CELLULAR UPTAKE OF DNA NANOPARTICLES AND
REGULATION OF CELL SURFACE NUCLEOLIN
by
XUGUANG CHEN
Submitted in partial fulfillment of the requirements
For the degree of Doctor of Philosophy
Dissertation adviser: Dr. Pamela B. Davis, M.D., Ph.D.
Department of Biochemistry
CASE WESTERN RESERVE UNIVERSITY
August, 2009 CASE WESTERN RESERVE UNIVERSITY
SCHOOL OF GRADUATE STUDIES
We hereby approve the thesis/dissertation of
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Copyright © 2009 by Xuguang Chen All rights reserved TABLE OF CONTENTS
Chapter 1. Introduction……………………………………………………………….....I
Chapter 2. Cell surface nucleolin serves as receptor for DNA nanoparticles
composed of PEGylated polylysine and DNA……………………………………..II
Chapter 3. Regulation of cell surface expression of nucleolin by cell cycle dependent
kinase Cdk1…………………………………………………………………………III
Chapter 4. Gene delivery by DNA nanoparticles via lipid-raft mediated, dynamin-
independent endocytosis…………………………………………………………...IV
Chapter 5. Discussion and future directions……………………………………….....VI
Bibliography………………………………………………………………………….....VI
List of Tables……………………………………………………………………………VI
List of Figures………………………………………………………………………….VII
Abstract………………………………………………………………………………...XII
Chapter 1. Introduction…………………………………………………………………1
Cystic fibrosis and CFTR……………………………………………………………..1
CFTR function and its regulation……………………………………………………..2
CFTR mutations and therapeutic strategies to correct CFTR defect………………….4
CF gene therapy and viral vectors………………….………………….……………...6
Nonviral gene therapy for CF………………….………………….…………………..9
Composition and stability of compacted DNA nanoparticles………………………..11
In vivo expression and immunogenicity of DNA nanoparticles……………………..13
Intracelluar trafficking of DNA nanoparticles………………….……………………17
i Nucleolin and its structure………………….………………….…………………….18
Phosphorylation and intracellular localization of nucleolin…………………………20
Intracellular function of nucleolin………………….………………….…………….22
Functions of cell surface nucleolin………………….………………….……………24
Association of nucleolin with cytoskeleton………………….………………………31
Cell cycle and cyclin dependent kinase (Cdk)….……………….…………………...33
Endocytosis and its regulation………………….………………….………………...34
Lipid raft and clathrin-independent endocytosis………………….………………….37
Means to study different forms of endocytosis………………….…………………...40
Summary………………….………………….………………….…………………...41
Chapter 2. Cell surface nucleolin serves as receptor for DNA nanoparticles
composed of PEGylated polylysine and DNA………………….…………………43
Summary………………….………………….………………….………………….…...44
Introduction………………….………………….………………….…………………...45
Results………………….………………….………………….…………………………48
DNA nanoparticles localize to nucleolus after internalization………………………48
Nucleolin binds to DNA nanoparticles directly………………….…………………..49
Binding of nucleolin to unPEGylated and TFA nanoparticles………………………53
Binding of nucleolin to CK30 peptides………………….……………………………53
Nucleolin exists at the cell surface………………….………………….……………55
Uptake of DNA nanoparticles by HeLa and 16HBEo- cells………………………...57
Manipulating surface nucleolin affects expression from DNA nanoparticles………61
ii Purified nucleolin inhibits internalization of DNA nanoparticles…………………...64
Discussion………………….………………….………………….……………………..65
Materials and Methods………………….………………….…………………………..69
Reagents………………….………………….………………….……………………69
siRNA and Real-Time PCR………………….………………….…………………...69
Cell Cultures………………….………………….………………….……………….70
Purification of nucleolin………………….………………….………………………70
Surface Plasmon Resonance (SPR) ………………….………………….…………..70
Cell surface biotinylation and Western blot………………….………………………71
Fluorescence microscopy………………….………………….……………………...72
Labeling of DNA nanoparticles with rhodamine………………….…………………72
Luciferase reporter assay………………….………………….……………………...73
Calculation of surface areas of DNA nanoparticles and nucleolin…………………..73
Chapter 3. Regulation of cell surface expression of nucleolin by cell cycle dependent
kinase Cdk1………………….………………….………………….……………….75
Summary………………….………………….………………….………………………76
Introduction………………….………………….………………….…………………...77
Results………………….………………….………………….………………….……...80
The N-terminus of nucleolin is required for its expression on the cell surface……...80
Intracellular localization of truncated nucleolin constructs………………………….82
Surface nucleolin is upregulated at the G2/M phase transition……………………...85
iii RO-3306 inhibits cell surface expression and threonine phoshphorylation of
nucleolin………………….………………….……………………………………….89
Threonine to glutamate mutations of Cdk sites increase surface expression of
nucleolin………………….………………….………………….……………………92
CK2 phosphorylation has little impact on the cell surface expression of nucleolin…94
Effect of extracellular pH, EDTA and K+ on the association of nucleolin to the cell
membrane….……………….……………….……………….……………….………96
Discussion….……………….……………….……………….……………….………..100
Materials and Methods….……………….……………….……………….…………..104
Reagents….……………….……………….……………….……………………….104
Cell culture and transfection….……………….……………….……………….…..104
Construction of truncated nucleolin-GFP fusion proteins….………………………105
Site-directed mutagenesis of nucleolin….……………….…………………………106
Detection of cell surface proteins by biotinylation….……………….……………..107
Fluorescent microscopy….……………….……………….……………….……….107
Cell cycle synchronization by double thymidine block….……………….………...107
Subcellular fractionation of HeLa cells….……………….……………….………..108
Immunoprecipitation of endogenous and GFP-tagged nucleolin….……………….108
Transfection of DNA nanoparticles….……………….……………….……………109
Release of cell surface nucleolin….……………….……………….……………….109
Chapter 4. Gene delivery by DNA nanoparticles via lipid-raft mediated, dynamin-
independent endocytosis….……………….……………….……………………...110
iv Summary….……………….……………….……………….……………….…………111
Introduction….……………….……………….……………….………………………112
Results….……………….……………….……………….……………….……………116
Transfection of DNA nanoparticles is saturable….……………….………………..116
DNA nanoparticles enter polarized 16HBEo- cells from the apical surface….……117
Cell surface nucleolin is found only on the apical surface of 16HBEo- cells….…..118
Transfection of DNA nanoparticles depends on the integrity of lipid rafts….……..119
Surface nucleolin appears in clusters on the plasma membrane….………………...121
Nucleolin exists in lipid rafts….……………….……………….…………………..122
DNA nanoparticles are also found in lipid raft fractions….……………….……….126
Transfection of DNA nanoparticles does not require dynamin….…………………129
Transfection of DNA nanoparticles depends on microtubules but not actin
filaments….……………….……………….……………….……………….………130
Discussion….……………….……………….……………….……………….………..132
Materials and Methods….……………….……………….……………….………….136
Reagents and plasmids….……………….……………….……………….………..136
Cell culture….……………….……………….……………….……………………136
Transfection of DNA nanoparticles and reporter luciferase assay….……………...136
Fitting of the suturation curve of nanoparticle transfection….……………………..137
Cell surface biotinylation….……………….……………….……………….……...137
Immunoprecipitation and Western blot….……………….………………………...138
Immunocytochemistry and electron microscopy….……………….……………….138
Fluorescence microscopy….……………….……………….……………….……...139
v Isolation of lipid rafts by sucrose density gradient….……………….……………..140
Amplification and visualization of plasmid DNA from gradient fractions….……..140
Chapter 5. Discussion and future directions….……………….…………………….142
Non-viral gene therapy for CF….……………….……………….…………………142
Application of DNA nanoparticles in CF….……………….………………………145
Interaction of DNA nanoparticles and nucleolin….……………….……………….147
Dissecting the interaction of nanoparticles with nucleolin using SPR……...……...149
Diverse use of SPR technology….……………….……………….………………...152
Detecting cell surface nucleolin in vivo….……………….……………….………..156
Targeting cell surface nucleolin using DNA nanoparticles….……………………..159
Endocytic pathway(s) employed by DNA nanoparticles….……………….……….162
Fluorescent labeling of DNA nanoparticles for real-time tracking….……………..164
Molecular partners of nucleolin and DNA nanoparticles….……………….………169
Phosphorylation and regulation of cell surface nucleolin….……………………….174
Summary….……………….……………….……………….……………….……...176
Bibliography….……………….……………….……………….……………….……..178
List of Tables
Chapter 1. Introduction
1.1 Extracellular ligands for cell surface nucleolin….……………….……………...30
1.2 Examples of different endocytic pathways and their inhibitors….………………42
vi Chapter 3. Regulation of cell surface expression of nucleolin by cell cycle dependent
kinase Cdk1
3.1 DNA oligos for generating truncated nucleolins….……………….…………...105
3.2 DNA oligos for mutating Cdk sites to glutamate (E)…..………………………106
3.3 DNA oligos for mutating Cdk sites to alanine (A)…..…………………………106
3.4 DNA oligos for mutating CK2 sites to alanine….……………….……………..107
List of Figures
Chapter 1. Introduction
1.1 Hypothesized structure of CFTR….……………….……………….……………..2
1.2 Cellular barriers for in vivo gene transfer….……………….……………………..9
1.3 Transmission electron micrographs of compacted DNA nanoparticles in saline..12
