effects of suramin-related and other clinically ...€¦ · ters such as the tumor promoter tpa....
TRANSCRIPT
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Vol. 1. 1 13-122, January 1995 Clinical Cancer Research 113
Effects of Suramin-related and Other Clinically Therapeutic
Polyanions on Protein Kinase C Activity1
Zahangir Khaled, Darryl Rideout,2
Kevin R. O’Driscoll, Daniel Petrylak,
Angela Cacace, Rena Patel, L-C. Chiang,
Susan Rotenberg, and C. A. Stein3
Department of Medicine. Columbia University, New York. New York
10032 [Z. K.. K. R. O’D.. D. P.. A. C.. C. A. SI: Queens College-
CUNY, Queens, New York 1 1367 [S. RI; and The Scripps Research
Institute. La Jolla. California 92037 ID. R.. R. P., L-C. CJ
ABSTRACT
The mechanism of the antineoplastic effects of suramin
may involve interference with signal transduction, but in
general is not well understood. We examined several poly-
anions to determine their effects on the kinase activity of the
protein kinase C (PKC) �1 and other PKC isoforms. Similar
to suramin, a phosphorothioate oligodeoxynucleotide 28.
mer homopolymer of cytidine (SdC28) inhibited the phos-
phatidylserine and Ca2�-dependent phosphorylation of an
epidermal growth factor receptor octapeptide substrate. The
inhibition by suramin was mixed competitive/noncompeti-
tive with respect to ATP, but uncompetitive with respect to
substrate. In contrast, the inhibition by SdC28 was compet-
itive with respect to substrate (K1 5.4 p.st) and not corn-
petitive with respect to ATP. The PKC a and �31 isoforms
were inhibited to the same extent with SdC28, while PKC #{128}
was not inhibited. SdC28, in the absence of lipid cofactor,
stimulated substrate phosphorylation, and in the absence of
substrate induced PKC �1 autophosphorylation. Similar
behavior was seen with another polyanion, the polysulfated
carbohydrate pentosan polysulfate (polyxylyl hydrogen sul-
fate). H4, a bis-naphthalene disulfonate tetraanion structur-
ally related to suramin, also inhibited kinase activity but was
not competitive with respect to ATP. Dianions closely re-
lated to H4 failed to inhibit PKC �31, suggesting that multi-
pie ( >2) negative charges are required. The interactions of
polyanions with PKC are complex, and are dependent on the
molecular structure of the polyanion, the presence of cofac-
tors, and the PKC isoform.
INTRODUCTIONSuramin, a bis-polysulfonated naphthylurea hexaanion ( 1).
causes clinical remissions in patients with adrenocortical cancer
(2), hormone-refractory metastatic prostate cancer (3). and
heavily pretreated non-Hodgkin’s lymphoma (4). However. the
mechanism of the antineoplastic effect of suramin is probably
complex, and may involve the ability of suramin to block the
binding of a variety of growth factors (e.g. . bFGF�: Refs. 5. 6),
Kaposi’s FGF (7), platelet-derived growth factor (8, 9), trans-
ferrin ( 10) to their receptors, to inhibit DNA polymerases ( 1 1),
to interfere with the activity of topoisomerase II ( I 2), to affect
mitochondrial function (13), and to inhibit the lysosomal catab-
olism of glycosaminoglycans (14, 15). An additional intracel-
lular target for sumamin may be PKC ( 16, 17). PKC is a family
of at least 10 related protein serine/threonine kinases that are
activated allosterically by phospholipids and are implicated in
cellular growth control (18). The isoforms of PKC mediate
intracellular signal transduction initiated by transmembrane-
receptor-linked hydrolysis of phospholipids and by phorbol es-
ters such as the tumor promoter TPA. Based on sequence
homology and biochemical properties. these isoforms of PKC
can be divided into three functional classes: the Ca2�-sensitive
conventional isoforms (PKC a, �3I, �3II, and rny)’ the Ca2 � -
insensitive novel isoforms (PKC #{128},& q. and 0), and the Ca2�-
and phorbol ester-insensitive atypical isoforms (PKC � and X;
Ref. 19). Inhibitors of PKC activity such as the compound
dequalinium (20, 2 1) and the stauroporine analogue CGP 41251
(22) inhibit the growth of transplantable rodent tumors. Hensey
et a!. ( 16) have shown that inhibition of in vitro PKC activity bysuramin, and also by staurosporine, closely correlates with the
ability of these agents to differentiate the neuroblastoma NB2A
cell clone.
However, the effects of suramin on PKC activity are corn-
plex. For example, Mahoney ci a!. ( 17) have recently demon-
stnated that suramin, in the presence of the lipid cofactor phos-
phatidylserine. is an inhibitor of PKC activity (histone Ill-S
substrate) and that the inhibition is competitive with respect to
ATP. In the absence of phosphatidylsenine, surarnin is a stirnu-
lator of PKC activity.
We wanted to determine if this complex behavior was
specific to suramin or was a general property of polyanions.
Thus, we have examined the inhibitory effects of several struc-
turally distinct classes of polyanions (Fig. 1 ) on PKC � I activ-
ity. The molecules we have studied are either themselves, or
closely related to, compounds that are currently or will soon he
in clinical cancer trials. One of these classes is phosphorothioate
oligos, which were initially synthesized by Stec ci a!. (23).
Received 7/I 3/94: accepted I 0/I 0/94.
I This is manuscript 8007-MB from the Department of Molecular Bi-
ology. The Research Institute of Scripps Clinic.
2 Received partial support from PPG Industries and the National lnsti-
tute of Allergy and Infectious Disease Grant A128202.
3 The Irving Assistant Professor of Medicine and Pharmacology. Re-
ceived partial support from the Mathieson Foundation, the DuBose
Hayward Foundation. and National Cancer Institute Grant CA60639. To
whom requests for reprints should be addressed. at Department of Medi-
cine, Columbia University. 630 West 168th Street, New York. NY I(X)32.
4 The abbreviations used are: bFGF. basic tibroblast growth factor:PKC, protein kinase C: TPA. I 2-O-tetradecanoylphombol- I 3-acetate:oligos. oligodeoxynucleotides; SdC28. phosphophorothioate 28-men ho-
mopolymer of cytidine: LYCH, lucifer yellow CH; EGFR. epidermal
growth factor receptor: ps, phosphatidylserine.
