©1996 by The American Society for Biochemistry and Molecular Biology, Inc.
Altered Drug-stimulated ATPase Activity in Mutants of the Human Multidrug Resistance Protein (*)

(Received for publication, November 28, 1994; and in revised form, October 26, 1995)

Marianna Müller (1) Éva Bakos (2)(§) Ervin Welker (1) (2)(§) András Váradi (2) Ursula A. Germann (3)(¶) Michael M. Gottesman (3) Brian S. Morse (4) Igor B. Roninson (4) Balázs Sarkadi (1)(**)

From the  (1)National Institute of Haematology, Blood Transfusion and Immunology, H-1113 Budapest, Hungary, the (2)Institute of Enzymology, Biological Research Center, Hungarian Academy of Sciences, H-1113 Budapest, Hungary, the (3)National Cancer Institute, National Institutes of Health, Bethesda, Maryland 20892, and the (4)The University of Illinois at Chicago, Chicago, Illinois 60612

ABSTRACT
INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
FOOTNOTES
ACKNOWLEDGEMENTS
REFERENCES

ABSTRACT

The characteristics of P-glycoprotein (MDR1), an ATP-dependent drug extrusion pump responsible for the multidrug resistance of human cancer, were investigated in an in vitro expression system. The wild-type and several mutants of the human MDR1 cDNA were engineered into recombinant baculoviruses and the mutant proteins were expressed in Sf9 insect cells. In isolated cell membrane preparations of the virus-infected cells the MDR1-dependent drug-stimulated ATPase activity, and 8-azido-ATP binding to the MDR1 protein were studied. We found that when lysines 433 and/or 1076 were replaced by methionines in the ATP-binding domains, all these mutations abolished drug-stimulated ATPase activity independent of the MgATP concentrations applied. Photoaffinity labeling with 8-azido-ATP showed that the double lysine mutant had a decreased ATP-binding affinity. In the MDR1 mutant containing a Gly to Val replacement we found no significant alteration in the maximum activity of the MDR1-ATPase or in its activation by verapamil and vinblastine, and this mutation did not modify the MgATP affinity or the 8-azido-ATP binding of the transporter either. However, the Gly to Val mutation significantly increased the stimulation of the MDR1-ATPase by colchicine and etoposide, while slightly decreasing its stimulation by vincristine. These shifts closely correspond to the effects of this mutation on the drug-resistance profile, as observed in tumor cells. These data indicate that the Sf9-baculovirus expression system for MDR1 provides an efficient tool for examining structure-function relationships and molecular characteristics of this clinically important enzyme.


INTRODUCTION

The overexpression of a 170-kDa membrane protein, termed P-glycoprotein (Pgp) (^1)or multidrug resistance transporter (MDR1), is one of the major causes of multidrug resistance of cancer cells to chemotherapy. The human MDR1 protein actively extrudes or interacts with a wide variety of chemically dissimilar and apparently unrelated compounds, e.g. cytotoxic drugs (Vinca alkaloids, colchicine, epipodophyllotoxins, and anthracyclines), calcium channel blockers (verapamil and nifedipine), calmodulin antagonists (trifluoperazine), or cyclosporines (Gottesman and Pastan, 1993). It has been recently reported that Pgp is also capable of interacting with a variety of small peptides and peptide derivatives (Sharma et al., 1992; Sarkadi et al., 1994; Zhang et al., 1994) as well as hydrophobic fluorescent dyes (Neyfakh, 1988; Homolya et al., 1993; Holló et al., 1994).

In connection with its transport activity, Pgp has been shown to possess a drug-stimulated ATPase activity in isolated plasma membrane vesicles (Sarkadi et al., 1992; Doige et al., 1992; Shimabuku et al., 1992; Al-Shawi and Senior, 1993), or when the partially purified protein was reconstituted into liposomes (Ambudkar et al., 1992; Doige et al., 1993; Shapiro and Ling, 1994; Urbatsch et al., 1994). Drug transport in vesicles containing partially purified Pgp was shown to be coupled to ATP hydrolysis (Sharom et al., 1993). These studies, in addition to earlier data indicating an energy-requirement for MDR1-dependent drug extrusion clearly demonstrate a direct coupling between drug transport and ATP hydrolysis in the functioning of this protein.

Regarding its molecular architecture, P-glycoprotein is a member of the ABC (ATP-binding cassette) family of membrane transporters, containing 1280 amino acids, which form two symmetrical homologous halves, each with six putative transmembrane domains and an intracellular nucleotide binding domain (Endicott and Ling, 1989; Higgins, 1992). Of major importance would be to learn how ATP binding and hydrolysis is coupled to drug transport within this molecule, that is how the nucleotide binding domains interact with the transmembrane regions when performing active drug extrusion. Both predicted NBDs contain the ``homology A'' and ``homology B'' consensus sequences, originally described by Walker et al.(1982). These highly conserved regions are characteristic for several ATP-binding proteins including all the known ABC transporters (Higgins, 1992), and it has been demonstrated that the intact structure of these regions of the NBDs is essential for the drug transporting activity of Pgp. In the mouse MDR1 gene, the conversion of Gly to Ala at positions 431 or 1073, or that of Lys to Arg at positions 432 or 1074 (within the homology A consensus sequences), resulted in an almost complete loss of the function of the transporter, although 8-azido-ATP binding was conserved (Azzaria et al., 1989).