1.4 Gene expression following in vivo gene transfer by DNA nanoparticles in mice.14
1.5 Intracellular trafficking of DNA nanoparticles in well differentiated airway
epithelial cells….……………….……………….……………….…………………..18
1.6 Primary structure of nucleolin from different species….……………….……….19
1.7 Antibodies against nucleolin and purified nucleolin protein inhibit infection of
human parainfluenza virus type 3….……………….……………….……………….26
1.8 Pathways of entry into cells….……..………….……………….………………..35
Chapter 2. Cell surface nucleolin serves as receptor for DNA nanoparticles
composed of PEGylated polylysine and DNA
2.1 Intracellular trafficking of DNA nanoparticles in primary human airway epithelial
cells….……………….……………….……………….……………….…………….48
vii 2.2 DNA nanoparticles do not colocalize with endosomal-lysosomal markers….….49
2.3 Direct binding of nucleolin to DNA nanoparticles assayed by SPR….…………50
2.4 Direct binding of nucleolin to DNA nanoparticles in reversed SPR….…………51
2.5 Nucleolin binds to unPEGylated and TFA nanoparticles with different kinetics..53
2.6 Nucleolin binds to CK30 and CK30PEG peptides at much lower affinities….…...54
2.7 Nucleolin is expressed at the cell surface in HeLa and 16HBEo- cells….………56
2.8 Uptake of rhodamine labeled DNA nanoparticles by HeLa and 16HBEo- cells...57
2.9 Uptake of rhodamine labeled DNA nanoparticles in HeLa cells requires energy
but not via clathrin-mediated endocytosis….……………….……………………….59
2.10 DNA nanoparticles follow the same route into HeLa cells as MS-3 antibody
against nucleolin….……………….……………….……………….………………..60
2.11 Serum starvation reduces cell surface nucleolin and transfection by DNA
nanoparticles….……………….……………….……………….……………….…...61
2.12 Knockdown of nucleolin by siRNA inhibits transfection of DNA
nanoparticles….……………….……………….……………….……………….…...62
2.13 Overexpression of nucleolin on the cell surface enhances gene transfer by DNA
nanoparticles….……………….……………….……………….……………………63
2.14 Purified nucleolin inhibits transfection by DNA nanoparticles….……………..64
Chapter 3. Regulation of cell surface expression of nucleolin by cell cycle dependent
kinase Cdk1
3.1 The primary structure and expression of truncated nucleolins….……………….80
3.2 Cell surface expression of the truncated nucleolin constructs….………………..81
3.3 Intracellular localization of truncated nucleolin-GFP fusion proteins….………..82
viii 3.4 Intracellular localization of full-length (FL) nucleolin and NCLD 6 – 8….…….84
3.5 Fluctuation of cell surface nucleolin by surface biotinylation….………………..86
3.6 Fluctuation of cell surface nucleolin by subcellular fractionation….……………88
3.7 Inhibition of Cdk1 by RO-3306 prevents the increase of cell surface nucleolin at
G2/M transition….……………….……………….……………….…………………89
3.8 Effect of RO-3306 on cell surface nucleolin and transfection of DNA
nanoparticles in asynchronous HeLa and 16HBEo-cells….………….……………...91
3.9 Mutations on Cdk sites affect cell surface expression of full-length nucleolin….93
3.10 Mutations in CK2 sites have little effect on cell surface expression of nucleolin,
but influence serine phosphorylation….……………….……………….……………95
3.11 Nucleolin is secreted into the medium under conditions of acidic pHs, high
extracellular EDTA, or high K+….……………….……………….………………...97
Chapter 4. Gene delivery by DNA nanoparticles via lipid-raft mediated, dynamin-
independent endocytosis
4.1 Transfection of DNA nanoparticles is saturable….……………….……………116
4.2 DNA nanoparticles transfect polarized 16HBEo- cells only from the apical
membrane….……………….……………….……………….……………….……..117
4.3 Surface nucleolin is only expressed on the apical membrane of polarized
16HBEo- cells….……………….……………….……………….…………………118
4.4 Drugs that interfere with lipid rafts block the uptake of DNA nanoparticles…..120
4.5 Nucleolin clusters on the cell surface….……………….……………….……...122
4.6 Nucleolin exists in the lipid rafts in multiple cell lines….……………………..123
4.7 Colocalization of surface nucleolin with flotillin….……………….…………..124
ix 4.8 Nucleolin coimmunoprecipitates with flotillin-1….……………….…………...125
4.9 DNA nanoparticles migrate to the density-buoyant lipid raft fractions….……..127
4.10 DNA nanoparticles enter lipid rafts following uptake….……………………..128
4.11 Inhibition of dynamin does not block transfection of DNA nanoparticles……129
4.12 Disruption of microtubules inhibits transfection of DNA nanoparticles….…..130
Chapter 5. Discussion and future directions
5.1 Transfection of DNA nanoparticles in the non-CF phenotype 16HBEo-S and the
CF phenotype 16HBEo-AS cells in culture….……………….…………………….148
5.2 Types of sensor chips carried by BIAcore….……………….………………….152
5.3 Binding of DNA nanoparticles to nucleolin immobilized on a CM3 chip….….153
5.4 Binding of nucleolin to DNA nanoparticles immobilized on CM3 and CM4
chips….……………….……………….……………….……………….…………..154
5.5 Expression of nucleolin in mouse airway and neuronal cells….……………….156
5.6 CdSe quantum dot samples obtained at different reaction times exhibiting size-
tunable emission across the visible spectral range….……………….……………...163
5.7 Viability of HeLa cells after 1- or 24-hour treatment with QD or QD-PEG-CK30 at
different concentrations….……………….……………….………………………..164
5.8 Cellular uptake of QD or QD-PEG-CK30….……………….…………………..165
5.9 Expression of QD labeled or unlabeld nanoparticles in HeLa cells….………...166
5.10 Intracellular trafficking of QD-labeled DNA nanoparticles in HeLa cells……167
5.11 Cytotoxicity and cellular uptake of fluorescent gold cluster (AuPEG) ….…...168
5.12 Immunoprecipitation of nucleolin or NCL123 pulls down cellular partners of
nucleolin….……………….……………….……………….……………….………170
x 5.13 His tagged but not the unlabeled nanoparticles pull down nucleolin and other cell
surface proteins….……………….……………….……………….………………..171
xi Cellular Uptake of DNA Nanoparticles and Regulation of Cell Surface Nucleolin
Abstract
by
XUGUANG CHEN
DNA nanoparticles are in vivo gene transfer vectors in development for treating cystic
fibrosis. We previously discovered that they deliver transgenes efficiently to the mouse
airway without inducing significant inflammatory cells and cytokines. Using rhodamine-
labeled DNA nanoparticle, we found that they accumulate in the nucleoli in well-
differentiated airway epithelial cells, colocalizing with nucleolin. We employed surface
plasmon resonance (SPR) technology to demonstrate direct binding of nucleolin to DNA
nanoparticles with KD = 25.9 nM. Nucleolin is expressed on the surface of HeLa cells
and human tracheal 16HBEo- cells. Cell surface nucleolin shares a similar intracellular
trafficking pattern with rhodamine-nanoparticles. Manipulations of nucleolin indicate that
it is essential for the transfection of the nanoparticles. Moreover, purified nucleolin
significantly blocks transfection, supporting the hypothesis that nucleolin is a critical
receptor for the nanoparticles. We then studied the regulation of surface expression of
nucleolin and found that cyclin dependent kinase 1 (Cdk1), rather than casein kinase 2
(CK2) phosphorylation, promotes its surface appearance. The N-terminus of nucleolin
including the 8 consecutive Cdk sites is required for efficient surface expression.
Inhibition of Cdk1 blocks the increase of surface nucleolin at G2/M phase transition.
Mutations of the Cdk sites to glutamate increase its surface expression. We also found
that nucleolin exists in lipid rafts on the membrane, and DNA nanoparticles can be recovered from lipid raft fractions following cellular uptake. Moreover, transfection of
xii the nanoparticles is blocked by cholesterol depletion using drugs such as filipin and methyl--cyclodextrin. Nucleolin directly associates with flotillin-1, an integral lipid raft
protein regulating raft-mediated endocytosis; and the association is not disrupted by
cholesterol depletion. Taken together, DNA nanoparticles enter cells via lipid rafts and
cell surface nucleolin, which is positively regulated by cyclin dependent kinase Cdk1.
xiii Chapter 1. Introduction
Cystic fibrosis and CFTR
Cystic fibrosis (CF) is among the most prevalent genetic disorders among Caucasian population. It is an autosomal recessive inherited condition, and occurs in about 1 in 2500 newborns. The current median survival age of CF patients is about 37 years with comprehensive care. Clinically the disease is characterized by high sweat chloride concentration, and obstruction of exocrine glands with thick mucus. Disease in the distal airways and submucosal glands is the main cause of mortality in CF patients, for desiccation of airway secretions leads to infection which is difficult or impossible to treat, which contributes to thickened mucus and pus in the airways. CF patients also have exaggerated and prolonged inflammatory response to Pseudomonas compared to normal people, and the neutrophils recruited in response to inflammation help destroy the lung.
CF pathology also includes pancreatic insufficiency, which often causes malnutrition, and male infertility. Most states in US have now implemented newborn screening programs for CF, so CF can now be treated in the early stages (Davis, 2006; Davies et al., 2008;
Rowe et al., 2005).