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114 Polyanions Inhibit Protein Kinase C Activity
These are analogues of normal, or phosphodiestem, oligos in
which one oxygen atom in a nonbnidging position at each
phosphorus is replaced by sulfur (reviewed in Ref. 24). Se-
quence-specific phosphorothioate oligodeoxynueleotides are
currently in Phase I clinical trials in a cohort of patients infected
with HIV (25-mer; target HIV-1 gag mRNA; Ref. 25) and in
another group suffering from chemotherapy-refractory acute
rnyelogenous leukemia (20-men; target = p53 mRNA; Ref. 26).
SdC28, the phosphomothioate oligo we have used in this study,
is a homopolymem of eytidine, 28 bases in length. It is, like suramin
(27), an in vitro anti-HIV-1 agent (28, 29) and may exert this effect
by multiple mechanisms (for a review see Ref. 30). SdC28 is also
an in vitro inhibitor of PKC �3 1 activity (1C3() = 5 �i.M); this activityseems to correlate with its ability to inhibit the internalization of
some fluid-phase markers in HL6O cells (31).
Another class of polyanion we examined is the sulfated
carbohydrate pentosan polysulfate (polyxylyl hydrogen sulfate).
This polyanion, like sumamin, can bind to hepamin-binding
growth factors (32) and has also entered recent, albeit less
successful clinical trials than sumamin.
In the present study, we examine the inhibition of activity
of several isoforms of PKC by a variety of polyanions, including
SdC28 and pentosan polysulfate. We also examine the effects
these and other polyanions have on the phosphomylating activity
of PKC 1� 1 in the absence of lipid cofactors. These data providesome important, early, structure-activity relationships that ex-
pand our understanding of the possible mechanisms of action of
polyanionic compounds with potential importance as clinical
antineoplastie agents.
MATERIALS AND METHODS
Reagents. LYCH was either purchased from Molecular
Probes (Eugene, OR) on Aldrich Chemical Company (Milwau-
kee, WI). H3 and H4 were synthesized and purified by previ-
ously described procedures (33). Pentosan polysulfate was a
generous gift from the Hoechst Corporation and was used with-
out further purification. SdC28 was synthesized on a ABI-380B
automated DNA synthesizer according to the standard phos-
phoramidite method using the manufacturer’s procedure and
substituting tetmaethylthiuram disulfide for the iodine oxidation
step (Applied Biosystems, Foster City, CA). A part of the
SdC2S was also kindly provided by Dr. G. Zon. After base
depmoteetion, the SdC28 was HPLC purified as described pme-
viously (34), 5’-detnitylated with 3% acetic acid, lyophilized,
and precipitated with NaC1 from aqueous ethanol. Sumamin was
obtained from the Mobay Chemical Corporation (New York,
NY). The chemical structures of the polyanions used in this
work are shown in Fig. 1.
Assay of PKC Activity. PKC �31 activity was assayed
according to the method of Rotenbemg et a!. (21). Briefly, this
isoform was isolated from mumine embryo C3H lOTl/2 fibro-
blasts that had been genetically engineered to overproduce mat
brain PKC �1 (35, 36). The initial phosphorylation of EGFR
substrate, either with or without SdC28, increased linearly for at
least 10 mm. The kinase activity slowed at -30 mm and
terminated at 60 mm of reaction time. PKC activity was taken as
the difference in the amount of 32P[P�] transferred from
[-y-32P]ATP to a synthetic peptide sequence ofthe EGFR, R-K-
R-T-L-R-R-L, in the absence and presence of phosphatidyl-
semine. The reaction medium (60 �i.l), placed in 13- X 100-mm
disposable glass test tubes, consisted of 20 mrvi Tris (pH 7.5),
10 mM MgC12, 1.0 m�i CaCl2, 2.0 �i.g synthetic peptide, 5 �i.g
phosphatidylsenine on 5 �i.l water, 5 p.1 polyanion inhibitor at the
desired concentration, and 5 �j.l PKC �31 preparation. The reac-
tion was initiated with the addition of 5 p.1 792 p.M [-y-32P]ATP
(-200 epm/pmol). Each (-) and (+) determination was carriedout in duplicate for each oligo concentration measured. There
was less than 10% variability between the duplicates. The me-
action was carried out in a 30#{176}Cwater bath for 10 mm and was
quenched by transferring 30 p.1 reaction medium to a 3- X 3-em
square of phosphocellulose paper and immediately immersing it
in a 1-liter beaker of tap water. The squares were washed with
water and counted. In control experiments, the presence of
phosphatidylsemine typically stimulated the kinase reaction 4- to
7-fold with the EGFR peptide as substrate.
To determine the extent of PKC �31 autophosphorylation,
the assay as described above with phosphatidylsenine and the
EGFR substrate omitted, was performed in the presence of the
appropriate concentrations of polyanion inhibitor. After 10 mm,
an equal volume of Laemmli’s buffer was added, and the mix-
tune was eleetrophomesed on a SDS-7.5% polyacrylamide gel.
The gel was dryed and exposed to Kodak film overnight, after
which the film was developed.
PKC a and PKC #{128}were partially purified from cell lines
engineered to overproduce them (37). PKC � was provided by
D. Fabbro (Department of Pharmaceutical Research, Ciba Geigy,
Basel, Switzerland) and purified as described previously (38) PKC
a activity was determined in the same manner as PKC �31 activity.
PKC �i activity was determined likewise, but in the presence of 2
mM EGTA. PKC s-specific activation was detected by inclusion of
phosphatidylserine (83 p.g/ml) or phosphatidylsemine and TPA (100
ng/ml). PKC #{128}activity was determined, in the absence of Ca2�,
using a synthetic peptide that is a 12-amino acid fragment of the
Aplysia PKC #{128}pseudosubstrate (Ac peptide), with serine substi-
tuted for alanme (39).
PKC Catalytic Fragment. This was isolated fromDEAE-Sephaeel (21) as phosphatidylsemine-independent aetiv-
ity from Sf9 insect cells that had been infected with baeulovimus
bearing the full-length eDNA of mat brain PKC �31. The phos-
phatidylsemine-independent activity arose by limited proteolysis
of intact PKC �31, presumably by endogenous proteases, after
the cell pellets were thawed. On SDS-8% PAGE, a major band
was observed that migrated at the appropriate rate for the
catalytic fragment (between 50 and 60 kDa).