Concerning the site of interaction of Pgp with its transported substrates, e.g. cytotoxic drugs or drug resistance reversing agents, photoaffinity labeling has determined that both halves of Pgp contribute to a single substrate binding site (Bruggemann et al., 1992). Photoaffinity drug labeling experiments combined with trypsin digestion, mapped two major photolabeled fragments within, or immediately COOH-terminal to the last transmembrane domains of each half of the molecule, suggesting that some regions of the drug binding sites are in close proximity to the ATP binding regions (Greenberger, 1993).

A key region in substrate handling seems to be the cytoplasmic loop between the second and third transmembrane alpha-helices. A spontaneous mutation in this region from the wild-type Gly to Val occurred at position 185 in human KB cells, when these cells were selected in high concentrations of colchicine. This substitution greatly increases the relative resistance to colchicine and etoposide (Choi et al., 1988; Kioka et al., 1989), and influences the photoaffinity labeling of Pgp with different drugs (Safa et al., 1990; Bruggemann et al., 1992). Recent experiments of Loo and Clarke (1994a) indicated that a Gly-Val exchange at five different positions in the cytoplasmic loops of Pgp resulted in a similarly increased resistance to colchicine and adriamycin without altering resistance to vinblastine.

In order to investigate the functional significance of the changes in the nucleotide binding and substrate recognition regions, we expressed the wild-type and some mutant MDR1 proteins in a baculovirus-Sf9 insect cell expression system, and characterized the MDR1-ATPase activity and ATP binding in isolated membrane preparations. As demonstrated earlier, this baculovirus-insect cell expression system can be used for producing large amounts of membrane-inserted human MDR1, which, although underglycosylated, is antigenically and functionally similar to its mammalian counterpart (Germann et al., 1990; Sarkadi et al., 1992; Zhang et al., 1994). In the present experiments we used site-directed mutagenesis to alter single amino acids of the human Pgp in the homology A consensus sequences in the NBDs of the NH(2)-terminal (Lys to Met) and/or COOH-terminal (Lys to Met) halves, and applied the cDNA of the spontaneous Gly to Val substitution mutant. The MDR1 cDNAs were engineered into baculovirus vectors, recombinant baculoviruses were generated, and after the infection of Sf9 insect cells with the MDR1 viruses the cell membranes were isolated. The expression levels and the functional characteristics of the MDR1 mutants were studied by immunoblotting, by measuring vanadate-sensitive drug-stimulated ATPase activity, and by examining the binding of 8-azido-ATP in the isolated cell membranes.


MATERIALS AND METHODS

Construction of Recombinant Transfer Vectors

In this work the following oligonucleotide primers were used: 5`-GGAATTGGTGCTGGGGTGCTGG, mdr01 (nt 358-379); 5`-GTCCAAGAACAGGACTGATGG, mdr02R (nt 659-679); 5`-CCATCTCGAAAAGAAGTTAAG, abc01 (nt 1204-1224); 5`-CTTATCCAGAGCCACCTGAACC, abc22R (nt 1704-1725); 5`-CCCACCCGACCGGACATCCCA, abc02 (nt 3133-3153); 5`-ATGCAGGTGCGGCCTTCTCT, abc04R (nt 3663-3683).

The transfer vector pAc373-MDR1/Val was prepared as described by Germann et al.(1990); for the preparation of transfer vector pVL941-MDR1/Val a similar strategy was utilized. The transfer vector pVL1393-MDR1/Gly was constructed by isolating the wild-type MDR1 cDNA from plasmid pHaMDRGA (Kioka et al., 1989). The insert was ligated as a blunt ended BstUI-XhoI fragment (containing a 10-base pair 5`-untranslated region and a 110-base pair 3`-untranslated region with no polyadenylation site) into the SmaI site of baculovirus transfer vector pVL1393 (Pharmingen). To obtain pVL941-MDR1/Gly, both pVL941-MDR1/Val and pVL1393-MDR1/Gly were subjected to BglII digestion. This enzyme cuts MDR1 cDNA at nucleotide positions 258 and 1223 but leaves both vectors unharmed. The approximate 1-kilobase pair BglII insert, originated from pVL1393-MDR1/Gly, was gel-purified and ligated into the gel-purified pVL941-MDR1/Val, which lacked the MDR1 258-1223 region. The orientation of the fragment was checked by restriction mapping, the presence of the Gly codon was confirmed by sequencing the polymerase chain reaction products generated with primers mdr01-mdr02R; mdr01 was used as sequencing primer. Transfer vectors pVL941-MDR1/Val/Met/Lys, pVL941-MDR1/Val/Lys/Met, and pVL941-MDR1/Val/Met/Met were produced by replacing the 1177-3372 EcoRI-PstI region of MDR1 in pVL941-MDR1/Val with those of pUCFVXMDR1/neo MK, KM, and MM, respectively. (^2)

Generation of Recombinant Baculoviruses

Recombinant baculoviruses, carrying the different mutants of the human MDR1 cDNA, were generated by using the BaculoGold Transfection Kit (Pharmingen), according to the manufacturer's suggestions. Sf9 (Spodoptera frugiperda) cells were infected and cultured according to the procedures described previously (Germann et al., 1990).