The CF disease is caused by mutations in a single gene, which encodes the CF transmembrane conductance regulator (CFTR), a chloride secretion channel situated on the apical membrane of the airway epithelia. In 1989 the CFTR gene was cloned and sequenced, allowing more in-depth analysis of its function and malfunction using modern molecular biology approaches. The human CFTR gene contains about 180,000 base pairs
(bp), locates on the long arm of chromosome 7, and encodes a 1480 amino acid protein.
The CFTR protein is a member of the ATP-binding cassette (ABC) transporter
1 superfamily, which bind to ATP and use the energy of its hydrolysis to drive translocation of molecules across lipid membrane. CFTR is a cyclic AMP (cAMP) activated chloride channel expressed in several tissues including kidney, pancreas, intestines, vas deferens, sweat duct and lung (Rowe et al., 2005; Guggino and Stanton,
2006). Mature CFTR protein has two transmembrane domains (TM), each with 6 membrane-spanning helices (Figure 1.1). The N-terminus of CFTR is relatively short, while the cytoplasmic loop (CL) between the two TMs and the C-terminus contain several regulatory elements essential to its function. The CL and C-terminus contains one nucleotide-binding domain (NBD) each, both of which bind to ATP but only one of which hydrolyzes it for energy. The CL also contains an important regulatory domain called R domain, which is phosphorylated by protein kinase A (PKA) and protein kinase C (PKC) (Guggino and
Stanton, 2006; Riordan,
2008).
CFTR function and its regulation
The primary function of CFTR is as an important ion channel maintaining osmotic homeostasis by secreting Cl- and regulating other membrane ion channels (Ratjen, 2006).
Loss of CFTR function leads to Na+ hyperabsorption, dehydration of airway surface liquid (ASL), and thickening of the airway mucus (Boucher, 2004). This effect is recapitulated in the epithelial Na+ channel (ENaC) overexpressing mouse model, which underscores the importance of CFTR as a Cl- channel (Mall, 2008; Ratjen, 2006). The
2 presence of CFTR messenger RNA (mRNA) and proteins in non-polarized cell types especially immune cells, gives rise to the question of whether it has any function in regulating immune or inflammatory responses. It’s not clear yet whether or not the hyper- inflammatory phenotype of CF patients is the direct consequence of the loss of CFTR function (Riordan, 2008).
The activity of CFTR as an ion channel is regulated on several levels, such as phosphorylation by receptor for activated C-kinase 1 (RACK1), protein kinase A (PKA) and protein kinase C (PKC), protein-protein interaction of the Asp-Thr-Arg-Leu motif at
C-terminus and PDZ-domain protein such as the Na+/H+ exchanger regulatory factors
(NHERF) and dimerization through the C-terminal tail. PKA regulates CFTR activity by phosphorylating the R domain and activating the channel in response to signaling through the 2-adrenergic receptor ( 2-AR) and adenosine 2b receptor (A2b-R). However, PKA may also inhibit CFTR as phosphorylation on the R domain inhibits its binding to
NHERF1 thereby reducing dimerization, which is suggested to be necessary for channel activation (Guggino and Stanton, 2006).
Proper function of CFTR also requires correct protein synthesis, endoplasmic reticulum (ER) maturation, trafficking through ER-Golgi to the plasma membrane and recycling in the endosome and lysosome. CFTR is synthesized and integrated into the ER membrane, glycosylated on the amine groups co-translationally, and a fraction of CFTR with proper modifications and conformation evades the ER quality control system and is exported to the Golgi complex for further glycosylation and folding (Riordan, 2008).
CFTR without proper modification and conformation are eliminated by ubiquitination and proteosomal degradation. Molecular chaperones such as Hsp70 and Hsp90 and
3 interactions with PKA and NHERF1 facilitate this folding process of nascent CFTR on both sides of the ER membrane (Guggino and Stanton, 2006). The plasma membrane
CFTR pool is constantly internalized in clathrin-coated vesicles termed early endosomes.
Most of the internalized CFTR in early endosomes is recycled back to the plasma membrane in recycling endosomes, while a portion of it is degraded in lysosomes
(Guggino and Stanton, 2006; Riordan, 2008).
CFTR mutations and therapeutic strategies to correct CFTR defect
It is therefore evident from the description above that it takes great effort and a number of steps of the cell to produce properly functional CFTR. Consequently, disturbance in any of the above synthesis, trafficking and activation steps will have significant impact in CFTR function. More than 1600 CFTR mutations have been identified clinically. The most common mutation in CF patients is the deletion of a phenylalanine residue at a.a. 508 (F508). About 50% CF patients are F508 homozygous, and 90% patients have at least one such allele. CFTR mutations are categorized into six classes based on the effect of these mutations on the cellular processes described above. Class I mutations produce premature and unstable CFTR transcripts and truncated CFTR protein at very low level. Class II missense mutations, including F508, lead to misfolding of CFTR protein, retention in the ER and degradation by the quality control system. Class III mutations result in defective activation of the channel by preventing it from binding to and hydrolyzing ATP, while class IV mutations reduces Cl- conductance and channel gating. Class V mutations have decreased transcript and protein level due to defects in promoter or splicing. As an example, a polymorphism in the polythymidine tract of intron 8 (IVS8) comprises 5T, 7T
4 and 9T alleles. The 5T allele is associated with poor usage of splicing acceptor and skipping of exon 9, and 5T/5T homozygous patients express only about 5-10% of normal
CFTR mRNA in the lung. However, the intriguing aspect of this mutation is that despite the low expression level of full-length CFTR, these patients has relatively late onset of lung diseases and milder symptoms, suggesting that low level of functional CFTR is sufficient for normal lung function (Noone et al., 2000; Cottin et al., 2005). CFTR with class VI mutations is retrieved and degraded from the plasma membrane at a higher rate
(Guggino and Stanton, 2006; Riordan, 2008). All of these mutations result in reduced Cl- secretion by CFTR, which leads to other downstream pathologies.
Specific therapeutic strategies have been designed to address each of the molecular defects mentioned above. There are 3 drugs in clinical trials or available to treat the malnutrition condition, 6 to restore ion balance of the airway and 1 to treat the thickened mucus of CF patients in the CF Foundation drug development pipeline. In addition, 9 anti-inflammatory drugs are in development or available to patients. To attack more fundamental problems of CF disease on the molecular level, PTC-124 has been designed to suppress the premature stop codon in class I mutations such as W1282X. Other drugs such as VRT-325, VX-770 and VX-809, are developed to facilitate the maturation and trafficking of class II mutations such as F508 and to enhance channel activation of class
III and IV mutations such as G551D (Rowe et al., 2005; Riordan, 2008). Although some of these small-molecule drugs are designed to target a specific type of mutation, their effects are unlikely to be restricted to CFTR alone, and may interfere with transcription, translation and regulation of many genes. It is not clear what effects these drugs will have on a developing airway of a child. Therefore, instead of targeting normal cellular
5 processes to correct a single gene mutation, the most direct and intuitive way to restore
CFTR function is to deliver a normal copy of the CFTR gene into patients with any type of mutation, where it will achieve therapeutic expression and channel function. Gene therapy for CF has been extensively studied.
CF gene therapy and viral vectors
In vivo gene transfer, or gene therapy, appears to be a logical concept to treat CF disease for the following reasons. Firstly, CF is a monogenic disease, and the defective gene has been cloned and sequenced. Secondly, the lung, which is the major organ affected by the disease, is readily accessible to the external environment. Thirdly, CF is recessive, so a relatively low level of functional CFTR is needed to maintain normal cellular physiology. In fact, it is estimated that only 5-10% of all airway epithelial cells will need to be transduced by the CFTR transgene to restore normal ion transport and balance. Moreover, the 5T/5T patients only express about 10% normal CFTR mRNA and have only mild lung disease, so this level of gene expression might be sufficient to provide therapeutic effect in patients with severe mutations (Noone et al., 2000). Lastly,
CF is a slowly progressive disease, leaving a considerable time window for early intervention. There have been CF gene therapy clinical trials using both viral and nonviral vectors. Issues like immunogenecity, toxicity, in vivo gene delivery efficiency and regulation of transgene expression were assessed (Davis and Cooper, 2007; Ziady and Davis, 2006).
Viral vectors for CF gene therapy have the advantages of high delivery efficiency.
Furthermore, integrating viral vectors that insert the transgene into host genome will allow steady expression for a relatively long period. However, they have inherent
6 problems when used in humans due to their immunogenecity and other potential risks.
The human immune system tends to respond to viral vectors, developing acute and often serious inflammatory responses, circulating antibodies or complement- and macrophage- mediated host defense. Cytotoxic T-lymphocytes may also be induced against viral protein antigens. These responses not only harm the recipient, but also prevent re- administration of the same vector, which is critical for CF, as the airway epithelium constantly replenishes itself. Another concern with recombinant virus is that it may share genetic information with wildtype viruses in the environment, potentially accelerating their evolution. Integrating viral vectors carry the risk of insertional mutagenesis. A real- life lesson learned in a retroviral vector trial is that two patients developed leukemia following treatment with bone marrow cells transduced with the vector, which in at least one cell inserted into and activated a protooncogene. Despite the potential risks using recombinant virus, several platforms have been built on DNA viruses such as adenovirus and adeno-associated virus (AAV), and RNA viruses such as lentivirus (White and
Ponnazhagan, 2006; Ziady et al., 2003a).