RESULTS
Comparison of Kinetics of Inhibition of PKC �1 Kinase
Activity by SdC28 and Suramin Using EGFR Substrate.
The inhibition of the kinase activity of PKC a, �3, and �y by
suramin (17) has previously (17) been demonstrated to be sim-
ple linear competitive with respect to ATP when histone Ill-S
was used as the substrate. In the opinion of Mahoney et a!. (17),
kinase activity was also inhibited by direct interaction of
suramin with the substrate.
We reexamined the kinetics of inhibition of PKC �31 ac-
tivity by suramin. However, instead of histone 111-5, we used a
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LYCH H3
[03s0 0S03j ,.�
PentosanPolysulfate
H4 Suramin
Clinical Cancer Research 115
Fig. I Chemical structures of polyanions. Numbers of negative charges per molecule: Sumamin, 6; H4, 4; LYCH, 2; H3, 2; SdC28, 27; pentosanpolysulfate (-18).
synthetic fragment of the EGFR in its place. Inhibition of PKC
131 kinase activity by suramin was noneompetitive with respectto EGFR at all suramin concentrations tested (data not shown).
On the other hand, inhibition of PKC �31 activity by suramin was
mixed competitive/noncompetitive with respect to ATP when
EGFR was the substrate.
We then wanted to determine if the kinetics of inhibition of
PKC 131 kinase activity by SdC28 were similar to that of
suramin. Similar to sumamin, the inhibitory activity of SdC28
appeared to reside in the constitutively active catalytic fragment
(ICc0 7.5 p.M for SdC28). Phosphorylation of EGFR by the
catalytic fragment, in the presence on absence of SdC28, was
independent of phosphatidylsenine and calcium.
We then examined the kinetics of inhibition of the holoen-
zyme by SdC28. As shown in Fig. 2 (top), the Lineweavem-
Burke plot of the PKC �31 substrate phosphomylation reactions,
conducted with varying concentrations of substrate (EGFR pep-
tide), indicates that SdC28 inhibited PKC �31 activity in a
simple, linear competitive fashion with regard to substrate.
Furthermore, a Hill plot was linear (r� = 0.99) with a slope of
unity. (The Hill plot was constructed using the observed inhi-
bition of kinase activity [log(V0 - V)/V is plotted versus
log(SdC28)J, where V0 and V are the reaction velocities in the
absence and presence of SdC28, respectively; Fig. 3, top.)
Following the example of Majumdam et a!. (40), these data
suggest that the mode of inhibition of PKC �31 activity is
unimolecular. These data further suggest (but do not prove) that
SdC28 may interact with PKC �31 at or near the substrate
binding site.
We also examined the kinetics of PKC 31 phosphomylation
of EGFR as a function of AlT concentration. In the mange of
ATP concentrations from 25 to 150 p.M. we observed no inhi-
bition of substrate phosphomylation as a function of ATP con-
centrations at constant oligo concentrations (i.e. , a Lineweavem-Burke plot as above was composed of a series of parallel,
horizontal lines). In contrast, as mentioned above, in this sys-
tem, using EGFR as substrate, the inhibition of PKC �31 phos-
phorylating activity by sunamin is mixed competitive/noncom-
petitive with respect to ATP. Therefore, even though both
SdC28 and sunamin can inhibit PKC �31 kinase activity, only
suramin is a competitive inhibitor with respect to ATP.
The meplot of the slopes of the Lineweavem-Bumke lines
from Fig. 2 (top) versus SdC28 concentration is shown in Fig. 2
(bottom). The individual data points vary in a random fashionfrom linearity (r� = 0.95). The value of K. - 5.4 jiM.
Determination of the apparent dissociation constant (Kd) of
SdC28 binding to PKC �31 was accomplished using the initialmate method of Mildvan and Leigh (41). This method has found
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1000
800
600
400
200
0
‘l
>
0
0
0 200 400 600 800 1000-2
-2 -1 0 1
>
0
.2
-6 -4 -2 0 2 4 6
-1
-1 0 1 2
its greatest use in studies on irreversible enzyme inhibitors. In
our experience, the rate of dissociation of phosphonothioate
oligo/protein complexes is sufficiently slow so as to mender the
binding of phosphomothioate oligo to protein virtually imrevers-
ible (31). Under the conditions of our experiments (Ca2� 1
mM, phosphatidylsemine = 83.3 jig/mI, EGFR = 11.75 p.M.
ATP = 66 jiM), initial phosphorylation of EGFR substrate, either
with on without SdC28, increases linearly for at least 10 mm.
A plot of the log V/V0 versus time (where V� concen-
tration of phosphorylated EGFR at 60 mm and V = Va-V,, where
V, = concentration of phosphorylated EGFR at t 3, 5, and 7
mm) was created by expressing V/V0 as a percentage of maxi-
mum phosphomylation V0. When log V/V() versus time was
plotted in the presence of several concentrations of SdC2S (0.5,
2, 5, and 10 jaM) a series of straight lines was produced. The
slopes of these lines are equal to kap�,/2.3, where � is the
apparent pseudo-first order rate constant of the inhibition meac-
tion. (The inhibitor concentration was always in substantial
excess relative to the enzyme.) However, //kapp 1/k1 +
[I]/ktKd, where k1 is the true rate constant of the substratephosphorylation reaction and [I] is the concentration of SdC28.
A plot of � versus [SdC28j is a straight line (r� = 0.99; Fig.4) and the value of apparent Kd (as calculated from the X-inten-
cept) = 2.3 p.M.
116 Polyanions Inhibit Protein Kinase C Activity
V.
0V.
*
0
1ILSJ. huM xlO
(SdC2�J. uM
Fig. 2 Top, double reciprocal kinetic plot demonstrating competitive
inhibition with respect to substrate (EGFR) by SdC28. Assays were
performed at various concentrations of substrate in buffer containing
20 msi Tnt (pH 7.5), It) mM MgCl2, 1.0 msi CaC1,, 5 jig phosphati-dylsenine. 66 jiM AlP, and 5 �il PKC �3l preparation. The determinationwas carried out in duplicate (
-
E
V.