Confirmation of Mutations in the Recombinant Baculovirus DNA

For each MDR1 construct the mutation was confirmed by sequencing the respective cDNA from the recombinant baculovirus. Virus supernatant (500 µl, containing about 5 times 10^7 virus) was incubated in 10 mM Tris-HCl, pH 7.5, 10 mM EDTA, 0.25% SDS, 0.2 mg/ml Proteinase K (final volume 1 ml) at 42 °C for 3 h. To precipitate the protein 0.5 volumes of 7.5 M ammonium acetate was added. After centrifugation the virus DNA was extracted with phenol/chloroform and then EtOH precipitated. Various amounts (10-100 ng) of this virus DNA preparation were subjected to polymerase chain reaction amplification. The polymerase chain reaction products were sequenced as follows: the polymerase chain reaction reaction mixture was diluted to 400 µl with H(2)0 and the amplification primers and other low molecular mass constituents of the mixture were removed by filtration through a Ultrafree-MC filter unit. This step was repeated twice. Then an aliquot of 60 ng of DNA was subjected to denaturation in the presence of 25 pmol of sequencing primer in annealing buffer (Sequenase kit, U. S. Biochemical Corp.), 10 µl final volume: the reaction mixture was kept at 100 °C for 2 min and then it was immediately cooled down in dry ice/EtOH. For chain termination the standard Sequenase protocol (U. S. Biochemical Corp.) was followed.

Membrane Preparation and ATPase Measurements

The virus-infected Sf9 cells were harvested and their membranes were isolated and stored, the membrane protein concentrations were determined as described by Sarkadi et al.(1992). ATPase activity of the isolated Sf9 cell membranes was estimated by measuring inorganic phosphate liberation as described in the same article. The data points in the figures show the means of triplicate determinations in representative experiments. The differences between the ATPase activities measured in the absence and presence of vanadate (100 µM) are plotted.

Quantitation of the MDR1 Protein by Immunoblotting

Electrophoresis and immunoblotting with the 4077 polyclonal antibody which recognizes human MDR1 (Tanaka et al., 1990) were carried out as described in Sarkadi et al.(1992). The second antibody was an anti-rabbit, peroxidase-conjugated goat IgG (Jackson Immunoresearch), used in 20,000 times dilutions. Horseradish peroxidase-dependent luminescence on the polyvinylidine difluoride membrane immunoblots (ECL, Amersham) was determined by excising the respective bands from the polyvinylidine difluoride membrane and measuring their luminescence in a liquid scintillation counter (Beckman LS 6000, SPM mode). The amounts of the expressed MDR1 were calculated from the luminescence values, based on a calibration by a dilution series of standard Sf9-MDR1 membrane preparations.

Photoaffinity Labeling with 8-Azido-ATP

For the photoaffinity labeling of the wild-type or mutant MDR1 protein, isolated Sf9 cell membranes (150 µg of protein) were incubated in a reaction buffer of Tris (50 mM), mannitol (50 mM), EGTA (2 mM), dithiothreitol (1 mM), MgCl(2) (2 mM), pH 7.0, in a final volume of 50 µl, in the presence of 5-70 µM final concentration of 8-azido-ATP (Sigma), containing 0.1 MBq [alpha-P]8-azido-ATP (ICN Biomedicals, 196 GBq/mM), and in some samples various concentrations (0.1-1 mM) of ATP or AMP. The samples in a drop on a Parafilm-covered glass plate, cooled to 4 °C, and kept on ice, were irradiated for 10 min with an UV lamp (max about 250 nm) at a distance of 3 cm. Thereafter the membranes were precipitated with 2 ml of ice-cold 6% trichloroacetic acid solution containing 15 mM inorganic phosphate and 10 mM ATP, spun down with 3,000 times g for 20 min at 4 °C, and washed 3 times with 3 ml of the same trichloroacetic acid solution with similar centrifugations. The final pellet was dissolved in 50 µl of the electrophoresis buffer, and the samples were run on 4-12% gradient (Bio-Rad) or on 6% Laemmli-type gels, thereafter electroblotted onto polyvinylidine difluoride membranes (Sarkadi et al., 1992). The blots were dried and subjected to autoradiography, and the identity of the [P]azido-ATP-labeled MDR1 band was assured by immunostaining with MDR1-specific antibody(4077) on the same blot (see Fig. 1C).