Adenoviruses occur in nature and infect humans with minor symptoms. The structure and genome of adenoviruses is thoroughly understood, and it’s able to transduce non- dividing cells, which made it the first choice of viral vector. However, due to its natural prevalence, many potential recipients have circulating antibodies against the virus, and cytotoxic T cells tend to eradicate cells infected by the virus, thus limiting long-term expression of the transgene. Another problem for adenoviral vector to transduce airway epithelia is that the receptors needed for the infection process are expressed on the basolateral membrane, which is largely inaccessible to the airway lumen unless the
7 epithelium is damaged. Finally, significant and dangerous inflammatory response was observed following adenoviral vector administration (Klink et al., 2004; Verma and
Weitzman, 2005).
Adeno-associated viruses are not pathogens and transduce non-dividing cells.
However, the available cloning capacity (~ 4-5 kb) of the AAV genome makes it difficult to accommodate the entire CFTR expression cassette, as the open reading frame (ORF) alone contains 4443 bp. In the efforts to minimize the CFTR expression cassette, the promoter/enhancer region has been shortened, and even the coding sequence has been truncated. Another heatedly debated topic in the field of AAV development is the selection of serotypes. AAV serotypes have different specificity for different cell types.
AAV5, 2 and 6 transfect airway epithelium, and are considered most suitable for CF gene therapy. Unfortunately, most people already harbor antibodies against several AAV serotypes, which may block the transfection (Klink et al., 2004; Verma and Weitzman,
2005; Riordan, 2008).
Lentiviral vector is derived from human immunodeficiency virus type 1 (HIV-1) or its counterparts in other species, although the HIV-1 derived vector is most studied. It has larger cloning capacity (~ 8-9 kb) than AAV and can integrate into host genome. The disadvantage for CF gene therapy is that the original lentiviral vector only transduces cells that express CD4, which is a receptor for its envelope protein. Although vesicular stomatitis virus (VSV)-G envelope protein pseudotyped lentiviral vector was developed, it still lacks the ability to transduce polarized airway epithelial cells in vivo. Lentivrial vectors with other tropisms are being developed (Klink et al., 2004; Verma and
Weitzman, 2005).
8 Nonviral gene therapy for CF
Nonviral gene transfer vectors may be safer than viral vector in vivo, but they are less efficient in delivering transgenes. The main reason for low efficiency is that the vector must overcome a series of barriers to deliver the transgene to nucleus effectively in vivo. CF airway being an example, the vector has to cross thick mucus and evade the clearance by cilia and host defense before it even reaches the epithelial cells.
The vector has to protect the DNA payload from degradation by extracellular nucleases during this process. Once in contact with the cells, it has to bind to the cell surface via surface expressed receptors if the vector is targeted, or via electrostatic interactions with the plasma membrane. The vector then has to be internalized into the cell, escape degradation in the endosome-lysosome system in most cases, travel intact through the cytosol, cross the nuclear envelope presumably through the nuclear pore complex (NPC), unpack inside the nucleus and allow the transcription machinery to access the expression cassette of the transgene (Figure 1.2) (Davis and Cooper, 2007; Ziady and Davis 2006;
Medina-Kauwe et al., 2005). Current nonviral strategies include polyplexes, most of which contain poly-amines such as poly lysine, lipoplexes, mainly cationic lipids, and
9 molecular conjugates, including synthetic peptides and recombinant proteins (Ziady and
Davis, 2006; Medina-Kauwe et al., 2005).
Lipoplexes are the most studied nonviral vectors. Cationic lipids complex with negatively charged DNA into particles 100 – 500 nm in diameter. This approach allows efficient membrane fusion and cytoplasmic entry, therefore is ideal for transducing actively dividing cells, because the breakdown of the nuclear envelope grants the transgene access to the transcription machinery in the nucleus. However, it is very inefficient when applied to airway epithelia, as those cells are not actively dividing. In addition, it has little specificity toward epithelial cells and will transfect other cell types as well. Lipoplex vectors also elicit host immune response related to the unmethylated
CpG elements in the bacterial DNA. To minimize the immune response, investigators have tried to minimize the CpG content of the plasmid DNA, choose lipids that promote a lesser CpG response, and suppress the host immune response pharmacologically (Ziady and Davis, 2006; Klink et al., 2004).
Polyplexes such as polyethyleneimine (PEI) and poly-lysine (polyK) with different compositions and conformations have been tested in vitro with good transduction. When administered in vivo, both achieve considerable efficiency of transduction and both readily reach the nucleus of non-dividing cells. However, PEI presents high cytotoxicity in vivo and induces remarkable inflammatory cytokine response, which has prevented it from progressing into the clinic. On the other hand, polyK, when conjugated to polyethylenelycol (PEG), fails to induce any significant toxicity or inflammation (Ziady et al., 2003c). Therefore our lab has focused on the development and characterization of
PEG conjugated polyK vector. First generation of DNA nanoparticles formulated with
10 long-chain polyK without PEG and plasmid DNA deliver transgene in the airway epithelia of CF mice and maintain transgene expression up to 12 days (Ziady et al.,
1999). However, these nanoparticles are only stable in 1 M NaCl solution, which limits their human application. Subsequently, second-generation DNA nanoparticles were developed with a shorter polyK chain in addition to PEG, which stabilizes the particles under ambient conditions (Davis and Cooper, 2007; Ziady and Davis, 2006). All DNA nanoparticles referred to in following discussion are these second-generation nanoparticles.
Composition and stability of compacted DNA nanoparticles
The compacted DNA nanoparticles are one of the two non-viral gene therapy vectors in clinical trials for CF patients (Davis and Cooper, 2007). The DNA nanoparticles are composed of plasmid DNA and polyethylene glycol (PEG)-substituted cysteine- polylysine peptides (PEG-CK30). In a phase I clinical trial, nanoparticles containing the
CF transmembrane conductance regulator (CFTR) gene induced cAMP stimulated chloride transport activity in the nasal epithelium in 8 out of 12 study participants, and no drug-associated adverse events were observed (Konstan et al., 2004). These nanoparticles have minimal toxicity, are non-immunogenic, and transfect non-dividing cells in vivo at high efficiencies (Ziady et al., 2003b; Ziady et al., 2003c; Farjo et al.,
2006). The DNA nanoparticles have been used to deliver reporter genes efficiently to the airways of mouse, ferret, sheep and rabbit (Ziady et al., 2003b; unpublished data), midbrain and striatum of rat and mouse brain (Yurek et al., 2005), and mouse retina
(Farjo et al., 2005; Cai et al., 2008). Therefore, DNA nanoparticles have great therapeutic potential in targeting multiple organs in human.
11 The DNA nanoparticles are composed of plasmid DNA and polyethylene glycol
(PEG) substituted polylysine. The polyK peptide consists of 30 lysine residues and a cysteine residue at the N-terminus. The sulfhydral group on the cysteine residue is linked to a 10 kDa PEG chain, which stabilizes the compacted nanoparticles and protect them from tissue interaction in vivo. The polyK peptide binds to the circular DNA in a non- specific fashion by electrostatic interactions. It is calculated that one DNA molecule binds 300-400 polyK peptides in one nanoparticle on average (Liu et al., 2001). The
DNA nanoparticles take different shapes in solution depending on the counterion for polyK. Generally, for a plasmid DNA of 8 kb (like CFTR plasmid), when the counterion is acetate, the compacted nanoparticle is rod-like in shape, about 200 nm in length and 10 nm in width. Nanoparticles compacted in trifluoroacetate are ovoid with minor diameter of 25 nm (Figure 1.3). The gene delivery efficiency of both nanoparticles is similar (Liu et al., 2003; Ziady et al., 2003b; Fink et al., 2006).
12 These PEGylated nanoparticles are much more stable than the first-generation unPEGylated DNA nanoparticles. The PEG side chains extend outwards from the center of the nanoparticles, and protect them from interacting with each other or from destruction by tissue fluids. The stable DNA nanoparticles can be stored for at least 3 years at 4ºC, for months at room temperature and weeks at 37ºC. The physical properties of these stored nanoparticles are identical to those of freshly prepared nanoparticles. The in vivo transfection efficiency of the nanoparticles is not impaired after storage (Ziady et al., 2003b). Another concern of gene delivery agents is the in vivo stability. The stable
DNA nanoparticles are protected from degradation by mouse serum and have a half life of 2-4 hours compared to 10 minutes for naked DNA (Ziady et al., 2003a). Moreover, these nanoparticles can be concentrated up to 12 mg DNA per mL, and at least 8 mg
DNA per mL solution can be nebulized without affecting the physical properties and gene delivery efficacy. Therefore, the nanoparticles are favorable for pharmaceutical application. Therefore, the stabilized DNA nanoparticles are superior to naked DNA and non-PEGylated nanoparticles with respect to stability.
In vivo expression and immunogenicity of DNA nanoparticles
In vivo gene delivery into mouse airway epithelial cells has been confirmed by luciferase and -galactosidase expression from the DNA nanoparticles. Mice were given nanoparticles containing 100 g plasmid DNA in 25 L saline or the same amount of naked DNA or saline alone intranasally. Reporter gene expression is dose dependent. The expression of -galactosidase is uneven in five out of 8 mice as tested by immuno- staining of airway sections. About 30-50% of epithelial cells express the transgene while some cells have undetectable staining. In the other three out of the total eight mice that
13 were treated , the
expression level is very
high in over 80% of
airway epithelial cells
(Figure 1.4). The delivery
of CFTR gene was also
tested in a CF mouse
model. In the nose of CF
mice, 1/3 of the test mice
had sufficient transfer of
CFTR to fully correct the chloride transport defect, and the rest had partial correction by nasal potential difference
(NPD) measurements. In CF mice, NOS-2 gene expression is downregulated by the defect in CFTR; while in the nanoparticle-treated animals this reduction was reversed, indicating that the secondary consequences of the CF defect was corrected by the expression of the transgene (Ziady et al., 2003b).
