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EXPERIMENTAL STUDY |
Department of Gynecology and Obstetrics, Georg-August-University, Robert-Koch-Street 40, D-37075 Göttingen, Germany, 1 Department of Nuclear Medicine, Philipps-University, Marburg, Germany and 2 Department of Veterinary Medicine and Primate Husbandry, German Primate Center, Göttingen, Germany
(Correspondence should be addressed to C Gründker; Email: grundker{at}med.uni-goettingen.de)
| Abstract |
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| Introduction |
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GnRH type II (GnRH-II) has antiproliferative effects on these tumour cells which are significantly greater than those of the superactive GnRH-I agonist Triptorelin (6). In the ovarian cancer cell line SK-OV-3, which does not express GnRH-I receptors (7), the GnRH-I agonist Triptorelin had no effects on cell proliferation (7), whereas the GnRH-I antagonist Cetrorelix and GnRH-II had strong antiproliferative effects. We have recently shown that in cell lines affected by both the GnRH-I agonist Triptorelin and the GnRH-I antagonist Cetrorelix, the effects of the former were abrogated after GnRH-I receptor knockout, whereas those of Cetrorelix and of GnRH-II persisted (8). These findings suggested that the antiproliferative effects of the GnRH-I antagonist Cetrorelix and of GnRH-II are not mediated through the GnRH-I receptor. Our data are in agreement with a report from Enomoto et al. (9) demonstrating that the human GnRH-II receptor is functional, and that its splice variant determines the direction of the cellular response to GnRH stimulation. Choi et al. (10) have reported that the ligand (GnRH-II) is expressed in normal neoplastic ovarian surface epithelial cells and in cancers derived from these cells. In addition, they showed that, in immortalized ovarian surface epithelial cells, GnRH-II had antiproliferative effects (10). It might be speculated that, in addition to the autocrine GnRH-I system, an additional autocrine system based on GnRH-II exists in human cancers.
Several groups have tried to find a functional human GnRH-II receptor transcript (1114). Until now, attempts to clone and sequence a full-length human GnRH-II receptor have not been successful (15). Morgan et al. (16) found that the human GnRH-II receptor is expressed as a variety of splice variants and a functional human GnRH-II receptor transcript was not found. The GnRH-II receptor-like mRNA detected in our previous studies (6, 8) is suspected to be non-functional because of the stop codon in the sequence (15). Nevertheless, the data of the knockout experiments suggested that in human endometrial and ovarian cancer cells, in addition to the GnRH-I receptor, an additional functional receptor may be present, mediating the antiproliferative effects of the GnRH-I antagonist Cetrorelix and GnRH-II (8).
In this study we have assessed whether or not a GnRH-II receptor protein exists in human reproductive organs. For this purpose we have generated a polyclonal antiserum to the putative human GnRH-II receptor as described by Millar et al. (11). To identify the GnRH-II receptor-like antigen we used the photo-affinity labelling technique.
| Materials and methods |
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The human endometrial cancer cell lines Ishikawa and HEC-1A and the ovarian cancer cell lines EFO-21, EFO-27 and SK-OV-3 were obtained from American Type Culture Collection (Manassas, VA, USA) or the sources detailed previously (2, 3). The cells were cultured at 37 °C in a humidified atmosphere of 5% CO2 in air as previously described (24).
GnRH analogues
The GnRH-I antagonist Cetrorelix (SB-75; [Ac-DNal(2)1,D-Phe(4Cl)2,D-Pal(3)3,D-Cit6,D-Ala10]-GnRH-I) was kindly provided by Zentaris (Frankfurt, Germany) and the GnRH-I agonist [D-Trp6]-GnRH-I (Triptorelin; pGlu-His-Trp-Ser-Tyr-D-Trp-Leu-Arg-Pro-Gly-NH2) was kindly provided by Ferring Pharmaceuticals (Copenhagen, Denmark). The GnRH-II agonist [D-Lys6]-GnRH-II (pGlu-His-Trp-Ser-His-D-Lys-Trp-Tyr-Pro-Gly-NH2) was synthesized by Peptide Speciality Laboratories (Heidelberg, Germany). The azidobenzoyl derivate of [D-Lys6]-GnRH-II was prepared by the method of Hazum (17). [D-Lys6-N
-azidobenzoyl]-GnRH-II was labelled with 125I using the lactoperoxidase method of Clayton et al. (18) and purified by HPLC.