Figure 1: A, Immunoblot detection of human MDR1 expressed in Sf9 cells by baculovirus. Isolated membranes of baculovirus-infected Sf9 cells were subjected to electrophoresis and to immunoblotting with the anti-MDR1 polyclonal antibody 4077, as described under ``Materials and Methods.'' Peroxidase-dependent luminescence on the immunoblots was quantitated with liquid scintillation counting. The amounts of the expressed MDR1 protein are indicated on the bottom of the figure (V, Val; G, Gly; MK, Met; KM, Met; MM, Met and Met in MDR1). B, [alpha-P]8-azido-ATP labeling of wild-type and mutant P-glycoproteins. Isolated Sf9 cell membranes were incubated in the presence of 35 µM final concentration of 8-azido-ATP, containing [alpha-P]8-azido-ATP, and irradiated with an UV lamp. The membranes were then precipitated with trichloroacetic acid, washed, and dissolved in electrophoresis buffer, and run on 4-12% gradient or 6% gels. The proteins were electroblotted, the blots dried and subjected to autoradiography (see Materials and Methods``). C, [alpha-P]8-azido-ATP, and immunolabeling of the wild-type and the MM mutant P-glycoproteins. Samples were prepared as described for B. 8-Azido-ATP labeling was carried out either in the presence of 1 mM AMP (lanes 2 and 5), or 1 mM ATP (lanes 3 and 6). The identity of the P-azido-ATP-labeled MDR1 band was assured by immunostaining with MDR1-specific antibody(4077) on the same blot (lanes 1 and 4).




RESULTS

Expression and Photoaffinity Labeling

In the first set of experiments we compared the expression levels of the mutant MDR1 proteins in the baculovirus-infected Sf9 cells by quantitative immunoblotting. As shown in Fig. 1A, the expression of the various MDR1 constructs in the isolated Sf9 cell membranes yielded approximately the same amounts of immunoreactive proteins, while the beta-galactosidase-infected cells had no measurable amount of MDR1. The MDR1 expression levels varied from cell batch to batch within about 20%, and the mean values (in micrograms/mg of membrane protein) for each mutant used in the further experiments are given in Fig. 1. These values were obtained from the quantitation of the ECL luminescence of the peroxidase-labeled MDR1-specific bands on the immunoblots, and as a reference we used the previously estimated MDR1 expression level of 30 µg/mg membrane protein for the MDR1-Val construct (Sarkadi et al., 1992).

Fig. 1, B and C, demonstrate photoaffinity labeling of the isolated Sf9 cell membranes with 8-azido-ATP. The isolated membranes were labeled in the presence of 2 mM MgCl(2) and 35 µM [alpha-P]8-azido-ATP, membrane proteins separated by gel electrophoresis and blotted onto polyvinylidine difluoride membranes (see ``Materials and Methods''). The protein band corresponding to the [P]azido-ATP-labeled MDR1 was identified by immunostaining with MDR1-specific antibody on the same blot (see Fig. 1C).

As demonstrated in Fig. 1B, in contrast to the beta-galactosidase expressing cell membranes, an additional 8-azido-ATP-labeled band, corresponding to the antigenically identified MDR1 protein, was observed in the membranes expressing either the wild-type or any of the mutant MDR1 constructs. We found that 8-azido-ATP binding and photoaffinity labeling required the presence of Mg (1 mM EDTA eliminated labeling). At the 8-azido-ATP concentration applied in these experiments (35 µM), the photoaffinity labeling of the different MDR1 proteins were not significantly different (Fig. 1B). As shown in Fig. 1C, the addition of excess cold ATP (1 mM) abolished radioactive 8-azido-ATP labeling of the expressed MDR1 proteins, while 1 mM AMP was ineffective in this respect.

In the following experiments we have analyzed the effects of different 8-azido-ATP concentrations on the level of MDR1 labeling by this photoaffinity ATP analogue. After gel electrophoresis and immunoblotting of the labeled membranes, the MDR1 bands (identified and the amount of MDR1 quantitated by immunostaining) were excised, and P radioactivity was measured in a liquid scintillation counter. As shown in Fig. 2, in the case of the wild-type MDR1 and the MK and KM mutants, ATP binding had a relatively high-affinity component between 5 and 25 µM 8-azido-ATP concentrations, while such a component was not observable in the case of the MM mutant. As shown also above, there was no major difference in the level of P incorporation between the different mutant MDR1 proteins at higher azido-ATP concentrations.


Figure 2: 8-Azido-ATP labeling of wild type and mutant MDR1 in isolated membranes of Sf9 cells, effect of 8-azido-ATP concentration. Isolated Sf9 cell membranes were labeled with 8-azido-ATP as described in the legend to Fig. 1. After gel electrophoresis and immunoblotting of the labeled membranes the MDR1 bands (identified and the amount of MDR1 quantitated by immunostaining) were excised, and P radioactivity was measured in a liquid scintillation counter. The figure shows the mean values of two independent experiments.



