching the target cells of a solid tumor is often despairingly low due to a number of physiologic barriers preventing diffusion of the IT within the tumor and drastically impairing their therapeutic efficacy (e.g. high interstitial pressure, low diffusion rates of macromolecules within the tumor, antigen-site barrier, inadequate pharmacokinetics, immune-mediated clearance mechanisms)(27) . To enhance RTA IT cytotoxicity in vivo, the combined use of RTA IT and of the carboxylic ionophore monensin has been proposed. However, in vivo application of monensin or of its protein-conjugated derivative human serum albumin-monensin may be problematic due to the monensin inactivating properties of the serum(28, 29, 30) . An alternative approach involves the possibility of enhancing IT cytotoxicity by directing them to intracellular compartments where translocation of the IT to the cytosol is facilitated. Retention signals have been added to Pseudomonas exotoxin and to RTA to ease their delivery to the endoplasmic reticulum lumen from where Pseudomonas exotoxin and RTA are thought to enter the cytosol(31, 32) . This approach may not have general validity, however, because internalized toxins that are preferentially routed to lysosomes would not be potentiated by addition of endoplasmic reticulum retention signals. Instead, our strategy may be more generally applicable inasmuch as most viral envelope proteins are triggered to translocate across cell membranes in prelysosomal acidic compartments. With an approach similar to ours, Wagner et al.(33) greatly increased gene transfer into target cells by linking a peptide from the N terminus of HA-2 influenza hemagglutinin to polylysine-DNA complexes using Tfn as the targeting molecule.

By genetically linking KFT25 to rRTA, we expected a greater potentiation than the 10-20-fold higher cytotoxic activity observed with Tfn-cRTA with respect to twin conjugates made with nRTA or unmodified rRTA. There are several possible explanations for this observation. 1) As shown in Fig. 1, 30% of the cRTA molecules lack the KFT25 peptide due to post-translational proteolytic cleavage. 2) KFT25 functions in a dose-dependent manner(2, 3) . The concentration of KFT25 reached within intracellular vesicles following Tfn-cRTA internalization may be suboptimal. 3) The effect of KFT25 is also time-dependent(2, 3) . Cytotoxicity is observed in the presence of the isolated KFT25 peptide after 20 min of incubation at 37 °C(2, 3) . Tfn is recycled out of the cell with a t of 4-5 min(34) . The persistence of Tfn-cRTA within compartments at the appropriate pH might not be of a sufficient length to allow cell entry of an adequate amount of KFT-bearing Tfn-cRTA conjugate. 4) KFT25 might change its conformation when genetically linked to rRTA and be prevented from displaying its full membrane destabilizing potential. 5) The additional Cys residue present in KFT25 might be involved in the disulfide-based linkage of Tfn to cRTA; this might in turn hinder the interaction of cRTA with the cell membrane and reduce its cell entry. To optimize the yield of uncleaved cRTA molecules, site-directed mutagenesis of the Arg proteolytic cleavage site is underway. A further improvement of the Tfn-cRTA cytotoxic potential might be obtained by using targeting molecules residing for longer times within acidified vesicles following internalization.

By linkage to KFT25, the toxicity of RTA against intact cells has been reduced 10-fold, and therefore, its toxicity toward non-target cells has been concomitantly decreased by the same factor. This might be advantageous because cRTA-based IT would offer a larger therapeutic window with respect to nRTA- or rRTA-based IT. Considering the difference in cytotoxicity between conjugated and unconjugated toxins, the ``specificity factors'' are in fact 100,000, 405, and 1100 for Tfn-cRTA, Tfn-nRTA, and Tfn-rRTA, respectively (Table 1).



The interaction of positively charged biomolecules with negatively charged lipid membranes has been implicated in several biological processes. Some examples are membrane permeabilization or perturbation and membrane-membrane aggregation. Basic polypetides as well as clusters of positively charged residues in several proteins have been shown to have membrane activity(35, 36, 37) . Some examples include snake cardiotoxins, sea anemone cytolysins, and mellitin from bee venom. The KFT25 peptide added to the ricin A chain sequence bears five positive charges, two of which are carried by His residues that are more positively charged at acidic pH. This could account for the faster interaction of cRTA with liposomes under acidic conditions.