Tissues
Ovaries from marmoset monkeys (Callithrix jacchus) were collected from normal healthy animals during ovariectomy.
To localize GnRH-II receptor-like antigenicity in sections of human placenta (gestational age: week 25) and of malignant tumours of human reproductive organs we used human tissue arrays (SuperBioChips Laboratories, Yongdu-Dong, Korea) containing paraffin-embedded human normal and malignant tissues.
Written, informed consent for the use of human tissues was given.
Membrane preparations
Cells were collected by centrifugation at 200 g and washed twice with phosphate-buffered saline (PBS)/bovine serum albumin (BSA). After counting the aliquots, cells were suspended and homogenized using an all-glass Potter homogenizer (Braun, Melsungen, Germany) in 10 mmol/l TrisHCl buffer, pH 7.6, containing 2 g BSA/l, 2 g NaN3/l and 1 mmol/l dithiothreitol (DTT) (Merck & Co., Darmstadt, Germany). After removing nuclei and debris by centrifugation at 200 g, plasma membranes were collected at 70 000 g. Aliquots of the membrane preparations, equivalent to 300 000400 000 cells, were resuspended in lysis buffer (1 mmol/l EGTA, 1 mmol/l DTT and 10 mmol/l TrisHCl, pH 7.4).
Anti-human GnRH-II receptor antiserum
Two rabbits were immunized with 2 mg of a peptide (YSPTMLTEVPPC) corresponding to the third extracellular domain coupled to keyhole limpet haemocyanin via the Cys residue in complete Freunds adjuvant followed by three individual boosters at 3-week intervals in incomplete Freunds adjuvant. Blood was collected by heart puncture (Peptide Speciality Laboratories).
Between the boosters and especially before the bleeding a small amount of blood was tested against ovalbumin-conjugated peptide to determine the titre of the corresponding serum.
The antiserum was pre-absorbed using LTEVPP and PSMATEAPPC to avoid possible cross-reactions.
Immune histology
Ovaries from marmoset monkeys were fixed using 4% paraformaldehyde in PBS at 4 °C overnight, dehydrated and embedded in paraffin. Sections of 4 µm thickness were then prepared and put on silane-coated slides. These slides or the tissue array slides were deparaffinized and rehydrated. Antigens were retrieved by incubation with 0.01 M citrate buffer (pH 6.0) in a microwave (700 W) for 5 min. Endogenous peroxidase activity was quenched by treatment with 3% hydrogen peroxide solution for 6 min. After washing in PBS, the slides were treated with polyclonal rabbit anti-human GnRH-II receptor antiserum in a 1:10 000 dilution in 1% BSA in 10 mm Tris, pH 8.0, 500 mm NaCl and 0.1% Tween 20 (TBST) for 1 h and, after being washed, were detected with the ready-to-use secondary antibody horseradish peroxidase-conjugated anti-rabbit IgG detection system according to the instructions of the supplier (Zymed Laboratories, San Francisco, CA, USA). Controls were perfomed by substitution of the primary antiserum with pre-immune serum of the same rabbit.
Counterstaining was performed using Meyers haematoxylin for 10 s. The slides were then dehydrated, cleared, mounted with Permount and studied by light microscopy.
The experiments using tissue array slides were repeated three times and the experiments using ovaries from marmoset monkeys were repeated four times using four different ovaries obtained from two different animals.
Western blotting
Cell membranes were electrophoresed on SDS-PAGE (7.5%) under reducing conditions and transferred to nitrocellulose. The nitrocellulose membranes were blocked in 3% BSA (Sigma) in TBST for 2 h, incubated with polyclonal rabbit anti-human GnRH-II receptor antiserum in a 1:500 dilution in 1% BSA in TBST for 1 h and then, after washing, incubated with horse-radish peroxidase-conjugated anti-rabbit IgG (Amersham Pharmacia Biotech, Amersham, Bucks, UK) in a 1:10 000 dilution in 1% BSA in TBST for 1 h. After washing, specifically bound antibody was detected using the enhanced chemiluminescence kit (Amersham Pharmacia Biotech).
The data were obtained from three independent experiments run in duplicate in three different passages of each cell line. The experiments using ovaries from marmoset monkeys were repeated four times using four different ovaries obtained from two different animals.