400
300
200
I 00
-4 -2 0 2 4 6 8 10 12
LSdC2SI, uM0 1 2 3 4 5 6
tSdC2eJ. uM
0 10 20 30
tPentosan polysulfatej. uM
Clinical Cancer Research 117
Fig. 4 Determination of apparent 1�d of SdC28 binding to PKC �3laccording to the method of Mildvan and Leigh (41). Plotted is [SdC28]
versus l/kapp. where � represents the pseudo-first order mate constant
of the inhibition reaction. The assays of enzyme activity were performedas described in ‘ ‘ Materials and Methods. ‘ ‘ Values of kapp were deter-mined as described in ‘ ‘ Results. ‘ ‘ A straight line was fit to the datapoints using the method of linear least squares. Value of the apparent
Kd 2.3 p.M.
Length Dependence of Inhibition of PKC �1 KinaseActivity by Phosphorothioate Oligodeoxynucleotides. Be-
cause of the relatively high value of IC5() for SdC28 (-5 jiM),
we synthesized longer phosphorothioate homopolymems of cyt-
idine in an attempt to increase the potency of the inhibition of
PKC �31 kinase activity. However, the value of IC5() for both
SdC35 and SdC4O was approximately 1 jiM, which is only
slightly less than that for SdC28. Other, nonhomomenic oligos
were also tested as inhibitors of PKC �31 kinase activity in
the presence of phosphatidylsemine and EGFR. The IC5() for
the phosphomothioate 21-mer 5’-dC7(T7)C7-3’ was approxi-
mately 20 jiM, which was similar to that of SdC2I (31). A
similar IC5() value (20 jiM) was also obtained for the par-
tially self-complementary phosphorothioate 21-mer 5’-dCGC-
GCGC(T7)GCGCGCG-3’.
Stimulation of PKC �1 Kinase Activity by SdC28 in the
Absence of Lipid Cofactor. To further explore the effects of
SdC28 on the phosphomylating activity of PKC �31, we examined
its activity in the absence of lipid cofactor. These effects are
similar to that of sunamin under identical experimental condi-
tions. SdC28, at low concentrations (2-4 jiM) stimulated the
phosphorylation of the EGFR peptide by 300-400% (Fig. 5,
top). This effect was independent of the Ca24 concentration (up
to 1 mM tested). Furthermore, the dose response of the substrate
phosphomylation reaction with respect to the Mg2� coneentra-
tion was not affected by the presence of SdC28 (5 jiM), sug-
gesting that this ion did not directly interact with the oligo or
with the enzyme. Longer phosphorothioate oligos, including
both SdC3S and SdC4O, also stimulated EGFR phosphomylation
in the absence of phosphatidylserine (250-325% increase at 2.5
jiM concentration versus control in the absence of oligo).
When the substrate phosphorylation reaction was per-
formed in the absence of substrate, but in the presence of
phosphatidylsenine, SdC28 markedly stimulated PKC autophos-
300
.�
8 200
0>
100
0
Fig. 5 Effects of polyanions on PKC �31 kinase activity in the presence
or absence of phosphatidylsemine. Assays were performed as described
in ‘ ‘ Materials and Methods’ ‘ and compared to enzyme velocity with no
added polyanion. Top. SdC28, E�J; + phosphatidylsenine (83 p.g/ml); #{149},absent phosphatidylsemine. Bottom. Pentosan polysulfate, �; + phos-
phatidylsemine (83 pg/mI); #{149}, absent phosphatidylserine.
phorylation (Fig. 6). At a concentration of 2.5 p.M SdC28, the
increment was as much as 300-400% greaten, as determined by
laser scanning densitometmy, than that of control in the absence
of SdC28. The enhancement is dose dependent (only twice that
of control at 0.5 and 1.0 jiM).
Effects of SdC28 on the Kinase Activity of PKC a, �,
and #{128}. To determine if the effects of SdC28 on PKC kinaseactivity were isoform specific, we examined PKC phosphory-
lating activity with the a, �, and #{128}isoforms. Under our reaction
conditions, we did not observe a differential inhibitory effect of
SdC28 on PKC a versus PKC �31 (IC5() for both -5 jiM). On theother hand, calcium-independent PKC #{128}kinase activity (A #{128}
peptide substrate, assayed after addition of 100 ng/ml TPA) was
neither stimulated nor inhibited by SdC28 at concentrations up
to 20 p.M.
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. SdC28, 0.5
. SdC28, 1
S SdC28, 2.5 uM� Pentosan, 1 uM
0 Pentosan, 2.5 uM. Pentosan 5
118 Polyanions Inhibit Protein Kinase C Activity
p80
I 1
.�
0 800
l000f______ -.
�
�
b� .
.� 600
C’)
.� 400IPolyanion
Fig. 6 Top. autoradiogram of the 80-kDa PKC �l protein after stimulated autophosphorylation by polyanions. Phosphatidylserine and EGFR
substrate were omitted. as described in “Materials and Methods.�’ The reaction time was 10 mm. Lane 1, control (no added polyanion); Lane 2,
SdC28. 0.5 jiM: Lane 3. SdC28, 1 jiM: Lane 4, SdC28, 2.5 jiM; Lane 5, pentosan polysulfate. 1 jiM: Lane 6, pentosan polysulfate. 2.5 p.M: Lane 7,pentosan polysulfate, S p.si. Bottom. band intensity. as determined by scanning laser densitometry. of the bands in Fig. 6. top. Intensity is expressed
as percentage of control (no added polyanion) after subtraction of background.
The effects of surarnin on PKC � kinase activity have not
previously been examined. These assays were performed in the
presence of 2 mM EGTA to remove free Ca2� ions: we used
either the EGFR octapeptide or histone Ill-S as the substrate.
Under these conditions activation of PKC � by phoshatidyl-
serine produced less than a 2-fold stimulation of kinase activity
relative to the constitutive activity. However, PKC � activity
was stimulated by greater than 9-fold in the presence of both
phosphatidylserine and TPA using either substrate. Suramin
(5-125 p.M. histone Ill-S substrate) could not cause PKC �
activation in the presence of phosphatidylserine alone: it could
only do so in the presence of both phosphatidylserine and TPA
(Fig. 7). In contrast, with EGFR as substrate, 250 p.M suramin
markedly inhibited PKC �i activation by phosphatidylserine plus
TPA. In the absence ofcofactors, suramin (5-125 jiM) enhanced
constitutive phosphorylation of the EGFR peptide by -3-5-fold
(Fig. 7).