DNA nanoparticles have minimal toxicity in vivo, and no immune response has been observed. At the highest dose tested in mice with intranasal injection, the animal developed asymptomatic, transient accumulation of mononuclear cells near the pulmonary veins. There were no alveolar or peribronchial infiltrates, and no evidence of
CpG type toxicity in the lungs of mice. Therefore, the DNA nanoparticles can take advantage of high expression plasmids without provoking inflammation with their CpG content (Ziady et al., 2003c). Since the DNA from nanoparticles will not be integrated
14 into the chromosome, repeated dosing will be necessary to achieve long-term correction of CFTR dysfunction. Copernicus Therapeutics Inc. tested the immunogenecity of the
DNA nanoparticles, and detected no immune response against the nanoparticles after four repeated doses (unpublished data). The transfection efficiency of the fourth dose is the same as the first.
Another concern for clinical application is whether concurrent infection, as often occurs in CF patients, will impair the efficacy of transgene delivery. To address this issue, animal experiments acutely infected mice with Pseudomonas, and then treated them with DNA nanoparticles. One day following dosing, the expression of reporter gene is not decreased comparing to control, uninfected mice, which indicates that the compacted DNA nanoparticles are effective even in the presence of acute Pseudomonas infection (unpublished data).
In the phase I dose escalation clinical trial, no adverse events attributable to DNA nanoparticles were observed following intranasal administration. Measures of inflammation and toxicity, including IL-6, complement and C-reactive protein in serum, cell counts, protein, IL-6 and IL-8 in nasal washings, were monitored, but there was no association of serum or nasal washing inflammatory mediators with administration of compacted DNA. At day 14, vector polymerase chain reaction (PCR) analysis showed
0.58 copy of transgene DNA per cell in the nasal scraping samples of the high dose level group. The most encouraging result is that partial to complete restoration of the isoproterenol responses of nasal potential difference, which indicates a rescue of CFTR function, was observed in 8 out of the total 12 subjects. These corrections persisted for as long as 6 days after gene transfer (Konstan et al., 2004). Therefore, this study not only
15 confirms the safety of DNA nanoparticles at up to 8 mg per subject, but also provides an evidential basis to further pursue and improve the clinical application of DNA nanoparticles in CF patients.
Besides airways, DNA nanoparticles have also been tested successfully in delivering transgenes into brain and retina. DNA nanoparticles carrying a green fluorescent protein
(GFP) reporter gene has been shown to transfect both neurons and glial cells immediately around the injection site in the midbrain and striatum of rats and mice (Yurek et al.,
2005). DNA nanoparticles carrying a therapeutic transgene have been shown to rescue a rat model of Parkinson’s disease by targeting the dopaminergic neurons of the midbrain
(Yurek, unpublished data). In studies conducted in mouse retina, DNA nanoparticles transfect almost all cell types at any sites of injection. Most impressively, subretinal injection of the nanoparticles resulted in transduction of nearly all of the photoreceptor population, and the expression of the transgene was similar to that of rhodopsin, which is the highest expressed gene in the retina. In addition, no deleterious effects on retinal function were observed after the injection (Farjo et al., 2006; Cai et al., 2008). In summary, DNA nanoparticles appear to be a clinically viable solution to deliver and express therapeutic transgenes in various tissues, organisms and disease settings.
In summary, DNA nanoparticles are powerful nonviral gene transfer agents, which might prove clinically useful in treating genetic disorders such as cystic fibrosis.
Although it has been shown that DNA nanoparticles deliver transgene to the nucleus when microinjected into the cytoplasm of non-dividing cells (Liu et al., 2003), it was still not clear how the nanoparticles were internalized into the cytoplasm in the first place, or what molecules mediate its nuclear targeting. In the course of studies on intracellular
16 trafficking of DNA nanoparticles, we found a close association of uptake with the presence of substantial amounts of nucleolin in the cytoplasm (unpublished data, see below). Most interestingly, the DNA nanoparticles do not seem to enter the endosome- lysosome pathway following the uptake. Since understanding the mechanism of how
DNA nanoparticles bind to the cell surface, enter and progress through the cell into the nucleus may help us improve the vector or design other therapeutic strategies to facilitate the delivery, we further investigated the trafficking of DNA nanoparticles in primary human tracheal epithelial cells.
Intracelluar trafficking of DNA nanoparticles
It is critical for a transgene to reach the nucleus to be expressed. Moreover, it has to evade the various “clearance” machineries inside the cytoplasm to stay intact. Previous studies evaluated the hypothesis that DNA nanoparticles enter the nucleus via the nuclear pore complex (NPC). DNA nanoparticles microinjected into the cytoplasm produced 10 fold more reporter gene product than naked DNA. An inhibitor of nuclear pore function, wheat germ agglutinin, blocks this enhancement. When nanoparticles compacted with
DNA of different size were microinjected into the cytoplasm, reporter gene expression showed a critical size dependency. Ellipsoidal nanoparticles with minor diameter larger than 25 nm (usually corresponding to about 8 kb plasmid), which is the average diameter of nuclear pores, did not express well (Liu et al, 2003).
Previous studies in our lab followed the uptake of DNA nanoparticles labeled with rhodamine by a protein-DNA clamp in well-differentiated human airway epithelial cells
(WD AEC) grown at the air-liquid interface. Primary cultures of airway epithelial cells internalize particles into the cytoplasm as soon as 15 minutes after application. By 60
17
minutes, most of the DNA nanoparticles concentrate in nucleolus-like structures in the nucleus. By costaining cells treated with rhodamine labeled nanoparticles and FITC- conjugated nucleolin antibody, we found that DNA nanoparticles actually colocalize with nucleolin in both cytoplasm and nucleus, most profoundly in the nucleolus. Further statistical analysis of distribution of nucleolin and uptake of DNA nanoparticles showed a critical positive correlation between cytoplasmic nucleolin and rhodamine stain in the nucleus (Figure 1.5, see also Figure 2.1). Thus, nucleolin seems to be a potential receptor, or at least a partner, for DNA nanoparticles.
We also tested the possibility of the involvement of any conventional endocytotic pathway. DNA nanoparticles show no colocalization with Rab5 or EEA1 (early endosomal markers), only minor colocalization with Cathepsin D or LAMP-1 (lysosome markers), and no colocalization with caveolin. Therefore, DNA nanoparticles appear to employ a novel internalization mechanism, independent of conventional clathrin mediated- and caveolin- mediated endocytoses.
Nucleolin and its structure
18 Nucleolin has been discovered and cloned in various eukaryotic organisms ranging from yeast to plant to mammals. It is conserved through almost all eukaryotes and has essential functions in various cellular processes. Human nucleolin is a protein of 709 amino acids, with a calculated molecular weight of 77 kDa, but full-length nucleolin runs at about 105 kDa on sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-
PAGE) due to the long stretches of acid residues at the N-terminus and high level of post- translational modification. It has three characteristic domains: the N-terminal acidic
region, four RNA recognition motifs (RRM) in the middle and the C-terminal glycine/arginine rich (GAR) domain (Figure 1.6; Tuteja and Tuteja, 1998). The N- terminal domain contains highly acidic regions interspersed with basic sequences and contains multiple phosphorylation sites. This region is reported to bind to H1 histone and mediate chromosomal rearrangement during ribosomal DNA (rDNA) transcription
(Tuteja and Tuteja, 1998). The N-terminal domain also binds to certain ribosomal proteins and ribosomal RNA (rRNA) processing proteins such as U3 snoRNP (Ginisty et
19 al., 1999), and might have function in the final assembly of ribosome. The second feature of this domain is that it is rich in phosphorylation sites for multiple kinases including 4 sites for casein kinase II (CK2) and 8 consecutive sites for cyclin dependent kinase cdc2/Cdk1 (Srivastava and Pollard, 1999). This region undergoes extensive phosphorylation and dephosphorylation during cell growth and proliferation. These phosphorylations have been shown to regulate its subcellular localization and function and will be discussed in detail in a separate section (Srivastava and Pollard, 1999; Galati and Bocchino, 2007). The central globular domain of nucleolin contains four RNA binding domains (RBDs), also known as RNA recognition motifs (RRMs). This region mediates the association of nucleolin to the 5’ external transcribed spacer (ETS) of nascent rRNAs. It has been proposed that nucleolin recruits other rRNA processing machinery following binding to the nascent rRNA (Ginisty et al., 1999). A bipartite nuclear localization signal (NLS) resides between the N-terminal acidic domain and the
RBDs, which has been reported to be responsible for its nuclear localization. The C- terminal GAR domain is interspersed by dimethyl-arginine and phenylalanine. The function of the dimethyl modification on the arginines is not clear to date, but it is suggested that it’s related to the localization of nucleolin in the nucleolus (Srivastava and
Pollard, 1999). The GAR domain can function as an ATP dependent DNA/RNA helicase and DNA dependent ATPase, which might be important for facilitating the correct folding of RNA. This domain also interacts specifically with a subset of ribosomal proteins and nonspecifically with RNAs (Ginisty et al., 1999; Srivastava and Pollard,
1999).