Photo-affinity labelling
Tumour cells were incubated in 1 ml binding buffer (25 mM TrisHCl, pH 7.4, 5 mM MgCl2, 100 mM NaCl, 1% BSA and 0.01% bacitracin) containing 0.01% soybean trypsin inhibitor and the photoreactive radioligand 125I-labelled [D-Lys6-N
-azidobenzoyl]-GnRH-II (109 M), in the presence or absence of unlabelled [D-Lys6]-GnRH-II (107 M), unlabelled Cetrorelix (107 M) or unlabelled Triptorelin (107 M). After 1 h at room temperature, cells were washed with 20 ml ice-cold washing buffer (25 mM TrisHCl, pH 7.4, 5 mM MgCl2 and 100 mM NaCl) and irradiated at 0 °C for 10 min at 25 cm distance with a 254 nm 6 W lamp. Cells were then gently scraped and centrifuged at 200 g for 10 min at 4 °C. The pellet was solubilized in a buffer containing 100 mM Na2HPO4, pH 8.5, 25 mM EDTA, 0.1 mg/ml soybean trypsin inhibitor and 1% (v/v) Nonidet P-40. The solubilized photolabelled receptors were diluted with an equal volume of 2 x loading buffer (120 mM TrisHCl, pH 6.8, 20% (v/v) glycerol, 4% (w/v) SDS, 200 mM DTT and 0.05% (w/v) bromophenol blue) and boiled for 5 min. SDS-PAGE was performed as described by Laemmli (19) using 1.5 mm 10% gels. The gels were dried and exposed to an X-ray film with an intensifying screen.
The data were obtained from three independent experiments run in duplicate in three different passages of each cell line.
| Results |
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A specific antiserum to the third extracellular domain of the type II GnRH receptor demonstrated specific expression of the receptor in immune histological sections of ovaries obtained from marmoset monkeys (Fig. 1A
). The most intensive staining was shown in the surface epithelium of the ovary (Fig. 1A
). Controls performed by substitution of the primary antiserum with pre-immune serum of the same rabbit showed no staining (Fig. 1B
). Western blot analysis of cell membrane preparations of ovaries obtained from marmoset monkeys yielded a band at approximately 54 kDa (Fig. 1C
). To avoid possible cross-reactions with the similar amino acid sequences LTEVPP and PSMATEAPPC the antiserum was pre-absorbed using these peptides. Thereafter most unspecific bands were eliminated. After precipitation of the antiserum with the peptide (YSPTMLTEVPPC) used for immunization of the rabbits, no specific staining could be observed any more indicating the specificity of the antiserum (not shown).
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Immune histological sections of human placenta (Fig. 2A
) and human endometrial (Fig. 2B
), ovarian (Fig. 2C
) and prostate (Fig. 2D
) cancers using the above-mentioned antiserum showed GnRH-II receptor-like staining. Controls performed by substitution of the primary antiserum with pre-immune serum of the same rabbit showed no staining (not shown). All cells of the placental chorionic epithelium showed GnRH-II receptor-like antigenicity (Fig. 2A
). Note the strong staining on the luminal surface of the cells (Fig. 2A
, arrows). Figure 2B
shows an endometrial adenocarcinoma. All epithelial cells showed GnRH-II receptor-like antigenicity. However, some cells were much more positive for GnRH-II receptor-like staining than others (Fig. 2B
, arrows). Figure 2C
shows a mucinous cystadenocarcinoma of the ovary. All epithelial cells were positive for the GnRH-II receptor-like antigen. The stroma showed only a very slight background staining. Figure 2D
shows a prostate adenocarcinoma. All epithelial cells but not the stroma cells showed strong GnRH-II receptor-like antigenicity. Some cells were much more positive for GnRH-II receptor-like staining than others (Fig. 2D
, arrows)
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To identify the GnRH-II receptor-like antigen we used the photo-affinity labelling technique. Photochemical reaction of 125I-labelled (4-azidobenzoyl)-N-hydroxysuccinimide-[D-Lys6]-GnRH-II with cell membrane preparations of human ovarian cancer cell lines EFO-21 and SK-OV-3 yielded a band at approximately 43 kDa (Fig. 4A
). The human ovarian cancer cell line EFO-27 showed only an extremely weak signal (Fig. 4A
). Western blot analysis of the same gel using rabbit anti-human GnRH-II receptor antiserum identified this band as GnRH-II receptor-like antigen (Fig. 4B
). Experiments using the human endometrial cancer cell lines Ishikawa and Hec-1A gave results comparable with those shown for the EFO-21 and SK- OV-3 human ovarian cancer cell lines (not shown). Experiments using human placenta gave results comparable with those shown for the EFO-27 cell line (not shown).