SdC28, similar to suramin, enhanced the phosphorylation
of histone Ill-S by PKC � in the presence of phosphatidylserine
and TPA, and also enhanced the phosphorylation of the EGFR
octapeptide in the presence of phosphatidylserine alone or in
the absence of cofactors (data not shown). However, also with
the EGFR peptide as the substrate, the effects of SdC28 on the
activity of PKC � (in presence of both phosphatidylserine and
TPA) are complex (Table 1). Based on three independent de-
terminations of the specific activity of PKC �i calculated by
subtraction of constitutive activity (in the absence of cofactors)
from activity in the presence of both phosphatidylserine and
TPA, we determined that the ICS() for suramin was -28 p.M.
From the data in Table 1 , the ICS() for SdC28 - 10 p.M. How-
ever, concentrations of SdC28 of 2 p.M or less could actually
slightly enhance PKC � activation by phosphatidylserine and
TPA (Table I).Kinetics of Inhibition of PKC �1 Kinase Activity by
Pentosan Polysulfate Using EGFR Substrate. To determine
if the kinetic data obtained in our experiments with SdC28 were
of a general nature, we examined the inhibition of PKC �3 I
kinase activity by a structurally unrelated polyanion. Pentosan
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uM Suramin
Clinical Cancer Research 119
2000
1800
1600>‘
:� 1400
� 1200
� 1000
C 800
600
400
200
00 50 100 150 200 250 300
Fig. 7 Differential effects of suramin on PKC � activation by histone
Ill-S and EGFR octapeptide substrates in the presence of phosphatidyl-serine and TPA. PKC f� enzyme activity was assayed as described in“Materials and Methods’ ‘ utilizing either histone Ill-S (667 p.g/ml) oralternatively the EGFR octapeptide (33.3 jig/mI) as the phosphoaccep-tom. Kinase activity was measured in the presence of phosphatidylserine
or phosphatidylserine plus TPA. and in the absence or presence of
suramin. The results are expressed as the increase of activity detected in
the absence of these cofactors. �, control (no added histone); #{149},+histone III-S, +ps; #{149},+histone III-S, +ps, +TPA; K�, control, noEGFR; #{149},+EGFR, +ps; LI, +EGFR, +ps, +TPA.
polysulfate is a polymer of xylose hydrogen sulfate, has a Mr
-3 100, and contains two sulfate groups per carbohydrate mono-
men. One way in which it differs from phosphorothioate oligo-
nueleotides is that the negative charge is localized on the oxygen
atoms of the sulfate groups, in contrast to the phosphorothioate
oligos where the negative charge is localized predominantly on
the sulfur atom of the phosphorothioate groups (42). Pentosan
polysulfate also inhibits the PKC �l catalyzed phosphorylation
of the EGFR substrate (ICS() = 5 jiM). The kinetics of inhibition
at low concentrations are shown in Fig. 8 (top), in which is
displayed the Lineweaver-Burke plot of the substrate phosphor-
ylation reaction performed in the presence of variable amounts
of EGFR substrate. At low pentosan polysulfate concentrations
(1-10 jiM), the mode of inhibition is simple linear competitive.
At higher concentrations (20-50 jiM), the mode of inhibitionchanges to uncompetitive (data not shown). The replot of the
low-concentration Lineweaver-Burke data gave the value of
K. = 2.3 p.M. Similar to SdC28, the inhibition of the phosphor-
ylation reaction in the presence of pentosan polysulfate was not
competitive with respect to ATP concentration. The Hill plot,
performed in a manner identical to that for SdC28, was linear
(,2 0.99) with a slope of 0.92 (Fig. 3, bottom), suggesting a
unimolecular order of inhibition. In addition, pentosan polysul-
fate resembled SdC28 in stimulating EGFR phosphorylation in
the absence of lipid cofactor (300% relative to control at 2.5 jisi;
Fig. 5, bottom) and was an inducer of autophosphorylation in the
absence of lipid eofactor and substrate (Fig. 6).
We extended some of these observations to a polyanion
structurally related to pentosan polysulfate. Dextran sulfate (500
Table I Effects of SdC28 on PKC � activity”
SdC28 (jiM)
PKC S activity (c/c control)
A B
0 100 100
0.08 106 108
0.4 92 117
2 119 10310 55 53
50 22 9
‘, PKC t� activity was determined in triplicate in the presence ofTPA and phosphatidylsenine using the EGFR substrate (A. 16 p.M; B. 8
riM) as described in ‘ ‘Materials and Methods.’ ‘ (SEM for each triplicateis -�-- I 5%). Specific PKC activity detected in the presence of SdC28 wascalculated and expressed as a percentage relative to the control. ICS) is
-10 p.M.
kDa), in the presence of phosphatidylserine, was also an inhib-
itor of PKC �l activity, with ICS() �-50 p.g/ml.
Inhibition of PKC �1 Kinase Activity by 114 and Other
Suramin “Analogues”. Because the kinetics of inhibition of
PKC �l were different for suramin versus the other polyanions
tested, we examined other polyanions structurally related to
suramin. Although H4 is a tetraanion, it resembles the hexaan-
ion suramin in that both molecules consist of two sulfonated
naphthylamine moieties separated by a bridge containing hy-
drophobic aromatic groups (Fig. 1). H4 also inhibited PKC � I
kinase activity in the presence of phosphatidylserine (EGFR
fragment as substrate, ICS() = 25 jiM). Inhibitable activity me-
sided in the PKC �l catalytic fragment (ICS() �-35 jiM). We
examined the substrate phosphorylation reaction in the presence
of variable concentrations of EGFR fragment and ATP and
found that the inhibition was simple linear competitive with
respect to EGFR; like SdC28 and pentosan polysulfate, there
was no competition with respect to ATP concentration. The
replot of the slopes of the Lineweaver-Burke lines versus H4
concentration is linear (r� = 0.94, K = 8.3 jiM). However, in
contrast to both SdC28 and pentosan polysulfate, the slope of
the Hill plot is not close to 1 .0 at the concentrations of EGFR
fragment used, indicating that the molecular order of the inhi-
bition is not unity. This suggests that the H4 might be interacting
with multiple sites on the enzyme and perhaps with the substrate
as well. In the absence of phosphatidylsenine, H4 resembled
suramin in that it stimulated PKC �3l activity (350-450% at
10-20 jiM). H4 also induced PKC �3l autophosphorylation in
the absence of both substrate and lipid cofactor, but the effect
was not as dramatic as that which is seen with SdC28. No
stimulation was present at an H4 concentration of > 10 p.M.