Although we are at the present time unable to explain the precise molecular mechanisms of the interaction of cRTA with membranes, we believe that some indications and suggestions can be obtained from the analysis of the KFT25 sequence. Computer simulations of the structure of KFT25 and calculations of the hydropathicity (38) and of the mean hydrophobic moment (39) of the KFT25 peptide indicated that the peptide is composed of three distinct structural regions separated by Pro residues: an N-terminal hydrophobic alpha-helix (Lys-Pro region), a central hydrophilic globular structure (His-Pro region), and a slightly hydrophilic C-terminal beta-structure (Ser-Pro). The N-terminal alpha-helix (approx18 Å long) can potentially span the first layer of the plasma membrane at pH 7.0 with an emission of 5.3 kcal/mol. This calculation is in agreement with the data reported by Schlegel and Wade (3) that the first 6 amino acids of KFT25 (which correspond to the alpha-helix region only) are hemolytic even at physiologic pH, whereas the globular region would be implicated in the pH activation of the hemolytic properties of the entire peptide. The properties of the KFT25 peptide could explain the lower cytotoxic activity of unconjugated cRTA with respect to unconjugated nRTA or rRTA. In fact, cRTA might insert itself into the plasma membrane and, in the absence of an acidic environment, might remain entrapped within the lipid layers. As a consequence, unconjugated cRTA would be characterized by a lower translocating potential as compared with nRTA or rRTA. On the other hand, 1) once cRTA has been vehicled near the membrane by Tfn, cRTA could insert itself into the lipid layer. 2) Upon acidification of the environment (i.e. after internalization and transport of Tfn-cRTA within endosomes), the cRTA would increase its N-terminal positive charge due to the His residues. According to models proposed also for other proteins, this would lead to a disorganization of the bilayer structure as a response of the attracting forces to the negative charges present on the cytosolic surface of the cellular membranes(40, 41) . 3) The disorganization of the bilayer structure would facilitate the translocation of cRTA molecules to the cell cytosol. A role in the pH activation of the KFT25 properties could also be played by the Pro residues. However, further information on the molecular aspects of cRTA interaction with biological membranes needs to be gathered experimentally.

In conclusion, our results demonstrate that it is possible to exploit the strategies developed by viruses to enter eukaryotic cells in order to enhance the specific cytotoxic effect of IT. A frame is also set for further studies aimed at selecting the most appropriate viral structures to be linked to toxins of different origin.


FOOTNOTES

*
This work was supported in part by grants from the Consiglio Nazionale delle Ricerche (P. F. Ingegneria Genetica and P. F. Applicazioni Cliniche della Ricerca Oncologica), the Associazione Italiana per la Ricerca sul Cancro, Murst 40% Aspetti Clinico Sperimentali della Risposta Immune, MS ISS Progetto AIDS, and the Associazione per la Promozione delle Ricerche Biomediche, Murst 60%, Murst 40% Neuroimmunologia. The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore by hereby marked ``advertisement'' in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.

§
Recipient of an Instituto Superiore della Sanità fellowship.

Recipient of a fellowship from the Consiglio Nazionale delle Ricerche.

**
To whom correspondence should be addressed: Istituto di Immunologia e Malattie Infettive, Università di Verona, c/o Policlinico di B. go Roma, 37134 Verona, Italy. Tel.: 39-45-8074007; Fax: 39-45-580900.

(^1)
The abbreviations used are: IT, immunotoxin(s); RTA, ricin toxin A chain; cRTA, chimeric RTA; nRTA, native RTA; rRTA, recombinant RTA; scRTA, recombinant RTA fused with irrelevant peptide; Tfn, transferrin; SUV, small unilamellar vesicle(s); PC, egg phosphatidylcholine; PS, phosphatidylserine; PAGE, polyacrylamide gel electrophoresis; EU, enzyme units.


ACKNOWLEDGEMENTS

Dr. P. Polverino and Prof. R. Fontana (Università di Padova) are gratefully acknowledged for performing microsequencing of recombinant toxins. Dr. G. Paganetto (Himont, Ferrara, Italy) is gratefully acknowledged for performing structural and chemicophysical analysis of the KFT25 peptide sequence. We thank Dr. M. Soria (Dibit, Ospedale S. Raffaele, Milano, Italy) for helpful comments and suggestions.


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