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| Discussion |
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Several groups have tried to find a functional human GnRH-II receptor transcript (1114). Until now, attempts to clone and sequence the full-length human GnRH-II receptor have not been successful (14). However, our previously demonstrated data (8) suggest that in human endometrial and ovarian cancer cells, in addition to the GnRH-I receptor, another functional receptor may be present mediating the antiproliferative effects of the GnRH-I antagonist Cetrorelix and of GnRH-II agonist [D-Lys6]-GnRH-II. These results are in accord with a report from Enomoto et al. (9).
In this study we were able to show the first clear evidence for the existence of a GnRH-II receptor-like protein in human placenta and in cancers of the human reproductive organs. For this purpose, we have generated a polyclonal antiserum to the putative human GnRH-II receptor using a peptide (YSPTMLTEVPPC) corresponding to the third extracellular domain coupled to keyhole limpet haemocyanin via the Cys residue as described by Millar et al. (11). Although the 12 amino acid sequence is unique in the putative GnRH-II receptor, six of the amino acids of this sequence, LTEVPP, are expressed in RLIM transcription factor, a RING H2 zinc finger protein. Thus the immune histological data of Millar et al. (11) have been interpreted as a possible non-specific finding (20). The GnRH-II receptor antiserum could be reacting with this six amino acid sequence. A second similar peptide sequence, PSMATEAPPC, is expressed in the human membrane protein protease inhibitor 16 and cross-reaction with this epitope would affect the interpretation of our results. Since the antiserum was pre-absorbed using LTEVPP and PSMATEAPPC possible cross-reactions should have been eliminated.
The antiserum to the GnRH-II receptor was tested on sections of ovaries obtained from marmoset monkeys and on Western blots of cell membrane preparations of ovaries obtained from marmoset monkeys. The Western blot analysis yielded a band at approximately 54 kDa. After precipitation of the antiserum with the antigen used for immunization of the rabbits, no staining could be observed any more. This indicated that the antiserum is specific to the GnRH-II receptor. The molecular weight of the non-glycosylated form of the marmoset monkey GnRH-II receptor is approximately 42 kDa (21). The shift to approximately 54 kDa might represent the addition of carbohydrate.
Immune histological sections of human placenta and human endometrial, ovarian and prostate cancers using the above-characterized rabbit anti-human GnRH-II receptor antiserum showed GnRH-II receptor-like staining, indicating the existence of a GnRH-II receptor-like protein in these human tissues. Western blot analysis of cell membrane preparations of human endometrial and ovarian cancer cell lines yielded a band at approximately 43 kDa. It is possible that this 43 kDa band represents a shorter variant of the GnRH-II receptor with five transmembrane domains (5TM domain human GnRH-II receptor) at a comparable glycosylation status as the marmoset monkey GnRH-II receptor. As demonstrated by Neill et al. (22), all considerations lead to the conclusion that if a functional GnRH-II receptor is expressed in human tissues it may be a 5TM domain receptor lacking TM regions I and II. A precedent for this hypothesis is the report of a functional 5TM receptor lacking these TM regions (23). The complexities and potential roles of the disrupted human GnRH-II receptor gene homologue have been extensively debated and discussed (for review see 22). Neill et al. (22) also discussed emerging evidence for the existence of a functional GnRH-II receptor in the human and suggest the possibility that protein fragments derived from the disrupted human GnRH-II gene homologue may associate with one another or with the human GnRH-I receptor to produce a functional GnRH-II responsive receptor. However, it is also possible that the 43 kDa band represents the full-length GnRH-II receptor at a different glycosylation status. Since 40-fold higher protein quantities of the human cancer cell lines were needed to detect similar immune reactivity, like the marmoset monkey GnRH-II receptor, the human tumour GnRH-II receptor-like protein seems to be much less expressed than in the ovaries of marmoset monkeys.
To identify the human GnRH-II receptor-like antigen as a GnRH-II-binding site we used the photo-affinity labelling technique. The photochemical reaction of 125I-labelled (4-azidobenzoyl)-N-hydroxysuccinimide-[D-Lys6]-GnRH-II with cell membrane preparations of human endometrial and ovarian cancer cells yielded a band at approximately 43 kDa. Using the anti-GnRH-II receptor antiserum this band could be identified as a GnRH-II receptor-like antigen.