H3, a dianion comprising one half of H4, (Fig. 1 ), not only
did not inhibit PKC �3 1 activity in the presence of lipid cofactor,
but was actually slightly stimulatory at all concentrations as-
sayed (e.g., 144% of control, 35 p.tvi; 139% of control, 50 jiM).
On the other hand, the dianion LYCH, which is similar to H3
except that it lacks an appended benzylidene group (Fig. 1 ), was
neither stimulatory nor inhibitory in the absence or presence of
lipid cofactor at concentrations up to 50 p.M. The behavior of
these dianions contrasts sharply with that of the tetraanion H4,
which is equipotent with suramin.
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3000
2000
=
x>V.
0
100 300 500 700 900
illS!. huM X 10
2
.2
-2 0 2 4 6 8 10 12
fPentosan polysulfatej. uM
120 Polyanions Inhibit Protein Kinase C Activity
5 C. Stein, W. Stec. J. Tonkinson. and A. Wilk, unpublished results.
3;�,.
l�ig. S Top. double reciprocal kinetic plot demonstrating competitive
inhibition with respect to substrate (EGFR) by pentosan polysulfate.
Assays were performed at various concentrations of substrate in buffer
containing 20 mM Tris (pH 7.5). 10 nmi MgCl,, 1.0 m�i CaCI,, 5 jigphosphatidylserine (83 jig/mI). 66 p.M ATP. and 5 p.l PKC �3l prepa-ration. The determination was carried out in duplicate (
-
Clinical Cancer Research 121
(51). Presumably, binding of the polyanion (or lipid cofactom) to
the enzyme induces a conformational change that results in
dislocation of the pseudosubstrate from its binding site (52). On
the basis of charge considerations alone, it seems unlikely that
any polyanion can bind to the same site as the lipid cofactom.
More subtle differences in chemical structure can also lead
to significant changes in the kinetics of inhibition of PKC �31
activity. H4 resembles sumamin in that it contains two aminon-
aphthalene sulfonic acid groups. Nevertheless, it differs from
suramin in that H4 does not inhibit PKC �31 activity competi-
tively with respect to ATP. Surprisingly, H4 resembles SdC28
in being competitive only with respect to substrate. However,
the mode of inhibition of PKC �31 activity by H4 is not unimo-
leculan. The lack of inhibition of PKC �31 activity by LYCH and
H3 suggests that more than two negative charges may be me-
quimed for the inhibition. The ability of H3 and H4 to stimulate
PKC �31 activity may be due to the presence of their hydropho-
bic aromatic rings, which are lacking in the inactive dianion
LYCH.
Both suramin and pentosan polysulfate (32, 53) are capable
of binding hepamin-binding autoemine and paracrine growth fac-
tors, including bFGF and Kaposi’s FGF. It has been proposed
that this mechanism may be responsible for the clinical antine-
oplastic effects of these compounds (54). However, as indicated
above, these polyanionic compounds may have a multiplicity of
effects on the signal transduction pathway. These effects include
both interference with the hepanin-binding growth factom-recep-
tom interaction and possibly, with secondary, PKC-mediated
events, and all may all contribute to the observed in vivo
antineoplastic effects. The ability to affect multiple targets si-
multaneously, if it occurs, may help to explain the relatively
large number of responses seen clinically against chemotherapy-
refractory tumors when suramin has been used as monotherapy.
Furthermore, the dependence of potency and perhaps mecha-
nism of PKC inhibition on the chemical structure of polyanions
suggests that it may eventually be possible to synthetically
design other polyanionic compounds with augmented PKC in-
hibitory properties.
ACKNOWLEDGMENTS
Helpful discussions with I. B. Weinstein are greatly appreciated.
REFERENCES
1. Stein, C. A. Sumamin: a novel antineoplastic agent with multiplepotential mechanisms of action. Cancer Res., 53: 2239-2248, 1993.
2. Stein, C. A., LaRocca, R., MeAtee, N., Thomas, R., Home, M., andMyers, C. E. Sumamin-an anti-cancer drug with a unique mechanism of
action. J. Clin. Oneol., 7: 499-508, 1989.
3. Myers, C., Cooper, M., Stein, C., et al. Sumamin: a novel growth
factor antagonist with activity in hormone-refractory metastatic prostate
cancer. J. Clin. Oncol., 10: 881-889, 1992.
4. LaRocca, R., Cooper, M., Stein, C., Kohler, D., Uhmieh, M., Wein-
bergen, E., and Myers, C. A pilot study of sumamin in the treatment ofprogressive refractory follicular lymphomas. Ann. Clin. Oncol., 3: 571-
573, 1992.
5. Coffey, R., Leof, E., Shipley, G., and Moses, H. Sumamin inhibitionof growth factor receptor binding and mitogenicity in AKR-2B cells. J.Cell. Physiol., 132: 143-148, 1987.
6. Mignatti, P., Momimoto, T., and Rifkin, D. Basic fibmoblast growthfactor released by single, isolated cells stimulates their migration in anautoemine manner. Proc. Natl. Acad. Sci. USA, 88: 11007-11011, 1991.
7. Moscatelli, D., and Quarto, N. Transformation of NIH 3T3 cells withbasic fibmoblast growth factor of the hstfK-fgf oneogene causes down
regulation of the fibmoblast growth factor receptor: reversal of mompho-
logical transformation and restoration of receptor number by suramin. J.Cell Biol., 109: 2519-2527, 1989.
8. Williams, L., Tremble, P., Lavin, M., and Sunday, M. E. Platelet-
derived growth factor receptors form a high affinity state in membrane
preparations. J. Biol. Chem., 259: 5287-5294, 1984.
9. Hosang, M. Sumamin binds to platelet-derived growth factor andinhibits its biological activity. J. Cell. Biochem., 29: 265-273, 1985.