Phosphorylation and intracellular localization of nucleolin
20 Nucleolin shuttles between cytoplasm and nucleus, and also to the cell surface in certain cell types, despite lack of a transmembrane domain or glycosylphosphatidyl- inositol (GPI) anchor (Srivastava and Pollard, 1999). This section will focus on the intracellular shuttling of nucleolin, while the localization and function of cell surface nucleolin will be discussed in a separate section below. The bipartite NLS between the N- terminal acidic region and the central RBDs is suggested to be responsible for its nuclear targeting. However, nucleolin has no actively functioning nuclear export signal. The localization of nucleolin as well as other functions is regulated by post-translational modifications, especially phosphorylation. Nucleolin from nucleus has higher isoelectric point (pI) than nucleolin in the cytoplasm and cell surface (Hovanessian et al., 2000), which indicates different post-translational modifications occur in different compartments. Nucleolin contains phosphorylation sites for various kinases, including
CK2, cdc2/Cdk1, PKC-, cAMP dependent kinases and an ecto-kinase on cell surface.
CK2 is a major regulatory kinase during cell growth. At interphase, it phosphorylates serines in the N-terminal region of nucleolin, as well as topoisomerase I and RNA polymerase I, followed by localization of these three proteins to rDNA containing chromosomes and rRNA transcription, which suggests that the phosphorylation of nucleolin may be a prerequisite for the structural organization of the nucleolus during G1 phase. Upon phosphorylation, nucleolin produces two auto-proteolytic fragments, which localize to the nucleolus and activate transcription of rDNA. Therefore, nuclear localization of nucleolin is enhanced by CK2 phosphorylation on serine residues
(Schneider et al., 1989). This process is regulated mostly by growth stimuli, including
21 hormones such as insulin, androgen and dexamethasone, and growth factors such as epidermal growth factor (EGF) and fibroblast growth factor 2.
Another important regulator of nucleolin is Cdk1 during mitosis (Belenguer et al.,
1990; Peter et al., 1990). The N-terminus of nucleolin contains 8 tandem TPXK motifs
(X is a small a.a. with hydrophobic side chain) recognized by Cdk1. Cdk1 phosphorylates threonine residues during mitosis and thereby inhibits nuclear localization of nucleolin.
On the other hand, the de-phosphorylated state of threonines promotes nuclear localization of nucleolin (Srivastava and Pollard, 1999). Therefore, CK2 and Cdk1 work in coordination during interphase and mitosis to regulate the localization and function of nucleolin. Cyclic AMP dependent kinase also phosphorylates nucleolin during G1 phase to S phase transition following isoprenaline stimulation in rat parotid gland.
Phosphorylation of nucleolin by PKC- was shown to be required for nerve growth factor induced differentiation of PC12 cells (Srivastava and Pollard, 1999). In summary, the localization and function of nucleolin is regulated by specific phosphorylation by multiple kinases.
Intracellular function of nucleolin
Nucleolin is a ubiquitous eukaryotic protein conserved through yeast to human, which suggests an essential role in eukaryotes (Srivastava and Pollard, 1999). It has well characterized functions in the ribosomal biogenesis, and participates in multiple steps of regulating rDNA transcription, trafficking and maturation of pre-ribosomal RNA and proteins, assembling ribosomal subunits and their intracellular transport (Ginisty et al.,
1999; Srivastava and Pollard, 1999). It is also suggested to control the accumulation of pre-rRNA thereby regulate the homeostasis of ribosome (Ugrinova et al., 2007). Since
22 nucleolin is one of the major components of the nucleolus in interphase cells, it has also been implicated in the maintenance of nucleolar structure during cell cycle. When inactivated by small interfering RNA (siRNA), cells manifest a series defect during mitosis, including abnormal chromosome aggregation, centrosome duplication and spindle malformation (Ugrinova et al., 2007; Ma et al., 2008). Therefore, nucleolin appears to be a key regulator of ribosome synthesis and assembly, and influences cell cycle progression.
Nucleolin regulates gene expression in a post-transcriptional fashion by binding to mRNAs at their 5’ or 3’ UTRs and stabilizing them (Ginisty et al., 1999). Targets of nucleolin include mRNAs of the fragile X mental retardation protein (FMRP), amyloid precursor protein (APP) and interleukin-2 (IL-2) (Cemens et al., 1999; Rajagopalan et al.,
1998; Chen et al., 2000). Other mRNAs including the internal ribosome entry site (IRES) of hepatitis C virus, human preprorenin (hREN), CD154 (CD40L), human -globin, matrix metalloproteinase 9 (MMP-9) and collagen prolyl 4-hydroxylase (C-P4H) were also reported to be regulated by nucleolin (Izumi et al., 2001; Persson et al., 2003; Singh et al., 2004; Jiang et al., 2006; Fahling et al., 2006a; Fahling et al., 2006b). Nucleolin binds and stabilizes these mRNAs, prolongs their halflives, thereby increases their translation and the expression. This stabilizing effect is often found to be in response to environmental stimulus such as hypoxia or arsenic (Fahling et al., 2006a; Fahling et al.,
2006b; Zhang et al., 2006).
Recently an increasing amount of research suggests that nucleolin is implicated in the apoptosis of several cell types by binding to apoptotic proteins and regulating their expression. Nucleolin binds to and stabilizes the mRNAs of anti-apoptotic bcl-2 and Bcl-
23 XL following induction of apoptosis by drugs or UV irradiation (Otake et al., 2007;
Zhang et al., 2008; Kalousek et al., 2007). The mRNA of growth arrest and DNA damage inducible gene 45 (GADD45) is stabilized by nucleolin in mouse embryonic fibroblast upon NF B inhibition (Zheng et al., 2005) or in human bronchial epithelial cells upon arsenic chloride treatment (Zhang et al., 2006). Nucleolin also binds to the 5’-UTR of p53 mRNA, and suppresses its translation upon DNA damage (Takagi et al., 2005).
Therefore, nucleolin appears to be a pro-survival/anti-apoptotic protein functioning through modulating translation of apoptotic regulators. Consistent with this view, expression of nucleolin has been reported to be induced by genotoxic stress along with nucleophosmin following UV irradiation (Yang et al., 2002).
Nucleolin also regulates gene expression at the transcriptional level either by enhancing chromatin remodeling or by direct binding to promoters. In the nucleus, nucleolin acts as a histone chaperone and enhances the activity of chromatin remodeling complex SWI/SNF and ACF (Angelov et al., 2006; Storck et al., 2007). Transcription of
CD34 in human hematopoietic cells is activated by nucleolin through its sequence specific binding to the promoter region (Grinstein et al., 2007). The expression of cPLA2 in A549 cells was activated by phorbol 12-myristate 13-acetate (PMA) through the direct binding of c-Jun/nucleolin and c-Jun/Sp1 to the Sp1-binding sites of cPLA2 promoter (Tsou et al., 2008). In cancer cells, nucleolin binds and activates the transcription of human papillomavirus 18 (HPV18) enhancer thereby promoting proliferation. This binding is inhibited by retinoblastoma (Rb) at G1 phases and regulated in a cell cycle dependent fashion (Grinstein et al., 2006).
Functions of cell surface nucleolin
24 A most intriguing finding about nucleolin is that despite lack of a transmembrane domain or signal sequence, nucleolin is nevertheless found to be present on the surface of various cell types and serves as a receptor for a variety of extracellular ligands. As already mentioned, nucleolin is a substrate of an ecto-kinase, and it resides on cell surface in a phosphorylated form (Srivastava and Pollard, 1999). In HEp2 cells, antibodies against nucleolin are taken up in an energy dependent fashion, which is inhibited at 4°C
(Deng et al., 1996). However, this study incubated the cells with the antibody for a relatively long period of time, and it is not clear whether this uptake and inhibition by cold is specific to nucleolin antibody. Nucleolin also serves as a default receptor for apoB and apoE-containing lipoprotein. By binding to LDL, it may sense the abundance of exogenous lipid to support cell growth and adjust the synthesis of ribosomes
(Semenkovich et al., 1990). The neurite-promoting IKVAV motif on basement membrane protein laminin-1 in the extracellular matrix is another ligand for nucleolin, which has been shown to promote differentiation of neurons and several neural cell lines.
The high abundance of nucleolin in mature brain suggests a role for nucleolin in differentiation and maintenance of neural tissues (Kibbey et al., 1995). It was later discovered that laminin-1 induces early differentiation of cells and concomitantly mobilizes nucleolin from nucleus to the cell surface in human intestinal epithelial cells
(Turck et al., 2004).
Another class of extracellular ligands for nucleolin comprises viruses and several anti-viral molecules. Coxsackie B virus, but not poliovirus or Sendai virus, binds to nucleolin on the cell surface (De Verdugo et al., 1995). A polyclonal antibody against nucleolin considerably reduces the transduction of baculovirus in HepG2 cells,
25 suggesting the involvement of cell surface nucleolin in its infection process (Makela et al., 2008). In human airway epithelial cells, human parainfluenza virus type 3 (HPIV-3) was found to interact directly with cell surface nucleolin during viral infection. HPIV-3 is an airborne pathogen that infects human lung epithelial cells from the apical (luminal) membrane, and nucleolin is required for the internalization, but not attachment, of HPIV-
3 to the airway epithelial cells. Both a monoclonal antibody against nucleolin and purified nucleolin protein markedly reduces HPIV-3 infection and replication in A549 cell culture (Figure 1.7 A and B). Interestingly, cell surface nucleolin was found only on the apical surface of A549 cells grown on filters (Bose et al, 2004). However, A549 is an alveolar carcinoma cell line, and does not form tight junctions as normal airway epithelial cells. Therefore, it does not polarize into strict apical and basolateral sides on filters, and the differential nucleolin expression data needs to be interpreted with caution.