ATPase Activity of Mutant MDR1 Proteins

In these experiments we studied the basal and the drug (verapamil)-stimulated ATPase activity of the isolated Sf9 cell membranes. As demonstrated in Fig. 3, in contrast to the beta-galactosidase-infected cell membranes, both the wild-type (Gly) and the MDR1-Val containing membranes showed a significant amount of vanadate-sensitive verapamil-stimulated ATPase activity. In this set of experiments the maximum ATPase activity in the presence of 20 µM verapamil, corrected on the basis of the mean MDR1 expression levels, was about 3 µmol/mg MDR1 protein/min for the Val, and about 2.5 µmol/mg MDR1 protein/min for the Gly enzyme. The ratio of the verapamil-stimulated and non-stimulated ATPase activity was somewhat greater in the case of the Gly (5.5) than in the Val (3.9) enzyme.


Figure 3: Vanadate-sensitive MDR1-ATPase activity in isolated membranes of Sf9 cells, stimulation by verapamil. ATPase activity of the isolated Sf9 cell membranes was estimated by measuring inorganic phosphate liberation, as described under ''Materials and Methods.`` The data points in the figures show the mean ± S.D. of three to five determinations for each preparation. The differences between the ATPase activities measured in the absence and presence of vanadate (100 µM), respectively, are plotted. Verapamil, when indicated (darker columns), was applied in a concentration of 20 µM. V, Val; G, Gly; MK, Met; KM, Met; MM, Met and Met in MDR1.



Fig. 3also presents the ATPase activity data for the isolated Sf9 cell membranes containing the NBD mutant MDR1 proteins. In these membranes containing amounts of MDR1 similar to that of the Gly or Val constructs (see Fig. 1A), we found that neither the basal nor the verapamil-stimulated ATPase activities were significantly greater than those in the beta-galactosidase-infected cell membranes. Since in different membrane preparations this background ATPase activity was somewhat variable (see error bars), this may mask a low level of MDR1-ATPase activity (e.g. 3-5% of the wild-type) in the NBD site mutants.

Fig. 4shows the MgATP dependence of the verapamil-stimulated vanadate-sensitive ATPase activities of beta-galactosidase-infected and various MDR1-expressing Sf9 cell membranes. Both the wild-type and the Gly-Val mutant MDR1 containing membranes show a verapamil-stimulated ATPase activity which reaches maximum levels at about 3 mM MgATP, with an apparent K(m) for ATP about 0.5-0.8 mM. MgATP concentrations above 10 mM slightly inhibit this drug-stimulated ATPase. In contrast, the beta-galactosidase expressing membranes, or the membranes containing either the KM, MK, or MM mutants of MDR1 (in Fig. 4we present only the MM construct), have no significant vanadate-sensitive verapamil-stimulated ATPase activity in the whole range of MgATP concentrations examined. Thus, although present in comparable amounts in the isolated membranes and showing 8-azido-ATP labeling, these ATP-binding site mutants have no detectable MDR1-related ATPase activity.


Figure 4: MgATP concentration dependence of vanadate-sensitive ATPase activity in isolated Sf9 cell membranes. ATPase activity of the isolated Sf9 cell membranes was estimated by measuring inorganic phosphate liberation as described under ''Materials and Methods.`` The data points in the figures show the mean ± S.D. of three determinations for each membrane preparation. The differences between the ATPase activities measured in the absence and presence of vanadate (100 µM), respectively, are plotted. MgATP concentrations were varied as shown on the abscissa. V, Val; G, Gly; MM, Met and Met in MDR1



As shown above, in the case of the Gly to Val mutant we could not see a significant difference in the maximum level of verapamil-stimulated ATPase activity or in its MgATP concentration dependence. However, according to the data in the literature (Choi et al., 1988; Kioka et al., 1989) these mutants have different drug specificities. Fig. 5presents the effects of increasing concentrations of several MDR1-interacting drugs on the vanadate-sensitive ATPase of the two different (Gly and Val) MDR1-expressing cell membranes. In this figure we present the vanadate-sensitive MDR1-dependent ATPase activity values corrected for the amount of the MDR1 protein in the isolated Sf9 membranes (see Fig. 1). As shown, the verapamil-stimulation curves for the two different MDR1 proteins are similar, although slight differences can be observed. The concentration required for 50% of maximal stimulation (AC) for verapamil is slightly higher in the case of the Gly (1.8 µM) than for the Val (1.2 µM) MDR1 construct, and the inhibition of this latter enzyme is more pronounced at higher verapamil concentrations. In fact, this latter difference may explain the somewhat higher apparent AC values calculated in the case of the Gly form. The vinblastine activation of the two different MDR1-ATPases are also similar: in both cases the maximum activity is obtained at about 2 µM vinblastine, with an apparent AC of about 0.5 µM.