10. Fomsbeck, K., Bjelkenkmantz, K., and Nilsson, K. Role of iron in theproliferation of the established human tumor cell lines U-937 and
K-562: effects of sumamin and a lipophilic iron chelatom (PIH). Scand. J.Haematol., 37: 429-437, 1986.
1 1. Jindall, H., Anderson, C., Davis, R., and Vishwanatha, J. Sumaminaffects DNA synthesis in HeLa cells by inhibition of DNA polymerases.
Cancer Res., 50: 7754-7757, 1990.
12. Bojanowski, K., Lelievre, S., Mamkovits, J., Coupmie, J., Jacquemin-
Sablon, A., and Larsen, A. Sumamin is an inhibitor of DNA topoisomem-ase II in vitro and in Chinese hamster fibmosamcoma cells. Proc. Natl.Acad. Sci. USA, 89: 3025-3029, 1992.
13. Rago, R., Mitchen, J., Cheng, A., Obemley, T., and Wilding, G.Disruption of cellular energy balance by sumamin in intact human
prostatic carcinoma cells, a likely antiprolifemative mechanism. Cancer
Res., 51: 6629-6635, 1991.
14. Constantopoulos, G., Rees, J., Cragg, B. G., Bamranger, J., and
Brady, R. Suramin-induced storage disease-Mucopolysacchamidosis.Am. J. Pathol., 113: 266-268, 1983.
15. Home, M., Stein, C., LaRocea, R., and Myers, C. Circulating
glycosaminoglycan anticoagulants associated with sumamin treatment.
Blood, 71: 273-279, 1988.
16. Hensey, C., Bosconoinik, D., and Azzi, A. Sumamin, an anti-cancerdrug, inhibits protein kinase C and induces differentiation in neuroblas-toma cell clone NB2A. FEBS Lett., 258: 156-158, 1989.
17. Mahoney, C., Azzi, A., and Huang, K. Effects of sumamin, an
anti-human immunodeficiency virus reverse tmanscmiptase agent, on pro-tein kinase C. J. Biol. Chem., 265: 5424-5428, 1990.
18. Rotenbemg, S., and Weinstein, I. B. Protein kinase C in neoplastic
cells. In: T. G. Pretlow and T. P. Pretlow (eds.), Biochemical andMolecular Aspects of Selected (‘ancers, pp. 25-73. Orlando: Academic
Press, 1990.
19. Nishizuka, Y. Intracellular signaling by hydrolysis of phospholipidsand activation of protein kinase C. Science (Washington DC), 258:607-614, 1992.
20. Weiss, M., Wong, J., Ha, C., Bleday, R., Salem, R., Steele, G., and
Chen, L. B. Dequalinium, a topical antimicrobial agent, displays anti-carcinoma activity based on selective mitochondrial accumulation. Proc.
NatI. Acad. Sci. USA, 84: 5444-5448, 1987.
21. Rotenberg, S., Smiley, S., Ueffing, M., Krauss, R., Chen, L. B., andWeinstein, I. B. Inhibition of rodent protein kinase C by the anticarci-
noma agent dequalinium. Cancer Res., 50: 677-685, 1990.
22. Meyer, T., Regenass, U., Fabbmo, D., Altemi, E., Rosel, J., Muller,M., Canvatti, G., and Matter, A. A derivative of staumospomine (CGP 41251) shows selectivity for protein kinase C inhibition and in vitro
antiprolifemative as well as in vito antitumor activity. Int. J. Cancer, 43:851-856, 1989.
23. Stec, W. J., Zon, G., Egan, W., and Stec, B. Automated solid-phasesynthesis, separation, and stereochemistry of phosphomothioate ana-
logues of oligodeoxymibonucleotides. J. Am. Chem. Soc., 106: 6077-6079, 1984.
24. Stein, C. A., Tonkinson, J., and Yakubov, L. Phosphomothioate
oligodeoxynucleotides-antisense inhibitors of gene expression? Pharma-
col. & Them., 52: 365-384, 1991.
Research. on March 29, 2021. © 1995 American Association for Cancerclincancerres.aacrjournals.org Downloaded from
http://clincancerres.aacrjournals.org/
-
122 Polyanions Inhibit Protein Kinase C Activity
25. Agrawal, S., and Tang, J. GEM 91-an antisense oligonucleotidephosphomothioate as a therapeutic agent for AIDS. Antisense Res. Dev.,
4: 261-266, 1992.
26. Bayever, E., Iversen, P., Bishop, M., et al. Systemic administrationof a phosphorothioate oligonucleotide with a sequence complementary
to p53 for acute myelogenous leukemia and myelodysplastic syndrome:
initial results of a phase I trial. Antisense Res. Dev., 4: 383-390, 1994.
27. Broder, S., Collins, J., Markham, P., et al. Effects of sumamin onHTLV-III/LAV infection presenting as Kaposi’s sarcoma or AIDS-
related complex: clinical pharmacology and suppression of virus repli-
cation in vivo. Laneet, 2: 627-630, 1985.
28. Matsukuma, M., Zon, G., Shinozuka, K., Robert-Gumoff, M., Stein,
C. A., Mitsuya, H., Wong-Staal, F., Cohen, J., and Brodem, S. Regulationof viral expression of HIV (human immunodeficieney virus) in vitro by
antisense phosphomothioate oligodeoxynucleotide against rev (amt/tms) in
chronically infected cells. Proc. Natl. Acad. Sci. USA, 86: 4244-4249,
1989.
29. Stein, C. A., Matsukura, M., Subasinghe, C., Cohen, J., and Bmoder,
S. Phosphorothioate oligodeoxynucleotides are potent non sequence-specific inhibitors of the HIV cytopathic effect in de novo infected cells.
AIDS Res. Hum. Retroviruses, 5: 639-646, 1989.
30. Stein, C. A., and Cheng, Y. Antisense oligodeoxynucleotides-is
the bullet really magical? Science (Washington DC), 261: 1004-1012,
1993.
31. Stein, C. A., Tonkinson, J., Zhang, L., Yakubov, L., Gervasoni, J.,
Taub, R., and Rotenbemg, S. Dynamics of the internalization of phos-phodiester oligodeoxynucleotides in HL6O cells. Biochemistry, 32:
4855-4861, 1993.