Nucleolin also serves as a co-receptor for HIV-1 virus by binding to the V3 loop of gp120 protein in CD4+ T cells. The affinity of the binding is comparable to the binding of gp120 to soluble CD4, and purified nucleolin inhibits HIV-1 infection by blocking this
26 binding (Callebaut et al, 1998). A group of anti-HIV agents is able to block HIV-1 transmission by binding to nucleolin and preventing the attachment of HIV-I virus onto the surface of CD4+ T cells. This class of molecules includes a cytokine named
“midkine” (Said et al., 2002; Hovanessian, 2006), an artificially synthesized pseudo- peptide HB-19 (Nisole et al., 2002), a growth factor pleiotrophin (Said et al., 2005) and a serum factor lactoferrin (Legrand et al., 2004). The growth factor midkine is a cytokine that inhibits HIV infection in cell cultures in an autocrine and paracrine manner. Midkine mRNA is systematically expressed in adult peripheral blood lymphocytes from healthy donors, and its expression may be markedly but transiently induced upon in vitro treatment of lymphocytes with IL-2 or interferon- (IFN-) and activation of T lymphocytes by phytohemagglutinin (PHA) or through the engagement of the CD28 antigen. Both midkine and HB-19 bind to nucleolin at its C-terminal GAR domain and compete with each other. Both molecules bind to surface nucleolin and enter cells independent of heparan sulfate and chondroitin sulfate proteoglycans (Hovanessian,
2006; Nisole et al., 2002). Lactoferrin in mammalian secretions and blood, which has potent anti-viral and anti-cancer activity, was also found to be a partner of cell surface nucleolin. It inhibits HIV-1 infection by similar mechanism to midkine, and binds to nucleolin at an affinity of about 240 nM by BIAcore (Legrand et al., 2004).
Glycoproteins, growth factors and even inorganic renal crystals are also among the molecules that bind to cell surface nucleolin. In a monocyte cell line U937, nucleolin binds to fructosyllysine specifically (Srivastava and Pollard, 1999). Nucleolin co-purifies with L-selectin by affinity chromatography from human hematopoietic cell line KG1a
(Harms et al., 2001). Nucleolin also interacts with acharan sulfate (AS) at high affinity in
27 Lewis lung carcinoma cells (Joo et al., 2005). Nucleolin was also purified via hepatocyte growth factor (HGF) affinity chromatography from the LNCaP prostate cancer cell line.
HGF was shown to mediate the increased adhesion in these cells in response to prostate stromal-conditioned media (Tate et al., 2006). Using similar affinity chromatography followed by mass spectrometry (MS) identification technique, nucleolin was identified in skeletal muscle tissue as a binding partner for receptor protein tyrosine phosphatase- .
Cell surface nucleolin was found present in developing myotubes in this study (Alete et al., 2006). Calcium oxalate (CaOx) crystals formed in tubular fluids grow to kidney stones if they are retained by surface receptors of the tubular cells. Nucleolin, especially the N-terminal acidic stretches, has been reported to bind to Ca2+ (Sorokina and
Kleinman, 1999; Sorokina et al., 2004) and CaOx crystals on the cell surface in renal tubules in vivo (Kumar et al., 2003; Sorokina et al., 2004; Verkoelen and Verhulst,
2007). Nucleolin resides on the apical membrane and is associated with cytoskeleton in a
Ca2+ dependent fashion in cultured renal tubular cells (Sorokina and Kleinman, 1999).
The acidic region of N-terminal nucleolin selectively mediates this attachment of CaOx crystals to inner medullary collecting duct (IMCD) cells in culture. Overexpression of nucleolin in IMCD cells increases CaOx retention, while purified nucleolin inhibits it
(Sorokina et al., 2004; Verkoelen and Verhulst, 2007).
In the process of cell-cell contact, nucleolin functions as a receptor for bacterial and eukaryotic cells. An enterohemorrhagic Escherichia coli strain O157:H7 uses intimins to adhere to cells in culture and intestinal epithelia in vivo. Cell surface nucleolin binds to all three types of intimins , and at similar affinity. Antibodies against nucleolin inhibit attachment of O157:H7 to cell culture. Intimins and nucleolin colocalize when
28 visualized by immunohistochemistry in vitro and in vivo. In piglets, neonatal calves and mice, immunostained nucleolin was found closely associated with adherent bacteria in intestinal sections (Sinclair and O’Brien, 2002; Sinclair and O’Brien, 2004; Sinclair et al., 2006). Macrophages also express nucleolin on their surface, where nucleolin serves as a receptor for polylactosaminyl saccharide chains on early apoptotic cells but not late apoptotic cells that expose phosphatidylserine. Purified nucleolin inhibits the binding of early apoptotic cells to macrophages, which relies on its sequence of residues 284-709 including the bipartite NLS, RBDs and GAR domain (Hirano et al., 2005). Nucleolin on the cell surface of several immune cells may be essential for the development of immune response in vivo, and may be a target for bacterial lipopolysaccharides.
Besides being a receptor for various extracellular ligands, cell surface nucleolin has also been recognized as a tumor marker and angiogenic marker of tumor blood vessels. It is the cell surface target of a tumor-homing peptide called F3. F3 selectively binds to endothelial cells in tumor blood vessels and to tumor, where nucleolin accumulates at the cell surface. Monoclonal antibody against nucleolin prevents this accumulation (Christian et al., 2003). Due to the overexpression of cell surface nucleolin in cancer cells an aptamer named AS1411 (also known as AGRO100) was designed to target nucleolin therapeutically. AS1411 is an aptamer of a 26-mer unmodified guanosine-rich oligonucleotide, which binds to nucleolin directly and induces its internalization and inhibition of DNA replication. It has been shown to inhibit human tumor growth both in vitro and in vivo, and is being tested in clinical trials. Promising results were observed in the phase I dose escalation study in patients with advanced solid tumors without serious adverse event (Ireson and Kelland, 2006). Recent advances in understanding the
29 molecular mechanism of its anti-tumor activity revealed that AS-1411 binds to the nuclear factor B (NF B) essential modulator (NEMO) and prevents tumor necrosis factor (TNF) induced NF B activation. Interestingly, nucleolin is also found in complex with NEMO after AS-1411 treatment (Girvan et al., 2006; Teng et al., 2007).
Cell surface nucleolin is also an angiogenic marker targeted by endostatin. The angiogenic function of surface nucleolin is downstream of vascular endothelial growth factor (VEGF) and involves an actin-associated motor protein MyH9. Down-regulation of cell surface nucleolin in endothelial cells significantly inhibits the migration of endothelial cells and prevents capillary-tubule formation (Huang et al., 2006).
Conversely, the anti-angiogenic activity of endostatin attributed to its high affinity binding to cell surface nucleolin and/or inhibition of phosphorylation of nuclear nucleolin. Antibodies against nucleolin abrogate the ability of endostatin to bind to surface nucleolin and suppress blood vessel formation (Shi et al., 2007).
Table 1.1 Extracellular ligands for cell surface nucleolin Category Ligand (binding motif) References Nutrient Low-density lipoprotin Semenkovich et al., 1990 Extracellular Laminin-1 (IKVAV motif) Kibbey et al., 1995 matrix Growth factor Hepatocyte growth factor Tate et al., 2006 Coxakie B De Verdugo et al., 1995 Baculovirus Makela et al., 2008 Viruses HPIV-3 Bose et al., 2004 HIV-1 (V3 loop, gp120) Callebaut et al, 1998 Midkine Said et al., 2002 HB-19 Nisole et al., 2002 Anti-HIV Pleotrophin Said et al., 2005 Lactoferrin Legrand et al., 2004 Fructosyllysine Srivastava and Pollard, 1999 Glycoprotein L-selectin Harms et al., 2001 Acharan sulfate Joo et al., 2005
30 Inorganic Calcium oxalate Sorokina and Kleinman, 1999 material Early apoptotic cell Hirano et al., 2005 Cell (polylactosaminyl saccharide) E. coli strain O157:H7 (intimin) Sinclair and O’Brien, 2002 F3 peptide Christian et al., 2003 Anti-tumor AS1411 Ireson and Kelland, 2006 Endostatin Shi et al., 2007 Different types of ligands for cell surface nucleolin are summarized in Table 1.1. In general, nucleolin seems to play a pro-survival and anti-apoptoic role in and out of the cell. Cell surface nucleolin in particular is targeted by a variety of natural or artificial ligands, some of which (such as D3 antibody against nucleolin and AS1411) find a direct route into the nucleus. Therefore, we speculate that surface nucleolin might provide a portal from cell membrane directly into the nucleus for growing cells as a means to convey extracellular pro- or anti-growth signals, which can be exploited for direct delivery of cargos into the nucleus. As we established that transfection of rhodamine- labeled DNA nanoparticles might be associated with nucleolin, and nucleolin is present on certain cell types, it is tempting to suspect that cell surface nucleolin may play a role during the uptake of DNA nanoparticles. We further investigated the role of nucleolin in the uptake and transfection of the nanoparticles in Chapter 2.