Figure 5: Comparison of drug-stimulation of the vanadate-sensitive MDR1-ATPase activity in Gly (A) and Val (B) MDR1 expressing Sf9 cell membranes. ATPase activity of the isolated Sf9 cell membranes was estimated by measuring vanadate-sensitive inorganic phosphate liberation as described under ''Materials and Methods.`` MDR1-ATPase activity was calculated by using the quantitative immunoblot data as shown in Fig. 1A. The data points in the figure show the mean ± S.D. of three to six determinations for each membrane preparation. The respective drug concentrations were varied as shown on the abscissa.



In contrast to verapamil and vinblastine, the activation of the two MDR1 forms is distinctly different by colchicine and VP-16 (etoposide). These compounds activate the Val MDR1 at lower concentrations and to much higher maximum levels, than the wild-type MDR1. The AC value for colchicine in the Val membrane is 15 µM, the maximum stimulation is 65% of that by verapamil, while in the case of the Gly MDR1 the AC is over 100 µM and the level of maximum stimulation is less than 20% of that by verapamil. In the case of etoposide, in the Val MDR1 membranes the AC value is 12 µM, the maximum stimulation is again 65% of that by verapamil, while in the Gly MDR1 membrane the AC value is estimated to be about 60 µM, and the maximum stimulation level is less than 15% of that by verapamil. For etoposide, in the Gly MDR1 a pronounced inhibition of the MDR1 ATPase activity is seen at above 70 µM of the drug, while such an inhibition is found only above 100 µM etoposide in the Val mutant. We have also observed a difference for the activation of the MDR1-ATPase by vincristine: in this case the wild-type form is slightly more sensitive to the drug (the AC is about 1.5 µM for the Gly, and about 4 µM for the Val enzyme), although in this case the levels of maximum activations are about the same.


DISCUSSION

P-glycoprotein, the product of the human MDR1 gene, is responsible for an ATP-dependent extrusion of numerous cytotoxic drugs from a wide variety of cancer cells, thus a thorough knowledge concerning its molecular mechanism of action would be of utmost importance for a clinical intervention. In vitro expression systems combined with functional assays of the protein may greatly facilitate such studies and may allow a deeper understanding of the structure-function connections within the protein in its natural membrane environment.

A recombinant baculovirus-Sf9 insect cell expression system for producing large amounts of human multidrug transporter has been developed by Germann et al.(1990). The major advantages of this system are that the Sf9 cells perform most of the higher eukaryotic post-translational modifications, including glycosylation and phosphorylation, and seem to insert foreign proteins into the cell membrane in a correct transmembrane orientation (O'Reilly et al., 1992). Antibodies raised against different regions of MDR1 recognized the Sf9-expressed protein, and 8-azido-ATP and specific drug binding was also retained by the molecule (Germann et al., 1990; Sarkadi et al., 1992). The molecular mass of the Sf9-expressed MDR1 is slightly smaller than in most mammalian cells (about 130-140 kDa), representing an underglycosylated form of the protein. However, previous studies indicated that the variable levels of glycosylation in various tissues has no significant effect on the function of MDR1 (Greenberger et al., 1987), and Schinkel et al.(1993) demonstrated that Pgp mutants lacking the N-glycosylation sites produced a drug resistance pattern indistinguishable from that of fully glycosylated wild-type MDR1.

In the experiments presented above we have used the baculovirus-Sf9 cells expression system to produce wild-type and mutant forms of the human MDR1 protein. As shown in Fig. 1, all the expressed mutants showed electrophoretic mobilities comparable to that of the wild-type P-glycoprotein and were recognized by a polyclonal antibody specific for the NH(2)-terminal half of MDR1 (antibody 4077; see Tanaka et al.(1990)). A similar antibody recognition of all the expressed proteins could be seen by the commercially available C219 monoclonal antibody and by the polyclonal antibody 4007, recognizing the COOH-terminal half of MDR1 (Tanaka et al., 1990). Since our experiments showed a highly selective and quantitative recognition of Pgp by antibody 4077 in several cell types (Homolya et al., 1993), the quantitative assessment of the expression levels was carried out by using this antibody and the ECL measurements in scintillation counter (see ``Materials and Methods'').

In the studies reported here we used baculovirus-infected Sf9 membrane preparations with roughly similar MDR1 expression levels and provide for each mutant the measured specific protein values (Fig. 1A). In each case the respective MDR1 form was produced via baculoviruses containing the MDR1 cDNA in a pVL941 virus vector. It should be noted that MDR1 expression levels were variable when using different baculovirus vectors: e.g. MDR1 in pVL1393 had an expression level of less than one-third of that in the pVL941. Still, the molecular masses, the antibody recognition, and all the functional characteristics were similar in the MDR1 preparations prepared by different baculovirus vectors.