32. Wellstein, A., Zugmaier, G., Califano, J., Brodem, S., and Lippman,
M. Xylanopolyhydmogensulfate inhibits fibmoblast growth factor inhib-
ited by pentosan polysulfate. Proc. AACR, 30: 583, 1989.
33. Rideout, D., Schinzai, R., Pauza, P., Lovelace, K., Chiang, L.,
Calogeropoulou, T., McCarthy, M., and Elder, J. Derivatives of 4-ami-
no-3,6-disulfonatonaphthalimide inhibit reverse tmanscmiptase and sup-
press human and feline immunodeficiency virus expression in cultured
cells. J. Cell. Biochem., 5!: 446-457, 1993.
34. Stein, C. A., Subasinghe, C., Shinozuka, K., and Cohen, J. Physi-
cochemical properties of phosphomothioate oligodeoxynueleotides. Nu-
cleic Acids Res., 16: 3209-3221, 1988.
35. Krauss, R., Housey, G., Johnson, M., and Weinstein, I. B. Distum-
bances in growth control and gene expression in a C3H 1OT1/2 cell line
that stably overproduces protein kinase C. Oncogene, 4: 991-998, 1989.
36. Rotenbemg, S., Krauss, R., Bomnem, C., and Weinstein, I. B. Char-
acterization of a specific form of protein kinase C ovempmoduced by a
C3H 1OTI/2 cell line. Biochem. J., 266: 173-178, 1990.
37. Housey, G., Johnson, G., Hsiao, W., O’Bmian, C., Murphy, J.,
Kirschmeiem, P., and Weinstein, I. B. Overproduction of protein kinase
C causes disordered growth control in rat fibroblasts. Cell, 52: 343-354,
1988.
38. McGlynn, E., Liebetanz, J., Reutner, S., Wood, J., Lydon, N. B.,Hofstettem, H., Vanek, M., Meyer, T., and Fabbmo, D. Expression and
partial characterization of mat protein kinase C-� and protein kinase C-�
in insect cells using recombinant baculovimus. J. Cell. Biochem., 49:
239-250, 1992.
39. Sossin, W., and Schwartz, J. Selective activation of calcium acti-
vated PKCs in aplysia neurons by semotonin 5-HT. J. Neumosci., 12:
1160-1168, 1992.
40. Majumdar, C., Stein, C. A., Cohen, J., Brodem, S., and Wilson, S.
HIV reverse transcniptase stepwise mechanism: phosphomothioate oh-
godeoxynucleotide as primer. Biochemistry, 28: 1340-1346, 1989.
41. Mildvan, A., and Leigh, R. Determination of co-factor dissociationconstants from the kinetics of inhibition of enzymes. Biochim. Biophys.
Acta., 89: 393-397, 1964.
42. Yakubov, L., Khaled, Z., Zhang, L.-M., Truneh, A., Vlassov, V.,and Stein, C. A. Mode of interaction of ohigodeoxynucleotides withrecombinant sCD4. J. Biol. Chem., 268: 18818-18823, 1993.
43. Stein, C. A., Pal, R., Hoke, G., Naim, B. C., Mumbauem, S., and
Neckems, L. M. Phosphomothioate ohigodeoxynucleotide interferes with
binding of CD4 to gp 120. J. Acquired Immune Defic. Syndr., 4:
686-693, 1991.
44. Basu, A., and Modak, M. J. Observation of the suramin-mediated
inhibition of cellular and viral DNA polymerases. Biochem. Biophys.
Res. Commun., 128: 1395-1402, 1985.
45. Iyem, R. P., Uzanski, B., Boal, J., Storm, C., Egan, W., Matsukura,
M., Brodem, S., Zon, G. Wilk, A., Koziolkiewicz, M., and Stec, W. J.A basic oligodeoxymibonucleoside phosphomothioates: synthesis andevaluation as anti-HIV-1 agents. Nucleic Acids Res., 18: 2855-2859,
1990.
46. Stec, W. J., Grajkowski, A., Koziolkiewicz, M., and Uznanski, B.Novel route to oligo(deoxymibonucleoside phosphomothioates). Stereo-
controlled synthesis of P-chimal oligo(deoxynibonucleoside phosphomo-thioates). Nucleic Acids Res., 19: 5883-5888, 1991.
47. Ono, K., Nakane, J., and Fukushima, M. Differential inhibition of
various deoxyribonucleic and mibonucleic acid polymemases by sumamin.
Eum. J. Biochem., 172: 149-153, 1988.
48. Calcaterma, N., Vieamio, L., and Rovemi, 0. Inhibition by sumamin of
mitochondrial ATP synthesis. Biochem. Pharmacol., 37: 2521-2527,1988.
49. Junco, M., Diaz-Guemma, M., and Bosca, L. Substrate-dependent
inhibition of protein kinase C by specific inhibitors. FEBS Lett., 263:
169-171, 1990.
50. Choi, P. M., Tehou-Wong, K-M., and Weinstein, I. B. Ovemexpmes-sion of protein kinase C in HT29 colon cancer cells causes growth
inhibition and tumor suppression. Mol. Cell Biol., 10: 4650-4657,
1990.
51. House, C., Robinson, P., and Kemp, B. A synthetic peptide analog
of the putative substrate-binding motif activates protein kinase C. FEBS
Lett., 249: 243-247, 1989.
52. Bell, R., and Burns, D. Lipid activation of protein kinase C. J. Biol.
Chem., 266: 4661-4664, 1991.
53. Wellstein, A., Zugmaiem, G., Califano, J., Kern, F., Paik, S., and
Lippman, M. Tumor growth dependent on Kaposi’s sarcoma-derivedfibmoblast growth factor inhibited by pentosan polysulfate. J. Natl.
Cancer Inst., 83: 716-720, 1991.
54. Zugmaier, G., Limpman, M., and Wellstein, A. Inhibition by pen-
tosan polysulfate (PPS) of hepamin-binding growth factors released from
tumor cells and blockage by PPS of tumor cell growth in animals. J.Natl. Cancer Inst., 84: 1716-1724, 1993.
Research. on March 29, 2021. © 1995 American Association for Cancerclincancerres.aacrjournals.org Downloaded from
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1995;1:113-122. Clin Cancer Res Z Khaled, D Rideout, K R O'Driscoll, et al. polyanions on protein kinase C activity.Effects of suramin-related and other clinically therapeutic
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