Association of nucleolin with cytoskeleton
Nucleolin has long been known as a shuttling protein between the nucleus and cytoplasm. More recently it has been shown to shuttle to the cell surface as well. Its ability to traffic relies on its regulated nuclear localization signal, and its association with other cellular proteins and motor proteins (Ginisty et al., 1999; Huang et al., 2006;
Hovanessian et al., 2000). In 2004, two groups of researchers demonstrated separately using slightly different techniques that nucleolin is present in the human Staufen 1 RNP
31 complex (Villace et al., 2004; Brendel et al., 2004). The double-stranded RNA binding protein Staufen assembles with mRNAs and transporting molecules and mediates cytoplasmic trafficking and translation of mRNA (Brendel et al., 2004). Using tandem- affinity purification or one-step affinity purification followed by MS identification, the
Staufen RNP complex was purified and it protein composition analyzed. Both studies identified nucleolin, ribosomal proteins and, most interestingly, kinesin as components of the complex (Villace et al., 2004; Brendel et al., 2004), while one of the studies identified additional cytoskeletal proteins (tubulins, tau, actin), cytoskeleton regulators (cdc42, rac1), and motor proteins (dynein, myosin) (Villace et al., 2004). In addition to be a component of a nuclear-cytoplasmic transporting complex, nucleolin may function as a transporter to deliver some molecules directly into nucleus. The nuclear translocation of urokinase-type plasminogen activator (uPA) has been shown to require the direct binding to nucleolin to its kringle domain (Stepanova et al., 2008).
On the other hand, cell surface nucleolin is reported to associate with the actin filaments in some recent studies. In cultured renal tubular cells, surface nucleolin is associated with cytoskeletal fractions (Sorokina and Kleinman, 1999). In HeLa cells surface nucleolin could be clustered at the extracellular side of the plasma membrane by a nucleolin antibody. This clustering is dependent on the existence of an intact actin cytoskeleton (Hovanissian et al., 2000). In angiogenic endothelial cells, this association is mediated by an actin-based motor protein namely nonmuscle myosin heavy chain 9
(MyH9). Subsequent studies suggested that MyH9 is a physical linker between nucleolin and actin cytoskeleton, and disruption of MyH9 expression causes a re-localization of the surface nucleolin from a diffused pattern to several punctate spots (Huang et al., 2006).
32 Cell cycle and cyclin dependent kinase (Cdk)
The most interesting aspect of nucleolin function is that it is expressed, by an unknown mechanism, on the cell surface, and shuttles between membrane, cytoplasm and nucleus. Although the cytoplasmic-nuclear shuttling has been well elucidated, little is known about how cell surface nucleolin is regulated. Since phosphorylation by Cdk1 plays a key role in the intracellular trafficking of nucleolin, we hypothesize that this phosphorylation might also participate in regulating surface nucleolin. Cdk1 is a critical kinase driving the progress of mitosis, by which eukaryotic cells duplicate themselves.
Under the right conditions, cells synthesize an additional copy of their chromosomes and split into two cells with each containing one copy of full genetic information via mitosis.
This cycle of synthesis and cell division is defined as cell cycle, which comprises four phases: synthesis or S phase, gap or G2 phase, mitotic or M phase, and another gap G1 phase. In M phase, cell morphology and physiology change dramatically. At prophase, interphase chromatin condenses into well-defined chromosomes that can be visualized in the light microscope. Previously duplicated centrosomes (microtubule organizing center,
MTOC) migrate apart and form the poles of the future spindle apparatus. Microtubules assemble from the two centrosomes toward all directions, and the nuclear envelope breaks down at this stage. At prometaphase, microtubules find and attach to kinetochores, which are protein complexes formed around the centromeres on chromosomes. When the kinetochores on two sister chromatids are attached to microtubules from opposite centrosomes (ie., spindle formation), the duplicated chromosomes migrate toward the center of the cell, which will later become the “metaphase plate”. When all chromosomes reach the metaphase plate, a sudden loss of cohesion starts anaphase, which continues
33 when all sister chromatids are separated. Telophase starts when all chromosomes have reached the poles and the nuclear envelope starts to reform. Finally the mother cell is divided in two by cytokenesis, driven by the contraction of cell membrane and underlying actin cytoskeleton. Phosphorylation and proteolysis play a prominent role in these events
(Nigg, 2001; Malumbres and Barbacid, 2002).
The progression of cell cycle is driven mainly by cyclin dependent kinases (Cdk) that are activated sequentially at different phases. Recently other kinases such as the Polo like kinase and Aurora family kinases have also been found to be important during cell cycle.
Activation of Cdks requires binding of cyclins, which are transiently expressed at specific stages. This is one of the means cells use to regulate the cell cycle. Cdk4 and 6, activated by D type cyclins, and Cdk2, activated mainly by E type cyclins, function through G1/S phases. Progression of G2 through completion of M phases is controlled primarily by
Cdk1, which is complexed with A type cyclins at G2 phase and B type cyclins at M phase. A series of events occurring at mitotic entry, including spindle assembly, chromosome condensation and nuclear envelope breakdown, are attributable to phosphorylation of Cdk1 substrates. On the other hand, exit from mitosis, such as spindle disassembly, chromosome decondensation, nuclear envelope reformation and cytokenesis, is due to inactivation of Cdk1, which is in turn executed by destruction of cyclin B by the anaphase-promoting complex/cyclosome (APC/C) (Nigg, 2001; Ferrari,
2006). Therefore, Cdk1 is the major driving force of the G2/M progression. Nucleolin is heavily phosphorylated by Cdk1 during mitosis, which results in the mobilization of nuclear nucleolin into the cytoplasm (Belenguer et al., 1990; Peter et al., 1990).
Endocytosis and its regulation
34 As mentioned above, nonviral gene therapy vectors have to overcome several barriers before the transgene can be expressed. We have shown that PEGylation and compaction protect DNA nanoparticles in an in vivo environment. We also learned that after entering cytoplasm, the nanoparticles go through the NPC and deposit the DNA into the nucleus where it is expressed. The missing link between these processes is how DNA nanoparticles attach to the cell surface and get internalized into the cytoplasm. Cells employ diverse endocytic pathways to absorb nutrition or interact with signaling molecules and thereby communicate with the extracellular environment. Endocytosis is a process of the uptake of extracellular cargos via invagination and internalization of plasma membrane. The uptake of cargos may take the form of phagocytosis, which is employed only by specialized cell types such as macrophages and neutrophils to clear large pathogens or cell debris, or pinocytosis, which occurs in almost all cells for a
35 variety of cargos (Figure 1.8). Several forms of pinocytosis have been discovered including macropinocytosis, clathrin-mediated endocytosis (CME) and non-clathrin- mediated endocytosis. Macropinocytosis is active intake of large amount of extracellular milieu by closure of membrane ruffles. This process requires reorganization of actin cytoskeleton, therefore is sensitive to drugs like cytochalasin D. It also involves Rho family small GTPase, and might participate in the regulation of signal transduction and cell migration (Conner and Schmid, 2003). This section will be focused on receptor- mediated endocytosis, while non-CME will be discussed in the next section.
Clathrin-mediate endocytosis is the best-studied type of endocytosis. It is constitutively active in all mammalian cells and is the main player of the uptake of nutrients, regulation of signaling molecules on the membrane, cell and serum homeostasis, and transmission of synaptic signals. It was discovered and first characterized as a class of membrane vesicles derived from “coated pits” at the cell surface by electron microscopy. The coated pits are clathrin-coated vesicles (CCV) that enclose membrane receptors, their ligands and other extracellular cargos. Typical ligands traveling in CCVs include low-density lipoprotein (LDL), transferrin and EGF, which upon binding to their receptors stimulate the assembly of CCVs (Roy, 2005). The coat is a polygonal cage like structure formed by self-assembling clathrin molecules with assisting assembly proteins (AP). Two essential APs are monomeric AP180 and heterotetrameric adaptor complex AP2. Other accessory proteins such as Eps15, endophilin and amphiphysin regulate the process of vesicle formation. The CCVs depart from the plasma membrane and become early endosomes, which diverge from this point.
Some early endosomes become recycling endosomes and fuse back into the plasma
36 membrane, while others are acidified and fuse with lysosomes. The formation of CCVs requires a large GTPase called dynamin, while the sorting and trafficking of the internalized vesicles involve small GTPases of the Rab family, the Rho family and Cdc42
(Liberari et al., 2008; Conner and Schmid, 2003). Trafficking of the vesicles also requires coordination of the cytoskeleton and motor proteins associated with the cytoskeleton.
Dynein, for example, which travels toward the minus end of microtubules, is found associated with late endosomes and lysosomes (Murray and Wolkoff, 2003). Generally speaking, vesicles move bidirectionally at cell periphery, while the movement becomes biased toward the minus end of the microtubules around center of the cells. Both kinesin, which tracks towards plus end of microtubules, and dynein, and actin associated myosins have been reported to be involved in this process. Rab family GTPases provide docking sites for the motors on vesicles (Murray and Wolkoff, 2003).
Cells exert tight temporal and spatial regulation on CME, for example by phosphorylation and dephosphorylation of the coat proteins. For instance, dynamin, amphiphysin and AP180 are all phosphorylated in resting neurons and become rapidly dephosphorylated upon membrane depolarization. Kinases such as Src kinase, PKA,
PKC, casein kinase II and some Cdks are also found to directly phosphorylate CCV related proteins. For example, Src kinase directly phosphorylates clathrin, which might be part of the signaling cascade of some growth factors (Roy, 2005). Cyclin G–associated kinase (GAK)/auxillin on the other hand phosphorylates AP2, AP180 and adaptor protein