For the functional characterization of the mutant MDR1 forms we have studied 8-azido-ATP binding, as well as the drug-stimulated vanadate-sensitive ATPase activity related to the expressed protein. The photoaffinity analog, 8-azido-ATP has been successfully used to specifically label various ATP-binding proteins, including Pgp (Cornwell et al., 1987; Sarkadi et al., 1992; Al-Shawi et al., 1994). In the past few years several studies have demonstrated a high activity vanadate-sensitive, drug-stimulated ATPase, directly connected to the presence of MDR1 in isolated membranes (Sarkadi et al., 1992; Doige et al., 1992; Shimabuku et al., 1992; Al-Shawi and Senior, 1993; Loo and Clarke, 1994b), or in partially purified and reconstituted Pgp preparations (Ambudkar et al., 1992; Doige et al., 1993; Shapiro and Ling, 1994; Urbatsch et al., 1994; Sharom et al., 1993). The MDR1-ATPase has been reported to have a relatively low affinity for ATP, with K(m)(MgATP) values ranging between 0.5 and 0.8 mM (Sarkadi et al., 1992; Ambudkar et al., 1992; Urbatsch et al., 1994), in accordance with a strong effect of ATP depletion on drug extrusion in intact cells (Endicott and Ling, 1989; Gottesman and Pastan, 1993). All the available evidence strongly suggest that this MDR1-specific ATPase is closely coupled to the ATP-dependent transport function of this protein. In fact, 8-azido-ATP, until exposed to UV light, was shown to be an ATP-like substrate of MDR1, while covalently bound 8-azido-ATP abolished further ATP splitting by the transporter (Al-Shawi et al., 1994).

The combination of the ATP binding and hydrolysis assays is believed to provide valuable information about the interaction of genetically manipulated Pgp both with its energy-donor substrate and the transported species. In order to address these questions, the first set of mutants examined in this work was prepared to contain point mutation(s) in the predicted nucleotide binding domains.

Both of the predicted NBDs of P-glycoprotein contain the highly conserved A and B consensus motifs, which were originally described by Walker et al.(1982), from sequence comparisons of a large number of bacterial and eukaryotic ATP-binding proteins. The glycine-rich A motif (believed to form a loop between a beta bend and an alpha helix) plays a crucial role in ATP utilization, and the conserved lysine residue in the Walker A sequence is thought to interact directly with one of the phosphate groups of the ATP molecule. Mutational analysis of this A motif in ATP-binding proteins showing ATPase activity, such as the alpha and beta subunits of Escherichia coli F(1)-ATPase (Parsonage et al., 1988), and the yeast STE6 transporter (Berkower and Michaelis, 1991), indicated that substitution of the conserved lysine residue jeopardizes transport activity. The experiments of Azzaria et al.(1989) demonstrated that in mouse Pgp the replacement of these key lysines by arginines in either one of the NBDs eliminated the drug resistance, suggesting that both NBDs are required for the activity of the transporter, although in this mutant ATP binding was conserved. It is interesting to note that when the wild-type and the same double lysine-to-arginine mutant of the mouse MDR1 were expressed in E. coli, the wild-type MDR1-dependent drug efflux was retained by the mutant (Bibi et al., 1993).

Unpublished experiments of Morse et al.^2 showed, that when mouse cells were transfected with human MDR1 in which lysines 433 and/or 1076 were replaced by methionines, these mutant MDR1 proteins did not confer a multidrug-resistant phenotype. In the experiments described here we demonstrate that when the MDR1 mutants carrying the same lysine/methionine substitutions were expressed in Sf9 cells, each of these point mutations abolished the drug-stimulated ATPase activity, independent of the MgATP concentrations applied. At the same time, specific high affinity photoaffinity labeling of MDR1 by 8-azido-ATP (completely inhibitable by excess cold ATP) was only altered in the double lysine to methionine (MM) mutant, and even in this case the labeling of MDR1 was only slightly decreased at 8-azido-ATP concentrations above 25 µM. It is to be noted that Morse et al.^2 observed a significant change of 8-azido-ATP binding in the mutant MDR1 proteins when examined at low (2.5 µM) 8-azido-ATP concentrations.

The ATP concentrations producing half-maximal stimulation of the MDR1-ATPase activity (see Sarkadi et al.(1992) and Shapiro and Ling(1994), and Fig. 4of this paper), or of the MDR1-dependent drug transport (see Gottesman and Pastan (1993)) are in the range of 0.3-0.5 mM. Thus the functional role of the high-affinity ATP binding by MDR1, as seen in the azido-ATP binding experiments, as well as its alteration in the MM mutant, cannot be properly appreciated as yet. Still, our data indicate that drug-stimulated ATPase activity is absent if these highly conservative residues are altered in any of the two NBDs of MDR1, and while single NBD mutations have no major effect on ATP binding at low ATP concentrations, the double lysine to methionine mutation considerably alters this ATP binding.