Since the human ovarian cancer cell line EFO-27 is not affected by GnRH-II we expected this cell line to be GnRH-II receptor negative. However, we detected weak GnRH-II receptor antigenicity. It is possible that the GnRH-II receptor density is too low to detect cellular effects in this cell line. Another possibility is that the GnRH-II receptor-like protein in this cell line is not located within the cell membrane and therefore ligand binding and signalling is not possible. This explanation is supported by the fact that the EFO-27 cell line showed only an extremely weak binding of 125I-labelled (4-azidobenzoyl)-N-hydroxysuccinimide-[D-Lys6]-GnRH-II using the photo-affinity labelling technique. The same situation was found for human placenta. We detected GnRH-II receptor antigenicity in human placenta, but extremely weak binding of 125I-labelled (4-azidobenzoyl)-N-hydroxysuccinimide-[D-Lys6]-GnRH-II using the photo-affinity labelling technique. A similar situation was found for the GnRH-I receptor in the human endometrial cancer cell line MFE-296 (7). Another explanation could be that the GnRH-II-binding site needs another receptor to produce a functional GnRH-II responsive receptor and this receptor is not present in the EFO-27 cell line.
In competition experiments, a 100-fold excess of the GnRH-I agonist Triptorelin showed a weak decrease of 125I-labelled (4-azidobenzoyl)-N-hydroxysuccinimide-[D-Lys6]-GnRH-II (109 M) binding to its binding site. A 100-fold excess of the GnRH-I antagonist Cetrorelix showed a clearly stronger decrease, whereas GnRH-II agonist [D-Lys6]-GnRH-II (107 M) was the most potent competitor. These data indicated that the GnRH-II receptor-like antigen could be the specific binding site for GnRH-II. However, these data were from cancer cell lines. Since such cancer cell lines are not like human tissues, it is possible that these cancer cell lines could induce a modified GnRH-II receptor with a molecular weight of 43 kDa. Unfortunately, it was not possible for us to detect GnRH-II-binding sites in placental membrane. In earlier studies we showed that two types of GnRH-binding sites exist in endometrial and ovarian cancer cells, one of low affinity and high capacity, the other of high affinity and low capacity (13). The latter is comparable with the pituitary GnRH-I receptor. The low affinity binding site for the GnRH-I agonist Triptorelin may be the specific GnRH-II-binding site.
In earlier studies we have demonstrated that a functional GnRH-II receptor may exist in human cancers (6, 7). GnRH-II has antiproliferative effects on these tumour cells which are significantly greater than those of the superactive GnRH-I agonist Triptorelin (6). The effects of the GnRH-I agonist Triptorelin were abrogated after GnRH-I receptor knockout, whereas those of GnRH-II persisted (8), suggesting that the antiproliferative effects of GnRH-II are not mediated through the GnRH-I receptor. Enomoto et al. (9) found that the splice variants of the human GnRH-II receptor determine the direction of the cellular response to GnRH stimulation. Choi et al. (10) demonstrated the expression of the ligand (GnRH-II) in normal neoplastic ovarian surface epithelial cells and in cancers derived from these cells, suggesting the existence of an autocrine system based on GnRH-II in human cancers. Siler-Khodr & Grayson (24) have reported that in the human placenta the biopotency of GnRH-II on placental hormonogenesis was more than 25-fold higher than that of GnRH-I. In addition, they found that GnRH-II is active in a number of other normal extra-hypothalamic tissues, which is consistent with the widespread expression of the GnRH-II receptor (24, 25). These findings indicated that, in addition to the cancers, a GnRH-II system may exist in normal human tissues.
Several groups have tried to find a functional human GnRH-II receptor transcript (1114). Van Biljon et al. (26) have recently cloned a GnRH-II receptor transcript from human sperm. This, although containing all the exons required for a full-length receptor protein, contains a stop codon and a frame shift. Although this would suggest that the gene is a transcribed pseudogene, there are several lines of evidence for a functional role of GnRH-II receptor in human sperm and testis (26). Thus, if the gene is not a pseudogene, the transcript could possibly be translated as a truncated, immunoreactive protein or edited to result in translation of a full-length protein, possibly containing selenocysteine. However, given that RNA editing and/or incorporation of selenocysteine are rare events, the latter possibility seems unlikely.
Further investigations are therefore required to identify the receptor that mediates the activities of GnRH-II and to elucidate the entire mechanism of these effects. In addition, it is necessary to generate protein sequence data. Nevertheless, our above-mentioned data suggest that a GnRH-II receptor-like protein exists in human placenta and in cancers of human reproductive organs.
| Acknowledgements |
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| References |
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