In a previous study, aimed at investigating the role of various parts of the MDR1 protein in its function, the separately expressed NH(2)-terminal half of the human Pgp showed an ATPase activity comparable to that of the full-length protein, but did not confer drug resistance when expressed in mammalian cells (Shimabuku et al., 1992). The authors suggested that the NH(2)-terminal NBD contains all the residues required to hydrolyze ATP, without necessarily interacting with the COOH-terminal binding site. A key problem in the studies of Shimabuku et al.(1992) was the relatively low level of the ATPase activity in the isolated full-length or truncated MDR1 (about 150 nmol/mg MDR1 protein) and the lack of drug-stimulation in either case. Convincing data for the role of the two halves of MDR1 have recently been provided by Loo and Clarke (1994b). When the two halves of MDR1 were expressed in Sf9 cells separately, both proteins showed a low level of ATPase activity with no substrate stimulation, while their co-expression restored high-activity, drug-stimulated ATPase.

The data presented in this paper, in accordance with the experiments of Azzaria et al.(1989) and Loo and Clarke (1994b), strongly support the idea that the interaction of two functional NBDs are essential both for drug extrusion and drug-stimulated hydrolysis of ATP by MDR1. At the same time it is still unclear whether the concerted hydrolysis of two ATP molecules may be required to transport one molecule of drug.

Another key issue to be addressed in the structure-function studies is the site(s) of interaction of the multidrug resistance protein with its transported substrates. A single point mutation in human Pgp, a spontanous exchange of Gly to Val at position 185 (Choi et al., 1988), was reported to result in an increased relative resistance to colchicine and etoposide, while unchanged or slightly reduced resistance toward vinblastine and vincristine (Choi et al., 1988; Currier et al., 1992; Cardarelli et al., 1995). In this study we have reproduced the Gly to Val point mutation in the baculovirus-Sf9 expression system for MDR1. Our experiments showed no significant alteration in the maximum activity of the MDR1-ATPase or in its activation kinetics by verapamil and vinblastine, and this mutation did not modify the MgATP affinity or the 8-azido-ATP binding of the transporter either. However, the Gly to Val mutation significantly increased the stimulation of the MDR1-ATPase by colchicine and etoposide, while slightly decreasing its stimulation by vincristine. These shifts closely correspond to the effects of this mutation on the drug-resistance profile in intact tumor cells. Moreover, the data indicating that the Gly to Val exchange, while increasing colchicine extrusion and colchicine stimulation of the MDR1-ATPase activity, reduces the binding of this drug to the MDR1 protein (Safa et al., 1990), may suggest that in the molecular mechanism of drug extrusion, ATP splitting is required for the dissociation of the drug from the transporter protein. Altogether the data presented in this paper further support the usefulness of the MDR1-ATPase assay in isolated Sf9 membranes for a functional characterization of molecular alterations in the P-glycoprotein.

While the present paper was under revision, a publication by U. S. Rao (1995) reported the expression and partial characterization of the Gly to Val MDR1 mutants in Sf9 cells. The related findings of the two reports are mostly in accordance, although Rao (1995) obtained a higher maximum activity and a lower K(a) for the Val MDR1-ATPase than for the Gly protein when using verapamil. Since in the experiments of Rao(1995) the maximal MDR1-ATPase activity/mg of membrane protein was significantly smaller than in our studies, this difference may have been caused by the difficulties of MDR1 quantitation at lower protein levels, as well as by the use of different expression vectors and Sf9 cell lines.


FOOTNOTES

*
This work was supported in part by research grants from Országos Tudományos Kutatási Alap (195/1991, 244/1993, 6348/92 and 1359/90), Assistance of the Community in Cooperation in Research and Development (ACCORD), Országos Müszaki Fejlesztési Bizottság, Hungary, and from European COST'92 Cooperation in Science and Technology with Central and Eastern European Countries and PECO'93 Cooperation in Science and Technology with Central and Eastern European Countries. The first three authors contributed equally to this work. 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.

Present address: Vertex Pharmaceuticals, Cambridge, MA 02139.

**
To whom correspondence should be addressed: National Institute of Haematology, Blood Transfusion and Immunology, 1113 Budapest, Daróczi u. 24, Hungary. Tel./Fax: 36-1-185-2234.

§
Recipients of ``Pro Science'' fellowships from Magyar Hitelbank, Budapest.

(^1)
The abbreviations used are: Pgp, P-glycoprotein; MDR1, multidrug resistance protein; Sf9 cells, Spodoptera frugiperda ovarian cells; NBD, nucleotide-binding domain; ABC transporters, ATP-binding cassette transporters; ECL, enhanced chemiluminescence; nt, nucleotides.

(^2)
B. M. Morse, B. Schott, E. B. Mechetner, T. Tsuruo, and I. B. Roninson, submitted for publication.


ACKNOWLEDGEMENTS

We are grateful to Drs. G. Gárdos and M. Magócsi (National Institute of Haematology; Blood Transfusion and Immunology, Budapest) and R. C. Boucher (University of North Carolina, Chapel Hill) for their valuable advice. The technical help by Györgyi Demeter, Anna Thaly, and Ilona Zombori is gratefully acknowledged.


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